Resumen El desarrollo tecnológico de Internet ha facilitado la conectividad entre personas con motivaciones muy diversas. Una de ellas, es acceder a contenidos sexuales y conectarse con otros que ...comparten este interés. El uso de internet con fines sexuales incluye una amplia gama de comportamientos, algunos de los cuales pueden generar una crisis en una relación de pareja estable y comprometida, al ser significados como una infidelidad. Las características propias del medio y de los usuarios de internet con fines sexuales, desafía a los terapeutas a adquirir nuevas herramientas psicoterapéuticas para ayudar a las parejas en conflicto. El artículo tiene por objetivo a) dar a conocer los principales conceptos vinculados al uso de internet con fines sexuales (b) describir las características del cyber affair y comportamientos significados como infidelidad (c) establecer lineamientos psicoterapéuticos para el tratamiento de este tipo de casos.
Two seemingly unrelated characteristics of psychoanalytic couple psychotherapy may be better understood when juxtaposed. First, countertransference in psychoanalytic couple psychotherapy holds ...particularly strong intensity. Second, format decisions are central to couple psychotherapy. The use of conjoint and concurrent formats, or variations thereof, has been key in the historical development of couple psychotherapy and remains an area of much debate. Some couple psychotherapists use the format of couple psychotherapy flexibly, using variations of conjoint or concurrent couple psychotherapy, while others adhere strictly to working conjointly. Decisions regarding whether to undertake concurrent or conjoint therapy are not generally linked to countertransference; this article demonstrates that reading decisions regarding format through consideration of countertransference offers a needed perspective for the therapist. Case studies published by psychoanalytic couple therapists are analysed through this prism to demonstrate that changing the format may serve to dilute countertransference. One particular manifestation of countertransference, linked to oedipal dynamics, is explored: countertransferential intensity for couple psychotherapists potentially relates to being faced with their internal parental couple and their unresolved Oedipal strivings. Possible unconscious motivations to change the format of couple psychotherapy need to be carefully considered, as format changes may mask an avoidance of bearing the countertransference.
In this paper, the idea of an internal creative couple is explored in relation to parenting. The internal creative couple is seen as an outcome of psychic development, which may or may not have ...occurred, been impaired or temporarily lost. Examples of the way this can affect the couple and their parenting are given, elaborated through clinical illustrations. The process of psychic development enabling this capacity is described, highlighting several stages that seem crucial, though it is important to note that this development does not necessarily occur in a linear way, and involves returning to, and reworking at different developmental points in life. Creative couple relating, both internally and as manifested in couple and parenting relationships, is challenging and not always possible. Several reasons why this might be so are given.
This paper explores the link between parenting difficulties and couple relationship issues in psychotherapeutic work with parental couples. Initially, the discussion focusses on the social policy ...context of couple psychotherapy and the resistances it can evoke, which has led to an emphasis on 'parenting' rather than 'couple' interventions in the historic development of family service provision in the UK. Some developmental challenges facing couples who are parents are then discussed, focussing on a clinical case and drawing on the concepts of shared unconscious phantasy and enactment in the analytic session, to elucidate defensive and developmental possibilities of working at the interface between 'parenting' and 'partnering'.
•The findings converged on issues of the sexual body, body image and sexual identity.•Couple communication involves polyphonic somatic discourse.•Partners and therapist should focus on ...somatic-kinetic levels during the intake stage.•Body-oriented couple intake enhances a gender-sensitive, intimate discourse.•Understanding implicit bodily knowledge underlies the relationship's gender matrix.
The study explored the somatic and kinetic aspects of relationships during the intake process in couple psychotherapy. Nine heterosexual couples, who had turned to body-oriented couple psychotherapy, were invited to an intake session, including a joint interview and an individually administered questionnaire. The findings converged on issues of gender based self-image and sexual identity; pre-verbal memories in the adult body; and attunement to the other through joint movement. The analysis indicated that couple communication involves polyphonic discourse, both somatic and verbal, which the partners and the therapist alike should learn to recognize and articulate, and that focusing on somatic and kinetic levels during the intake stage may be conducive to an understanding of the “implicit bodily knowledge” that each partner brings to the relationship.
Those undertaking therapy with couples will undoubtedly at some point during their work encounter the technically challenging question of deciding how best to proceed when the couple therapist's ...designated patient, that is the couple, fails to attend and instead the therapist is confronted with the presence of only one of the partners. Equally, couple therapists must also consider under what circumstances, if any, it is advisable to see and work with only one of the partners. This paper is therefore concerned with exploring the complexity involved in undertaking couple therapy in the presence of only one of the partners and the implications of this for the therapy as a whole. Given the importance of this topic for couple therapists, it seems surprising that there is such a paucity of literature on the matter, and so this paper is attempting to address a gap in thinking and practice for those undertaking couple therapy.
Including couple treatment in psychoanalysis has required the setting of new parameters beyond the classical psychoanalytical setting, in which the treatment is individual. This article aims to ...define the clinical criteria for, and benefits of, recommending couple treatment rather than individual psychoanalysis or psychotherapy, and to identify the challenges and demands that this has entailed for psychoanalysis, from the standpoint of the analysis itself and also that of the therapeutic relationship. Couple therapy is a very complex endeavor since a host of factors must be borne in mind. The present paper discusses the specific features of these factors and how they influence the diverse mechanisms in the analytical relationship. A clinical vignette is included in order to demonstrate the mechanisms that influence therapeutic work in couple psychoanalytic treatment.
Psychanalyse et sexualité Kahr, Brett
Dialogue (Association française des centres de consultation conjugale),
04/2009, Letnik:
183, Številka:
1
Journal Article
Recenzirano
Dans cet article Brett Kahr, psychothérapeute de couple, explore un paradoxe concernant la psychanalyse et la sexualité. Les psychanalystes ont la réputation d’être obsédés par la sexualité. ...Pourtant, les inhibitions et les limites bourgeoises dont ils sont encore imprégnés les empêchent d’aborder la sexualité de manière aussi directe et totale qu’ils devraient le faire en situation clinique, spécialement en thérapie psychanalytique de couple. L’auteur resitue ce paradoxe dans ses contextes historique et clinique et il recherche ce que cela implique pour la pratique psychanalytique.
The concept of therapeutic alliance in psychotherapy has been shaped as an existing and necessary interpersonal relationship between the patient and the therapist. Nowadays, all theoretical ...orientations have assigned to the therapeutic alliance a central role in the therapeutic relationship, as the relationship between the therapeutic alliance and the treatment efficacy in psychotherapy has been proved in numerous studies. The therapeutic alliance should be taken into consideration in any treatment, because if it is not properly treated, it can jeopardize the analytic work and, therefore, interpretive and non- interpretive interventions must be used when required. In couple psychotherapy, because of the therapeutic triangle and the great diversity of mechanisms that operate in this type of conjoint treatment, the formation and the development of the alliance become more difficult. This paper describes the dimensions of the therapeutic alliance in this type of treatment based on the System for Observing Family Therapy Alliances (SOFTA). The therapeutic alliance established by the psychotherapist and a couple who undergoes a treatment for nine sessions in the North American TV series In Treatment is assessed with the observational version of the SOFTA (SOFTA-o), as well as the other elements of the therapeutic relationship that interact with the alliance. The paper is useful as a training tool for getting familiar with the instrument and as teaching material, since the most important aspects of the therapeutic relationship between the therapist and the couple are represented.
La alianza terapéutica en psicoterapia se ha ido configurando como una relación interpersonal existente y necesaria entre el paciente y el terapeuta. Hoy en día todas las orientaciones teóricas otorgan a la alianza terapéutica un papel importante en la relación terapéutica, ya que la relación entre la alianza terapéutica y la eficacia del tratamiento en psicoterapia ha sido constatada en numerosos estudios. La alianza debe ser tomada en consideración en cualquier tratamiento, ya que si no es debidamente trabajada puede dificultar el trabajo terapéutico y, por tanto, deben destinarse a su formación y mantenimiento tanto técnicas interpretativas como no interpretativas cuando se requieran. En psicoterapia de pareja, a causa del triángulo terapéutico y de la gran diversidad de mecanismos que operan en el tratamiento conjunto, la formación y el desarrollo de la alianza adquieren mayor dificultad. En el trabajo se describen las dimensiones de la alianza terapéutica en este tipo de tratamiento siguiendo el modelo del Sistema de Observación de la Alianza Terapéutica en Intervención Familiar (SOATIF). Evaluamos mediante la versión observacional del SOATIF (SOATIF-o) la alianza terapéutica que establece el psicoterapeuta de la serie norteamericana In treatment con la pareja que acude a su consulta durante nueve sesiones, así como los otros elementos de la relación terapéutica con los que la alianza interacciona. El trabajo es útil como herramienta de entrenamiento para familiarizarse con el instrumento y como material docente, ya que aparecen reflejados los aspectos más importantes de la relación terapéutica entre el terapeuta y la pareja.
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