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The Object Relations Lens
Some psychoanalytic models focus on \"how\" and \"when\" particular events may have shaped an individual's emotional and behavioral trajectories in life. In a field as accelerated as psychiatry, it's tempting to use this information to rush to a diagnosis.
The object relations model, as clearly outlined in this compelling volume from Dr. Christopher Miller, offers an attractive alternative: it emphasizes how a patient's early development has informed interpersonal relationship templates and how these play out in the here-and-now of the clinical encounter.
As accessible to the trainee as it is relevant to the experienced clinician, this guide describes how leaning into the therapist-patient dyad (including transference-countertransference dynamics) provides a fertile ground for learning about the patient's past more vividly.
Among the book's standout features are:
• Clinical vignettes that richly illustrate object relations theory as applied within therapy sessions as well as in acute care settings• Experience-near guidance on assimilating the concepts in academic settings, best practices for utilizing supervision, and extensive literature recommendations• Discussions of other theoretical approaches (e.g., attachment theory), as well as a dedicated chapter on a neuroscientific model of object relations, demonstrating how this psychodynamic framework can be harmonized within psychiatric theory and practice• A chapter focused on termination, including advice for inviting the patient into the decision-making process
With its mix of theory, practical advice, and illustrative clinical material, The Object Relations Lens is an indispensable resource for any clinician hoping to gain further knowledge of object relations thought and how this perspective can be eminently useful when conceptualizing and working with patients.
eBook
Love, Fear, and Health
Using attachment theory, Maunder and Hunter provide a practical,
clinically focused introduction to the influence of attachment
styles on an individual's risk of disease and the effectiveness of
their interactions with health care providers.
eBook
Object relations and social relations
This book has two essential aims. First, to introduce some of the key assumptions behind relational psychoanalysis to an international audience and to outline the points where this approach counters, complements, or extends existing object relations (Kleinian and Independent) traditions. Second, to consider some of the implications of the relational turn for the application of psychoanalytic concepts and methods beyond the consulting room. The emergence of what has become known as the relational turn in psychoanalysis has interesting implications not just for clinical practice, but for other psychoanalytically informed practices, such as group relations, the human service professions, and social research. Relational forms of psychoanalysis have emerged primarily in the USA, and as a result their core concepts and methods are less well-known in other countries, including the UK. Moreover, even within the USA, few attempts have so far been made to consider the wider implications of this development for social and political theory; intervention in groups and organizations, and the practice of social research. As with all new developments, there is a tendency to deal with them in one of two ways: either to insist that there is nothing new about them and that existing practices already include their implied critique, or to sharpen and exaggerate the difference, thereby construing the new arrival as something that is a counter, rather than an extension and complement, to what already exists.
eBook
Stimulus Features of the Object Relations Technique Affecting the Linguistic Qualities of Individuals’ Narratives
Previous studies on projective techniques have investigated the effects of variation in stimulus features on individuals’ response behavior. In particular, the influence of chromatic colors and form definition on the images elicited by the stimuli has been tested. Most studies have focused on the Rorschach and TAT and have examined effects in terms of variables such as reality testing and reactions to perceptual details. This is the first study to examine the effects of variation in visual stimuli as represented in features of the Object Relations Technique (ORT) cards on linguistic indicators of connection to emotional experience using measures of the referential process. The ORT was administered to 207 Italian non-clinical participants to explore effects of color, form and content variation on language style. The sample was stratified by age, gender, marital status and education to be representative of the Italian population. The stories told in response to the card images were rated using computerized linguistic measures, including the Weighted Referential Activity Dictionary—Italian version (IWRAD) which indicates the degree to which language is connected to nonverbal experience, and the Weighted Reflection/Reorganization List—Italian version (IWRRL) which detects a linguistic style of personal re-elaboration of emotional experience. The results provide support for the color-affect and form-reality testing hypotheses. Cards with better form definition, including color definition, and with fewer silhouettes of people elicited responses that were higher in IWRAD and lower in IWRRL, and also higher in the degree to which the two measures varied together. Implications of the results for use of ORT in clinical assessment and intervention are discussed.
Journal Article
The use of an object: exploring physician burnout through object relations theory
The crisis of physician burnout has been widely and repeatedly reported across the mainstream press and medical journals around the world, in the closing years of the second decade of the 21st century. Despite multiple systematic reviews and commentary on the scale of this ‘global epidemic’, understandings of both the phenomenon and the most effective interventions remain limited. Practice-based medical humanities represents the collaborative sharing of conceptual tools for understanding illness and clinical practice and the shouldering of responsibility for mapping the shape of care, in all its local, national and global contexts, thinking-with rather than critique on the profession and its practices. In keeping with this approach, this article offers a new perspective on the contemporary crisis of physician burnout by exploring the objectification of the clinician’s body within the systems and practice of healthcare. Within the context of medical humanities’ scholarship, discussions of objectification usually navigate towards a discussion about patient identity and its potentially reductive objectification within the frameworks of biomedical science. However, this article crosses the cultural divide between clinician and patient, and comes to focus on the objectification of the clinician herself, using object relations theory from the field of psychoanalysis to excavate the psychodynamics of care and their impact on clinicians, and the systems of healthcare in which care is delivered.
Journal Article