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THE ADOLESCENT WITHIN THE THERAPIST. Alan Flashman MD Family Institute NEVE YERUSHALIM 5773. MY BODY. ME. Robert Kegan. MY BODY. ME. ME. MY BODY. MY FEELINGS. ME. MY FEELINGS. ME. MY THOUGHTS. ME. ME. MY THOUGHTS. REALM OF THE HAND. REGULATION Doing – mother’s
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THE ADOLESCENTWITHINTHE THERAPIST Alan FlashmanMD Family Institute NEVE YERUSHALIM 5773
MY BODY ME Robert Kegan
MY BODY ME ME MY BODY
MY FEELINGS ME MY FEELINGS ME
MY THOUGHTS ME ME MY THOUGHTS
REALM OF THE HAND REGULATION • Doing – mother’s • Result – baby’s • E.g. security
REALM OF THE EYE Intersubjective • Differences • Curiosity • Co-creation • Presence
REGULATION INTER-SUBJECTIVE EMOTIONAL ACTIVITY DEVELOPMENT
ADOLESCENT DEVELOPMENTAL BREAKDOWN • Physical puberty • Emotional puberty • Central masturbation fantasy • Being “adult” • Sexually • Emotionally • Relinquishing “oedipal parents”
ADOLESCENT DEVELOPMENTAL BREAKDOWN • Remaining a child • Sexually: • Perversion • “broken” = small • Central fantasy as a child with adult • Emotionally • Ongoing struggle with oedipal parents
MY BODY ME ME MY BODY
BLOCK TOWER ZONE OF PROXIMAL DEVELOPMENT 6 WE CAN TO- GE-THER 5 ME BY MY-SELF 6 NOT BY MY-SELF 6 ME BY MY-SELF ???? L.S. VYGOTSKY
MY BODY ME ME MY BODY WE CAN TOGETHER
MY BODY ?????? ME WE ME MY BODY MY BODY ZONE OF PROXIMAL GROWTH
Client’ client Therapist’ therapist "שלא תיבהלו ממני!!
DIFFERENTIATIONOF SELF IN SYSTEM • “I” - POSITION • TRIANGLES • CO-CREATION MURRAY BOWEN
HIGH DIFFERENTIATION:TRIADS FATHER MOTHER CHILDREN
LOW DIFFERENTIATION:TRIANGLES FATHER MOTHER CHILDREN
DIFFERENTIATION LOW HIGH DISENGAGED ENMESHED CO-CREATION
Yonatan Darmon Tsfat
LOW I AM ERASED YOU ARE ERASED WE DO NOT CHANGE HIGH I WANT/FEEL YOU = ENDS WE = CO-CREATION DIFFERENTIATION
REGULATION INTER-SUBJECTIVE DIFERENTIATION EMOTIONAL ACTIVITY DEVELOPMENT
CROSSROADS OF DIFFERENTIATION • CHANGE IN ROLE OF CHILD • CHANGE IN ROLE OF PARENT NO CO-CREATION DECREASE IN DIFFERENTIATION CO-CREATION INCREASE IN DIFFERENTIATION
THERAPIST CAUGHT IN: EXPERIENCES DO NOT MATTER NO CHANGE IS BEST CUTOFF VS ENMESHED SACRIFICE FOR OTHER RELATIONS VOTE OF NO CONFIDENCE NO GROWTH NO CO-CREATION DECREASE IN DIFFERENTIATION CO-CREATION INCREASE IN DIFFERENTIATION THERAPIST MAKES USE OF: EXPERIENCES WITH PARENTS OTHER EXPERIENCES WHAT IS EXPECTED CURIOSITY AND PRESENCE
REFERENCES פלשמן א. ואבנט, ח. (עורכים) תקשורת טיפולית עם מתבגרים, ירושלים, 2005 Murray Bowen, Family Theory in Clinical Practice, 1978. Robert Kegan, The Evolving Self, 1981. M. Laufer & M. EgleLaufer, Adolescence and Developmental Breakdown, 1984 Daniel Stern, The Interpersonal World of the Infant, 1985. The Present Moment, 2004. L. S. Vygotsky, Mind in Society, 1978.