Pszichoterápia
A PROFESSIONAL JOURNAL OF PRACTICE BASED ON PSYCHOTHERAPEUTIC METHODS
A quarterly publication 25th year, issue 4 November 2016
Contents
Editorial
Enikő Albert-Lőrincz, Tibor Cece Kiss, Krisztina Pál
ARTICLES
Theoretical study
Zsuzsanna Jáki, Teodóra Tomcsányi, András Ittzés: Spirituality, religion and psychotherapeutic training: what, why, and when?
Methodological study
Renée Potgieter Marks: To dissociate or not to dissociate – An exploration of the complexity of dissociative features in children and adolescents. Translated by: Ildikó Kuritárné Szabó
Theoretical study
Petra Bokor, Ede Frecska: The psychological effects and possible psychotherapeutic use of ayahuasca
Theoretical study
Ágoston Schmelowszky: The case for and against neuropsychoanalysis
WORKSTATION
Editorial team presentation interview – To commemorate the 25th year of the journal
Team presentation interview – Magyar Relaxációs és Szimbólumterápiás Egyesület – Lili Valkó
Competition
I saw, I heard, I read… On cultural experiences and psychotherapy – Viola Szebeni ♦ Katalin Szőke
Society corner – Magyar Individuálpszichológiai Egyesület – Gyöngyvér Kárpáti, Irén Benczéné Tímár
PROFESSIONAL LIFE
Discussions, comments
Debate: Body – to use (or not to use) in therapy – Veronika Kökény ♦ Andrea Kövesdi ♦ Izabella Varga
Comment
Gábor Szőnyi: Comment on the study of Gábor Pál Török, Zsuzsa Marlok, Tamás Martos: Is self- supervision possible? Introduction of the method and efficiency testing of self-supervision in the helping professions.
Ethical questions in therapeutic practice 18. – Dániel Kozma-Vízkeleti Ilona Kónya ♦ Judit Mészáros
News and reports
Conferences – Dóra Lőrik ♦ Szilvia Sümeg ♦ Lili Valkó ♦ Lili Valkó
Book reviews – János Eszik ♦ Anna Mária Hansjürgens ♦ Róbert Herold ♦ Tamás Kárpáti ♦ Zsuzsanna Kerekes ♦ Gábor Szőnyi ♦ Márta Takácsy
List of professional books and periodicals
Professional programs
Editorial announcements
Abstracts in English
Theoretical study
Zsuzsanna Jáki, Teodóra Tomcsányi, András Ittzés:
Spirituality, religion and psychotherapeutic training: what, why, and when?
In our study we consider integrating the knowledge on spirituality and religion in psychotherapy training. We also present international initiatives and research outcomes in the area of theoretical knowledge, self-knowledge and supervision, the initiatives of the Hungarian official psychotherapy training and its antecedents, as well as possibilities of further development. There has been a growing professional interest toward spirituality and religion since the 1960’s, even more since the 1980’s, and there are many trends both in the fields of implicit and explicit integration. Nonetheless the literature about training is scarce, and even the trainings that bring in the topic of spirituality/ religion are still considered pioneers. This is an interesting fact considering that, according to recent US and German researches, many psychotherapists have expressed the need that the acquisition of such knowledge and skills be part of the training. This is understandable if we consider that spirituality in the conceptualization of Piedmont is a universal human trait that can be characterised as an independent dimension of the personality and. Moreover, according to research outcomes, it is also the demand of patients that their therapist would posses the kind of knowledge that makes orientation easier in this area. It is important to define the competencies to be acquired during the training. Related to this, we present researches and ongoing practice as possible reference points.
Keywords: psychotherapeutic training – spirituality – religion
Methodological study
Renée Potgieter Marks:
Dissociates or does not dissociate – An exploration of the complexity of dissociative features in children and adolescents
The article is written on the specific features and difficulties of assessing and treating trauma-related complex dissociative disorders in children. Signs and symptoms of childhood dissociation are well described in the literature, such as amnesia, hallucinations, having imaginary friends, rapid regressions and other seemingly inexplicable switching among dissociative parts of the personality, trance-like states, inconsistent performance, etc. However, recognising dissociative disorders in children could be quite challenging due to their polysymptomatic presentation and other factors, including the dialectics between intrusions and avoidance, and the child’s limited capacity to verbalise traumatic memories and other inner experiences. Clinicians’ lack of familiarity with dissociative phenomena may prevent adequate diagnosis. For example, children with dissociative disorders can be misdiagnosed as conduct disorder based on the problematic behaviour of just one specific part of their personality, or dissociative amnesia can be labelled as pathological lying.
Identifying or diagnosing dissociation requires a comprehensive clinical assessment, including obtaining information from adults (parents, teachers, etc.) at every setting of the child’s life, asking the child directly about presumable dissociative phenomena, and using projective techniques and dissociation questionnaires. Astonishing case studies in the article present techniques for exploring and managing dissociative parts of the dissociative children. This work requires a long therapeutic process, including work on attachment system, and exploring and processing early traumatic experiences in order to help the children to recover.
Keywords: early traumatization – diagnosis, assessing and treating of dissociative disorders
Theoretical study
Petra Bokor, Ede Frecska:
The psychological effects and possible psychotherapeutic use of ayahuasca
The central element of the traditional Amazonian shamanic rituals, ayahuasca has raised increasing scientific interest during the last few decades. A vast body of lay anecdotes refer to weaker-stronger therapeutic effects, yet rigorous scientific research is scarce. The trauma processing effect of ayahuasca has been underpinned by neuroimaging findings, therefore the psychotherapeutic potential points in the direction of pathologies that develop on the ground of trauma. The psychological effects of the vegetable brew consists of strong visual and emotionally toned effects and is induced during a 4-5- hour-long consciousness alteration. Although the psychological mechanism of ayahuasca shares common elements with those of other psychedelic substances, its unique visual world, strong somatic effects, peculiar de-conditioning – re-integrative cycles and the frequent perception of ayahuasca in the form of an intelligent and sentient being distinguishes it. The understanding of the exact psychological mechanism is encumbered by fundamental differences in perception, interpretation and terminologies of the traditional shamanic use. The research findings thus far show that in case of prudent selection, preparation and safe circumstances the ayahuasca has no detrimental effect on health. However, in order to exploit the possible therapeutic potential the subsequent intentional and systematic integration of the experiences is crucial, which process is not obvious given the lack of supportive cultural, social and cosmological context.
Keywords: ayahuasca – shamanism – therapeutic effect – depression – PTSD – addiction
Theoretical study
Ágoston Schmelowszky:
The case for and against neuropsychoanalysis
The theses of neuropsychoanalysis are hotly debated in current psychoanalytic discourse. Neuropsychoanalysts argue that it is crucial for the development and survival of psychoanalysis to integrate the new findings of contemporary neuroscience and that in this integration neuropsychoanalysis has a central position. Those psychoanalysts who take an opposing stance argue that neuroscience and psychoanalysis deal with essentially separate phenomena and any trial to integrate the two will be detrimental to the psychoanalytic enterprise. Since the debate touches the problem of the status of mental functioning in general terms (i.e. its relation to neurobiological processes), its implications go beyond the psychoanalytic profession. In the article I introduce the debate in a historical perspective, then I summarize the main arguments of the debate following mainly the articles published in the International Journal of Psychoanalysis in 2015. In conclusion I formulate my own position regarding the arguments highlighting the significance of the debate.
Keywords: neuropsychoanalysis – neuroscience – Mark Solms
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