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Sep 14, 2018, 08:01 PM
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here today,
It's hard to believe no therapist in the world can work with you. Did you try someone with object relations approach? what you speak of are basic object relations concepts. It seems many therapist are clueless in this area. I think training would help, and that no therapist without this training should take on trauma clients.
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2.2 Object Relational Perspective
Object relations theory is that branch of psychodynamic thought that focuses on relationships being more crucial to personality development than are individual drives and abilities (see Greenberg and Mitchell 1983). Here, the important identity-preceding structure is the self, a personality structure formed out of interpersonal interactions. The view of the development of the self presented here combines the thought of Bowlby (1982), Mahler et al. (1975), and Kohut (1977). The self is formed in infancy and early childhood (up to four years of age) out of the internalized and ‘metabolized’ interactions between the child and significant other persons (sometimes called ‘self-objects’). Although the origins of the self lie in self-other interchanges, the self is experienced as one's own, and one comes to sense one's existence as both a separate and interdependent being. The conditions necessary for the establishment of a self include an initial period of undifferentiated symbiosis (Winnicott's ‘dual unity’) with a mothering/caregiving figure, differentiation from that figure, attachment to the caregiver and other significant objects, exploratory back and forth movements from the attachment figure, and eventual individuation as the self–other interactions become internalized and take the form of a secure self.
Object relations theory - an overview | ScienceDirect Topics
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I believe a therapist often has to go through this type of therapy to even have a solid sense of self as described in bold above. Otherwise, without the psychological boundaries that are parallel with a healthy sense of self, these therapists tend to get enmeshed often (my observation). Therapist who did have this therapy can still get enmeshed, but it's much easier to avoid it when you have healthy psychological boundaries.
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2.5 An Object Relations Theory Model of the Transference and Countertransference
Modern object relations theory proposes that, in the case of any particular conflict around sexual or aggressive impulses, the conflict is imbedded in an internalized object relation, that is, in a repressed or dissociated representation of the self (‘self representation’) linked with a particular representation of another who is a significant object of desire or hatred (‘object representation’). Such units of self-representation, object representation and the dominant sexual, dependent or aggressive affect linking them are the basic ‘dyadic units,’ whose consolidation will give rise to the tripartite structure. Internalized dyadic relations dominated by sexual and aggressive impulses will constitute the id; internalized dyadic relations of an idealized or prohibitive nature the superego, and those related to developing psychosocial functioning and the preconscious and conscious experience, together with their unconscious, defensive organization against unconscious impulses, the ego. These internalized object relations are activated in the transference with an alternating role distribution, that is, the patient enacts a self representation while projecting the corresponding object representation onto the analyst at times, while at other times projecting his self representation onto the analyst and identifying with the corresponding object representation. The impulse or drive derivative is reflected by a dominant, usually primitive affect disposition linking a particular dyadic object relation; the associated defensive operation is also represented unconsciously by a corresponding dyadic relation between a self representation and an object representation under the dominance of a certain affect state.
The concept of countertransference, originally coined by Freud as the unresolved, reactivated transference dispositions of the analyst is currently defined as the total affective disposition of the analyst in response to the patient and his/her transference, shifting from moment to moment, and providing important data of information to the analyst. The countertransference, thus defined, may be partially derived from unresolved problems of the analyst, but stems as well from the impact of the dominant transference reactions of the patient, from reality aspects of the patient's life, and sometimes from aspects of the analyst's life situation, that are emotionally activated in the context of the transference developments. In general, the stronger the transference regression, the more the transference determines the countertransference; thus the countertransference becomes an important diagnostic tool. The countertransference includes both the analyst's empathic identification with a patient's central subjective experience (‘concordant identification’) and the analyst's identification with the reciprocal object or self representation (‘complementary identification’) unconsciously activated in the patient as part of a certain dyadic unit, and projected onto the analyst (Racker 1957). In other words, the analyst's countertransference implies identification with what the patient cannot tolerate in himself/herself, and must dissociate, project or repress.
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All the stuff about aggression is part of the therapy. There is a lot of great object relations stuff here. Take care!
Object relations theory - an overview | ScienceDirect Topics
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