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Transactional Analysis Journal

October 2002 Abstract
"Case Studies II"

Vol 32 No 4


On Being Competent Even If We Don't Know Everything
by Lise Small
This article describes long-term psychotherapy with a patient who had been abused as a child. Various moments and elements of the therapy are discussed along with some of the thinking behind the work. Although most therapy requires the therapist to do some degree of questioning and experimenting, this is even more the case with patients who use heavy denial and dissociation. It is essential in working with such individuals that the clinician be willing to explore and find ways of dealing with the patient's deep distress and profound lack of trust. The therapist must also be able to accept his or her own feelings of helplessness and doubt while remaining grounded and present in the therapeutic relationship.


Little Pipa and Other Ghosts: Short-Term Psychotherapy with a Child
by Dolores Munari Poda
This article describes short-term psychotherapy with a young girl. The development of the therapy-supported by a strong therapeutic alliance-is shown through the evolution of a gentle ghost story, created and illustrated by the young patient herself. As the story progresses, the patient's self-confidence is strengthened and the development of new vital permissions is fostered.


In the Cemetery of Lost Loves
by Ingrid Lewis
If we assume that, like most people, a psychotherapist chooses his or her profession for conscious or unconscious reasons related to his or her own script, what good or bad comes of this motivation? What becomes of a psychotherapist's script in all its richness during therapeutic work with clients? Do psychotherapists work with or against their scripts?


From Withdrawal to Relational Contact:The Psychotherapy of Self-Destructiveness
by Gregor Zvelc
The author describes the diagnosis, treatment planning, and phases of psychotherapy with a self-destructive patient using a theory of the schizoid process as a guiding principle.


Bonding in Relationship: A Solution to Violence?
by Richard G. Erskine
This case study of the psychotherapy of a client with violent fantasies describes the effects of bonding and attachment in forming a therapeutic relationship. Interwoven throughout the case study is a discussion of the therapeutic methods of phenomenological inquiry, affective and developmental attunement, responsiveness to relational needs, and an analysis of the psychological functions of fantasizing.

Whose Story Is It?
by Jonathon Wagner
One way to look at communication in therapy is to see it as narrative, a story created by client and therapist. This idea fits well with transactional analysis. A therapist's awareness of the story's powerful force increases the power of therapy. This article describes procedures that will help a therapist stay true to a client's story and develop awarenesses that can help a client obtain effective help.


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