Psycho-analytic Psychotherapy in South Africa - latest Issue
Volumes & issues
Volume 24, Issue 1, 2016
Author Katherine BainSource: Psycho-analytic Psychotherapy in South Africa 24, pp i –iii (2016)More Less
This first issue of Psycho-analytic Psychotherapy in South Africa for 2016 is a rich and varied start to the year. Two of the papers focus on issues that are highly relevant to the South African context, including inter-cultural psychotherapy and domestic violence, while the other two make important contributions to theory and clinical practice exploring reflective function in obsessive-compulsive disorder and the classic psychoanalytic topic of dream interpretation.
Author Duncan CartwrightSource: Psycho-analytic Psychotherapy in South Africa 24, pp 1 –37 (2016)More Less
Psychoanalytic approaches to obsessive-compulsive disorder (OCD) are often considered irrelevant, contraindicated, or primarily supportive, and no psychodynamic treatments aimed specifically at OCD currently exist. Psychoanalysis still has much to contribute to the area, notwithstanding the evidence supporting a biological basis to the condition. One of the potential areas of contribution concerns the role of reflective functioning. This article traces central theoretical conceptualisations of the reflective function in OCD and discusses areas which may benefit from further investigation. In so doing, the value of continued psychoanalytic engagement with the conceptualisation and treatment of OCD is illustrated.
Trauma and reparation : adult daughters' meaning-making of their relationships with their domestically violent fathersSource: Psycho-analytic Psychotherapy in South Africa 24, pp 38 –75 (2016)More Less
The quality of object relating of children who grew up with violent fathers remains complex and overlooked in the broad literature on domestic violence, and has potential implications for the undertaking of psychotherapeutic work with such clients as adults. This exploration into young adult daughters' narratives on their relationships with their violent fathers permits a useful glimpse into the dynamics involved. Psychoanalytic research interviews were conducted with a sample of seven young female university students. These revealed that participants' relationships with their abusive fathers were characterised by emotional distance in fathers and by periods of emotional distress in daughters. However, participants also wished for connection with their fathers. Some reparative processes were evident and involved shifts from more paranoid-schizoid defensive functioning to more depressive position relating in relation to fathers, made possible through acknowledgement of trauma and of memories of benevolence. In many cases, however, participants' romantic adult relationships were significantly influenced by a fear of intimacy and by patterns of anxiety and avoidance linked to the father-daughter relationship in childhood.
Author Joan SchonSource: Psycho-analytic Psychotherapy in South Africa 24, pp 76 –108 (2016)More Less
While Freud (1900) made the greatest contribution to our understanding of dreams, his followers diverged in their thinking and developed differing theories. The evolution of psychoanalysis saw the focus on dreams in the early 1900s give way to other areas of investigation. Consequently, relatively little was published on dream analysis in the following century. While the few recent contributions to the field are acknowledged, this paper examines the original contributions to theories of dream interpretation made by Freud, Jung, and Klein and her followers. The paper presents a sequential four-stage structure of dream analysis, devised to contrast the contributions of these different psychoanalytic perspectives at each stage. This is illustrated through reference to Freud's case-study, 'A fragment of an analysis of a case of hysteria' (1905).
Reaching across the divide : considering the challenges for intercultural therapeutic dyads embedded in previously oppressive social contextsAuthor Yael Adira KadishSource: Psycho-analytic Psychotherapy in South Africa 24, pp 109 –138 (2016)More Less
Working inter-culturally as a psychoanalytically informed psychotherapist in contemporary South Africa can be a challenging endeavor. The country still carries within it the livid psychological wounds of its Apartheid and colonial past. This pernicious legacy is often powerfully felt in inter-cultural therapeutic dyads. Therapist and patient come together with productive psychotherapeutic work as the aim; however the spectre of the country's history often presents as 'haunting' third - a socio-cultural 'ghost in the nursery' (Fraiberg, Adelsohn & Shapiro, 1975), or an anti-analytic third subtly contaminating the transference-countertransference (Straker, 2006). Through its engagement with the case presented, this paper hopes to assist clinicians doing inter-cultural work in the S.A. context. This material comes from my work with a female Zulu patient who had suffered both developmental and later traumas of her own and, in addition, inter-generational traumatic transmission from parental generations. The defensive manifestations of these traumas and our socio-cultural embeddedness suffused the transference-countertransference. As a new therapist I did not fully apprehend the machinations of the insidious pre-given third of our transference-countertransference, further exacerbating the situation leading to therapeutic impasse. During this time the patient sent me a letter, communicating that which had been unspeakable in the room. This powerful letter acted as an enabling symbolic third, allowing for renewed, more authentic therapeutic engagement.