Expanding the Clinical Utility of the Concept of Developmental Help to Engage the Severely Disturbed Adult Patient in a Psychoanalytic Process

Daldin, Herman

doi:10.1111/j.1752-0118.1994.tb00685.x

Cited by 3 publications

(2 citation statements)

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“…The question becomes how to bring this about. Many of the interventions that some have regarded as 'only' promoting mentalization (Bleiberg, 2003) or developmental help (Daldin, 1994) become relevant here. For example, observing, labeling, and communicating patients' internal states promotes mature insightfulness.…”

Section: Where Is the Neighborhood?mentioning

confidence: 99%

Mentalization, insightfulness, and therapeutic action: The importance of mental organization

Sugarman

2006

The International Journal of Psychoanalysis

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Section: Where Is the Neighborhood?mentioning

confidence: 99%

Mentalization, insightfulness, and therapeutic action: The importance of mental organization

Sugarman

2006

The International Journal of Psychoanalysis

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“…Thus, part of promoting process knowledge includes helping the patient to become aware of less advanced modes of mental functioning like the action one, and to integrate or subordinate them to symbolic knowledge. Such work, traditionally called developmental help (Bleiberg, 2003; Daldin, 1994; Fonagy, 1999; Hurry, 1998) is increasingly accepted as part of any analytic process (Friedman, 2002; Lecours & Bouchard, 1997; Renik, 1993a, 1993b; Ross, 2003; Stern et al, 1998; Talvitie & Ihanus, 2002).…”

Section: The Relevance Of Internalization For Techniquementioning

confidence: 99%

The place of internalization of the analyst in analyses that emphasize the mutative priority of insight: A developmental perspective.

Sugarman¹

2018

Psychoanalytic Psychology

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Despite the extensive debate about the role that internalization of the analyst plays in analyses conducted from a more traditional perspective, and the increasing acknowledgment that both insight and the relationship with the analyst are important and coexisting mutative factors, most analysts who value insight continue to see interventions that influence the patient via the relationship as lamentable and leading to less stable change than insight alone. This continued belief ignores all that we have learned about the role that interaction and identification play in the development and modification of psychic structure throughout the developmental process. The historical origin of this belief is reviewed along with the evolution of views in analysts prioritizing verbal interpretation leading to insight as a mutative element. This paper also reviews the role of internalization in the formation and transformation of psychic structure during development. Finally, that role is applied to understanding the role of insight in therapeutic action in order to demonstrate that internalization is a crucial part of insight. Its importance is based on a recasting of insight as a process so that patients learn to observe and understand their mental processes, not just to decode latent mental content.

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The Contribution of the Analyst’s Actions to Mutative Action

Sugarman

2009

The Psychoanalytic Study of the Child

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The concept of action has evolved since Freud's initial attempts to adticdress the topic. It is no longer viewed as just serving a defensive function. Instead it is increasingly seen as a mode of experiencing and n, communicating, one that is less developmentally advanced than the verbal one usually emphasized in psychoanalysis. Research from many fields documents the view that experiencing, thinking, and communicating originate in bodily action. Hence psychoanalysts have learned to use the patient's actions to broaden their understanding of the patient and to deepen the analytic process. But they have been slower to apply this understanding to their own actions. This paper uses an extended clinical vignette of an action intervention by the analyst to demonstrate its importance in maintaining and deepening an analytic process. It then suggests a theoretical and clinical rationale that such action interventions are a common and necessary aspect of most analyses. Finally it raises the question of whether such interventions can be regarded as interpretations offered at the developmental level being used by the patient to communicate at particular moments in analysis. Can they be viewed as the initial interpretation in the process of interpretation?

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Expanding the Clinical Utility of the Concept of Developmental Help to Engage the Severely Disturbed Adult Patient in a Psychoanalytic Process

Cited by 3 publications

References 12 publications

Mentalization, insightfulness, and therapeutic action: The importance of mental organization

Mentalization, insightfulness, and therapeutic action: The importance of mental organization

The place of internalization of the analyst in analyses that emphasize the mutative priority of insight: A developmental perspective.

The Contribution of the Analyst’s Actions to Mutative Action

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