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The Uniqueness of Greenlandic Psychiatry. 格陵兰精神病学的独特性。
Psychodynamic Psychiatry Pub 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":"https://doi.org/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":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","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
The Great Mother-A Case of Pseudocyesis Illustrating the Power of Motherhood and Archetypes in Psychosis Remission. 伟大的母亲——一个说明母性和原型在精神病缓解中的力量的假性案例。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.205
Andrew John Howe, Hamish Peagam, Arsime Demjaha
{"title":"The Great Mother-A Case of Pseudocyesis Illustrating the Power of Motherhood and Archetypes in Psychosis Remission.","authors":"Andrew John Howe, Hamish Peagam, Arsime Demjaha","doi":"10.1521/pdps.2025.53.2.205","DOIUrl":"10.1521/pdps.2025.53.2.205","url":null,"abstract":"<p><p>This case report highlights the potential role of the Jungian archetype in the case of pseudocyesis and its ability to alleviate psychic distress and symptoms of psychosis. In this article, we review the archetype concept in Jungian and biological terms. We then focus on the Great Mother archetype, which has been expressed in human culture since its beginning in various archetypal images and themes. Using these theories, we present a case of pseudocyesis to illustrate how the potential of pregnancy and the prospect of motherhood psychologically led to improvements in mental state, specifically psychotic symptoms.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"205-214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200266","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
Countertransference Inside and Outside Sessions: The Impact of Countertransference on the Therapist's Post-Session Elaboration. 会议内外的反移情：反移情对治疗师会后阐述的影响。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.215
Francesco De Bei, Attà Negri, Gaia Dell'Arciprete, Diego Rocco
{"title":"Countertransference Inside and Outside Sessions: The Impact of Countertransference on the Therapist's Post-Session Elaboration.","authors":"Francesco De Bei, Attà Negri, Gaia Dell'Arciprete, Diego Rocco","doi":"10.1521/pdps.2025.53.2.215","DOIUrl":"10.1521/pdps.2025.53.2.215","url":null,"abstract":"<p><p><b>Objective:</b> Countertransference research has demonstrated the importance of countertransference management for successful therapy outcomes. In this study we expand the notion of countertransference management by investigating the relationship between countertransference experienced within sessions and the elaborative activity taking place between sessions. <b>Method</b>: Twenty-three in-training psychotherapists were asked to rate their emotional reactions through the Therapist Response Questionnaire at the end of 69 counseling sessions and to complete a Post Session Therapist Questionnaire, an instrument assessing three relevant reflexivity activities in the post-session time. The 69 sessions were also recorded, transcribed, and evaluated by three external raters, who applied the Countertransference Behavior Measure. <b>Results:</b> Results showed significant correlations between some dimensions of countertransference experienced in the session and some dimensions of the therapists' post-session working through. <b>Conclusion:</b> Our results highlight the centrality of therapists' in-between session reflexivity processes in addition to awareness of countertransference within sessions, a process that has a potential impact on therapeutic outcomes.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"215-234"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200358","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
Information for Authors. 作者信息。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.282
{"title":"Information for Authors.","authors":"","doi":"10.1521/pdps.2025.53.2.282","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.2.282","url":null,"abstract":"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"282-283"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200262","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
Mourning and Psychosis-Finding Connections between Recovery Frameworks and Psychoanalytic Theory. 哀悼与精神病——寻找康复框架与精神分析理论之间的联系。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.151
Yael Holoshitz, Deborah Cabaniss
{"title":"Mourning and Psychosis-Finding Connections between Recovery Frameworks and Psychoanalytic Theory.","authors":"Yael Holoshitz, Deborah Cabaniss","doi":"10.1521/pdps.2025.53.2.151","DOIUrl":"10.1521/pdps.2025.53.2.151","url":null,"abstract":"<p><p>The recovery movement for serious mental illness emphasizes holistic, person-centered care. Clinical innovation, policy, and research in recovery has focused on identity, empowerment, and meaning. Psychoanalytic theories, which emphasize identity formation, stress the developmental importance of mourning on separation, autonomy, and identity consolidation. These approaches can meaningfully complement each other. Therapeutic interventions based on a psychoanalytic conceptualization of mourning can help individuals with psychosis acknowledge and grieve their losses and disappointments, enhancing recovery-oriented treatment by fostering identity development, agency, and meaning.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200263","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
Erik Erikson, Place, and Being at Home in the World. 埃里克·埃里克森：《地方与世界上的家》。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.168
Matthew Gildersleeve, Andrew Crowden
{"title":"Erik Erikson, Place, and Being at Home in the World.","authors":"Matthew Gildersleeve, Andrew Crowden","doi":"10.1521/pdps.2025.53.2.168","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.2.168","url":null,"abstract":"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"168-171"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200260","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
On the Borderline Syndrome and Its Relationship to Schizophrenia. 边缘性心理综合症及其与精神分裂症的关系。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.162
Mark L Ruffalo
{"title":"On the Borderline Syndrome and Its Relationship to Schizophrenia.","authors":"Mark L Ruffalo","doi":"10.1521/pdps.2025.53.2.162","DOIUrl":"10.1521/pdps.2025.53.2.162","url":null,"abstract":"<p><p>This article explores the historical and phenomenological overlap between borderline personality disorder and schizophrenia, highlighting the presence of frank psychotic symptoms and psychotic and psychotic-like thinking in borderline psychopathology. Early theorists conceptualized borderline personality as a schizophrenia-like syndrome, and many pioneers in the understanding of borderline pathology began their careers with interest in schizophrenia. Similarities between the two syndromes include affect-laden perception; ideas of reference; paranoid tendencies, especially suspicious and reactive jealousy; and regression to paleologic rather than logical modes of thought. It is argued that these similarities may demonstrate the borderline syndrome's adjacency to schizophrenia on the continuum of psychopathology. This has potential relevance to the ongoing debate surrounding the appropriateness of the term <i>borderline</i> to describe this clinical syndrome.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200264","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
Revisiting Randomized Controlled Trials: Reassessing Their Role as the Gold Standard for Evidence-Based Treatments. 重新审视随机对照试验：重新评估其作为循证治疗黄金标准的作用。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.157
Angela J Zaur
{"title":"Revisiting Randomized Controlled Trials: Reassessing Their Role as the Gold Standard for Evidence-Based Treatments.","authors":"Angela J Zaur","doi":"10.1521/pdps.2025.53.2.157","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.2.157","url":null,"abstract":"<p><p>Randomized controlled trials (RCTs) have traditionally been the gold standard for determining whether a treatment is empirically supported. Nevertheless, there has been an increase in criticism of RCTs for psychotherapeutic research due to their high rate of biases, lack of replicability, and discrepancies in real-world applications. The author discusses the weaknesses of RCTs and the need to refine how we view psychotherapeutic treatments as efficacious.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"157-161"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200265","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
Dialectical Tensions and Metaperspectives in Supervision. 监督中的辩证张力与元视角。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.184
Hanoch Yerushalmi
{"title":"Dialectical Tensions and Metaperspectives in Supervision.","authors":"Hanoch Yerushalmi","doi":"10.1521/pdps.2025.53.2.184","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.2.184","url":null,"abstract":"<p><p>The supervisory dialogue about the meanings of the supervisee's therapeutic experiences is characterized by both facilitative and disruptive underlying forces. Partly, the disruptive forces pertain to transferences that result from either repression or dissociation and require exploration and interpretation. They also partly pertain to dialectical tensions resulting from differences and contradictions. In this article I focus on the dialectical tensions that result from the difference between the participants' fundamental motivations to assert themselves; these tensions require mutual recognition to overcome them. I also discuss tensions that result from inherent different perspectives on the narrated therapeutic interaction and that require adopting metaperspectives to overcome them. Resolving dialectical tensions helps the participants achieve a higher-order conceptualization of the supervisee's therapeutic experiences and grow personally and professionally.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"184-204"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200259","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
Exploring Interpersonal Guilt: Association with Emotion Dysregulation, Mentalization, Frustration Intolerance, and Body Appreciation. 探讨人际内疚感：与情绪失调、心理化、挫折不容忍和身体欣赏的关系。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.235
Jessica Leonardi, Federico Dazzi, Francesco Gazzillo
{"title":"Exploring Interpersonal Guilt: Association with Emotion Dysregulation, Mentalization, Frustration Intolerance, and Body Appreciation.","authors":"Jessica Leonardi, Federico Dazzi, Francesco Gazzillo","doi":"10.1521/pdps.2025.53.2.235","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.2.235","url":null,"abstract":"<p><p><b>Introduction:</b> This study explored the relationship between different types of interpersonal guilt as conceived according to control-mastery theory and emotion dysregulation, mentalization, frustration intolerance, and body appreciation. <b>Methods:</b> We recruited 200 participants to whom we administered the Interpersonal Guilt Rating Scale-20, the Difficulties in Emotion Regulation Scale-Short Form, the Reflective Functioning Questionnaire-8, the Frustration Discomfort Scale, the Body Appreciation Scale-2, and a sociodemographic schedule. <b>Results:</b> The data revealed that self-hate and burdening guilt were positively associated with emotion dysregulation and negatively associated with body appreciation. Frustration intolerance correlated with burdening guilt, while mentalization impairments were linked to self-hate. Both constructs also positively correlated with separation/disloyalty guilt. <b>Discussion:</b> The findings of this study underline the association between several guilt-related pathogenic beliefs and relevant psychopathological factors such as emotional dysregulation, mentalization difficulties, frustration intolerance, and body dissatisfaction. Among the pathogenic beliefs investigated, a particular role is played by the belief that one is bad, inadequate, and undeserving; the belief that one's own emotions, needs, and way of being is a burden to other people; and the beliefs that separating physically or psychologically from important others may hurt them. The clinical implications of these finds are discussed.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"235-257"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200261","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
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