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      Psychic changes: the rorschach, the psychoanalytical process and the analyst-analysand relationship Translated title: Cambios psíquicos: el rorschach, el proceso psicoanalítico y la relación analista-analizando

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          Abstract

          The authors intend to articulate the clinical and theoretical frames of references in an empirical context of a psychoanalytical investigation. Four young women with borderline disorder were assisted in psychoanalytic psychotherapy at the outpatient psychotherapeutic public service of a Medical School. The Rorschach test, Comprehensive System, was administrated before the treatment and once a year. After one year of therapy it was possible to correlate the participants’ psychic changes detected by the Rorschach with the changes occurred in the psychoanalytic setting. In some situations, it was possible for the analyst to build together with the analysand new representations and elaborations. In other moments, due to the violence and intensity of the emotions lived in the experience with the analysand, acting outs were enacted by the therapist, what could be recognized and overcome latter.

          Translated abstract

          Las autoras intentan articular marcos de referencia clínicos y teóricos en el contexto empírico de una investigación psicoanalítica. Cuatro mujeres jóvenes con trastornos borderline fueron tratadas con psicoterapia psicoanalítica en el servicio público de consultorios externos de una facultad de medicina. El Rorschach, Sistema Comprehensivo, fue administrado antes del tratamiento y luego, una vez por año. Después de un año de terapia fue posible correlacionar los cambios psíquicos de las participantes detectados por el Rorschach con los cambios ocurridos en el encuadre psicoanalítico. En algunas situaciones, fue posible para el analista construir junto con la analizanda nuevas representaciones y elaboraciones. En otros momentos, debido a la violencia e intensidad de las emociones vividas en la experiencia con la analizanda, se desencadenaron actuaciones en el terapeuta que pudieron ser reconocidas y superadas posteriormente

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          Second Thoughts

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            Countertransference: the emerging common ground.

            G Gabbard (1995)
            In the last decade or so, the understanding of countertransference has become an emerging area of common ground among psychoanalysts of diverse theoretical perspectives. This convergence can be traced to the development of two key concepts--projective identification and countertransference enactment. Projective identification has evolved from a patient's intrapsychic fantasy in Klein's original work to an interpersonal interaction between patient and analyst. The notion of countertransference enactment has been widely used to capture clinical situations in which a countertransference reaction in the analyst corresponds to the patient's attempt to actualise a transference fantasy. These ideas, in conjunction with the contributions of social constructivists and relational theorists, as well as Sandler's conceptualisation of role-responsiveness, have led to an understanding of countertransference as a 'joint creation' by analyst and patient. The relative contributions of analyst and patient vary somewhat according to the theoretical perspective espoused by the analyst. This common ground is best regarded as comprising a gradient or continuum in which more weight is given to the analyst's contribution on one end of the continuum and more emphasis to the patient's contribution on the other. While countertransference enactments are widely regarded as inevitable, their role in creating intrapsychic change is more controversial.
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              Rorschach changes following brief and short-term therapy.

              Two groups of 35 patients each, one treated with brief therapy, averaging 14.2 sessions on a once per week basis, and the other group, treated with a short-term type of therapy, averaging 47 sessions on a once per week basis were administered the Rorschach and the Katz Adjustment Scales-Form S three times. The first administration took place before entering therapy. The brief therapy group was tested a second time at termination of treatment and again 8 to 12 months following termination. The short-term therapy group was tested the second time at therapy termination and the third time 10 to 12 months after termination. Each group reported substantially fewer symptoms at termination and continued to report about the same level of symptom reduction at the second retest. The Rorschach data seem to provide an ample basis from which to argue that considerable improvement occurred in the psychological organization and/or operations of both groups, and this appears to have some confirmation in the self-report data.
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                Author and article information

                Journal
                rip
                Interamerican Journal of Psychology
                Interam. j. psychol.
                Sociedad Interamericana de Psicología (Porto Alegre, RS, Brazil )
                0034-9690
                August 2008
                : 42
                : 2
                : 187-194
                Affiliations
                [01] orgnameUniversidade Federal de São Paulo Brasil
                Article
                S0034-96902008000200001 S0034-9690(08)04200201
                46eee070-83a8-4b49-ace2-62d3d1d432a4

                http://creativecommons.org/licenses/by/4.0/

                History
                : 29 October 2007
                : 23 May 2008
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 8
                Product

                SciELO Periódicos Eletrônicos em Psicologia


                Rorschach,Psychotherapy,Psychoanalytical process,Cambios psíquicos,psicoterapia,Proceso psicoanalítico,Psychic changes

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