Man on Wire: Walking the Therapeutically Transformative Tightrope of the Analyst’s Cancer

Kaplan, Adam

doi:10.1080/10481885.2017.1282791

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Feinsilver (1998) reports on the impact of his metastatic cancer on patients. Others, including Brody (2013), Edwards (2004), Fajardo (2001), Kaplan, (2017), Morrison (1997), Newirth (2017), Schwaber (1998) and Silver (2001), similarly portray how cancer diagnoses affected their work. Their styles of disclosure differed, but they shared their conditions in a fashion somewhere between the two extremes identified above.…”

Section: The Question Of Self‐disclosurementioning

confidence: 99%

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Karbelnig¹

2023

Brit J Psychotherapy

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This article explores four primary themes while describing the author's process of advising patients of an imminent open‐heart surgery: the lingering controversies surrounding self‐disclosure, the artistry involved in sharing the information, the management of specific patient reactions, and how the dance between static and dynamic theory application in psychoanalytic psychotherapy unfolds. The author tailored his description of the medical crisis to the distinctiveness of each psychotherapeutic dyad—using a basically scripted but short description of the situation—and he improvised subsequent clinical discussions accordingly. Several patients reacted in surprising ways. Three clinical examples vividly illustrate the above‐noted themes, particularly the uniqueness of each dyad, the need for improvisation, and the application of a cross‐theoretical model (Karbelnig, 2022).

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Section: The Question Of Self‐disclosurementioning

confidence: 99%

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Karbelnig¹

2023

Brit J Psychotherapy

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“…A central thesis of this article, and one that bears repeating in this context, is that people experience aspects of themselves as distant and unknowable when those qualities have not been supported by culture or sufficiently prioritized in ongoing dialogue. I have written elsewhere (Kaplan, 2017) about my treatment for a life-threatening cancer and how it influenced my work and sense of self. Since that time, my approach to establishing a group culture and guiding the dialogue has expanded to include this part of my experience.…”

Section: Creating a Unique Group Self Statementioning

confidence: 99%

Hidden in plain sight: Creating space for the elusive “me” of depression.

Kaplan¹

2018

Psychoanalytic Psychology

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Institute for the Psychoanalytic Study of SubjectivityThe setting is a psychiatric inpatient unit where I conduct groups for patients diagnosed with depressive disorders. In some respects, the group members' presentation fits with the symptoms for the depressive disorders outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM). However, there is an emotional configuration of depression that also emerges during the group therapy sessions that is less easily defined. It is a self-state that is not dissociated but, rather, experienced by the patients as distant and only somewhat recognizable. It is what I call a state of "distant or unfamiliar me." For many reasons, these patients struggle to give voice to this emotional experience. Yet, they seem to have greater access to this self-state when attending group therapy on the inpatient unit. In this article, I describe the nature of this self-state and the act of "witnessing" that occurs on the unit and that facilitates access to what often remains a shameful, sequestered aspect of self. In addition, I focus on the complex system created by the integration of psychoanalysis and the medical model, and how this unique configuration impacts the patients' access to different self-states. Finally, I describe how utilizing my own history of suffering contributes to the therapeutic process and aids in the patients' capacity to create meaning and bridge the gap between distant states of self.

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Man on Wire: Walking the Therapeutically Transformative Tightrope of the Analyst’s Cancer

Cited by 2 publications

References 5 publications

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Cardiac Self‐Disclosure: Clinical and Theoretical Reflections

Hidden in plain sight: Creating space for the elusive “me” of depression.

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