Date of Award

Summer 8-23-2014

Document Type

Doctoral Research Paper

Degree Name

Psy.D. in Clinical Psychology

Organizational Unit

Graduate School of Professional Psychology

First Advisor

Lynett Henderson Metzger

Second Advisor

Michael Karson

Third Advisor

Kimberly Pfaff

Copyright Statement / License for Reuse

All Rights Reserved
All Rights Reserved.

Keywords

First psychotherapy case, Self psychology, Beginning psychotherapist, Professional self

Abstract

This paper explores the gap in the literature between what is herein referred to as the "first psychotherapy case" and its impact on the development of the trainee psychotherapist's professional self. The self psychology concepts of identity development, selfobject needs and fulfillment, narcissism, shame, countertransference, and structuralization are incorporated into the theoretical framework from which this developmental milestone is viewed. The theory's emphasis on early experiences and the development of self highlight the distinctiveness of the first case for the therapist. The beginning psychotherapy case poses a unique context for selfobject experiences and the developing self, involving both the therapist's presumably mature needs (assuming an existing cohesive nuclear self) and more infantile needs as the professional, peripheral self develops. As a result, the potential and important implications for the psychotherapist, the patient, training implications for the supervisor, and the ensuing treatment through termination are identified. The intent is to shed light on an area that is understudied thus far, and to begin a conversation as to why and how the impact of the first case on the psychotherapist should be examined. Implications, limitations, and ideas for future exploratory and qualitative research are also discussed.

Copyright Date

7-10-2014

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Rights Holder

Kaitlyn Eichenberger

Provenance

Received from author

File Format

application/pdf

Language

English (eng)

Extent

44 pgs

File Size

360 KB



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