Psychoanalytic Case Formulation by Nancy McWilliams

Author:Nancy McWilliams [McWilliams, Nancy]
Language: eng
Format: mobi, pdf
ISBN: 9781606235850
Publisher: Guilford Publications
Published: 1999-03-26T05:00:00+00:00

SUMMARY

I introduced this chapter with some commentary on the history of attention to affect in both psychoanalytic theory and clinical practice. Then, I discussed how, in the transference and countertransference matrix of clinical involvement, a therapist tries to evaluate affect, keeping in mind that one cannot be certain that one’s disciplined subjectivity is always picking up the patient’s true emotional state. In the case of those psychopathologies essentially defined by disturbances of affect, I argued that psychotherapy is needed even when medications can transform affective experience. In addressing how to understand someone’s emotional life, I considered the capacity to differentiate affect from action, the ability to represent emotional states in words, the defensive uses of affect, and the discrimination of shame from guilt. Finally, I discussed the therapeutic implications of understanding the workings of emotion, both in specific individuals and instances, and in general, as in the appreciation of psychotherapy as a grieving process.

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