Psychodynamic Psychiatry最新文献_第7页

Restarting Track II Diplomacy in Intractable Conflicts: How Psychoanalytic Concepts May Be Relevant. 在棘手的冲突中重新启动第二轨道外交:精神分析概念如何相关。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.206

Neil Krishan Aggarwal, Amarjit Singh Dulat, General Asad Durrani

{"title":"Restarting Track II Diplomacy in Intractable Conflicts: How Psychoanalytic Concepts May Be Relevant.","authors":"Neil Krishan Aggarwal, Amarjit Singh Dulat, General Asad Durrani","doi":"10.1521/pdps.2023.51.2.206","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.2.206","url":null,"abstract":"Since the 1980s, psychiatrists, psychologists, and diplomats have proposed psychoanalytic theories to inform peacemaking in international relations through Track II negotiations, defined as unofficial meetings among influential stakeholders with access to government policymakers. These contributions have focused on initiating or maintaining Track II negotiations (Aggarwal et al., 2023). In this article, we apply psychoanalytic concepts to the problem of restarting negotiations that have previously failed. This study introduces theories based on a dialogue that a cultural psychiatrist trained in South Asian Studies moderated with the past directors of India's and Pakistan's foreign intelligence agencies to consider how both countries could recommence negotiations. The two former directors have participated together in five Track II initiatives between India and Pakistan. All three authors reviewed best practices for addressing impediments to Track II negotiations and how Track II negotiations may be reinstituted once stalled. We did this in a far-reaching discussion devoted to the psychology of peacemaking. We introduce the theories of trust as interpersonal authenticity, the normalization of conflicts, the back channel as a process to work through diplomatic resistance, and negotiator selection criteria. Our theories and method present new ways to apply psychoanalytic concepts to diplomacy.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 2","pages":"206-223"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592581","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

Autism Spectrum Disorders: There Remains a Place for Psychodynamic Psychiatry through Neuroplasticity, Emotion Regulation, Caring Connections, and Hope. 自闭症谱系障碍:通过神经可塑性、情绪调节、关怀联系和希望，精神动力精神病学仍有一席之地。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.152

William M Singletary, Timothy Rice

{"title":"Autism Spectrum Disorders: There Remains a Place for Psychodynamic Psychiatry through Neuroplasticity, Emotion Regulation, Caring Connections, and Hope.","authors":"William M Singletary, Timothy Rice","doi":"10.1521/pdps.2023.51.2.152","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.2.152","url":null,"abstract":"There remains a role for psychodynamic psychiatry in the care of individuals with autism spectrum disorders (ASDs). Contemporary psychodynamic models are uniquely positioned to integrate today's neurobiological understandings of ASD with the subjective experience of those with ASD. Historical psychodynamic formulations of ASD struggled to appreciate the interrelatedness of biological, psychological, and social complexities in individuals with this disorder. Emotionally experienced or \"illusory\" environmental deprivation, early life stress, and allostatic overload, along with biological factors, current stress, and neuroplasticity, drive maladaptive coping and lead to difficulties with relationships. Fears of caring emotional connections are related to self-protective isolation and other maladaptive efforts to regulate emotions, shutting out what the child needs most-parents' love and help. In a nonlinear way, maladaptive emotion regulation further interferes with the development of the social brain. Thus, a psychodynamic defense-oriented focus upon adaptive emotion regulation provides a therapeutic avenue. Helping build the child's capacity for adaptive emotion regulation, which includes letting others help, can lead to a sense of safety and promote caring connections, a positive outcome. The authors offer guidance in the treatment of individuals with ASD in accordance with contemporary understandings of the disorder and care.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 2","pages":"152-159"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592580","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

Intensive and Brief Psychodynamic Psychotherapy in Severely Depressed Inpatients: A Case Study and Thematic Analysis. 重度抑郁症住院患者强化与简短心理动力治疗:个案研究与专题分析。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.224

Konstantinos Tzartzas, Yves de Roten, Gilles Ambresin

{"title":"Intensive and Brief Psychodynamic Psychotherapy in Severely Depressed Inpatients: A Case Study and Thematic Analysis.","authors":"Konstantinos Tzartzas, Yves de Roten, Gilles Ambresin","doi":"10.1521/pdps.2023.51.2.224","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.2.224","url":null,"abstract":"Introduction: Psychotherapy added to usual hospital care is beneficial. This study reports on two contrasting cases, one responder and one nonresponder, from a randomized controlled trial on the effectiveness of intensive and brief psychodynamic psychotherapy (IBPP) for depressed inpatients, in which reduction in depressive severity was maintained for up to 1 year after completion of IBPP. We aimed to explore how the psychotherapist and patient interacted to work through the themes of focalization (described in the IBPP manual) and how their work was part of a potential process of change. Methods: This case study is part of the general framework of mixed methods in psychotherapy combining quantitative analysis of data collected in a randomized controlled trial with a qualitative case study. Results: Two general categories emerged-(1) becoming the subject of one's depression and (2) regaining a sense of support-which combine specific functions. In the first, the functions relate to interactions in line with the psychoanalytic work of mourning, which aims for an appropriation of depressive symptoms. In the second, interactions have as their functions the construction of a therapeutic space and the restoration of an epistemic trust by acknowledging the patient's melancholic state and maintaining emotional contact. Work related to regaining a sense of support was observed in both cases, whereas work related to becoming the subject of one's depression was more specific to the responder case. Discussion: These results highlight the importance of interventions that help generate a sense of support and mobilize the internal processes of symbolization, understanding, and appropriation, leading patients to develop the capacity to give meaning to their symptoms and to understand the personal psychological factors related to the depressive episode.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 2","pages":"224-240"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592585","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

Stigma and Countertransference in Resident Attitudes toward Patients with Substance Use Disorders. 住院医师对物质使用障碍患者态度的污名和反移情。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.169

Bernadine H Han

{"title":"Stigma and Countertransference in Resident Attitudes toward Patients with Substance Use Disorders.","authors":"Bernadine H Han","doi":"10.1521/pdps.2023.51.2.169","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.2.169","url":null,"abstract":"Apprehending the full range of one's countertransference presents a challenge for the new therapist and psychiatry resident. Experiencing negative or aggressive feelings while also striving to consolidate one's professional identity and self-experience as a good, helpful, and competent doctor feels dissonant and contradictory. Developing and practicing the skills of countertransference awareness and analysis are crucial aspects of psychiatry and psychotherapy training. These skills can help the trainee navigate difficult clinical interactions through reflection on their own anxieties, as well as the unconscious social and personal biases and motivations that shape their countertransferences. This article examines some of the countertransference reactions that may be colored by social and personal stigma toward patients with substance use disorders. Acknowledging and exploring such countertransference reactions in training not only can provide valuable insights into the psychodynamic experiences of the patient and the treatment dyad, but also can sharpen a lifelong tool, helping the trainees weather powerful and disorienting countertransference currents, untangle their personal motivations and prejudices, and recognize the times when supervision may help to provide containment and clarity throughout their careers.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 2","pages":"169-184"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598400","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 Sound of Silence: Engaging the Quiet Adolescent. 《寂静之声:吸引安静的青少年》

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.185

Alexander H Sheppe

引用次数: 0

Psychodynamic Implications of Treating Intensive Care Unit (ICU) Survivors. 治疗重症监护室(ICU)幸存者的心理动力学意义。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.141

George E Sayde

引用次数: 0

Melville's "Bartleby, the Scrivener: A Story of Wall-Street": The Vicissitudes of Treating a Difficult Patient. 梅尔维尔的《抄写员巴特比:华尔街的故事》:治疗难处病人的沧桑历程。

Psychodynamic Psychiatry Pub Date : 2023-06-01 DOI: 10.1521/pdps.2023.51.2.147

Jerome S Gans, Robert W Ferrell

引用次数: 0

How Psychoanalytic Theory and Track II Diplomacy Can Inform Each Other: A Dialogue with the Former Heads of India and Pakistan's Foreign Intelligence Agencies. 精神分析理论和第二轨道外交如何相互告知:与印度和巴基斯坦前外国情报机构负责人的对话。

Psychodynamic Psychiatry Pub Date : 2023-03-01 DOI: 10.1521/pdps.2023.51.1.25

Neil Krishan Aggarwal, Amarjit Singh Dulat, General Asad Durrani

{"title":"How Psychoanalytic Theory and Track II Diplomacy Can Inform Each Other: A Dialogue with the Former Heads of India and Pakistan's Foreign Intelligence Agencies.","authors":"Neil Krishan Aggarwal, Amarjit Singh Dulat, General Asad Durrani","doi":"10.1521/pdps.2023.51.1.25","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.1.25","url":null,"abstract":"Starting with Sigmund Freud, psychoanalysts have considered the psychological dimensions of peacemaking in international relations. In the 1980s, psychiatrists, psychologists, and diplomats began developing theories on Track II negotiations, defined as unofficial meetings among influential stakeholders with access to government policymakers. In recent years, psychoanalytic theory building has waned with the decline of interdisciplinary collaborations among mental health professionals and practitioners of international relations. This study seeks to revive such collaborations by analyzing the reflections of an ongoing dialogue between a cultural psychiatrist trained in South Asian studies, the former head of India's foreign intelligence agency, and the former head of Pakistan's foreign intelligence agency on applications of psychoanalytic theory to Track II initiatives. Both former heads have participated in Track II initiatives to build peace between India and Pakistan and agreed to react on the record to a systematic review of psychoanalytic theories on Track II. This article describes how our dialogue can offer new directions for theory building and the practical conduct of negotiations.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 1","pages":"25-44"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9506783","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: 1

Information for Authors. 作者信息。

Psychodynamic Psychiatry Pub Date : 2023-03-01 DOI: 10.1521/pdps.2023.51.1.131

引用次数: 0

The Therapeutic Relationship: Intrapsychic and Behavioral Changes in Both Patient and Analyst. 治疗关系:病人和分析者的心理和行为改变。

Psychodynamic Psychiatry Pub Date : 2023-03-01 DOI: 10.1521/pdps.2023.51.1.63

Myron L Glucksman

引用次数: 0