发布求助
文献互助 智能选刊 最新文献

Psychodynamic Psychiatry最新文献

筛选
英文 中文
Shared Vulnerability: Psychodynamic Reflections on Personal History and Clinical Practice in a Therapeutic Community. 共同的脆弱性：心理动力学反思的个人历史和临床实践在治疗社区。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.289
Juandiego Emiliano Serna-Galindo
{"title":"Shared Vulnerability: Psychodynamic Reflections on Personal History and Clinical Practice in a Therapeutic Community.","authors":"Juandiego Emiliano Serna-Galindo","doi":"10.1521/pdps.2025.53.3.289","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.289","url":null,"abstract":"<p><p>Reflecting on early-career experiences working with patients with severe personality disorders in a therapeutic community, this article explores the counter-transference challenges faced by novice clinicians. I discuss how intense patient projections can activate unresolved conflicts within therapists, often influencing their clinical responses. Countertransference is examined as a co-created experience shaped by both therapist and patient dynamics. Emphasizing the importance of self-awareness, personal analysis, and supportive environments, this perspective offers insights to help early-career clinicians manage the unique emotional demands of working with personality pathology.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"289-293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Goals in Transference-Focused Psychotherapy (TFP): An Organizing Principle in the Treatment of Personality Disorders. 目标在移情心理治疗中的作用：人格障碍治疗的组织原则。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.337
Richard G Hersh, Eve Caligor
{"title":"The Role of Goals in Transference-Focused Psychotherapy (TFP): An Organizing Principle in the Treatment of Personality Disorders.","authors":"Richard G Hersh, Eve Caligor","doi":"10.1521/pdps.2025.53.3.337","DOIUrl":"10.1521/pdps.2025.53.3.337","url":null,"abstract":"<p><p>In transference-focused psychotherapy (TFP), an evidence-based treatment for patients with borderline personality disorder (BPD), the attention paid to establishing and tracking goals is both organizing and distinctive. The objective of this article is to describe TFP's unusual emphasis on first elucidating and then focusing on a patient's concrete, measurable personal goals. We review the critical distinction between the patient's goals and the therapist's goals. We also provide pertinent examples of material related to goals in TFP. The examination of the role of goals in the treatment of patients with BPD has significant salience given accumulating data that suggests that symptom remission does not reliably lead to enhanced functioning (sustained work/study performance, stable relations with a partner or parents) in this patient population.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"337-356"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychodynamic Psychiatrists Who Do Not Retire: Practice Wills and Patient Outcomes. 不退休的精神动力学精神病学家：实践遗嘱和病人的结果。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.301
Jennifer I Downey, César A Alfonso
{"title":"Psychodynamic Psychiatrists Who Do Not Retire: Practice Wills and Patient Outcomes.","authors":"Jennifer I Downey, César A Alfonso","doi":"10.1521/pdps.2025.53.3.301","DOIUrl":"10.1521/pdps.2025.53.3.301","url":null,"abstract":"<p><p>In this issue of <i>Psychodynamic Psychiatry</i>, we publish the clinical article \"Older Psychodynamic Psychiatrists: Practice Metrics and Subjective Observations,\" by Douglas Ingram and Myron Glucksman. The authors queried in depth a convenience sample of 20 psychodynamic psychiatrists 65 years of age or older who were still actively practicing and reporting deep satisfaction. A similar unpublished study by Judith Kantrowitz of psychoanalysts in the same age group found high degrees of investment and engagement in their survey participants. The editors commend these carefully and vividly described studies. We note that more attention needs to be paid to outcome in longtime patients who lose their psychodynamic or psychoanalytic clinicians to illness or death, in alignment with the bioethical principles of beneficence and nonmaleficence. A professional will is recommended to all clinicians, not just those beginning at 65, since sudden, unexpected inability to work may affect psychodynamic psychiatrists and psychoanalytic clinicians at any age. Patients may for a variety of reasons be uniquely vulnerable to unresolved grief reactions or other negative sequelae from disruptions in this important care.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"301-305"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Some Observations on Paleologic Thinking in Borderline Personality Disorder. 边缘型人格障碍患者的古生物学思维观察。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.294
Mark L Ruffalo
{"title":"Some Observations on Paleologic Thinking in Borderline Personality Disorder.","authors":"Mark L Ruffalo","doi":"10.1521/pdps.2025.53.3.294","DOIUrl":"10.1521/pdps.2025.53.3.294","url":null,"abstract":"<p><p>Paleologic thinking, a prelogical mode of reasoning described by Silvano Arieti, is characterized by emotion-driven, retrospective reasoning and has been observed in severe mental illnesses such as schizophrenia. The author explores its relevance to borderline personality disorder, an area that has been historically understudied. Patients with borderline personality disorder often regress into paleologic modes of thought during interpersonal distress, resulting in illogical conclusions driven by feelings rather than evidence. It is argued that this process underlies symptoms of paranoia, misperceptions of rejection, and interpersonal dysfunction. Historical perspectives linking borderline personality disorder and schizophrenia, as well as empirical findings from unstructured psychological tests, highlight overlaps in thought disorders between the two conditions. Clinical implications suggest that addressing paleologic thinking can improve treatment outcomes. Structured psychotherapies, such as transference-focused psychotherapy and dialectical behavior therapy, offer pathways to target and mitigate the impact of this pathological reasoning process in patients with borderline personality disorder.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"294-300"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Uniqueness of Greenlandic Psychiatry. 格陵兰精神病学的独特性。
Psychodynamic Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-06-05 DOI: 10.1521/pdps.2025.53.3.001
Goran Mijaljica
{"title":"The Uniqueness of Greenlandic Psychiatry.","authors":"Goran Mijaljica","doi":"10.1521/pdps.2025.53.3.001","DOIUrl":"10.1521/pdps.2025.53.3.001","url":null,"abstract":"<p><p>Greenland, the world's largest island, is home to approximately 57,000 people. Given the country's vast area and sparse population, the provision of psychiatric services can be challenging. Telemedicine and coastal visits contribute to the accessibility of psychiatric care outside of the capital, Nuuk, where the country's only psychiatry ward is located. Other specialty psychiatric services are provided through collaboration with hospitals in Denmark. One of the major challenges faced by Greenlandic psychiatry is high staff turnover, including a lack of permanent consultant psychiatrists. Considering the need for psychiatric services, as well as the world's highest suicide rate, Greenlandic psychiatry confronts a unique set of clinical challenges as it explores creative solutions tailored to its specific sociocultural needs. The author shares his personal experience having worked as a psychiatrist in Greenland.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":" ","pages":"281-288"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minds Love to Hate: A Mentalizing Approach to Self-Hatred and Negative Self-Representations in Eating Disorders. 心爱恨：饮食失调中自我憎恨和消极自我表征的心理化方法。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.357
Daniel Rochman
{"title":"Minds Love to Hate: A Mentalizing Approach to Self-Hatred and Negative Self-Representations in Eating Disorders.","authors":"Daniel Rochman","doi":"10.1521/pdps.2025.53.3.357","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.357","url":null,"abstract":"<p><p>Mentalization-based therapy (MBT) formulates eating disorders as disorders of the self. This article examines the meaning of self-hatred and self-directed negativity as manifestations of self-alienation and vulnerable mentalizing. Relevant concepts are examined to substantiate MBT as a clinical approach to negative self-representations and epistemic mistrust. In this context, MBT states that a clinician's not-knowing stance is crucial to help elucidate underlying states of mind. Additionally, representing the patient as possessing an agentic-self is seen as crucial to the generation of curiosity about rigidified definitions of the self. Clinical vignettes are provided, and guidelines relevant to clinical practice are proposed.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"357-374"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Older Psychodynamic Psychiatrists: Practice Metrics and Subjective Observations. 老年精神动力精神病学家：实践指标和主观观察。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.306
Douglas H Ingram, Myron Glucksman
{"title":"Older Psychodynamic Psychiatrists: Practice Metrics and Subjective Observations.","authors":"Douglas H Ingram, Myron Glucksman","doi":"10.1521/pdps.2025.53.3.306","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.306","url":null,"abstract":"<p><p>A survey of 20 older psychodynamic psychiatrists was conducted to determine practice metrics, venues of clinical care, and clinician's subjective observations. The post-pandemic normalization of teletherapy, societal acceptance of psychoactive medication into the practice of psychotherapy, significant advances in medical care for older persons, and increased utility of computer technology have enabled clinicians to work into their later years. The integration of supportive therapeutic techniques with psychoanalytic principles coupled with long-term weekly or biweekly treatment has largely replaced intensive formal psychoanalytic therapy of an earlier era. How aging may impact the therapeutic relationship and matters of health and mortality may need to enter the therapeutic dialogue. Minor deficits in cognitive function may be offset by note-taking and session reviews. The benefits of wisdom and experience often unburdened by the demands of earning a livelihood or furthering professional ambitions may render care by secure older psychodynamic psychiatrists effective.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"306-336"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mature Defense Mechanisms Positively Correlate with Narcissistic Traits of the Dark Triad Cluster of Personality Traits. 成熟防御机制与黑暗人格特质群中的自恋特征正相关。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.394
William H Gottdiener, Andrew White, Kim R Love, Tina Amiri
{"title":"Mature Defense Mechanisms Positively Correlate with Narcissistic Traits of the Dark Triad Cluster of Personality Traits.","authors":"William H Gottdiener, Andrew White, Kim R Love, Tina Amiri","doi":"10.1521/pdps.2025.53.3.394","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.394","url":null,"abstract":"<p><p>This study investigated the relation between defense mechanisms and Dark Triad traits using a cross-sectional correlational design with a sample (<i>N</i> = 307) recruited online using the Prolific platform. We hypothesized that immature defense mechanisms would positively correlate with the so-called Dark Triad traits of narcissism, psychopathy, and Machiavellianism. We found this hypothesis supported for psychopathy and Machiavellianism, but not narcissism. Instead, we found that mature defense mechanisms were positively correlated with narcissism. Our findings partly replicate previous research on this topic by Jonason and colleagues and Richardson and Boag.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"394-413"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Illness Anxiety and Interpersonal Guilt. 疾病、焦虑和人际内疚。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.414
Marta Rodini, Gaia Piscopiello, Martina Trevisan, David Kealy, Francesco Gazzillo
{"title":"Illness Anxiety and Interpersonal Guilt.","authors":"Marta Rodini, Gaia Piscopiello, Martina Trevisan, David Kealy, Francesco Gazzillo","doi":"10.1521/pdps.2025.53.3.414","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.414","url":null,"abstract":"<p><p><b>Introduction:</b> This study investigated the relationship between illness anxiety and interpersonal guilt as conceived in control-mastery theory. Additionally, we explored how illness anxiety symptoms relate to general anxiety, depression, alexithymia, autonomic nervous system reactivity, personality functioning impairment, sociodemographic factors, and childhood experiences. <b>Methods</b>: A sample of 201 participants completed measures of illness anxiety (Health Anxiety Questionnaire), interpersonal guilt (Interpersonal Guilt Rating Scale-20s), anxiety (State-Trait Anxiety Inventory), depression (Beck Depression Inventory-II), alexithymia (Toronto Alexithymia Scale-20), personality dysfunction (Level of Personality Functioning-Brief Form 2.0), and autonomic nervous reactivity (Body Perception Questionnaire-22). Sociodemographic and childhood traumas and adverse experiences data were collected via an ad hoc questionnaire. <b>Results</b>:. Individuals with worried and autonomy-limiting caregivers reported higher levels of illness anxiety. Correlation analyses revealed significant positive associations with illness anxiety and all the variables measured. As expected, partial correlation demonstrated that separation/disloyalty guilt and burdening guilt are the most associated with illness anxiety symptoms. Unexpectedly, however, survivor guilt lost significance when controlling for other types of guilt. Hierarchical multiple regression identified anxiety as the strongest overall predictor of illness anxiety, followed by separation/disloyalty guilt and bodily reactivity indices. <b>Discussion</b>:. This study suggests that interpersonal guilt may be a key component in sustaining illness anxiety symptoms in anxious people. In particular, the interplay between anxiety, separation/disloyalty guilt, and autonomic overreactivity appears to contribute to illness anxiety concerns and behaviors. Working on these aspects may be essential for positive long-term outcomes of psychotherapy.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"414-436"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An American Psychotherapy: Finding the Patient in History and Dreams. 美国心理治疗：在历史和梦境中寻找病人。
Psychodynamic Psychiatry Pub Date : 2025-09-01 DOI: 10.1521/pdps.2025.53.3.375
Cathy R Schen
{"title":"An American Psychotherapy: Finding the Patient in History and Dreams.","authors":"Cathy R Schen","doi":"10.1521/pdps.2025.53.3.375","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.3.375","url":null,"abstract":"<p><p>This article immerses the reader in the psychoanalytically oriented psychotherapy of an adult patient suffering from extreme loneliness. It describes healing that occurs slowly and involves the psychotherapist's active searching-through historical research, dreaming, and countertransference-to locate and recognize the patient. It demonstrates how the confluence of personal history with larger sociohistorical forces can be revealed through enactment in the transference and countertransference.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 3","pages":"375-393"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信