Psychoanalytic Psychotherapy最新文献

{"title":"Editorial","authors":"P. Cundy","doi":"10.1080/02668734.2022.2049064","DOIUrl":"https://doi.org/10.1080/02668734.2022.2049064","url":null,"abstract":"In part 2 of this special issue we continue our series of papers from the celebration events for the centenary of the Tavistock Clinic. Exploring the theme of inequalities, the first paper in this issue is entitled ‘Pandemic: challenges in care and recovery’ by Dinesh Sinha. It has long been known that economic disadvantage is linked to higher rates of mortality and poorer access to healthcare (Black, 1982). More recent evidence has suggested that industrialised societies with the greatest income differentials (such as the UK and USA) have the poorest health and social development (Wilkinson & Pickett, 2009). The COVID-19 pandemic, which delayed the Tavistock centenary celebrations, has highlighted once again the inequalities in health within our society. Using the lens of everyday sadism, Sinha identifies corrosive and deliberate counter narratives to the themes of care and courage in this period. He describes how the pre-existing silos of separation between the privileged and dispossessed have prevented survival and wellbeing in the wider society. He cautions health and social care workers about the possible lapse into masochism and bravery as defences against exhaustion and the guilt of having survived when thousands of our colleagues have not. He highlights the need for awareness of our own feelings of guilt and aggression, so that they do not vitiate our capacity to care. Sinha suggests that 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 mitigate the scourge of everyday sadism. The next paper, ‘Under fire in the consulting room’ by Carine Minne, describes her work with patients at the Portman Clinic. The clinic traces its history back to 1933, when the ‘Psychopathic Clinic’ was founded by Edward Glover at the West End Hospital for Nervous Diseases. It was established as the clinical arm of the Institute for the Study and Treatment of Delinquency (ISTD), earlier founded in 1931 as the Institute for the Scientific Treatment of Delinquency. The Institute had been inspired by the work of Dr. Grace Pailthorpe, a psychiatrist and psychoanalyst, who worked in Birmingham and Holloway Prisons. There, she became interested in the personality of women prisoners and in 1932 published Studies in the Psychology of Delinquency. In her article Minne uses clinical vignettes with patients such as a woman who was convicted of infanticide. She illustrates situations when the therapist realised there was a sudden unexpected rise in the ‘temperature’ of a patient’s mind. She likens this to the ignition of a fuse and discusses why this may have Psychoanalytic Psychotherapy, 2022 Vol. 36, No. 1, 1–3, http://dx.doi.org/10.1080/02668734.2022.2049064","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"1 - 3"},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43611147","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":"Under fire in the consulting room","authors":"C. Minne","doi":"10.1080/02668734.2021.2005671","DOIUrl":"https://doi.org/10.1080/02668734.2021.2005671","url":null,"abstract":"A slow match is a very slow-burning fuse presenting only a small glowing tip whereas a quick match is one, which once ignited, burns at top speed. In this paper, I will present a number of clinical vignettes to illustrate situations when the therapist realised there was a sudden unexpected rise in ‘temperature’ of a patient’s mind and why this may have occurred. A fuse was lit but was it a slow or a quick one? I will relate this ignition to the possibility of premature interpretations, or a failure to notice how anxious the patient was in the presence of the terrifying object-therapist and also, patients’ unexpected responses to external interferences during a session. Descriptions of how these situations unfolded during sessions are given, and how, upon reflection, these could have been diffused differently. The emphasis will be on how best to maintain a psychoanalytic stance but also how to clinically judge when a session must be terminated in order to protect patient and therapist from exploding ‘bombs’ inadvertently ignited by patient or therapist. The importance of supervision and consultation with colleagues will be stressed.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"13 - 22"},"PeriodicalIF":0.8,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48118999","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":"Group dynamic interpersonal therapy (GDIT): adapting an individual interpersonal therapy to a group setting in an NHS IAPT service: a pilot study","authors":"Julie Folkes-Skinner, Letitia Collins","doi":"10.1080/02668734.2021.2001685","DOIUrl":"https://doi.org/10.1080/02668734.2021.2001685","url":null,"abstract":"Dynamic interpersonal therapy (DIT) was developed for individual clients. This pilot project set out to evaluate if DIT could be adapted to group psychotherapy. Three consecutive groups were run in an NHS IAPT service over two years. Twenty-seven clients (10 men and 17 women, median age 34) were offered treatment. Groups were facilitated by accredited DIT therapists. Clients completed the PHQ9 and the GAD7 at assessment and then weekly. Scores were used to evaluate the impact of GDIT on client symptoms. Data collected during routine treatment was later analysed. The delivery of key aspects of the model that included the formulation of the IPAF and the Goodbye Letter were changed. Results suggest that DIT can be adapted to a group setting and that this way of working may have significant benefits for clients. 74% of patients (n = 19) who completed treatment were above Caseness on the PHQ9 (p = < .00001, d = 1.82) and 58% on the GAD7 (p = < .000001, d = 1.63). Only one client (5%) dropped out of treatment. Given the small size of the sample and no control, the reduction in client symptoms cannot be reliably attributed to GDIT. More research is needed.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"141 - 156"},"PeriodicalIF":0.8,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41853931","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":"Psychoanalytic psychotherapy in the Russian Federation","authors":"C.A. Lemeshko, S. M. Babin, N. Semenova, Y.O. Fedorov, E.A. Kalinina, A.M. Koryoukin, D.V. Sevryougin","doi":"10.1080/02668734.2021.1978527","DOIUrl":"https://doi.org/10.1080/02668734.2021.1978527","url":null,"abstract":"The article provides an overview of the current state of psychoanalytic psychotherapy in the NHS of the Russian Federation (RNHS). The authors discuss successful examples of the implementation of psychoanalytic methodology in psychiatry during the Soviet Union and the Russian Federation. Psychodynamically oriented professionals of the RNHS and outside of RNHS are mainly concentrated in large cities. Despite a long tradition and a growing body of evidence for efficacy, the medical community is hostile to psychoanalytic ideas in psychiatry. However, psychoanalytic psychotherapy is in great demand in a society.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"331 - 346"},"PeriodicalIF":0.8,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42148266","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 factors in tinnitus aurium","authors":"E. Seidl, D. Schwerthöffer, O. Seidl","doi":"10.1080/02668734.2021.1988683","DOIUrl":"https://doi.org/10.1080/02668734.2021.1988683","url":null,"abstract":"Tinnitus aurium is the conscious perception of an acoustic sensation in the absence of a corresponding external stimulus. Besides other psychological factors, psychodynamic factors play an important role in the disease. This study evaluated patients with tinnitus who attended the tinnitus outpatient clinic at the ENT Department of LMU Munich. In addition to a physical examination, in a psychodynamic interview the trigger situations, parents’ parenting style, relation to hearing personality, and individual conflict dynamics associated with the onset and course of tinnitus were examined. We included 99 patients diagnosed with tinnitus. Besides organ-related triggers, we identified conflict-laden stresses as trigger situations. 53% of the patients described themselves as sensitive to noise before the start of the tinnitus. Compared with the general population, patients with tinnitus showed less overt aggressiveness (P < .001) and more social orientation (P < .001) and state and trait anxiety (P < .001). Inhibition of aggression was a major psychodynamic factor in the development of tinnitus. A conflict of autonomy was found in the majority of cases. The results underline the importance of psychodynamic factors in tinnitus. We were able to put the individual psychological factors into a meaningful overall context.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"64 - 80"},"PeriodicalIF":0.8,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43876558","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":"Being safe and being brave: new thoughts on trauma, and adaptations to technique","authors":"Graham Music","doi":"10.1080/02668734.2021.1992490","DOIUrl":"https://doi.org/10.1080/02668734.2021.1992490","url":null,"abstract":"This paper outlines ways in which more traditional psychoanalytic technique has been challenged by new findings about trauma and the optimal ways in which it can be worked with. In particular it outlines how therapists need to become much more knowledgeable about the risks of retriggering PTSD symptoms, and about dissociative symptomatology. In addition, in some cases it is suggested that psychoanalytic therapists might become braver in helping victims of trauma to feel anger about what happened to them, and that often for optimal recovery anger and rage needs to precede remorse, reparation and a bearing of depressive anxieties","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"35 1","pages":"318 - 334"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43041494","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":"In the footsteps of Bick: continuing the legacy of infant observation","authors":"D. Daws, Alexandra de Rementeria","doi":"10.1080/02668734.2021.1986741","DOIUrl":"https://doi.org/10.1080/02668734.2021.1986741","url":null,"abstract":"The authors, both child psychotherapists but from different generations, describe the legacy of Esther Bick in their learning, teaching and clinical practice. In telling two very personal stories about the importance of infant observation in their work, they span 60 years and trace the arc of Bick’s legacy over that period.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"35 1","pages":"353 - 367"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48928159","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":"Decolonising psychotherapy. Racism and the psychoanalytic profession","authors":"Helen Morgan","doi":"10.1080/02668734.2021.1990114","DOIUrl":"https://doi.org/10.1080/02668734.2021.1990114","url":null,"abstract":"From time-to-time concern is expressed within the psychoanalytic community that so few individuals from the black and minority ethnic communities want to train with us and join our organisations. I have come to believe that these discussions many will be familiar with are not only futile but a part of the defensive structures that serve to act against the radical change that is needed. I know individuals change. However, apart from some tinkering, our institutions do not. This paper considers the defensive structures of disavowal within ourselves and our organisations as well as the features of psychoanalytic training that produce a disabling complacency. These work against the radical changes that are required if the profession is to become one to which people of colour can feel they belong and that reflects twenty first century multicultural Britain. I offer some suggestions for ways of working against the racist assumptions behind some of our theories and our structures. The underlying conviction of the presentation is that this is a white problem which white people need to address – not only for the benefit of black colleagues but because it also does us all harm.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"35 1","pages":"412 - 428"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46789797","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":"Tavistock Centenary: the Tavistock Autism service over four decades","authors":"S. Reid, A. Alvarez, Nechama Polak, Myooran Canagaratnam","doi":"10.1080/02668734.2021.1992491","DOIUrl":"https://doi.org/10.1080/02668734.2021.1992491","url":null,"abstract":"An event held in December 2020 explored the rich clinical work and innovative thinking around Autism Spectrum Condition at the Tavistock over the past four decades. Consultant Child and Adolescent Psychotherapists Sue Reid and Anne Alvarez describe their early groundbreaking work within the Tavistock Autism Team and Workshop. This work yielded the fascinating clinical observations that there were some children with the condition who made significant gains in therapy, leading to major developments in psychoanalytic techniques for this group. Since then, there has been a continuing influence of psychoanalytical, systemic perspectives on the Tavistock approach to Autism. It is an approach which at the same time is firmly rooted in the research around Autism’s neurodevelopmental basis. Nechama Polak, Clinical Psychologist, provides an account of how the current work of the team has increasingly focused on supporting young adults with the condition, and their parents, whilst Myooran Canagaratnam, Consultant Psychiatrist, describes the Tavistock approach to diagnostic assessment.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"35 1","pages":"368 - 382"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044671","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":"Between partnering and parenting: psychoanalytic approaches to working with parental couples","authors":"A. Balfour","doi":"10.1080/02668734.2021.1991990","DOIUrl":"https://doi.org/10.1080/02668734.2021.1991990","url":null,"abstract":"This paper explores the link between parenting difficulties and couple relationship issues in psychotherapeutic work with parental couples. Initially, the discussion focusses on the social policy context of couple psychotherapy and the resistances it can evoke, which has led to an emphasis on ‘parenting’ rather than ‘couple’ interventions in the historic development of family service provision in the UK. Some developmental challenges facing couples who are parents are then discussed, focussing on a clinical case and drawing on the concepts of shared unconscious phantasy and enactment in the analytic session, to elucidate defensive and developmental possibilities of working at the interface between ‘parenting’ and ‘partnering’.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"35 1","pages":"396 - 411"},"PeriodicalIF":0.8,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46703449","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}