{"title":"Editorial","authors":"P. Cundy","doi":"10.1080/02668734.2022.2101730","DOIUrl":"https://doi.org/10.1080/02668734.2022.2101730","url":null,"abstract":"There have been several changes at the journal recently. I am sad to report that our editor, Jessica Yakeley, left her post at the end of 2021. Jessica took up the role of editor in 2012, writing her first editorial in 26–04 which was published in December that year. Over the ensuing period she has published three books based on special issues of the journal: ‘Forensic Psychotherapy’ (Yakeley & McGauley, 2018), ‘Psychoanalytic Perspectives on Fundamentalism, Radicalisation and Terrorism’ (Yakeley & Cundy, 2019) and ‘The Social and Interpersonal Origins of Depression Today’ (Clarke et al., 2020). Jessica has been an inspirational leader for the journal, overseeing its ongoing development for a decade. On a personal note Jessica has been a positive and supportive colleague, initially helping me to settle into my role as assistant editor, and then encouraging me to expand and develop the tasks for which I have been responsible. Jessica will be greatly missed, and all involved in the journal are immensely grateful for her work here. Also leaving us is Arabella Kurtz, Book Reviews Editor, who has recently taken up a role in Northamptonshire as lead of a new NHS Staff Health and Wellbeing Service. The book reviews section has flourished under Arabella’s guidance. A particularly significant development was the ‘book review essay’, a new category that enables authors to reflect on their own personal and clinical experiences in the context of two or more books on a specific subject. I am pleased that this issue includes a review of Arabella’s recently published book ‘How to run reflective practice groups’ (Kurtz, 2020). I am delighted to welcome Rachel Hodgins into the role of Book Reviews Editor. Rachel is a Clinical Psychologist in Psychoanalytic Psychotherapy currently working at the Tavistock & Portman NHS Foundation Trust. Like Arabella, Rachel’s first degree was in English. She has previously peer reviewed articles for the journal, and also contributed a book review essay. Rachel has already begun commissioning reviews, and hopes to implement some exciting developments in our relatively new social media profiles. Rachel is a friend and former colleague and I look forward to a fruitful working relationship here at the journal. This very full issue begins with a focus on the psychosomatic. In the first of our articles Elias Seidl, Dirk Schwerthoffer and Otmar Seidl report on a study conducted in Munich which explored the role of psychodynamic factors in tinnitus aurium. Tinnitus is the conscious perception of an acoustic sensation in the absence of a corresponding external stimulus. It is experienced relatively commonly (10–15% of the population) but causes significant distress to 1–2%. In this study 99 outpatients at an ENT clinic completed a psychodynamic Psychoanalytic Psychotherapy, 2022 Vol. 36, No. 2, 59–63, https://doi.org/10.1080/02668734.2022.2101730","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"59 - 63"},"PeriodicalIF":0.8,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45151275","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":"How to run Reflective Practice Groups: a guide for healthcare professionals - 1st ed","authors":"Chris Dawber","doi":"10.1080/02668734.2022.2058073","DOIUrl":"https://doi.org/10.1080/02668734.2022.2058073","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"191 - 195"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41850654","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 interchange in art-psychotherapy","authors":"Liam Bierschenk","doi":"10.1080/02668734.2022.2048057","DOIUrl":"https://doi.org/10.1080/02668734.2022.2048057","url":null,"abstract":"This paper addresses theories pertaining to what could be said of the state of mind of the creator in the art-making phase of art therapy, by reference to the interchange with the looking/talking phase. I pursue this exploration of the interchange within the concept of the triangular relationship: creator-artwork-viewer, as well as the three ‘waves’ of art therapy theory and practice. I conclude by making use of mathematical abstraction to describe the recursive sequence of art-making and looking/talking about the art, to pose questions about what might be occurring during these processes and which it is hoped could serve as a framework for further investigations from various theoretical standpoints.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"174 - 190"},"PeriodicalIF":0.8,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49141722","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":"Contemporary situation of psychoanalysis and psychoanalytical therapies in France","authors":"C. Clesse, Th. Rabeyron, M. Botbol","doi":"10.1080/02668734.2022.2040047","DOIUrl":"https://doi.org/10.1080/02668734.2022.2040047","url":null,"abstract":"Even if psychoanalysis no longer prevails with the extraordinary enthusiasm it inspired after World War II, it still retains an important place for many in the mental health field. This paper’s objective is to describe the current situation of psychoanalysis and psychoanalytic therapies in the French health system, showing how, in our country, it has developed to this unique position. So far, influenced by the evolution of psychoanalysis in France, historical, cultural, and societal factors added with a strong lobby from psychodynamic scholars and strong support offered by clinical psychology, psychoanalysis and psychoanalytic psychotherapies have maintained a significant practice framework in France. Despite being challenged by the dominant global position of DSM psychiatry and cognitive psychology, psychoanalysis’ influence remains strong as it does not affect only psychology and psychiatry but also extends to the humanities and social sciences. New practice types and future directions for psychoanalysis and psychoanalytic therapies are then discussed.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"363 - 382"},"PeriodicalIF":0.8,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42662223","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":"Eliciting emotional expressions in psychodynamic psychotherapies using telehealth: a clinical review and single case study using emotional awareness and expression therapy.","authors":"Lauren R Ahlquist, Brandon C Yarns","doi":"10.1080/02668734.2022.2037691","DOIUrl":"https://doi.org/10.1080/02668734.2022.2037691","url":null,"abstract":"<p><p>The COVID-19 pandemic and ensuing social distancing requirements resulted in an abrupt transition in the provision of most mental healthcare to telehealth; yet it was, at first, unclear whether patients' emotional expressions - of great import to the success of many psychodynamic therapies - could be facilitated using teletherapy. This article first presents a targeted literature review focused on emotional expressions in psychotherapy and implementing psychodynamic therapy over telehealth and then describes our clinical experience transitioning a psychodynamically-informed, evidence-based, and experiential group treatment for chronic pain, emotional awareness and expression therapy (EAET), to video telehealth at VA Greater Los Angeles Healthcare System. We discuss barriers we encountered in our implementation of EAET over video telehealth but also illustrate the ultimate success of the approach using verbatim excerpts from our therapeutic work, which aim to demonstrate the potential to facilitate powerful emotional expressions over video telehealth when conducting a psychodynamically-informed treatment. We examine the possible applications for video telehealth to maintain emotionally focused, psychodynamic psychotherapy administration and enhance its teaching and training. Although we describe limitations of our specific approach, ultimately, our experience supports the potential efficacy of experiential, emotion-focused psychodynamic therapies in a telehealth setting.</p>","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 2","pages":"124-140"},"PeriodicalIF":0.8,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881109/pdf/nihms-1861762.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9157457","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}
Rebecca Philipp, Alexander Krüger, R. Lindner, A. Mehnert‐Theuerkauf, S. Vehling
{"title":"Understanding avoidant attachment in a patient with terminal cancer: a psychoanalytic perspective","authors":"Rebecca Philipp, Alexander Krüger, R. Lindner, A. Mehnert‐Theuerkauf, S. Vehling","doi":"10.1080/02668734.2021.2022744","DOIUrl":"https://doi.org/10.1080/02668734.2021.2022744","url":null,"abstract":"Describing the course of a short-term supportive-expressive psychotherapy of a male patient with terminal cancer, this study aimed to illustrate the clinical presentation of avoidant attachment behavior and to identify potential challenges in treating these patients from a psychoanalytic perspective. We analyzed eight therapy sessions, recorded and transcribed as part of a randomized controlled trial, following the explication technique of qualitative content analysis. We analyzed a patient with high attachment avoidance as assessed by the Experiences in Close Relationships Scale measuring adult attachment. We found that ‘attachment avoidance’ subsumed different defense mechanisms, which helped the patient to reduce his fear associated with (1) feelings of dependency: denial, (2) overwhelming distress: isolation of affect, displacement, (3) feelings of guilt and shame: repression, (4) regulating his interpersonal relationships: projective identification. Adding psychoanalytic interpretations to the existing material helped to identify rigid defense mechanisms interfering with sharing his fears about death and dying. Still, the low intensity setting offered him a reliable and tolerable therapeutic relationship. Contributing to the understanding of the specific challenges in treating avoidant patients, our findings underline the importance and feasibility of establishing a holding environment and fostering a positive transference relationship to engage in a joint mourning process.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"105 - 123"},"PeriodicalIF":0.8,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43566795","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}
Javier Malda Castillo, E. Beton, Conor Coman, Beth Howell, C. Burness, J. Martlew, L. Russell, Joel Town, A. Abbass, G. Perez Algorta, Sophie Valavanis
{"title":"Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study","authors":"Javier Malda Castillo, E. Beton, Conor Coman, Beth Howell, C. Burness, J. Martlew, L. Russell, Joel Town, A. Abbass, G. Perez Algorta, Sophie Valavanis","doi":"10.1080/02668734.2021.2018623","DOIUrl":"https://doi.org/10.1080/02668734.2021.2018623","url":null,"abstract":"Intensive Short-Term Psychodynamic Therapy (ISTDP) has demonstrated promising evidence for the treatment of several Functional Neurological Disorders (FND) including dissociative seizures. However, its implementation in secondary mental health and specialist services within the English National Health Service (NHS) is scarce. The aim of this pilot study was to explore the estimates of the therapeutic effects of a 3-session course of this treatment as well as establish safety and acceptability for a complex patient group. The study followed a mixed methods case series design and recruited 18 patients from secondary adult mental health care and specialist neurology services. Participants completed self-report outcome measures at the start, at the end and 1 month following the completion of therapy. Three open-ended questions examined their therapy experiences qualitatively and these were analysed through thematic analysis. All participants who started the treatment (N = 17) completed the intervention and attendance rates were very high (95%). No serious adverse effects were observed and the CORE-OM and BSI showed improvements both at the end of the treatment and at follow-up. Healthcare utilisation was also reduced, including acute medications, A&E attendances and crisis-line usage. The results provide preliminary support for the safe use of ISTDP in this complex group of participants, but further evidence from controlled and randomized studies is warranted.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"81 - 104"},"PeriodicalIF":0.8,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49425522","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 Fitzjohn’s Unit","authors":"David L. Bell, Birgit Kleeberg","doi":"10.1080/02668734.2022.2025888","DOIUrl":"https://doi.org/10.1080/02668734.2022.2025888","url":null,"abstract":"This article provides a description of the development and work of The Fitzjohn’s Unit a specialist service, housed within the Adult Department of the Tavistock and Portman NHS Foundation Trust, providing psychoanalytic psychotherapy for patients suffering from the more complex/serious disorders many of them having been unwell for many decades. The paper describes the patients treated, the model of care and also aims to show how this work can illuminate more general consideration such as the nature of the psychoanalytic attitude and the relation of psychiatry to psychoanalysis","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"23 - 42"},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45117873","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":"‘When I nod my head, hit it’: leadership and followership in the orchestral environment","authors":"L. Hartland-Rowe","doi":"10.1080/02668734.2022.2028887","DOIUrl":"https://doi.org/10.1080/02668734.2022.2028887","url":null,"abstract":"Expanding on an interdisciplinary event that was part of the Tavistock Centenary celebrations, this paper explores experiences of leadership and followership in the orchestral context. Drawing on a sample of literature from a range of sources exploring organisational life in the orchestra including organisational psychology, music education, social semiotics and sociology, and with reference to psychoanalytic and systems psychodynamics frameworks, the paper makes links between experiences of leadership and followership in the orchestra and work in the NHS.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"43 - 58"},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46479711","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":"Pandemic: challenges in care and recovery","authors":"D. Sinha","doi":"10.1080/02668734.2021.2022743","DOIUrl":"https://doi.org/10.1080/02668734.2021.2022743","url":null,"abstract":"Our experiences through the pandemic have to be viewed by reflecting on the year and a half that has been, but also what we have learnt through this experience, with a view to taking forward. The article intends to approach this topic, from a health and social care perspective coming from the author working in The Tavistock and Portman NHS Foundation Trust, a healthcare organisation, but also importantly, from a relational perspective in how we interact organisationally, as a health & social care system that is part of a wider society in this city, across the UK and the wider world. The article not only comments on systemic inequalities that have become stark in the pandemic, but also identifies corrosive and deliberate counter narratives to the themes of care and courage in this period. It concludes that the pre-existing silos of separation between the privileged and dispossessed have prevented survival and wellbeing in the wider society. The process of recovering from the pandemic is not just about the restoration of physical wellbeing but also the creation of healthier conditions in society that actively vitiate against the scourge of everyday sadism.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"4 - 12"},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46392471","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}