Advances in Relational PsychotherapyWith Module Speakers:
Dr Neil Altman, Shoshi Asheri, Dr Jessica Benjamin, Dr Doris Brothers, Roz Carroll, Dr Muriel Dimen, Professor Maria Gilbert, Dr Adrienne Harris, Dr Nancy McWilliams, Jeremy Saffran, Professor Andrew Samuels, Dr Donnel Stern, Dr David J. Wallin, ,
- This online resource provides a unique package of lectures and presentations by the speakers below, supported by notes, captions and diagrams
- This content is available 24/7 for 1 year per subscription
- The literature has been studied in order to offer a reliably researched, hyperlinked bibliography
- A certificate of attendance may be applied for up to 20.5 hours CPD (pro rata on the basis of correct answers in multiple choice questionnaire assessing your knowledge of the module): £36
The vast influence of Relational Psychoanalysis in the last 25 years has evolved into one of the most significant paradigm shifts in the field, impacting on almost every psychotherapy modality. This package offers a set of videoed talks on relational theory and practice, presented by some of most influential author-practitioners, and is designed to illustrate relational theory as it is applied to clinical technique.
The talks also cover the historical development of that thinking and an elaboration of key concepts: inter-subjectivity, the mutual influence of the two subjects in the process, the ‘Third’, enactment, rupture and repair, the therapist’s relational history, and the patient’s capacity to make a healing contribution to the process. Combined with study-guides, research links, transcriptions and captions, the module provides a sophisticated, layered and comprehensive exploration of the subject for practitioners of all levels of clinical experience.
Dr Neil AltmanImpasse and Resolution from a Kleinian/Relational Perspective
This presentation offers a synthesis of perspectives drawn from British Kleinian theory and American relational psychoanalysis focusing on our understanding of the function of guilt within the psyche, why people so readily hurt each other, and the role of reparation as both a defense against the burden of guilt and as a demonstration of love to the injured person. Neil Altman suggests that relationalists tend to follow the Kleinian idea that guilt arises from “hurting the one you love”, but see both the hurt and the love as socially constructed, in a dialectical relationship to each other. Altman elaborates these themes through a case study. Here we see two people, each struggling with the guilt that arises in ruptures, impasses and enactments, and struggling toward the kind of repair that makes one feel that goodness and badness can co-exist. The case pivots on his realisation that an enactment has grown out of his own childhood trauma.
Video lecture with captions and transcript – 23 mins
Interview / Q&A with Dr Neil Altman
Read More About The Speaker
Video interview – 14 mins
Shoshi Asheri And Roz CarrollHumanising the therapeutic relationship: the transformative power and risk of 'Felt Participation'
In this conversation, Shoshi Asheri will present a clinical encounter which illustrates how the invisible bonds that pre-exist between therapist and client can be utilised therapeutically, if dared to be felt by both therapist and client.
Together, she and Roz Carroll will discuss the complex notion of ‘Felt Participation’ as a navigating tool in the invisible field of connection and dissociation between therapist and client. They will explore their understanding of the potential that sits in the paradoxical tension between the therapist as a person and the therapist in their role, and the creative edge arising from staying with a moment to moment embodied lived experience.
The discussion then opens out into the broader question of how to foster in trainee psychotherapists the capacity for embodied relating and improvisation side by side with the capacity for reflexivity. Finally they will consider the importance and the complexity of creating a therapeutic culture that democratises the power relationship.
Video lecture – 1 hr 14 minsRead More About The Speaker
Dr Jessica BenjaminThe Concept of the Third
In this presentation, Jessica Benjamin explains her conceptualisation of the ‘third’ and its application to psychotherapy. She regards the creation of thirdness as an intersubjective process that is constituted in early, pre-symbolic experiences of accommodation, mutuality and the intention to recognize and be recognized by the other; it is a relationship of mutual recognition in which each person experiences the other as a ‘like subject’ yet has a distinct, separate centre of feeling and perception. In contrast to the notion of the intersubjective as a system of reciprocal mutual influence, the term ‘third’ is used by her to convey the representation of a potential relationship that we use to break out of the reciprocal lock of complementarity.
Video lecture with captions – 15 minsRead More About The Speaker
Dr Doris BrothersAkela's Homesickness: Affect regulation, relational patterns, mindfulness and enactment in psychoanalysis
The therapeutic relationship at the heart of this paper revolves around the special language that developed between Akela, a young Egyptian born married woman, and Doris Brothers – her American analyst. On entering therapy, Akela not only lacked a sense of belonging to a place or nationality but she was also deeply confused about her professional and social life. Despite this, she quickly developed the sense that she belonged with her analyst even though, superficially, they appeared to have many differences. This talk describes the unfolding of a therapeutic relationship from dislocation to connection that is utlimately enriched by a strong and mutual sense of twinship. The analyst’s own relational past and her capacity to recognise an enactment stemming from her interpersonal history is significant in the success of the therapeutic process.
Video lecture with transcript – 35 mins
Dr Muriel DimenWhose Struggle? Psychoanalysis, social forces, and the clinical dilemma of self-knowledge
This presentation is an exploration of a particular theme in relational psychoanalysis: who does the work. It is possible to think of the analyst as engaged in a struggle to grasp the patient’s internal life, Muriel Dimen argues. However, this struggle does not belong to the analyst. It belongs to the patient. Here, she does not mean that the analyst should not struggle. Rather, that the work of analysis is about patient’s relation to themselves. Insofar as it focuses on the analyst-patient relationship, it does so in order to foster the patient’s understanding of their inner life. Inevitably, this self-knowledge draws both analyst and patient into their social situations, their cultural constructions of themselves, and the distribution of power within and outside the consulting room. These ideas are illustrated by two engaging case studies.
Video lecture – 57 minsRead More About The Speaker
Professor Maria GilbertA relational approach to Clinical Supervision
Maria GIlbert presents a relational approach to supervision in which she focuses on the co-creation of an effective learning environment for the supervisee. The aim of the supervisory process is to encourage curiosity and reflexivity in the interests of a creative learning process. She highlights the importance of attuning to the uniqueness of each supervisory and therapeutic encounter.
Video lecture – 51 minRead More About The Speaker
Dr Adrienne HarrisYou Must Remember This
The question of a theory of analytic change is approached in this talk through a consideration of analytic impasse. This phenomenon is considered in the light of the analyst’s character formation, the relation of analytic vocations to early attachment, and object ties in the analyst leading to problems with omnipotence. Impasse, Adrienne Harris suggests, is tied to various processes and defenses that shape and contribute to the analyst’s countertransference. Analytic change is considered here in the context of theories of nonlinear development, models of speech practice, and mutative action, explored here through case material and biographical detail.
Video lecture with transcript and slides – 1 hrRead More About The Speaker
Dr Nancy McWilliamsDifferent Angles of Vision: From Relational Psychoanalysis, Ego-Psychology to Research
Although the Relational Movement represents a huge paradigm shift, Nancy McWilliams – having been trained in the tradition of Kohut and Sullivan – initially felt that certain relational ideas were already active in classical psychoanalysis. She later became aware of the extreme rigidity in which some colleagues had been trained, and which contributed to the genesis of the ‘relational turn’. The new honesty about the analyst’s true feelings, and the inevitability of enactments, recognition of therapeutic change via the processes of repair and meta-communication were – she argues – a remarkable development leading to important advances in technical skills. Dr McWilliams discusses her vision for a more fully integrated school of psychotherapy that combines relational skills, self-psychology, an understanding of character and a diagnostic model that allows for psychopathology, based on a platform of sound research, offering an illuminating picture of the current state of the field.
Audio lecture with captions – 38 minsRead More About The Speaker
Jeremy SaffranAffect regulation, mindfulness and enactment in psychoanalysis
In this presentation, Jeremy Safran describes how he faced a sudden incapacity to empathise with a long-term patient – a relational breakdown which resulted in intense and conflicting emotions for both. He identifies this as an enactment, “the repetitive interactional patterns between patients and their therapists that reflect their unique personal histories, conflicts, and ways of relating to the world”. These interactional patterns, he suggests, can be very destructive, obstructing therapeutic progress and potentially re-traumatizing the patient. At the same time, they afford a tremendous opportunity for therapeutic change if they are worked with in a constructive fashion. Dr Safran describes the multifaceted inner and interpersonal skills that therapists require to facilitate this type of collaborative exploration, emphasizing the importance of the therapist’s inner work. He suggests that mindfulness is an essential skill for the therapist’s own affect-regulation and their capacity to work through and talk about internal processes in a meaningful, therapeutic fashion.
Video lecture with transcript and slides – 55 minsRead More About The Speaker
Professor Andrew SamuelsRelational Psychoanalysis in the USA and Britain: past, present and future
Andrew Samuels describes the history of relational psychoanalysis as rooted in the transformative social and political movements of the twentieth century. He suggests that the civil rights movement, feminism, gay liberation and radical student politics formed Â powerful influences on the clinical values and ethics of the relevant generation of relational psychoanalysis. Though analysis is not a crude relationship of ‘equals’, Andrew suggests that egalitarianism is the key historical factor. In common with other relational psychoanalysts, Andrew questions the use of the terms ‘object’ and ‘subject’, and the ubiquity of ‘the infant’ in the discourse of traditional object relations based psychodynamic psychotherapy. In the UK, Samuels thinks, relational psychotherapists are engaged in an ambitious project to go beyond ‘schoolism’, working out a pluralistic synthesis of many routes to relationality. He ends by speculating on future developments.
Video lecture – 40 minsRead More About The Speaker
Dr Donnel SternWitnessing Across Time: Accessing the present from the past and the past from the present - PART I
We are used to the idea that trauma in the past interrupts our capacity to grasp the present. But present or recent trauma can have a similar dissociative effect on our capacity to experience the more distant past. Contemporary trauma can rob the past of its goodness, leaving one feeling as if the past is gone, dead, separated from the present. The vitalization of the present by the past or the past by the present requires that experiences be linked across time. These links are created, in both directions, via categories of experience characterized by shared affect (Modell 1990, 2006). Such categories are created, in turn, by metaphor; and the construction of these metaphors across time requires that one be able to occupy self-states in both the past and the present that can then bear witness to one another. Trauma can result in the dissociation of these self-states from one another, leading to a disconnection of present and past.
Video lecture with captions and transcript – 24 mins
Witnessing Across Time: Accessing the present from the past and the past from the present – PART II
Video lecture and transcript – 41 minsRead More About The Speaker
Dr David J. WallinAttachment, Development and Relational Capacity
Just as the child’s original attachment relationships make development possible, it is ultimately the new relationship of attachment with the therapist that allows the patient to change. Our ability to provide a secure base will largely depend upon our own attachment history – and our relationship to that history. To set the stage for exploring the impact of our own psychology, David Wallin will discuss how therapists can attempt to generate a secure base and in the process help their patients to deconstruct the attachment patterns of the past, to construct new ones in the present, and to integrate previously dissociated experience.
Video of lecture with captions – 36 mins
Enactments, mentalizing and developing a mindful stance with the patient
The healing potential of the therapeutic relationship is ultimately determined by the interaction between the attachment patterns of the patient and those of the therapist – which often emerge from a history of trauma. Failing to attend to the impact of our own attachment patterns, we usually repeat them, often compromising our efforts to create a secure base. By contrast, recognizing the hand of our past in the present can loosen its grip, while also revealing the ways in which own attachment patterns and those of the patient are meaningfully related. David will discuss how our attachment patterns shape not only how we relate but also what we know-sense, feel, think, and remember. Such patterns can be sources of insight (we know others most deeply on the basis of what we know about ourselves) but also of impasse (our ability to know others will be limited by what we are unable or unwilling to know about ourselves).
Video of lecture with captions – 16 minsRead More About The Speaker