Papers by Richard Chefetz
The Journal of Nervous and Mental Disease, 2004
... Augustine, writing in The City of God, interpreted the com-mandment Thou shall not kill to ... more ... Augustine, writing in The City of God, interpreted the com-mandment Thou shall not kill to mean neither another nor oneself, to prevent self-sacrifices designed to gain entry ... Lanny Berman, PhD, ABPP Executive Director American Association of Suicidology Washington, DC ...
Journal of Trauma & Dissociation, 2003
Psychoanalytic Dialogues, 2010
Closing the gap between recognition and interpellation is an important perspective to add to our ... more Closing the gap between recognition and interpellation is an important perspective to add to our armamentarium in considering depersonalization and its relief. The perspective of interpellation can help us understand how society contributes to devastating emotional experience that likely evokes dissociative process to become persistently overactive. I suspect that societal interpellation maintains depersonalization more than it causes it, that family dynamics are hidden in societal discourse, and that a clinician who draws out this perspective, as appropriate, gains credibility and provides relief in the provision of safety essential for the dissociative mind to change its modus operandi and be less isolated from self and other.
Contemporary Psychodynamic Psychotherapy, 2019
Persistently active dissociative processes profoundly influence the shape of psychodynamic proces... more Persistently active dissociative processes profoundly influence the shape of psychodynamic processes through distortion of perception and associative processes. The normal tension between associative and dissociative processes sorts experience according to a dialectic of mental coherence. Self-state organization is predicted by normal attachment processes in the service of maintaining proximity to a caretaker that are based upon embedded dissociative adaptations. Fluid state spaces in early human life morph into the more enduring multiple self-state organization of an adult mind. Dissociative processes bias psychodynamics by changing experiential fundamentals: sensations of embodiment, consciousness of feelings, affect regulation, capacities for accurate symbolization and narrative generation, and access to fund of knowledge (amnesias), among other biases in health and illness.
Attachment: New Directions in Psychotherapy and Relational Psychoanalysis
Journal of Trauma & Dissociation
Was there ever a time of practicing psychotherapy, with or without hypnosis, where the idea of tr... more Was there ever a time of practicing psychotherapy, with or without hypnosis, where the idea of trauma, big "T" or little "t," was not at least a thoughtful consideration? For all those moments of thoughtfulness, Healing Trauma occupies a "sweet spot" of especially tuned in and pertinent contributions from some of the leading thinkers of our time: Daniel Siegel, Erik Hesse, Mary Main, Allan Schore, Bessel van der Kolk, Francine Shapiro, Diana Fosha, Robert Neborsky, Marion Solomon, and additional colleagues, The authors focus on topics related to interpersonal neurobiology, disorganized attachment, and early relational trauma as a predisposition to violence; PTSD, EMDR, dyadic therapeutic relationships and comprehensive treatment that focuses on intense affects; and the lasting effects of infant attachment styles on adult intimate relationships. Each chapter is carefully written. Some chapters, especially those by Siegel, Schore, and Fosha represent cogent summaries or advancements in thinking from previous and more comprehensive previous publications. If you want to spend some quality time with a book on trauma, you are in for a treat. (We all owe Jack and Helen Watkins a debt of gratitude for their work on Ego-State Therapy, long before work on dissociative disorders became popular. Much of their clinical wisdom is visible in these chapters, but it is rarely acknowledged.) I have taught psychoanalytic psychotherapy students from Daniel Siegel's book, "The Developing Mind," for several years, as a supplement to a corresponding course on Freud's introductory papers; a course I had previously taught. Siegel never makes the claim, and I think he is too wise to do so, that adopting his view of the mind as organized around states of mind is a radical replacement for a psychoanalytic psychology that is moribund and in chains when it tries to hold on to archaic models in the face of mountains of new information about how minds and brains work. Every psychotherapist needs a starting point for training, and Freud is a good one. But if we are to treat Trauma, then working with states of mind is a necessity. Siegel's chapter elegantly summarizes hundreds of contributions to the field of neuroscience, and neatly parses the information into a well organized parade that builds on ideas about memory, emotion, states of mind and self regulation, the
Psychoanalytic Inquiry, 2000
Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)
The identified "problem self-state" in a dissociative disorder consultation is like the... more The identified "problem self-state" in a dissociative disorder consultation is like the identified patient in a family therapy; the one who is identified may have an assigned role to be blamed which serves the function of deflecting the activities of painful self-states in other family members. In consultation, the "family" includes the therapist in addition to the patient. When the state identified as a problem self-state is an abuser/protector self-state, complications often involve the profound nature of transference-countertransference enactments between patient and therapist, the delusion of separateness, chronic and acute threats of suicide, negative therapeutic reactions, and the evocation of intense negativity. They also involve affect phobia in both patient and therapist, and the emergence of intense shame in the clinical dyad amongst additional potential burdens in these complicated treatments. The task of the consultant is to protect both patient and t...
... Is what [ practice, whal yOli practice, a so-called replldi-:lled MabreaCli\'et hera... more ... Is what [ practice, whal yOli practice, a so-called replldi-:lled MabreaCli\'et herap)' (BlInn, 1992: Freud, 1959; Clover, 1924)? Uydismissing abreaclion as a valid therapeulicilction. ... whom the patient reported was too crazy to go to ther-ap)' and had never t:llked to other therapists. ...
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Papers by Richard Chefetz