Algumas reflexões sobre minha experiência de analisar através da contratransferência
Resumo
É proposto nesta comunicação que o sucesso no trabalho psicoterapêutico com pacientes severamente perturbados exige uma intensificação da atenção do analista para suas experiências intrapsíquicas contratransferenciais, brotadas das interações conscientes e inconscientes com o paciente. As reações contratransferenciais manifestamse como percepções físicas, emocionais e somato sensoriais. A efetividade do trabalho analítico aumenta com a formulação de interpretações baseadas nestas experiências intrapsíquicas. Interpretar através da contratransferência implica na habilidade do analista em tolerar uma cisão psíquica, ao mesmo tempo em que se compromete com o analisando. Durante regressões temporárias a modos pré simbólicos de experiência que permitem a recuperação e o intercâmbio, entre analista e analisando, das fantasias de processo primário nas formas verbais do "jogo do rabisco" de Winnicott, o analista deve ser também capaz de manter, simultaneamente, uma instância de ego observadora, informada pelo pensamento de processo secundário.
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Referências
AKHTAR, S. (1994). Object constancy and adult psyclropathology. Int. J. Psychoanal., 75: 44155.
ANGEL, E. (1979). The resolution of a countertransference through a dream of the analyst. Psychoanal. Rev. 66: 917
APPREY, M. & STEIN, H. F. (1994). Intersubjectivity, Projective Identifcations and Otherness.Pittsburgh: Duquesne University Press.
BALINT, E. (1993). Before I was 1. Psychoanalysis and the Imagination. J. L. Mitchell & M. Parsons, Eds. New York: Guilford.
BALINT, E. &BALINT, M. (1959). On transference and countertransference. Int. J. Psychoanal., 20:223230.
BALINT, M. (1965). Primary Love and PsychoAnalytic Technique. London: Hogarth.
_____ (1968). The Basic Fault. Therapeutic Aspects of Regression. New York: Brunner/Mazel, 1979.
BILU, Y. (1985). The taming of the deviants and beyond: An analysis of dybbuk possession and exorcism 1n Judaism. The Psychoanelitic Study of Society, 11: 132.
BION, W. R. (1957). Differentiation of the psychotic from the nonpsychotic personalities. Int. J. Psychoanal., 38: 266275
_____ (1959). Attacks on linking. Int. J. Psychoan., 40:308315.
_____ (1962). Learning from Experience. London: Heineman.
_____ (1967). Second Thoughts, New York: Aronson, 1987.
_____ (1987). Clinical Serninars. Brasilia and São Paulo arid Four Papers. (F. Bion, Ed.). Abingdon: Fleetwood Press.
BLECHNER, M. (1992). Workingin the countertransference. Psychoanal. Dialogues, 2: 161179.
BOLLAS, C. (1987). The Shadow of tire Object: Psychoanalysis of the Unknown Thought. New York: International Universities Press.
BOYER. L. B. (1955). Christmas "neurosis" J. Artier. Psychoanal. Assn., 3: 467488.
_____ (1956). On ma tern al overstinuilation and ego defects. Psychoanal. Study Child, ll: 236256.
_____ (1960). A hypothesis concerning the time of appearance of the dream screen. Int. J. Psychoanal., 41: 114122.
_____ (1961). Psychoanalysis with few parameters in the treatment of schizophrenia. Int. J. Psychoanal., 42: 389403.
_____ (1967). Historical development of psychoanalytic psychoterapy of the schizophrenias: Freud's contribution. In Psychoanalytic Treatment of Schizophrenic and Characterological Disorders. Eds.: L. B. Boyer & P. L. Giovacchini. New York: Science House.
_____ (1972). A suicidal attempt by an adolescent twin. Int. J. Psychother. Psychoanal., 1: 730.
_____ (1976). Meanings of a bizarre suicide attempt by an adolescent twin. Adolescent Psychiat.,4: 371381.
_____ (1977). Working with a borderline patient. Psychoanal. Quart., 46: 386424.
_____ (1978). Countertransference experiences with severely regressed patients. Contemporary Psychoanal., 14: 4872.
_____ (1979). Childhood and Folklore. A Psychoanalytic Study of Apache Personality. New York: Library of Psychological Anthropology.
_____ (1982). Analytic experiences in work with regressed patients. In Technical Factors in the Treatment of the Severely Disturbed Patient. Eds.: P. L. Giovacchini & L. B. Boyer. New York: Aronson, pp. 65106.
_____ (1983). The Regressed Patient. New York: Aronson.
_____ (1985). Christmas "Neurosis" Reconsidered. In Depressive States and Their Treatment. Ed. by V. D. Volkan. Northvale, NJ and London: Aronson, pp. 297316.
_____ (1986). Technical aspects of treating the regressed patient. Contemporary Psychoanal., 22: 2544.
_____ (1987). Regression and countertransference in the treatment of a borderline patient. In The Borderline Patient. Vol, 2. Eds. J. S. Grotstein, M. F. Solomon and J. A. Lang. Hillsdale, NJ: Analytic Press, pp. 4159.
_____ (1988). Thinking of the interview as though it were a dream. Contemporary Psychoanal., 24: 275281.
_____ (1989). Countertransference and technique in working with the regressed patient. Int. J. Psychoanal., 70: 701714.
_____ (1990). Introduction: psychoanalytic intervention in treating the regressed patient. In Master Clinicians on Treating the Regressed Patient. Eds.: L. B. Boyer & P. L. Giovacchini. Northvale, NJ and London: Aronson, pp. I32.
_____ (1992). Roles played by music as revealed through countertransference facilitated transference regression. Int. J. Psychoanal., 73: 5570.
_____ (1993). Introduction: CountertransferenceBrief history and clinical issues with regressed patients. In Master Clinicians on Treating the Regressed Patient. Volume 2. Eds.: L. B. Boyer and P. L. Giovacchini. Northvale, NJ and London: Aronson, pp. 122.
_____ (1994). Countertransference: Condensed history and personal view of issues with regressed patients. J. Psychother. Practice Research, 3: 122137.
BOYER, L. B., BOYER, R. M., DITHRICH, C. W., HARNED, H., HIPPLER, A. E., STONE, J. S. & WALT, A. (1989). The relation between psychological states and acculturation among the Tanaina and Upper Tanana Indians of Alaska. Ethos, 17: 387427.
CHRZANOWSKI, G. (1989). The significance of the analyst's individual personality in the therapeutic relationship. J. Amer. Acad. Psychoanal., 17: 59?608.
COLTART, N. (1992). Slouching toward Bethlehem. New York and London: Guilford.
DAN, Y. (1970). Maggid (Hebrew). Encyclopaedia Hebraica, 22: 139140.
DERI, S. (1984). Symbolization and Creativity. New York: International Universities Press.
DEUTSCH, H. (1921). Okkulte Vorgänge während der Psychoanalyse. Imago, 12: 418433. Translated as Chapter 19 of P.
Roazen, Ed., The Therapeutic Process, the Self and Female Psychology, Collected Psychoanalytic Papers. Helene Deutsch. New York: Brunner/Mazel.
DEVEREUX, G. (Ed). (1953). Psychoanalysis and the Occult. NewYork: International Universisties Press.
DE VOS, G. A. & BOYER, L. B. (1989). SyrnbolicAnalysis CrossCulturally, Berkeley: University of California Press.
DI BENEDETTO, A. (1991). Countertransferenee: Feeling, recreating and understanding. Riv. Psicoanal., 37: 94131.
DOTY, L. (1994). Personal communication.
EISSLER, K. R. (1953). The effect of the structure of the ego on psychoanalytic technique. J. Anrer. Psa. Assn., 1: 104143.
ETCHEGOYEN, R. H. (1991). The Fundamentals of Psychoanalytic Technique. London: Karnac.
FLIESS, R. (1953). Countertransference and counteridentification. J. Amer. Psychoanal. Assn., 1: 268284.
FREUD, S. (1899). A premonitory dream fulfilled. S. E., 5.
_____ (1900). The interpretation of dreams. S. E. 4 and 5.
_____ (1904). Premonitions and chance: an excerpt. In Psychoanalysis and the Occult. Ed. by Devereux, G. New York: International Universities Press, 1953, pp. 5255.
_____ (1910). The future prospects of psychoanalytic therapy. S. E. 11.
_____ (1913). The disposition to obsessional neurosis. S. E., 12.
_____ (1915). The unconscious. S. E. 14.
_____ (1922). Dreams and Telepathy. S. E. 18.
_____ (1933). Dreams and the occult. New Introductory Lectures: Lecture XXX. S. E. 22.
GABBARD, G. 0. (1991). Technical approaches to transference hate in the analysis of borderline patients. Int. J. Psychoanal., 72: 625638.
GADDINI, E. (1981). Il problema mentecorpo en psicoanalisis. Riv. Psicoanal. 27: 329
_____ (1982). Early defensive phantasies and the psychoanalytic process. In A Psychoanalytic Th.eroy of Infantile Experience: Conceptual and Clinical Reflections. London and New York: Routledge.
GADDINI, R. (1985). Early psychosomatic symptoms and the tendency toward integration. J. Squiggle Foundation, 1: 4956
_____ (1990). Regression and its uses in treatment. In Master Clinicians on Treating the Regressed Patient. Eds. L. B. Boyer and P. L. Giovacchini. Northvale, NJ and London: Aronson, pp 227244,
_____ (1993). Regression and its uses in treatment: An elaboration of the thinking of Winnicott. In In One's Bones: The Clinical Genius of Winnicott. Ed. by D. Goldman. Northvale, NJ and London: Aronson, pp. 257272.
GIOVACCHINI, P. L. (1980). The analytic introject and analytic intent. In Psychoanalytic Treatment of Schizophrenic, Borderline and Characterological Disorders. Second Edition, Revised and Expanded. Eds. L. B. Boyer and P. L. Giovacchini. New York and London: Aronson, pp. 356359.
_____ (1989). Countertransference Triumphs and Catastrophes. Northvale, NJ and London: Aronson.
GINZBURG, L. (1913). The Legends of the Jews. Vol. 4. Philadelphia: The Jewish Publication Society of America.
GOLDBERG, A. (1994). Farewell to the objective analyst. Int. J. Psychoanal., 75: 2130.
GREEN, A. (1975). The analyst, symbolization and absence in the analytic setting. (On changes in analytic [practice and analytic] experience). Int. J. Psychoanal., 60: 347356.
GRIMM, J. & W. (1819). Grimm's Tales for Young and Old. The Complete Stories. Newly translated by R. Mannheim. Garden City, NY: L. Doubleday & Co.
GRINBERG, L. (1957). Pertubaciónes en la interpretación por la contraidentificación proyectiva. Rev. Psicoanál. 14: 2328.
_____ (1962). On a specific aspect of countertransference due to the patient's proj ectiveidentification. Int. J. Psychoanal., 43: 436440.
_____ (1979). Countertransference and counteridentification. Contemporary Psychoanal., 15: 226247.
GROLNICK, S. (1990). The Work and Play of Winnicott. Northvale, NJ and London: Aronson.
GROTSTEIN, J. S. (1981). Splitting and Projective Identification. New York: Aronson.
_____ (1994). Forewood. M. Apprey and H. F. Stein, Intersubjectivity, Projective Identification and Otherness. Pittsburgh: Duquesne University Press, pp. IXXVI. HANNKENDE,
F. (1933). On the role of transference and countertransference in psychoanalysis. In Psychoanalysis and the Occult. Ed. by G. Devereux. New York: International Universities Press, 1953, pp. 158167.
HEIMANN, P. (1950). Countertransference. Int. J. Psychoanal., 31: 8184.
_____ (1960). Countertransference. Brit. J. Med. Psycho., 33: 915.
IDEL, M. (1989). Jewish magic from the Early Renaissance Period to Early Hsidism. In Religion, Science and Magic. Eds.: J. Neusner et al. New York: Oxford University Press
JOSEPH, B. (1975). The patient who is difficult to reach. In Tactics and Techniques in Psychoanalytic Therapy. II,
Countertransference. Ed. P. L. Giovacchini, with the collaboration of A. Flarsheim & L. B. Boyer. New York: Aronson, pp. 205216.
_____ (1982). Addiction to near death. Int. J. Psychoanal., 63: 449456.
_____ (1985). Transference: The total situation. Int. J. Psychoanal., 66: 447454.
KERNBERG, 0. F. (1976). Object Relation Theory and Clinical Psychoanalysis. New York: Aronson.
_____ (1985). Internal World and External Fantasy. Northvale, NJ and London: Aronson.
_____ (1987). Projection and projective identification: Developmental and clinical aspects. In Projection, Identification, Projective Identification. Ed. J. Sandler. Madison, CT: International Universities Press, pp. 93115.
KHAN, M. M. R. (1964). Egodistortion, cumulative trauma and the role of reconstruction in the psychoanalytic situation. In The
Privacy of the Self. New York: International Universities Press, 1974, pp. 5968.
KING, P. (1978). Affective response of the analyst to the patient's communications. Int. J. Psychoanal., 59: 329334.
KLEIN, M. (1946). Notes on some schizoid mechanisms. In M. Klein, P. Heimann, S. Isaacs & J. Riviere Developments in PsychoAnalysis.
London: Hogarth Press, 1952, pp. 292320.
_____ (1948). Contribution to PsychoAnalysis. London: Hogarth Press.
(1957). Envy and Gratitude. A Study of Unconscious Sources. New York: Basic Books.
KLEIN, M., HEIMANN, P., ISAACS, S. & RIVIERE, J. (1951). Developments in PsychoAnalysis. London: Hogarth Press, 1952.
LACAN, J. (1951). Intervention surle transfert. In écrits. Paris: éditions du Seuil, 1966, pp. 215226
LESTER, E. P., JODOIN, R. M. & ROBERTSON, B. M. (1989). Countertransference dreams reconsidered: a survey. Int. Rev. Psychoanal., 16: 305314.
LEWIN, B. D. (1933). The body as phallus. Psychoanal. Q., 2: 2447.
_____ (1948). Inferences from the dream screen. Int. J. Pshychoanal., 29: 224231.
LIBERMAN, D. (1978). Affective response of the analyst to the patient's communications. Int. J. Psychoanal., 59: 335340.
LITTLE, M. I. (1951). Countertransference and the patient's response to it. In Transference Neurosis and Transference Psychosis. New York: Aronson, 1981, Chap. 2.
_____ (1957). "R"the analyst's total response to his patient's needs. In Transference Neurosis and Transference Psychosis. New York: Aronson, 1981, Chap. 4.
LOEWALD, H. W. (1986). TransferenceCountertransference. J. Amer. Psychoanal. Assn., 34: 275287.
MAJOR, R. (Ed). (1983) Confrontation: Telepathie. Vol. 10. Paris: AubierMontaigne.
McDOUGALL, J. (1978). Countertransference and primitive communication. In Plea for a Measure of abnormality. New York: International Universisties Press, pp. 247298.
_____ (1989). Theaters of the Body. A Psychoanalytic Approach to Psychosomatic Illness. New York: Norton.
MELTZER, D. (1966). The relation of anal masturbation to projective identification. Int. J. Pssychoanal., 47: 335342.
_____ (1975). Adhesive identification. Contemporary Psychoanal., 11: 289310.
MILNER, M. (1969). The Hands of the Living God. London: Hogart Press. MONEYKYRLE,
R. (1956). Normal countertransference and some of its deviations. Int. J. Psychoanal., 37: 360366.
NEILSON, W. A., KNOTT, T. A. & CARHART, P. W. (Eds). 1949 Webster's New International Dictionary of the English Language. 2nd Ed. Unabridged. Springfield, MA: G & C. Merriam Company, Publishers.
NIGAL, G. (1983). Dybbuk Stories in Jewis Literature. (Hebrew). Jerusalem: Rubin Mass.
OGDEN, T. H. (1982). Projective Identification and Psychotherapeutic Technique. New York: Aronson.
_____ (1985). On potencial space. Int. J. Psychoanal., 66: 129142.
_____ (1986). The Matrix of the Mind: Object Relations and the Psychoanalytic Dialogue. Northvale, NJ and London: Aronson.
_____ (1989). The Primitive Edge of Experience. Northvale, NJ and London: Aronson.
_____ (1993). Analyzing the matrix of transference. In On Treating the Regressed Patient. L. B. Boyer and P. L. Giovacchini, Eds. Master Clinicians, vol. 2. Northvale, NJ and Aronson, pp. 4162, Also in International Journal of PsychoAnalysis, 1991, 72: 553605.
_____ (1994a). Projective identification and the subjugating third. In Subjects of Analysis. Northvale, NJ and London: Aronson, pp. 97106.
_____ (1994b). The analytic third: Working with intersubjective clinical facts. Int. J. Psychoanal., 75: 320.
_____ (1994c). The concept of interpretive action. Psychoanal. Quart., 63:49245.
_____ (1994d). Subjects of Analysis. Northvale, NJ and London: Aronson.
O'SHAUGHNESSY, E. (1983). Words and working through. Int. J. Psychoanal., 64: 281290.
PALLARO, P. (1994). Somatic countertransference: The therapist in relationahip. Paperpresented at the Third European Arts Therapies Conference, Ferrara, Italy.
PICK, I. (1985). Working through in the countertransference. In Melanie Klein Today, Volume 2: Mainly Practice. E. Spillius, ed. London: Routledge, 1988, pp. 3447.
POGGI, R. G. & GANZARAIN, R. (1983). Countertransference hate. Bull. Menninger Clin., 47: 1535.
RACKER, E. (1952). Observaciones sabre la contra transferencia como instrumento técnico; comunicación preliminar. Rev. Psicoanál., 9: 342354.
_____ (1953). A contribution to the problem of countertransference. Int. J. Psychoanal., 34: 313324.
_____ (1957). The meanings and uses of countertransference. Psychoanal. Quart. 26: 303357.
_____ (1958). Classical and present techniques in psychoanalysis. In Transference and Countertransference. New York: International Universities Press, 1960, pp. 2370.
_____ (1960). Transference and Countertransference. New York: International Universities Press. (published initially as Estudios sabre Técnica Psicoanalitica., Buenos Aires: Paidós).
ROSENFELD, D. (1988). Psychoanalysis and Groups. History and Dialectics. London: Karnac.
_____ (1992a). Countertransference and the psychotic part of the personality. In The Psychotic Aspects of the Personality. London: Karnac, pp. 79100.
_____ (1992b). Personal Communication.
_____ (1994). Technical aspects of working with delusions and dreams. Paper presented at the I1'á'. International Symposium for the Psychotherapy of Schizophrenia, Washington, DC, June, 1994.
ROSENFELD, H. A. (1947). Analysis of a schizophrenic state with despersonalization. Int. J. Psychoanal., 28: 1319.
_____ (1950). Notes on the psychopathology of confusional states in chronic schizophrenia. Int. J. Psychoanal., 31: 132137.
_____ (1952). Notes on the psychoanalysis of the superego conflict of an acute schizophrenic. Int. J. Psychoanal., 33: 111131.
_____ (1965). Psychotic States. London: Hogarth Press.
_____ (1971). Contribution to the psychopathology of psichotic states: the importance of projective identification in the ego structure and the object relations of the psychotic patients. In Problems of Psychosis. P. Doucet and C. Laurin, eds. Amsterdan: Excerpta Medica, pp. 155128.
_____ (1987). Impasse and Interpretation. London: Tavistock.
SANDLER, J. (1976). Countertransference and role responsiveness, In t. Rev. Psychoanal., 3: 4347.
SEARLES, H. F. (197(). Transitional phenomena and therapeutic symbiosis. In Countertransference and Related Subjects. New York: International Universities Press, pp. 503576.
_____ (1979). Countertransference and Related Subjects. New York: International Universities Press.
SEGAL, H. (1950). Some aspects of the analysis of a schizophrenic. In The Work of Hanna Segal. New York and London: Aronson, 1981, pp. 100120.
_____ (1956). Depression in the schizophrenic. In The Work of Hanna Segal. New York and London: Aronson, 1981, pp. 121130.
SILVERMAN, S. (1991). Somatic correspondence during psychoanalysis, J. Academy Psyclaoanal. , 19: 422445.
SPERLING, M. (1946). Psychoanalytic study of ulcerative colitis in children. Psychoanal. Quart. 15:323329.
_____ (1955). Psychosis and psychosomatic illness. Int. J. Psychoanal., 36: 320327.
_____ (1957). The psychoanalytic treatment of ulcerative colitis. Int. J. Psychoanal., 38: 341349.
STEINER, J. (1993). Psychic Retreats. Pathological Organizations in Psychotic, Neurotic and Borderline Patients. London and New York: Routledge.
TANSEY, M. & BURKE, W. (1989). Understanding Countertransference: From Projective Identification to Empathy. Hillsdale, NJ: Analytic Press.
_____ (1981). Transference and countertransference. An examination from the point of view of internalized object relations. In Object and Self. A Developmental Approach. Eds. : D. Tuttman, C. Kaye and M. Zimmerman. New York: International Universities Press, pp. 429451.
WINNICOTT, D. W. (1947). Hate in the countertransference. Collected Papers. Through. paediatrics to Psychoanalysis. New York:
Basic Books, 1956, pp. 194203.
_____ (1958). Collected Papers. Through Paediatrics to PsychoAnalysis. New York: Basic Books.
_____ (1960). The theory of the parentinfant relationship. In The Maturational Processes anal the Facilitating Environment. New York: International Universities Press, 1965, pp. 3755.
_____ (1965). The Maturational Processes and the Facilitating Environment. New York: International Universities Press.
_____ (1971a). Playing and Reality. New York: International Universities Press.
ZWIEBEL, R. (1977). Der Analytiker Träumnt von seinem Patientin. Psyche, 31: 4359.
_____ (1984). Zur Dynamik des Gegenübertragungstraums. Psyche, 38: 19321.
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