Therapeutic Holding

Emanuel, Linda L.; Brenner, Keri; Spira, Neal; Solomon, Brenda; Doolittle, David; Rosenberg, Leah; Jackson, Vicki A.

doi:10.1089/jpm.2019.0543

Cited by 11 publications

(8 citation statements)

References 7 publications

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“…New relating becomes possible, and eventually, separation and moving on. 19,27 In addition, we believe a meeting presence is necessary; a present connection between the suffering person and someone. People tend to experience that kind of connection as love, but not always.…”

Section: Meeting and Maturationmentioning

confidence: 99%

“…Palliative care provides the setting, or holding environment to use Winnicott's concept, in which people can achieve that state as fully as possible and do their last life work. [25][26][27] Those who provide care must confront their own mortality to be able to create a holding environment that fosters existential maturity. However, palliative care is not alone; other settings such as family and community can provide similar holding environments.…”

Section: Comfort For the Dying And Grievingmentioning

confidence: 99%

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Fostering Existential Maturity to Manage Terror in a Pandemic

Emanuel

Solomon

Fitchett

et al. 2021

Journal of Palliative Medicine

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Background: The COVID-19 pandemic has created an environment in which existence is more fragile and existential fears or terror rises in people. Objective: Managing existential terror calls for being mature about mortality, something with which palliative care providers are familiar and in need of greater understanding. Methods: Using a case to illustrate, we describe existential terror, terror management, and existential maturity and go on to outline how existential maturity is important for not only the dying and the grieving but for also those facing risk of acquiring COVID-19. Results: Next, we describe how essential components in attaining existential maturity come together. (1) Because people experience absent attachment to important people as very similar to dying, attending to those experiences of relationship is essential. (2) That entails an internal working through of important relationships, knowing their incompleteness, until able to ''hold them inside,'' and invest in these and other connections. (3) And what allows that is making a meaningful connection with someone around the experience of absence or death. (4) We also describe the crucial nature of a holding environment in which all of these can wobble into place. Discussion: Finally, we consider how fostering existential maturity would help populations face up to the diverse challenges that the pandemic brings up for people everywhere.

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Section: Meeting and Maturationmentioning

confidence: 99%

Section: Comfort For the Dying And Grievingmentioning

confidence: 99%

Fostering Existential Maturity to Manage Terror in a Pandemic

Emanuel

Solomon

Fitchett

et al. 2021

Journal of Palliative Medicine

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“…The Role of Psychodynamics on Quality-of-Life Interventions DOI: http://dx.doi.org/10.5772/intechopen.108653 psychological healing. In Freudian theories, the frame is essential for discerning and using the unconscious to heal psychological conflicts that cause suffering or symptoms [33].…”

Section: Sigmund Freudmentioning

confidence: 99%

“…The target group expects the quality of life manager to contain their emotional swings the same way a mother holds the extreme feelings of her baby's anxiety and bliss. This holding can allow adjustment and eventual settling into a sound decision [33].…”

Section: Melanie Kleinmentioning

confidence: 99%

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The Role of Psychodynamics on Quality-of-Life Interventions

Miranda¹,

Louzã²

2024

Sustainable Development

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This chapter aims to demonstrate that psychodynamics can contribute to intervention programs in quality of life. The authors conducted a study in Brazil (already published) showing a proportional relationship between psychodynamics and quality of life. This study has also shown that quality of life is unrelated to monthly income, workplace, or working hours. But it is related to the psychological maturity of the individuals, evaluated by their psychodynamics. The greater the psychological maturity is, the better the quality of life, and vice versa. This chapter presents the concept of psychodynamics, psychological maturity, and how it relates to the quality of life. It also offers original psychodynamic guidelines to improve the psychological development of human beings and, consequently, their quality of life.

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The Creation of a Psychiatry-Palliative Care Liaison Team: Using Psychiatrists to Extend Palliative Care Delivery and Access During the COVID-19 Crisis

Shalev

Nakagawa

Stroeh

et al. 2020

Journal of Pain and Symptom Management

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Context. During the course of March and April 2020, New York City experienced a surge of a 170,000 coronavirus disease 2019 (COVID-19) cases, overwhelming hospital systems and leading to an unprecedented need for palliative care services. Objectives. To present a model for rapid palliative care workforce expansion under crisis conditions, using supervised advanced psychiatry trainees to provide primary palliative services in the acute care and emergency setting. Methods. In response to the New York City COVID-19 surge, advanced psychiatry trainees at New York-Presbyterian Columbia University Irving Medical Center were rapidly trained and redeployed to a newly formed psychiatry-palliative care liaison team. Under the supervision of consultation-liaison psychiatrists (who also served as team coordinators), these trainees provided circumscribed palliative care services to patients and/or their families, including goals-of-care discussions and psychosocial support. Palliative care attendings remained available to all team members for more advanced and specialized supervision. Results. The psychiatry-palliative care liaison team effectively provided palliative care services during the early phase and peak of New York City's COVID-19 crisis, managing up to 16 new cases per day and provided longitudinal follow-up, thereby enabling palliative care specialists to focus on providing services requiring specialist-level palliative care expertise. Conclusion. By training and supervising psychiatrists and advanced psychiatry trainees in specific palliative care roles, palliative care teams could more effectively meet markedly increased service needs of varying complexity during the COVID-19 crisis. As new geographic regions experience possible COVID-19 surges in the coming months, this may serve as a model for rapidly increasing palliative care workforce.

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Therapeutic Holding

Cited by 11 publications

References 7 publications

Fostering Existential Maturity to Manage Terror in a Pandemic

Fostering Existential Maturity to Manage Terror in a Pandemic

The Role of Psychodynamics on Quality-of-Life Interventions

The Creation of a Psychiatry-Palliative Care Liaison Team: Using Psychiatrists to Extend Palliative Care Delivery and Access During the COVID-19 Crisis

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