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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":"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":"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":"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
Clarification: A Powerful Therapeutic Strategy in Psychodynamic Psychotherapy. 澄清：心理动力学心理治疗中的一种强有力的治疗策略。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.172
Milton Viederman
{"title":"Clarification: A Powerful Therapeutic Strategy in Psychodynamic Psychotherapy.","authors":"Milton Viederman","doi":"10.1521/pdps.2025.53.2.172","DOIUrl":"10.1521/pdps.2025.53.2.172","url":null,"abstract":"<p><p>This article addresses the question of how individuals construct their picture of reality and develop a sense of meaning in their lives. This question is pertinent to effecting and understanding change in the process of psychodynamic psychotherapy and psychoanalysis. Three themes are explored. The description and utilization of a particular form of clarification that is not described in the psychoanalytic literature is followed by an illustration of how this form of clarification creates order and cohesion in one's life. This is further developed by a discussion of how the philosophical concept of constructivism enriches this awareness. Patient anecdotes illustrate these themes.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"172-183"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200357","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
Trauma, Epigenetic Alterations, and Psychotherapy. 创伤、表观遗传改变和心理治疗。
Psychodynamic Psychiatry Pub Date : 2025-06-01 DOI: 10.1521/pdps.2025.53.2.143
Shabnam Nohesara, César A Alfonso
{"title":"Trauma, Epigenetic Alterations, and Psychotherapy.","authors":"Shabnam Nohesara, César A Alfonso","doi":"10.1521/pdps.2025.53.2.143","DOIUrl":"10.1521/pdps.2025.53.2.143","url":null,"abstract":"<p><p>Psychotherapy was until recently described from a biological standpoint as causing structural changes in the brain and physiological alterations of neurotransmission pathways. Current research recognizes that psychotherapy also causes changes at the level of the DNA, with alterations in epigenetic mechanisms that correlate with symptom reduction and treatment response. The authors provide a brief overview of the evolving research in epigenetics, highlighting the association between trauma, DNA methylation patterns of specific gene regions, and psychiatric disorders. They also review several studies that show that various evidence-based psychotherapy interventions recalibrate these DNA methylation abnormalities. Finally, they identify studies that measured DNA methylation of BDNF and HTR3A genes and suggest that these may serve as biological markers of response to psychotherapy.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 2","pages":"143-150"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200267","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
Can Graduate Students Rate Personality Reliably in Psychoanalytic Treatments Using the Shedler-Westen Assessment Procedure (SWAP-200)? 研究生在使用shedler - western评估程序（SWAP-200）进行精神分析治疗时能否可靠地评价人格？
Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.102
Daniel S Spina, Katie Aafjes-van Doorn, Sarah J Horne, Francesco Gazzillo, Federica Genova, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron
{"title":"Can Graduate Students Rate Personality Reliably in Psychoanalytic Treatments Using the Shedler-Westen Assessment Procedure (SWAP-200)?","authors":"Daniel S Spina, Katie Aafjes-van Doorn, Sarah J Horne, Francesco Gazzillo, Federica Genova, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1521/pdps.2025.53.1.102","DOIUrl":"10.1521/pdps.2025.53.1.102","url":null,"abstract":"<p><p><b>Introduction:</b> Psychotherapy researchers often recruit students to code psychotherapy process and outcome variables on individual therapy sessions. To do so, graduate students read verbatim psychotherapy transcripts, listen to audio or watch video of psychotherapy sessions, and then rate process and outcome measures on these sessions. Although prior studies have investigated the reliability and validity of graduate student ratings of personality dysfunction, no current study has investigated the reliability and validity of these ratings made on the basis of psychotherapy transcripts and audio. In this study, we evaluated the degree to which graduate students can reliably and validly code observer-rated personality assessments on the Shedler-Westen Assessment Procedure-200 (SWAP-200). <b>Methods:</b> We related graduate student and experienced clinician-researcher's SWAP-200 scores in an existing dataset of 27 patients undergoing psychoanalytic psychotherapy at early and late phases of treatment. <b>Results:</b> Using truth and bias multilevel models, we found that graduate students tended to underestimate personality pathology at the early phase of treatment and overestimate pathology at the late phase in treatment. These responses resulted in smaller effect sizes in the graduate student ratings, such that patients' personality functioning did not appear to change following treatment. By contrast, the experienced clinician's scores supported moderate to large effect sizes in personality change. <b>Discussion:</b> These deviations from expert judgment may have significant ramifications for evaluating pre and post effect sizes in psychotherapy process studies using graduate student coding. Suggestions for research and practice are discussed.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 1","pages":"102-120"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651206","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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