Object Relations Therapy Of Physical And Sexual Trauma

Rising above the polemics surrounding sexual and physical abuse, David and Jill Savege Scharff bring a relational perspective to the integration of psychoanalytic and trauma theories in order to understand the effects of overwhelming physical and psychological trauma, including sexual abuse, injury, and birth defect. The Scharffs draw from their object relations therapy with individuals, families, and couples recovering from trauma and abundance of relevant clinical examples described in their characteristically personal and vivid style.

Building upon the theoretical work of Ferenczi, Fairbairn, and Berliner, the author describes four basic relational patterns in the lives of abused children: the reliving of abusive relationships, either as victim or as perpetrator; identification with the aggressor; masochistic self-blame; and the seeking of object contact though sex or violence. The interweaving of these patterns creates what Dr. Prior calls 'relational dilemmas.' According to him, these four basic relational patterns are held in place by the child's profound fear of falling into primitive states of unrelatedness and consequent annihilation anxiety. For example, the abused child believes that victimization by or identification with the bad object, no matter how horrible that may be, is preferable to the psychic disintegration that complete nonrelatedness creates. Dilemmas of this nature tear apart the child's psyche, leading to unstable and tormented models of self, other, and relationship. Object Relations in Severe Trauma provides sensitive understanding of childhood traumatization and a conceptual and technical framework for the treatment of patients--both children and adults--who have suffered from it.

The two psychotherapists (both psychiatry, Georgetown U.) expand and update their initial explanation of the British object relations theory to clarify some of the arguments and incorporate developments in the theory and its practice over the past decade. It is a theory of the human personality developed from stying the therapist-patient relationship as it reflects the mother-infant dyad. No date is noted for the first edition. Annotation : 2005 Book News, Inc., Portland, OR (booknews.com).

Emphasizing the transformational possibilities that grow out of their relational model of therapy, David E. and Jill Savege Scharff invite us into the territory of interactive journeys with individual patients. A contemporary classic.

In this landmark book, David Scharff and Jill Savege Scharff, both psychoanalysts, develop a way of thinking about and working with the couple as a small group of two, held together as a tightly knit system by a commitment that is powerfully reinforced by the bond of mutual sexual pleasure.

Object Relations Brief Therapy combines practical techniques with the depth of object relations theory, the wisdom of previous brief therapy writers, and, most notably, an emphasis on the unique therapeutic relationship. Often, therapists despair of doing any meaningful work in brief therapy. To this, Michael Stadter suggests the following pragmatic approach, 'think dynamically, address some underlying issue(s) and do what you can.' Specifically, the book emphasizes the depth of understanding of human experience that comes from an object relations perspective; the insight and experiential vitality of attention to the therapeutic relationship including its real, transferential, and countertransferential elements; the impact of the psychodynamic techniques that have been carefully studied and delineated by brief therapy writers such as Davanloo, Horowitz, Malan, Strupp, and Binder; and the flexibility of an eclectic approach that thoughtfully and selectively incorporates non-psychodynamic interventions. Therapists do not have to 'escape' managed care, according to Stadter. Rather, they need to learn how to deal with it in a way that preserves their integrity and enables them to practice the kind of healing psychotherapy they know how to do. In today's health care climate, Object Relations Brief Therapy is a much-needed guide for committed therapists. This new paperback edition includes a preface reviewing more recent developments in the area of brief therapy.

During the course of psychoanalytic psychotherapy with couples, the practicing clinician is commonly faced with problems and issues that at times can seem nearly insoluble. Integrating the rich ideas and techniques from two psychoanalytic traditions, object relations and relational theory, Object Relations and Relationality in Couple Therapy: Exploring the Middle Ground surveys those problems, reviews the theoretical background for understanding their underlying dynamics, and offers effective and practical solutions for their resolution.

Object relations theory has caused a fundamental reorientation of psychodynamic thought. In Object Relations Theory and Practice, Dr. David E. Scharff acclimates readers to the language and culture of this therapeutic perspective and provides carefully selected excerpts from seminal theorists as well as explanations of their thinking and clinical experience. He offers readers an unparalleled resource for understanding object relations psychotherapy and theory and applying it to the practice of psychotherapy and psychoanalysis. The book's sequence establishes the centrality of relationships in this theory: the internalization of experience with parents, splitting, projective identification, the role of the relationship between mother and young child in development, and transference and countertransference in the therapeutic action of psychoanalysis and psychotherapy. This book will introduce students to the basics, to the widening scope of object relations theory, and to its application to psychoanalysis and individual, group, and family psychotherapy.