Fonagy & Tronick
Fonagy’s research describes the role-reversal relationship of the borderline parent’s interactions with the child, that feeds on and destroys the child’s inner psychological structure.
In borderline (and narcissistic) pathology, the parent psychologically feeds on the child’s self-structure development to meet the parent’s own need to support the parent’s own damaged self-structure. That’s Fonagy, the role-reversal use of the child to meet the parent’s needs.
What ignorance sees as a “bonded” relationship to the parent is actually an extremely pathological and destructive role-reversal relationship, in which the child is being used to meet the parent’s emotional needs. That’s Fonagy and the borderline parent.
I want to make a statement to my professional colleagues – clinical psychologists and other mental health professionals – regarding the knowledge needed for professional competence.
In every clinical experience I’ve been in, the professional standard of practice expectation is that you know everything there is to know about the pathology, and then you read journals to stay current.
I consider that expected standard of practice. So, when I was actively working in ADHD, I knew everything there was to know about ADHD and its treatment, and I was reading journals to stay current.
Same for when I moved into high-functioning autism as a differential diagnosis with ADHD. As my work in pathology expanded into autism-spectrum pathology, so did the professional expectation for expanded knowledge. I then had to learn everything there is to know about autism, and read the journals to remain current.
My shift in focus on ADHD…
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