{"title":"The abandoned therapist.","authors":"D H Buie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A discussion of \"The Holding Environment and Family Therapy with Acting Out Adolescents,\" by E.R. Shapiro, M.D. It is presupposed that the central motivation of psychotherapists is to derive a secure holding environment from the patient. The most fundamental need of human beings is the allaying of separation anxiety. As parents use their children to maintain an inner sense of security, the unresponsive child will cause the parent significant depression and anxiety. The parallel of the therapist's and parent's position with the patient/child is explored.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"227-31"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168677","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":"Notes on the potential differentiation of borderline conditions.","authors":"W W Meissner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is argued that the borderline personality organization as now conceived embraces a spectrum of differentiable diagnostic groupings. Lumping these diagnostic clusters under a single descriptive heading contributes to continuing conceptual ambiguities and theoretical confusion in the understanding of borderline psychopathology. A potential differentiation of borderline entities on clinical grounds is suggested. The bases for discrimination of higher-order borderline conditions versus lower-order conditions are explored. Current accounts of borderline pathology tend to focus on lower-order pathology as characteristic, but do not account for the full range of the borderline spectrum. Other potential discriminations between an hysterical continuum and an obsessional-schizoid continuum are explored. Differential diagnoses suggested include pseudoschizophrenia, psychotic character, borderline personality, and primitive hysteric in the hysterical continuum; schizoid personality, false-self organization, and as-if personality in the schizoid continuum. The syndrome of identity diffusion is also suggested as part of the borderline spectrum.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"3-49"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17813085","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":"Problems in the application of psychoanalysis to Mary Shelley's Frankenstein.","authors":"F D Baudry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"647-56"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17813093","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":"On speaking of oneself by name.","authors":"D Farrell, M F Hoyt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Speaking of oneself by name is studied. Such behavior occurred with unusual frequency in the case of a patient with predominantly narcissistic character pathology who underwent brief psychotherapy for a stress response syndrome following his wife's suicide. A content and context analysis of this phenomenon showed that the patient would refer to himself by name as a characteristic defense in response to severe threats to his self-esteem. An object-relations perspective proved useful in clarifying dynamic aspects of this defensive maneuver, which depended for its effectiveness on the evocation of self-images negating guilt and shame. In addition to the patient's character style and the nature of the stress event, the framework of the therapy and the therapist's countertransference responses to the patient were other factors influencing the appearance of this behavior. It is concluded that referring to oneself by name reflects at least momentary disturbance in the sense of self and may be unusually prominent and frequent in narcissistic pathology. A study of the phenomenon appears to elucidate an important step in the building of self-representation from the self-object representations of the symbiotic phase: the concept of \"I\" becomes possible through the reconciling of a sense of physical and psychic separateness with the need for emotional relatedness to others. Where problems of this early developmental phase are reactivated in the treatment situation, the patient's relationship with the therapist is the vital bridge toward a more coherent sense of self.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"603-19"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168585","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":"Frame disturbances in no-fee psychotherapy.","authors":"J Paris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The frame of psychotherapy shows both universality and social relativity. Since the intrapsychic world is permeable to social reality, the meaning of insurance in psychotherapy depends on context. Experience with Canadian National Health Insurance suggests that when no-fee psychotherapy in normative, it is absorbed in the frame. There are still trouble spots in the Canadian system, particularly the management of missed sessions. Depending on the needs of the patient, charging for missed sessions can disrupt therapy entirely or be constructive for the treatment.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"135-46"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168674","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 holding environment and family therapy with acting out adolescents.","authors":"E R Shapiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pathology of the holding environment in families of borderline, schizoid, and narcissistic adolescents is reviewed. A model for family therapy is described in which this pathological family environment can be examined. In this model, the family therapists function to contain displaced, projected, and acted-out affects and impulses. A clinical example illustrates how a therapist's capacity to acknowledge, bear, work through, and redirect these impulses in the family treatment offers family members an opportunity to reestablish previously severed communications, allowing for continued family support at a critical period in the adolescent's development.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"209-26"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168678","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 opening phase of psychotherapy of hypochondriacal states.","authors":"R M Galatzer-Levy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>People presenting with hypochondriacal complaints are commonly regarded as difficult to engage in psychotherapy. The clinical experiences described here indicate that when therapists communicate their empathic understanding of the patient's distress, the patient's suffering is decreased and it is possible to engage him or her in treatment. These results are demonstrated with regard to eight patients. Treatment failures using this method are demonstrated in a case where its application was delayed and in cases of hysteria and schizophrenia, where the method is not applicable. These clinical results can be conceptualized using ideas of self-psychology.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"389-413"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168684","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 fear of being fat and anorexia nervosa.","authors":"C P Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It was found in the analysis of patients with anorexia nervosa that when they resumed normal weight and began menstruating again, analysis focused on their complex and pathological body image, which was manifested consciously by an intense fear of being fat. Scrutiny of nonanorexic women in analysis showed them to have a less intensely cathected fear of being fat or body-image disturbance, and observation and questioning of normal women in our culture showed many of them to also have this fear. Unconsciously caused by their feminine identification, many male homosexuals and men with severe latent homosexual conflicts were found to have the fear of being fat, in contrast to other men who do not evidence the fear. The fear of being fat is greatly overdetermined, and clinical material is presented to demonstrate that conflicts from every level of development--pre-Oedipal, Oedipal, adolescent, and adult--are displaced onto and masked by the fear.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"233-55"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17814232","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":"Speech, the psychoanalytic method, and madness: a \"case history\".","authors":"M M Khan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"447-73"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168683","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":"From command to request: the development of language in the treatment of a symbiotic psychotic child.","authors":"A Bergman, M Chernack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A discussion of \"Separation-Individuation and Transitional Objects in a Four-Year-Old Psychotic Child\" by Stavroula Beratis, M.D., Robert Miller, M.D., and Eleanor Galenson, M.D. The case study of the treatment of a four-year-old symbiotic psychotic child is presented. The child is in therapy at a day treatment program at the Psychological Center of the City University of New York as part of an ongoing research program studying the relationship of cognition and object relations in autistic and psychotic children. The development of the child's language and self-concept in the course of two years of treatment is discussed. His language is regarded as an indicator of the level and quality of self-object differentiation. A distinction is drawn between the pathological symbiotic state and the normal symbiotic stage, and maturation along the lines of separation-individuation is discussed in terms of the development of dialogue.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"9 ","pages":"583-602"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18168584","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}