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The very existence of truth, let alone its worth, is currently under attack from many quarters. In the wider culture, disinformation and other forms of misrepresenting the truth spread far and wide, as information conduits proliferate. This paper suggests some reasons for the >anti-truth< trend. Mainstream media have played a role, as have theoreticians from fields as diverse as philosophy, psychoanalysis, science, and literary criticism. >Anti-truth< trends are having a serious impact on psychological treatment, affecting its content and the conception of its goals. This paper suggests some problematic outcomes of this phenomenon for practitioners and patients in various forms of psychotherapy.
This paper explores paranoid and depressive trends in a patient who was abused as a child. It discusses how each parent affected the patient's way of coping with life's challenges. In this context, paranoia is described as a set of defenses against the father's shocking intrusions, while the mother's impact shows itself in the patient's depressive tendencies.
This paper explores how Sullivan's interpersonal theory can be applied clinically and illustrates this with a clinical case. It considers the emotional impact, on the clinician, of a Sullivanian point of view. Each theoretical orientation equips the analyst differently. Sullivanian technique impacts the analyst's focus, feelings of competence, and hopefulness. Although each theory emphasizes different aspects of the clinical material, this paper suggests that there is a set of clinical values that inspire the work of all analysts, regardless of orientation.
The philosopher Seneca once said that we spend our whole lives preparing to die. Far from a morbid statement, I see this as expressing the truth that all human beings spend their whole lives overcoming their narcissism. We have to make a significant enough investment in the lives of others, and in ongoing life, so that the loss of our own, personal lives is bearable to us. How can we help our patients overcome their excessive narcissism? The analyst must be a person who has, to some degree, overcome some part of his or her own narcissistic issues. This means that he or she values human life more than pride. Our ability to make the meaning of the patient's life a priority is a key part of the treatment. In how he or she behaves, the analyst must embody the principle that the quality of a life is more important than the appearance of success or failure.
This article describes three attitudes toward psychic pain and suffering, and their clinical implications are explored and illustrated. When analyst and patient differ fundamentally in their understanding of the place of suffering in psychic life, treatment destructive clashes may result. The attitude that pain should be reduced as quickly as possible has a significant impact on the analyst's focus in treatment, most especially on the timing of interpretations of defense. A different orientation is that pain is an inevitable part of human experience and is best accepted rather than avoided. A third possibility embraces suffering as not only unavoidable, but as a primary source of wisdom and personal identity.