"All the king's horses and all the king's men. . .".
نویسنده
چکیده
This essay discusses an overlooked ingredient in the psychotherapy of psychosis which is termed the "curative audience." Central to the equation of psychological selfhood is the evocation of a sense of self by experiences that the patient has with objects in the environment. This essay calls attention to an essential function of this environment, namely, that it provides an audience that makes it possible for these "selfobject" transferences, transference interpretations or new, helpful relational experiences to become significant. In essence, it is argued that a "private experience" without an internal or external audience is not therapeutic in the reassembly of self, especially when the power and intensity to overcome psychotic disintegration is required. The idea that the psychotic patient recompensates not only with the help of a therapist but under the auspices of a third entity, has not been previously discussed. Interestingly, all the schools of psychoanalysis have touched on the role of audience in the healing of patients with both neurosis and psychosis, yet this thread has not been followed into its binding together of subjectivity. Three forms of curative audience can be identified corresponding to the beginning, middle, and end phases of treatment. The role of audience in the reassembly of the self is taking its first form in the initial contact or initial relationship with the other and over time develops into the second form, the therapeutic alliance. In the third form of the curative audience, the establishment of an external selfobject milieu that performs the functions of the curative audience is seen as essential to continued cohesion in the recovery from psychosis. Performative statements exert self-cohering effects and can be seen to have their source in the curative audience. Two clinical vignettes were presented to illustrate these ideas.
منابع مشابه
Temporal Structure in the Input to Vision Can Promote Spatial Grouping
Introduction Humpty Dumpty sat on a wall Humpty Dumpty had a great fall All the King's horses and all the King's men Couldn't put Humpty together again. This familiar " Mother Goose " nursery rhyme captures the essence of what has become a central problem in the field of visual science: how can an aggregate of individuals working together reassemble a complex object that has been broken into co...
متن کاملThe "Humpty Dumpty Problem" in the Study of Early Cognitive Development: Putting the Infant Back Together Again.
In this article, I propose that the big question for the field of infant cognitive development is best characterized as the "Humpty Dumpty problem": Now that we have studied cognitive abilities in isolation, how do we put the developing cognitive system (and the infant) back together again? This problem is significant because cognitive abilities do not occur in isolation. Infants remember the i...
متن کاملDiversity of Pseudomonas strains isolated with King's B and Gould's S1 agar determined by repetitive extragenic palindromic-polymerase chain reaction, 16S rDNA sequencing and Fourier transform infrared spectroscopy characterisation.
King's B and Gould's S1 agar were compared with regard to the isolation of Pseudomonas from four environmental samples. In all samples, King's B gave the highest number of colony-forming units, and in some environments, there were more fluorescent colony-forming units on King's B as well. However, almost all types grew on Gould's S1, which enabled us to isolate a greater variety of groups than ...
متن کاملThe Nursing Process of a Adolescence Patient With Hyperglycemia Based on King's Goal Attainment Model: A Case Study
Introduction: This study was conducted in order to present the nursing process of an adolescence patient with hyperglycemia based on King's goal achievement model. Methods: The research sample was a teenage client with frequent hyperglycemia who had visited the hospital several times and was hospitalized. For this purpose, sample selection was done through available sampling from the research ...
متن کاملAmphetamine induced endogenous opioid release in the human brain detected with [11C]carfentanil PET: Replication in an independent cohort
Complete List of Authors: Mick, Inge; Imperial College, Myers, Jim; Imperial College, Stokes, Paul; King's College, ; Imperial College, Erritzoe, David; Imperial College, Colasanti, Alessandro; Imperial College, ; King's College, ; Imanova Ltd., Bowden-Jones, Henrietta; National Problem Gambling Clinic, Clark, Luke; University of Cambridge, Gunn, Roger; Imperial College, ; Imanova Ltd., Rabiner...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
دوره 17 3 شماره
صفحات -
تاریخ انتشار 1998