Psychodynamic Psychiatry最新文献_第6页

Unconscious Communications by the Body in Catatonia-A Jungian Perspective. 从Jungian的角度来看，身体在紧张症中的无意识交流。

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.249

Andrew John Howe

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Navigating Countertransference in Inpatient Settings: Optimizing Interventions for Patients with Borderline Personality Disorder and Repeated Acute Hospitalizations. 在住院环境中引导反迁移：优化边缘型人格障碍和反复急性住院患者的干预措施。

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.330

Deborah Lin, Luke Zona, Erin Seery

{"title":"Navigating Countertransference in Inpatient Settings: Optimizing Interventions for Patients with Borderline Personality Disorder and Repeated Acute Hospitalizations.","authors":"Deborah Lin, Luke Zona, Erin Seery","doi":"10.1521/pdps.2023.51.3.330","DOIUrl":"10.1521/pdps.2023.51.3.330","url":null,"abstract":"Over the years, the psychiatric inpatient treatment paradigm has shifted to more brief stays focused on acute stabilization and psychopharmacologic-focused interventions, rather than individual psychotherapeutic engagement. Unfortunately, this has allowed patients with complex interpersonal dynamics, particularly borderline personality disorder, to slip through the cracks of effective treatment. This can contribute to repeated inpatient admissions, where both patients and clinicians feel trapped in a maladaptive, unhelpful cycle. In this article, we examine the evolution of inpatient treatment with de-emphasized psychotherapy practices, review the particular dynamics that patients with borderline personality disorder may evoke within an interdisciplinary treatment team, and provide a framework of clinically based vignettes for scenarios that may arise within inpatient treatment of this patient population. With attention to countertransference patterns and common pitfalls of communication, we offer alternative approaches and conversations with the hopes of improving outcomes and alliances in a new landscape of psychiatric practice.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"330-349"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633038","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}

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Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.381

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Revisiting the Concept of Pensée Opératoire: Some Conceptual, Empirical, and Clinical Considerations. 重新审视作品的概念：一些概念、经验和临床考虑。

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.287

Graeme J Taylor, R Michael Bagby, Piero Porcelli

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Maladaptive Personality Traits of Inpatients with Self-Harm Behavior and Its Association with Suicide Intent Severity. 住院自残行为患者适应不良人格特征及其与自杀意图严重程度的关系。

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.350

Andre Teck Sng Tay, Samuel Eng Teck Cheng

{"title":"Maladaptive Personality Traits of Inpatients with Self-Harm Behavior and Its Association with Suicide Intent Severity.","authors":"Andre Teck Sng Tay, Samuel Eng Teck Cheng","doi":"10.1521/pdps.2023.51.3.350","DOIUrl":"10.1521/pdps.2023.51.3.350","url":null,"abstract":"Introduction: Inpatients with self-harm behavior utilize a high proportion of health care resources, and determining their suicide risk may be challenging. This study examines how maladaptive personality traits in people who self-harm are associated with suicide intent severity. Methods: This was a 5-month cross-sectional study. The International Personality Disorders Examination (IPDE) ICD-10 questionnaire, Beck's Suicide Intent Scale (SIS), and the Depression Anxiety Stress Scale (DASS) 21 were administered. Sociodemographic and clinical data were recorded with STATA version 10.1 for statistical analyses. Results: Thirty-seven out of 40 (92.50%) inpatients participated in this study. About two-thirds (n = 24, 64.86%) were first-time self-harmers, with self-poisoning (n = 33, 89.19%) being the most common method. About two-thirds (n = 24, 64.86%) had low to moderate suicide intent. The most common diagnosis was adjustment disorder (n = 21, 56.76%). Around one-third had at least severe ratings for depressive, anxiety, and stress symptoms. All screened positive for at least one class of maladaptive personality traits, with the majority (n = 33, 89.19%) having more than one class of maladaptive personality traits. The three most prevalent classes of maladaptive personality traits were anankastic (n = 28, 75.68%), schizoid (n = 25, 67.57%), and paranoid (n = 23, 62.16%). Only dissocial traits were positively correlated with suicide intent severity (regression coefficient = 1.37, p = .017) following adjustment for the most important confounder, DASS 21. Discussion: Maladaptive personality traits were common in inpatients with self-harm behavior, with dissocial traits being positively correlated with suicide intent severity. This finding may inform suicide prevention strategies for patients who self-harm.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"350-373"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10337442","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}

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Do Psychedelics Facilitate Emergence of Unconscious Psychological Processes? 迷幻药会促进无意识心理过程的出现吗？

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.270

Tomas Lindegaard

{"title":"Do Psychedelics Facilitate Emergence of Unconscious Psychological Processes?","authors":"Tomas Lindegaard","doi":"10.1521/pdps.2023.51.3.270","DOIUrl":"10.1521/pdps.2023.51.3.270","url":null,"abstract":"Psychedelic substances have a long history of use in traditional healing and religious ceremonies worldwide and are increasingly being investigated for their possible therapeutic usage. However, there is still a lack of consensus regarding how best to characterize the psychological effects of psychedelics and how they bring about the positive therapeutic outcomes observed in clinical studies. The aim of this article is to review available evidence from quantitative and qualitative studies on psychedelic-assisted therapy, as well as neurobiological studies, in relation to the hypothesis that psychedelics facilitate the emergence of emotionally charged unconscious material, originally proposed by pioneering psychedelics researcher Stanislav Grof. The reviewed process studies of therapeutic mechanisms in psychedelic-assisted therapy and qualitative studies of treatment participants clearly indicate that the psychedelic experience is associated with the subjective experience of having increased access to and awareness of emotions, memories, and perceptions that are normally avoided or outside of conscious awareness. Brain-imaging studies point to several different neurobiological effects of psychedelics that might be related to these subjective psychological experiences. Available evidence also indicates that this process might constitute an important therapeutic mechanism in psychedelic-assisted therapy, worthy of further investigation.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"270-286"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633037","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}

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Psychodynamic Psychiatry and Psychoanalysis in Thailand. 泰国的精神动力精神病学和精神分析。

Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.261

Rasmon Kalayasiri, Kanthee Anantapong, Poom Chompoosri, Warut Aunjitsakul

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The Development of Psychodynamic Psychiatry in Iran. 伊朗精神动力精神病学的发展。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.160

Saman Tavakoli

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Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.249

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Clinical Implications of Countertransference in the Treatment of Addictions. 反移情在成瘾治疗中的临床意义。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.133

César A Alfonso

{"title":"Clinical Implications of Countertransference in the Treatment of Addictions.","authors":"César A Alfonso","doi":"10.1521/pdps.2023.51.2.133","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.2.133","url":null,"abstract":"The author provides a historical overview of the psychodynamics of addiction with particular emphasis on countertransference awareness and its relationship with treatment outcomes and prognosis. Countertransferences that frequently occur in the treatment of substance use disorders include shared helplessness, hopelessness, sadness, anxiety, fear, anger, rage, shame, and guilt. These emotional states in clinicians may lead to fatigue, avoidance, and acting out unless therapists are able to ground themselves and disidentify with the projected affective states. Positive emotions may lead to excessive enthusiasm in clinicians and deflect from the therapeutic process, resulting in deviation from established practice guidelines. Coexisting negative and positive affective states may lead to rescue fantasies and transgressions of boundaries. Contemporary psychodynamic clinicians appreciate the quantitative aspect of emotional reactions, where countertransferences accumulate exponentially over time, causing allostatic overload and compassion fatigue. Unanalyzed negative countertransferences are linked to either clinical avoidance or aggression, resulting in withdrawing care, failure of empathy, and dissolution or fragmentation of the therapeutic alliance. The negativism associated with the treatment of addictions may be rooted in unanalyzed countertransferences and psychosocial factors such as internalized negative societal attitudes and stigma. Degrading and dehumanizing attitudes toward people with substance use disorders could stem from internalized negative societal constructs against disenfranchised, minoritized, and stigmatized persons. This editorial introduces the work of Bernardine Han, an addiction psychiatrist who utilizes psychodynamic concepts to guide interventions with people with substance use disorders.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 2","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598399","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