Primeiras entrevistas clinicas

In this review we discuss the importance of early interviews in the Initial Clinical Approach (ICA) aiming to diagnosis, prognosis and treatment plan. We review conditioning factors arising from the patient and the interviewer. We discuss the role of interview technique and of the transition from ICA to different forms of psychotherapy.Se señala la importancia de la primeras entrevistas en el Estudio Clínico Inicial (E.C.I.) con propósitos de diagnóstico, pronóstico y plan de tratamiento. Se revisa los condicionantes que surgen de parte del entrevistado y del entrevistador. Se plantea el papel de la técnica, así como el cambio de encuadre a efectuarse desde el E.C.I. al de las diferentes formas de psicoterapia.PRIMEIRAS ENTREVISTAS CLINICA

An analytic group psychotherapy session: Interpretations and hidden texts

This article describes what happened with the participants and the group as a whole in an analytical group psychotherapy session. Our aim is to reveal how the particular session was run. We describe a period of resistance to change when the principal defences used were: somatization, acting-out, identification-with-the-aggressor, and, more specifically, language abuse leading to confusion. We discuss the value of interpretations that are focused on the group as a whole, where the group is considered to be an internal object. Although this article is not exclusively about an object- relations model, we attempt to analyze the influence of projective identification, which has an effect on the therapist's task of recognizing his 'container' and interpreting functions