An alternative to the "traumatizing" vacation: the enriching, expansive vacation

Article Abstract:

The problems of vacations from analysis, either through the analyst's vacation or the patient's, have been emphasized by analysts using a need-deficit model. However, there are many advantages to vacations which often allow patients to discover aspects of themselves normally kept hidden by their routines. Many patients can experience progress and growth during vacations that was not occurring through therapy. Patients will usually feel their problems and fears strongly while away from the analyst but this can be a source of enrichment rather than a problem or crisis.

Analysis, Dependency (Psychology)

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Consultation when the patient terminates an impaired treatment

Article Abstract:

A consultant describes a ruptured client-therapist relationship and how she handled the patient's healing process. In this case, the patient ended the therapy after the therapist sided with a psychic who said that the patient was lying about abuse she suffered as a child. The patient felt abandoned by the therapist and became suicidal. The consultant's first tasks were crisis intervention and reassuring the client that she had made a correct decision by stopping the treatment. The consultant also spoke to the therapist and reported his responses to the client.

Psychotherapy, Psychological consultation

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The patients' reactions to the psychoanalyst's vacation: a Horneyan perspective

Article Abstract:

Reactions of two patients to their psychoanalyst's vacation suggest that they experience the separation as loss of a containing or sustaining therapeutic environment. Both patients use metaphors of 'oxygen' and 'air' when discussing the vacation. The environment provided by the analyst protects the idealized self-image while the real self is developing. The need for the analyst is outgrown when self-development can be sustained without assistance.

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