The Use Of Shame and Dread in the Countertransference

Much has been written about paranoid anxieties as these occur in the patient. Less, however, has been written about primitive experiences as these occur in the therapist during the session. This paper recounts a patient's correct articulation of the therapist's self-perception, which, because of its accuracy, initially flooded the therapist with shame and dread. Nonetheless, the patient's perception was able to be used in a way that clarified, in the countertransferance, a piece of the patient's early experience in relation to her mother and strengthened the therapeutic relationship.     

The Selfobject in the Age of Technology

The author considers self-psychology concepts including the selfobject and influences on self-esteem in the observation and exploration of the significance patients assigned to their cellular telephones, computers, and other electronic communication devices. The intrusion of these devices in sessions and their presence in the patients lives is explored.     

Clinical Challenges Following An Adolescent’s Death By Suicide: Bereavement Issues Faced By Family,Friends, Schools,And Clinicians

Given the increasing prevalence of adolescent deaths by suicide, social workers are increasingly likely to be called upon to respond to traumatically bereaved families, peers, and possibly professional colleagues following an adolescents death by suicide. The authors discuss current trends in adolescent suicide. A stress diathesis model is applied to considering risk factors and their clinical implications following an adolescents death by suicide. Using a case scenario, the authors discuss clinical issues of complex bereavement following suicide, along with some suggestions for effective clinical follow-up with surviving families, peers, and professionals.     

Therapeutic Forgiveness: Developing a Model for Empowering Victims of Sexual Abuse

Forgiveness is increasingly popular in therapy as a way to facilitate healing, but there are definitional discrepancies and confusion regarding the degree to which it is conceptualized as either an interpersonal/relational or an independent/self-enhancing process. In this article forgiveness is conceptualized as an interpersonal process linked to apology or contrition on the part of the offender. Yet it is also independent. A model is described that was developed for the benefit of abuse victims whose offenders will not or cannot apologize. Using the model, victims can accomplish for themselves what would be accomplished for them through an apology.     

The Interactive Relationship Between Class Identity and the College Experience: The Case of Lower Income Students

To probe the role that college context plays in influencing the class-based aspects of identity for lower income students, we interviewed 30 lower income students, 15 from an elite college and 15 from a state college. Significant disparities of wealth between students at the elite college heightened awareness of class, and led to feelings of intimidation, discomfort, inadequacy, deficiency, exclusion, and powerlessness among lower income students, feelings that were less prevalent among state college students. Students at both colleges acquired new forms of cultural capital and coped with class-based discontinuities between who they were before college and who they were becoming, but these issues became heightened for the elite college students.     

Strain Trauma: Effects on Symptom and Character Development in an Eight Year Old Girl

The concept of traumatic strain is reviewed and illustrated with case material from the treatment of an 8-year-old girl. Clinical formulation about the impact of strain trauma upon this girl’s development is provided to further highlight the literature on the subject.Danille Drake is affiliated with Baltimore-Washington center for Psychoanalysis and Clinical Social Work Institute, Washington, DC.