title: The cracked container, the containing crack: chronic illness--its effect on the therapist and the therapeutic process.
abstract: In this paper, we have tried to examine the complex dynamics of the therapist's physical chronic illness. Little attention has been paid to physical non-functioning, especially during chronic illness, and its psychotherapeutic corollaries. A crucial theme is the extent of damage to the capacity to contain. It is our claim that, when sufficiently worked through, the 'cracked therapeutic container' may serve as a facilitator of better understanding and enhance empathy. The impact of chronic illness on the therapeutic setting, contract, process and language is discussed as well as some salient features of chronicity.
authors.affiliation: Dept. of Behavioral Sciences, Sackler School of Medicine, Tel-Aviv University.
authors.forename: J
authors.initials: J
authors.lastname: Durban
authors.forename: R
authors.initials: R
authors.lastname: Lazar
authors.forename: G
authors.initials: G
authors.lastname: Ofer
mesh_terms: D000328:Adult; D002648:Child; D002908:Chronic Disease / Q000523:psychology*; D003379:Countertransference; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009769:Object Attachment; D010815:Physician Impairment / Q000523:psychology*; D010817:Physician-Patient Relations; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D012803:Sick Role; D014167:Transference, Psychology