The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry最新文献

{"title":"Suicide fantasy as a life-sustaining recourse.","authors":"John T Maltsberger,&nbsp;Elsa Ronningstam,&nbsp;Igor Weinberg,&nbsp;Mark Schechter,&nbsp;Mark J Goldblatt","doi":"10.1521/jaap.2010.38.4.611","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.4.611","url":null,"abstract":"<p><p>The suicide literature tends to lump all suicidal ideation together, thereby implying that it is all functionally equivalent. However obvious the claim that suicidal ideation is usually a prelude to suicidal action, some suicidal daydreaming tends to inhibit suicidal action. How are we to distinguish between those daydreams that augur an impending attempt from those that help patients calm down?</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 4","pages":"611-23"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.4.611","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29547169","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":"Understanding and treating infertility: psychoanalytic considerations.","authors":"Irving G Leon","doi":"10.1521/jaap.2010.38.1.47","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.1.47","url":null,"abstract":"<p><p>This article describes how the intrapsychic, psychosocial, and social ramifications of infertility may be addressed when infertility patients present with distress at the psychotherapist's office. Self psychology provides a valuable framework for the therapist, given the profound and multiple narcissistic assaults on self-esteem, consolidation of identity, developmental aspirations, and other self attributes which infertility causes. The therapist's empathy becomes the primary tool of both understanding and alleviating suffering resulting from infertility. The current medical and interpersonal experiences of the infertile person must be part of the therapeutic process. A psychodynamic model of treatment is outlined which includes goals of reestablishing narcissistic equilibrium, diminishing internalized stigma, and ameliorating other adverse psychological consequences of infertility diagnosis and treatment.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 1","pages":"47-75"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.1.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28841310","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 menstrual cycle as a subject of psychoanalytic inquiry.","authors":"Susan Kolod","doi":"10.1521/jaap.2010.38.1.77","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.1.77","url":null,"abstract":"<p><p>Since the pioneering studies of Benedek and Rubenstein (1939) psychoanalytic literature has ignored the impact of the menstrual cycle on a woman's psyche. This avoidance is based in sexism and concern over the ways in which the hormonal body has been used to support a negative view of women. It is clear that the impact of the hormonal body on the psyche is an important and relevant topic for psychoanalytic inquiry. Many women experience several different self-states during the course of their menstrual cycle. Clinicians should ask questions about menstrual experience to help patients contact, articulate, and give credence to all aspects of the self.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 1","pages":"77-98"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.1.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28841311","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":"Returning to freud.","authors":"Richard D Chessick","doi":"10.1521/jaap.2010.38.3.413","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.3.413","url":null,"abstract":"<p><p>In this article I attempt to renew interest in the importance of Freud's work for both the practice of psychoanalysis and in the training of psychoanalysts. I hope to stimulate readers to return to Freud's writings in detail, which seem to be increasingly neglected these days both in training and in the many conflicting contemporary models of psychoanalysis. I propose that the identity of psychoanalysis can still be based on Freud's work, and his approach can form a fundamental center from which there are various channels of divergence that may be useful when the patient seems to need them. But the centerpiece of our training and our orientation, I suggest, should be the basic principles spelled out in Freud's numerous volumes, in spite of the many changes and contradictions and even outright mistakes and cultural blindness he displays in some instances. I proceed to review some of these basic principles in the hope of persuading the reader to return to Freud again. I present these with some commentary from my own 50 years of clinical experience. I briefly review the clinical cornerstones of Freud's approach as developed in his early books, his controversial papers on technique, and his later emendations, which constitute the actual reality of Freud at work in psychoanalysis (that sometimes--and sometimes wisely--violates his papers on technique), and I discuss his notion of curative factors in psychoanalysis. All of this is to revive an interest in Freud's thought and to emphasize the lasting value of his work, both in its contemporary clinical relevance and as the proposed foundation stone of our identity as psychoanalysts.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":" ","pages":"413-39"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.3.413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40075934","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 aspects of psychopharmacology.","authors":"Thomas Cheuk Wing Li","doi":"10.1521/jaap.2010.38.4.655","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.4.655","url":null,"abstract":"<p><p>This paper presents a framework for understanding the psychodynamic issues pertaining to psychopharmacology. It examines the treatment situation from three perspectives: the self-in-relation-to-others, the patient-prescriber relationship, and cultural attitudes. It discusses psychodynamic factors involved in clinical improvement and deterioration. The relevance of these issues is discussed and contrasted with the biomedical model of mental illness. It concludes by advocating the mindfulness of psychodynamic factors and the maintenance of dialectics in clinical practice.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 4","pages":"655-74"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.4.655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29547144","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 \"Looking through a distorted mirror: toward a psychodynamic understanding of descriptive psychopathology of depression\" by Paolo Azzone.","authors":"Wilfried Ver Eecke","doi":"10.1521/jaap.2010.38.4.607","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.4.607","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 4","pages":"607-10"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.4.607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29547168","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--Psychodynamic psychiatry: present and future.","authors":"Richard C Friedman","doi":"10.1521/jaap.2010.38.4.561","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.4.561","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":" ","pages":"561-74"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.4.561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39970291","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":"Denial of pregnancy: a psychodynamic paradigm.","authors":"Margaret G Spinelli","doi":"10.1521/jaap.2010.38.1.117","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.1.117","url":null,"abstract":"<p><p>This article discusses denial of pregnancy. It includes clinical material from 17 women who not only denied pregnancy but committed neonaticide and were evaluated for forensic reasons. The forensic issues have been discussed elsewhere and are not considered here. The literature on denial of pregnancy taken in conjunction with the clinical profiles presented here indicates that women who deny pregnancy tend to experience dissociative psychopathology. Not all pregnant women who dissociate deny pregnancy, however. This article discusses why some women who dissociate but not all develop the dramatic symptom-denial of pregnancy.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 1","pages":"117-31"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.1.117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28841312","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":"Sexual sadism: a portrait of evil.","authors":"Michael H Stone","doi":"10.1521/jaap.2010.38.1.133","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.1.133","url":null,"abstract":"<p><p>Sexual sadism has been defined ambiguously in the DSM to include both preoccupation with sadistic sexual fantasies and the acting out of such fantasies (with resultant harm or death to the victims). Ideally, the term should be used only for persons in whom such fantasies are acted out in actual behavior. Almost all such persons will be men. There is an overlap between the psychiatric diagnosis of sexual sadism (as behavior) and the concept of evil as the word is used in everyday parlance. The word evil is evoked generally when one comes to learn of (or witness) violent actions of such a nature as to horrify, shock, and disgust us. Evil corresponds, that is, to an emotional reaction when confronted with acts of a particularly horrifying and repugnant type. Violent sexual crimes involving torture of the victim are particularly likely to elicit this response. A common examplar of sexual sadism is the serial killer who experiences orgasm when murdering his victim. Sadistic sexual fantasies are noted in certain adolescents. In some of these the fantasies serves rehearsal for future sadistic sexual acts, especially in adolescents with callous-unemotional personality (who often emerge in adult life as psychopaths). Whereas therapy would usually fail even if such adolescents were brought to treatment early, there are others who experience sadistic sexual fantasies, but for whom these fantasies are ego-alien and disturbing. Patients of the latter type may be amenable to dynamic psychotherapy.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 1","pages":"133-57"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.1.133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28842531","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 rise and fall of the autochthonous self: from Italian Renaissance art and Shakespeare to Heidegger, Lacan, and intersubjectivism.","authors":"Richard D Chessick","doi":"10.1521/jaap.2010.38.4.625","DOIUrl":"https://doi.org/10.1521/jaap.2010.38.4.625","url":null,"abstract":"<p><p>This article addresses the unresolved question of the existence of a private core autochthonous self, as it has been described by Winnicott, Modell, and others. The postmodern version of the self has eliminated this concept entirely, relegating the self to a changing and unstable display, or regarding it as totally chaotic, or even an illusion. The question is raised whether by returning to the origins of this notion of a private self and then tracing its apparent dissolution it might be possible to discover some evidence that it still exists. The methodology used is that of obtaining knowledge directly through the arts and the claim is made that because empirical science has clamored to be the only source of knowledge, we have lost what could be obtained by direct intuitive seeing and experiencing the works of creative geniuses. To explore the rise of the autochthonous self this article provides an examination of the shift from Gothic art to Italian Renaissance art, a time which engendered the origin of \"man\" with his or her elusive private individual self that then became expressed in changing works of art. As this spread north, Shakespeare appeared and similarly invented and illustrated in his characters the private individual self, a concept not appreciated or recognized before the renaissance. But as science arose and Western civilization began to decline, a corresponding disillusionment with \"man\" took place. The self began to be viewed as solely a social construction with no core except perhaps a genetic endowment. This was accompanied by a reduction in the concept of the human as a valuable and precious living being and was replaced by regarding the human as an object of control and exploitation. After the Second World War a movement in contemporary United States psychoanalysis gradually replaced the ideas of Freud and his emphasis on the \"I\" in the psychoanalytic process, with forms of relational therapy, assuming that the self was ab initio intersubjectively formed and could be altered fundamentally by focus on intersubjective processes. The author contends that this attitude makes it less likely for the psychoanalyst to focus on the regressive transferences from which derivatives of the private self arise and to grasp the phenomenological whole of the patient.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"38 4","pages":"625-53"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2010.38.4.625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29547143","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}