International Journal of Applied Psychoanalytic Studies最新文献_第10页

Community psychoanalysis and the generative landscape of our times 社区精神分析与我们时代的生成景观

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-18 DOI: 10.1002/aps.1822

Lani Chow, Sandra Gaspar, Betsy Kassoff, Julie Leavitt, Rachael Peltz

引用次数: 0

The Kedzie center: Community-immersed mental health from the ground up Kedzie中心：从一开始就融入社区的心理健康

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-17 DOI: 10.1002/aps.1816

Nancy Burke, Angela Sedeño

{"title":"The Kedzie center: Community-immersed mental health from the ground up","authors":"Nancy Burke, Angela Sedeño","doi":"10.1002/aps.1816","DOIUrl":"https://doi.org/10.1002/aps.1816","url":null,"abstract":"The Kedzie Center, a psychodynamically-informed community mental health center on Chicago's northwest side, was created through a truly innovative strategy for funding urban mental health services. Legislation in Illinois allows areas of the city to vote by referendum to levy a tax, calculated as 0.4% of property taxes, to support needed clinics directly, of which Kedzie is the first of (currently) four. Each of the six referenda put forward thus far under the Expanded Mental Health Services Act won a landslide endorsement from the voters in its catchment area, who feel ownership and investment in the services they have created. A small group of psychoanalytically-oriented clinicians was chosen by a governing commission made up of appointee community members to run the first EMHS clinic. Since its creation 7 years ago, the Kedzie Center has offered a test case for the success of the EMHS Act, and has been able to use the flexibility its funding model affords to provide long-term primary, ancillary and coordinated care that is tailored to the community it serves. Yet its success as a vibrant hub for this diverse and challenged urban area has not immunized it from the difficulties involved in creating an integrated community psychoanalysis. Kedzie's success has come with both tension and growth regarding its mission, its staff development and its role in the wider community.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"178-189"},"PeriodicalIF":0.7,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aps.1816","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50136176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is it safe outside? Tales from a home visiting service for families during the COVID pandemic 外面安全吗？新冠肺炎疫情期间家庭家访服务的故事

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-17 DOI: 10.1002/aps.1821

Mark Dangerfield, Norka Malberg, Elsa Coll

{"title":"Is it safe outside? Tales from a home visiting service for families during the COVID pandemic","authors":"Mark Dangerfield, Norka Malberg, Elsa Coll","doi":"10.1002/aps.1821","DOIUrl":"https://doi.org/10.1002/aps.1821","url":null,"abstract":"A description of a mentalization informed home-based project, an adaptation of the ECID project (Equipo Clínico de Intervención a Domicilio), into a time-limited first aid mental health team in response to heightened mental health needs during the COVID Pandemic in Barcelona, Spain is offered. ECID is a project with a developmental psychodynamic understanding of psychopathology and relational dynamics informing a highly flexible treatment approach. This paper describes a focus on the need for clinicians to take an active role whilst adapting to the specific needs and situation of each child and family, instead of continuing to ask them to adapt to what services can or are prepared to offer. Clinical examples are given to illustrate the value of an integrative community approach informed by both systemic and psychodynamic lenses. Specifically, we reflect on the benefits of a mentalization informed approach to working with families during high levels of psychosocial stress for both families and practitioners. We illustrate how of a mentalization informed clinical service can promote and support the development of a therapeutic alliance when internal safety is impacted by a very real external threat. Finally, preliminary data is presented regarding the impact of parental stress and trauma on children and adolescents' adaptation to a potentially traumatic situation as well as their capacity for returning to a progressive development pathway.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"251-264"},"PeriodicalIF":0.7,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50136175","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

A long but fruitful journey: From clinical psychoanalysis to public mental health in Chile 漫长但富有成效的旅程：从临床精神分析到智利公共心理健康

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-15 DOI: 10.1002/aps.1815

Juan Pablo Jiménez, Guillermo de la Parra

{"title":"A long but fruitful journey: From clinical psychoanalysis to public mental health in Chile","authors":"Juan Pablo Jiménez, Guillermo de la Parra","doi":"10.1002/aps.1815","DOIUrl":"https://doi.org/10.1002/aps.1815","url":null,"abstract":"The authors, both professors of psychiatry, trained as psychoanalysts according to the standards of the International Psychoanalytic Association (IPA), recount 30 years of conceptual and empirical research work for the construction of a model of brief and adaptive psychodynamic psychotherapy applicable at the Primary Health Care level. The many milestones of this journey are reviewed, starting with the difficulties and obstacles encountered when pursuing this task within IPA institutions. Once the authors decided to conduct the task outside the analytic institution, they created two training programs for psychodynamic therapists and a research group in psychotherapy, all of which have attained excellence. This effort gave birth to several institutions that are still in operation, such as the Chilean and Latin American chapters of the Society for Psychotherapy Research, the Chilean Congress of Psychotherapy, the PhD Program in Psychotherapy, and finally the Millennium Institute for Research and Personality (MIDAP). In its 8 years of existence, MIDAP has become a national and Latin American reference center for research in Mental Health, aimed at implementing preventive and psychotherapeutic interventions in vulnerable populations at the primary health care and community level. The article ends with a description of the main components and the final process of the construction of the Protocol of Psychotherapeutic Competences for the Treatment of Depression in Primary Health Care level.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"302-315"},"PeriodicalIF":0.7,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50134047","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

From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street-level bureaucrat 从这里到I.A.P.T？（改善获得心理治疗的机会），动态心理治疗师新政的预览：作为街头官僚的精神分析师

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-09 DOI: 10.1002/aps.1814

Jeremy C. Clarke

{"title":"From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street-level bureaucrat","authors":"Jeremy C. Clarke","doi":"10.1002/aps.1814","DOIUrl":"https://doi.org/10.1002/aps.1814","url":null,"abstract":"This paper offers a preview of a forthcoming article on the world's first, universal free-to-access, evidence-based talking therapies programme to treat depression: Improving Access to Psychological Therapies. It was pioneered not in the USA, but the UK, in 2007. At one time it could have been led by psychoanalysts, but it wasn't. It was a New Deal, in fact, for CBT. But did this New Deal in 2007 also offer psychoanalysis an opportunity to renew its vitality as a discipline, after decades of being eroded by our long-term retreat into private practice? Illustrated in the film From Here to Eternity, through characters played by Burt Lancaster, Montgomery Clift and Frank Sinatra, this Preview shows how applied psychoanalysis can once again aspire to become a universal, genuinely popular, relevant professional discipline. How would we engage ethically with psychiatric casualties of war, for example, within an evidence-based practice framework today? A novel, brief psychoanalytic treatment for depression, Dynamic Interpersonal Therapy, was developed for use in the UK's Improving Access to Psychological Therapies (IAPT) programme. It is recommended by NICE (National Institute for Health and Care Excellence) as cost-effective for treating depression. By engaging with evidence-based practice in this way—as Street Level Bureaucrats—we can reclaim our position at the centre of contemporary publicly funded mental health services.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"316-324"},"PeriodicalIF":0.7,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aps.1814","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50126710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The spirit of time and the spirit of depth: Psychodynamic approaches in public mental health services in Israel 时间精神和深度精神：以色列公共心理健康服务中的心理动力学方法

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-05-02 DOI: 10.1002/aps.1813

Elana Lakh

{"title":"The spirit of time and the spirit of depth: Psychodynamic approaches in public mental health services in Israel","authors":"Elana Lakh","doi":"10.1002/aps.1813","DOIUrl":"https://doi.org/10.1002/aps.1813","url":null,"abstract":"This article examines the interplay between psychodynamic psychotherapy and other approaches to psychotherapy in mental health services in Israel, describing the history of psychotherapy approaches, education and training, current dilemmas and service examples. Israel has a system of universal healthcare, education and social care which includes mental health services for all citizens and permanent residents. Mental health services and interventions are provided by psychiatrists, clinical psychologists, educational psychologists, social workers, clinical criminologists and creative arts therapists. Despite being public, accessibility is undermined by long waiting times, inequitable geographic distributions and cultural-linguistic barriers. The interplay between approaches is clearly visible in public mental health services. Many therapists are trained primarily in psychodynamic approaches and receive psychodynamic-oriented supervision. However, public services often cannot provide suitable conditions for psychodynamic oriented psychotherapy, and the therapists are required to adjust their interventions to treatment plans, reimbursement and reporting. This paper describes in detail two programs that implement psychodynamic approaches in the medical and education systems respectively. The first is “Lkol Nefesh” (“for every soul”) that provides long-term intensive psychoanalytic psychotherapy for individuals suffering from severe mental disorders. The second is the system of creative arts therapies delivered in schools that provide psychotherapy as part of special education services. The paper concludes with a discussion of the influence of the spirit of time on psychotherapy, and the opposite tendencies evident in the state of affairs of psychodynamic psychotherapy in Israel.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"272-284"},"PeriodicalIF":0.7,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/aps.1813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50118348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creating a school-based mental health program to meet the needs of children in underserved communities and schools: The Derner Hempstead Child Clinic 创建一个以学校为基础的心理健康计划，以满足服务不足社区和学校儿童的需求：Derner Hempstead儿童诊所

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-29 DOI: 10.1002/aps.1811

Ionas Sapountzis, Karen Lombardi, Michael O’Loughlin, Nicole Daisy-Etienne, Kirkland Vaughans, Yvette Jones, Tiffany Narain, Elzinette Wheeler

引用次数: 0

From cradle to public care: The Austrian health care system and psychoanalysis 从摇篮到公共护理：奥地利医疗体系与精神分析

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-28 DOI: 10.1002/aps.1810

Gisela Hajek, Jeanne Wolff Bernstein

引用次数: 0

The impact of protective isolation in a hematology unit on staff, patients, and their families 血液科保护性隔离对工作人员、患者及其家属的影响

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-28 DOI: 10.1002/aps.1812

Sandrine Letrecher

{"title":"The impact of protective isolation in a hematology unit on staff, patients, and their families","authors":"Sandrine Letrecher","doi":"10.1002/aps.1812","DOIUrl":"10.1002/aps.1812","url":null,"abstract":"In order to study the psychological consequences of isolation measures, we decided to take the example of protective isolation in hematology. Most patients there had arrived as emergency cases. They were still shocked, stunned by the announcement of double jeopardy: a cancerous pathology with a high risk of death and a 5-week isolation period. In addition to carrying out technical monitoring, the medical staff exhibits a high level of personal commitment on a daily basis. The support they provide is very intense, commensurate with the need to pick up any signs of somatic or psychological decompensation. In such a regressive context, there is a necessary lack of differentiation between patients and healthcare staff. The intensity of the care given in the hospital contrasts starkly with the total lack of human support at the point of discharge. Two case studies illustrate how the nature of the relationship between patient and family may be changed by hospitalization. Relatives must be able not only to take a back seat during hospitalization, but also to reassert themselves when their loved one is discharged or, more tragically, reaches the end of life. Unconscious aspects of the familial relationships and of the individual's reactions potentiated by this ordeal are described and analyzed.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"21 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80300547","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

Chances for children: The 22-year journey of psychodynamic/attachment-based infant mental health in underserved communities 儿童的机会：服务不足社区中基于心理动力/依恋的婴儿心理健康的22年历程

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-27 DOI: 10.1002/aps.1809

Hillary Mayers, Elizabeth Buckner

{"title":"Chances for children: The 22-year journey of psychodynamic/attachment-based infant mental health in underserved communities","authors":"Hillary Mayers, Elizabeth Buckner","doi":"10.1002/aps.1809","DOIUrl":"https://doi.org/10.1002/aps.1809","url":null,"abstract":"This paper follows the 22-year journey of a small community-based program with roots in a psychoanalytic training institute, to the program's current status as an independent non-profit organization serving families throughout the Bronx with psychodynamic, attachment-based parent-infant treatment. The product of an unusual collaboration among a psychoanalytic training institute, a program of the NYC Department of Education and several generous foundations, we aimed to offer teen mothers a dyadic model of parent-infant intervention based on the principles of psychodynamic theory, attachment theory, and mentalization through the lens of an infant mental health perspective. Underlying the creation, implementation, and expansion of the Chances for Children organization at every level were questions of basic trust and mistrust, class, and culture. With this in mind, we describe the development of the model, collaborations with institutions and communities, and the obstacles we encountered along the way. On a macro level, we consider questions of class, culture, and institution that we encountered on every level in institutional bureaucracy, in community outreach, and in collaborating programs. On a more micro level, we use the contexts of a teen-parent therapeutic group and a dyadic mother-child treatment to address issues that arise when white, middle-class clinicians of privilege work in communities of color that are frequently suffering insufficiencies in food, housing, jobs, and experiencing random violence. Finally, we reflect on what has made the work of Chances for Children possible, successful, and enduring even as we embarked on the telehealth practices necessary during the COVID pandemic.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"190-204"},"PeriodicalIF":0.7,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50154798","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