Reflexivity and countertransference in a psychiatric cultural consultation clinic
Identifieur interne : 001429 ( Istex/Curation ); précédent : 001428; suivant : 001430Reflexivity and countertransference in a psychiatric cultural consultation clinic
Auteurs : Byron J. Good [États-Unis] ; Henry Herrera [États-Unis] ; Mary-Jo Delvecchio Good [États-Unis] ; James Cooper [États-Unis]Source :
- Culture, Medicine and Psychiatry [ 0165-005X ] ; 1982-09-01.
Abstract
Abstract: A Mexican-American woman who complained of persistent head pain and a bothersome “voice” was seen by a team consisting of a psychiatrist, social scientists, and spiritualist healers in a Cultural Consultation Clinic of a Psychiatric Consultation Liaison Service. This single case is analyzed to provide an understanding of the interpretive dimensions of psychiatric practice. It is argued that a hermeneutic analysis of clinical phenomena focuses attention on three distinct aspects of interpretation: on the interpretation by clinicians and clients of the discourse of the other in terms of their own clinical models; on the influence of deeply embedded personal meanings on this interpretive process; and on the role of the observer in clinical ethnography. It is argued that to sustain a hermeneutic analysis of psychiatric practice, an account of transference and countertransference in terms of interpretation theory will have to be developed.
Url:
DOI: 10.1007/BF00114195
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<front><div type="abstract" xml:lang="en">Abstract: A Mexican-American woman who complained of persistent head pain and a bothersome “voice” was seen by a team consisting of a psychiatrist, social scientists, and spiritualist healers in a Cultural Consultation Clinic of a Psychiatric Consultation Liaison Service. This single case is analyzed to provide an understanding of the interpretive dimensions of psychiatric practice. It is argued that a hermeneutic analysis of clinical phenomena focuses attention on three distinct aspects of interpretation: on the interpretation by clinicians and clients of the discourse of the other in terms of their own clinical models; on the influence of deeply embedded personal meanings on this interpretive process; and on the role of the observer in clinical ethnography. It is argued that to sustain a hermeneutic analysis of psychiatric practice, an account of transference and countertransference in terms of interpretation theory will have to be developed.</div>
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