The Journal of the American Academy of Psychoanalysis最新文献

{"title":"An Illustration of the Irreducible Subjectivity in Interpreting Data—Clinical or Written: A Reply to Philip Bromberg","authors":"I. Hirsch","doi":"10.1521/JAAP.30.4.621.24190","DOIUrl":"https://doi.org/10.1521/JAAP.30.4.621.24190","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"16 1","pages":"621-632"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91256982","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":"Commentary on “Bion's Grid: A Tool for Transformation” by Marilyn Charles","authors":"J. Grotstein","doi":"10.1521/JAAP.30.3.447.21974","DOIUrl":"https://doi.org/10.1521/JAAP.30.3.447.21974","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"26 1","pages":"447-450"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86107437","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":"Commentary on “Jihad, McWorld and Enactment in the Postmodern Mental Health World” by Eric M. Plakun","authors":"J. Bozzuto","doi":"10.1521/JAAP.30.3.355.21968","DOIUrl":"https://doi.org/10.1521/JAAP.30.3.355.21968","url":null,"abstract":"Journal of The American Academy of Psychoanalysis, 30(3), 355–356, 2002 © 2002 The American Academy of Psychoanalysis In his article, “Jihad, McWorld and Enactment in the Postmodern Mental Health World,” Dr. Plakun adds an overall theoretical framework that is useful to us as mental health practioneers. As dynamic psychiatrists and psychoanalysts, we tend to practice in the “Jihad,” as opposed to the “McWorld.” Our tendency to focus on the world of one, to help that individual understand the inner and outer worlds that shape the patient’s existence, forces us to respect and cherish that practice. We all must understand the inner and outer experience of all our patients and as individuals must have a firm grasp of what is “happening” in the world around us. This article has special significance, especially after the tragedy of September 11, 2001. It gives a framework for us as therapists and for our patients. We all share that experience. The world we live in has changed. The theoretical discussion of a changing world affords us insights that could help us understand our patients and ourselves. However, the case discussion used to support his thesis, that if we become angry and hostile to managed care we compromise our treatment with our patients, is misguided. The case presentation is of a man who was seen three times a week for years. This was funded by his insurance company. This is not managed care as we know it. As a member of the American Psychiatric Association’s Managed Care Committee for the past five years, and as Chairman of the Connecticut Psychiatric Society’s Managed Care Committee, I have seen a different managed care, one that is directly responsible for the deaths of multiple patients. Mortality should not be an outcome of utilization review (Bozzuto, 2002). This patient, as presented by Plakun, was highly functional and received generous insurance benefits. To equate this form of “managed care” with the usual and customary is a mistake. The managed care I am familiar with is associated with the following:","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"2 1","pages":"355-356"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89808570","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":"Commentary on \" Mortal Gifts: A Two-Part Essay on the Therapist' s Mortality\" by Ellen Pinsky","authors":"A. Silver","doi":"10.1521/JAAP.30.2.205.21957","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.205.21957","url":null,"abstract":"Dr. Pinsky has written eloquently about a subject that I feel psychoanalysis has avoided, the nature of what used to be called the “ real relationship” between analyst and analysand. Our myths of neutrality and abstinence converge in a myth of termination. We assert that our analytic patients will eventually resolve their perceptions of us based in their transferences and see us as merely guides who have done a job and who are no longer needed in their lives. On the other hand, there is evidence that transferential feelings about an analyst can resurface years later with minimal stimulation, and perhaps our analysands who do “ terminate” their work with us and go on with their lives carry internalizations of us with them that sustain them. Dr. Pinsky says that our field denies the mortality of the analyst; I suggest that we deny mortality by positing an imaginary end to the analytic relationship. In most cases, we can believe that the analytic relationship does end; most of our analytic patients do stop coming to see us. Even then, we deny a significant degree of the “ reality” of the relationship. How many of us are comfortable discussing our mourning for a patient we have worked with for years, over the course of which we came to an intimate knowledge of the patient. We cannot deny that our long-term patients also come to know much about us in the shared subjectivity that comes into existence in the matrix of transference and countertransference— and shared experience and affect. It is in the very special relationship between analyst and those analysands who become analysts that our myths most significantly break down. When we finish our training, many of us analysts have gone on to teach and train new candidates and to work with our “ former” analysts in various ways in our analytic societies and institutes and in other professional organizations. We cannot avoid encountering our analysts outside their offices, the claustra in which analysis occurs. I know of analysts who have written extensively about the work of their analysts, openly acknowledging the relationship and its effect on them and their own thinking; they seem truly “ professional children.” When I have asked about how this relationship is handled— professionally and so","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"12 1","pages":"205-208"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80534077","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":"Commentary on “Behind, Beneath, Above, and Beyond: The Historical Unconscious,” by Timothy J. Zeddies","authors":"A. Horner","doi":"10.1521/JAAP.30.2.233.21959","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.233.21959","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 1","pages":"231-232"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89566543","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":"FRONTLINE—Toward a New Name, Toward a New Mission","authors":"D. Ingram","doi":"10.1521/jaap.30.1.1.21989","DOIUrl":"https://doi.org/10.1521/jaap.30.1.1.21989","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"37 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87203023","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":"Commentary on \"A Streetcar Named Desire — Psychoanalytic Perspectives\" by Joseph Silvio","authors":"M. Eckardt","doi":"10.1521/JAAP.30.1.145.21981","DOIUrl":"https://doi.org/10.1521/JAAP.30.1.145.21981","url":null,"abstract":"Most psychoanalysts respond to dramatic literary productions with great fascination and enthusiasm. These novels, plays, or poems allow our knowledge to come alive in brilliant colors and seem to affirm our professional identity. Our imagination is stimulated and characters take on, in our minds, flesh, blood, recognition, a past, and a future. Ten analysts deeply stirred by a Williams play will create ten different versions of such come-to-life characters, but while these versions may show some kinship, they would be merely cousins. Never would they be identical. The vividness of our experience can easily blur the distinctions between artistic creation and reality, seducing us into interpretive flights. We may seek to justify these visions while this same vividness of experience blurs our awareness of the many caveats, the many facts and forces that determine a creative product. Art, no matter what its source material, is transmuted not only by the artist’ s creativity but also by the rules of the particular creative form. A play compresses time, space, and character. It selects. The play opens and ends. There is no tomorrow and no yesterday. We experience framed time and framed space and through our imaginative interaction with these devices we feel at ease with them and translate them into a meaningful semblance of life. Tennessee Williams was a fascinating person and one of the most outstanding playwrights of this last century. His topics depict powerful intricate interpersonal enmeshments, topics of great attraction to us psychoanalysts. Joseph Silvio, deeply impressed by the personality and the plays of Tennessee Williams, enhanced by further research, demonstrates this attraction, but also may stimulate us to wonder about the dangers of blurring the distinction between creation and reality. Williams’ s biographers agree in their emphasis on the importance of Williams’ s conflicted relationships to his father and his sister Rose. Dr. Silvio takes this further and suggests a theme of unconscious guilt and shame as motivational in Williams’ s writing A Streetcar Named Desire. This motivation, Dr. Silvio writes, arose in response to the successful reception of The Glass Menarerie. Success was experienced","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"34 1","pages":"145-148"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84429085","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":"FRONTLINE--is there life after psychoanalysis? On retirement from clinical practice.","authors":"Althea J Horner","doi":"10.1521/jaap.30.3.325.21970","DOIUrl":"https://doi.org/10.1521/jaap.30.3.325.21970","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 3","pages":"325-8"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.3.325.21970","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22073439","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 peregrinations IV: what is phenomenology?","authors":"Richard D Chessick","doi":"10.1521/jaap.30.4.673.24201","DOIUrl":"https://doi.org/10.1521/jaap.30.4.673.24201","url":null,"abstract":"<p><p>This article proposes to clarify the use of phenomenology as a complementary approach to the psychoanalytic process. Because phenomenology is defined and used differently by many different authors, it is here specifically juxtaposed to the DSM-IV approach for purposes of comparison and elucidation. Phenomenology attempts to complement the objectivation and mathematization of reality by the sciences with allowing things to speak for themselves. This requires an attitude of acceptance of whatever appears from the patient in the consulting room without filtering it through judgements or presuppositions that we are all taught in our training. So, for example, such concepts as \"empathic linkage,\" the \"infectiousness\" of anxiety, the \"feel\" of the schizophrenic ambiance as described by various authors come across more directly in an encounter based on the phenomenologic approach. This can be used in addition to DSM-IV and other approaches to gain new information. A brief review of how phenomenology arose and the use of it by certain well-known thinkers is presented.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"673-89"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.673.24201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22255686","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":"Mortal gifts: a two-part essay on the therapist's mortality. Part I: untimely loss.","authors":"E. Pinsky","doi":"10.1521/JAAP.30.2.173.21949","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.173.21949","url":null,"abstract":"The absence of theoretical and practical provisions for the patient whose therapist dies or becomes seriously ill reflects underlying problems regarding termination. Therapy is unique among human intimacies in that its goal is separation, a paradox that informs both the near-silence of early termination theory and the confusion in more recent writing. The therapist's emotional involvement must be understood through the therapeutic relationship as part of \"mortal\" life, that is, as a specialized category within ordinary human interactions. The profession has neglected the therapist's mortality, in figurative as well as literal senses. This neglect, a covert grandiosity, is the \"Olympian Delusion.\" On one level, inadequate termination theory underlines failure to confront the therapist's mortality; more profoundly, failure to confront the therapist's mortality underlies deficiencies in termination theory. The mystique of the superhuman therapist can lead to a professional reticence that is less than fully human, abrogating the patient's right to a decent, human leave taking.","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"70 1","pages":"173-204; discussion 205-10"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/JAAP.30.2.173.21949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72518839","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}