The author describes a sub-group of anorexic patients who present themselves clinically as "invisible" and "insubstantial". The concept of "invisibility" is understood in terms of primitive object relations. The underpinning of this dynamic is a lack of separation and differentiation from mother and a consequent effort to live inside her skin. The…

In a former study (Fonseca and Bussab, 2006, "Self, other and dialogical space in autistic states", "International Journal of Psycho-Analysis", 87:1-16), the author hypothesised that in autistic disorders there is a distortion in the construction of what she defined as dialogic space. Such a space, in which self and other define each other…

Development of a shame-based identity, also known as "toxic shame," can significantly interfere with an adult's ability to form an intimate relationship with another. As adults find peace from their past using transactional analysis and mental imagery, they learn to empower themselves to form healthy, intimate relationships.

This article addresses drug users' identity construction, and invites counsellors, psychotherapists, researchers and others who work with drug misusers to notice how cultural and societal discourses can shape drug misusers' stories, and the positions from which helpers listen and respond to them. By representing and analysing parts of two life…

The paper discusses the six major ego functions, ego disturbances in mentally retarded children, and case examples of the use of art therapy to promote ego development. Identified are the following ego functions: control and regulation of instinctual drives, autonomous functions, reality testing, object relationships, defense, and synthesis. The…

Clinical examples illustrate how one therapist's absence may stimulate the emergence and expression of warded-off material in the patient group and may serve as a catalyst for change. Describes possible benefits for cotherapy relationship. (Author/NRB)

Discusses the Black consciousness psychology or philosophy of Steve Biko, the political activist who died in police detention in the 1970s in South Africa. Aspects relating to empowerment, self-concept development, internalization of racism, and racial identity theory of Black people are examined. Suggests that the "frank talk" method is…

This article reviews selected literature on the parental self-concept and then provides a definition of the term. In addition, it theoretically explores the concept and then applies it to psychotherapeutic work with parents. Specifically it illustrates how a clinician's understanding of the parental self-concept can facilitate therapeutic change…

Responds to case of Sondra presented in Career Development Quarterly (September 1990). Presents evidence for Sondra's persistent anxiety, shifting sense of self, and external locus of control and suggests her career indecision is a chronic problem. Recommends career-focused psychotherapy for Sondra. (PVV)

The use of poetry as a valuable part of the psychotherapeutic experience has gained increasing acceptance and usage in recent years. Poetry provides a viable modality for releasing intense emotions and reducing anxieties and hostilities. Poetry therapy was used with an 18-year-old male who was experiencing sexual orientation disturbance to examine…

Presents paradigmatic case of "failure to know" involving a 36-year-old man treated in psychoanalytic therapy. Reviews issues such as the construction of narrative meaning, the concept of alexithymia, and the object-relational concept of the "unthought known." Discusses transference-countertransference matrix. (JBJ)

Discussed are principles of nonverbal therapy for deaf children with disorders in the development of self, and the possible existence of a relationship between lack of auditory experiences in deaf children and disorders in mother-child bonding. A case study presents a three-year-old deaf boy successfully treated through a nonverbal…

Reviews and discusses the debate between the traditional psychoanalytic perspective on separation-individuation and the newer "rational" view of self-development. Finds each have equal importance both for understanding psychopathology and for providing effective and empathically-attuned psychotherapy. Provides clinical vignettes derived…

Articles on psychoanalytic theory concern libidinal object constancy and mental representation, the unrememberable and unforgettable (repression), and the motive, meaning, and causality of anthropomorphism. Discussions of normal and pathological development include the following: levels of verbal communication in the schizophrenic child, a review…