Issue 1 – February 2020

Pszichoterápia

a professional journal of practice based on psychotherapeutic methods
A quarterly publication 29th year, issue 1, February 2020

Contents

Editorial

Noémi Berger, Gábor Szőnyi

ARTICLES

Questions of practice

Yael Doron: The problem of romance in an analytic group. Translated by: Katalin Lukács-Miszler

Theoretical study

László Bokor: Movement and existence. The movement and dance therapy from psychoanalytic approach

Case study

Tibor Cece Kiss, Edit Boros: „Fox and doe”Depiction of the complex psychotherapy of a patient treated at a psychotherapy regime

WORKSHOPS

Workshop study

Viktor Boross: The process of establishing and the operation of a Psychotherapy Department and its impact on the professional identity – Presentation of the Psychotherapy Department of the Nyírő Gyula National Institute of Psychiatry and Addictions

Work presentation
Noémi Berger: Being a psychologist in Scotland – Presenting First Psychology

Workshop report
Tibor Cece Kiss: Ten years of ‘new’ Tündérhegy at OORI

PROFESSIONAL LIFE

Discussions, comments

Debate on the possibilities of self-knowledge work in groups organized by universities – László Bokor ♦ Zsuzsa Laczkó ♦ Dénes Szemán

Debate on the possible responses of psychology to social phenomenons – Gábor Flaskay Ferenc Blümel Szilvia Ungi ♦ István Tiringer

Ethical questions in therapeutic practice 30th – Tamás Bagotai Zsanett Kepics♦ Márta Merényi

Point of view

Information for MOK DTESZ1 members about the law on restricting the activities of healthcare providers of uncertain quality and unclear background. (Act 2019. CXI.)

The regulation of psychotherapeutic practice on penal law – Éva Urbán, Tamás Rusznyák

News

In memoriam Kocsor Judit – Ágnes Korbuly ♦ Tímea Papp

Reports

Conferences – Valéria Zumics, Gergely Bene♦ Gabriella Horváth, Viola Pozvai ♦ Krisztina Pál♦ Zsófia Nagy Béla Fedor

Theater letter – Réka Révay

Book reviews – Árpád Borsányi Tibor Cece Kiss Gabriella Narancsik

List of professional books and periodicals

Professional programs

Editorial announcements

ABSTRACTS

Questions of practice

Yael Doron
The problem of romance in an analytic group

The phenomenon of two participants falling in love in a group and continuing this love outside the group is not so rare, despite the ‘law’ explicitly forbidding personal contacts between the group sessions. In this article, I wish to argue that a romance in a group should not to be seen only as a phenomenon that occurs between two participants, but also as a transpersonal symptom of the group, a matrix event, and a special sort of ‘relations disorder’. As such, it binds the whole dynamic matrix and should be deciphered, processed and also understood at the group level. When this kind of romance develops in the group, it may lead to a serious crisis in the group, but it can also become an opportunity for individual participants, as well as for the group as a whole, including the conductor, to develop.

Key words: “relations disorder” – transpersonal – love, sexuality – subgroup – “matrix event”

Translated by: Katalin Lukács-Miszler

Theoretical study

László Bokor

Movement and existence. The movement and dance therapy from psychoanalytic approach

What can a psychotherapeutic method, which restrains movement say to such methods, which work with movement, like movement and dance therapy? And what can psychoanalysis use from movement therapy? In this paper, I argue that those two methods are connected through their ’big’ differences.

Due to the ongoing interaction between the subjective world of the patient and the therapist, the fluctuation of intersubjective conjunction and disjunction constitute the therapeutic relationship. The experiences throughout our development become organizers of mental processes as partially recallable representations. They store processes, in fact movement in nature, so we can perceive them as films rather than photographs. The more influential is the effect of an affect, caused by the experience, the more decisive will be the procedural nature of it. Consequently, the declarative elements are minimal in the case of a trauma, and the procedural quality becomes the decisive feature in the emerging representations.

In both methods, affect attunement and the anticipation of actions are crucial. Stern described this as the common story of behavioural coordination based on the temporal-spatial-affective schema of the interaction of participants. He proved it by detection of motile responses within reaction time. Throughout the processes of relationships, we understand the other in a similar way, “stepping into his/her shoes”. That is, through mental simulation we make ourselves able to recognize the others’ mental state.

While in movement and dance therapy the ’free floating’ of movements, in psychoanalysis mental simulations are created by the use of mimic ‘gestures’ and primarily phonetic channels. Both methods emphasize the follow-up reflections. However, they differ significantly in timing and mode.

The process like nature of movement facilitates the articulation of experience in process like nature of movements in small or large group setting. It remains an open question, what brings if movement and dance therapy is applied in individual therapy form.

Key-words: body-self- representation – psychoanalysis – movement and dance therapy – inter-subjectivity – mirror neuron system

Case study

Tibor Cece Kiss, Edit Boros

Fox and doe”Depiction of the complex psychotherapy of a patient treated at a psychotherapy regime

OORI Tündérhegy Department for Psychosomatic and Psychotherapeutic Rehabilitation is a psychodynamically oriented complex psychotherapeutic system applying a multitude of different therapeutic and psychotherapeutic modalities. Mainly, we treat patients suffering from personality disorder(s). We present the case of “Karolina”, who arrived to Tündérhegy with the following diagnoses: mixed anxiety and depressive disorder, and emotionally unstable personality disorder. In addition to that, since her childhood she suffers from insulin-dependent diabetes mellitus Type 1, by now with multiple somatic complications: such as chronic kidney disease, unspecified background retinopathy, unspecified anaemia. In our inpatient psychotherapeutic system, she was referred to psychodynamic movement and dance therapy, as well as visual art therapy small groups. She participated in individual therapy, therapeutic large group and was also supported by the holding environment of the department. The chosen case illustrates many phenomena in our department: how the personal and group processes take place, what dynamics are generated when the individual therapist’s and group leader’s roles belong to the same therapist, what dynamics appear on the department level (acting-out, conflicts, transference to somatic hospital department etc.). We present the phases of the patient’s therapy process, which was repeatedly disrupted by somatic crises; the events taking place in the different therapeutic scenes, as well as the integration thereof. Her psychotherapy focused on her attitude towards the serious somatic condition, as well as it’s interaction with her self-regulation (impulse, affect, and self-worth regulation) and regulation of object relationship. In the three years follow-up we found long-term results: the blockage of her life situation unravelled. She became independent, got into a stable relationship, and renewed engagement in working. She continued with an ambulant therapy represent a. Meanwhile, her somatic conditions did not improve significantly.

Key words: Tündérhegy Inpatient Psychotherapy Department – psychotherapeutic system – inpatient psychotherapy case – psychodynamic movement and dance therapy – visual art therapy

Workshop study

Viktor Boross
The process of establishing and the operation of a Psychotherapy Department and its impact on the professional identity – Presentation of the Psychotherapy Department of the Nyírő Gyula National Institute of Psychiatry and Addictions

By presenting the recommendations of the international guidelines, the first part of my study demonstrates that according to the evidence-based research, in the case of many psychiatric disorders, psychotherapy is to be chosen as a therapeutic method. In spite of these results, patients receiving social insurance funded health care have limited access to these evidence-based psychotherapies. The resulting tension from this situation can be mitigated by a psychotherapy department. Furthermore, my study presents the process of the establishment of the psychotherapy department established in our institute, its present operation and its professional programme. In our psychotherapy department, patients take a combination of individual and group therapies supplemented with pharmacotherapy if necessary. The individual therapy is the major therapy form in our psychotherapy guideline, three times a week. Apart from that, patients participate in small psychotherapy groups, such as cognitive, mindfulness, assertive, relaxation, psychodrama and art therapy group. Finally, the study analyses the clinical psychologists’ and psychotherapists’ different modus operandi at a psychiatric department in contrast to a psychotherapy department and the impact of those on the professional competence, autonomy and identity of the professionals. I hope that the professional arguments of my study will encourage colleagues in other psychiatric institutions, to begin the process of establishing a psychotherapy department.

Key words: evidence-based psychotherapy – Nyírő-OPAI – psychotherapy department – clinical psychologist and psychotherapist’s identity

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