Psychodynamic Practice最新文献

{"title":"Race and culture in contemporary psychodynamic supervision","authors":"Pratyusha Tummala-Narra","doi":"10.1080/14753634.2023.2203690","DOIUrl":"https://doi.org/10.1080/14753634.2023.2203690","url":null,"abstract":"Over the past two decades, there have been significant strides towards an improved understanding of race and culture in clinical supervision. Yet, there continues to be less attention directed towards the influence of the contemporary sociocultural context on the lives of supervisees and supervisors. This manuscript explores how race and culture are experienced in supervision amidst ongoing sociocultural traumas and injustice. In particular, I highlight how the key features of psychoanalytic supervision have recently been expanded to include attention to sociocultural dynamics, and then examine how the contemporary sociopolitical context has specific impacts on the lives of supervisees and supervisors. I also underscore the importance of centring the experiences of racial minority supervisees and supervisors, which have remained less visible within scholarship concerning psychodynamic clinical supervision. In an effort to expand prior theorising on racial and cultural dynamics in supervision , I propose further attention to the following areas in psychodynamic supervision: 1) role of unconscious relational processes (e.g. transference, countertransference, and parallel process); 2) the influence of external realities; and 3) the role of vulnerability and humility. The manuscript is a call for a collective mission to integrate race and culture in psychodynamic supervision.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"3 1","pages":"242 - 258"},"PeriodicalIF":0.3,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78282348","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}

{"title":"Black men, mental health & the national health service","authors":"Charles Brown","doi":"10.1080/14753634.2023.2203412","DOIUrl":"https://doi.org/10.1080/14753634.2023.2203412","url":null,"abstract":"This paper emerged from a talk delivered to the community and members of the Tower Hamlets African and Caribbean Mental Health Organisation (THACMHO) for Black History Month in October 2022. A growing body of evidence exposes the persistence of racism and inequality within health service provision and the psychological professions. This has led to a commitment across all professional bodies to address as a significant matter. This paper explores the links between racism and intergenerational trauma and the consequences on Black men’s mental health. The author probes the gaps in services and inequalities using a psychoanalytic lens. Men from Africa and the Caribbean face disproportionate rates of mental health diagnoses and poor care provision. However, little or no consideration is given to intergenerational trauma and cultural factors. At the heart of the paper sits the question: What happens to Black men in the mental health system and why? The author considers whether cultural insensitivity might be a barrier to accessing mental health care and explores the differential treatment options, outcomes, and possible reasons and solutions for the future.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"31 1","pages":"259 - 270"},"PeriodicalIF":0.3,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75608443","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}

{"title":"Editorial 29(2)","authors":"Alex Coren","doi":"10.1080/14753634.2023.2195302","DOIUrl":"https://doi.org/10.1080/14753634.2023.2195302","url":null,"abstract":"We find ourselves, systemically and personally, living through complex and challenging times which increasingly make demands on our ability to address and manage contemporary issues but also offer the opportunity for us to take stock and review previously taken for granted ways of doing things. This applies no less to professional issues which confront us daily in a world that is changing constantly. The papers in this issue offer some thought-provoking challenges as to how we might confront the new internal and external worlds that are becoming increasingly demanding. We begin this edition with Farhad Dalal’s talk ‘It’s not in the bottle: research, ethics & psychotherapy’. We have for some time been in thrall to the concept of being an evidence-based profession which has imposed a discrete format, if not structure, on our profession and a need to ensure that our interventions meet the framework of what constitutes an evidence base. We have, Dalal believes, sought ‘positivist credentials in order to become respectable members of the positivist scientific academy’. Dalal convincingly argues that these ‘positivist methodologies are unable, even in principle, to capture the intricacies of human exchange’ which are fundamental to processled therapies. We have been faced with a binary choice: objective knowledge versus subjective experience; the tangible versus the intangible. For positivists, and the foundation of an evidence base, ‘if something (cannot) be observed and measured then there (is) no proof that it exists . . . . . . only that which can be counted counts, and that which cannot be counted, is discounted’. It raises the question whether the notion of an evidence base is a ‘distortion of reality rather than a description of it’. Dalal intriguingly questions whether both experience and process, fundamental to the dynamic therapies, can be captured within a positivist/evidence-based framework. How can, he asks, we study the subjective using a method that has been ‘purged of subjectivity?’ Intriguingly, Dalal argues that, via positivist protocols, the regulators have set standards that favour the ‘fiscal interests of . . . . industry, rather than the public that they are meant to protect’. Using psychology, psychiatry, and psychotherapy, Dalal shows how ’regulatory and legislative capture’ have been a consequence of our profession attempting to fit into a model of scientific Psychodynamic Practice, 2023 Vol. 29, No. 2, 97–100, http://dx.doi.org/10.1080/14753634.2023.2195302","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"34 1","pages":"97 - 100"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79759088","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}

{"title":"Transgender identities: a contemporary introduction","authors":"J. Ryan","doi":"10.1080/14753634.2023.2195870","DOIUrl":"https://doi.org/10.1080/14753634.2023.2195870","url":null,"abstract":"","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"9 1","pages":"307 - 310"},"PeriodicalIF":0.3,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81361870","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}

{"title":"Psychodynamic psychotherapists online presence- conceptual considerations & survey study","authors":"Lilian Strobl, L. Hübner, C. Eichenberg","doi":"10.1080/14753634.2023.2195867","DOIUrl":"https://doi.org/10.1080/14753634.2023.2195867","url":null,"abstract":"Digital technologies have significantly increased the internet presence of psychodynamic psychotherapists (pdp) and thus fundamentally changed the framework of psychodynamic treatments. There is a lack of data on how pdp shape their online presence in relation to their psychodynamic anonymity as well as the possibility of self-expression. The use of the internet for communication and self-expression is increasingly being integrated into everyday life by the younger generation, which also applies to young pdp in training and young patients. During the 51st IPA Congress (July 24–27, 2019), an explorative paper-pencil survey was conducted on 50 pdp using a self-constructed questionnaire regarding their own online presence. A large proportion of those questioned (m: 88%, f: 70%) stated that their psychodynamic work had an impact on what they actually revealed about themselves online. Nonetheless, about half of the test persons stated that they were present online through photos (50%), social media such as facebook (54%) or scientific articles (54%). People who are younger than 50 years old differ from older people in that younger people use digital media significantly more and more frequently. Respondents over the age of 50 are significantly more likely to assume that pdp who share too much information online are ‘bad pdp’ than those under 50. These data suggest a discrepancy between the pdp‘s ideal and the pdp’s actual behaviour. In our opinion, the pdp’s decision to share information about themselves online is not based on an ethical debate and should not be conducted as such, especially in training associations with young pdp. It is about how this information is shared and treated in the psychodynamic process. These themes should be compulsorily anchored in psychodynamic training.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"58 1","pages":"219 - 241"},"PeriodicalIF":0.3,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84163208","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}

{"title":"The interpersonal affective focus (IPAF) in dynamic Interpersonal Therapy (DIT): a composite case study","authors":"P. McEvoy","doi":"10.1080/14753634.2023.2191112","DOIUrl":"https://doi.org/10.1080/14753634.2023.2191112","url":null,"abstract":"Dynamic Interpersonal Therapy (DIT) is a manualised, time-limited, psychodynamic therapy for patients with treatment-resistant depression linked to interpersonal problems. This paper examines the central thread of DIT; a case formulation called the interpersonal affective focus (IPAF). The IPAF is a brief psychodynamic case formulation of a problematic response to interpersonal threats that is rooted in internalised object relationships. It has two dimensions: an interpersonal focus and an affective focus. The interpersonal focus is a way of viewing the self in relation to others, which creates a bias towards perceiving the self and others in particular ways. The affective focus is an emotional reaction that contributes to interpersonal problems due to the inflexible character of the behaviours it evokes. A composite case study illustrates the value of using an IPAF to explore patients’ internal representations and work through painful emotional states that may be contributing to their relational problems. However, it also illustrates that for DIT patients with borderline aspects to their personality organisation, extra care may need to be taken with the pacing and timing of the approach.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"15 1","pages":"136 - 153"},"PeriodicalIF":0.3,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79683546","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}

{"title":"Psychoanalysis and euripides’ suppliant women: a tragic reading of politic","authors":"Amber Segal","doi":"10.1080/14753634.2023.2189607","DOIUrl":"https://doi.org/10.1080/14753634.2023.2189607","url":null,"abstract":"","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"32 1","pages":"203 - 205"},"PeriodicalIF":0.3,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85451869","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}

{"title":"Review for journal psychodynamic practice of playing and vitality in psychoanalysis","authors":"N. Abel‐Hirsch","doi":"10.1080/14753634.2023.2185161","DOIUrl":"https://doi.org/10.1080/14753634.2023.2185161","url":null,"abstract":". . . . Second-generation field theory was influenced by narratology and French structuralist theory. Ferro cites Francesco Corrao (1986) who proposed: there is no analysis between two people, but that each analysis involves a group . . . of characters that emerge in the session . . . the joint creation by patient and analyst. Ferro introduces the third generation by joining field theory with “Bion’s greatest discovery: alpha-function or unconscious wakingdreaming . . . .Ferro’s field is fourth generation, a post-Bionian field in which Bion’s radical conception of unconscious waking dream thought is mated with narratology. (Roos, 2020)","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"23 1","pages":"208 - 211"},"PeriodicalIF":0.3,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76527902","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}

{"title":"Who seeks psychodynamic psychotherapy in community-based practices? Patient characteristics examined in a large sample of applications for reimbursement of psychotherapy in Germany","authors":"S. Singer, Luisa Sievers, Ida Scholz, K. Taylor, Julian Blanck, Lena Maier","doi":"10.1080/14753634.2023.2182702","DOIUrl":"https://doi.org/10.1080/14753634.2023.2182702","url":null,"abstract":"This study examined the demographic characteristics of patients using outpatient psychodynamic psychotherapy and compared them to the general population. A second aim was to explore clinical and biographical features of the users. We extracted data from a random sample of 983 applications for reimbursement of psychodynamic psychotherapy in community-based practices in Germany. These applications contain information for the health insurer but also additional written reports for an expert reviewer. Census data for comparison were obtained from the Federal Statistical Office of Germany. Men, older people, and migrants were underrepresented, while the unemployed were overrepresented compared to the general population. A third of the reports described a patient’s experience of physical and/or sexual violence. Twenty-six percent of the reports mentioned that the parents had separated, and a third of these patients were younger than 5 years at that time. Suicidal ideation was reported for a fifth of the patients. About 5% were reported to present with self-harming behaviour and 14% with violence towards others. It was mentioned that the patients were consuming dangerous amounts of alcohol in 9%. The most frequent diagnosis group was affective disorders, followed by neurotic disorders, whereas only few had a substance use diagnosis or a psychotic disorder. In summary, men, migrants, older people, and patients with substance abuse and psychotic disorders are likely underrepresented in outpatient psychotherapy in Germany, indicating unequal access to mental health care despite the universal coverage of its costs. Patients in outpatient psychodynamic psychotherapy often present with severe clinical problems.","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"24 1","pages":"117 - 135"},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86999108","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}

{"title":"The lost boy who feared growing up","authors":"Chanelle Thornton","doi":"10.1080/14753634.2023.2182868","DOIUrl":"https://doi.org/10.1080/14753634.2023.2182868","url":null,"abstract":"In this paper, I will present the case of Tyrone, a 9-year-old boy who attended therapy once a week, within a Southeast London school, for the period of 20 weeks. My time as Tyrone’s therapist (in training) offers an insight into the development of a therapeutic relationship wherein the child may be experiencing feelings of persecution and a sense of maternal deprivation. I will elaborate on how this was experienced in the countertransference and how treatment progressed. I enjoyed developing a therapeutic relationship with Tyrone, despite the sense of sadness I felt during many of our interactions. In his referral, much was made of his consistent use of infantile speech, his premature birth and rivalry with a younger brother who bore the family nickname of “baby”. My initial sense of Tyrone was a of a boy reluctant to grow up. This paper will reflect on this using the metaphor of Peter Pan; a child who did not grow up and yet, despite his bravado, appeared to have unmet infantile needs and anger towards a mother figure (Barrie, 1911). Tyrone is the second youngest of a large family of mixed-race heritage (White-British and the Caribbean). He has two older brothers, one in prison and one under probation. He also has a 15-year-old sister who, when we met, had just given birth to her own baby. These siblings came and went from the","PeriodicalId":43801,"journal":{"name":"Psychodynamic Practice","volume":"3 1","pages":"271 - 287"},"PeriodicalIF":0.3,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80807236","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}