{"id":27154,"date":"2025-01-09T11:47:27","date_gmt":"2025-01-09T10:47:27","guid":{"rendered":"https:\/\/nyje.al\/?p=27154"},"modified":"2025-01-09T16:03:39","modified_gmt":"2025-01-09T15:03:39","slug":"urrejtja-ne-kunder-transference","status":"publish","type":"post","link":"https:\/\/nyje.al\/sq\/urrejtja-ne-kunder-transference\/","title":{"rendered":"Urrejtja n\u00eb kund\u00ebr-transferenc\u00eb"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"27154\" class=\"elementor elementor-27154\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a468be2 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"a468be2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-64f098c elementor-widget elementor-widget-image\" data-id=\"64f098c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"835\" height=\"275\" src=\"https:\/\/nyje.al\/wp-content\/uploads\/2025\/01\/Urrejtja-ne-kunder-transference-banner.jpg\" class=\"attachment-full size-full wp-image-27156\" alt=\"\" srcset=\"https:\/\/nyje.al\/wp-content\/uploads\/2025\/01\/Urrejtja-ne-kunder-transference-banner.jpg 835w, https:\/\/nyje.al\/wp-content\/uploads\/2025\/01\/Urrejtja-ne-kunder-transference-banner-768x253.jpg 768w, https:\/\/nyje.al\/wp-content\/uploads\/2025\/01\/Urrejtja-ne-kunder-transference-banner-18x6.jpg 18w\" sizes=\"(max-width: 835px) 100vw, 835px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-236d9e6 elementor-widget elementor-widget-heading\" data-id=\"236d9e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Urrejtja n\u00eb kund\u00ebr-transferenc\u00eb\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60a55f8 elementor-widget elementor-widget-heading\" data-id=\"60a55f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Donald Winnicott | Botuar origjinalisht n\u00eb vitin 1949 \n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-acc2018 elementor-widget elementor-widget-heading\" data-id=\"acc2018\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><span style=\", sans-serif;font-size: 18px;font-style: normal;font-weight: 400\">Shqip\u00ebruar nga Genc Shehu | <\/span>09.01.2025<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab2947e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ab2947e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31cd808 elementor-drop-cap-yes elementor-drop-cap-view-default elementor-widget elementor-widget-text-editor\" data-id=\"31cd808\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;drop_cap&quot;:&quot;yes&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">N\u00eb k\u00ebt\u00eb punim d\u00ebshiroj t\u00eb shqyrtoj nj\u00eb aspekt t\u00eb tem\u00ebs s\u00eb ambivalenc\u00ebs n\u00eb t\u00ebr\u00ebsi, dometh\u00ebn\u00eb urrejtjen n\u00eb <span style=\"text-decoration: underline\"><span style=\"color: #800000;text-decoration: underline\">kund\u00ebr-transferenc\u00eb<\/span><\/span><sup>1<\/sup>.<\/span><span style=\"font-weight: 400\"> Un\u00eb besoj se detyra e analistit (<em>quajeni at\u00eb analist hulumtues<\/em>) i cili nd\u00ebrmerr analiz\u00ebn e nj\u00eb psikotiku r\u00ebndohet seriozisht nga kjo dukuri dhe se analiza e psikotik\u00ebve b\u00ebhet e pamundur n\u00ebse vet\u00eb urrejtja e analistit nuk \u00ebsht\u00eb m\u00eb s\u00eb miri e shkoqitur dhe e vet\u00ebdijshme. Kjo \u00ebsht\u00eb sikur t\u00eb thuash se nj\u00eb analist duhet vet\u00eb t\u00eb analizohet, por gjithashtu afirmon se analiza e nj\u00eb psikotiku \u00ebsht\u00eb trazuese n\u00eb krahasim me at\u00eb t\u00eb nj\u00eb neurotiku dhe \u00ebsht\u00eb brendaqen\u00ebsisht e till\u00eb.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4ab126 elementor-widget elementor-widget-text-editor\" data-id=\"e4ab126\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify\"><span style=\"font-size: 12pt;color: #ffffff\"><span style=\"font-family: georgia, palatino, serif\"><span style=\"font-weight: 400\"><sup>1<\/sup> Nocioni i <\/span><span style=\"font-weight: 400\">transferenc\u00ebs<\/span><span style=\"font-weight: 400\"> n\u00eb psikoanaliz\u00eb i referohet procesit ku pacienti projekton ndjenja, d\u00ebshira apo konflikte emocionale nga marr\u00ebdh\u00ebniet e tij t\u00eb kaluara mbi terapistin. Nd\u00ebrkoh\u00eb, <\/span><span style=\"font-weight: 400\">kund\u00ebrtransferenca<\/span><span style=\"font-weight: 400\"> \u00ebsht\u00eb p\u00ebrgjigjja emocionale dhe projetmet q\u00eb terapisti zhvillon ndaj pacientit, shpesh t\u00eb lidhura me p\u00ebrvojat ose konfliktet personale t\u00eb tij. K\u00ebto koncepte jan\u00eb thelb\u00ebsore p\u00ebr t\u00eb kuptuar dinamikat nd\u00ebrpersonale dhe zhvillimin e procesit terapeutik. [Sh\u00ebn. i p\u00ebrkth.]<\/span><\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0a3656 elementor-drop-cap-yes elementor-drop-cap-view-default elementor-widget elementor-widget-text-editor\" data-id=\"c0a3656\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;drop_cap&quot;:&quot;yes&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Jasht\u00eb trajtimit psikoanalitik, menaxhimi i nj\u00eb psikotiku \u00ebsht\u00eb padyshim trazues. Her\u00eb pas here kam b\u00ebr\u00eb v\u00ebrejtje kritike e t\u00eb mprehta p\u00ebr prirjet moderne n\u00eb psikiatri, p\u00ebr p\u00ebrdorimin me leht\u00ebsi t\u00eb tepruar t\u00eb dridhjeve elektrike dhe lobotomit\u00eb tep\u00ebr drastike. P\u00ebr shkak t\u00eb k\u00ebtyre kritikave q\u00eb kam shprehur, dua t\u00eb jem i pari q\u00eb njeh v\u00ebshtir\u00ebsin\u00eb e skajshme q\u00eb p\u00ebrfshin detyra e psikiatrit dhe sidomos e infermierit mendor. Pacient\u00ebt e \u00e7mendur gjithmon\u00eb p\u00ebrb\u00ebjn\u00eb nj\u00eb barr\u00eb t\u00eb r\u00ebnd\u00eb emocionale p\u00ebr ata q\u00eb kujdesen p\u00ebr ta. Do mund t\u2019i falim ata q\u00eb b\u00ebjn\u00eb k\u00ebt\u00eb pun\u00eb n\u00ebse b\u00ebjn\u00eb gj\u00ebra t\u00eb tmerrshme. Kjo nuk do t\u00eb thot\u00eb, megjithat\u00eb, q\u00eb duhet t\u00eb pranojm\u00eb \u00e7far\u00ebdo q\u00eb b\u00ebjn\u00eb psikiatrit dhe neurokirurg\u00ebt si t\u00eb arsyeshme sipas parimeve t\u00eb shkenc\u00ebs.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Prandaj, edhe pse ajo q\u00eb vijon \u00ebsht\u00eb p\u00ebr psikoanaliz\u00ebn, n\u00eb t\u00eb v\u00ebrtet\u00eb ka vler\u00eb p\u00ebr psikiatrin, madje edhe p\u00ebr dik\u00eb q\u00eb puna e tij nuk e fut n\u00eb asnj\u00eb m\u00ebnyr\u00eb n\u00eb llojin analitik t\u00eb marr\u00ebdh\u00ebnies me pacient\u00ebt.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">P\u00ebr t\u00eb ndihmuar psikiatrin e p\u00ebrgjithsh\u00ebm, psikoanalisti duhet jo vet\u00ebm t\u00eb studioj\u00eb p\u00ebr at\u00eb fazat primitive t\u00eb zhvillimit emocional t\u00eb individit t\u00eb s\u00ebmur\u00eb, por duhet gjithashtu t\u00eb studioj\u00eb natyr\u00ebn e barr\u00ebs emocionale q\u00eb mbart psikiatri n\u00eb kryerjen e pun\u00ebs s\u00eb tij. Ajo q\u00eb ne si analist\u00eb e quajm\u00eb kund\u00ebr-transferenc\u00eb ka nevoj\u00eb t\u00eb kuptohet edhe nga psikiatri. Sado q\u00eb ai i do pacient\u00ebt e tij, ai nuk mund t\u2019i shmanget urrejtjes dhe frik\u00ebs kundrejt tyre; dhe, sa m\u00eb mir\u00eb ta dij\u00eb k\u00ebt\u00eb, aq m\u00eb pak do t\u00eb jen\u00eb urrejtja dhe frika motivi q\u00eb p\u00ebrcakton \u00e7\u2019u b\u00ebn ai pacient\u00ebve t\u00eb tij.<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>POHIM I TEM\u00cbS<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Dukurit\u00eb e kund\u00ebr-transferenc\u00ebs do mund t\u00eb klasifikoheshin k\u00ebshtu:<\/span><\/p><blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Anomali n\u00eb ndjenja kund\u00ebr-transference, si dhe marr\u00ebdh\u00ebnie dhe identifikime t\u00eb caktuara q\u00eb jan\u00eb n\u00ebn ndrydhje tek analisti. Komenti p\u00ebr k\u00ebt\u00eb \u00ebsht\u00eb se analisti ka nevoj\u00eb p\u00ebr m\u00eb shum\u00eb analiz\u00eb dhe ne besojm\u00eb se kjo \u00ebsht\u00eb m\u00eb pak \u00e7\u00ebshtje nd\u00ebr psiko-analist\u00eb sesa nd\u00ebr psikoterapist\u00eb n\u00eb p\u00ebrgjith\u00ebsi.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Identifikimet dhe tendencat q\u00eb i p\u00ebrkasin p\u00ebrvojave personale dhe zhvillimit vetanak t\u00eb analistit, t\u00eb cilat p\u00ebrb\u00ebjn\u00eb suaz\u00ebn pozitive p\u00ebr pun\u00ebn e tij analitike dhe e b\u00ebjn\u00eb pun\u00ebn e tij t\u00eb ndryshme n\u00eb cil\u00ebsi nga ajo e \u00e7do analisti tjet\u00ebr.<\/span><\/p><\/blockquote><blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Nga k\u00ebto dyja, un\u00eb ve\u00e7oj kund\u00ebr-transferenc\u00ebn e mir\u00ebfillt\u00eb objektive, ose, n\u00ebse kjo \u00ebsht\u00eb e v\u00ebshtir\u00eb, dashurin\u00eb dhe urrejtjen e analistit si reagim ndaj personalitetit dhe sjelljes aktuale t\u00eb pacientit, bazuar n\u00eb vrojtim objektiv.<\/span><\/p><\/blockquote><p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">Sugjeroj q\u00eb, n\u00ebse nj\u00eb analist do t\u00eb analizoj\u00eb psikotik\u00ebt ose antisocial\u00ebt, ai duhet t\u00eb jet\u00eb n\u00eb gjendje t\u00eb jet\u00eb aq fije-p\u00ebr-pe i vet\u00ebdijsh\u00ebm p\u00ebr kund\u00ebr-transferenc\u00ebn sa t\u00eb mund t\u00eb shkoqis\u00eb dhe studioj\u00eb reagimet e tij <\/span><i><span style=\"font-weight: 400\">objektive<\/span><\/i><span style=\"font-weight: 400\"> ndaj pacientit. K\u00ebto p\u00ebrfshijn\u00eb edhe urrejtjen. Dukurit\u00eb e kund\u00ebr-transferenc\u00ebs her\u00eb pas here do t\u00eb jen\u00eb gj\u00ebrat m\u00eb t\u00eb r\u00ebnd\u00ebsishme n\u00eb analiz\u00eb.<\/span><\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Motivi q\u00eb i atribuohet analistit nga pacienti<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">Dua t\u00eb sugjeroj q\u00eb pacienti mund t\u00eb vler\u00ebsoj\u00eb tek analisti vet\u00ebm at\u00eb q\u00eb ai vet\u00eb \u00ebsht\u00eb n\u00eb gjendje t\u00eb ndiej\u00eb. N\u00eb \u00e7\u00ebshtjen e motivit: <\/span><i><span style=\"font-weight: 400\">obsesivi<\/span><\/i><span style=\"font-weight: 400\"> do t\u00eb priret t\u00eb mendoj\u00eb se analisti po e kryen pun\u00ebn e tij n\u00eb nj\u00eb m\u00ebnyr\u00eb t\u00eb kot\u00eb obsesionale. Nj\u00eb pacient <\/span><i><span style=\"font-weight: 400\">hipo-manik<\/span><\/i><span style=\"font-weight: 400\"> q\u00eb \u00ebsht\u00eb i paaft\u00eb p\u00ebr t\u00eb qen\u00eb i depresuar, p\u00ebrve\u00e7se n\u00eb nj\u00eb luhatje t\u00eb r\u00ebnd\u00eb humori dhe q\u00eb n\u00eb zhvillimin emocional t\u00eb t\u00eb cilit pozicioni depresiv nuk \u00ebsht\u00eb fituar n\u00eb m\u00ebnyr\u00eb t\u00eb sigurt, i cili nuk mund t\u00eb ndiej\u00eb faj n\u00eb nj\u00eb m\u00ebnyr\u00eb t\u00eb thell\u00eb, apo nj\u00eb ndjenj\u00eb kujdesi ose p\u00ebrgjegj\u00ebsie, nuk \u00ebsht\u00eb n\u00eb gjendje ta shoh\u00eb pun\u00ebn e analistit si tentativ\u00eb nga ana e analistit p\u00ebr t\u00eb riparuar n\u00eb lidhje me ndjenjat e tij t\u00eb fajit (<i>t\u00eb analistit<\/i>). Nj\u00eb pacient <\/span><i><span style=\"font-weight: 400\">neurotik<\/span><\/i><span style=\"font-weight: 400\"> priret ta shoh\u00eb analistin si ambivalent ndaj tij dhe t\u00eb pres\u00eb q\u00eb analisti t\u00eb shp\u00ebrfaq\u00eb nj\u00eb ndasi dashurie dhe urrejtjeje; ky pacient, kur ka fat, merr dashuri, sepse dikush tjet\u00ebr po merr urrejtjen e analistit. A nuk do t\u00eb rridhte prej k\u00ebsaj se n\u00ebse nj\u00eb <\/span><i><span style=\"font-weight: 400\">psikotik<\/span><\/i><span style=\"font-weight: 400\"> \u00ebsht\u00eb n\u00eb nj\u00eb gjendje ndjenjash \u201cp\u00ebrkimi dashuri-urrejtjeje\u201d, ai p\u00ebrjeton nj\u00eb bindje t\u00eb thell\u00eb se analisti \u00ebsht\u00eb po ashtu i aft\u00eb vet\u00ebm p\u00ebr t\u00eb nj\u00ebjt\u00ebn gjendje t\u00eb vrazhd\u00eb e t\u00eb rrezikshme t\u00eb marr\u00ebdh\u00ebnies p\u00ebrkuese t\u00eb urrejtje-dashuris\u00eb? N\u00eb rast se analisti tregon dashuri, ai me siguri n\u00eb t\u00eb nj\u00ebjtin \u00e7ast do ta vras\u00eb pacientin.<\/span><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Ky p\u00ebrkim i dashuris\u00eb dhe urrejtjes \u00ebsht\u00eb di\u00e7ka q\u00eb p\u00ebrs\u00ebritet n\u00eb m\u00ebnyr\u00eb karakteristike n\u00eb analiz\u00ebn e psikotik\u00ebve, duke shkaktuar probleme menaxhimi t\u00eb cilat leht\u00eb mund ta \u00e7ojn\u00eb analistin p\u00ebrtej burimeve t\u00eb tij. Ky p\u00ebrkim i dashuris\u00eb dhe urrejtjes, p\u00ebr t\u00eb cil\u00ebn po flas, \u00ebsht\u00eb di\u00e7ka q\u00eb dallon nga komponenti agresiv i cili nd\u00ebrlikon impulsin primitiv t\u00eb dashuris\u00eb dhe n\u00ebnkupton se, n\u00eb historin\u00eb e pacientit, ka pasur nj\u00eb d\u00ebshtim mjedisor n\u00eb koh\u00ebn e impulseve t\u00eb para instinktuale p\u00ebr gjetjen e objektit.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">N\u00ebse analisti do t\u00eb ket\u00eb ndjenja t\u00eb vrazhda q\u00eb i imponohen atij, n\u00ebse do t\u2019i atribuohen ndjenja t\u00eb vrazhda, \u00ebsht\u00eb m\u00eb mir\u00eb q\u00eb ai t\u00eb jet\u00eb i paralajm\u00ebruar dhe k\u00ebshtu i p\u00ebrgatitur, sepse ai duhet t\u00eb duroj\u00eb vendosjen e vetes n\u00eb at\u00eb vend. Mbi t\u00eb gjitha ai duhet t\u00eb mos mohoj\u00eb urrejtjen q\u00eb ekziston realisht tek ai. Urrejtja <\/span><i><span style=\"font-weight: 400\">q\u00eb justifikohet<\/span><\/i><span style=\"font-weight: 400\"> n\u00eb mjedisin aktual duhet t\u00eb shkoqitet dhe t\u00eb ruhet e t\u00eb jet\u00eb n\u00eb disponim p\u00ebr interpretim eventual.<\/span><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00ebse duam t\u00eb b\u00ebhemi t\u00eb aft\u00eb t\u00eb jemi analist\u00eb pacient\u00ebsh psikotik\u00eb, duhet t\u00eb kemi arritur t\u00eb zbresim n\u00eb nivelet m\u00eb primitive t\u00eb vetes dhe ky \u00ebsht\u00eb vet\u00ebm nj\u00eb shembull tjet\u00ebr i faktit se p\u00ebrgjigjia p\u00ebr shum\u00eb probleme t\u00eb err\u00ebta t\u00eb praktik\u00ebs psiko-analitike q\u00ebndron n\u00eb analiz\u00ebn e m\u00ebtejshme t\u00eb analistit. (<i>Hulumtimi psiko-analitik \u00ebsht\u00eb ndoshta gjithmon\u00eb, n\u00eb nj\u00eb far\u00eb mase, p\u00ebrpjekje nga ana e analistit p\u00ebr ta \u00e7uar p\u00ebrpara pun\u00ebn e analiz\u00ebs s\u00eb tij matan\u00eb pik\u00ebs n\u00eb t\u00eb cil\u00ebn mundi ta \u00e7oj\u00eb analisti i tij.<\/i>)<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Nj\u00eb nd\u00ebr detyrat kryesore t\u00eb analistit p\u00ebr \u00e7do pacient \u00ebsht\u00eb t\u00eb ruaj\u00eb objektivitetin n\u00eb lidhje me gjith\u00e7ka q\u00eb sjell pacienti \u2013 dhe nj\u00eb rast i ve\u00e7ant\u00eb i k\u00ebsaj \u00ebsht\u00eb nevoja e analistit p\u00ebr t\u00eb qen\u00eb i aft\u00eb ta urrej\u00eb pacientin n\u00eb m\u00ebnyr\u00eb objektive.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">A nuk ka shum\u00eb situata n\u00eb pun\u00ebn ton\u00eb t\u00eb zakonshme analitike ku urrejtja e analistit \u00ebsht\u00eb e justifikuar? Nj\u00eb pacient i imi, nj\u00eb obsesiv shum\u00eb i keq, ishte pothuajse i p\u00ebshtirsh\u00ebm p\u00ebr mua p\u00ebr disa vite. U ndjeva keq p\u00ebr k\u00ebt\u00eb derisa analiza mori nj\u00eb kthes\u00eb dhe pacienti u b\u00eb i dashur dhe pask\u00ebtaj kuptova se pap\u00eblqyeshm\u00ebria e tij kishte qen\u00eb simptom\u00eb aktive, e p\u00ebrcaktuar n\u00eb m\u00ebnyr\u00eb t\u00eb pavet\u00ebdijshme. Qe nj\u00ebmend nj\u00eb dit\u00eb e mrekullueshme p\u00ebr mua (<i>shum\u00eb m\u00eb von\u00eb<\/i>) kur n\u00eb fakt mund t\u2019i tregoja pacientit se un\u00eb dhe miqt\u00eb e tij ishim ndjer\u00eb t\u00eb neveritur prej tij, por se ai kishte qen\u00eb tep\u00ebr i s\u00ebmur\u00eb p\u00ebr ne q\u00eb t\u2019ia b\u00ebnim me dije. Kjo qe nj\u00eb dit\u00eb e r\u00ebnd\u00ebsishme edhe p\u00ebr t\u00eb, nj\u00eb p\u00ebrparim i jasht\u00ebzakonsh\u00ebm n\u00eb p\u00ebrshtatjen e tij me realitetin.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb analiz\u00ebn e zakonshme, analisti nuk ka v\u00ebshtir\u00ebsi me menaxhimin e urrejtjes s\u00eb tij. Kjo urrejtje mbetet latente. Gj\u00ebja kryesore, natyrisht, \u00ebsht\u00eb se p\u00ebrmes analiz\u00ebs s\u00eb tij ai \u00e7lirohet prej rezervuar\u00ebsh t\u00eb m\u00ebdhenj t\u00eb urrejtjes s\u00eb pavet\u00ebdijshme q\u00eb i p\u00ebrkasin s\u00eb kaluar\u00ebs dhe konflikteve t\u00eb brendshme. Ka arsye t\u00eb tjera pse urrejtja mbetet e pashprehur dhe madje nuk ndihet si e till\u00eb:<\/span><\/p><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Analiza \u00ebsht\u00eb zanati im i zgjedhur, me m\u00ebnyr\u00ebn si ndihem m\u00eb mir\u00eb t\u00eb merrem si me fajin tim, me m\u00ebnyr\u00ebn si mund t\u00eb shprehem n\u00eb form\u00eb konstruktive.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Un\u00eb paguhem, ose jam n\u00eb trajnim p\u00ebr t\u00eb fituar nj\u00eb vend n\u00eb shoq\u00ebri p\u00ebrmes pun\u00ebs psikoanalitike.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Jam duke zbuluar gj\u00ebra t\u00eb reja.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Marr shp\u00ebrblime t\u00eb menj\u00ebhershme n\u00ebp\u00ebrmjet identifikimit me pacientin, i cili po p\u00ebrparon, dhe mund t\u00eb shoh shp\u00ebrblime akoma m\u00eb t\u00eb m\u00ebdha m\u00eb tutje, pas p\u00ebrfundimit t\u00eb trajtimit.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">P\u00ebr m\u00eb tep\u00ebr, si analist kam m\u00ebnyra p\u00ebr t\u00eb shprehur urrejtjen. Urrejtja shprehet me ekzistenc\u00ebn e fundit t\u00eb \u201cor\u00ebs\u201d.<\/span><\/p><\/blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Un\u00eb mendoj se kjo \u00ebsht\u00eb e v\u00ebrtet\u00eb edhe kur nuk ka asnj\u00eb v\u00ebshtir\u00ebsi dhe kur pacienti \u00ebsht\u00eb i k\u00ebnaqur t\u00eb shkoj\u00eb. N\u00eb shum\u00eb analiza k\u00ebto gj\u00ebra mund t\u00eb merren si t\u00eb mir\u00ebqena, aq sa mezi p\u00ebrmenden, dhe puna analitike b\u00ebhet p\u00ebrmes interpretimeve verbale t\u00eb transferenc\u00ebs t\u00eb pavet\u00ebdijshme t\u00eb pacientit. Analisti merr rolin e nj\u00ebr\u00ebs prej figurave ndihm\u00ebse t\u00eb f\u00ebmij\u00ebris\u00eb s\u00eb pacientit. Ai p\u00ebrfiton nga suksesi i atyre q\u00eb b\u00ebnin pun\u00ebn e pist\u00eb kur pacienti ishte foshnj\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">K\u00ebto gj\u00ebra jan\u00eb pjes\u00eb e p\u00ebrshkrimit t\u00eb pun\u00ebs s\u00eb zakonshme psiko-analitike, e cila m\u00eb s\u00eb shumti ka t\u00eb b\u00ebj\u00eb me pacient\u00ebt, simptomat e t\u00eb cil\u00ebve kan\u00eb nj\u00eb cil\u00ebsi neurotike.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Megjithat\u00eb, n\u00eb analiz\u00ebn e psikotik\u00ebve, analisti merr nj\u00eb lloj dhe shkall\u00eb mundi krejt tjet\u00ebr dhe \u00ebsht\u00eb pik\u00ebrisht ky mund i ndrysh\u00ebm q\u00eb un\u00eb po rrekem t\u00eb p\u00ebrshkruaj.<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Ilustrim i ankthit t\u00eb kund\u00ebr-transferenc\u00ebs<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Koh\u00ebt e fundit, n\u00eb nj\u00eb hark disa-ditor, zbulova se po b\u00ebja pun\u00eb t\u00eb keqe. B\u00ebra gabime n\u00eb lidhje me secilin nga pacient\u00ebt e mi. V\u00ebshtir\u00ebsia ishte n\u00eb veten time dhe ishte pjes\u00ebrisht personale, por kryesisht e lidhur me nj\u00eb pik\u00eb kulmore q\u00eb kisha arritur n\u00eb marr\u00ebdh\u00ebnien time me nj\u00eb pacient t\u00eb ve\u00e7ant\u00eb psikotik <em>(n\u00eb kuad\u00ebr hulumtimi)<\/em>. V\u00ebshtir\u00ebsia u largua kur pata nj\u00eb nga ato q\u00eb nganj\u00ebher\u00eb quhen \u00ebndrra \u201csh\u00ebruese\u201d. <em>(Me k\u00ebt\u00eb rast do t\u00eb shtoja se gjat\u00eb analiz\u00ebs sime dhe n\u00eb vitet pas p\u00ebrfundimit t\u00eb saj kam patur nj\u00eb seri t\u00eb gjat\u00eb prej k\u00ebtyre \u00ebndrrave sh\u00ebruese t\u00eb cilat, megjith\u00ebse n\u00eb shum\u00eb raste t\u00eb pak\u00ebndshme, secila prej tyre kan\u00eb sh\u00ebnuar ardhjen time n\u00eb nj\u00eb faz\u00eb t\u00eb re t\u00eb zhvillimit emocional.)<\/em><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb k\u00ebt\u00eb rast t\u00eb ve\u00e7ant\u00eb isha i vet\u00ebdijsh\u00ebm p\u00ebr kuptimin e \u00ebndrr\u00ebs kur u zgjova apo edhe para se t\u00eb zgjohesha. \u00cbndrra kishte dy faza. N\u00eb t\u00eb par\u00ebn isha nd\u00ebr lozhat n\u00eb nj\u00eb teat\u00ebr dhe shikoja nga lart njer\u00ebzit shum\u00eb m\u00eb posht\u00eb n\u00eb sall\u00eb. Ndjeva nj\u00eb ankth t\u00eb fort\u00eb sikur mund t\u00eb humbisja nj\u00eb gjymtyr\u00eb. Kjo u asociua me ndjenj\u00ebn q\u00eb kam pasur n\u00eb maj\u00eb t\u00eb Kull\u00ebs Eifel se, n\u00ebse do ta vendosja dor\u00ebn tej pragut, ajo do t\u00eb binte n\u00eb tok\u00eb posht\u00eb. Ky do t\u00eb ishte nj\u00eb ankth i zakonsh\u00ebm kastrimi.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb faz\u00ebn tjet\u00ebr t\u00eb \u00ebndrr\u00ebs, isha i vet\u00ebdijsh\u00ebm se njer\u00ebzit n\u00eb sall\u00eb ishin duke par\u00eb nj\u00eb shfaqje dhe tani isha i lidhur me at\u00eb q\u00eb po ndodhte n\u00eb sken\u00eb p\u00ebrmes tyre. Nj\u00eb lloj i ri ankthi u zhvillua tani. Ajo q\u00eb dija ishte se nuk kisha fare an\u00ebn e djatht\u00eb t\u00eb trupit. Kjo nuk ishte nj\u00eb \u00ebnd\u00ebrr kastrimi. Ishte nj\u00eb ndjesi e munges\u00ebs s\u00eb asaj pjese t\u00eb trupit.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb zhgj\u00ebnd\u00ebrr, nd\u00ebrsa po zgjohesha, isha i vet\u00ebdijsh\u00ebm se kisha kuptuar n\u00eb nj\u00eb nivel shum\u00eb t\u00eb thell\u00eb se cila ishte v\u00ebshtir\u00ebsia ime n\u00eb at\u00eb koh\u00eb t\u00eb caktuar. Pjesa e par\u00eb e \u00ebndrr\u00ebs p\u00ebrfaq\u00ebsonte ankthet e zakonshme q\u00eb mund t\u00eb krijoheshin n\u00eb lidhje me fantazit\u00eb e pavet\u00ebdijshme t\u00eb pacient\u00ebve t\u00eb mi neurotik\u00eb. Do t\u00eb isha n\u00eb rrezik t\u00eb humbisja dor\u00ebn ose gishtat n\u00ebse k\u00ebta pacient\u00eb do t\u00eb interesoheshin p\u00ebr to. Me k\u00ebt\u00eb lloj ankthi isha i njohur dhe ishte krahasimisht i toleruesh\u00ebm.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Megjithat\u00eb, pjesa e dyt\u00eb e \u00ebndrr\u00ebs i referohej marr\u00ebdh\u00ebnies sime me pacienten psikotike. Kjo paciente k\u00ebrkonte nga un\u00eb q\u00eb t\u00eb mos kisha fare lidhje me trupin e saj, madje as n\u00eb imagjinat\u00eb; nuk kishte trup q\u00eb ajo ta njihte si t\u00eb sajin dhe n\u00ebse ajo ekzistonte fare, ajo mund ta ndjente veten vet\u00ebm si mendje. \u00c7do p\u00ebrmendje e trupit t\u00eb saj prodhonte ankthe paranoide, sepse t\u00eb pohosh se ajo kishte trup ishte nj\u00eb m\u00ebnyr\u00eb p\u00ebr ta persekutuar. \u00c7far\u00eb ajo kishte nevoj\u00eb prej meje ishte q\u00eb un\u00eb t\u00eb isha vet\u00ebm nj\u00eb mendje q\u00eb i fliste mendjes s\u00eb saj. N\u00eb kulmin e v\u00ebshtir\u00ebsive t\u00eb mia n\u00eb mbr\u00ebmjen para \u00ebndrr\u00ebs, un\u00eb u acarova dhe i pata th\u00ebn\u00eb se \u00e7ka ajo kishte nevoj\u00eb prej meje ishte pothuaj qiqra n\u00eb hell. Kjo kishte pasur efekt katastrofik dhe u desh\u00ebn shum\u00eb jav\u00eb q\u00eb analiza t\u00eb m\u00ebk\u00ebmbej nga lajthitja ime. Megjithat\u00eb, gj\u00ebja thelb\u00ebsore ishte q\u00eb un\u00eb t\u00eb kuptoja ankthin tim dhe kjo u p\u00ebrfaq\u00ebsua n\u00eb \u00ebnd\u00ebrr nga mungesa e an\u00ebs s\u00eb djatht\u00eb t\u00eb trupit tim kur u p\u00ebrpoqa t\u00eb hyja n\u00eb kontakt me shfaqjen q\u00eb shikonin njer\u00ebzit n\u00eb sall\u00eb. Kjo an\u00eb e djatht\u00eb e trupit tim ishte ana q\u00eb lidhej me k\u00ebt\u00eb paciente t\u00eb ve\u00e7ant\u00eb dhe ndikohej p\u00ebr rrjedhoj\u00eb nga nevoja e saj p\u00ebr t\u00eb mohuar absolutisht, madje edhe nj\u00eb marr\u00ebdh\u00ebnie imagjinare, t\u00eb trupave tan\u00eb. Ky mohim po prodhonte tek un\u00eb k\u00ebt\u00eb lloj ankthi psikotik, shum\u00eb m\u00eb pak t\u00eb toleruesh\u00ebm sesa ankthi i zakonsh\u00ebm i kastrimit. Sidoqofshin interpretimet e tjera q\u00eb do mund t\u00eb b\u00ebheshin sa i takon k\u00ebsaj \u00ebndrre, rezultati \u2013 i faktit q\u00eb e pash\u00eb k\u00ebt\u00eb \u00ebnd\u00ebrr dhe e mbajta mend \u2013 ishte se un\u00eb isha n\u00eb gjendje ta rimerrja at\u00eb analiz\u00eb dhe madje t\u00eb sh\u00ebroja d\u00ebmin e shkaktuar nga acarimi im, i cili e kishte origjin\u00ebn n\u00eb nj\u00eb ankth reaktiv t\u00eb nj\u00eb cil\u00ebsie q\u00eb shkonte p\u00ebrshtat me kontaktin tim me nj\u00eb pacient pa trup.<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Shtyrja p\u00ebr m\u00eb von\u00eb e interpretimit<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Analisti duhet t\u00eb jet\u00eb i p\u00ebrgatitur t\u00eb p\u00ebrballoj\u00eb tensionin, pa pritur q\u00eb pacienti t\u00eb dij\u00eb ndonj\u00eb gj\u00eb se \u00e7\u2019po b\u00ebn, ndoshta p\u00ebr nj\u00eb periudh\u00eb t\u00eb gjat\u00eb kohe. P\u00ebr ta b\u00ebr\u00eb k\u00ebt\u00eb, ai duhet t\u00eb jet\u00eb me leht\u00ebsi i vet\u00ebdijsh\u00ebm p\u00ebr frik\u00ebn dhe urrejtjen e tij. Ai \u00ebsht\u00eb n\u00eb pozicionin e n\u00ebn\u00ebs s\u00eb nj\u00eb foshnjeje t\u00eb palindur ose t\u00eb sapolindur. Her\u00ebt a von\u00eb, ai duhet t\u00eb jet\u00eb i aft\u00eb t\u2019i tregoj\u00eb pacientit t\u00eb tij \u00e7ka ka kaluar p\u00ebr hir t\u00eb pacientit, por nj\u00eb analiz\u00eb mund t\u00eb mos arrij\u00eb kurr\u00eb deri aty. Ndoshta ka tep\u00ebr pak p\u00ebrvoja t\u00eb mira n\u00eb t\u00eb kaluar\u00ebn e pacientit p\u00ebr t\u00eb punuar mbi to. Po sikur t\u00eb mos ket\u00eb fare marr\u00ebdh\u00ebnie t\u00eb k\u00ebnaqshme t\u00eb foshnj\u00ebris\u00eb s\u00eb hershme q\u00eb analisti t\u00eb shfryt\u00ebzoj\u00eb n\u00eb transferenc\u00eb?<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Ekziston nj\u00eb ndryshim i madh midis atyre pacient\u00ebve q\u00eb kan\u00eb pasur p\u00ebrvoja t\u00eb k\u00ebnaqshme t\u00eb hershme, q\u00eb mund t\u00eb zbulohen gjat\u00eb transferenc\u00ebs, dhe atyre, p\u00ebrvojat e hershme t\u00eb t\u00eb cil\u00ebve kan\u00eb qen\u00eb kaq t\u00eb mang\u00ebta ose t\u00eb shtremb\u00ebruara, saq\u00eb analistit i duhet t\u00eb jet\u00eb i pari n\u00eb jet\u00ebn e pacientit p\u00ebr t\u00eb dh\u00ebn\u00eb disa gj\u00ebra thelb\u00ebsore t\u00eb mjedisit. N\u00eb trajtimin e pacientit t\u00eb k\u00ebtij lloji t\u00eb dyt\u00eb, gjith\u00ebfar\u00ebsoj gj\u00ebrash n\u00eb teknik\u00ebn analitike b\u00ebhen me r\u00ebnd\u00ebsi jetike e q\u00eb mund t\u00eb merren si t\u00eb mir\u00ebqena n\u00eb trajtimin e pacient\u00ebve t\u00eb llojit t\u00eb par\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">E pyeta nj\u00eb analist, q\u00eb e p\u00ebrqendron v\u00ebmendjen e tij te neurotik\u00ebt, n\u00ebse ai e kryen analiz\u00ebn n\u00eb err\u00ebsir\u00eb dhe ai tha: \u201cSi? Jo! Sigurisht q\u00eb detyra jon\u00eb \u00ebsht\u00eb t\u00eb japim nj\u00eb mjedis t\u00eb zakonsh\u00ebm dhe err\u00ebsira do t\u00eb ishte e jasht\u00ebzakonshme.\u201d Ai u habit me pyetjen time. Ai ishte i orientuar kah analiza e neurotik\u00ebve. Por kjo dh\u00ebnie dhe ruajtje e nj\u00eb mjedisi t\u00eb zakonsh\u00ebm mund t\u00eb jet\u00eb n\u00eb vetvete nj\u00eb gj\u00eb me r\u00ebnd\u00ebsi jetike n\u00eb analiz\u00ebn e nj\u00eb psikotiku, n\u00eb fakt mund t\u00eb jet\u00eb, ndonj\u00ebher\u00eb, edhe m\u00eb e r\u00ebnd\u00ebsishme se interpretimet verbale q\u00eb gjithashtu duhen t\u00eb b\u00ebhen. P\u00ebr neurotikun, divani, ngroht\u00ebsia dhe rehatia mund t\u00eb jen\u00eb <\/span><i><span style=\"font-weight: 400\">simbolike<\/span><\/i><span style=\"font-weight: 400\"> t\u00eb dashuris\u00eb s\u00eb n\u00ebn\u00ebs; p\u00ebr psikotikun, do t\u00eb ishte m\u00eb e v\u00ebrtet\u00eb t\u00eb thuhej se k\u00ebto gj\u00ebra <\/span><i><span style=\"font-weight: 400\">jan\u00eb<\/span><\/i><span style=\"font-weight: 400\"> shprehja fizike e dashuris\u00eb s\u00eb analistit. Divani <\/span><i><span style=\"font-weight: 400\">\u00ebsht\u00eb<\/span><\/i><span style=\"font-weight: 400\"> prehri ose barku i analistit dhe ngroht\u00ebsia <\/span><i><span style=\"font-weight: 400\">\u00ebsht\u00eb<\/span><\/i><span style=\"font-weight: 400\"> ngroht\u00ebsia e gjall\u00eb e trupit t\u00eb analistit. Dhe k\u00ebshtu me radh\u00eb.<\/span><\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Urrejtja objektive n\u00ebn sprov\u00eb<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Shpresoj se ka nj\u00eb progresion n\u00eb pohimin tim t\u00eb tem\u00ebs. Urrejtja e analistit \u00ebsht\u00eb zakonisht latente dhe mbahet leht\u00ebsisht e fsheht\u00eb. N\u00eb analiz\u00ebn e psikotik\u00ebve, analisti \u00ebsht\u00eb n\u00ebn nj\u00eb trysni m\u00eb t\u00eb madhe p\u00ebr t\u00eb mbajtur urrejtjen e tij latente dhe ai mundet q\u00eb ta b\u00ebj\u00eb k\u00ebt\u00eb vet\u00ebm duke qen\u00eb imt\u00ebsisht i vet\u00ebdijsh\u00ebm p\u00ebr t\u00eb. Tani dua t\u00eb shtoj se, n\u00eb faza t\u00eb caktuara t\u00eb disa analizave, urrejtja e analistit n\u00eb fakt m\u00ebtohet nga vet\u00eb pacienti dhe ajo q\u00eb nevojitet k\u00ebsisoj \u00ebsht\u00eb nj\u00eb urrejtje q\u00eb \u00ebsht\u00eb objektive. N\u00ebse pacienti k\u00ebrkon urrejtje objektive ose t\u00eb justifikuar, ai duhet t\u00eb jet\u00eb n\u00eb gjendje ta arrij\u00eb k\u00ebt\u00eb, p\u00ebrndryshe nuk mund t\u00eb ndiej\u00eb se mund t\u00eb arrij\u00eb dashuri objektive.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Ndoshta \u00ebsht\u00eb me vend k\u00ebtu t\u00eb citojm\u00eb rastin e f\u00ebmij\u00ebs s\u00eb sht\u00ebpis\u00eb s\u00eb prishur, ose t\u00eb f\u00ebmij\u00ebs pa prind\u00ebr. Nj\u00eb f\u00ebmij\u00eb i till\u00eb e kalon koh\u00ebn e tij duke k\u00ebrkuar n\u00eb m\u00ebnyr\u00eb t\u00eb pavet\u00ebdijshme prind\u00ebrit e tij. \u00cbsht\u00eb e njohur se \u00ebsht\u00eb tejet e pap\u00ebrshtatshme t\u00eb marr\u00ebsh nj\u00eb f\u00ebmij\u00eb t\u00eb till\u00eb n\u00eb sht\u00ebpi dhe ta duash at\u00eb. Ajo q\u00eb ndodh \u00ebsht\u00eb se pas nj\u00ebfar\u00eb kohe f\u00ebmija i bir\u00ebsuar k\u00ebsisoj fiton shpres\u00eb dhe m\u00eb pas ai fillon t\u00eb sprovoj\u00eb mjedisin q\u00eb ka gjetur dhe t\u00eb m\u00ebtoj\u00eb prova p\u00ebr aft\u00ebsin\u00eb e kujdestar\u00ebve t\u00eb tij p\u00ebr t\u00eb urryer objektivisht. Duket sikur ai mund t\u00eb besoj\u00eb q\u00eb e duan vet\u00ebm pasi t\u00eb arrij\u00eb t\u00eb urrehet.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Gjat\u00eb Luft\u00ebs s\u00eb Dyt\u00eb Bot\u00ebrore, nj\u00eb djal\u00eb n\u00ebnt\u00eb vje\u00e7 erdhi n\u00eb nj\u00eb streh\u00eb p\u00ebr f\u00ebmij\u00ebt e evakuuar, i d\u00ebrguar nga Londra jo p\u00ebr shkak t\u00eb bombave, por p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb p\u00ebrs\u00ebritur n\u00eb shkoll\u00eb. Shpresoja ta trajtoja ca gjat\u00eb q\u00ebndrimit n\u00eb k\u00ebt\u00eb streh\u00eb, por simptomat e tij fituan dhe ai iku si\u00e7 kishte b\u00ebr\u00eb gjithmon\u00eb nga kudo q\u00eb nga mosha gjasht\u00ebvje\u00e7are kur iku p\u00ebr her\u00eb t\u00eb par\u00eb nga sht\u00ebpia. Megjithat\u00eb, un\u00eb kisha arritur t\u00eb vihesha n\u00eb kontakt me t\u00eb gjat\u00eb nj\u00eb interviste n\u00eb t\u00eb cil\u00ebn munda t\u00eb shihja dhe interpretoja p\u00ebrmes nj\u00eb vizatimi t\u00eb tij se, duke ikur, ai n\u00eb m\u00ebnyr\u00eb t\u00eb pavet\u00ebdijshme po shp\u00ebtonte brend\u00ebsin\u00eb e sht\u00ebpis\u00eb s\u00eb tij dhe po mbronte n\u00ebn\u00ebn e tij nga m\u00ebsymjet, p\u00ebrve\u00e7 se po p\u00ebrpiqej t\u00eb ikte nga vet\u00eb bota e tij e brendshme e cila ishte p\u00ebrplot me persekutor\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Nuk u habita shum\u00eb kur ai u shfaq n\u00eb komisariatin e policis\u00eb shum\u00eb af\u00ebr sht\u00ebpis\u00eb sime. Ky ishte nj\u00eb nga komisariatet e pakta q\u00eb nuk e njihnin nga af\u00ebr. Gruaja ime me shum\u00eb bujari e mori dhe mbajti n\u00eb sht\u00ebpi tre muaj, tre muaj ferri. Ky qe nj\u00eb f\u00ebmij\u00eb q\u00eb edhe t\u00eb b\u00ebnte ta doje pa mas\u00eb por edhe ishte po aq i paduruesh\u00ebm, shpesh deri n\u00eb marrosje. Por p\u00ebr fat e dinim \u00e7\u2019t\u00eb prisnim. Faz\u00ebn e par\u00eb e p\u00ebrballuam duke i dh\u00ebn\u00eb liri t\u00eb plot\u00eb dhe nj\u00eb shiling sa her\u00eb q\u00eb dilte. Atij i duhej vet\u00ebm t\u00eb telefononte dhe ne e merrnim nga cilido stacion policie q\u00eb e kishte ndaluar dhe e mbante.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Shpejt, ndryshimi i pritur ndodhi, simptoma e ikjes nga shkolla mori kthes\u00eb dhe djali filloi t\u00eb dramatizonte m\u00ebsymjen ndaj brend\u00ebsis\u00eb s\u00eb vet. Ishte v\u00ebrtet pun\u00eb me koh\u00eb t\u00eb plot\u00eb p\u00ebr t\u00eb dy ne dhe, kur un\u00eb isha jasht\u00eb, at\u00ebher\u00eb ndodhnin episodet m\u00eb t\u00eb r\u00ebnda.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Interpretimi duhej b\u00ebr\u00eb n\u00eb \u00e7do minut\u00eb t\u00eb dit\u00ebs apo t\u00eb nat\u00ebs dhe shpesh zgjidhja e vetme n\u00eb nj\u00eb kriz\u00eb ishte t\u00eb b\u00ebhej interpretimi i sakt\u00eb, sikur djali t\u00eb ishte n\u00eb analiz\u00eb. Ishte interpretimi i sakt\u00eb ajo q\u00eb ai vler\u00ebsonte mbi gjith\u00e7ka.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Gj\u00ebja e r\u00ebnd\u00ebsishme p\u00ebr q\u00ebllimin e k\u00ebtij punimi \u00ebsht\u00eb m\u00ebnyra n\u00eb t\u00eb cil\u00ebn evolucioni i personalitetit t\u00eb djalit ndjellte urrejtje tek un\u00eb si dhe \u00e7far\u00eb b\u00ebja un\u00eb n\u00eb lidhje me k\u00ebt\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">A e q\u00ebllova? P\u00ebrgjigja \u00ebsht\u00eb jo, nuk e godita kurr\u00eb. Por do m\u00eb duhej ta kisha b\u00ebr\u00eb k\u00ebt\u00eb n\u00ebse nuk do t\u00eb kisha ditur gjith\u00e7ka rreth urrejtjes sime dhe n\u00ebse nuk do t\u2019ia kisha b\u00ebr\u00eb t\u00eb ditur edhe atij k\u00ebt\u00eb. N\u00eb \u00e7aste krize, e kapja me forc\u00eb fizike, pa zem\u00ebrim apo faj\u00ebsim, dhe e nxirrja jasht\u00eb der\u00ebs kryesore, pavar\u00ebsisht motit apo or\u00ebs s\u00eb dit\u00ebs apo nat\u00ebs. Kishte nj\u00eb zile t\u00eb ve\u00e7ant\u00eb q\u00eb mund t\u2019i binte dhe ai e dinte se, n\u00ebse do t\u2019i binte, do t\u00eb ripranohej brenda dhe nuk do t\u2019i thuhej asnj\u00eb fjal\u00eb p\u00ebr t\u00eb kaluar\u00ebn. Ai e p\u00ebrdorte k\u00ebt\u00eb zile sapo rimerrte veten nga sulmi i tij manik.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">E r\u00ebnd\u00ebsishme \u00ebsht\u00eb q\u00eb \u00e7do her\u00eb, porsa e nxirrja jasht\u00eb der\u00ebs, i thoja di\u00e7ka; i thoja se \u00e7ka kishte ndodhur m\u00eb kishte b\u00ebr\u00eb ta urreja. Kjo ishte e leht\u00eb sepse ishte shum\u00eb e v\u00ebrtet\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Mendoj se k\u00ebto fjal\u00eb ishin t\u00eb r\u00ebnd\u00ebsishme nga pik\u00ebpamja e p\u00ebrparimit t\u00eb tij, por ato ishin kryesisht t\u00eb r\u00ebnd\u00ebsishme p\u00ebr mua q\u00eb t\u00eb mundesha t\u00eb toleroja situat\u00ebn pa shp\u00ebrthyer, pa e humbur durimin e pa e vrar\u00eb her\u00eb pas here.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Historia e plot\u00eb e k\u00ebtij djali nuk mund t\u00eb tregohet k\u00ebtu. Ai shkoi n\u00eb nj\u00eb shkoll\u00eb t\u00eb aprovuar. Rr\u00ebnj\u00ebt e thella t\u00eb marr\u00ebdh\u00ebnies s\u00eb tij me ne kan\u00eb mbetur nj\u00eb nga gj\u00ebrat e pakta t\u00eb q\u00ebndrueshme n\u00eb jet\u00ebn e tij. Ky episod nga jeta e p\u00ebrditshme mund t\u00eb p\u00ebrdoret p\u00ebr t\u00eb ilustruar tem\u00ebn e p\u00ebrgjithshme t\u00eb urrejtjes s\u00eb justifikuar n\u00eb t\u00eb tashmen; kjo b\u00ebn t\u00eb dallohet nga urrejtja q\u00eb justifikohet vet\u00ebm n\u00eb nj\u00eb kontekst tjet\u00ebr dhe q\u00eb ceket e zgjohet nga ndonj\u00eb veprim i nj\u00eb pacienti (<em>f\u00ebmije<\/em>).<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Dashuria dhe urrejtja e n\u00ebn\u00ebs<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Nga gjith\u00eb kompleksiteti i problemit t\u00eb urrejtjes dhe rr\u00ebnj\u00ebve t\u00eb saj, dua t\u00eb q\u00ebmtoj nj\u00eb gj\u00eb, sepse besoj se kjo gj\u00eb ka r\u00ebnd\u00ebsi p\u00ebr analistin e pacient\u00ebve psikotik\u00eb. Un\u00eb sugjeroj q\u00eb n\u00ebna e urren bebin p\u00ebrpara se bebi ta urrej\u00eb n\u00ebn\u00ebn dhe para se bebi t\u00eb mund t\u00eb dij\u00eb se n\u00ebna e urren at\u00eb.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt\"><span style=\"font-weight: 400\">Para se ta shtjelloj k\u00ebt\u00eb tematik\u00eb, dua t\u2019i referohem komenteve t\u00eb Frojdit. N\u00eb <\/span><i><span style=\"font-weight: 400\">Triebe und Triebschicksale<\/span><\/i><span style=\"font-weight: 400\"> (1915) [<\/span><i><span style=\"font-weight: 400\">Shtysat dhe ndeshtrashat e tyre<\/span><\/i><span style=\"font-weight: 400\">] (<em>ku ai thot\u00eb plot gj\u00ebra q\u00eb jan\u00eb origjinale dhe ndri\u00e7uese p\u00ebr urrejtjen<\/em>), Frojdi thot\u00eb: \u201cndoshta mund t\u00eb themi p\u00ebr nj\u00eb shtys\u00eb se ajo \u201ci do\u201d objektet pas t\u00eb cilave rreket p\u00ebr q\u00ebllime t\u00eb p\u00ebrmbushjes, por t\u00eb themi se shtysa \u201curren\u201d nj\u00eb objekt, kjo na ting\u00ebllon si e \u00e7uditshme, k\u00ebshtu q\u00eb b\u00ebhemi t\u00eb vet\u00ebdijsh\u00ebm se q\u00ebndrimet e dashuris\u00eb dhe urrejtjes nuk mund t\u00eb thuhen se karakterizojn\u00eb marr\u00ebdh\u00ebnien e shtysave me objektet e tyre, por rezervohen p\u00ebr marr\u00ebdh\u00ebniet e egos si nj\u00eb i t\u00ebr\u00eb ndaj objekteve\u2026\u201d Mendoj se kjo \u00ebsht\u00eb e v\u00ebrtet\u00eb dhe e r\u00ebnd\u00ebsishme. A nuk do t\u00eb thot\u00eb kjo se personaliteti duhet t\u00eb jet\u00eb integruar p\u00ebrpara se t\u00eb mund t\u00eb thuhet se foshnja urren? Pavar\u00ebsisht sa her\u00ebt q\u00eb t\u00eb arrihet integrimi \u2013 ndoshta integrimi ndodh m\u00eb her\u00ebt n\u00eb kulmin e eksitimit ose t\u00ebrbimit \u2013 ekziston nj\u00eb faz\u00eb m\u00eb e hershme teorike n\u00eb t\u00eb cil\u00ebn \u00e7kado l\u00ebnduese q\u00eb b\u00ebn foshnja, nuk e b\u00ebn nga urrejtja. Un\u00eb kam p\u00ebrdorur fraz\u00ebn \u201cdashuri e pam\u00ebshirshme\u201d p\u00ebr t\u00eb p\u00ebrshkruar k\u00ebt\u00eb faz\u00eb. A \u00ebsht\u00eb kjo e pranueshme? Teksa foshnja fillon t\u00eb b\u00ebhet e aft\u00eb t\u00eb ndiej\u00eb nj\u00eb person t\u00eb t\u00ebr\u00eb, fjala urrejtje zhvillon kuptimin si p\u00ebrshkrim i nj\u00eb grupi t\u00eb caktuar t\u00eb ndjenjave t\u00eb saj.<\/span><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00ebna, megjithat\u00eb, e urren foshnj\u00ebn e saj q\u00eb prej fillimit. Besoj se Frojdi e konsideronte t\u00eb mundur q\u00eb nj\u00eb n\u00ebn\u00eb, n\u00eb rrethana t\u00eb caktuara, t\u00eb ket\u00eb ndoshta vet\u00ebm dashuri p\u00ebr foshnj\u00ebn e saj djal\u00eb; por ne mund ta dyshojm\u00eb k\u00ebt\u00eb. Ne e dim\u00eb dashurin\u00eb e n\u00ebn\u00ebs dhe e vler\u00ebsojm\u00eb realitetin dhe fuqin\u00eb e saj. M\u00eb lejoni t\u00eb jap disa nga arsyet pse nj\u00eb n\u00ebn\u00eb e urren foshnj\u00ebn e saj, edhe n\u00ebse \u00ebsht\u00eb djal\u00eb.<\/span><\/p><blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja nuk \u00ebsht\u00eb konceptim apo ngjizje e saj (mendore).<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja nuk \u00ebsht\u00eb ai i loj\u00ebrave s\u00eb f\u00ebmij\u00ebris\u00eb, f\u00ebmija i babait, f\u00ebmija i v\u00ebllait etj.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja nuk \u00ebsht\u00eb prodhuar me magji.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Foshnja \u00ebsht\u00eb rrezik p\u00ebr trupin e saj n\u00eb shtatz\u00ebni dhe n\u00eb lindje.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja nd\u00ebrhyn n\u00eb jet\u00ebn e saj private, nj\u00eb sfid\u00eb p\u00ebr p\u00ebrqendrimin.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Deri diku, n\u00ebna ndjen se vet\u00eb n\u00ebna e saj k\u00ebrkon me ngulm nj\u00eb f\u00ebmij\u00eb, k\u00ebshtu q\u00eb f\u00ebmija i saj b\u00ebhet p\u00ebr t\u00eb qet\u00ebsuar n\u00ebn\u00ebn e saj.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja i l\u00ebndon thithat gjat\u00eb gjidh\u00ebnies, q\u00eb s\u00eb pari \u00ebsht\u00eb veprimtari p\u00ebrtyp\u00ebse.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">\u00cbsht\u00eb i pam\u00ebshirsh\u00ebm, e trajton si llum, si sh\u00ebrb\u00ebtore pa pages\u00eb, si skllave.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Ajo duhet ta doj\u00eb at\u00eb, me gjith\u00eb jasht\u00ebqitjet e t\u00eb tjerat, sido q\u00eb t\u00eb jet\u00eb n\u00eb fillim, derisa foshnja t\u00eb ket\u00eb dyshime p\u00ebr veten e tij.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Ai p\u00ebrpiqet ta l\u00ebndoj\u00eb, e kafshon periodikisht, t\u00eb gjitha n\u00eb saje t\u00eb dashuris\u00eb.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Ai shpreh zhg\u00ebnjim p\u00ebr t\u00eb.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Dashuria e tij e ngaz\u00ebllyer \u00ebsht\u00eb dashuri me interes, asisoj q\u00eb pasi ka marr\u00eb at\u00eb q\u00eb do, e hedh t\u00eb \u00ebm\u00ebn si l\u00ebkur\u00eb portokalli.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja n\u00eb fillim duhet t\u00eb jet\u00eb mbi gjith\u00e7ka, duhet mbrojtur nga rast\u00ebsit\u00eb, jeta duhet t\u00eb zhvillohet sipas ritmit t\u00eb saj dhe e gjith\u00eb kjo ka nevoj\u00eb p\u00ebr v\u00ebmendjen e vazhdueshme dhe n\u00eb holl\u00ebsi t\u00eb n\u00ebn\u00ebs s\u00eb tij. P\u00ebr shembull, ajo nuk duhet t\u00eb jet\u00eb n\u00eb ankth kur e mban n\u00eb krah\u00eb at\u00eb, etj.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> N\u00eb fillim foshnja nuk e di fare se \u00e7far\u00eb n\u00ebna b\u00ebn apo sakrifikon p\u00ebr t\u00eb. N\u00eb ve\u00e7anti, nuk mund t\u00eb b\u00ebj\u00eb vend p\u00ebr urrejtjen e saj.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja \u00ebsht\u00eb mosbesuese, refuzon ushqimin e saj t\u00eb mir\u00eb dhe e b\u00ebn at\u00eb t\u00eb dyshoj\u00eb n\u00eb vetvete, por ha mir\u00eb kur e ushqen tezja.<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Pas nj\u00eb m\u00ebngjesi t\u00eb tmerrsh\u00ebm me t\u00eb, ajo del jasht\u00eb dhe foshnja i buz\u00ebqesh nj\u00eb t\u00eb panjohuri, i cili i thot\u00eb: \u201cOh, sa i lezetsh\u00ebm!\u201d<\/span><\/p><\/blockquote><blockquote><p><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> N\u00ebse ajo nuk arrin ta p\u00ebrmbush\u00eb at\u00eb n\u00eb fillim, ajo e di se foshnja do t\u00eb ket\u00eb hak me t\u00eb p\u00ebrgjithmon\u00eb.<\/span><\/p><\/blockquote><blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\"> Foshnja e ngacmon, por edhe e frustron \u2013 n\u00ebna nuk duhet ta \u201cg\u00eblltis\u00eb\u201d at\u00eb ose t\u00eb p\u00ebrfitoj\u00eb nga marr\u00ebdh\u00ebnia me t\u00eb.<\/span><\/p><\/blockquote><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Mendoj se n\u00eb analiz\u00ebn e psikotik\u00ebve dhe n\u00eb fazat p\u00ebrfundimtare t\u00eb analiz\u00ebs, qoft\u00eb edhe t\u00eb nj\u00eb njeriu normal, analisti duhet ta gjej\u00eb veten n\u00eb nj\u00eb pozicion t\u00eb krahasuesh\u00ebm me at\u00eb t\u00eb n\u00ebn\u00ebs s\u00eb nj\u00eb foshnjeje t\u00eb porsalindur. Kur pacienti ndodhet n\u00eb regresion t\u00eb thell\u00eb, ai nuk mund t\u00eb identifikohet me analistin ose t\u00eb vler\u00ebsoj\u00eb k\u00ebndv\u00ebshtrimin e tij, sikurse fetusi ose foshnja e sapolindur nuk mund t\u00eb ndiej\u00eb simpati p\u00ebr n\u00ebn\u00ebn.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Nj\u00eb n\u00ebn\u00eb duhet t\u00eb jet\u00eb n\u00eb gjendje t\u00eb toleroj\u00eb urrejtjen ndaj foshnj\u00ebs s\u00eb saj pa b\u00ebr\u00eb asgj\u00eb p\u00ebr k\u00ebt\u00eb. Ajo nuk mund t\u2019ia shpreh\u00eb at\u00eb. N\u00ebse, nga frika e asaj q\u00eb mund t\u00eb b\u00ebj\u00eb, ajo nuk mund t\u00eb urrej\u00eb si\u00e7 duhet kur l\u00ebndohet nga f\u00ebmija i saj, ajo detyrimisht kthehet pas n\u00eb mazokiz\u00ebm \u2013 dhe mendoj se \u00ebsht\u00eb pik\u00ebrisht kjo q\u00eb ngre teorin\u00eb e rreme t\u00eb nj\u00eb mazokizmi natyror te grat\u00eb. Gj\u00ebja m\u00eb mbres\u00ebl\u00ebn\u00ebse te nj\u00eb n\u00ebn\u00eb \u00ebsht\u00eb aft\u00ebsia e saj p\u00ebr t\u2019u l\u00ebnduar aq shum\u00eb nga foshnja e saj dhe p\u00ebr t\u00eb urryer aq shum\u00eb pa u hak\u00ebruar, si dhe aft\u00ebsia e saj p\u00ebr t\u00eb pritur shp\u00ebrblime q\u00eb mund ose jo t\u00eb vijn\u00eb m\u00eb von\u00eb. Ndoshta e ndihmojn\u00eb disa vjersha f\u00ebmij\u00ebsh q\u00eb k\u00ebndon, t\u00eb cilat foshnja i p\u00eblqen por p\u00ebr fat t\u00eb mir\u00eb nuk i kupton?<\/span><\/p><p style=\"text-align: center\"><em><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb maj\u00eb peme, bebi p\u00ebrkund\u2019,\u00a0<\/span><\/em><\/p><p style=\"text-align: center\"><em><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Kur era fryn djepi do t\u2019l\u00ebkund\u2019,\u00a0<\/span><\/em><\/p><p style=\"text-align: center\"><em><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Kur dega t\u2019thyhet djepi do bjer\u2019,\u00a0<\/span><\/em><\/p><p style=\"text-align: center\"><em><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Posht\u2019 do vij\u2019 beb, djep e t\u00eb tjer\u2019.<\/span><\/em><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">P\u00ebrfytyroj nj\u00eb n\u00ebn\u00eb (ose baba) duke luajtur me nj\u00eb foshnj\u00eb t\u00eb vog\u00ebl; foshnja duke g\u00ebzuar n\u00eb loj\u00eb por pa ditur q\u00eb prindi po shpreh urrejtje me fjal\u00eb, ndoshta n\u00eb simbolizmin e lindjes. Kjo nuk \u00ebsht\u00eb nj\u00eb vjersh\u00eb sentimentale. Sentimentalizmi \u00ebsht\u00eb pa dobi p\u00ebr prind\u00ebrit ngase p\u00ebrmban nj\u00eb mohim t\u00eb urrejtjes dhe sentimentalizmi n\u00eb nj\u00eb n\u00ebn\u00eb nuk \u00ebsht\u00eb aspak i mir\u00eb nga pik\u00ebpamja e foshnj\u00ebs.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Mua m\u00eb duket e dyshimt\u00eb n\u00ebse nj\u00eb f\u00ebmij\u00eb njer\u00ebzor do t\u00eb ishte i aft\u00eb, teksa zhvillohet, t\u00eb duroj\u00eb shtrirjen e plot\u00eb t\u00eb urrejtjes s\u00eb tij n\u00eb nj\u00eb mjedis sentimental. Ai ka nevoj\u00eb p\u00ebr urrejtje q\u00eb t\u00eb urrej\u00eb.\u00a0<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00ebse kjo \u00ebsht\u00eb e v\u00ebrtet\u00eb, nj\u00eb pacient psikotik n\u00eb analiz\u00eb nuk mund t\u00eb pritet t\u00eb duroj\u00eb urrejtjen e tij ndaj analistit n\u00ebse analisti nuk mund ta urrej\u00eb at\u00eb.<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>Problemi praktik i interpretimit<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00ebse e gjith\u00eb kjo pranohet, mbetet p\u00ebr diskutim \u00e7\u00ebshtja e interpretimit t\u00eb urrejtjes s\u00eb analistit ndaj pacientit. Kjo \u00ebsht\u00eb padyshim nj\u00eb \u00e7\u00ebshtje e mbushur me rreziqe dhe ka nevoj\u00eb p\u00ebr gjetjen me kujdes t\u00eb koh\u00ebs [s\u00eb b\u00ebrjes s\u00eb interpretimit]. Por un\u00eb besoj se nj\u00eb analiz\u00eb \u00ebsht\u00eb e paplot\u00eb n\u00ebse, edhe drejt fundit, nuk ka qen\u00eb e mundur q\u00eb analisti t\u2019i tregoj\u00eb pacientit at\u00eb q\u00eb ai, analisti, ka b\u00ebr\u00eb p\u00ebr t\u00eb pa dijenin\u00eb e pacientit kur ky ishte i s\u00ebmur\u00eb, n\u00eb stadet e hershme. Deri sa interpretimi t\u00eb b\u00ebhet, pacienti mbahet deri diku n\u00eb pozicionin e foshnj\u00ebs, q\u00eb nuk mund t\u00eb kuptoj\u00eb se \u00e7far\u00eb i detyrohet n\u00ebn\u00ebs s\u00eb tij.<\/span><\/p><p style=\"text-align: center\"><span style=\"font-family: georgia, palatino, serif;font-size: 14pt;color: #800000\"><b>P\u00cbRMBLEDHJE<\/b><\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Analisti duhet t\u00eb tregoj\u00eb gjith\u00eb durimin, toleranc\u00ebn dhe besueshm\u00ebrin\u00eb e nj\u00eb n\u00ebne t\u00eb p\u00ebrkushtuar ndaj foshnj\u00ebs s\u00eb saj, duhet t\u00eb njoh\u00eb d\u00ebshirat e pacientit si nevoja, duhet t\u00eb l\u00ebr\u00eb m\u00ebnjan\u00eb interesat e tjera p\u00ebr t\u00eb qen\u00eb i disponuesh\u00ebm dhe t\u00eb jet\u00eb i p\u00ebrpikt\u00eb dhe objektiv, si dhe t\u00eb duket sikur d\u00ebshiron t\u00eb jap\u00eb at\u00eb q\u00eb n\u00eb t\u00eb v\u00ebrtet\u00eb e jep vet\u00ebm p\u00ebr shkak t\u00eb nevojave t\u00eb pacientit.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">Mund t\u00eb ket\u00eb nj\u00eb periudh\u00eb t\u00eb gjat\u00eb fillestare n\u00eb t\u00eb cil\u00ebn k\u00ebndv\u00ebshtrimi i analistit nuk mund t\u00eb \u00e7mohet <em>(madje as n\u00eb m\u00ebnyr\u00eb t\u00eb pavet\u00ebdijshme<\/em>) nga pacienti. Nuk mund t\u00eb pritet mir\u00ebnjohje sepse, n\u00eb rr\u00ebnj\u00ebn primitive t\u00eb pacientit q\u00eb po k\u00ebrkohet, nuk ekziston kapaciteti p\u00ebr t\u2019u identifikuar me analistin dhe sigurisht q\u00eb pacienti nuk mund t\u00eb shoh\u00eb q\u00eb urrejtja e analistit shpesh ndillet nga bash gj\u00ebrat q\u00eb b\u00ebn pacienti n\u00eb m\u00ebnyr\u00ebn e tij t\u00eb vrazhd\u00eb t\u00eb t\u00eb dashuruarit.<\/span><\/p><p style=\"text-align: justify\"><span style=\"font-weight: 400;font-family: georgia, palatino, serif;font-size: 14pt\">N\u00eb analiz\u00ebn (<em>at\u00eb hulumtuesen<\/em>) ose n\u00eb menaxhimin e zakonsh\u00ebm t\u00eb tipit disi m\u00eb psikotik t\u00eb pacientit, nj\u00eb tension i madh i vihet analistit (<em>psikiatrit, infermierit mendor<\/em>) dhe \u00ebsht\u00eb me r\u00ebnd\u00ebsi t\u00eb studiohen m\u00ebnyrat se si ankthi me cil\u00ebsin\u00eb psikotike dhe po ashtu urrejtja prodhohen tek ata q\u00eb punojn\u00eb me pacient\u00eb psikiatrik\u00eb t\u00eb s\u00ebmur\u00eb r\u00ebnd\u00eb. Vet\u00ebm n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb mund t\u00eb ket\u00eb ndonj\u00eb shpres\u00eb p\u00ebr t\u00eb shmangur terapin\u00eb q\u00eb p\u00ebrshtatet me nevojat e terapistit n\u00eb vend se me nevojat e pacientit.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-377c2c1 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"377c2c1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c50ef6 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"9c50ef6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Jasht\u00eb trajtimit psikoanalitik, menaxhimi i nj\u00eb psikotiku \u00ebsht\u00eb padyshim trazues. Her\u00eb pas here kam b\u00ebr\u00eb v\u00ebrejtje kritike e t\u00eb mprehta p\u00ebr prirjet moderne n\u00eb psikiatri, p\u00ebr p\u00ebrdorimin me leht\u00ebsi t\u00eb tepruar t\u00eb dridhjeve elektrike dhe lobotomit\u00eb tep\u00ebr drastike. P\u00ebr shkak t\u00eb k\u00ebtyre kritikave q\u00eb kam shprehur, dua t\u00eb jem i pari q\u00eb njeh v\u00ebshtir\u00ebsin\u00eb e skajshme q\u00eb p\u00ebrfshin detyra e psikiatrit dhe sidomos e infermierit mendor. Pacient\u00ebt e \u00e7mendur gjithmon\u00eb p\u00ebrb\u00ebjn\u00eb nj\u00eb barr\u00eb t\u00eb r\u00ebnd\u00eb emocionale p\u00ebr ata q\u00eb kujdesen p\u00ebr ta. Do mund t\u2019i falim ata q\u00eb b\u00ebjn\u00eb k\u00ebt\u00eb pun\u00eb n\u00ebse b\u00ebjn\u00eb gj\u00ebra t\u00eb tmerrshme. Kjo nuk do t\u00eb thot\u00eb, megjithat\u00eb, q\u00eb duhet t\u00eb pranojm\u00eb \u00e7far\u00ebdo q\u00eb b\u00ebjn\u00eb psikiatrit dhe neurokirurg\u00ebt si t\u00eb arsyeshme sipas parimeve t\u00eb 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