International Journal of Applied Psychoanalytic Studies最新文献_第8页

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

Idiom conjugation and trauma: Fear of breakdown in Francis Ford Coppola's the Conversation and Apocalypse Now 成语变位与创伤：弗朗西斯-福特-科波拉的《对话》和《现代启示录》中对崩溃的恐惧

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-21 DOI: 10.1002/aps.1807

Frank Marra

引用次数: 0

All that glitters is not gold: The application of psychoanalytic principles to community mental health 闪光的不是金子：精神分析原理在社区心理健康中的应用

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-11 DOI: 10.1002/aps.1806

Larry M. Rosenberg, Ghislaine Boulanger

{"title":"All that glitters is not gold: The application of psychoanalytic principles to community mental health","authors":"Larry M. Rosenberg, Ghislaine Boulanger","doi":"10.1002/aps.1806","DOIUrl":"https://doi.org/10.1002/aps.1806","url":null,"abstract":"This special issue on community mental health focuses on the ways in which several innovative mental health programs across the United States have risen to the challenge of incorporating psychodynamic principles into their clinical practice. Contrasted with these domestic programs are reports from a number of countries in Europe, Latin America, and the Middle East in which local clinicians describe how community mental health programs in their countries are tackling these issues. In this introduction, we emphasize factors common to the populations these authors serve, the organizational challenges they face, and the successes they achieve by way of their skill, creativity, and perseverance. We underscore the ways in which they articulate how psychoanalytic thinking, training, and practices have evolved in response to lessons learned and changing political, economic and cultural climates. We conclude that applied psychoanalysis, and particularly psychoanalysis applied to community mental health has, in some ways, been at the forefront of change in psychoanalytic practice in general. The modifications made by those in community mental health are viewed as necessary accommodations for both the communities served and for the psychoanalytic enterprise itself.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"155-163"},"PeriodicalIF":0.7,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50128638","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

Some psychoanalytic reflections on the Irish real estate bubble 对爱尔兰房地产泡沫的一些心理分析思考

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-04-03 DOI: 10.1002/aps.1804

Paul Ryan, Richard J. Taffler, Clare Branigan

引用次数: 0

The case for remote supervision 远程监控案例

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International Journal of Applied Psychoanalytic Studies Pub Date : 2023-03-31 DOI: 10.1002/aps.1803

Ghislaine Boulanger, Larry Rosenberg

{"title":"The case for remote supervision","authors":"Ghislaine Boulanger, Larry Rosenberg","doi":"10.1002/aps.1803","DOIUrl":"https://doi.org/10.1002/aps.1803","url":null,"abstract":"As the necessity of meeting state regulations has continued to mount in the public mental health sector, and insurance companies limit the number of therapy sessions covered in a year, the emphasis on evidence-based treatments, most often in the guise of some form of Cognitive Behavioral Therapy, continues unabated. Meanwhile, knowledge about and the ability to practice psychodynamically have all but vanished from most community mental health clinics in the United States. With shrinking funds, increasing demand for services, and increasing costs, therapists and their supervisors in these settings are expected to meet productivity and documentation requirements imposed by state and federal regulations and by the clinics themselves. These demands leave little time for therapists to discuss actual cases with their supervisors, to reflect on their experiences with patients and to wonder about the patient's experience with them, skills that are in themselves among the essential tools of psychodynamic clinical training and are crucial to patient care. This paper summarizes the qualitative data collected at the conclusion of a pilot study in which a dozen staff therapists in a community mental health center met weekly individually with psychodynamic supervisor/consultant volunteers to discuss their ongoing cases.","PeriodicalId":43634,"journal":{"name":"International Journal of Applied Psychoanalytic Studies","volume":"20 2","pages":"164-177"},"PeriodicalIF":0.7,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50148983","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