PUK 17

Ich höre Deine Scham
Der intersubjektive Umgang mit unaussprechbaren Affekten.

Robert C. Ware

Abstract: Shame conflicts are among the most hidden of all psychic conflicts. In order to hear and understand the unspeakable and often inexpressible affects of his therapy partner, the therapist must listen both to the patient and especially to the resonance of his own shame, shame-anxiety and personal history of shame-experiences. The shame-plight of the one resonates in and constellates the shame-experiences of the other. In order to correct early relational experiences of incongruent mirroring patients often need more than empathy with their plight the resonance of a self-contained person who responds to their needs by mirroring from the depth of his own feeling reactions. A therapist can often best protect the shame of his patient by providing him or her with the sounding board of his own subjective shame feelings and experiences.

Key words: shame history; intersubjective transference/countertransference; resonance; shame conflicts; mirroring

Die Bedeutung von Stimme und Stimmklang im psychotherapeutischen Prozess aus der Sicht der Patienten und Patientinnen

Susanne Bauer, gem. mit Alemka Tomicic, Claudio Martinez, Alejandro Reinoso, Hanna Schäfer, Angela Peukert und Aspasia Frangkouli

Abstract: Twenty patients from a Psychotherapeutic Day Hospital received a questionnaire about the perception and significance of voice in psychotherapy. Qualitative-descriptive procedures were used to analyze their answers, and categories of relevance for Psychotherapy were conceptualized. The results show that the patients describe voice tone in a differentiated way and that they regulate affects and atmospheres through their own voice. They experience the voice tone of their therapists fairly consciously and are able to indicate the “ideal therapist´s voice”. Patients “hear” therapeutic intentions from the voice tone of their therapists and perceive the regulation of the therapeutic relation through vocal and rhythmic elements like melody, intensity and tempo, beside others. The results are illustrated with excerpts taken from the questionnaires and from individual interviews with some of the patients.

Keywords: depressive symptoms; psychotherapy; qualitative research; voice

Vom Tonangeben des Unbewussten in der prä- und postnatalen Hörwelt

Michael Tillmann

Abstract: The current profound global change is alienating people and is not reproducible in a physical-sensual manner. This gap of sensuality is filled by a visual overkill, suggesting an illusive sense of intimacy. My thesis: The repressed sensuality returns in a distorted and hysterical manner through the symptom tinnitus. Because the processes of globalization , are incomprehensible, one is forced to create an imaginative symptom. But the apparatus-supported medicine cannot compensate the loss. How can one regain a new approach to hearing: a hearing that belongs to oneself, as an enriching sensual experience? A possible way can be to take the tinnitus symptom as a creative metaphorical expression, in which personal relations can be experienced.

Keywords:
globalization; hearing; intimity; psychoanalysomatics; sensibility; Tinnitus aurium

Körpersprache und relationale Intentionalität

André J. Sassenfeld

Abstract: The basic idea of this article is that the clinical situation is defined on a certain level by interactive, nonverbal processes that are continuously unfolding throughthe patient´s and the psychotherapist´s bodies. Explicit and implicit body reading processes in the context of psychotherapeutic interaction are explored. This exploration entails concepts from the fields of body psychotherapy and neuropsychoanalysis. Further the notion of relational intentionality that is mediated through the patient´s body language is explored and ist application and therapeutic usefulness exemplified with clinical vignettes.

Key words: body reading; implicit interactive processes; relational intentionality; body language; psychotherapeutic practice

Die körperpsychotherapeutische Perspektive in der Personzentrierten Traumatherapie auf dem Hintergrund des Stern´schen Modells der Selbstentwicklung (Teil 3)

Ernst Kern

Abstract: The essay introduces the approach of client-centred psychotherapy to trauma tharapy. It’s pivotal orientation on the relationship and the process of the patient provides an ideal base for the treatment of trauma effect disorders. Originating in Daniel Stern’s early childhood research the stages of self experience are interpreted from a body focussed perspective and are deployed as a basis for body-focussed psychotherapeutic interventions for trauma treatment, which is comprehensively outlined in the practical part of the article. The applicable interventions refer to the body-oriented establishment of basic security, the self-regulation of tension, trauma-specific affects of vitality, the invariables of the core-self as pivotal components of identity and the incremental process of reciprocity.

Key words: trauma therapy; client centred psychotherapy; developmental psychology of early childhood; invariables of the core-self; body-focussed psychotherapeutic interventions