Learning from Experience: Guidebook for Clinicians by Marilyn Charles

By Marilyn Charles

A massive activity dealing with all clinicians, and particularly demanding for more youthful, much less skilled clinicians, is to come back to understand oneself sufficiently with a view to check in the patient's adventure in important and steadily deeper ways.  so one can reduction more youthful clinicians within the day-by-day fight to "know thyself," Marilyn Charles turns to key principles that experience facilitated her personal medical paintings with tricky patients.  thoughts resembling "container" and "contained," transitional house, projective identity, and transference/countertransference are brought no longer as educational rules, yet as facets of the healing setting that elicit larger creativity and energy at the therapist's part.  In Charles's skillful fingers, the elemental principles of Klein, Winnicott, and Bion develop into newly understandable with out wasting intensity and richness; they arrive to lifestyles within the fulcrum of day-by-day medical come across.

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Even when the mother does try to keep the child's affect within tolerable bounds, she is also being affected by the con, taining process itself. As she moderates the child's tension, she is taking it in. If she cannot manage it herself, it will spill over into the relationship, creating further tension in the child. This tension, however, is likely to be experienced more pointedly as "other" even though it seems to originate in the child. In this small example, we can see how complex it becomes to separate out one person's affect from another's in an intimate relation, ship.

Why should he have to finish at all? Perhaps finishing was not the point but merely something that got in the way of finding it. " There was a long pause and then Thomas said that some years ago, he had stopped taking a radio with him when he runs. He likes it best when he gets into this "zone" where he can play with a problem or idea. " As I was listening to him talk about this zone he enters, I found I was in my own zone, imaging a statue I might create, fingering it lovingly in my mind. The enjoyment was quite palpable.

Fear can lead to the types of avoidant and ineffective coping strategies-such as depersonalization and substance abuse-associated with deficits in affect differentiation and self-care (Krystal, 1988). For example, substance abuse may be seen as a maladaptive attempt to devise an external "cause" for intrapsychic pain and feelings of unreality. It creates a sleight of hand in which the actual problem-the underlying pain-gets lost beneath the more apparent problem: the substance use. This type of sleight of hand is an important characteristic of symptoms.

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