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A Lacanian explanation of Karon's and Villemoes's successful psychodynamic approaches to schizophrenia. 拉康学派对卡隆和维勒莫成功的精神分裂症心理动力学方法的解释。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.4.633.24196
Wilfried Ver Eecke
{"title":"A Lacanian explanation of Karon's and Villemoes's successful psychodynamic approaches to schizophrenia.","authors":"Wilfried Ver Eecke","doi":"10.1521/jaap.30.4.633.24196","DOIUrl":"https://doi.org/10.1521/jaap.30.4.633.24196","url":null,"abstract":"<p><p>In this article I use Lacan's early theory of schizophrenia as corrected by the School of Leuven. Early in his career Lacan argued that schizophrenic people have a defective relation to language. Vergote and several of his students--all from Leuven--point out that schizophrenics also have a defective relation to their bodies. Lacan calls the defective relation to language a defect in the symbolic and he calls defective relations to the body a defect in the imaginary. Repairing defects in the symbolic requires introducing in the emotional life of the patient the paternal function of the law. Repairing the imaginary requires the more maternal help of mirroring, affirming, and holding. I underline that the two forms of healing that need to occur in the treatment of schizophrenics seem contradictory. I then proceed to demonstrate that two therapists, Bertram Karon--a non-Lacanian--and Palle Villemoes--a Lacanian-artfully combine the two contradictory strategies which are theoretically required. The remainder of the article is then devoted to a summary and a discussion of the different methods developed by these two therapists. I demonstrate that both do healing work at the imaginary level and the symbolic level. Sometimes these two therapists explicitly point out that they make a shift in their healing work with the patient; sometimes they do not alert the reader that they do so. I claim that in the work of both therapists it is the contradictory work at the level of the imaginary and of the symbolic that is healing, not the therapeutic intervention at the imaginary alone or at the symbolic alone.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"633-43"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.633.24196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22255683","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}
引用次数: 3
Ego-structuring psychotherapy. Ego-structuring心理治疗。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.4.645.24200
Palle Villemoes
{"title":"Ego-structuring psychotherapy.","authors":"Palle Villemoes","doi":"10.1521/jaap.30.4.645.24200","DOIUrl":"https://doi.org/10.1521/jaap.30.4.645.24200","url":null,"abstract":"<p><p>Psychoanalysis regards psychosis as an early disturbance in the development of the personality, specifically, of the ego. The disturbance occurs during that period prior to the castration complex and thus before the phase when the ordering of relations becomes oedipal. Responsible for this disturbance is, according to Freud, foreclosure (verwerfung) of an important factor that normally accomplishes the primal repression (urverdrängung) and which renders repression proper (verdrängung) out of the question. According to Lacan this factor is the Name of the Father, which instigates the metaphorical dimension as such and, thereby, makes language come into action through a pact between the subject and the Other. In psychosis, Lacan postulates a foreclosure of the Name of the Father, which hinders the unconscious, structured as a language, from safeguarding the ego and the world, that is, the imaginary. Ego-structuring psychotherapy brings the Name of the Father into effect, enabling the psychotic person to become linguistically structured; consequently, a world view develops in the person and he or she becomes a historically determined person engaged in fulfilling a plan for life.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"645-56"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.645.24200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22255684","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}
引用次数: 3
Psychoanalytic peregrinations. II: Psychoanalysis as science and art. 精神分析漂泊。作为科学和艺术的精神分析。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.2.259.21960
R. Chessick
{"title":"Psychoanalytic peregrinations. II: Psychoanalysis as science and art.","authors":"R. Chessick","doi":"10.1521/JAAP.30.2.259.21960","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.259.21960","url":null,"abstract":"The foundations of psychoanalytic clinical practice involve the role of fantasy, creativity, and imagination as well as the natural science aspects of psychoanalysis. There is a common ground for psychoanalytic technique and we should not in a \"politically correct\" manner, as is so popular today, abandon the philosophical or Platonic foundationalism that lies at the basis of Freud's psychoanalytic practices. Although it is a \"politically incorrect\" view, a reasonable degree of objectivity and scientific validity is attainable by the relatively neutral psychoanalyst, using both natural science observations as well as introspection and hermeneutics. Furthermore, since psychoanalysis is fundamentally a creative activity, the roots of creativity require exploration and careful study. Subjective and first person methodologies such as Freud's psychoanalysis and phenomenology cannot be ignored in our search for the core of the self of each of our patients.","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"1 1","pages":"259-76"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89332066","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}
引用次数: 1
Historicity, humility, and the analytic exercise reply to commentaries by Drs. Palombo and Horner. 历史性、谦卑性和分析性的练习回应了dr。Palombo和Horner。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.2.235.21956
T. Zeddies
{"title":"Historicity, humility, and the analytic exercise reply to commentaries by Drs. Palombo and Horner.","authors":"T. Zeddies","doi":"10.1521/JAAP.30.2.235.21956","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.235.21956","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"20 1","pages":"235-40"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83700915","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}
引用次数: 0
Disasters, psychiatry, and psychodynamics. 灾难，精神病学和心理动力学。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.4.519.24188
Craig L Katz, Roger Nathaniel
{"title":"Disasters, psychiatry, and psychodynamics.","authors":"Craig L Katz,&nbsp;Roger Nathaniel","doi":"10.1521/jaap.30.4.519.24188","DOIUrl":"https://doi.org/10.1521/jaap.30.4.519.24188","url":null,"abstract":"<p><p>The unique experience of Disaster Psychiatry Outreach, a voluntary organization devoted to providing psychiatric assistance to people affected by disasters, provides a valuable substrate for exploring the role of psychodynamics in the human experience of disaster and trauma. This article offers a theoretical framework for such an experience that takes into account personal meaning, ego psychology and defenses, and grief work and suggests how to employ this framework in the setting of a disaster by way of examples from the events of Sept. 11. A useful clinical construct for future disaster work known as the \"trauma tent\" is ultimately proposed, as are novel applications of psychodynamics toward the prevention and mitigation of manmade and natural disasters.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"519-29"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.519.24188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22254091","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}
引用次数: 5
Financial limitations of managed care can actually enhance the therapeutic process through metaphor and reality testing. 管理式医疗的财务限制实际上可以通过隐喻和现实测试来增强治疗过程。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.4.737.24205
Julie Cohen
{"title":"Financial limitations of managed care can actually enhance the therapeutic process through metaphor and reality testing.","authors":"Julie Cohen","doi":"10.1521/jaap.30.4.737.24205","DOIUrl":"https://doi.org/10.1521/jaap.30.4.737.24205","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"737-8; author reply 738"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.737.24205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22255612","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}
引用次数: 0
Evidence-based psychotherapeutics. 以证据为基础的心理疗法。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.1.3.21986
S. H. Gray
{"title":"Evidence-based psychotherapeutics.","authors":"S. H. Gray","doi":"10.1521/JAAP.30.1.3.21986","DOIUrl":"https://doi.org/10.1521/JAAP.30.1.3.21986","url":null,"abstract":"Evidence-based medicine requires clinicians to base treatment of their patients on the findings of systematic clinical research. In recent years EBM has become linked with appropriate but also inappropriate efforts at cost containment. Organized psychiatry responded by developing evidence-based practice guidelines and launching a range of clinical research initiatives to determine the effectiveness and efficacy of current psychiatric practices. Psychoanalysis is particularly challenged because it has for most of the 20th century been based on conviction alone. Investigators have now identified the obstacles to research into psychoanalysis and dynamic psychotherapy and are developing techniques to overcome these and to study not only outcomes but also the internal processes of these treatment modalities. We may look forward to an evidence-based psychoanalysis in the 21st century.","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"47 1","pages":"3-16"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73853528","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}
引用次数: 19
Frontline--writing psychoanalytic case reports: safeguarding privacy while preserving integrity. 前线——撰写精神分析案例报告:在保持诚信的同时保护隐私。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.2.165.21951
C. Alfonso
{"title":"Frontline--writing psychoanalytic case reports: safeguarding privacy while preserving integrity.","authors":"C. Alfonso","doi":"10.1521/JAAP.30.2.165.21951","DOIUrl":"https://doi.org/10.1521/JAAP.30.2.165.21951","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 1","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80960425","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}
引用次数: 7
Interpersonal psychoanalysis' radical façade. 人际精神分析的激进的反面。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.4.595.24204
Irwin Hirsch
{"title":"Interpersonal psychoanalysis' radical façade.","authors":"Irwin Hirsch","doi":"10.1521/jaap.30.4.595.24204","DOIUrl":"https://doi.org/10.1521/jaap.30.4.595.24204","url":null,"abstract":"<p><p>The participant-observation model initiated the relational turn, as well as the shift from modernism to postmodernism in psychoanalysis. This two-person, coparticipant conceptualization of the psychoanalytic situation moved psychoanalysis from the realm of alleged objective science toward intersubjectivity and hermeneutics. From this perspective, the analyst as subjective other is constantly engaged affectively with the patient in ways that are very often out of awareness. Analyst and patient both, for better or for worse, are believed to unwittingly influence one another. This description of the analytic dyad has led many to mistakingly conclude that interpersonal psychoanalysts advocate wittinly affective expressiveness, often in the form of deliberate self-disclosure of feelings, as part of a standard analytic stance. Upon closer examination, radical interventions are no more emblematic of interpersonal analysts than they are of analysts from most other traditions, though the interpersonalists have indeed expanded what had theretofore been a rather narrow repertoire of interventions.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 4","pages":"595-603"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.4.595.24204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22255681","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}
引用次数: 5
Facing sexual violence in a rape emergency room: identification, projective identification, and the myth of nemesis. 在强奸急诊室面对性暴力:识别、投射性识别和报应的神话。
The Journal of the American Academy of Psychoanalysis Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.3.401.21972
Alvise Orlandini
{"title":"Facing sexual violence in a rape emergency room: identification, projective identification, and the myth of nemesis.","authors":"Alvise Orlandini","doi":"10.1521/jaap.30.3.401.21972","DOIUrl":"https://doi.org/10.1521/jaap.30.3.401.21972","url":null,"abstract":"<p><p>This article focuses on the relationship between identification and sexual abuse. Three subsequent levels are considered, namely, the relationship between (1) the abuser and the victim, (2) the gynecologist or social worker of the Rape Emergency Room (RER) and the victim, and (3) the gynecologist or social worker and the entire RER staff. In the relationship with a rape victim, the gynecologist and the social worker may perceive unexpected negative feelings such as fear, horror, impotence, despair, or even anger which can interfere in the identification with the victim. Rape can be considered also as a concrete form of devaluation through concrete penetration of the victim. As an example, a myth of sexual abuse will be presented: the rape of Nemesis by Zeus.</p>","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"30 3","pages":"401-13"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.30.3.401.21972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22073444","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}
引用次数: 1
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