The Journal of the American Academy of Psychoanalysis最新文献

{"title":"Patterns of patient disclosure in psychotherapy.","authors":"D. Hall, B. Farber","doi":"10.1521/JAAP.29.2.213.17262","DOIUrl":"https://doi.org/10.1521/JAAP.29.2.213.17262","url":null,"abstract":"The primary aim of the present study was to identify those issues that patients do and don’t discuss in therapy, as well as factors that affect disclosure. A total of 147 patients currently in therapy completed a battery of demographic and self-report measures, including the Disclosure to Therapist Inventory-Revised, an 80-item scale. Results indicated that patients most extensively discuss aspects of their personalities that they dislike or worry about, characteristics of their parents that they dislike, and feelings of depression or despair. Least discussed issues tend to be sexual in nature, including sexual feelings or fantasies about one’s therapist and interest in pornography. The two factors that emerged as most strongly predictive of overall disclosure were length of time in therapy and strength of the therapeutic alliance. Findings confirm the importance of long-term therapy in allowing clients to access deep-seated concerns and fears.","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"1 1","pages":"213-30"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85431492","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 secret life of the psychoanalyst.","authors":"R. Chessick","doi":"10.1521/JAAP.29.3.403.17298","DOIUrl":"https://doi.org/10.1521/JAAP.29.3.403.17298","url":null,"abstract":"In this article I have discussed what philosophers formally call subdoxastic about. Subdoxastic states are unconscious states about something that lead to conscious beliefs and conscious experiences. In the field of psychoanalysis Sullivan's (1953) \"malevolent transformation\" is a simple example of this. We all known how patients who have unconsciously undergone this kind of transformation of beliefs about people often appear more or less openly, depending on how well they are able to hide it, to be paranoid, suspicious, angry, and mistrustful of everybody, with the result that their conscious behavior and attitude alienate people and drive them away, resulting in experiences serving to verify the patients' beliefs. Psychoanalysts, we hope, are more subtle. Because they operate in a situation where there is little consensual validation and public scrutiny, the temptation to such syndromes as \"compromise of integrity\" or \"partial private schemata\" is very strong, leading to enactments that can be damaging to both patient and analyst and ultimately to burnout, as I have described it in this article. It is necessary, therefore, for analysts to keep a careful check on their conscious value systems and beliefs and to maintain continuing self-analysis for the subdoxastic factors that shape such beliefs. It is not possible to hide this from patients, and we must assume that sooner or later the patient gets to know the analyst pretty well. Analysts displaying the syndromes just mentioned, which are more subtle than ordinary character pathology such as that which forms the all-too-pervasive narcissistic analyst, may not even be aware they are doing so if they do not maintain a continual self-scrutiny, and if they do not pay close attention to their patients' material. This material--the patients' dreams, free associations, behavior, and enactments in the analytic process--often reflects not only transference but also constitutes a response to the analyst's unconscious and conscious value systems, which in turn are based on the subdoxastic factors that make the analyst the person that he or she is. Some patients may even precipitate crises or other situations that test the analyst's value system and force the analyst to display his or her secret self in immediate decisions that cannot be avoided. This is especially true if the patient is frightened or terribly threatened by factors in the secret self of the analyst; in this situation the patient may behave like a child who knows his or her father or mother is really very angry under a seemingly calm exterior, and as a result the child deliberately precipitates a display of that parental anger to get it out on the surface, get it over with, and reduce the child's anxiety. I have called for a genealogical study of analysts' choices of theoretical orientation in various cultures, and herein I am calling for a study of the subdoxastic factors in each individual analyst's theoretical orientation. Every theoreti","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"125 1","pages":"403-26"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82132584","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":"Fromm's concern with feminine values.","authors":"M. Bacciagaluppi","doi":"10.1521/JAAP.29.4.617.21551","DOIUrl":"https://doi.org/10.1521/JAAP.29.4.617.21551","url":null,"abstract":"*President, OPIFER (Organizzazione di Psicoanalisti Italiani—Federazione e Registro), Florence, Italy. This article was presented at the XI International Forum of Psychoanalysis, which was sponsored by the IFPS (International Federation of Psychoanalytic Societies), took place on May 4–7, 2000, at the New York Marriott/Brooklyn, and was dedicated to the memory of Erich Fromm, to mark the centennial of his birth (March 23, 1900). It is fitting that the meeting was hosted by the William Alanson White Society, since Fromm was one of the cofounders of the WAW Institute.","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"133 1","pages":"617-24"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75981752","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":"Countertransference factors in the psychology of psychopharmacology.","authors":"J. Rubin","doi":"10.1521/JAAP.29.4.565.21538","DOIUrl":"https://doi.org/10.1521/JAAP.29.4.565.21538","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"35 5 1","pages":"565-73"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77232353","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":"Narcissism in collecting art and antiques.","authors":"S. Schwartz","doi":"10.1521/JAAP.29.4.633.21542","DOIUrl":"https://doi.org/10.1521/JAAP.29.4.633.21542","url":null,"abstract":"This article was originally conceived as an examination of the psychological forces, both constructive and pathological, that take place in the world of collecting, evaluating, marketing, and restoring rare objects. Although this is made timely by the news being full of scandals surrounding auction houses, museum acquisitions, forgeries, and stolen property, I wondered about the value of a study of these issues for mental health professionals. To my delight (for the article anyway), these egomaniacal power struggles are easily transferable to everyday interactions with patients, colleagues, supervisors, and competitors. Our need to maintain a sense of uniqueness, and our vindictive struggle when it gets threatened invade every area of our lives. Having something desirable creates security and strength, while lacking or envying create gaping lacunae. This universal human attribute spans all societies and belief systems. Therefore, we all collect. We collect knowledge, we collect techniques, we collect honors and degrees, we collect clothes and shoes, we collect experiences, we even collect friends. There is nothing cheap or tawdry about feeling safe with what we can rely on as being ours, so while being more specifically directed toward art collecting, this paper can apply to multiple areas of human communication and how it can break down in the face of a threat to ego integrity. Collecting, as a sociopsychological phenomenon, is as old as the process of creativity. As soon as humans could conceptualize the idea of beauty, the acquisition of a beautiful object would guarantee present and future enjoyment, in the knowledge that it is always reachable, and that the experience of it is infinitely repeatable. On a primitive level, the fact that certain marsupials store food for the winter would perhaps demonstrate the instinctual need to provide for the future so as to afford the opportunity of eating even when food is not externally available. The main difference between this instinctual collecting and carnivorous attacks by predators lies in the concept of investment, future use. The lion","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"48 1","pages":"633-47"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86085989","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 use of transitional objects in self-directed aggression by patients with borderline personality disorder, anorexia nervosa, or bulimia nervosa.","authors":"S. Guinjoan, D. R. Ross, L. Perinot, V. Maritato, M. Jordá-Fahrer, R. Fahrer","doi":"10.1521/JAAP.29.3.457.17299","DOIUrl":"https://doi.org/10.1521/JAAP.29.3.457.17299","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"4 1","pages":"457-67"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87569260","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":"Wounded healer: the impact of a therapist's illness on the therapeutic situation.","authors":"B. L. Cristy","doi":"10.1521/JAAP.29.1.33.17184","DOIUrl":"https://doi.org/10.1521/JAAP.29.1.33.17184","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"1 1","pages":"33-42"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75117558","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":"American psychoanalysts who influenced Eugene O'Neill's Long Day's Journey Into Night.","authors":"A. Silver","doi":"10.1521/JAAP.29.2.305.17267","DOIUrl":"https://doi.org/10.1521/JAAP.29.2.305.17267","url":null,"abstract":"Eugene O’Neill’s finest play, Long Day’s Journey Into Night, owes enormously to the direct and personal influence of two American psychoanalysts, Smith Ely Jelliffe and Gilbert VanTassel Hamilton. Each independently taught O’Neill as well as some of his co-workers psychoanalytic theory, and collaborated in projects leading to publications. Jelliffe and Hamilton steered O’Neill and his colleagues to the writings of Freud, Jung, Edward Kempf, and Adolf Meyer, and discussed the material with them. Thus, their orientation and therapeutic efforts infuse this American classic. Eugene O’Neill, a Nobel laureate often cited as the “father of American drama” (Gassner, 1967), spotlighted the troubled family, writing first of families in crises and later depicting them over many generations. Fascinated by family dynamics, he had embarked on a series of nine plays he called “the Cycle,” involving a single family line spanning 150 years, including their transition from Old to New World (Sheaffer, 1968; Weissman, 1957). Long Day’s Journey into Night is not in the Cycle, but it is O’Neill’s own autobiographic family drama. Dedicating the play to his wife, Carlotta, O’Neill wrote, “I mean it as a tribute to your love and tenderness which gave me the faith in love that enabled me to face my dead at last and write this play—write it with deep pity and understanding and forgiveness for all the four haunted Tyrones” (O’Neill, 1956, p. 7). O’Neill acknowledged that writing the play let him work through his conflictual feelings toward his family. Thus, the play illustrates the principles of reparation in a creative act as defined by Chasseguet-Smirgel (1984, p. 405).","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"1 1","pages":"305-18"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75246128","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":"A cost-effective psychoanalytic treatment of a severely disturbed woman.","authors":"R. Abramson","doi":"10.1521/JAAP.29.2.245.17259","DOIUrl":"https://doi.org/10.1521/JAAP.29.2.245.17259","url":null,"abstract":"Guidelines for the treatment of psychotic conditions currently emphasize psychopharmacology and supportive individual and family counseling as well as environmental approaches (American Psychiatric Association [APA], 1997). In the past three decades psychoanalytic therapeutic approaches to the treatment of these conditions have bccn regarded as ineffective, except in rare cases (Davis and Andriukaitis, 1986; Hogarty et al., 1986; Kane, 1987). The thrust of these guidelines is reflected by criteria that managed care organizations (MCOs) use to approve or disallow treatment services (Merit Behavioral Care, 1997). These criteria prescribe the use of medication combined with a psychotherapeutic approach that emphasizes brief treatment directed toward behaviorally measurable goals (United Behavioral Health, 1999). The uncovering of emotional life and the reconstruction of past experiences having emotional consequences in the present, characteristic of psychoanalysis and psychoanalytic therapy, are regarded as irrelevant in some cases and, in other cases, as disorganizing and therefore counter-therapeutic. Differences of opinion as to the relevance of psychoanalysis in the treatment of schizophrenia and related conditions goes back over 100 years. Freud (1911) did not attempt to treat primitive psychoses with psychoanalysis, and current biopsychiatry sees itself in the tradition of Kraeplin (1907), whose methods were descriptive and biological. Bleuler (1911), however, did apply psychoanalytic principles and a more intrapsychic approach to the understanding and treatment of patients with schizophrenia and other major mental disorders. In the first 65 years of the twentieth century, until the advent of effectivc psychopharmacology and cognitive and behavioral psychotherapies, psychoanalysis and psychoanalytic treatment were the only systematic treatments of mental disorders that had some effectiveness; therefore, these approaches continued to be used in the treatment of major mental illnesses. Such approaches remained controversial, but those who engaged in them reported strongly beneficial outcomes (Fromm-Reichman, 1948; Giovac","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"101 1","pages":"245-64"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75744440","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":"Androgyny in Indian art and culture: psychoanalytic implications.","authors":"B. Schaffner","doi":"10.1521/JAAP.29.1.113.17186","DOIUrl":"https://doi.org/10.1521/JAAP.29.1.113.17186","url":null,"abstract":"","PeriodicalId":76662,"journal":{"name":"The Journal of the American Academy of Psychoanalysis","volume":"36 1","pages":"113-25"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87596595","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}