Free ebooks ==> www.Ebook777.com www.Ebook777.com Free ebooks ==> www.Ebook777.com AWAITING THE THERAPIST'S BABY A Guide for Expectant Parent-Practitioners www.Ebook777.com Irving B Weiner Advisory Editor AWAITING THE THERAPIST'S BABY A Guide for Expectant Parent-Practitioners April E Fallen 7776 Fielding Graduate Institute and The Medical College of Pennsylvania Virginia M Brabender Widener University 2003 LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS Mahwah, New Jersey London Free ebooks ==> www.Ebook777.com Copyright © 2003 by Lawrence Erlbaum Associates, Inc All rights reserved No part of this book may be reproduced in any form, by photostat, microform, retrieval system, or any other means, without the prior written permission of the publisher Lawrence Erlbaum Associates, Inc., Publishers 10 Industrial Avenue Mahwah, NJ 07430 Cover design by Kathryn Houghtaling Lacey Library of Congress Cataloging-in-Publication Data Awaiting the therapist's baby : a guide for expectant parent-practitioners / April E Fallen, Virginia M Brabender p cm — (The LEA series in personality and clinical psychology) Includes bibliographical references and index ISBN 0-8058-2493-6 Women psychotherapists Pregnant women I Brabender, Virginia II Title III Series RC440.82 F355 2003 616.89'14'082—dc21 2002032521 CIP Books published by Lawrence Erlbaum Associates are printed on acid-free paper, and their bindings are chosen for strength and durability Printed in the United States of America 10 www.Ebook777.com We dedicate this book to the mothers in our lives who have mentored us in our transition to motherhood April pays tribute to Elizabeth Fallon, Elizabeth Englemann Goers, and Marie Englemann Virginia honors Elizabeth Brabender, Virginia Ruhling, Mary Scalise, Lillian Weisfeld, and Frances Whitmore This page intentionally left blank Contents Foreword Judith Schoenholtz-Read Acknowledgments ix xiii Introduction Patient Reactions to Therapists' Pregnancy: Dimensions of Transference 16 Therapists' Reactions Within the Therapeutic Setting: Dimensions of Countertransference 43 The Developmental Journey From Pregnancy to Motherhood: Psychological and Physiological Changes and the Management of Their Impact on Treatment 92 The Developmental Status of the Patient 151 The Diagnostic Status of the Patient 184 The Therapeutic Modalities 217 vii viii CONTENTS Relationships With Peers and Supervisors 244 The Adoptive Parent 267 When the Therapist's Wife Is Pregnant: Entrance Into Fatherhood 287 Conclusions and Future Directions 322 10 11 References 341 Author Index 355 Subject Index 361 Free ebooks ==> www.Ebook777.com Foreword Getting pregnant, being pregnant and giving birth is a major life passage for any mother so it is surprising that many aspects of the experience have been silenced in our literature Where we go to find the stories of pregnancy? What literature has captured the passionate, sometimes frightening fantasies as well as the profound physiological changes that occur in pregnant women? Where are the stories of spouses, lovers, children, parents, and colleagues all affected by the many and diverse changes taking place in the expectant mother? Carolyn Heilbrun (1988) in Writing a Woman's Life lamented the literary void She explained that women's biographies have been incomplete and that vital female experiences have been omitted The price our culture pays for the silencing of women's intimate bodily experiences is costly in psychological terms What matters is that lives not serve as models; only stories that And it is a hard thing to make up stories to live by We can only retell and live by the stories we have read or heard We live our lives through texts They may be read, or chanted, or experienced electronically, or come to us, like the murmurings of our mothers, telling us what conventions demand Whatever, their form or medium, these stories have formed us all; they are what we must use to make new fictions, new narratives (Heilbrun, 1988, p 37) The meanings and interpretations of female bodily experiences during pregnancy are uniquely individual yet women tend to seek to understand them through the external messages powerfully embedded in our culture ix www.Ebook777.com REFERENCES 351 Rogers, C (1994) The group and the group analyst's pregnancies Group Analysis, 27, 51-61 Rosen, P (1989) The pregnant therapist: A matter of style and emphasis Journal of College Student Psychotherapy, 4(1), 23-26 Rosenberg, E B (1992) The adoption life cycle: The children and their families through the years New York: Free Press Ross, J M (1994) In search of fathering: A review In S H Cath, A R Gurwitt, & J M Ross (Eds.), Father and child: Developmental and clinical perspectives (pp 21-32) Hillsdale, NJ: The Analytic Press Rothstein, A (1999) Some implications of the analyst feeling disturbed while working with disturbed patients Psychoanalytic Quarterly, 68, 541-558 Rotundo, E A (1985) American fatherhood: A historical perspective American Behavioral Scientist, 29, 7-25 Rubenstein, C (1998) The sacrificial mother: Escaping the trap of self denial New York: Hyperion Rubenstein, R (1996) Childlessness, legacy, and generativity Generations: Journal of the American Society on Aging, 20(3), 58-60 Rubin, C (1980) Notes from a pregnant therapist Social Work, 5, 210-215 Russell, G (1986) Primary caretaking and role-sharing fathers In M E Lamb (Ed.), The fathers role: Applied perspectives (pp 29-57) New York: Wiley Saakvitne, K W (2000, April) Your children are not your children: Therapist as adoptive and transferential mother Paper presented at the 20th Annual Meeting of the Division of Psychoanalysis, American Psychological Association, San Francisco, CA Sachs, B (1995) Turbulent healing: The challenge of doing therapy during the transition to fatherhood In J L Shapiro, M J Diamond, & M Greenberg (Eds.), Becoming a Father (pp 332-349) New York: Springer Schneider-Braus, K., & Goodwin, J (1985) Group supervision for psychiatric residents during pregnancy and lactation Journal of Psychiatric Education, 9, 88-98 Schor, J (1992) The Overworked American New York: Basic Books Schwartz, C C (1980) The pregnant psychiatrist Psychiatric Annals, 10(12), 37-39 Schwartz, F N (1989) Management women and the new facts of life Harvard Business Review, 65-76 Schwartz, H., & Silver, A (1990) Illness in the Analyst: Implications for the Treatment Relationship New York: International Press Inc Schwartz, M C (1975) Casework implications of a worker's pregnancy Social Casework, 1, 30-31 Searles, H (1966) Feelings of guilt in the psychoanalyst Psychiatry, 29, 319-323 Seligman, L (1984) Temporary termination Journal of Counseling and Development, 63, 43^4 Shelton, B A (1992) Women, men and time: Gender differences in paid work, housework, and leisure Wesport, CT: Greenwood Press Shrier, D., & Mahmood, F (1988) Issues in supervision of the pregnant psychiatric resident Journal of Psychiatric Education, 12, 117-124 Silverman, S (2001) Inevitable disclosure: Countertransference dilemmas and the pregnant lesbian therapist Journal of Gay and Lesbian Psychotherapy, 4(1), 45-61 Silverstein, L B., & Auerbach, C F (1999) Deconstructing the essential father American Psychologist, 54(6), 397-407 Simonis-Gayed, D., & Levin, L A (1994) The therapist's pregnancy: Children's transference and countertransference reactions Psychotherapy, 31(1), 196-200 352 REFERENCES Smith, V (1983) The circular trap: Women and part-time work Berkeley Journal of Sociology, 28, 1-17 Spence, D (1973) Tracing a thought stream by computer In B Rubenstein (Ed.), Psychoanalysis and Contemporary Science (Vol 2) New York: MacMillan Spillius, E B (1993) Varieties of envious experiences International Journal of Psychoanalysis, 24, 1199-1212 St Andre, Martin (1993) Psychotherapy during pregnancy: Opportunities and challenges American Journal of Psychotherapy, 47(4), 572-590 Stockman, A F., & Green-Emrich, A (1994) Impact of therapist pregnancy on the process of counseling and psychotherapy Psychotherapy, 31(3), 456-462 Stone, L (1961) The Psychoanalytic Situation: An examination of its development and essential nature New York: International Universities Press Stuart, J J (1997) Pregnancy in the therapist: Consequences of a gradually discernible physical change Psychoanalytic Psychology, 14(3), 347-364 Sullivan, H S (1953) Conceptions of Modern Psychiatry: The First William Alanson White Memorial Lectures New York: Norton Theut, S K., Pederson, F A., Zaslow, M J., & Rabinovich, B A (1988) Pregnancy subsequent to perinatal loss: Parental anxiety and depression Journal of the American Academy of Child and Adolescent Psychiatry, 27, 289-292 Thompson, L., & Walker, A J (1989) Gender in families: Women and men in marriage, work and parenthood Journal of Marriage and the Family, 51, 845-871 Trad, P V (1991) Emergence and resolution of ambivalence in expectant mothers American Journal of Psychotherapy, 44, 577-589 Trad, P V (1991) Adaptation to developmental transformations during various phases of motherhood Journal of the American Academy of Psycho-Analysis, 19, 403-421 Turkel, A R (1993) Clinical issues of pregnant psychoanalyst Journal of the American Academy of Psychoanalysis, 27(1), 117-131 Tyson, R L (1986) Countertransference evolution in theory and practice Journal of the American Psychoanalytic Association, 34(2), 251-274 Ulanov, A B (1973) Birth and rebirth: The effect of an analyst's pregnancy on the transferences of three patients Journal of Analytic Psychology, 18, 146-164 Ulman, K H (2001) Unwitting exposure of the therapist: Transferential and countertransferential dilemmas Journal of Psychotherapy Practice and Research, 10, 14-22 Underwood, M M., & Underwood, E D (1976) Clinical observations of a pregnant therapist Social Work, 21, 512-514 Uyehara, L A., Austrian, S., Upton, L., Warner, R H., & Williamson, R C A (1995) Telling about the analyst's pregnancy Journal of the American Psychoanalytic Association, 43(1), 113-135 van Dam, H (1987) Countertransference during an analyst's brief illness Journal of the American Psychoanalytic Association, 35, 647-655 Vanier, A (2001) Some remarks on adolescence with particular reference to Winnicott and Lacan, Psychoanalytic Quarterly, 70(3), 579-597 Van Leeuwen, K (1966) Pregnancy envy in the male International Journal of Psychoanalysis, 47, 319-324 Van Niel, M S (1993) Pregnancy: The obvious and evoactive real event in a therapist's life In J H Gold & J C Nemiah (Eds.), Beyond Transference: When the therapist's real life intrudes Washington, DC: American Psychiatric Press, Inc Vivona, J (2000) Toward autonomous desire: Women's worry as post-oedipal transitional object Psychoanalytic Psychology, 17(2), 243-263 REFERENCES 353 von Bertanlanffy, L (1966) General system theory and psychiatry In S Arieti (Ed.), American handbook of psychiatry (Vol 3, pp 705-721) New York: Basic Books Wagner, L B (2000, April) The adoptive journey: identity changes in the analytic therapist Paper presented at the 20th Annual Meeting of the Division of Psychoanalysis, American Psychological Association, San Francisco, CA Watkins, C E (1985) Frame alterations and violations in counseling and psychotherapy American Mental Health Counselors Association Journal, 7, 104—115 Wedderkopp, A (1990) The therapist pregnancy: Evocative intrusion Psychoanalytic Psychotherapy, 5, 37-58 Weiner, M F (1972) Self-exposure by the therapist as a therapeutic technique American Journal of Psychotherapy, 26, 42-51 Weiner, I B (1975) Principles of psychotherapy New York: Wiley Weiss, S (1975) The effect on the transference of "special events" occurring during psychoanalysis International Journal of Psychoanalysis, 56, 69-75 Wellenkamp, J (1995) Cultural similarities and differences regarding emotional disclosure: Some examples from Indonesia and the Pacific In J W Pennebaker (Ed.), Emotion, disclosure, and health (pp 293-311) Washington, DC: American Pscyhological Association Widseth, J C (1989) Commentary: Recollections and reflections from my pregnancies Journal of college Student Psychotherapy, 4(\), 17-21 Wilkie, J R (1993) Changes in U S men's attitudes toward the family provider role, 1972-1979 Gender & Society, 7(2), 261-279 Winnicott, D W (1947) Hate in the counter transference International Journal of Psychoanalysis, 30(\), 69-74 Winnicott, D W (1945) Primitive emotional development In Through Pediatrics to Psychoanalysis 1958 (pp 145-156) New York: Basic Books Winnicott, D W (1956) Primary maternal preoccupation In D W Winnicott (Ed.), Through pediatrics to psychoanalysis New York: Basic Books Winnicott, D W (1956) Collected Papers: Through pediatrics to Psycho-analysis New York: Basic Books Winnicott, D W (1965) The maturational process and the facilitating environment New York: International Universities Press Winnicott, D W (1975) Primary maternal preoccupation Through paediatrics to psychoanalysis: The collected papers of D W Winnicott New York: Basic Books Yogman, M W (1994) Observations of the father-infant relationship In S H Cath, A R Gurwitt, & J M Ross (Eds.), Father and Child: Developmental and Clinical Perspectives (pp 101-122) Hillsdale, NJ: The Analytic Press Zick, C D., & McCullough, J L (1991) Trends in married couples' time use: Evidence from 1977-78 and 1987-88 Sex Roles, 24(1/8), 459^87 This page intentionally left blank Author Index B Abend, S M., 60, 62, 64, 67, 87, 88, 110, 127 Adams-Hillard, P., 97 Adelson, M., 31, 40 Agazarian, V., 252 Alecxih, L., 179 Allen, D W., 211 Almeida, P M., 50 Al-Mateen, C S., 36 Alonso, A., 60, 62, 67, 116 Alperin, R M., 178, 186 Anderson, L., 50, 55, 218, 221, 230 Anderson, N., 9, 127, 168, 218, 221, 227, 231 Antil, J K., 149, 311, 315 Arons, E., 45, 47, 49, 50, 51, 69, 73, 85, 90, 92, 105, 106, 107, 119, 154, 155, 157 Ashway, J A., 105, 151, 152, 154, 155, 166, 167 Auchincloss, E L., 174, 247, 249, 251, 257 Auerbach, C F., 290, 311, 312 Austrian, S., 39, 50, 51, 57, 69, 110, 111, 112, 115, 126 Ballou, J F., 49, 93, 97, 108, 135, 137 Balsam, R., 27, 34, 96, 97, 100, 101, 107, 119, 126, 128, 129, 140, 141, 142, 144, 191, 319 Barbanel, L., 27, 85, 100, 107, 117 Barker, K., 148 Bartholet, E., 269 Basecue, C., 18 Bashe, E., 6, 7, 59, 62, 70, 73, 74, 86, 87, 111, 114, 115, 116, 119, 120, 121, 123, 124, 125, 126, 127, 139, 144, 145, 221, 257, 283 Bassen, C R., 6, 7, 23, 24, 27, 33, 44, 46, 61, 65, 73, 74, 75, 86, 87, 88, 97, 100, 105, 108, 111, 115, 116, 125, 126, 132, 139, 206 Baum, O E., 7, 69, 114, 200, 245, 247, 257 Benedek, E P., 58, 84, 97, 112, 247, 250, 259 Benedek, T., 92 Berman, E., 7, 23, 197 Bernard, J., 311, 312 Bibring, G L., 92, 92, 107, 108, 133, 135 Bielby, D D., 148 Bielby, W T., 148 355 AUTHOR INDEX 356 Bienen, M, 47, 61, 89 Bion, W., 251 Bios, P., 105, 170, 171, 178 Blumberg, R L., 150 Bolland, G., 137, 149, 314, 315 Boszormenyi-Nagy, I., 239 Brabender, V., 9, 127, 168, 195, 218, 221, 227, 231 Branchey, Z., 247 Breen, D., 218, 219, 221, 228, 230 Bridges, N A., 194, 200, 201 Brodzinsky, D M., 275 Brooks, G R., 287, 288 Brouwers, M., 168, 171 Browning, D H., 151, 153, 154, 164, 167 Bulow, C, 100 Butts, N T., 67, 245, 249, 259, 260 Callanan, D L., 152, 156, 157, 160, 162, 164, 335 Campbell, I E., 95, 96, 100, 105, 120, 134, 292, 293, 294, 296 Cath, S H., 288 Cavenar, J O., 67, 245, 249, 259, 260 Chasseguet-Smirgel, J., 33, 38 Chiaramont, J., 28, 45, 125, 130 Civin, M A., 271 Clark, R., 130, Clarkson, S E., 24, 148 Cohen, T F., 293, 312 Cole, D S., 22, 27 Coleman, M T., 106, 109, 119, 120, 133, 135, 150 Coley, R L., 290, 291 Comeau, K M., 34, 61, 186, 188 Condon, J T., 97, 133, 134 Cotton, S., 149, 311, 315 Counselman, E F., 60, 62, 67, 116 Crouter, A C., 150, 314 Cullen-Drill, M., 28, 34, 60, 62, 179, 180 Culp, R., 293, 305 Cummings, E M., 291 D Daston, P G., 109, 135 Davis, T., 185, 210, 288 Demos, J., 287, 288 Deutsch, F M., 50, 51, 93, 314 Deutsch, H., 90, 92, 93, 97, 119 Dewald, P A., 46, 47, 51, 60, 62, 86, 112, 117, 127 Diamond, D., 33, 34, 35, 36, 38 Diamond, M J., 288, 289 Dies, R R., 304 Domash, L., 200 Dunkel-Schetter, C., 1, Dunn, D J., 133, 134 Dwyer, T F., 92, 107, 108, 133, 135 Ellsbury, K E., 293 Elwood, R., 293 Erickson, E H., 179, 183, 261 Essex, M J., 130 Etchegoyen, A., 71 Ewing, J., 121 Fallen, A., 9, 127, 168, 195, 218, 221, 227, 231 Falloon, I R., 195, Feirstein, B., 316, Feldman, J., 45, 47, 49, 50, 51, 69, 73, 85, 90, 92, 105, 106, 107, 119, 154, 155, 157 Feldman, T., 229, Fenster, S L., 6, 7, 12, 17, 23, 24, 24, 33, 34, 37, 47, 49, 51, 59, 61, 62, 65, 73, 86, 87, 88, 89, 107, 111, 114, 115, 116, 119, 121, 123, 125, 126, 127, 129, 131, 139, 148, 167, 176, 177, 184, 196, 196, 197, 218, 221, 221, 226, 229, 234, 252, 262, 263 Ferketich, S L., 305 Fish, L., 149, 315 Ford, C., 122 Fosshage, J., 19 357 AUTHOR INDEX Foulkes, S H., 220 Foxman, R., 137, 149, 314, 315 Tranche, R L., 99, 100 Franklin, A J., 288 Freedman, A., 53 Freud, S., 225 Friedman, M E., 33 Fuller, R L., 144 Galambos, N L., 50 Gavin, B., 73, 75, 100, 218, 220, 221, 230 Gerson, B., 61, 66, 67, 100, 116, 117 Gilbert, L A., 287, 288 Goodwin, J., I l l , 174, 194, 252, 253, 257, 258 Gottlieb, S., 28, 34, 39 Goz, R., 52, 54, 64, 73, 100 Granrose, C S., 130 Green-Emrich, A., 6, 155 Greenberg, J R., 86, 115 Greenberg, M., 304 Greenson, R., 86 Grimm, E., 99, 118 Grossman, H Y., 56, 57, 226, 248, 249 Grotevant, H D., 271 Grunebaum, J., 239 Gunsberg, L., 290, 291 Gurwitt, A R., 288, 289, 295, 296, 305 Guy, J D., 70 Guy, M P., 70, H Haber, S., 69, 161 Hannett, F., 100, 109, 117, Heimann, P., 47, 48 Herring, C., 7, 69, 114, 200, 245, 247, 257 Hiller, D V., 149, 311, 313, 314, 315, 317 Hochschild, A R., 2, 50, 51, 93, 139, 145, 149, 150, 312, 317, 318 Hoffman, J., 19 Hollander, M., 122 Holmes, D S., 29 Hood, J C., 311 Hooke, J F., 93, Horner, A J., 190 Huntington, D S., 92, 107, 108, 133, 135 Hyde, J S., 130 I-J Imber, R R., 48, 73, 76, 77, 78, 105, 114, 115,261 Jackel, M M., 29 Jarrahi-Zadeh, A., 121 K Kane, F., 121 Kaplan, E., 130 Katzman, M A., 6, 7, 8, 23, 24, 338 Kernberg, O., 47, 48 Kernberg, P F., 187, Kestenberg, J S., 33 Kibel, H D., 190, 332, 333 Kirk, H D., 269 Klein, M., 31, 38, 81 Klein, M J., 130 Kohler, J K., 271 Lachenbruch, P., 121 Lamb, M E., 288, 290, 291, 292, 304, 305, 311, 314, 315, 316, 317, 320 LaMothe, R., 195 Lang, L., 312, Langs, R., 122, LaRossa, R., 312 Larson, R., 149, Lax, R., 28, 34, 36, 43, 46, 47, 48, 71, 86, 87, 110 Lazar, S G., 5, 96, 100, 117, 121, 187, 202 Lederman, R P., 12, 119 Leibowitz, L., 61 Leifer, M., 96, 99, 100, 106, 109, 118, 119, 133, 134, 157 Lein, L., 316 Leon, I G., 100, AUTHOR INDEX 358 Lerner, H., 2, 9, 15, 93, 104, 106, 133, 134, 137, 143 Lester, E P., 92, 93, 97, 98, 105, 107, 109, 119 Levant, R F., 294, 321 Levin, L A., 160, 162, 163, 164, 166 Liaboe, G P., 70 Loewald, H., 47 Lombard!, K L., 271 Lussier, 314 M Maggs, J L., 50 Mahmood, R., 161, 258 Maier, L., 9, 127, 168, 218, 221, 227, 231 Maloney, R., 119 Marks, P A., 93 Martinez, D., 110, 112 Mason, C, 293 Matozzo, L., 6, 7, 8, 14, 34, 248 McCann, J T., 208 McCarty, T., 194 McConnell, O L., 109, 135 McCullough, J L., 148, 317 McGarty, M., 51, 58, 68, 72, 127, 155 McNary, S W., 304 McWilliams, N., 129, 188, 192, 193, 199, 201, Melina, L R., 275 Mercer, R T., 305, Mikail, V S., 99, Miller, J R., 153, 154, 164, 165, 167 Miller, S., 139 Millon, T., 185, 210 Morris, N., 304 Moss, P., 137, 149, 314, 315 N Nadelson, C., 45, 47, 49, 50, 51, 69, 73, 85, 90, 92, 105, 106, 107, 119, 154, 155, 157 Naparstek, B., 6, 7, 10, 51, 59, 69, 74, 107, 109, 111, 113, 114, 125, 126, 127, 129, 131, 166 New, R S., 149, 315 Notman, M., 45, 47, 49, 50, 51, 69, 73, 85, 90, 92, 97, 98, 105, 106, 107, 119, 154, 155, 157 Notman, M K., 92, 93, 105, 107, 109, 119 O Ogden, 212 Osherson, S., 288, 289, 304, 305, 319 Osofsky, J D., 293, 305 Owen, C., 137, 149, 314, 315 Palusyzny, M., 49, 101, 105, 121, 154, 165 Parens, H., 33 Pederson, F A., 99 Penn, L S., 21, 28, 30, 37, 44, 46, 65, 96, 106, 107, 109, 128 Perlman, L., 55, 57, 110 Perrucci, C C., 149, 314 Perry-Jenkins, M., 149, 150, 314 Philliber, W H., 149, 311, 313, 314, 315, 317 Phillips, S B., 12, 17, 24, 33, 34, 47, 49, 51, 59, 61, 62, 65, 73, 87, 88, 107, 111, 114, 116, 119, 121, 125, 126, 127, 129, 139, 148, 176, 177, 184, 196, 218, 221, 226, 229, 234, 252, 263 Pielack, L K., 37, 50, 51, 59, 78, 107, 171, 172, 174 Pines, D., 93, 96, 97, 98, 107, 109, 208 Pistrang, N., 130 Pleck, E H., 287, 288, 312 Pleck, J H., 287, 288, 291, 303, 312, 312, 313, 314, 316, 317, 320 Pollack, W J., 292, 321 Posnanski, E., 49, 101, 105, 121, 154, 165 Potter, H R., 149, 314 Pruett, K D., 290, 292, 312, 316, 317 R Rabinovich, B A., 99 359 AUTHOR INDEX Rachlin, V C, 50 Racker, H., 48, 73, 79 Ramirez, D., 15, 276 Raphael-Leff, J., 97 Rappaport, E R G., 12, 17, 24, 33, 34, 47, 49, 51, 59, 61, 62, 65, 73, 87, 88, 107, 111, 114, 116, 119, 121, 125, 126, 127, 129, 139, 148, 176, 177, 184, 196, 218, 221, 226, 229, 234, 252, 263 Reilly, A W., 291 Renne, D., 270 Rhoads, D L., 149, 314 Richards, M H., 149 Rini, C., Rogers, C., 107, 218, 220, 221, 230 Rosen, P., 25, 173, 175, 179 Rosenberg, E B., 269, 270, 273, 276 Ross, J M., 288, 288, 290 Rothstein, A., 199 Rotundo, E A., 312 Rubenstein, C., 132, 141 Rubenstein, R., 183 Rubin, C., 60, 186 Russell, G., 290, 291 Smith, V., 148 Spark, G., 239 Spence, D., 26 Spillius, E B., 198 Stockman, A F., 6, 155 Stone, L., 66 Stuart, J J., 22, 34, 272 Theut, S K., 99 Thompson, L., 149 Trad, P V., 93, 97, 98, 105, 133, 137 Turkel, A R., 28, 37, 49, 105, 115 Tyson, R L., 47, 48 U Ulanov, A B., 31 Ulman, K H., 55, 69, 73, 84, 89 Ulrich, D., 239 Underwood, E D., 32, 33 Underwood, M M., 32, 33, Upton, L., 39, 50, 51, 57, 69, 110, 111, 112, 115, 726, Uyehara, L A., 39, 50, 51, 57, 69, 110, 111, 112, 115, 126 Saakvitney, K., 15, 139, 271, 278 Sandman, C A., Schechter, M D., 275 Schneider-Braus, K., 174, 194, 252, 253, 257, 258 Schor, J., Schwartz, C C., 53, Schwartz, F N., 148 Schwartz, H J., 60, 62 Schwartz, M C., 84 Seery, B., 150, 314 Servis, L J., 314 Shelton, B A., 50 Shrier, D., 160, 258 Silver, A S., 60, 62 Silverman, 15, 37, 116 Silverstein, L B., 290, 311, 312 Simonis-Gayed, D., 160, 162, 163, 164, 166 Smith, J M., 194, 200, 201 V Valenstein, A., 92, 107, 108, 133, 135 Van Cleave, N J., 149, 315 Van Dam, H., 62 Van DeCastle, R., 121 Vanier, A., 172, 173 Van Leeuwen, K., 35 VanNiel, M S., 114, 116, 145 Vivona, 204 Von Bertanlanffy, L., 244, 263, 266 W Wadhwa, P D., Wagner, L B., 15, 277, 283 Walker, A J., 149 Warner, R H., 39, 50, 51, 57, 69, 110, 111, 112, 115, 126 Wedderkopp, A., 32 360 Weiner, I B., 17 Weiner, M F., 117 Wellenkamp, J., 86 Widseth, J C., 10, 171, 174 Wilkie, J R., 311, 313 Williamson, R C A., 39, 50, 51, 57, 69, 110, 111, 112, 115, 126 AUTHOR INDEX Winnicott, D W., 120, 195, 200, 212 Y—Z Yogman, M W., 290, 291, 292, 305 Zaslow, M J., 99 Zick, C D., 148, 317 Subject Index Page numbers in boldface indicate main discussions displacement of, 209 toward the therapist, 73 Abandonment, 28, 62, 120, 188, 220, 223, of the therapist, 74-78 Anxiety, 98, 100, 102, 120, 134, 136, 273, 226 305 adoption, 281 Attachment, 290 child patients, 154 Attunement, 74, 142 Abortion, 95 Availability, 144, 146 Acting Out, 4, 21-24, 29, 37, 69, 206, 225, 229, 279, 280 adolescent female patients, 170 B borderline patients, 197 neurotic patients, 206 Balance home/work, 54, 57, 138, 139, Adolescent Patients, 167-179 148, 312, 319-320 female, 167-170, 323, 327 Basic Assumption Pairing Group, 251 group therapy, 236 Betrayal, 301 male, 170-172, 323 Body Image, 109, 110, 135, 136 Adoption, 267-286, 325 Borderline-level Patients, 189, 196-201, affective uncertainty, 270-272 202, 207, 214, 279 disclosure, 328 Boredom, 134, 212 international adoption, 268, 269 Boundary Issues, 104, 178, 186, 200, 283 logistical uncertainty, 268, 284 recommendations, 282-286 screening of parents, 269, 270 therapist reactions, 272-278 Ageism, 181 Career Building, 49 Ambivalence, 55, 201, 293, 295, 316 Cesarean Section, 253 Amniocentesis, 102, 105 Changing Appointments, 146-147 Anger, 64-65 Character Type, 184 361 362 SUBJECT INDEX Childbearing Timetable, 49 Childcare, 136-138, 146, 149, 313, 315 Childlessness, 183 Client Issues, Clinical Judgments, Clinical Literature, Cognitive Behavioral therapy, 9, 190, 213, 214 Compartmentalization, 273 Competence, 120, 316 Complementary Identification, 80-83, 156, 252, 325 Concentration, 121 Conception, 96 Concordant Identification, 48, 79-83, 157, 252, 277, 325 Confidentiality, 128 Contact, 131, 132 Cotherapist, 219, 224, 234-236, 333 Countertransference, 5, 11, 43-91, 98, 156, 157, 160 181, 189 (table), 302, 307-310, 325 Modality couple therapy, 242 family therapy, 241 group vs individual type of therapy, 230-236 Type of patient adolescent, 172-175 borderline, 198 child, 156-159, 160 elderly, 181-182 histrionic, 211 modality therapy, 230-236 neurotic, 203 psychotic, 188 Couples Therapy, 238-243 Couvade Syndrome, 34, 293, 296 D Death Accepting, 182 Wishes, 336 Decision Making, 2-6, 8, 15, 125-130, 282-286, 326-338 Delivery, 119 Denial, 51-55, 67-69, 200, 247-248, 253-254 adoption, 273-274 child patient, 153 adolescent patient, 172 supervisor, 261 therapist, 51-55, 253 Depression, 1, 141 Derivatives, 26-27 Developmental Level, 184 ego organization, 184 table, 189 Disappointment, 124, 241, 252 Disclosure, 59, 60-72, 86, 102, 110-118, 144, 215, 297-298, 326-329 adoption, 275, 282-284 child patient, 159, 162 father, 207, 295, 298 group therapy, 112, 114, 231, 237 neurotic patient, 204 office staff, 111, 163 parent, 162 psychotic patient, 192 recommendations, 86-88 Displacement, 159, 224 child patient, 153 co-therapist as object of, 235 Diversity, 147 Drop Out Rates, 228 Eating disorder patients, 7, 8, 24-25 Ego Integrity, 180, 197, 328 Elderly Patient, 179-183 Empathy, 199, 234, 240, 306 Endocrinological Changes, 96, 100 Engrossment, 304 Entitlement, 255-256 Envy, 18, 31-35, 63, 81-82, 94, 109, 188, 198, 203, 295, 308, 317 Envy of the baby, 31-32 Envy of the therapist, 33-36 Envy of the therapist's partner, 31 Erikson/ Integrity, 183 363 SUBJECT INDEX I Family Therapy, 238-243 Fatherhood, 13, 51, 267, 287-321, 325 competition, 305 engrossment, 304 history of, 287-288 identity development, 289-292 roles, 287-292, 308, 311, 313 stress, 319 supports, 316 Feelings negative, 72-73, 97, 134, 159, 177, 276, 237, 332, positive, 168 uncertain, 270, 285 Female Identity, 169 Fertility Problems, 18, 33, 37 Idealization, 78 Identification, 28, 33, 36, 174, 176, 241, 261 Identity Crisis, 54, 128 Inferiority, 281 Infertility of the therapist, 278, 281 Inner-genital Phase, 33 Institutional adaptive responses, 246 maladaptive responses, 246-252 recommendations, 257, 258 Interpretations, 108, 212 Interpreting upward, 267 Introspection, 100 Isomorphy, 252 J-L Gay and lesbian parenting, 14-15, 37, 116, 133, 288, 303-304 Gender Differences, 34, 38, 59, 242, 323 Gender Identity, 58, 165 General Systems Theory, 244-245, 252, 263 Generativity, 183 Gifts, 122-124, 166, 331, 238, 331-335 child patient, 166, 334-335 Group Analysis, 220 Group Psychotherapy/Psychotherapists, 124, 218-238, 324 With adolescents, 230, 236-237 With adults, 58-59, 64-65, 75-76, 110 With gay men, 303-304 Guilt, 65, 76, 97, 143-144, 158, 194, 198, 295 H High Risk Pregnancy, 160, 336 Histrionic Patient, 210 Homework, 195, 213 Homosexuality, 219, 227 Hostility, 32, 52, 74, 248, 249, 256 Hysterical Patient, 210-214 Jealousy, 37-39, 109, 211 Labor, 119 Latency Age Patient, 151 Legacy, 183 Loss, 120, 124, 135, 228 M Macrosystems Interventions, 217 Maternal Transference, 154 Maternity Leave, 28, 41, 125, 126, 194, 329-331 child patients, 166 contact during, 167, 178 group therapy, 229, 233 neurotic patients, 207 resources during, 330-331 Methodology, 6-9, 338-340 Table 1.1, Miscarriage, 64, 94-102, 104, 117-118, 161, 202 Morning sickness, 111 Mother-in-law, 108 Mother Child Mutuality, 137 Mother Images, 170 Multidirected Partiality, 105, 239, 242 Multiparous Therapist, 105, 173, 227 SUBJECT INDEX 364 N Narcissism, 63 Narcissistic Patients, 146 Nausea, 96, 104, 293, 294 Neglect, 260 Nesting behavior, 120 Neurotically-organized Patient, 201-207 Neutrality, 115 New Patients, 116 o Object Constancy, 196, 207 Obsessive Patient, 208-215, 323 Occupational therapy, 124 Oedipal Issues, 37-39, 172, 177, 180, 198, 210, 220, 250 Organization, 12, 13 Over-accommodations, 264 Over-solicitude, 249-250 Parallel Process, 99, 263-265 Parent Involvement, 290, 291, 314 Paternity leave, 312 Patient Responses, 23, 27 Physiological changes, 94-100, 101, 109 Positive Effects, 10, 20, 31 Postpartum Depression, 1, 150 Premature Delivery, 160, 253 Pre-Oedipal Issues, 169, 221 Primal Scene, 39 Primary Maternal Preoccupation, 120 Primiparous Therapist, 51, 56, 69, 105, 119, 121, 126, 174, 181, 184, 227, 324 Privacy, 69 Problem-solving Therapy, 214, 329 Projection, 29 Projective Identification, 29, 30, 72, 169, 182, 197 Pronatalist Position, 24, 209, 215, 237, 275, 325 Psychoanalytic, 93, 103, 122-123 Psychotherapy with Adolescents, 12, 267-179, 236-237 Adults, 52, 55, 68, 80, 82-83, 123, 146, 205-206, 298-300, 308-309, 319 Children, 12-13, 238-243 Couples, 12-13, 238-243 Elderly, 179-183 Family, 12-13, 112,238-243 Group, 58-59, 64-65, 75-76, 110, 112, 218-234, 294, 303-304, Psychotically organized Patient, 185-196, 207, 214, 279 anxiety, 187 boundaries, 186 Q-R Question Asking Patient, 164, 172, 193 Reaction Formation, 29, 30, 224, 250 Reactions group versus individual therapy, 227, 228, 230 therapist, 78, 323 patient, 16, 17, 19, 218, 252, 278, 299, 323 parental, 162 societal, 277 Real Relationship, 16-20, 204, 225, 226, 229 Regression, 107 Repression, 211 Research, 6, 7, 8, 221-238, 290-291 Resistance, 24-26 Resources, Returning to Work, 136-144, 147, 229 Self-absorption, 90, 92, 105-107 Separation, 29-31, 120, 136, 140 Sexuality, 58-60, 219, 227 Shame, 212 Sibling Rivalry, 154 Individual vs group therapy, 219-220 Sick Child, 146 Social Skills Training, 195 Splitting, 29, 230 Stress, 1, 46 Free ebooks ==> www.Ebook777.com SUBJECT INDEX 365 Substitute Therapist, 130, 194, 224, 255, 284, 330, 336, 337 Successive Pregnancies, 40 Suicide, 23 Supervisor Relationship, 88-89, 98-99, 259, 262-265, 286, 296 Support group, 258 Symbiotic Merger, 30 Termination, 23, 43, 112 Theoretical Orientations, 340 Thesis, Touching (child patients), 165-166 Transference, 5, 16-42, 37, 77, 98, 103, 306-310, erotic, 37, 60, 306-310 institutional, 194 Transitional Object, 167, 195 Treatment Disruptions Treatment Interventions borderline patient, 199, 309-310 child patient, 112, 159 elderly patient, 182 histrionic patient, 213, 336-337 neurotic patient, 189, 205 obsessive patient, 214 psychotic patients, 106, 129,189, 194 Treatment Types, 323 Trimester first, 3, 94, 96, 98, 101, 222, 231, 293-294 postpartum, 132-138, 304-306 second, 104, 107, 111, 231, 294-295 third, 117, 118, 223, 233, 253, 295-304 u-v Under-Involved Patient, 178-179 Vomiting, 96 Vulnerability, 49, 70, 100, 106, 118, 234, 310 w Withdrawal, 254-255 Women in the Workforce, 1-2, 130, 149, 311 Worry, 143-144, 204 www.Ebook777.com ... that the pregnancy of the therapist is consequential for patients in treatment whatever the therapist' s orientation We show further how the psychodynamic case literature can help therapists of other... chapter There are two other child-expectancy events in the life of the therapist that have a particularly special character: Although they are momentous for the therapist, they are either unknown... expectant mothers did have bearings on our clinical work The second event is the expectancy of fatherhood on the part of the therapist Chapter 10 focuses on the therapist as a father Our main