Lecturer, Part Time, Harvard Medical School, Boston, USA.
Faculty, Boston Psychoanalytic Society and Institute, Newton, USA.
Int J Psychoanal. 2023 Apr;104(2):281-300. doi: 10.1080/00207578.2022.2158091.
This paper, a collaborative effort, describes the work of A Home Within (AHW), a volunteer community-based organization providing pro-bono long term psychotherapy to current and former foster youth. We provide a brief description of the treatment model, present a report of treatment conducted by an AHW volunteer, and discuss further reflections on the societal context of our psychoanalytically-informed work. In-depth psychotherapeutic process from the treatment of a young girl in a pre-adoptive foster placement elucidates the psychotherapeutic possibilities when a psychoanalytic treatment model is accessible to current and former foster youth, usually deprived of this form of treatment due to overburdened, underfunded community mental health systems in the U.S. Open-ended psychotherapy afforded this traumatized child an unusual opportunity to work through past relational traumas in order to form new and more secure attachment relationships. We reflect further on the case from the vantage points of both the psychotherapeutic process and the greater societal context of this community-based program.
这篇论文是一项合作成果,描述了一个名为“家内之家”(AHW)的志愿者社区组织的工作,该组织为当前和以前的寄养青年提供免费的长期心理治疗。我们简要描述了治疗模式,报告了一名 AHW 志愿者进行的治疗,并讨论了我们在社会背景下对精神分析工作的进一步思考。通过对一个处于领养前寄养安置中的年轻女孩的深入心理治疗过程的描述,阐明了当精神分析治疗模式可供当前和以前的寄养青年使用时的心理治疗可能性,由于美国社区心理健康系统负担过重、资金不足,这些青年通常无法获得这种治疗形式。开放式心理治疗为这个受到创伤的孩子提供了一个不寻常的机会,让她可以通过过去的关系创伤,形成新的、更安全的依恋关系。我们从心理治疗过程和这个基于社区的项目的更大社会背景两个角度进一步思考了这个案例。