Psychodynamic Psychotherapy: Learning to Listen from Multiple Perspectives by Jon Frederickson
Author:Jon Frederickson
Language: eng
Format: mobi
ISBN: 9781135825911
Publisher: Taylor and Francis
Published: 2013-10-28T00:00:00+00:00
Case #2
The previous hour illustrated how images of the therapist evolved in response to an adaptive context: a missed session. This hour will illustrate the therapist’s intervention becoming an adaptive context and the patient’s unconscious supervision of the therapist. Listen for the transference and see how the patient’s conflict about trust and intimacy evolves.
Patient: I don’t know where to start…
Therapist: One thing that I need for us to talk about … I was thinking about something you said last week about how long therapy would go on. I don’t know if they made it clear to you, but I’m a student, and I’m only scheduled to be here until the end of this school year. There is a possibility that I will be here next year, but we have to work on the assumption that we will be ending in May, and I’m wondering what your feelings are about that.
Patient: I guess it’s fine. I don’t think I’d have a problem with another person. I think that the only problem would be telling everything that had gone on.
Therapist: At the point we stopped, if you wanted I could talk to the new person and I could tell them where we were and what we had talked about.
Patient: That would be really good. I’m really glad that you told me that. I’m in a really good mood. Nothing is really wrong. I don’t know what to say.
Therapist: Is that a different place for you?
Patient: I don’t know. I just got a package from my mom, $50. Last night I found out that guy L, well, a group of us are going to the Bahamas over Spring break, and I just found out that he’s going too. I’m not worried, but I know that I’ll have to see him and talk to him. He keeps coming into my room and I assume that he’s coming to see my girlfriend, not me.
Therapist: It sounds like you have mixed feelings about him.
Patient: I think ok, but then I remember all the things he said about me and I realize that I can’t get involved with him.
Therapist: So you can’t really trust him.
Patient: No. Not even nothing. I can’t even sit in the room alone with him. Therapist: Is it him or any guy?
Patient: I don’t know. I think a lot of it is him because I told him everything and gave him all of me. It could be the same with other guys.
Translate this passage into its transference meanings.
Author’s Translation
Patient: I don’t know. I just got a package from my mom, $50 [I just received some information from you]. Last night I found out that guy L, well, a group of us are going to the Bahamas over Spring break, and I just found out that he’s [you’re] going [away] too. I’m not worried, but I know that I’ll have to see him [you] and talk to him [you]. He keeps coming into my room and I assume that he’s coming to see my girlfriend, not me.
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