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Dreaming up the patient in supervision: from the concrete to the symbolic
Journal of Child Psychotherapy Pub Date : 2019-05-04 , DOI: 10.1080/0075417x.2019.1645195
Vassiliki Vassilopoulou 1 , Effie Layiou-Lignos 1, 2
Affiliation  

ABSTRACT This paper discusses the importance of parallel processes within the therapeutic and the supervisory context of therapy with an eight-year-old boy diagnosed with Asperger’s syndrome. During the first months of the therapy, through powerful projective identification, the therapist found herself in the ‘clothes’ of the ‘dead mother’. She was unable to think and feel in the sessions. Deadness could not be symbolised – it was enacted in the sessions. The therapeutic encounter had to start elsewhere: the supervisor’s reverie brought to life the patient’s material in the context of the supervision, allowing thinking to occur, first within the supervisory relationship and only then in the therapeutic relationship. In the context of supervision, the encounter of two mentally alive people could contain anxieties, metabolise them and open the way to mental connections. This encounter facilitated the development of creative thinking of both the therapist and the young patient in the consulting room, which allowed the child to become the subject of his existence and to evolve.

中文翻译:

在监护中梦到病人:从具体到象征

摘要 本文讨论了与一名被诊断为阿斯伯格综合症的 8 岁男孩在治疗和监督治疗中平行过程的重要性。在治疗的头几个月,通过强大的投射性认同,治疗师发现自己穿着“死去的母亲”的“衣服”。她无法在会议中思考和感受。死亡无法被象征——它是在会议中制定的。治疗性遭遇必须从别处开始:监督者的遐想在监督的背景下使患者的材料栩栩如生,允许思考发生,首先是在监督关系中,然后才是在治疗关系中。在监督的背景下,两个精神上活着的人的相遇可能包含焦虑,代谢它们并打开通往精神联系的道路。这次相遇促进了咨询室中治疗师和年轻患者的创造性思维的发展,这让孩子成为他存在和发展的主题。
更新日期:2019-05-04
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