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The Good-Enough Donor: Sperm as a Good, Not-Me Possession. 足够好的捐献者:精子是好的，不是我的财产。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.453
Brita Reed Lucey
{"title":"The Good-Enough Donor: Sperm as a Good, Not-Me Possession.","authors":"Brita Reed Lucey","doi":"10.1521/pdps.2023.51.4.453","DOIUrl":"10.1521/pdps.2023.51.4.453","url":null,"abstract":"<p><p>Reproductive endocrinologists often recommend sperm donation to two groups of patients. The first are women with partners with azoospermia. The second are women who do not have a partner and yet desire to become a parent. This article focuses on a subset of women in these two groups who hesitate to accept this recommendation from their reproductive endocrinologist. Winnicott's writings on transitional phenomena, especially his description of how the infant creates good, not-me possessions, may be helpful in our understanding of some of these women's fantasies of sperm as a bad, not-me possession. Case material is used to highlight treatment recommendations that utilize a reframing of the understanding of the donor's motivation, which may create the possibility of an acceptance of sperm as a good, not-me possession. This moves the patient toward what Winnicott calls acknowledgement of indebtedness and toward what the patient may perceive as a good-enough donor.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"453-466"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478743","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
Information for Authors. 作者信息。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.519
{"title":"Information for Authors.","authors":"","doi":"10.1521/pdps.2023.51.4.519","DOIUrl":"https://doi.org/10.1521/pdps.2023.51.4.519","url":null,"abstract":"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"519-520"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478736","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
Gender as the New Language of Teen Rebellion. 性别是青少年叛逆的新语言。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.434
David L Lopez, Alejandra Wortman
{"title":"Gender as the New Language of Teen Rebellion.","authors":"David L Lopez, Alejandra Wortman","doi":"10.1521/pdps.2023.51.4.434","DOIUrl":"10.1521/pdps.2023.51.4.434","url":null,"abstract":"<p><p>The growing occurrence of adolescents with gender nonconforming identities appears to be associated with what the authors believe is the contemporary manifestation of the <i>adolescent identity crisis</i> phenomenon. This phenomenon is expressed through a deliberate rejection and reappraisal of conventional gender roles and norms. The adolescent identity crisis, as initially conceptualized by Erik Erikson (1956), constitutes an unconscious multifaceted phenomenon that is outwardly displayed within familial and societal frameworks. A historical overview of pertinent terminology is provided, followed by the presentation of four clinical vignettes chosen to exemplify this phenomenon, alongside the resultant family conflicts that often ensue. Additionally, an anonymized clinical case is presented, encompassing the evaluation process, the subsequent psychodynamic formulation, treatment considerations, parent work, and the available resources for patients and families. The clinical illustrations are case composites and the data disguised to protect patient privacy and confidentiality. A plea is made to the scientific community for in-depth long-term research into this clinical phenomenon.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"434-452"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478735","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
Ketamine-Assisted Psychodynamic Psychotherapy. 氯胺酮辅助心理动力疗法。
Psychodynamic Psychiatry Pub Date : 2023-12-01 DOI: 10.1521/pdps.2023.51.4.467
John G Cottone
{"title":"Ketamine-Assisted Psychodynamic Psychotherapy.","authors":"John G Cottone","doi":"10.1521/pdps.2023.51.4.467","DOIUrl":"10.1521/pdps.2023.51.4.467","url":null,"abstract":"<p><p>This case report details the treatment of a longtime psychodynamic psychotherapy patient, with a particular focus on a ketamine-assisted psychotherapy (KAP) session, and how the progress achieved during this session compares with the literature on KAP. The patient is a 54-year-old woman with a history of multiple traumas, including sexual assault and life-threatening physical injuries, as well as a recent diagnosis of primary lateral sclerosis (PLS). For most of her life, she relied on extreme idealization of important people in her life as her primary defense mechanism, helping her to maintain physical and psychological survival. However, after a KAP session in January 2023 she discovered the consequences of her extreme idealizing tendencies. Among these was the creation of troubling double binds for the people she idealized, as well as the fomentation of conflict between these individuals with each other. Also unconscious was the secondary gain offered by her escalating physical symptoms and pain-that is, the ability to resolve conflicts between those she idealized-and how this secondary gain increased the likelihood of symptom exacerbations during periods of conflict. After the discovery of these unconscious tendencies during her KAP session, the patient has since been able to avoid extreme idealization of important people in her life and has subsequently experienced fewer episodes of exacerbation of her physical symptoms. Consistent with the opinions of clinicians and researchers published in the literature, the achievement of a psychedelic trance state appeared necessary for the success of the patient's KAP treatment.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 4","pages":"467-478"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478737","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
Developments in Group Transference-Focused Psychotherapy. 以群体迁移为中心的心理治疗的发展。
Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.311
María Jesús Rufat, Jonathan Radcliffe, Tennyson Lee, Philipp Martius, Eric Fertuck, Iván Arango, Heimhild Lappe, Eulàlia Ripoll, Frank E Yeomans
{"title":"Developments in Group Transference-Focused Psychotherapy.","authors":"María Jesús Rufat,&nbsp;Jonathan Radcliffe,&nbsp;Tennyson Lee,&nbsp;Philipp Martius,&nbsp;Eric Fertuck,&nbsp;Iván Arango,&nbsp;Heimhild Lappe,&nbsp;Eulàlia Ripoll,&nbsp;Frank E Yeomans","doi":"10.1521/pdps.2023.51.3.311","DOIUrl":"10.1521/pdps.2023.51.3.311","url":null,"abstract":"<p><p>Several evidence-based psychotherapies for personality disorders have been developed in recent decades, including transference-focused psychotherapy (TFP), a contemporary model of psychodynamic psychotherapy developed by Otto Kernberg. Kernberg established Group TFP (TFP-G) as an alternative or adjunct treatment to individual TFP. Although not yet manualized, TFP-G is used in publicly and privately funded mental health services, including outpatient clinics, subacute hospitals, therapeutic inpatient units, partial hospitalization services, and rehabilitation services serving people with borderline personality. Kernberg's model of TFP-G psychotherapy, its application in clinical settings, and what differentiates it from other group psychotherapy models is described as well as illustrated with some examples useful to practitioners.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"311-329"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633032","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: Freud's Structural Hypothesis. 精神分析对精神动力精神病学和心理治疗的贡献：弗洛伊德的结构假说。
Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.254
Richard B Corradi
{"title":"Psychoanalytic Contributions to Psychodynamic Psychiatry and Psychotherapy: Freud's Structural Hypothesis.","authors":"Richard B Corradi","doi":"10.1521/pdps.2023.51.3.254","DOIUrl":"10.1521/pdps.2023.51.3.254","url":null,"abstract":"<p><p>Psychoanalysis has long lost its historical influence on U.S. academic psychiatry. Psychoanalytic theory, however, provides us with a rich and remarkably comprehensive knowledge of human development, both normative and pathologic. This article describes a psychoanalytic concept that enriches our understanding of the mind and its disorders: Freud's structural hypothesis. This core concept provides a theoretical foundation for understanding the clinical features of both neurotic and personality disorders. It also informs a psychodynamic psychotherapy.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"254-260"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633033","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
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
{"title":"Unconscious Communications by the Body in Catatonia-A Jungian Perspective.","authors":"Andrew John Howe","doi":"10.1521/pdps.2023.51.3.249","DOIUrl":"10.1521/pdps.2023.51.3.249","url":null,"abstract":"<p><p>Outside of specific motor conditions, bodily movements are rarely considered in contemporary psychiatry. Stereotypies and mannerisms in clinical cases of catatonia are seen as having no deeper meaning in contemporary psychiatry. Perhaps we are missing something that could be important for us and our patients. The psychiatrist and analyst Carl Jung suggested there was an unconscious communication, and therefore a meaning in psychotic symptoms, including the movements in catatonia. The unconscious is rarely considered in psychotic presentations, yet psychosis is a prevalent condition in clinical settings. In this article Jung's ideas are presented along with case examples that invite the reader to consider them in their own future practice.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"249-253"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633034","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
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,&nbsp;Luke Zona,&nbsp;Erin Seery","doi":"10.1521/pdps.2023.51.3.330","DOIUrl":"10.1521/pdps.2023.51.3.330","url":null,"abstract":"<p><p>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.</p>","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}
引用次数: 0
Information for Authors. 作者信息。
Psychodynamic Psychiatry Pub Date : 2023-09-01 DOI: 10.1521/pdps.2023.51.3.381
{"title":"Information for Authors.","authors":"","doi":"10.1521/pdps.2023.51.3.381","DOIUrl":"10.1521/pdps.2023.51.3.381","url":null,"abstract":"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"381-382"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235413","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 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
{"title":"Revisiting the Concept of <i>Pensée Opératoire</i>: Some Conceptual, Empirical, and Clinical Considerations.","authors":"Graeme J Taylor,&nbsp;R Michael Bagby,&nbsp;Piero Porcelli","doi":"10.1521/pdps.2023.51.3.287","DOIUrl":"10.1521/pdps.2023.51.3.287","url":null,"abstract":"<p><p>The concept of <i>pensée opératoire</i> (operational thinking) was introduced by French psychoanalysts in 1963 and a decade later was included as an essential component of the alexithymia construct as formulated by the U.S. analysts John Nemiah and Peter Sifneos. Despite a large body of research on alexithymia, the <i>pensée opératoire</i> component is not well understood, especially among clinicians and researchers who are not familiar with French psychoanalytic literature. In this article we clarify the definition and metapsychological conceptualization of the concept, review findings from some relevant empirical studies, and critique a recent proposal for redefining the alexithymia construct that departs from the original understanding of <i>pensée opératoire.</i> We also discuss some clinical implications of the concept and some strategies that psychotherapists can employ in the treatment of patients with this mode of thinking.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"51 3","pages":"287-310"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10337440","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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