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

{"title":"Welcome, Trauma, and Introjection: A Tribute to Sandor Ferenczi","authors":"Gianni Guasto, M. Bacciagaluppi","doi":"10.1521/JAAP.2011.39.2.337","DOIUrl":"https://doi.org/10.1521/JAAP.2011.39.2.337","url":null,"abstract":"Abstract Ferenczi has been defined as the author of a “clinical revolution” because many paradigms in his thinking differ considerably from the Freudian ones. Technique is generally considered to be Ferenczi's main concern. However, a wholly new metapsychology may be discerned in his writings. In this article the author addresses three Ferenczian paradigms. He establishes connection between welcome at birth, trauma, and introjection. This pathway reflects a view of development essentially different from the Freudian one, starting from the innate need for a primary loving relationship, then focusing on the impact of trauma and identification with the aggressor. Finally, the relational paradigm is viewed as the foundation of the therapeutic relationship.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"337-346"},"PeriodicalIF":0.0,"publicationDate":"2011-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85798903","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 \"The turn of the screw: the James family's encounters with the terrors lurking in the unconscious mind\" by Barbara Young.","authors":"Robert D Richardson, Clay C Whitehead","doi":"10.1521/jaap.2011.39.2.335","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.335","url":null,"abstract":"Just as a nation can be described as a collection of individuals united by a common detestation of their neighbors, so a family can be called a group of individuals unifi ed by a shared snarl of pathologies. In turn, nations may be bound together by shared political affi rmations, religious beliefs, and geographic circumstances all of which may interact with genetic adaptations. The modern view of these groups is thus multimodal, complex, and intriguing. Thus, when a family is as productive of genius, as skewed, and as complicated as the James family, our interest only intensifi es over time. There are several books devoted to the James family, the earliest of which, C. Hartley Grattan’s The Three Jameses (1932), is nearly 80 years old. F. O. Matthiessen’s The James Family came out in 1961, and most recently R. W. B. Lewis’s The Jameses came out in 1991. Moreover, almost every biographical account of any one of the Jameses must spend a good deal of time on the family. There has emerged an unspoken consensus that with any one of the Jameses, we have an example of a life in which family interaction plays at least as large a part as that played by genetic inheritance, individual abilities, or personal, social, and economic circumstances. It is very diffi cult to assess any one of the Jameses apart from the family. One biographer found it all but impossible to keep Henry, Sr. from hijacking a biography of his son William. Dr. Young’s substantial article is a signifi cant addition to our understanding of the Jameses. Her article builds on a Freudian understand","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"335-6"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262896","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":"Introduction: commentaries and author's response to \"The rise and fall of the autochthonous self: from Italian Renaissance Art and Shakespeare to Hediegger, Lacan, and Intersubjectivism\" by Richard D. Chessick.","authors":"Mark Leffert,&nbsp;Scott C Schwartz,&nbsp;Richard D Chessick","doi":"10.1521/jaap.2011.39.2.347","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.347","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. 625).</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"347-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262897","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":"Driven sexual behavior in bipolar spectrum patients: psychodynamic issues.","authors":"Jennifer I Downey","doi":"10.1521/jaap.2011.39.1.77","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.77","url":null,"abstract":"<p><p>Recent psychiatric attention to the bipolar spectrum conditions (Bipolar I, Bipolar II, and Bipolar NOS Disorders in the DSM-IV-TR) has revealed that many more individuals are affected by bipolar disorder (BD) than was earlier appreciated. Increased sexual thoughts, impulses, and risk-taking sexual behavior are recognized symptoms of the bipolar conditions when individuals are manic or hypomanic. There is little scientific information on the prevalence of symptoms of driven sexuality in individuals with the less severe forms of BD as well as those individuals with severer forms of the disorder who are recovering or have recovered from an episode of mania or hypomania. This article discusses the use of developmentally oriented psychotherapy for an individual with a bipolar spectrum condition whose symptoms were well controlled on medications except for her driven sexuality. Current concepts in psychodynamic psychotherapy offer a way to understand and treat sexual symptoms in many individuals with less severe or partially treated BD.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"77-92"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766889","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: teaching affect recognition to medical students: evaluation and reflections.","authors":"David V Forrest","doi":"10.1521/jaap.2011.39.2.229","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.229","url":null,"abstract":"<p><p>Techniques developed for teaching more empathic affect recognition and reflection to medical students during their introduction to psychiatric interviewing begin with a concrete grounding in facial muscular movements and facial affect recognition, and proceed to the use of countertransferential affective experience to aid in ascertaining personality types. Observations about the temper of today's medical students by psychoanalysts may be of help in avoiding increasing their already substantial characterological resistance to affective learning and empathy that has recently been reported in the medical education literature.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"229-41"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30260192","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":"Aspects of psychodynamic neuropsychiatry III: magic spells, the placebo effect, and neurobiology.","authors":"Richard Brockman","doi":"10.1521/jaap.2011.39.3.563","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.563","url":null,"abstract":"<p><p>Through a case study, the importance of supporting the positive transference is stressed-from both a psychological and neurobiological perspective. The article argues that the neurobiology of expectation underlies transference. This neurobiology has been investigated particularly over the past several decades in work concerning the placebo effect. By understanding the neurobiology of expectation, one gains a better understanding of the neurobiology of the transference. This enables clinical predictions-and decisions-that are informed not just by the teachings of psychology but also by the science of biology.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"563-72"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29982710","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 psychoanalysis and death of George Gershwin: an American tragedy.","authors":"Mark Leffert","doi":"10.1521/jaap.2011.39.3.421","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.421","url":null,"abstract":"<p><p>The story of the noted composer George Gershwin's psychoanalysis and death resulting from an undiagnosed brain tumor 70 years ago are known today only in a garbled, incomplete form through biography and legend rather than history among psychoanalysts, neurologists, and neurosurgeons. This article examines his psychoanalysis with Gregory Zilboorg and the events and course of his final illness to the extent possible with the historical material now available. It provides an account of the behavior of his psychoanalyst in a variety of contexts as well as the actions of the other physicians attending him. We cannot know, but can only infer, what went on in his psychoanalytic sessions or his medical examinations; about this the reader will have to draw his or her own conclusions.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"421-52"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30129264","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":"Section on dynamic psychotherapy with long-term patients. Introduction.","authors":"Gail W Berry","doi":"10.1521/jaap.2011.39.1.179","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.179","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"179-80"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766159","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 psychiatrists and psychopharmacology.","authors":"Joseph R Silvio,&nbsp;Raúl Condemarín","doi":"10.1521/jaap.2011.39.1.27","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.27","url":null,"abstract":"<p><p>Over the past 20 years, the previously frowned upon combination of pharmacotherapy and psychoanalytic or psychodynamic therapy has become common practice because of both findings from the neurosciences that demonstrate hardwired brain development from chronic early stress and trauma and from efficacy studies that show the superiority of combined therapy over either psychotherapy or medication alone. With this shift has also come a more focused interest in the psychodynamics of pharmacotherapy itself. This article will review some of the current thinking in this area and then present the personal approaches toward pharmacotherapy of two psychoanalysts, one at an academic hospital (RC) and the other in private practice (JS).</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"27-39"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766886","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 psychiatry in the general medical setting.","authors":"Laura K Kent,&nbsp;Michael Blumenfield","doi":"10.1521/jaap.2011.39.1.41","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.41","url":null,"abstract":"<p><p>For more than half a century analytically trained psychiatrists have been making observations about psychodynamic factors impacting on medical illness and treatment. Some of these reports have been subsequently supported by evidence-based research while others have been found to be clinically useful to varying degrees even if not substantiated by research. In this article we have presented some of the highlights of the application of psychodynamics to the treatment of physical illness in the general medical setting. It is not meant to be a comprehensive review but we hope it will demonstrate how psychodynamic thinking has permeated many aspects of care in the general medical setting. Topics considered include onset of disease (giving up complex, specificity, role of stress, anniversary reactions), reactions to illness (psychological defenses, fantasies, role of psychotherapy), specific conditions (pregnancy, cancer, human immunodeficiency virus, conversion and alexithymia, heart disease, death and dying), and the doctor-patient relationship.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"41-62"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766887","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}