A Perilous High Wire Act: Framing Psychoanalytic Relationships With Severely Traumatizedpatients

Karbelnig, Alan Michael

doi:10.1080/00332828.2018.1495517

Cited by 6 publications

(4 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Wallerstein's (2002) phrase, 'common ground' (p. 5), captures the idea. As noted in prior publications (Karbelnig, 2018b(Karbelnig, , 2018c(Karbelnig, , 2022, psychotherapists' work features a unique, consistent architecture. They frame the psychoanalytic interpersonal relationship to maintain professional boundaries and create an environment within which psychoanalytic processes develop.…”

mentioning

confidence: 77%

See 1 more Smart Citation

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Karbelnig¹

2023

Brit J Psychotherapy

Self Cite

View full text Add to dashboard Cite

This article explores four primary themes while describing the author's process of advising patients of an imminent open‐heart surgery: the lingering controversies surrounding self‐disclosure, the artistry involved in sharing the information, the management of specific patient reactions, and how the dance between static and dynamic theory application in psychoanalytic psychotherapy unfolds. The author tailored his description of the medical crisis to the distinctiveness of each psychotherapeutic dyad—using a basically scripted but short description of the situation—and he improvised subsequent clinical discussions accordingly. Several patients reacted in surprising ways. Three clinical examples vividly illustrate the above‐noted themes, particularly the uniqueness of each dyad, the need for improvisation, and the application of a cross‐theoretical model (Karbelnig, 2022).

show abstract

mentioning

confidence: 77%

“…Other relational psychoanalysis scholars share the same concern (Aron, Grand & Slochower, 2018), specifically citing excessive self‐disclosure as a problem. In an earlier paper, I described how my excessive self‐disclosure contributed to the worsening of a traumatized patient's condition (Karbelnig, 2018a).…”

Section: The Question Of Self‐disclosurementioning

confidence: 99%

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Karbelnig¹

2023

Brit J Psychotherapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Providing a structure for such pluralism, psychoanalytic psychotherapists utilize three basic professional behaviours À framing, presence, and engagement (Karbelnig, 2014(Karbelnig, , 2018a(Karbelnig, , 2018b. Clinicians frame their psychoanalytic interpersonal relationships by establishing and maintaining environments facilitative of psychoanalytic processes.…”

Section: A Structure For Exploring Psychoanalytic Revolutionsmentioning

confidence: 99%

“…Fairbairn (1952) ultimately concluded that safety, taking form in the introjection of a good object, was crucial. The concept of presence (Karbelnig, 2018a(Karbelnig, , 2018b, an essential backdrop for psychoanalytic processes, allows psychoanalysts to carefully attend to, respect, hear, witness, and attune to patients. These ways of receiving patients, of metaphorically opening arms to their subjective experiences, could also (if dangerously) be called love.…”

Section: Psychoanalysis and Revolutionsmentioning

confidence: 99%

The Psychoanalyst As Revolutionary

Karbelnig¹

2021

Brit J Psychotherapy

Self Cite

View full text Add to dashboard Cite

By comparing psychoanalytic transformational processes to political revolutions, the author advances the psychoanalytic project in several ways. The analogy extends British object relations theory by elaborating upon Fairbairn's (1952) observation that psychoanalysts arduously compete with their patients' devotions to their internal worlds. In essence, he argues, and by exploiting the 'mutual but asymmetrical' (Aron, 1991) intimacy of the psychoanalytic dyad, psychoanalysts foment change in individuals like revolutionaries alter governments. The comparison to political revolutions also highlights how changes in the behaviour of other persons in patients' lives are necessary for transformation. Clinical insurgencies, when successful, alter patients' intra-psychic structures, interpersonal relationships, and overall behavioural patterns. The paper includes two case examples, one a successful revolution and the other not, as illustrations.

show abstract

Chasing infinity: Why clinical psychoanalysis' future lies in pluralism

Karbelnig

2022

The International Journal of Psychoanalysis

View full text Add to dashboard Cite

A Perilous High Wire Act: Framing Psychoanalytic Relationships With Severely Traumatizedpatients

Cited by 6 publications

References 42 publications

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

The Psychoanalyst As Revolutionary

Chasing infinity: Why clinical psychoanalysis' future lies in pluralism

Contact Info

Product

Resources

About