Severely Disturbed Youngsters and the Parental Alliance

115 Pages·2015·6.29 MB·English

by  Jacquelyn Sanders

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ISBN 978-1-138-96224-8
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ROUTLEDGE LIBRARY EDITIONS:
ADOLESCENCE
Volume 8
SEVERELY DISTURBED
YOUNGSTERS AND THE
PARENTAL ALLIANCE
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SEVERELY DISTURBED
YOUNGSTERS AND THE
PARENTAL ALLIANCE
Edited by
JACQUELYN SEEVAK SANDERS AND
BARRY L. CHILDRESS
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Severely Disturbed
Youngsters
and the
Parental Alliance
Jacquelyn Seevak Sanders, PhD
Barry L. Childress, MD
Editors
The Haworth Press, Inc.
New York • London • Norwood (Australia)
Severely Disturbed Youngsters and the Parenllll Alliance has also been published as Residential
Treatment for Children & Youth, Volume 9, Number 4 1992.
C 1992 by The Haworth Press, Inc. All rights reserved. No part of this work may be repro-
duced or utilized in any form or by any means, electronic or mechanical, including photocopy-
ing, microfilm and recording, or by any information storage and retrieval system, without
permission in writing from the publisher. Printed in the United States of America.
The Haworth Press, Inc., 10 Alice Street, Binghamton, NY 13904-1580 USA
LJ"brary of Congress Catalogiog-io-Publicatioa Data
Severely disturoed youngsters and the parental alliance I Jacquelyn Seevak Sanders, Barry L.
Childress, editors.
p. em.
"Has also been published as Residential treatment for children & youth, volume 9, num-
ber 4, 1992."-T.p. verso.
Includes bibliographical references.
ISBN 1-56024-319-8 (alk. paper)
1. Child psychotherapy-Congresses. 2. Adolescent psychotherapy-Congresses. 3. Men-
tally ill children-Family relationships-Congresses. 4. Countertransference (Psychology)-Con-
gresses. I. Sanders, Jacquelyn Seevak. D. Childress, Barry L.
[DNLM: 1. Countertransference (Psychology) 2. Mental Disorders-in adolescence. 3.
Mental Disorders-in infancy & childhood. 4. Parent-Child Relations. W1 RE24SV v. 9 no. 4
I WS 350 S498]
RJ504.S48 1992
618.92'8914-dc20
DNLMIDLC
for Library of Congress 92-1554
CIP
Severely Disturbed Youngsters
and the Parental Alliance
CONTENTS
About the Contributors XV
Introduction 1
Jacquelyn Seevak Sanders, PhD
Barry L. Childress, MD
The Yogi and the Commissar: Integrating Individual
and Family Approaches in the Treatment
of Narcissistic Children and Adolescents 5
Efrain Bleiberg, MD
Motivational System, Internal Representational
Models, Narcissistic Regulation 6
Actual Self, Ideal Self, and Narcissistic Regulation 10
Pathological Narcissistic Regulation 14
Treatment Approaches: A Representational Mismatch 17
Individual Psychotherapy and Family Treatment 19
Thinking About Parents and Rescuing Children 29
Barry L. Childress, MD
Countertransference Reactions in Death and Divorce:
Comparison and Contrast 43
Benjamin Garber, MD
Introduction 43
Countertransference in Death and Divorce 45
Conclusion 58
Countertransference Problems in Dealing with Severely
Disturbed Parents: Their Potential Value
for Understanding the Patient 61
M. Barrie Richmond, MD
Introduction 61
Parallel Process and Counteridentification 62
Bion's Conceptual Language 63
The Use of Countertransference with Severely Disturbed
Patients 63
Transference and Projective Identification 76
Conclusion 79
Everything to Help, Nothing to Hinder: Grandiosity,
Ambivalence, and Boundaries in the Parent-School
Alliance 81
Daniel Frank, PhD
Introduction 81
The Problem of Alliance 82
Idealization, the School and the Parent 88
Disillusionment, Loss and Ambivalence 91
Toward a Reparative Process 95
ABOUT THE EDITORS
Jacquelyn Seevak Sanders, PhD, a licensed psychologist, has
been Director of the Sonia Shankman Orthogenic School of the
University of Chicago since 1973. She is also Senior Lecturer, De-
partment of Education and Clinical Associate Professor, Depart-
ment of Psychiatry, the University of Chicago. Dr. Sanders has
authored a number of publications applying psychoanalytic theory
to work with children in social settings, including A Greenhouse for
the Mind, which deals primarily with education.
Barry L. Childress, MD, is a child analyst in private practice in
Chicago, Illinois. He is on the faculty of the Chicago Institute for
Psychoanalysis where he is Co-Director of the Child and Adoles-
cent Psychotherapy Training Program (CAPT).and a member of the
Child and Adolescent Psychoanalysis Committee. Dr. Childress
has, for many years, consulted in the community, particularly with
agencies serving families who have been involved with abused or
neglected children.