By Joyce Anne Slochower
Is there a toddler within the relational consulting room? How and whilst can/should we attempt to carry our sufferers? What occurs to the analyst's subjectivity whilst she attempts to carry?
In Holding and Psychoanalysis: A Relational viewpoint (second Edition), Joyce Slochower brings a modern relational framework to undergo on Winnicott's suggestion of the retaining surroundings. Revisiting the scientific influence and theoretical underpinnings of conserving, Slochower explores its functionality in these moments whilst "ordinary" interpretive or interactive paintings can't be tolerated. Slochower expands the preserving build past the desires of established sufferers via analyzing its healing functionality around the scientific spectrum. Emphasizing holding’s coconstructed nature, Slochower explores the contribution of either sufferer and analyst the preserving second.
This moment version introduces new theoretical and medical fabric, together with 4 extra chapters. of those tackle holding’s effect at the patient’s ability to entry, articulate and technique impact states; the 3rd strikes outdoors the consulting room to discover how keeping features in acts of memorial ritual around the lifespan. a last bankruptcy offers Slochower’s latest rules approximately holding’s scientific functionality in buffering disgrace states.
Integrating Winnicott's seminal contributions with modern relational and feminist/psychoanalytic views, Joyce Slochower addresses the healing barriers of either interpretive and interactive medical paintings. there are occasions, she argues, while sufferers can't tolerate particular facts of the analyst's separate presence and as a substitute want a maintaining adventure. Slochower conceptualizes preserving inside of a relational body that incorporates either planned and enacted parts. In her view, the analyst doesn't carry by myself; sufferer and analyst each one perform the institution of a co-constructed retaining area. Slochower will pay specific consciousness to the analyst's event in the course of moments of retaining, supplying wealthy scientific vignettes that illustrate the complicated fight that conserving includes. She additionally addresses the healing limits of maintaining and invitations the reader to think about the analyst’s contribution to those disasters. Slochower locates the retaining approach inside a broader medical framework that consists of the transition towards collaboration―a circulation clear of keeping and into an explicitly intersubjective healing frame.
Holding and Psychoanalysis bargains a cosmopolitan integration of Winnicottian and relational concept that privileges the dynamic influence of protecting moments on either sufferer and analyst. completely grounded in case examples, the booklet bargains compelling medical recommendations to universal healing knots. sincerely written and thoroughly explicated, will probably be a big addition to the libraries of psychoanalysts and psychoanalytic psychotherapists.
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Additional info for Holding and Psychoanalysis, 2nd edition: A Relational Perspective
Example text
There's nothing soft about these kinds of holding; our capacity to hold is instead embodied in our emotionally alive recognition of our patient's affect state and in our capacity to recognize and tolerate it. Holding isn't something we “do” to—or for—our patients: the co-constructed holding experience reflects our struggle to contain our “separate” perspective and our patient's participation in maintaining the holding illusion. Holding creates a protected space because it minimizes the danger of external intrusion (Winnicott, 1963b).
In this sense, holding involves a joint bracketing process that reflects the participation of patient as well as analyst. In subsequent chapters, I explore the different emotional shapes of analytic subjectivity and patients' responses to disruptions in holding. Holding can be conceived as a way of managing analytic process: we hold the process by establishing a protective frame around it that minimizes impingements and enhances the therapeutic space's constancy and predictability. When I hold the analytic process, I try to create a sense of emotional space with firm edges—a room large enough to allow for wide and intense affective expression, yet simultaneously buffered enough to feel containing.
Our capacity to sustain a holding frame will reflect, to some degree, our tolerance for strain, especially self-doubt. , to deepen our patient's self-understanding). How can we clarify our ideas about our patient or validate our sense that we'e a good-enough analyst when we hold? How much strain can we tolerate? Holding in the clinical moment When I work within a holding metaphor, my clinical focus shifts subtly. Although I may think about the session's dynamic content, about what my patient can tolerate exploring about herself, I mostly aim to create a space in which she can identify and elaborate on her affect state and related experiences.