A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety

dc.contributor.advisorMiller, Sheila
dc.contributor.advisorSwartz, Sally
dc.contributor.authorAbrahams, Deborah L
dc.date.accessioned2024-08-29T12:09:42Z
dc.date.available2024-08-29T12:09:42Z
dc.date.issued1996
dc.date.updated2024-08-29T12:05:59Z
dc.description.abstractThis dissertation reviews the concepts of projective identification, transference and countertransference from an Object Relations theoretical perspective. The developmental mother-infant relationship is explored as a model for understanding the therapist-patient interaction in both its normal and pathological forms. Projective identification is used to illuminate the workings of transference and countertransference. W.R. Bion's conception of the mother-therapist as 'Container' and infant-patient as 'Contained' is presented as pivotal to understanding that interaction. Failures in projective identification - and therefore in symbolic functioning - are explored, with particular focus given to psychotic and psychosomatic manifestations in patients. The relevance of transference and countertransference phenomena to brief psychotherapy is also considered. These concepts are then applied to a specific therapeutic case. The patient was seen as an in-and outpatient over a 5 month period 1-3 times per week. The patient's history and a brief formulation are presented, followed by a discussion of how the above-mentioned theoretical issues manifested in the therapy. The patient operated on the border between psychosis and neurosis and communicated in primitive pre-verbal and powerful symbolic ways. Case illustrations focus on the interplay between her psyche and soma, the impact of the hospital setting as well as particular transference and countertransference difficulties incurred.
dc.identifier.apacitationAbrahams, D. L. (1996). <i>A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety</i>. (). University of Cape Town ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/40534en_ZA
dc.identifier.chicagocitationAbrahams, Deborah L. <i>"A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety."</i> ., University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1996. http://hdl.handle.net/11427/40534en_ZA
dc.identifier.citationAbrahams, D.L. 1996. A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety. . University of Cape Town ,Faculty of Humanities ,Department of Psychology. http://hdl.handle.net/11427/40534en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Abrahams, Deborah L AB - This dissertation reviews the concepts of projective identification, transference and countertransference from an Object Relations theoretical perspective. The developmental mother-infant relationship is explored as a model for understanding the therapist-patient interaction in both its normal and pathological forms. Projective identification is used to illuminate the workings of transference and countertransference. W.R. Bion's conception of the mother-therapist as 'Container' and infant-patient as 'Contained' is presented as pivotal to understanding that interaction. Failures in projective identification - and therefore in symbolic functioning - are explored, with particular focus given to psychotic and psychosomatic manifestations in patients. The relevance of transference and countertransference phenomena to brief psychotherapy is also considered. These concepts are then applied to a specific therapeutic case. The patient was seen as an in-and outpatient over a 5 month period 1-3 times per week. The patient's history and a brief formulation are presented, followed by a discussion of how the above-mentioned theoretical issues manifested in the therapy. The patient operated on the border between psychosis and neurosis and communicated in primitive pre-verbal and powerful symbolic ways. Case illustrations focus on the interplay between her psyche and soma, the impact of the hospital setting as well as particular transference and countertransference difficulties incurred. DA - 1996 DB - OpenUCT DP - University of Cape Town KW - Psychology LK - https://open.uct.ac.za PB - University of Cape Town PY - 1996 T1 - A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety TI - A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety UR - http://hdl.handle.net/11427/40534 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/40534
dc.identifier.vancouvercitationAbrahams DL. A case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety. []. University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1996 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/40534en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Psychology
dc.publisher.facultyFaculty of Humanities
dc.publisher.institutionUniversity of Cape Town
dc.subjectPsychology
dc.titleA case study exploration of the therapeutic phenomena of projective identification, transference and countertransference: a brief therapy with a patient with psychotic anxiety
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMA
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