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Terrifying Transferences : Aftershocks of Childhood Trauma - Lawrence E. Hedges

Terrifying Transferences

Aftershocks of Childhood Trauma

Hardcover

Published: 28th January 1999
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How can therapists treat patients' primitive anxieties and overwhelming terrors that are not accessible to verbal interpretation or insight? In psychotherapy the traumas suffered in infancy are often reawakened, and reexperienced in the safety of the therapeutic relationship. While they desperately seek attachment, their experience of connection is one of violation and humiliation. Their ways of attaching are at the center of what terrifies patients with early trauma and, in a successful therapy, they structure the development of the transference and come also to terrify the analyst. The therapist is confronted with humiliation and abuse from patients, who find behavioral ways to communicate their histories. These patients require a special connection, a new relational experience, before they can learn new relational paradigms. This book shows therapists how to understand the process of trauma re-creation, and move with the client through the reexperiencing of the early physical pain and psychological terror and the blaming of the therapist.

Dr. Hedges has clarified the therapeutic dilemma in the treatment of a vast group of patients whose psychopatholoy became 'organized' during infancy and early childhood. When their distress becomes a reawakened in psychotherapy, the transference/countertransference situation relives the original terror-with accumulated dividends-and the kind of 'exorcism' for which many psychotherapists are unprepared. Hedges's contribution is a handbook and guide through the management of these terrors and is of inestimable value for all clinicians. -- James S. Grotstein, M.D., UCLA School of Medicine Working closely with patients with early developmental trauma has intense emotional effects on any therapist. The unbearable narrative that result from such therapeutic encounters are candidly portrayed throughout this book. Dr. Hedges offers an invaluable aid to therapists working with primitive psychotic anxieties and their transferences into the therapeutic relationship. This book offers therapeutic and ethical approaches to both novice and seasoned therapists faced with nearly impossible challenges. It is gripping; it is thoughtful; it is a wonderful contribution to working with more primitive and psychotic transferences! -- Karen K. Redding, Ph.D., UCLA Irvine In numerous richly developed and finely textured clinical vignettes, the 'art' of working through patients' terrifying transferences is compellingly demonstrated again and again. Hedges is clearly an outstandingly gifted and passionately courageous clinician who, as both therapist and writer, dares to go where most fear to tread. This is a deeply satisfying book that should be a required read for any clinician who is committed to working intensively with patients who have been traumatized. -- Martha Stark, M.D., Boston Psychoanalytic Institute and Massachusetts Institute for Psychoanalysis

Foreword
Acknowledgments
Contributors
Primitive Anxieties in Life and Psychotherapy
Introduction: Encountering Primitive Anxietiesp. 3
The Ethic of Relatingp. 11
Love - The Impossible Dreamp. 21
Listening Perspectives and Terrorp. 29
The Letterp. 43
The Struggle to Make Terrifying Connections
In Search of the Intolerablep. 67
Terror in the Dark Pitp. 81
Establishing Safety: The First Vital Step toward Contact and Connection
Enveloped and Suffocated by Slimep. 109
"Catch Me!"p. 131
Murder in the Motel Roomp. 155
From Ritual Abuse to Making Connectionsp. 163
Moving Tentative Contacts toward Meaningful Connections
"I Am Going to Die"p. 185
The Delusion: "With Touch I'll Be Okay"p. 211
Terrified by Disconnecting Ragep. 233
"Bess, Bess, Why Didn't You Call Me?"p. 271
Working Through Terrifying Transferences
Paul: Working the Organizing Transference and Countertransferencep. 315
Summary and Conclusions: The Place of Terrifying Transferences in Human Realitiesp. 371
The Dual Relationship in Psychotherapyp. 381
False Accusations against Therapistsp. 411
Prevention of False Accusations against Therapistsp. 433
Informed Consent for Limited Physical Contactp. 441
Informed Consent for Long-Term Psychotherapy Regarding a Case Monitor, Medical Care, and Termination Plansp. 445
Achieving Optimal Responsiveness with Early Developmental Traumap. 449
Organizing Experience Worksheetp. 475
Referencesp. 483
Indexp. 489
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9780765702258
ISBN-10: 0765702258
Audience: General
Format: Hardcover
Language: English
Number Of Pages: 497
Published: 28th January 1999
Publisher: JASON ARONSON INC
Country of Publication: US
Dimensions (cm): 23.27 x 16.26  x 3.71
Weight (kg): 0.86