Abstract
This article describes the 4-year treatment in a community setting of a woman who experienced significant childhood trauma that she replayed in her adult life. The case is presented through a relational lens with particular attention to enactments, the transference/countertransference matrix, and the inevitable participation of the therapist in the treatment. The case will demonstrate how the roles enacted by the therapist and patient allowed for therapeutic space to be opened to facilitate mutual recognition between therapist and patient.
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References
Altman, N. (1995). The analyst in the inner city: Race, class, and culture through a psychoanalytic lens. Hillsdale, NJ: Analytic Press.
Altman, N. (2008). Discussion: Psychoanalysis in the community. Journal of Infant, Child, and Adolescent Psychotherapy, 7, 109–114. doi:10.1080/15289160802142549.
Altman, N. (2010). The analyst in the inner city: Race, class, and culture through a psychoanalytic lens (2nd edn.). New York; NY: Routledge.
Altman, N., Bonowitz, C., Dunn, K., & Kandall, E. (2008). On being bad while doing good: Pro bono clinical work with foster children and their families. Journal of Infant, Child, and Adolescent Psychotherapy, 7, 14–36. doi:10.1080/15289160801938582.
Benjamin, J. (1999). Recognition and destruction: An outline of intersubjectivity. In S. Mitchell & L. Aron (Eds.), Relational psychoanalysis: The emergence of a tradition (pp. 181–210). Hillsdale, NJ: Analytic Press. (Original work published 1990).
Benjamin, J. (2004). Beyond doer and done to: An intersubjective view of thirdness. Psychoanalytic Quarterly, 72, 5–46. doi:10.1002/j2167-4086.2004.tb00151.x.
Davies, J. M. (2004). Whose bad objects are we anyway? Repetition and our elusive love affair with evil. Psychoanalytic Dialogues, 14, 711–732. doi:10.1080/10481881409348802.
Davies, J. M., & Frawley, M. G. (1994). Treating the adult survivor of childhood sexual abuse: A psychoanalytic perspective. New York, NY: Basic Books.
Ganzer, C. (2006). Psychoanalytic psychotherapy at the margins: The case of Ana Ortega, a relational perspective. Paper presented at a meeting of The Chicago Association for Psychoanalaytic Psychology. Chicago, IL.
Ganzer, C. (2007). The use of self from a relational perspective. Clinical Social Work Journal, 35(2), 117–123.
Ganzer, C., & Ornstein, E. D. (1999). Beyond parallel process: Relational perspectives on field instruction. Clinical Social Work Journal, 27, 231–246.
Ganzer, C., & Ornstein, E. D. (2002). A sea of trouble: A relational approach to the culturally sensitive treatment of a severely disturbed client. Clinical Social Work Journal, 30, 127–144.
Ganzer, C., & Ornstein E. D. (2004). Regression, self-disclosure, and the teach or treat dilemma: Implications of a relational approach for social work supervision. Clinical Social Work Journal, 32(4), 431–449.
Greenberg, J. R. (1999). Theoretical models and the analyst’s neutrality. In S. A. Mitchell & L. Aron (Eds.), Relational psychoanalysis: The emergence of a tradition (pp. 131–152). Hillsdale, NJ: Analytic Press. (Original work published1986).
Hoffman, I. Z. (1998). Ritual and spontaneity in the psychoanalytic process: A dialectical-constructivist view. Hillsdale, NJ: Analytic Press.
Mitchell, S. A. (1988). Relational concepts in psychoanalysis: An integration. Cambridge, MA: Harvard University Press.
Mitchell, S. A. (1993). Hope and dread in psychoanalysis. New York, NY: BasicBooks.
Ogden, T. H. (2005). On psychoanalytic writing. In This art of psychoanalysis: Dreaming undreamt dreams and interrupted cries (pp. 109–123). New York, NY: Routledge.
Ornstein, E. D., & Ganzer, C. (1997). Mitchell’s relational conflict model: An analysis of its usefulness in clinical social work. Clinical Social Work Journal, 25, 391–405.
Ornstein, E. D., & Ganzer, C. (2000). Strengthening the strengths perspective. Psychoanalytic Social Work, 7(3), 57–78.
Ornstein, E. D., & Ganzer, C. (2003). Dialectical constructivism in clinical social work: An exploration of Irwin Hoffman's approach to treatment. Clinical Social Work Journal, 31, 355–369.
Ornstein, E. D., & Ganzer, C. (2005). Relational social work: A model for the future. Families in Society, 86, 565–572.
Stern, D. B. (1997). Unformulated experience: From dissociation to imagination in psychoanalysis. Hillsdale, NJ: Analytic Press.
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Ganzer, C. Psychoanalytic Psychotherapy at the Margins: The Case of Ana Ortega, a Relational Perspective. Clin Soc Work J 46, 18–25 (2018). https://doi.org/10.1007/s10615-017-0628-3
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DOI: https://doi.org/10.1007/s10615-017-0628-3