Psychoanalytic Psychotherapy最新文献

{"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}

{"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":"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":null,"pages":null},"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}