Summary The present work focuses on the transformations of the psychotherapeutic field through the relationship dynamics which occur within it. The first part of this article starts with a brief outline of the Gestalt psychological understanding of the field concept, also in its application to the psychotherapeutic situation, followed by a brief review of the introduction of the field concept into the psychoanalytic theory formation. After this, the first author first presents the theoretical concept underlying a new approach he has (...) developed for observing the relationship dynamics in psychotherapy. Mirroring a formation of both psychoanalytic and Gestalt theory of the main author, this new approach is based on the combination of psychoanalytic and Gestalt psychological concepts. According to the clinical experience and insights of the author, the phenomenological and relational approach of Gestalt theory fits well with the psychoanalytic approach; on this basis, a criterion for recording the progress of therapy can be developed. This criterion is the phenomenology of the development of the qualities of the relationships of the client, as they become visible in his dream narrations and the subsequent associations in the analysis room and continue to develop during the session and the further course of therapy. The relationship dynamics in the dream narration is thus compared with those which develop in the course of the subsequent associations. This is demonstrated and further elaborated in the second part of this article on the basis of a clinical case. The clinical example shows how the relationship dynamics develop in this sense in the individual therapy sessions and over a longer course of therapy. The associated transformations of the therapeutic field give a good indication of the progress of therapy. The main author gained such insights into the transformations of the therapeutic field and the progression of therapy, which are visible in the course of therapy, from the careful application of the criterion “MDAC of relational dynamics”. In the specific case, there was also a high degree of correspondence between the results of the application of this phenomenological criterion and the empirical evidence of the symptom questionnaire, a self-report measure requested by the patient himself during the course of the therapy. (shrink)

Summary The present work focuses on the transformations of the psychotherapeutic field through the relationship dynamics that occur within it. The first part of this article starts with a brief outline of the Gestalt psychological understanding of the field concept, also in its application to the psychotherapeutic situation, followed by a brief review of the introduction of the field concept into the psychoanalytic theory formation. After this, the first author first presents the theoretical concept underlying a new approach he has (...) developed for observing the relationship dynamics in psychotherapy. Mirroring a formation both psychoanalytic and gestaltic of the main author, this new approach is based on the combination of psychoanalytic and Gestalt psychological concepts. According to the clinical experience and insights of the author, the phenomenological and relational approach of Gestalt theory fits well with the psychoanalytic approach; on this basis, a criterion for recording the progress of therapy can be developed. This criterion is the phenomenology of the development of the qualities of the relationships of the client, as they become visible in his dream narrations and the subsequent associations in the analysis room, and continue to develop during the session and the further course of therapy. The relationship dynamics in the dream narration is thus compared with those that develop in the course of the subsequent associations. This is demonstrated and further elaborated in the second part of this paper on the basis of a clinical case. The clinical example shows how the relationship dynamics develop in this sense in the individual therapy sessions and over a longer course of therapy. The associated transformations of the therapeutic field give a good indication of the progress of therapy. The main author gained such insights into the transformations of the therapeutic field and the progression of therapy, which are visible in the course of therapy, from the careful application of the criterion “manifest dream/associations comparison of relational dynamics”. In the specific case, there was also a high degree of correspondence between the results of the application of this phenomenological criterion and the empirical evidence of the symptom questionnaire, a self-report measure requested by the patient himself during the course of the therapy. (shrink)

In informationstheoretischer Sicht sind Affekte Regulatoren, die Transformatoren der inneren Welt und der Beziehungen zur Umwelt auszulösen versuchen. Negative Affekte melden eine dringend notwendige Veränderung des mentalen und körperlichen Zustandes. Im Laufe der Entwicklung wird die affektive Information zusätzlich kognitiv differenziert. Am Beispiel der »negativen Affekte« werden in der vorliegenden Arbeit sieben klinisch differenzierbare affektive Zustände unterschieden. Im zweiten Teil wird gezeigt, wie die affektive Information in den verschiedenen Beziehungsräumen eines Subjekts verläuft. Der Selbstbereich setzt sich aus Modulen zusammen, die (...) der inneren Verarbeitung von Abläufen dienen. Das Selbst ist aber auch ein Nischenprodukt soziokultureller Verhältnisse. Ein wichtiger Bereich der Regulierung der Identität ist die Makrowelt der Zugehörigkeit zu einer partikulären Struktur. Diese Welt besitzt bereits Ich-fremde Regeln. »Der Fremdbereich« der Makrowelt zeigt immer ein Informationsdefizit mit einer Neigung zur Entwicklung von negativen Affekten und Phantasien. Alle Bereiche sind durch affektive Information miteinander verknüpft, wobei die Affekte der Makrowelt nicht gleich jenen der persönlichen Mikrowelt sind, außer es liegt eine Verschiebung vor. (shrink)

Auch Homosexuelle müssen die ödipale Situation meistern, um zu einer gesunden homosexuellen Identität zu finden. Der Ödipuskomplex ist auch hier Dreh- und Angelpunkt in der Entwicklung, verläuft jedoch bei homosexuellen Menschen anders als bei heterosexuellen. Man könnte ihn in Anlehnung an Erick Brenman als »das Wiederfinden des verlorenen (ödipalen) Objekts« bezeichnen. Die bisherige einseitige Favorisierung und Beschreibung des positiven Ödipuskomplexes mit heterosexuellem Ausgang führte zu einer weitgehenden Pathologisierung von schwulen Männern und lesbischen Frauen. Berücksichtigt man jedoch, dass der später schwule (...) Mann – von dem diese Arbeit handelt – mit ganz anderen inneren und äußeren Voraussetzungen in die ödipale Phase eintritt, muss die These des kranken Homosexuellen aufgegeben werden. Der Autor versucht, die gesunde homosexuelle Entwicklung und die zahlreichen Fallstricke, die dieser entgegenstehen, anhand der Übertragung und Gegenübertragung im intersubjektiven Feld der Behandlung eines (Spät-)Adoleszenten darzustellen. (shrink)