The author contends that psychoanalytic theory has generally presented religious beliefs as developmentally immature or pathological. This viewpoint has resulted in a neglect of religion on the part of psychoanalysts and an avoidance of their religious life by patients. Even though there has been an evolution from the traditional Freudian foundational approach to religion as an "illusion" to the inclusion of psychoanalytical training within some Christian institutes and attributions that psychoanalysis, itself, is a religion, religious beliefs should be included in psychotherapy because they can become involved in transference and countertransference issues in ways that are ignored if religious issues are not discussed in therapy. The author presents clinical material to illustrate this problem.
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http://dx.doi.org/10.1057/s11231-019-09174-6 | DOI Listing |
Psychodyn Psychiatry
January 2025
Professor of Psychiatry, Columbia University Irving Medical Center; Senior Consultant, Consultation-Liaison Psychiatry, New York Presbyterian Hospital-Milstein Hospital.
The request for hastened death by patients with psychiatric disorders poses a professional conundrum for psychiatrists. Issues of transference and countertransference loom large in such situations. Primitive defense mechanisms, particularly projective identification need to be addressed in understanding the request.
View Article and Find Full Text PDFPsychodyn Psychiatry
January 2025
Psychologist, Transparant Centrum GGZ, Leiden, The Netherlands.
The impact of intense countertransference affects in working with patients experiencing complex trauma can have a critical effect on decisions about euthanasia, especially when such decisions are made solely on the grounds of a psychiatric condition. These countertransference dynamics become particularly significant in the context of the rising number of euthanasia requests by psychiatric patients in the Netherlands. We contend that for a subgroup of patients with complex trauma, attachment trauma, and personality disorders, the label "treatment-resistant" may be applied prematurely and incorrectly.
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January 2025
Maison de Solenn, Hôpital Cochin, AP-HP, 97 boulevard de Port-Royal, 75014 Paris, France; Centre de recherche en épidémiologie et santé des populations, Hôpital Paul-Brousse, 16 avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France; Université Paris-Saclay, UVSQ, Inserm, Centre de recherche en épidémiologie et santé des populations, Team DevPsy, 16 avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France.
In occupational therapy, intersubjective movements unfold between the professional and the patient at several levels: in the therapeutic relationship, through the activity and within the institution. A psychodynamic reading of these movements helps to develop working hypotheses. When the person being cared for and the occupational therapist are from different cultures, specific unconscious relational movements are at work.
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January 2025
Maison de Solenn, Hôpital Cochin, AP-HP, 97 boulevard de Port-Royal, 75014 Paris, France; CESP, Faculté de médecine, Université Paris-Sud, Hôpital Paul-Brousse, 16 avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France; Faculté de médecine, UVSQ, Inserm, "DevPsy" Université Paris-Saclay, 16 avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France.
Through a clinical analysis of the cultural transfers and counter-transfers at play in the exchange between a nurse and a young unaccompanied minor, the authors propose a reflection on the question of transcultural encounters in healthcare. What recognition should be given to otherness, so as not to reduce the other to his or her difference, but rather to support him or her in the construction of an identity at the heart of the issue of métissage?
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January 2025
Université Paris Cité, Laboratoire de psychologie clinique, psychopathologie, psychanalyse, 92100 Boulogne-Billancourt, France; Maison de Solenn, Hôpital Cochin, AP-HP, 97 boulevard de Port-Royal, 75014 Paris, France.
Cultural counter-transference between the different actors in the prison environment can be very strong. However, it is rarely taken into account when analyzing the interactions that healthcare professionals may have with prison officers and inmates. Health professionals working in the medical-psychological service are confronted with a number of cleavages, which could have less impact on them and their care if these counter-transferential movements were better taken into account.
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