Things in The Body. Andrey Ermoshin
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Название: Things in The Body
Автор: Andrey Ermoshin
Издательство: Издательские решения
Жанр: Медицина
isbn: 9785005350947
isbn:
Tendencies of character
In accordance with your personal character: mainly schizoid, cycloid or epileptoid – you may need to track tendencies for: complication, self-admiration, domination and for commanding.
The presence of asthenic traits in the nature of the therapist can lead to the development of the patient’s parasitic traits.
Neurotic complexes
It is obvious that the psychotherapists’ own traumatic experience and the presence of their unresolved life issues can complicate the process of psychotherapy. It is discussed in detail in different literature, and I will not dwell on this further.
Cultural stereotypes
Having accepted the fact that psychotherapy is not an area of self-affirmation for the power-loving, nor an area of self-gratification for the sweet-loving. It is also neither an area where excessively smart people feed their pride (nor an area of self-torture for a “good’ one), nor indeed, a sphere for solving neurotic problems of the psychotherapist, let us pay attention to the following:
Even if we assume that a «perfectly balanced’ person, who has undergone a long personal psychoanalysis or other thorough therapy, is engaged as a psychotherapy practitioner, that is to say, this person is pure in the sense of the absence of any tendencies to solve their own psychological problems when in contact with the patient; this «ideal’ psychotherapist still risks falling into «activism’.
It is difficult for a doctor to trust the «uneducated’ mind of a patient. They are used to being an expert, a specialist. They know the terminology to denote the patient’s different states. They are competent to prescribe and cancel medications, discharge the patient to work or leave home. They are responsible for the life of the patients almost more than the patients themselves.
For the psychologist it is not easier to tune in to a trusting attitude towards the client. Although initially, they are more «consultative’ and can imagine that, as a specialist, they must be «smarter, stronger, more agile’ than their ward.
For me, falling into all these «traps’ as a result of being interested in my self-development of the «purity of doing’, it became important to track my characterological response, my own neurotic problems and tendencies, which had appeared in the course of my previous professional life.
Below are some examples of my self-analysis (in the manner of «somato-analysis’). I also mention some of the experiences that I have gained through participation in a special program.
Remarkable school
For me it was a remarkable schooling to observe and then participate in the practice of addressing the problems associated with alcohol abuse (and complex problems) according to the methodology of Croatian psychiatrist Vladimir Hudolin. I got acquainted with this approach (called ecologic, family, systemic) in Italy, where I was invited thanks to the inter-confessional cooperation of the Russian Orthodox and Roman Catholic churches.
The so-called operators consider themselves to be a facilitator of the process of staying sober and sees their task as so much doing something for the families, but rather to create conditions in which the families themselves, having problems associated with alcohol consumption, can do what will save them.
If an «active’ approach is used, the alcohol addicted patient is usually «coded’, «torpedoed’, if not sent for the «compulsory treatment’ to the institution of a prison type. The new program of the environmental approach sometimes suggests leaving such a patient alone and start the treatment by changing someone in their family.
The essential point is the «return of responsibility’ («recuperare la responsabilita» in Italian) to the members of the club (the community of families) for the process they are going through. Practically this is achieved in the following way: meeting, «chronicle’, support to absent participants (patronage), the preparation of tea and other things are conducted by the members of the club at a time. The operator only cares about the safety of the atmosphere in which all this is done. Developing the pooling of experiences and resources of club members, they ensure that forces are not wasted on talking about politics, football, etc., thus restricting the simple rules of life in this community of self-and mutual aid: to just talking about the present and to rely on their own collective experiences.
In contrast to the common methods of «healing in one day’ (such as the above mentioned «coding’ or «torpedoing’), this environmental approach gives much slower results, but is incomparably more reliable. The result of the club meetings is directed to the future, to the life of the descendants of the club members. This result is not limited to a period of 12 months or 5 years.
In connection with my participation in that Italian program, I thought of a «plant’ agronomic metaphor. What will the gardener take care of while planting beets in his garden? About the soil and light of course, but he will not try to grow it himself instead of a beetroot. Likewise, it is especially important to the doctors to understand the limitations of their competence and not to overdo it. In the end, the patients are saved by their own effort, not only by the activity of the doctor. This is my conclusion.
Get some rest!
The doctor can see the problems in the form of objects, like a psychic, or guess their location from the “weak signals’ or detect them by testing or infer their presence in many other ways not unlike famous detectives. On the other hand, psychocatalysis specialists will refrain from the open use of their “brilliant abilities’ and their trained “clinical machine’. During work sessions with patients, they will leave their knowledge and intuition out of the equation, trusting the abilities of the mentee. By answering questions, the patient develops the ability to visualize and can even find a path to enlightenment. Questioning is of crucial importance to the process of somatopsychotherapy.
Of course, this does not negate the importance of the training of an «assistant’. Both clinical and psychological preparation is extremely important. Understanding the human character, the peculiarities of nosology classification, the dynamics of experience significantly accelerates the therapy: the ability to ask relevant questions is a great art. However, trust in the patient’s ability to respond in any case remains truly relevant.
One of the components of the internal training of the questioner, including the key to their ability to withstand the intonation, to provide the choice of an answer to a patient, is the understanding that the patients are able to determine their own feelings. This is one of the postulates of therapy through questions about body sensations.
The research tool
The technique of the «objectification of feelings’ falls under the category of indirect methods. This means that it «includes’ the initiative of the patient and activates his ability to determine and change his state. The solving of this problem is based on the amazing, but usually unused human ability to self-diagnose their own condition as specific images of objects.
This process is called psychocatalysis, by analogy to a catalytic chemical process: there is a «substance’ that can change its state – СКАЧАТЬ