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The Sisters
Abstract
Beginning therapists are rarely taught to utilize more than one theory at a time in their therapeutic practice. As this beginning therapist struggled with this complex family therapy case, it became clear that the utilization of family systems theory alone would not contain this very difficult family. This case study outlines how this author came to understand the usefulness of combining psychodynamic theory with family systems theory while working with two sisters and their mother in an outpatient setting.
Middle-aged siblings’ concerns are rarely addressed in psychotherapy literature. Siblings without their own families of procreation are quite common in many Asian cultures. Therapists’ challenges for such shrinking systems can be approached with assimilative integration. A dominant narrative therapy foundation that absorbs behavioral strategies can be a relevant style of addressing problems faced by siblings. The narrative frame helps with individual as well as family related incongruent stories, whereas the behavioral frame creates a sense of mastery over the current interactions that can in-turn consolidate new meaning about family life. Using a case illustration, we propose the use of a narrative-behavioral approach in family therapy with 2 siblings who have to create a meaningful family life together.
This volume provides the clinician with an understanding of the object relations approach to treatment, which is compelling in its immediacy and usefulness. Hamilton presents the therapeutic concepts, attitudes, and specific techniques that have evolved from the study of internal and external relationships—that is, interpersonal and intrapsychic deficits and growth. The book offers solid guidelines for work with narcissistic, borderline, and psychotic disorders.
In Part I, the author quickly establishes a developmental point of view: "Self" refers to conscious and unconscious mental representations that pertain to one's own person, whereas "object" may mean external person, place, or thing, or sometimes an internal image.
Part II reviews the crucial works of Mahler and Kernberg that have become the foundation for modern object relations theory.
Part III views representative psychiatric disorders in terms of mental functions on a continuum from less mature to more mature in object relations terms: autism, schizophrenia, mania, borderline personality disorder, and narcissistic personality disorder.
Part IV is devoted to the newer techniques that help with disorders on the self-other diagnostic continuum.
In the concluding section, Hamilton explores some of the themes in mythology and folklore to see what meaning they may have in terms of object relations. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Incluye bibliografía e índice
Learning from experience
- W R Bion
Bion, W. R. (1962). Learning from experience. London: Heinemann.