Psychodynamic Psychiatry最新文献_第5页

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":"In this issue of Psychodynamic Psychiatry, 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 A similar unpublished study by Judith Kantrowitz of psychoanalysts in the same age group found high degrees of investment and engagement in their survey participants.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.","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":"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.","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

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

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

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

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

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":"10.1521/pdps.2025.53.3.414","url":null,"abstract":"Introduction: 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. Methods: 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. Results:. 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. Discussion:. 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.","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

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

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":"Objective: 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. Method: 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. Results: Results showed significant correlations between some dimensions of countertransference experienced in the session and some dimensions of the therapists' post-session working through. Conclusion: 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.","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