Episode 2: The Impenetrable Couple - Therapist As Third Wheel

Episode 2: The Impenetrable Couple - Therapist As Third Wheel

In this episode, Andrew presents an unusual situation where a patient requires his partner to be present in his therapy not to work on couple dynamics, but as a benign observer.

Andrew finds himself unable to resist this demand both because Andrew is ideologically opposed to imposing his will on the patient and because he can’t in the moment think why the patient’s preference should be resisted.

Andrew consciously accepts the patient’s narrative that therapy should take place in the threesome but unconsciously resists it. This resistance manifests in an insistent thought that the therapy will be short term.

In supervision, he realises that the thought is a wish covering over his frustration at being manoeuvred into working in a way that is restrictive and recognises that he is in the presence of a merger.

Andrew comes to see this merger as less sweet and more problematic than he had thought and he determines to use his frustration to challenge the merger and negotiate a different therapeutic frame.

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Episoder(47)

Episode 7: "I Feel Unsafe" - Victimisation and Fragilisation

Episode 7: "I Feel Unsafe" - Victimisation and Fragilisation

In this episode, Rachael takes on a number of important questions including when is it appropriate to bypass defences by uniting with the patient’s perspective and when to try to get under the defence...

2 Aug 24min

Episode 6: Frustration and Envy - The Apparent Luxury of Collapse

Episode 6: Frustration and Envy - The Apparent Luxury of Collapse

In this episode, Andrew encounters a patient whose stated objective is to own her own competence and self assuredness and to be more like him. Andrew anticipates encountering a people pleaser and is s...

5 Jul 27min

Episode 5: I'm Glad My Mum Died, But It's A Shame I Didn't Get To Kill Her

Episode 5: I'm Glad My Mum Died, But It's A Shame I Didn't Get To Kill Her

In this episode, Rachael gets tangled up in her own anger and hostility towards her patient on behalf of the patient’s daughter. While trying to distance herself from the patient's enmeshment with the...

31 Mai 26min

Episode 4: Therapy Terminable And Interminable

Episode 4: Therapy Terminable And Interminable

In this episode, Andrew struggles with the question of therapy terminable and interminable. He faces an ethical dilemma as to whether continuing therapy with a particular patient who has made consider...

3 Mai 25min

Episode 3: Fostering Dependence And Nurturing Independence

Episode 3: Fostering Dependence And Nurturing Independence

In this episode, Rachael struggles with her own feelings about her therapy being cut across by a psychiatrist who seems to be opposed to long term therapy. She feels activated especially as the patien...

5 Apr 26min

Episode 1: I Used ChatGPT And I Still Got Castrated

Episode 1: I Used ChatGPT And I Still Got Castrated

In this episode, Rachael struggles with her impulse to be castrating when she encounters what she experiences as an impenetrable patient, a Citadel.  She is irked by the patient constantly batting awa...

1 Feb 25min

Episode 8: Hot Shrink For A Hot Minute: Erotic Transference Part II

Episode 8: Hot Shrink For A Hot Minute: Erotic Transference Part II

In this episode, Rachael plumbs the mysteries of the erotic, both in the transference and the countertransference; mysterious because it occurs in liminal or transitional space as Winnicott would say....

7 Sep 202524min

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