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Aggression in Psychodynamic Psychotherapy and Supervision: Becoming a More Effective Therapist. 心理动力学心理治疗和督导中的攻击行为：成为更有效的治疗师。
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.96
Elizabeth L Shapiro
{"title":"Aggression in Psychodynamic Psychotherapy and Supervision: Becoming a More Effective Therapist.","authors":"Elizabeth L Shapiro","doi":"10.1521/pdps.2024.52.1.96","DOIUrl":"10.1521/pdps.2024.52.1.96","url":null,"abstract":"<p><p>Access to one's healthy aggression is critical for both patient and therapist. On the patient's end, the ability to access and modulate aggression is fundamental to the establishment of healthy self-esteem and the capacity to sustain relationships and pursue life goals. On the therapist's end, access to aggression allows for the setting of a secure therapeutic frame and the subsequent conduct of the deep work of therapy. Conversely, lack of access to aggression creates burdensome and problematic situations that may subvert the treatment. Beginning therapists have a particular susceptibility to minimize their own aggression given certain factors in their choice of profession. Supervisors' modeling of the experience of aggression, as well as the provision of a safe atmosphere in which new clinicians become comfortably aware of their own and their patients' aggression, will help fortify beginning therapists' capacity to harness their aggression in the service of the work.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"96-113"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997680","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
Character Change in Less Frequent Therapies: Psychodynamic and Transference Implications. 少见疗法中的性格变化：心理动力学和移情的影响。
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.80
Milton Viederman
{"title":"Character Change in Less Frequent Therapies: Psychodynamic and Transference Implications.","authors":"Milton Viederman","doi":"10.1521/pdps.2024.52.1.80","DOIUrl":"10.1521/pdps.2024.52.1.80","url":null,"abstract":"<p><p>An approach to a once-weekly, or bimonthly (every second week), ongoing psychodynamic psychotherapy is described. The detailed description of individual sessions is intended to show the process of the uncovering of unconscious phenomena using this approach, though the therapies described are not complete. Important changes that have already occurred are described. The approach is characterized by a direct method of discovery of early painful situations that underlie specific problematic experiences in the present. The therapeutic stance is designed to establish a collaborative relationship with the patient that becomes the substrate of the relationship and often leads to an identification with the therapist who becomes an ongoing presence in the patient's life.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"80-95"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997681","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
Fifty Years of Change: A Shared Journey. 五十年的变革：共同的旅程。
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.25
Silvia W Olarte
{"title":"Fifty Years of Change: A Shared Journey.","authors":"Silvia W Olarte","doi":"10.1521/pdps.2024.52.1.25","DOIUrl":"10.1521/pdps.2024.52.1.25","url":null,"abstract":"<p><p>The author shares a personal account of 50 years of experience practicing psychodynamic psychiatry and psychoanalysis after migrating from Argentina to the United States. Her career developed in parallel as a clinician and as an academic psychiatrist, with leadership roles in the American Psychiatric Association, the Association of Women Psychiatrists, and the American Academy of Psychodynamic Psychiatry and Psychoanalysis. After describing what constitutes the essence, substance, and form of psychoanalysis, she reviews the historic shift within psychoanalysis in the United States from intrapsychic dyadic practice with selected patients to the application of psychodynamic concepts to everyday psychiatric care of patients with complex morbidities in multiple clinical settings.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"25-45"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997682","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 End of Evolution. 进化的终结
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.46
Richard Brockman
{"title":"The End of Evolution.","authors":"Richard Brockman","doi":"10.1521/pdps.2024.52.1.46","DOIUrl":"10.1521/pdps.2024.52.1.46","url":null,"abstract":"<p><p>Charles Darwin's theory of evolution was founded on the core belief that natural history is one of slow, incremental change, a concept he called \"speciation.\" A hundred years later Eldredge and Gould challenged Darwin's theory, arguing that the data of paleontology reveals something quite different: long periods of stasis followed by bursts of change, a concept they called \"punctuated equilibria.\" This article will follow that progression and then describe the three punctuated equilibria that I believe led to <i>Homo sapiens</i>. I argue that two of the three transitions are revealed in the hard data of the fossil record. The third is in the soft tissue of the brain. This third punctuated equilibrium placed <i>Homo sapiens</i> outside of evolution. Its arrival, 50,000 years ago, marked the beginning of the end of evolution.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"46-67"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997688","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
Psychoanalytic Contributions to Psychodynamic Psychiatry and Psychotherapy: Erik Erikson's Psychosocial Developmental Theory. 精神分析对心理动力学精神病学和心理疗法的贡献：埃里克-埃里克森的社会心理发展理论。
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.18
Richard B Corradi
{"title":"Psychoanalytic Contributions to Psychodynamic Psychiatry and Psychotherapy: Erik Erikson's Psychosocial Developmental Theory.","authors":"Richard B Corradi","doi":"10.1521/pdps.2024.52.1.18","DOIUrl":"10.1521/pdps.2024.52.1.18","url":null,"abstract":"<p><p>Erik Erikson gives us a comprehensive psychosocial schema encompassing the life cycle from birth to death. In elucidating key issues at each life stage-the epigenetic crises-he defines important parameters of development that distinguish between the normative and the pathologic. Individuals at any developmental stage can be evaluated with respect to these fundamental milestones.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997686","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
Individuals with Nazi and Nazi-Sympathizer Family History: Psychotherapeutic Issues. 有纳粹和纳粹支持者家族史的人：心理治疗问题。
Psychodynamic Psychiatry Pub Date : 2024-03-01 DOI: 10.1521/pdps.2024.52.1.13
Joanne Wieland-Burston
{"title":"Individuals with Nazi and Nazi-Sympathizer Family History: Psychotherapeutic Issues.","authors":"Joanne Wieland-Burston","doi":"10.1521/pdps.2024.52.1.13","DOIUrl":"10.1521/pdps.2024.52.1.13","url":null,"abstract":"<p><p>This article presents the findings of an ongoing supervision group (founded in 1999) researching the after-effects of the Nazi period on people in psychotherapy in Germany today. The unacknowledged collective shadow hidden behind half-truths, prevarications, and silence itself prevents a genuine working through of the Nazi past. Patients' lack of knowledge concerning their families' own past leads to unconscious guilt, which often then leads to psychosomatic disturbances. But this is not only a problem in Germany. Unacknowledged collective shadows are prevalent in many countries worldwide. Psychological difficulties on the individual and societal levels result.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 1","pages":"13-17"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997684","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
Il Genere come il Nuovo Linguaggio di Ribellione dell'Adolescenza. 性别是青春期叛逆的新语言。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.Supp.Italian
David L Lopez, Alejandra Wortman
{"title":"Il Genere come il Nuovo Linguaggio di Ribellione dell'Adolescenza.","authors":"David L Lopez, Alejandra Wortman","doi":"10.1521/pdps.2023.51.4.Supp.Italian","DOIUrl":"10.1521/pdps.2023.51.4.Supp.Italian","url":null,"abstract":"<p><p>Il crescente numero di adolescenti con identità di <i>genere non conforme</i> sembra essere associato a quello che gli autori considerano essere, in epoca contemporanea, una manifestazione del fenomeno della <i>crisi d'identità dell'adolescente.</i> Questa si presenta con un deliberato rifiuto del proprio genere e con una rivalutazione dei ruoli e delle norme di genere convenzionali. La crisi d'identità dell'adolescente, così come inizialmente concepita da Erik Erikson (1956), costituisce un fenomeno poliedrico inconscio che si manifesta nel contesto familiare e sociale. Gli autori conducono una revisione storica della terminologia pertinente, seguita dalla presentazione di quattro casi clinici, selezionati al fine di illustrare questo fenomeno ed i conflitti familiari che comunemente ne derivano. Successivamente, viene riportato un caso clinico specifico che concerne il processo di valutazione clinica, la diagnosi psicodinamica, le considerazioni sul trattamento psicoterapeutico ed il lavoro con i genitori. Sono inoltre citate le fonti di informazione disponibili per i pazienti e per le loro famiglie. Al fine di proteggere la privacy e la riservatezza dei pazienti, i casi clinici sono raccontati in modo combinato. Infine, gli autori concludono l'articolo con un invito rivolto alla comunità scientifica a condurre indagini prospettiche a lungo termine su questo nuovo fenomeno clinico.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627965","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
Online Balint Groups in Iran during the Covid-19 Pandemic. 2019冠状病毒病大流行期间伊朗的在线巴林小组。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.397
Mansoureh Kiani Dehkordi, Amirhossein Shamsi, Shahin Shakhi
{"title":"Online Balint Groups in Iran during the Covid-19 Pandemic.","authors":"Mansoureh Kiani Dehkordi, Amirhossein Shamsi, Shahin Shakhi","doi":"10.1521/pdps.2023.51.4.397","DOIUrl":"10.1521/pdps.2023.51.4.397","url":null,"abstract":"<p><p>When Covid-19 was declared a pandemic, most people felt helpless, fearful, and demoralized while health care workers put their own lives at risk to support and heal others. The uncertainties expressed by experts and the ambiguous and protracted nature of the pandemic compounded the sense of frustration caused by the scarcity of protective equipment and effective medications. This combination of factors led to exhaustion, burnout, and moral injury. As a result, mental health practitioners worldwide realized that health care staff needed to stay motivated and resilient. Our contribution in this regard was to start Balint groups throughout Iran, online, for a full year. We learned some lessons worth sharing. Our insights were wrapped around challenges but proved helpful to preserve the integrity of delivering medical services in times of crisis.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"397-400"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478738","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
Author Index to Volume 51. 第51卷作者索引。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.511
{"title":"Author Index to Volume 51.","authors":"","doi":"10.1521/pdps.2023.51.4.511","DOIUrl":"10.1521/pdps.2023.51.4.511","url":null,"abstract":"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"511-514"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478810","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
Psychoanalytic Contributions to Psychodynamic Psychiatry: Freud's Anxiety Theory. 精神分析对精神动力精神病学的贡献:弗洛伊德的焦虑理论。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.386
Richard B Corradi
{"title":"Psychoanalytic Contributions to Psychodynamic Psychiatry: Freud's Anxiety Theory.","authors":"Richard B Corradi","doi":"10.1521/pdps.2023.51.4.386","DOIUrl":"10.1521/pdps.2023.51.4.386","url":null,"abstract":"<p><p>In many academic centers a generation of psychiatrists has undergone training with little or no exposure to Freud's contributions to our profession. Our profession is diminished if we ignore Freud's remarkable insights into the human psyche. Not only does Freud give us a comprehensive theory of human nature-of our mental life and its psychopathology-his concepts are foundational to dynamic psychiatry and its psychotherapeutic application. This article describes one of his core concepts: Freud's theory of anxiety.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"386-391"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478739","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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