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A View From Riggs: Treatment Resistance and Patient Authority—Introduction to Paper VII

A View From Riggs: Treatment Resistance and Patient Authority—Introduction to Paper VII INTRODUCTIONTO "A VIEW FROM RIGGS" PLAKUN Eric M. Plakun, Series Editor As I suggested in the first article in this series, much of what we are learning about work with treatment resistant patients on behalf of the field is about the importance and difficulty of engaging and working with negative transference and countertransference (Plakun, 2006). A treatment center like Riggs offers a resource rich environment to support treatment when negative transferences and negative countertransferences are prominent. One manifestation of this support is the numerous clinicians among whom a patient may disperse transferences that might be too much for any one treater to bear--or for a patient to bear in work with just one transference object. When all goes well, these split and dispersed transferences are integrated through the work of the treatment team, where all involved clinicians meet to share their piece of the elephant to create a comprehensible picture of the whole--and have the occasional opportunity to speak directly with the patient about what they are learning. This process may sound easier than it is. Team members often find themselves caught up in difficult and passionate struggles. It is not easy to maintain a perspective on the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry Guilford Press

A View From Riggs: Treatment Resistance and Patient Authority—Introduction to Paper VII

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Publisher
Guilford Press
Copyright
© The American Academy of Psychoanalysis and Dynamic Psychiatry
ISSN
1546-0371
DOI
10.1521/jaap.2008.36.2.351
pmid
18593261
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONTO "A VIEW FROM RIGGS" PLAKUN Eric M. Plakun, Series Editor As I suggested in the first article in this series, much of what we are learning about work with treatment resistant patients on behalf of the field is about the importance and difficulty of engaging and working with negative transference and countertransference (Plakun, 2006). A treatment center like Riggs offers a resource rich environment to support treatment when negative transferences and negative countertransferences are prominent. One manifestation of this support is the numerous clinicians among whom a patient may disperse transferences that might be too much for any one treater to bear--or for a patient to bear in work with just one transference object. When all goes well, these split and dispersed transferences are integrated through the work of the treatment team, where all involved clinicians meet to share their piece of the elephant to create a comprehensible picture of the whole--and have the occasional opportunity to speak directly with the patient about what they are learning. This process may sound easier than it is. Team members often find themselves caught up in difficult and passionate struggles. It is not easy to maintain a perspective on the

Journal

Journal of the American Academy of Psychoanalysis & Dynamic PsychiatryGuilford Press

Published: Jun 1, 2008

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