Analytic Love and Power: Responsiveness and Responsibility

Celenza, Andrea

doi:10.1080/07351690701389478

Cited by 15 publications

(14 citation statements)

References 7 publications

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“…This realization prevents the clinician from feeling shame or guilt about the situation as well as from gaining narcissistic gratification associated with it [12]. If the clinician experiences sexual feelings toward the patient, he or she may become either overly involved with the patient or distance him-or herself from the patient, both of which are detrimental to effective and safe treatment.…”

Section: Managing Negative Transferencementioning

confidence: 99%

How Should Clinicians Respond to Transference Reactions with Cancer Patients?

Noorani

Dyer

2017

AMA Journal of Ethics

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Patients with cancer can feel particularly vulnerable and need special attention and support, so clinicians' attention to transference reactions-theirs and their patients-is especially important. Mismanaged transference reactions can undermine the therapeutic alliance in the patient-clinician relationship and negatively influence treatment outcomes. In oncology settings, real and perceived needs of patients in serious distress can occasion modification of usual outpatient protocols, particularly when flexible scheduling or home or hospital visits are warranted. Here, we comment on a case in which transference reactions of a young woman with cancer prompt her to terminate treatment. We discuss the importance of clinicians' recognizing and managing transference and countertransference, maintaining boundaries, and responding with empathy and integrity to cancer patients' concerns.

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Section: Managing Negative Transferencementioning

confidence: 99%

How Should Clinicians Respond to Transference Reactions with Cancer Patients?

Noorani

Dyer

2017

AMA Journal of Ethics

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“…Mutuality and asymmetry create relational paradoxes. For example, the experience a patient creates with a therapist keeps triggering and frustrating infantile wishes that originated in early infant-parent relationships and that are kept alive throughout life, becoming triggered again in every love relationship (Celenza, 2007; Terlato, 2013). So, beyond the limitations imposed by the setting and the contractual agreements, in every patient the infantile illusion of a symbiotic relationship in a never-ending space and time may come up again as well as the illusion that it is possible to be loved unconditionally and disinterestedly.…”

Section: The Therapist’s Illusionsmentioning

confidence: 99%

Secret Gardens and Dusty Roads

Terlato¹

2017

Transactional Analysis Journal

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The author examines the tensions present in every psychotherapy between the contract, on the one hand, and the illusions of the patient and therapist, on the other. She considers these as two of the various polarities through which the psychotherapeutic process develops with its intrinsic ambiguities. The role Berne assigned to illusion and disillusionment in life and in every psychotherapeutic process is compared with the various functions of illusion discussed by Winnicott and psychoanalysts of the British School. Considering the contract and illusions in a dialectic relationship, the author reflects on the clinical implications of the transactional analysis theory of contracts; discusses recent transactional analytic viewpoints, mainly from a relational perspective, that widen the clinical prospects of psychological contracts; and considers the possible implicit and dynamic influences of these developments. She also examines some specific illusions of patients and therapists and considers their implicit links with clinical models common to various psychotherapeutic theories.

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“…The many interpersonal/relational authors who have moved thoughtfully beyond these positions come to mind (Celenza, 2007;Hirsch, 1994;Mendelsohn, 2007). Here, we feel at a visceral level the author's struggle, as he tentatively owns up to his loving feelings and honestly reveals that this "… is a remarkably difficult subject to think about, feel about, and talk about" (p. 80).…”

Section: Mark Leffert Has Given Us Much To Reflect Upon and Respond Tmentioning

confidence: 99%

Mark Leffert: The Therapeutic Situation in the 21st Century

Zuckerman¹

2015

Am J Psychoanal

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Analytic Love and Power: Responsiveness and Responsibility

Cited by 15 publications

References 7 publications

How Should Clinicians Respond to Transference Reactions with Cancer Patients?

How Should Clinicians Respond to Transference Reactions with Cancer Patients?

Secret Gardens and Dusty Roads

Mark Leffert: The Therapeutic Situation in the 21st Century

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