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Gerrard, J. (1989). On Travelling Hopefully (Some Aspects of the Difficulties of Working with Patients with Obsessional thought Disorder). Brit. J. Psychother., 5(3):402-408.

(1989). British Journal of Psychotherapy, 5(3):402-408

On Travelling Hopefully (Some Aspects of the Difficulties of Working with Patients with Obsessional thought Disorder)

Jackie Gerrard

This paper examines the difficulties in working with two patients who are heavily defended by obsessional thought patterns and thus do not have the psychic freedom desirable for analytical work. Their capacities for fantasy and symbolisation are impaired, and they have not been able to approach their therapy as a space for ‘travelling hopefully’. A better understanding of the literature on early damage, particularly with regard to ‘autistic barriers’, has helped to modify my technique and expectations.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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