Contemporary, somatically oriented psychodynamic techniques in working with patients experiencing mentalizing difficulties
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Submission date: 2021-12-07
Final revision date: 2022-03-20
Acceptance date: 2022-03-23
Publication date: 2022-04-30
Corresponding author
Lech Kalita   

praktyka prywatna
Psychoter 2022;200(1):47-62
The article describes the psychotherapeutic work of five psychodynamically/ psychoanalytically trained therapists with five patients of different ages. All the described patients experienced difficulties in communicating their emotional experiences in words, it was also difficult for them to think about them. According to the concept of mentalization, consistent with contemporary trends in neuropsychology, such communication problems draw attention to the role of the body and emotions in the functioning of the verbal mind. Therapists undertook a number of interventions with patients, the common element of which was an attempt to apply clinically modern psychoanalytical concepts regarding work techniques that go beyond the level of verbal interpretation of content. The authors refer, inter alia, to works emphasizing the role of the body-mind relationship, non-verbal communication, specific verbalizations of schizophrenic patients, the concept of the reference process and the so-called "Interpretation of shells", the contours of affect and the musical aspect of dialogue, intersubjective co-creation of experiences, the role of sensory experiences, and issues related to the personal involvement of the therapist and her/his behavior. The authors believe that embedding the techniques of working with non-verbal material in certain concepts makes the interventions more effective and safer for both sides of the therapeutic relationship.
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