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Clinical Examples In Nursing

Decent Essays

Clinical examples The clinical examples which I present refer to therapeutic situations in which the patient and/or the therapist are communicating by means of the language of play, which is the language of illusory reality. Sometimes, it is the patient who communicates by means of this language and the therapist who is able to play has to adhere to this mode of communication. The first example, from Winnicott’s treatment of “The Piggle” demonstrated the playing with ideas and interpretations, which requires a readiness to be in a state of “not knowing” and a capacity for flexibility.The next two examples demonstrate the therapist’s capacity to play in such clinical situations, manifested in his readiness to join the patient into his “area of play”. The fourth example describes a clinical encounter in which the therapist creates an illusory reality and invites the patient to his “area of play”. The patient readiness and consent to share this illusory reality and play reflects a therapeutic move. The last example describes a clinical encounter where mutual playing is taking place. This can be achieved if the therapist avoids using the language of interpretation and is ready to release himself from theoretical imperatives. A) …show more content…

In most of the sessions she used to play with trains and joining them and Winnicott states that “there are many interpretations to do with the joining of parts of trains”. This observation, which reveals his ambiguity and “not knowing”, leads him to “play with interpretations”, a play that needs flexibility and readiness to move from one conceptual world to another. The following excerpt is from the Sixth Consultation (p. 77) The patient was now two years and ten months old. I greeted her on the doorstep with: “Hullo Gabrielle.” This time I knew I must say Gabrielle, not Piggle. She went to the toys

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