Main event of the decade

15 

иЮль–2013  Профессиональная ПсихотераПевтическая Газета 

A discussion concerning efficiency of treatment can be built round a 

question: whether the special technique is needed during work with such 

patients.

sPECIFICs OF PsyCHOANALyTICAL THErAPIsT’s WOrK WITH 

FEArs

Alisa Bezrukih

Ego’s anxiety is constantly present during the whole time of development 

in the childhood. An anxiety can be presented by development phases, fears 

and anxieties then extend by instinctive phases and related internal and 

external dangers against which they are directed.

The paper shows some specifics of how a psychoanalytic psychotherapist 

shall deal with fears.

ON THE INFLUENCE OF THE PsyCHOANALyTICAL 

rELATIONsHIPs CONTEXT ON THE FrIgHTENINg 

CONDITIONs INTErPrETATION By THE PsyCHOTIC PATIENT

Natalia Nefedyeva

By a clinical example, the paper considers the impact of the context of 

analytical relations on verbalization by a psychotic patient of his/her symptoms. 

Due to creation of an interaction field and formation of basic confidence in 

an analyst, a patient of a psychotic level starts talking about his/her fears 

connected with unusual feelings and experience. Acceptance and containment 

by an analyst of fear and aggression during repetitions reduces investment of 

psychic energy into psychic objects that stop being frightening, and makes a 

patient to focus his/her interest on his/her relations with real objects.

FEArs AND ANXIETIEs OF PsyCHOANALysTs

Victor Kuzovkin

In the current presentation the professional fears and anxieties of therapists 

as well as the ways to go through them are discussed. The following topic is 

not widely-discussed in the literature, usually psychotherapists or counseling 

psychologist or especially psychoanalyst is represented as an omnipotent 

person. An omnipotent person is not allowed to have any fears, although 

psychoanalysts are usual people, equal to any others. That means, that 

psychoanalyst can experience fear anxiety and other emotions like that, 

however in that case psychoanalyst can be suggested as ‘not-self-analyzed’ 

and as a result – incompetent. The fear to be suggested as an incompetent 

causes negative emotions and feelings, so thus we can explain the fact, why 

such topic is a locked topic, which, however, can be discussed and solved 

during the supervision and self-analysis processes.

CHOOsINg OF HELPINg PrOFEssION As AN ATTEMPT TO 

COPE WITH THE MOrAL ANXIETy

Evgenia Fomynikh

The paper will try to analyze the role of a moral anxiety and an 

aspiration to cope with it by an intention to devote oneself to helping 

other people. It will consider such issues as why people choose a 

psychotherapeutic or psychoanalytic career; intrapsychical conflicts intrinsic 

to many psychotherapists and psychoanalysts, types of object relations and 

configuration “attraction-defense”; their impact on the occupational choice 

and specialist approaches to treatment of patients; typical problems that a 

therapist can face if his/her patient appears to be his/her colleague.

ADVANTAgEs OF COMBINATION OF THE INDIVIDUAL AND 

grOUP THErAPy IN ANXIETy TrEATMENT

Ekaterina Mikhailova 

A combination of individual and group therapies allows dealing with 

anxiety and different types of resistances, including a transfer resistance, in 

the most efficient way. A group experience evokes conflicts and fears that 

a patient went through at the age from 3 to 6 and facilitates a regression 

as necessary for partial repetition of infantile conflicts. When regressing to 

the Oedipus and pre-Oedipus levels, members of a group learn how to cope 

with ambivalent feelings of love and aggression with respect to significant 

Others, and an anxiety caused by them. The paper is illustrated by a clinical 

case of a patient that was subject to an individual and group treatment over 

an overall period of 10 years.

THE ANXIETy AND PsyCHOANALyTIC grOUP: ANALysIs OF 

PArTICIPANTs WITH ANXIETy NEUrOsIs

Ilya Pazhiltsev

Anxiety states were at the center of attention of group very beginning 

of its development by Sigmund Foulkes. Suffice it to recall that the main 

methodological development of the group analytical concept occurred 

during the war time, especially during the period of his work in the Northfolk 

hospital, with what we now call combat PTSD with soldiers and officers of 

the British army, the main place in the clinical picture for whom is anxiety. 

The same can be said about the other direction of psychoanalytic work with 

groups analysis from the elaborated by Wilfred Bion in the same hospital. It 

would therefore be fair to assume that group analysis has grown out of the 

attempts to study anxiety in a group setting.

Since the time when Freud in his Massenpsychologie und Ich-Analyse 

put an emphasis on the processes taking place in the group as an 

attempt to overcome the anxiety of uncertainty, all further development 

of psychoanalytic forms of group work is revolving around this anxiety. 

Regressive processes, associated with it, fill the group situation with tension. 

Inevitably arising in the analytic group, it allows to actualize in the situation 

of analysis those anxieties that accompany the participants in life, and to 

analyze it.

13.00–14.00. Lunch break

14.00–17.45. rOUND TABLE: PsyCHOANALyTICAL THErAPIsT’s 

WOrKINg WITH FEArs, ANXIETy, PHOBIAs

CHAIrs: A.Kharitonov, G.Timchenko, O Podolskaya

FEArs OF PsyCHOANALyTICAL sPECIALIsTs

Alexander Kharitonov

It exposes an issue of fears intrinsic to psychoanalysts-psychotherapists, 

correlation of professional identity and manifestation of fears; it considers 

fear of personal analysis (psychotherapy), fear of long-continued 

psychoanalytic training, fear of making a wrong diagnosis and using 

inefficiently psychoanalytic techniques, fear of being not able to cope with 

“bad” patients; prevention of occupational fears relating to the efficiency of 

personal analysis (psychotherapy).

MANIFEsTATION OF ANXIETy IN THE PsyCHOANALyTIC 

IDENTITy OF FUTUrE PsyCHOLOgIsTs–CONsULTANTs

Igor Zhmurin

The subject of the statement includes consideration of particularities of 

manifestation of anxiety in the framework of formation of psychoanalytic 

identity of prospective consulting psychologists in the process of university 

training. Students specializing in “Psychological Consulting” took part in the 

study. The results of the study allow analyzing: manifestation of anxiety with 

prospective specialists in the area of psychoanalysis-oriented psychological 

consulting, problems of professional choice of a psychoanalytic approach 

in the system of provision of psychological aid, and basic concepts of 

comprehensive psychoanalysis that serve as milestones of prospective 

consulting psychologists when developing a psychoanalytic identity.

FEAr IN THE TrANsFErENCE AND THE 

COUNTErTrANsFErENCE

Jakov Testin

FEArs OF THE PsyCHOANALyTIC PsyCHOTHErAPy ENDINg

gennady Timchenko

Fears relating to termination of psychoanalytic psychotherapy are intrinsic 

to both a psychotherapist and a patient. This statement touches on some 

sorts of fears that are intrinsic to patients in connection with termination of 

psychoanalytic psychotherapy.

OVErCOMINg THE NAMELEss DrEAD: PArALLELs IN THE 

WOrK OF BION AND WITTgENsTEIN

Irina Panteleevа

The concept of the nameless dread is an indispensable part of the theory 

of the projective identification and the modern Kleinian psychoanalytic 

technique. Comparison of the work of W. Bion, a leading figure in the modern 

psychoanalysis, and L. Wittgenstein, one of the greatest philosophers of 

our time, demonstrates that the concept has been greatly underestimated.

PsyCHOANALyTIC CONCEPTION OF PHENOMENON OF 

PsyCHOTIC FEAr By W.BION

Veronika Lukashenko

W. Bion describes the origins of psychotic fear as nonsufficient 

containing by mother of beta-elements of the infant. Not transferred 

sensible perceptions and affective experience are expelled by projective 

identification. Lack of barrier between Conscious and Unconscious, inner and 

outer world lead to the fear of full annihilation. The analyst should identify 

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