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Extended to include reaction formation,
sublimation and projection.
Feelings of patient for therapist.
Initially seen as a nuisance, but later
encouraged as a re-enactment of earlier
Exploration of transference used as therapeutic
Counter transference = reactions of therapist to
patient. Developmental stages
Fixation can occur at any stage of
development and is apparent as
personality traits or revealed at times of
Extended by Erikson (1963). Mary - Background
50 year Irish Catholic Caucasian woman
Lives with husband
Mother of 3 adult children
Never worked outside home
Following death of father from a cardiac arrest
when she was 5 she was raised by a single
Mother suffered from panic attacks.
Mother was eldest of 2 children having a brother 2
years her junior
years Mary –Presenting Problem
Frequent and severe panic attacks involving
symptoms of rapid breathing, trembling,
faintness and intense fear
Episodes only occur outside her home
Fears she will die of a heart attack
Symptoms have confined her to home and othe
‘safe’ locations, such as church and her
Expressing marital conflict, centreing round her
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.
- Fall '11