1. THE ADOLESCENT WITHIN THE THERAPIST Alan Flashman MD Family Institute NEVE YERUSHALIM 5773 5773

2. Robert Kegan

7. REALM OF THE HAND REGULATION Doing – mother’s Doing – mother’s Result – baby’s Result – baby’s E.g. security E.g. security

9. REALM OF THE EYE Intersubjective Differences Differences Curiosity Curiosity Co-creation Co-creation Presence Presence

10. REGULATION INTER- SUBJECTIV E

11. ADOLESCENT DEVELOPMENTAL BREAKDOWN Physical puberty Physical puberty Emotional puberty Emotional puberty Central masturbation fantasy Central masturbation fantasy Being “adult” Being “adult” Sexually Sexually Emotionally Emotionally Relinquishing “oedipal parents” Relinquishing “oedipal parents”

12. ADOLESCENT DEVELOPMENTAL BREAKDOWN Remaining a child Remaining a child Sexually: Sexually: Perversion Perversion “broken” = small “broken” = small Central fantasy as a child with adult Central fantasy as a child with adult Emotionally Emotionally Ongoing struggle with oedipal parents Ongoing struggle with oedipal parents

14. 6 ME BY MY- SELF BLOCK TOWER 5 ME BY MY- SELF 6 WE CAN TO- GE- THER 6 NOT BY MY- SELF ???? ZONE OF PROXIMAL DEVELOPMENT L.S. VYGOTSKY

15. WE CAN TOGETHER

16. ZONE OF PROXIMAL GROWTH

17. client Client’ therapist Therapist’ " שלא תיבהלו ממני !!

18. DIFFERENTIATION OF SELF IN SYSTEM “I” - POSITION “I” - POSITION TRIANGLES TRIANGLES CO-CREATION CO-CREATION MURRAY BOWEN

19. HIGH DIFFERENTIATION: TRIADS

20. LOW DIFFERENTIATION: TRIANGLES

21. DIFFERENTIATION HIGH LOW

22. Yonatan Darmon Tsfat

24. DIFFERENTIATION LOW I AM ERASED AM ERASED YOU YOU ARE ERASED ARE ERASED WE WE DO NOT CHANGE DO NOT CHANGEHIGH I WANT/FEEL YOU YOU = ENDS WE WE = CO-CREATION

27. REGULATION INTER- SUBJECTIV E DIFERENTIATIO N

28. CROSSROADS OF DIFFERENTIATION CHANGE IN ROLE OF CHILD CHANGE IN ROLE OF PARENT CO-CREATION INCREASE IN DIFFERENTIATION NO CO-CREATION DECREASE IN DIFFERENTIATION

29. CO-CREATION INCREASE IN DIFFERENTIATION NO CO-CREATION DECREASE IN DIFFERENTIATION THERAPIST MAKES USE OF: EXPERIENCES WITH PARENTS OTHER EXPERIENCES WHAT IS EXPECTED CURIOSITY AND PRESENCE THERAPIST CAUGHT IN: EXPERIENCES DO NOT MATTER NO CHANGE IS BEST CUTOFF VS ENMESHED SACRIFICE FOR OTHER RELATIONS VOTE OF NO CONFIDENCE NO GROWTH

30. REFERENCES פלשמן א. ואבנט, ח. (עורכים) תקשורת טיפולית עם מתבגרים, ירושלים, 2005 Murray Bowen, Family Theory in Clinical Practice, 1978. Murray Bowen, Family Theory in Clinical Practice, 1978. Robert Kegan, The Evolving Self, 1981. M. Laufer & M. Egle Laufer, Adolescence and Developmental Breakdown, 1984 Daniel Stern, The Interpersonal World of the Infant, 1985. The Present Moment, 2004. L. S. Vygotsky, Mind in Society, 1978.