Thursday, November 20, 2014
Posted by Lycia Alexander-Guerra, M.D. at 4:48 PM
Tuesday, November 18, 2014
Posted by Lycia Alexander-Guerra, M.D. at 3:09 PM
Saturday, November 15, 2014
Posted by Lycia Alexander-Guerra, M.D. at 6:06 PM
Tuesday, November 4, 2014
Posted by Lycia Alexander-Guerra, M.D. at 7:22 PM
Monday, October 27, 2014
Additional important lessons for individual therapists to be taken from participation (procedural learning; 'the medium is the message') and understanding of group process as demonstrated by Roth on Oct 25, 2014 include:
1. The assignment (or acquisition) of authority (power).
The group facilitator often asked permission of the group and individuals to make comments on certain behaviors, e.g. pairing, before actually making said comments. He also, on occasion, made it clear that these were his point of view and open to review by the group with the possibility of a different outcome.
2. The use of data that was present and available for all to make use of.
The facilitator skillfully used exact words and phrases from group participants to call events of individuals to the entire group's attention, always reminding the group that one member may have been designated by the whole group to hold or contain something for the entire group (e.g. loss, trauma, sadness, aggression). Unfortunately, for some, this method was too exposing, felt to be too personal, and, therefore, narcissistically injurious, something the individual therapist strives to avoid but inevitably finds her/himself inflicting. Since injury is inevitable, what is valuable is the reparation. Reparation cannot occur if admitting injury is further humiliation. Likewise, the disappearance of the consultant, like the end of a session, feels, to some, being 'kicked to the curb' and we have no next session with the facilitator. The group will have to make use of the consultant through object constancy.
Posted by Lycia Alexander-Guerra, M.D. at 10:35 AM
Sunday, October 26, 2014
Posted by Lycia Alexander-Guerra, M.D. at 9:56 AM
Sunday, October 19, 2014
Laura (Belen Rueda), her husband Carlos and their adopted, seven year-old son Simon (Roger Princep) move to Laura’s childhood orphanage which she hopes to restore and reopen to care for five more children. Simon does not understand his mother’s need to take in more children. He has been told neither that he is adopted nor that he is HIV positive, but is understandably angry when he overhears this. When Laura and Carlos host a festive garden party for potential wards, Simon disappears. Laura begins to suspect that the orphanage is haunted. Consulting a medium (Geraldine Chaplin), she learns that a number of orphans had been poisoned there. Perhaps Laura repressed any knowledge of Tomas who had drowned, a few days after Laura is adopted, as the result of a cruel prank played on him by the other orphans. These culpable children disappeared soon after.
Posted by Lycia Alexander-Guerra, M.D. at 7:19 PM
Wednesday, October 15, 2014
Knox gives us a neurobiological explanation for the origins of shame. Should the mother register disgust for her infant or her infant’s agency, the infant’s sense of self and of agency is linked –through the insula (where mirror neurons may activate disgust) and the midline structures (where the sense of self is thought to be encoded) –with shame. A mother who cannot tolerate her infant’s distress may cause the infant to procedurally learn to hide pain in order to protect the attachment. This may result in a fear of love or Fairbairn’s schizoid personality, where shame has been linked to relationship.
Posted by Lycia Alexander-Guerra, M.D. at 10:39 AM
Thursday, October 2, 2014
The capacity to be alone is presented as a prerequisite of the capacity to be alone with your self. While he goes very deep in helping us understanding the issue I think the paper misses addressing the other side of the coin, that is, the capacity not only to be with your self but also the capacity to be without the other. This is in my view different from the former one. I did not see something written in the paper regarding dissociative phenomena, especially about those clients who are caught in between, partially being able to stay alone, and, simultaneously, stay without the other.
Posted by Lycia Alexander-Guerra, M.D. at 5:16 PM
Wednesday, October 1, 2014
Posted by Lycia Alexander-Guerra, M.D. at 7:24 AM