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Case Report
Published Online: 2000, pp. 1–137

The Use of the Psychodynamic Life Narrative in Crisis Supervision

Abstract

The psychodynamic life narrative is a statement that is made to the patient that gives current emotional reaction meaning in the context of his life history, and shows it to he a logical and inevitable product of previous life experiences.
Because the patient in crisis characteristically presents feeling overwhelmed, confused and needy, there is a sense of urgency and helplessness which impacts on the resident therapist’s intervention. Common countertransference reactions which can result are assuming omnipotent control, a grandiose rescue fantasy or passivity.
The authors present a clinical vignette to illustrate the supervisory process and its vicissitudes in the use of the psychodynamic life narrative in supervision of crisis work. The early identification of the “rescuing” response led to the rapid formulation of the psychodynamic life narrative and a successful outcome.

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Published In

Go to American Journal of Psychotherapy
Go to American Journal of Psychotherapy
American Journal of Psychotherapy
Pages: 67 - 74
PubMed: 10822780

History

Published in print: 2000, pp. 1–137
Published online: 30 April 2018

Authors

Details

Rodney Slonim, M.D., F.R.C.P.C.
Head, Ambulatory Psychiatric Services, Joint General Psychiatric Program of Center of Addiction and mental Health and Mount Sinai Hospital; Assistant Professor, Department of Psychiatry, University of Toronto.
Brian Hodges, M.D., F.R.C.P.C.**
Head, Ambulatory Psychiatric Services, Joint General Psychiatric Program of Center of Addiction and mental Health and Mount Sinai Hospital; Assistant Professor, Department of Psychiatry, University of Toronto.

Notes

Mailing address: Department of Psychiatry—931, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G1X5.
**
Assistant Professor, Vice-Chair (Education); Director of Undergraduate Education; Director of the Psychiatric Outreach Program; Department of Psychiatry, University of Toronto.

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