Evaluation into the relationship: Reflections on new trends in evaluation, assessment, and classification
✍ Scribed by Antoine Guedeney; Serge Lebovici
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 88 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0163-9641
No coin nor oath required. For personal study only.
✦ Synopsis
From a clinical and psychoanalytically informed point of view, the process of evaluation is mainly concerned with the formation of a working alliance with the infant. Assessment is, therefore, considered as a process that cannot be applied in a systematic way, regardless of the situation. On the contrary, it is based upon transference and countertransference, which guides the clinician, along with the infant's behavior and reactions, during the consultation. From this perspective, evaluation should always have some therapeutic impact. Paradoxically, this therapeutic action is linked with the suspension of diagnostic process for a period of time. The prognosis and treatment planning is mostly based upon the evaluation of change during the expended assessment period. The more serious the situation, the longer the assessment to determine why the infant is at risk, what are the positive aspects of the situation, and what are the ways to reach the infant through the relationship with the parents. RESUMEN: Desde un punto de vista clínico y psicoanalítico, el proceso de evaluación se ocupa primordialmente de la formación de una alianza de trabajo con el infante. La evaluación es, por lo tanto, considerada como un proceso que no se puede aplicar en forma sistemática, sin prestar atención a la situación. Por el contrario, ese proceso se basa en la transferencia y contra-transferencia que guía al clínico, junto con la conducta y las reacciones que el infante muestra durante la consulta. Desde esta perspectiva, la evaluación debe tener siempre algún impacto terapéutico. Paradójicamente, esta acción terapéutica va unida a la suspensión del proceso de diagnóstico por un período de tiempo. La prognosis y el plan de tratamiento se basan por la mayor parte en la evaluación del cambio durante el período de evaluación usado. Mientras más seria es la situación, más largo es el período de evaluación con el fin de determinar por qué el infante está a riesgo, cuáles son los aspectos positivos de la situación, y cuálos son las maneras de llegar al infante a través de la relación con los padres. RÉSUMÉ: D'un point de vue clinique et d'un point de vue psychanalytique, le processus d'évaluation s'intéresse principalement à la formation d'une alliance de travail avec le bébé. L'évaluation est donc considérée 171 The authors gratefully acknowledge the help of Rachael Henry, University of Wollongong, Australia, and Gisele Danon, l' Aubier, Fontenay-les Roses for editing, translating, and reviewing help. This work has greatly benefitted from the reports of the WAIMH Study Group on psychoanalytically oriented parent -infant therapy, chaired by B. Cramer and including D.
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