Therapy drop-out: a descriptive case study of an imperfect sand-play therapy process with an aggressive 12 year old boy
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
A hermeneutic description of a therapeutic interview using reader response concepts from literary theory
- Odendaal, Dirk Hermanus, 1954-
- Authors: Odendaal, Dirk Hermanus, 1954-
- Date: 2005
- Subjects: Psychotherapy , Hermeneutics , Narrative therapy , Reading, Psychology of , Reader-response criticism , Psychology and literature
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3168 , http://hdl.handle.net/10962/d1007749
- Description: Certain approaches in the discipline Psychology, use the term narrative to describe how they work. Upon investigation one finds that the term narrative is seldom informed from Literary Theory, the background from which it originated. Instead, other disciplines that were also influenced by Literary Theory are invariably used as a means of cross fertilisation, e.g. the work of Geertz from an anthropologist background. Therapists make use of techniques described in the theories in an attempt to come to an understanding of the interactions in the therapy session. Some of the later theories emanating from Literary Theory appear to very useful for opening new ways of research in psychology, especially because some of them already come from an interdisciplinary background. This research attempts to identify useful theories and then apply them within a hermeneutical background in a therapeutical session. Theoretical work on ambiguity, recent research on foregrounding and defamiliarization and also the research in psychonarratology appear to be eminently useful for coming to a deeper understanding of the processes that take place in a therapeutic environment. It is thought that these theories could be of use because they have been 'tested' against the experiences of real readers reading texts. As novels differ from reports and washing lists, therapeutic settings differ from discussions. A novel is a cultivated variant of a report, and a therapeutic conversation is a cultivated version of a chat. These theories then, were applied to a real therapeutic session. The therapists who participated were interviewed on the session and on their reactions to certain 'readings' made by them during the session. The purpose of the interview was to obtain an understanding of their interpretation of what had happened during that session. The questions, reactions, observations and reflections of the session constitute the text of this research. The generated text was then reread from the perspective of each of the theories. The data was collected and interpreted. The interpretation focusses on the therapists 'reading' or understanding of the session and in the process, leads the therapists and researcher to further levels of understanding. In conclusion, it was found that the theories were indeed useful as they were able to point out how certain stylistics of language and situation in the therapeutic session had led to hermeneutic or interpretive processes and also how these processes were perceived or experienced on reflection by the therapists.
- Full Text:
- Date Issued: 2005
- Authors: Odendaal, Dirk Hermanus, 1954-
- Date: 2005
- Subjects: Psychotherapy , Hermeneutics , Narrative therapy , Reading, Psychology of , Reader-response criticism , Psychology and literature
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3168 , http://hdl.handle.net/10962/d1007749
- Description: Certain approaches in the discipline Psychology, use the term narrative to describe how they work. Upon investigation one finds that the term narrative is seldom informed from Literary Theory, the background from which it originated. Instead, other disciplines that were also influenced by Literary Theory are invariably used as a means of cross fertilisation, e.g. the work of Geertz from an anthropologist background. Therapists make use of techniques described in the theories in an attempt to come to an understanding of the interactions in the therapy session. Some of the later theories emanating from Literary Theory appear to very useful for opening new ways of research in psychology, especially because some of them already come from an interdisciplinary background. This research attempts to identify useful theories and then apply them within a hermeneutical background in a therapeutical session. Theoretical work on ambiguity, recent research on foregrounding and defamiliarization and also the research in psychonarratology appear to be eminently useful for coming to a deeper understanding of the processes that take place in a therapeutic environment. It is thought that these theories could be of use because they have been 'tested' against the experiences of real readers reading texts. As novels differ from reports and washing lists, therapeutic settings differ from discussions. A novel is a cultivated variant of a report, and a therapeutic conversation is a cultivated version of a chat. These theories then, were applied to a real therapeutic session. The therapists who participated were interviewed on the session and on their reactions to certain 'readings' made by them during the session. The purpose of the interview was to obtain an understanding of their interpretation of what had happened during that session. The questions, reactions, observations and reflections of the session constitute the text of this research. The generated text was then reread from the perspective of each of the theories. The data was collected and interpreted. The interpretation focusses on the therapists 'reading' or understanding of the session and in the process, leads the therapists and researcher to further levels of understanding. In conclusion, it was found that the theories were indeed useful as they were able to point out how certain stylistics of language and situation in the therapeutic session had led to hermeneutic or interpretive processes and also how these processes were perceived or experienced on reflection by the therapists.
- Full Text:
- Date Issued: 2005
Clay sculpture within an object relational therapy: a phenomenological-hermeneutic case study
- Authors: Masters, Carin-Lee
- Date: 2005
- Subjects: Art -- Psychology , Art therapy -- Case studies , Psychotherapy , Modeling -- Therapeutic use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3015 , http://hdl.handle.net/10962/d1002524 , Art -- Psychology , Art therapy -- Case studies , Psychotherapy , Modeling -- Therapeutic use
- Description: The overall aim of this thesis is to explore the process of working with the Edwards claywork method with a psychotherapy client who had significant relational difficulties and feared being exposed as defective. Within this there are particular aims: Firstly, to investigate whether the distancing that art therapy can create, can help the client with relational difficulties to tolerate unexpressed disavowed feelings, in particular her sense of shame about being exposed as defective; and secondly, to examine whether material evoked through the claywork process can assist in furthering the psychological formulation of this kind of client. The research was a phenomenological-hermeneutic case study of a psychotherapy client, called Kim. Kim’s experience of therapy, including two claywork sessions, was documented. This comprises a thematic narrative of her therapy process prior to the claywork process, as well as a thematic narrative focusing on the two claywork sessions. Her clay sculpture was photographed and alphabetically labeled according to the chronological order in which she made the eight pieces comprising her sculpture. A hermeneutic reading of the narratives was conducted using theoretical perspectives including object relations, Adlerian psychology and art therapy. It was concluded that, firstly, the distancing that art therapy can create does help the client, who is afraid of being exposed as defective, to tolerate previously disavowed and unexpressed feelings; and secondly, art therapy such as the Edwards claywork method, does deepen psychological formulation of the client’s affective and relational difficulties. However, although the image may graphically symbolize unconscious aspects of a client’s psyche, the present study illustrates that a client may not always be able to enter into a relationship with the image or dialogue between conscious and unconscious states. In this respect, the present study focuses on aspects of art therapy of which there is limited literature.
- Full Text:
- Date Issued: 2005
- Authors: Masters, Carin-Lee
- Date: 2005
- Subjects: Art -- Psychology , Art therapy -- Case studies , Psychotherapy , Modeling -- Therapeutic use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3015 , http://hdl.handle.net/10962/d1002524 , Art -- Psychology , Art therapy -- Case studies , Psychotherapy , Modeling -- Therapeutic use
- Description: The overall aim of this thesis is to explore the process of working with the Edwards claywork method with a psychotherapy client who had significant relational difficulties and feared being exposed as defective. Within this there are particular aims: Firstly, to investigate whether the distancing that art therapy can create, can help the client with relational difficulties to tolerate unexpressed disavowed feelings, in particular her sense of shame about being exposed as defective; and secondly, to examine whether material evoked through the claywork process can assist in furthering the psychological formulation of this kind of client. The research was a phenomenological-hermeneutic case study of a psychotherapy client, called Kim. Kim’s experience of therapy, including two claywork sessions, was documented. This comprises a thematic narrative of her therapy process prior to the claywork process, as well as a thematic narrative focusing on the two claywork sessions. Her clay sculpture was photographed and alphabetically labeled according to the chronological order in which she made the eight pieces comprising her sculpture. A hermeneutic reading of the narratives was conducted using theoretical perspectives including object relations, Adlerian psychology and art therapy. It was concluded that, firstly, the distancing that art therapy can create does help the client, who is afraid of being exposed as defective, to tolerate previously disavowed and unexpressed feelings; and secondly, art therapy such as the Edwards claywork method, does deepen psychological formulation of the client’s affective and relational difficulties. However, although the image may graphically symbolize unconscious aspects of a client’s psyche, the present study illustrates that a client may not always be able to enter into a relationship with the image or dialogue between conscious and unconscious states. In this respect, the present study focuses on aspects of art therapy of which there is limited literature.
- Full Text:
- Date Issued: 2005
The potential of claywork to facilitate the integration of the self in psychotherapy with an adult survivor of childhood trauma: a Jungian perspective
- Authors: Smuts, Tanja
- Date: 2005
- Subjects: Jung, C G (Carl Gustav), 1875-1961 , Art therapy , Psychotherapy , Child psychotherapy , Adult child abuse victims -- Rehabilitation , Self , Modeling -- Therapeutic use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3062 , http://hdl.handle.net/10962/d1002571 , Jung, C G (Carl Gustav), 1875-1961 , Art therapy , Psychotherapy , Child psychotherapy , Adult child abuse victims -- Rehabilitation , Self , Modeling -- Therapeutic use
- Description: The aim of this thesis was to explore the experience of “self” within the clinical context of adult survivors of childhood trauma. Childhood trauma in this study referred to a range of childhood experiences of emotional and physical assault, including encounters with various kinds of abuse and neglect. The focus was on the experience of a sense of disintegration and dislocation, associated to aspects of self being in conflict. This was explored from theoretical perspectives of Jungian analytic psychology, as well as art therapy.Answers were sought to the questions of how claywork, as a form of art therapy, may facilitate the integration of the self and contribute to the development of a healing dialogue with feared and hated aspects of self. Grounded in Jungian theory, integration of the self was conceptualised as a movement towards “differentiating wholeness”. The study took the form of a phenomenological-hermeneutic case study. One participant’s experience of making and discussing a clay sculpture in a therapeutic setting according to Edwards’ method, was analysed thematically. It was concluded that the potential of claywork in therapy to facilitate the integration of the self is related to three aspects. Firstly, claywork in therapy may promote a concrete personification of feared and hated aspects of self, which may enable the maker to view these aspects from a distance, and learn to understand them in a new way. Secondly, claywork in therapy may facilitate the safe ‘unearthing’ of repressed feelings as well as hidden aspects of the personality. Thirdly, claywork’s potential to mediate symbolic functioning was shown to be an important aspect of the integration process. These findings confirmed and extended existing theory regarding the usefulness of claywork in psychotherapy with adult survivors of childhood trauma. Brief recommendations for future research were provided.
- Full Text:
- Date Issued: 2005
- Authors: Smuts, Tanja
- Date: 2005
- Subjects: Jung, C G (Carl Gustav), 1875-1961 , Art therapy , Psychotherapy , Child psychotherapy , Adult child abuse victims -- Rehabilitation , Self , Modeling -- Therapeutic use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3062 , http://hdl.handle.net/10962/d1002571 , Jung, C G (Carl Gustav), 1875-1961 , Art therapy , Psychotherapy , Child psychotherapy , Adult child abuse victims -- Rehabilitation , Self , Modeling -- Therapeutic use
- Description: The aim of this thesis was to explore the experience of “self” within the clinical context of adult survivors of childhood trauma. Childhood trauma in this study referred to a range of childhood experiences of emotional and physical assault, including encounters with various kinds of abuse and neglect. The focus was on the experience of a sense of disintegration and dislocation, associated to aspects of self being in conflict. This was explored from theoretical perspectives of Jungian analytic psychology, as well as art therapy.Answers were sought to the questions of how claywork, as a form of art therapy, may facilitate the integration of the self and contribute to the development of a healing dialogue with feared and hated aspects of self. Grounded in Jungian theory, integration of the self was conceptualised as a movement towards “differentiating wholeness”. The study took the form of a phenomenological-hermeneutic case study. One participant’s experience of making and discussing a clay sculpture in a therapeutic setting according to Edwards’ method, was analysed thematically. It was concluded that the potential of claywork in therapy to facilitate the integration of the self is related to three aspects. Firstly, claywork in therapy may promote a concrete personification of feared and hated aspects of self, which may enable the maker to view these aspects from a distance, and learn to understand them in a new way. Secondly, claywork in therapy may facilitate the safe ‘unearthing’ of repressed feelings as well as hidden aspects of the personality. Thirdly, claywork’s potential to mediate symbolic functioning was shown to be an important aspect of the integration process. These findings confirmed and extended existing theory regarding the usefulness of claywork in psychotherapy with adult survivors of childhood trauma. Brief recommendations for future research were provided.
- Full Text:
- Date Issued: 2005
Imagery and the transformation of meaning in psychotherapy for post-traumatic stress disorder: a hermeneutic case study
- Authors: Karpelowsky, Belinda Jodi
- Date: 2004
- Subjects: Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3000 , http://hdl.handle.net/10962/d1002509 , Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Description: This study discusses the assessment and treatment of a 21-year old male who had suffered multiple traumas, which had culminated in the death of his younger brother. He presented with Acute Stress Disorder. The literature review examines a diverse range of theorists and discourses, that have addressed the psychological consequences of trauma and highlights the complexity of the phenomena involved. The case study, located in the South African context, aims to sensitise the reader to the unique dilemmas facing each trauma survivor, and serves to highlight specifically those areas, which are pertinent and further more contribute significantly to the recovery process. The case narrative consists of a detailed synopsis of the therapy process, extracted from the session record notes documented at the time. Several other sources of information, including contributions from the participant, were used to verify and validate the accuracy of the data included. The narrative is written in a style that conveys the intensity of the nature of trauma work and the manner in which both patient and clinician are frequently confronted with very difficult emotional work. Finally the discussion examines the case narrative through the use of a set of carefully selected hermeneutic questions. These focused on (I) key concepts from the work of Robert Lifton who highlights the existential dimensions of the impact of trauma; (2) the role of the image in encapsulating the complex traumatic and post-traumatic experience of the survivor as well as facilitating the emotional processing of the trauma is examined; (3) the contribution to the process of therapy of aspects of the therapeutic relationship; and (4) the concept of recovery in relation to the question of what constitutes 'trauma work'. In conclusion, several meta-theoretical issues related to trauma, the strengths and weaknesses inherent to the research and relevant future areas of research are highlighted.
- Full Text:
- Date Issued: 2004
- Authors: Karpelowsky, Belinda Jodi
- Date: 2004
- Subjects: Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3000 , http://hdl.handle.net/10962/d1002509 , Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Description: This study discusses the assessment and treatment of a 21-year old male who had suffered multiple traumas, which had culminated in the death of his younger brother. He presented with Acute Stress Disorder. The literature review examines a diverse range of theorists and discourses, that have addressed the psychological consequences of trauma and highlights the complexity of the phenomena involved. The case study, located in the South African context, aims to sensitise the reader to the unique dilemmas facing each trauma survivor, and serves to highlight specifically those areas, which are pertinent and further more contribute significantly to the recovery process. The case narrative consists of a detailed synopsis of the therapy process, extracted from the session record notes documented at the time. Several other sources of information, including contributions from the participant, were used to verify and validate the accuracy of the data included. The narrative is written in a style that conveys the intensity of the nature of trauma work and the manner in which both patient and clinician are frequently confronted with very difficult emotional work. Finally the discussion examines the case narrative through the use of a set of carefully selected hermeneutic questions. These focused on (I) key concepts from the work of Robert Lifton who highlights the existential dimensions of the impact of trauma; (2) the role of the image in encapsulating the complex traumatic and post-traumatic experience of the survivor as well as facilitating the emotional processing of the trauma is examined; (3) the contribution to the process of therapy of aspects of the therapeutic relationship; and (4) the concept of recovery in relation to the question of what constitutes 'trauma work'. In conclusion, several meta-theoretical issues related to trauma, the strengths and weaknesses inherent to the research and relevant future areas of research are highlighted.
- Full Text:
- Date Issued: 2004
Therapists' constructs of healthy functioning as aspirational goal in transformative psychotherapy
- Authors: Steyn, Reinette
- Date: 2000
- Subjects: Psychotherapy , Mental health -- South Africa , Mental health
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3064 , http://hdl.handle.net/10962/d1002573 , Psychotherapy , Mental health -- South Africa , Mental health
- Description: This dissertation reviews the ways in which psychotherapists working in relatively long-term 'transformational' therapies construct the outcome goals of their interventions. It is generally accepted that a therapist's beliefs about what constitutes mental health will influence the client, and will therefore facilitate a certain outcome accordingly. A problem in a long-term, 'non-directive' therapy is that the eventual outcome is not always visible in the interim development of the client or in the business of individual sessions. Without a clearly defined 'plan' or 'goal' there is a real danger of the intervention having opposite results to what would have been desirable, or no noticeably beneficial results, both of which can be an abuse of the client's investment and trust in the process. The absence of clearly constructed goals makes it difficult to assess efficacy of a therapeutic method used to attain an improved state of mental health that will be lasting, i.e. a positive 'transformation'; it also problematises comparisons across orientations. The identification of explicit goals is of special importance in a developing 'third-world' community like South Africa, where western ('European') concepts of mental health are being offered as an alternative to so-called 'indigenous healing' and where different cultural communities may have different expectations, needs or demands of their members 'in health'. Individual-based therapeutic orientations included in the research were psychoanalysis and psychoanalytic therapies, including object-relational therapies with various emphases and self psychology, as well as transformative types of hypnosis, Gestalt therapy, client-centred therapy and transactional analysis. Twenty of the semi-structured interviews with 52 therapists working in one or more of these areas were selected for construct analysis. Through analysis of the constructs of mental health as aspirational goal that emerged in therapists' talking about their experience of the process and the consequences of therapy observed in their patients, it appeared that there are generalisable constructs across various orientations in the transformative therapies. It is hoped that these constructs may serve as a foundation for further research in the problem areas indicated, but also that therapists working in the field may use this research not only as a basis for self-evaluation, but for adding to the constructs from their own experience, to the further enrichment of the whole field of work.
- Full Text:
- Date Issued: 2000
- Authors: Steyn, Reinette
- Date: 2000
- Subjects: Psychotherapy , Mental health -- South Africa , Mental health
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3064 , http://hdl.handle.net/10962/d1002573 , Psychotherapy , Mental health -- South Africa , Mental health
- Description: This dissertation reviews the ways in which psychotherapists working in relatively long-term 'transformational' therapies construct the outcome goals of their interventions. It is generally accepted that a therapist's beliefs about what constitutes mental health will influence the client, and will therefore facilitate a certain outcome accordingly. A problem in a long-term, 'non-directive' therapy is that the eventual outcome is not always visible in the interim development of the client or in the business of individual sessions. Without a clearly defined 'plan' or 'goal' there is a real danger of the intervention having opposite results to what would have been desirable, or no noticeably beneficial results, both of which can be an abuse of the client's investment and trust in the process. The absence of clearly constructed goals makes it difficult to assess efficacy of a therapeutic method used to attain an improved state of mental health that will be lasting, i.e. a positive 'transformation'; it also problematises comparisons across orientations. The identification of explicit goals is of special importance in a developing 'third-world' community like South Africa, where western ('European') concepts of mental health are being offered as an alternative to so-called 'indigenous healing' and where different cultural communities may have different expectations, needs or demands of their members 'in health'. Individual-based therapeutic orientations included in the research were psychoanalysis and psychoanalytic therapies, including object-relational therapies with various emphases and self psychology, as well as transformative types of hypnosis, Gestalt therapy, client-centred therapy and transactional analysis. Twenty of the semi-structured interviews with 52 therapists working in one or more of these areas were selected for construct analysis. Through analysis of the constructs of mental health as aspirational goal that emerged in therapists' talking about their experience of the process and the consequences of therapy observed in their patients, it appeared that there are generalisable constructs across various orientations in the transformative therapies. It is hoped that these constructs may serve as a foundation for further research in the problem areas indicated, but also that therapists working in the field may use this research not only as a basis for self-evaluation, but for adding to the constructs from their own experience, to the further enrichment of the whole field of work.
- Full Text:
- Date Issued: 2000
Difficulties in psychotherapy with a residual schizophrenic
- Authors: Schock, Sandra Lynn
- Date: 1991
- Subjects: Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3149 , http://hdl.handle.net/10962/d1007457 , Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Description: This work addresses some of the difficulties encountered while working in psychotherapy with a residual schizophrenic. While there is an abundance of literature on psychotherapy for schizophrenia, both supporting and also refuting its merit, what the literature fails to reveal is that there appears to be a class of schizophrenic who, while apsychotic and able to communicate in the everyday sense of the word, is in a psychic space which speaks of a break with the basic relational elements of the human order. The quality of the patient's psychic life is such that almost nothing of what the literature describes as useful and appropriate in working with schizophrenics seems to help in the psychotherapeutic work with this type of patient. This study describes these issues with relevance to a particular residual schizophrenic. The Illustrative-didactic case-study method was used to discuss the four-and- a-half month psychotherapy with this patient. The patient's early developmental history, premorbid personality functioning, family and interpersonal relationships, mental state, diagnosis and a rationale for psychotherapy were presented and considered in detail. The structure of the psychotherapeutic process was reviewed in depth. The hermeneutic guidelines to understanding the case were drawn from Object-Relations Psychoanalytic theory, particularly Balint, Khan, Karon & VandenBos, Bollas, Romanyshyn, Perry, Symington, Fordham and others. Various psychic and personality features, as unveiled through the psychotherapeutic process, were elaborated and the implications of these for the therapeutic endeavour were considered as follows: Firstly, the psychic space of the patient, which precluded mirroring, symbolization find object-relationship - and which made psychotherapy untenable, was discussed. Secondly, therapeutic ambivalence and other counter-transference issues were reviewed. Thirdly, the shadow sides of both therapeutic optimism and of psychotherapeutic change were considered. Fourthly, the issues of therapeutic failure and of other treatment possibilities for a residual schizophrenic patient were examined. It was concluded that there needs to be an important countertransference shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is not going to be of any therapeutic benefit - find where an 'empathic accompaniment' might be as much as it is possible to hope for or achieve.
- Full Text:
- Date Issued: 1991
- Authors: Schock, Sandra Lynn
- Date: 1991
- Subjects: Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3149 , http://hdl.handle.net/10962/d1007457 , Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Description: This work addresses some of the difficulties encountered while working in psychotherapy with a residual schizophrenic. While there is an abundance of literature on psychotherapy for schizophrenia, both supporting and also refuting its merit, what the literature fails to reveal is that there appears to be a class of schizophrenic who, while apsychotic and able to communicate in the everyday sense of the word, is in a psychic space which speaks of a break with the basic relational elements of the human order. The quality of the patient's psychic life is such that almost nothing of what the literature describes as useful and appropriate in working with schizophrenics seems to help in the psychotherapeutic work with this type of patient. This study describes these issues with relevance to a particular residual schizophrenic. The Illustrative-didactic case-study method was used to discuss the four-and- a-half month psychotherapy with this patient. The patient's early developmental history, premorbid personality functioning, family and interpersonal relationships, mental state, diagnosis and a rationale for psychotherapy were presented and considered in detail. The structure of the psychotherapeutic process was reviewed in depth. The hermeneutic guidelines to understanding the case were drawn from Object-Relations Psychoanalytic theory, particularly Balint, Khan, Karon & VandenBos, Bollas, Romanyshyn, Perry, Symington, Fordham and others. Various psychic and personality features, as unveiled through the psychotherapeutic process, were elaborated and the implications of these for the therapeutic endeavour were considered as follows: Firstly, the psychic space of the patient, which precluded mirroring, symbolization find object-relationship - and which made psychotherapy untenable, was discussed. Secondly, therapeutic ambivalence and other counter-transference issues were reviewed. Thirdly, the shadow sides of both therapeutic optimism and of psychotherapeutic change were considered. Fourthly, the issues of therapeutic failure and of other treatment possibilities for a residual schizophrenic patient were examined. It was concluded that there needs to be an important countertransference shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is not going to be of any therapeutic benefit - find where an 'empathic accompaniment' might be as much as it is possible to hope for or achieve.
- Full Text:
- Date Issued: 1991
A metabletic study of the male/female process in psychology
- O'Brien, Keith Stanley Edward Michael
- Authors: O'Brien, Keith Stanley Edward Michael
- Date: 1989
- Subjects: Psychology -- Philosophy , Sex difference (Psychology) , Psychotherapy
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2908 , http://hdl.handle.net/10962/d1002073
- Description: The motivation to explore the subject matter of this thesis arises from two interlinked processes: (1) the experience of the power and pervasiveness of a "basic split" experienced in therapy in the unity of the individual, (2) the tendency in the unitary discipline psychology for theorists to adopt views which are polar opposites. In trying to understand these phenomena one has to explore the basic paradox of being which has fascinated thinkers and mystics down through the ages, the paradox of the One and the many, and thus the phenomenon of change. This paradox is explored in mythology, in the "philosophia perennis" and as encountered in high-energy sub-atomic physics. Out of this emerges the awareness of Being as One but as embodying a dynamic polar process, the first of whose manifestations is the male and the female process (or Yin/Yang in Chinese). The male/female process is defined and explored and it is shown that the female process has been progressively ignored and largely repressed in the West. I demonstrate this process in a metabletic (hermeneutical phenomenological) study of Greek sacred architecture. Metabletics as defined by its originator, J.H. van den Berg, is "the theory of change" or a psychology of history. It is thus a particularly suitable method of analysing the cultural-historical process of the repression of the female process in Western society. The emergence of the male process as predominant in the West is explored hermeneutically through the emergence of the individual and the suppression of the old unity centred in the Mother Goddess, and the receding of the Father God to the heavens. The choice by the great Greek philosophers of the male process is particularly important because of their emphasis on the Logico-Mathematical Sequential (L.M.S.) mode of knowing and perception at the expense of the female process, Intuitive-Creative Holistic (I.C.H.) mode.The dominance of the male process in the West is traced from the aboriginal female-process state through neolithic village culture to the rise of the first cities. Processes studied are the rise of kingship, war, private property and the splitting of labour. The roots of anomie and alienation are described. The emergence of god as powerful ruler and lawgiver is shown. The splitting of the male/female process leads to the splitting of the individual from him/herself, from others, from the world and from the divine. This is traced in the mystery religions, in religious dualism, in the rise of the Judaeo-Christian tradition and Gnosticism. The split and its effects are demonstrated in Western science and psychology. The necessity and possibility of integration in science and in psychology is demonstrated through the integration of our process of knowing and perceiving which is used as a model for the integration of psychology. The effects of the male/female split on the individual in Western society are shown. The split in our society leads to anomie and alienation, which produce "socioses". These affect the child born into the society and lead to a "Parent/Child" split. The possibility of healing the split in the individual, between people, between humankind and the world and in re-establishing our unity in the One is illustrated. The unity of the One is experienced through the dynamic polar interaction of the male/female process.
- Full Text:
- Date Issued: 1989
- Authors: O'Brien, Keith Stanley Edward Michael
- Date: 1989
- Subjects: Psychology -- Philosophy , Sex difference (Psychology) , Psychotherapy
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2908 , http://hdl.handle.net/10962/d1002073
- Description: The motivation to explore the subject matter of this thesis arises from two interlinked processes: (1) the experience of the power and pervasiveness of a "basic split" experienced in therapy in the unity of the individual, (2) the tendency in the unitary discipline psychology for theorists to adopt views which are polar opposites. In trying to understand these phenomena one has to explore the basic paradox of being which has fascinated thinkers and mystics down through the ages, the paradox of the One and the many, and thus the phenomenon of change. This paradox is explored in mythology, in the "philosophia perennis" and as encountered in high-energy sub-atomic physics. Out of this emerges the awareness of Being as One but as embodying a dynamic polar process, the first of whose manifestations is the male and the female process (or Yin/Yang in Chinese). The male/female process is defined and explored and it is shown that the female process has been progressively ignored and largely repressed in the West. I demonstrate this process in a metabletic (hermeneutical phenomenological) study of Greek sacred architecture. Metabletics as defined by its originator, J.H. van den Berg, is "the theory of change" or a psychology of history. It is thus a particularly suitable method of analysing the cultural-historical process of the repression of the female process in Western society. The emergence of the male process as predominant in the West is explored hermeneutically through the emergence of the individual and the suppression of the old unity centred in the Mother Goddess, and the receding of the Father God to the heavens. The choice by the great Greek philosophers of the male process is particularly important because of their emphasis on the Logico-Mathematical Sequential (L.M.S.) mode of knowing and perception at the expense of the female process, Intuitive-Creative Holistic (I.C.H.) mode.The dominance of the male process in the West is traced from the aboriginal female-process state through neolithic village culture to the rise of the first cities. Processes studied are the rise of kingship, war, private property and the splitting of labour. The roots of anomie and alienation are described. The emergence of god as powerful ruler and lawgiver is shown. The splitting of the male/female process leads to the splitting of the individual from him/herself, from others, from the world and from the divine. This is traced in the mystery religions, in religious dualism, in the rise of the Judaeo-Christian tradition and Gnosticism. The split and its effects are demonstrated in Western science and psychology. The necessity and possibility of integration in science and in psychology is demonstrated through the integration of our process of knowing and perceiving which is used as a model for the integration of psychology. The effects of the male/female split on the individual in Western society are shown. The split in our society leads to anomie and alienation, which produce "socioses". These affect the child born into the society and lead to a "Parent/Child" split. The possibility of healing the split in the individual, between people, between humankind and the world and in re-establishing our unity in the One is illustrated. The unity of the One is experienced through the dynamic polar interaction of the male/female process.
- Full Text:
- Date Issued: 1989
The usefulness of the story of the alchemical vessel in the understanding and psychotherapy of borderline conditions: a case study
- Authors: Milton, Christopher
- Date: 1989
- Subjects: Psychotherapy , Borderline personality disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3160 , http://hdl.handle.net/10962/d1007640 , Psychotherapy , Borderline personality disorder
- Description: The principal intention of this study was to explore the heuristic value of the story of the alchemical vessel in understanding borderline conditions and pursuing their psychotherapy. It establishes the pertinence of the case study as a method of exploring the content and process of psychotherapy. The essential nature of story-telling is examined and the hypothesis is made that psychotherapy, borderline conditions, the myth of the alchemical vessel and the case study all reflect instances of story-telling. Towards the end of examining their mutual reflection, and thus heuristic value, elements of Jungian theory, the phenomenology of borderline conditions and case material are examined. Through the examination of certain shared themes which emerge from the story of the alchemical vessel and the material of psychotherapy it is established that there is indeed a metaphoric resonance between the different stories. Furthermore this resonance is useful in that it provides a secure vantage point as well as guidance towards effecting transformation for the client. The validity of the metaphoric resonance is examined and areas of weakness highlighted. Some suggestions are made concerning further research.
- Full Text:
- Date Issued: 1989
- Authors: Milton, Christopher
- Date: 1989
- Subjects: Psychotherapy , Borderline personality disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3160 , http://hdl.handle.net/10962/d1007640 , Psychotherapy , Borderline personality disorder
- Description: The principal intention of this study was to explore the heuristic value of the story of the alchemical vessel in understanding borderline conditions and pursuing their psychotherapy. It establishes the pertinence of the case study as a method of exploring the content and process of psychotherapy. The essential nature of story-telling is examined and the hypothesis is made that psychotherapy, borderline conditions, the myth of the alchemical vessel and the case study all reflect instances of story-telling. Towards the end of examining their mutual reflection, and thus heuristic value, elements of Jungian theory, the phenomenology of borderline conditions and case material are examined. Through the examination of certain shared themes which emerge from the story of the alchemical vessel and the material of psychotherapy it is established that there is indeed a metaphoric resonance between the different stories. Furthermore this resonance is useful in that it provides a secure vantage point as well as guidance towards effecting transformation for the client. The validity of the metaphoric resonance is examined and areas of weakness highlighted. Some suggestions are made concerning further research.
- Full Text:
- Date Issued: 1989
Towards a phenomenological model for a critical psychotherapy
- Gennrich-de Lisle, Peter Hirzel
- Authors: Gennrich-de Lisle, Peter Hirzel
- Date: 1985
- Subjects: Psychotherapy , Phenomenology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3106 , http://hdl.handle.net/10962/d1004513 , Psychotherapy , Phenomenology
- Description: This thesis aims to establish a model of psychotherapy that is based on experience, but which takes social structure into account. To do this it first sets up a theoretical model of psychotherapy. Thereafter the model is used to analyse four protocols as a way of examining its effectiveness. The analysis of the protocols provides the basis for coming to certain conclusions about the nature of psychotherapy. The theoretical phase first examines the area traditionally known as etiology, but here the approach is from a broadly existential perspective. Thus this section starts by proposing a view of human nature, and then it goes on to say how this nature comes to be disrupted. The influence of the broader social context upon human existence is also considered here. Secondly, there is an attempt to understand how psychotherapy works. Drawing on existential and cultural anthropological material, various themes of psychotherapy are examined, and these are then placed within their social context. Finally, the theoretical phase brings together the themes emerging from the two foregoing sections and integrates them into a single model of "etiology" and "cure". In the following chapter, the adequacy of this model is examined by using it to analyse four protocols written by subjects on their experience of therapy. In the final chapter various conclusions are drawn.
- Full Text:
- Date Issued: 1985
- Authors: Gennrich-de Lisle, Peter Hirzel
- Date: 1985
- Subjects: Psychotherapy , Phenomenology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3106 , http://hdl.handle.net/10962/d1004513 , Psychotherapy , Phenomenology
- Description: This thesis aims to establish a model of psychotherapy that is based on experience, but which takes social structure into account. To do this it first sets up a theoretical model of psychotherapy. Thereafter the model is used to analyse four protocols as a way of examining its effectiveness. The analysis of the protocols provides the basis for coming to certain conclusions about the nature of psychotherapy. The theoretical phase first examines the area traditionally known as etiology, but here the approach is from a broadly existential perspective. Thus this section starts by proposing a view of human nature, and then it goes on to say how this nature comes to be disrupted. The influence of the broader social context upon human existence is also considered here. Secondly, there is an attempt to understand how psychotherapy works. Drawing on existential and cultural anthropological material, various themes of psychotherapy are examined, and these are then placed within their social context. Finally, the theoretical phase brings together the themes emerging from the two foregoing sections and integrates them into a single model of "etiology" and "cure". In the following chapter, the adequacy of this model is examined by using it to analyse four protocols written by subjects on their experience of therapy. In the final chapter various conclusions are drawn.
- Full Text:
- Date Issued: 1985
On becoming a psychotherapist
- Authors: Anema, Margaret Catherine
- Date: 1982
- Subjects: Psychotherapist and patient , Psychotherapy , Psychotherapists
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2913 , http://hdl.handle.net/10962/d1002078
- Description: From Introduction: To learn to focus on the other, I first have to learn my natural limits. Unless my natural limits are found, I cannot focus on myself or the other with freedom. I will either draw back or intrude. As I learn my natural limits, I free the energy I previously used in questioning limits. Having recognised that I am bounded, the effect of my released energy is to deepen my space. The infinity which used to lie beyond the horizon is brought into the realm of the human where it can be useful. As a psychotherapist the deepening (that is differentiation) of my own space is very important. It means that the space I share with the other is better explored and better known. The raw data for this thesis is a record of 2½ weeks of intensive psychotherapy and 3 weeks of intensive explication. During this time I explored the interrelated themes of my own limits and the particular shadowedness of the space I shared with Tony, the person in psychotherapy with me.
- Full Text:
- Date Issued: 1982
- Authors: Anema, Margaret Catherine
- Date: 1982
- Subjects: Psychotherapist and patient , Psychotherapy , Psychotherapists
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2913 , http://hdl.handle.net/10962/d1002078
- Description: From Introduction: To learn to focus on the other, I first have to learn my natural limits. Unless my natural limits are found, I cannot focus on myself or the other with freedom. I will either draw back or intrude. As I learn my natural limits, I free the energy I previously used in questioning limits. Having recognised that I am bounded, the effect of my released energy is to deepen my space. The infinity which used to lie beyond the horizon is brought into the realm of the human where it can be useful. As a psychotherapist the deepening (that is differentiation) of my own space is very important. It means that the space I share with the other is better explored and better known. The raw data for this thesis is a record of 2½ weeks of intensive psychotherapy and 3 weeks of intensive explication. During this time I explored the interrelated themes of my own limits and the particular shadowedness of the space I shared with Tony, the person in psychotherapy with me.
- Full Text:
- Date Issued: 1982
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