Download Author: Lidz, Theodore, M.D.
The Therapeutic Relationship
This chapter will move beyond the dynamics of personality development to consider some essential aspects of the therapeutic relationship. In particular, the transference relationships between patient and therapist and how they are critical to clinical work in all fields of medicine and form the core of psychotherapeutic activities will be discussed.
Childhood Integration
The closing of the oedipal period brings a consolidation of the child’s personality. The child now first achieves a fairly firm integration as an individual. Even though personality development is far from completed at five or six and many significant influences will still accrue before a firm integration and a stable identity are achieved, we must examine the paradox and the nature and extent of the organization that has occurred.
Life Patterns
Out of the multiplicity of factors that enter into the shaping of a life, resultant patterns of living and relating emerge.
The Juvenile
The entrance into school is symbolic of the crucial issues of the period. Children now move into the world beyond the home and must begin to find their places in it, and in so doing their self-concepts, value systems, and cognitive capacities change.
Personality Development and Physiological Functioning
We cannot understand human functioning without a clear appreciation of how emotions and physiology are inextricably interrelated, and how individuals’ personality development influences their body structure and can even determine what constitutes stress for them and creates strains on their physiological apparatus.
Adolescence
The adolescent lives with a vibrant sensitivity that carries to ecstatic heights and lowers to almost untenable depths. For some, the emotional stability achieved in childhood and the security of the family attachments contain the amplitude of the oscillations and permit a fairly steady direction; whereas others must struggle to retain a sense of unity and a modicum of ego control.
The Young Adult
The lengthy developmental process as a dependent apprentice in living draws to a close as individuals attain an identity and the ability to live intimately with a member of the opposite sex, and contemplate forming families of their own. They have attained adult status with the completion of physical maturation, and, it is hoped, they have become sufficiently well integrated and emotionally mature to utilize the opportunities and accept the responsibilities that accompany it.
Occupational Choice
Occupation and personality traits are intimately related.
Marital Choice
Along with the hazards and the need for realignment of personality functioning, the marriage brings with it new opportunities for self-fulfillment and completion.
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