{"title":"Richard d. Chessick responds to commentaries by Mark Leffert and Scott C. Schwartz: harmonics in a disharmonious era, the era of Techné.","authors":"Richard D Chessick","doi":"10.1521/jaap.2011.39.2.361","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.361","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"361-73"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262900","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 meaning of a metapsychology as an instrument for \"explaining\".","authors":"Antonio Imbasciati","doi":"10.1521/jaap.2011.39.4.651","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.651","url":null,"abstract":"<p><p>The author points out how some psychoanalytical concepts that were considered as fundamental and unchangeable are actually changing. Child Psychoanalysis with its \"infant psychoanalysis\" (babies and parents) and other psychological sciences have contributed to this development. Nevertheless, many psychoanalysts have not taken this new knowledge into account. The author ascribes it to the lack of an epistemological distinction between \"describing\" (facts) and \"explaining\" (hypotheses), that is, between what are known as discoveries in psychoanalysis and what are theories instead. No theory can be a discovery but rather a hypothetical conceptual instrument trying to explain discoveries. Freud's Metapsychology is a hypothetical instrument which needs to be changed today, since the progress of psychoanalysis and other sciences allows for better instruments. The author wishes for studies which may outline other explicit metapsychologies that may better explicate what is being observed.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"651-69"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.651","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325499","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 family doctor: psychodynamic psychotherapy in tightly knit communities.","authors":"Sherry Katz-Bearnot","doi":"10.1521/jaap.2011.39.1.169","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.169","url":null,"abstract":"Although unusual, psychodynamic psychiatrists engage in the practice of treating multiple members, and constellations of members, of families with psychodynamic psychotherapy as well as other treatment modalities. Such clinicians are considered the \"Family Psychiatrist.\" Psychological characteristics of such families who cannot be referred to other clinicians are articulated. The literature on psychotherapy in small rural communities is reviewed as having relevance to define the ethical issues that arise in such treatments. These issues include: maintaining therapeutic neutrality; creating functional, flexible, and appropriate boundaries; maintaining confidentiality; promoting patient autonomy and growth; as well as managing conflicts of interest. Relevant countertransference issues are examined.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"169-77"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766158","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 study of psychic trauma.","authors":"Marco Bacciagaluppi","doi":"10.1521/jaap.2011.39.3.525","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.525","url":null,"abstract":"<p><p>This article starts from the DSM definition of psychic trauma. A central source in this field is the 1992 book by Judith Herman. One line of investigation is the sexual abuse of women and children. In an early phase, both Janet and Freud described dissociation as a reaction to trauma. In 1897, Freud disputed the reality of sexual trauma, a position countered later by Ferenczi. In a later phase, this subject was investigated by the American feminist movement. Studies of physical abuse are then described, followed by mental abuse and neglect. Another line of investigation is combat neurosis. The two lines converged in the definition of PTSD and its incorporation into the DSM in 1980. The views on trauma of John Bowlby and Alice Miller are also discussed. The integration of the relational model in psychoanalysis with the trauma literature is presented. The most recent advances are located in neurobiology. The discussion makes a preliminary investigation of the remote causes of war and sexual violence.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"525-38"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29982708","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 role of identification in dynamic psychiatry and psychotherapy.","authors":"Richard B Corradi","doi":"10.1521/jaap.2011.39.3.539","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.539","url":null,"abstract":"<p><p>Identification-a psychic process in which a person takes on characteristics of another-is a concept important to the understanding of human nature. It plays an important role in how our personalities develop, in our ability to deal with life's stresses, and in how we interact with other people. Knowledge of its manifestations is essential to dynamic psychiatry and to its applications in psychotherapy. This article defines identification and reviews its role in development and as a defense. It discusses its role in the psychopathology of disorders commonly encountered in psychotherapy practice-depression and anxiety states reactive to losses in life, and borderline states. Clinical vignettes illustrate how identification functions in these conditions, and also how identifications reveal themselves in the transference and are utilized in psychotherapy. A teaching vignette illustrates how important it is that residents learning the art of psychotherapy appreciate the therapeutic potential of identification. The article maintains that, although it often goes unrecognized, identification with the therapist is one of the most effective therapeutic devices in the transference.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"539-61"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.539","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29982709","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 clinical and predictive value of the initial dream of treatment.","authors":"Myron L Glucksman, Milton Kramer","doi":"10.1521/jaap.2011.39.2.263","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.263","url":null,"abstract":"<p><p>The authors collected the initial dreams of treatment from 63 patients and independently evaluated the manifest dream report (MDR). Variables included: Affect and Valence of Affect; Associations; Psychodynamic Theme; Psychodynamic Theme as Predictor of Core Psychodynamic Issues; Transference; Gender; Psychodynamic Theme Categories; Clinical Progress in relation to Psychodynamic Theme Categories and Transference. The initial MDR invariably contains Affect that is frequently Negative. The Psychodynamic Themes of MDRs are dependable predictors of Core Psychodynamic Issues that emerge during treatment. Transference is evident in a significant number of MDRs and is often Negative. Gender of the majority of MDRs is predictable. The most frequent Psychodynamic Themes of initial MDRs fall into Relational and Injury Categories. Relational and Injury Themes, as well as Positive and Negative Transference, are associated with clinical progress. This study confirms that the initial MDR of treatment provides a significant amount of clinical and predictive information.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"263-83"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262893","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":"Freud on play, games, and sports fanaticism.","authors":"M Andrew Holowchak","doi":"10.1521/jaap.2011.39.4.695","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.695","url":null,"abstract":"<p><p>Much has been written in the secondary literature on Freud's aggression-release perspective vis-à-vis competitive sports. Very little has been written, however, on Freud's own explicit contribution to play, games, and sport. That is likely the result of Freud's reluctance to take up them--especially from the gamesman's and sportsman's points of view. One can, however, tease out the development of Freud's thoughts on games, play, and sport through a careful examination of his corpus over time. In doing so, one finds an early view of play and games, where the drives behind those activities are self- and other-preservative, and a later view, where Freud introduces his death drive. The article ends with some notions on what Freud might have said on the fanaticism that accompanies competitive sport, had he expressly taken up the issue.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"695-715"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325501","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":"31st annual Daniel S. Prager M.D. lectureship in psychoanalytic psychiatry.","authors":"Yavar Moghimi","doi":"10.1521/jaap.2011.39.4.749","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.749","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"749-51"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325504","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":"When long-term treatment is not long enough.","authors":"Douglas H Ingram","doi":"10.1521/jaap.2011.39.1.181","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.181","url":null,"abstract":"<p><p>The author describes the evolution of his practice of psychiatry over 35 years, disputing the traditional valuation placed on the concept of termination and endorsing the value of ongoing therapy. Seven dimensions of ongoing therapy are described: narrative, privacy, counsel, personality, enrichment, reality, and anchoring. Two principles provide some insurance against unrecognized countertransference factors that might lead the therapist to prolong therapy: avoiding interpretation of resistance when patients suggest they wish to discontinue and explicitly informing patients when an acute disorder has abated sufficiently for therapy to cease.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"181-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.181","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766160","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":"Contemporary practice patterns of dynamic psychiatrists--survey results.","authors":"César A Alfonso, Silvia W Olarte","doi":"10.1521/jaap.2011.39.1.7","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.7","url":null,"abstract":"<p><strong>Unlabelled: </strong>The authors examine the practice characteristics of dynamic psychiatrists, including the combined use of medication and psychotherapy, and adherence by self-report to psychodynamic, supportive, and cognitive behavioral therapy theoretical principles and techniques.</p><p><strong>Method: </strong>Survey of 555 members of the American Academy of Psychoanalysis and Dynamic Psychiatry conducted in 2009.</p><p><strong>Results: </strong>24.1% response rate; 75% of respondents were between 61 and 80 years old, 61% had over 30 years of experience; 89% have a private practice but work on an average of 1.6 settings; 39% teach. Most respondents treat patients with complex comorbidities; 92.6% prescribe psychotropic medication. The preferred mode of practice is individual psychotherapy and the preferred frequency once a week; 94.5% of sessions are 45-60 minutes. Using Plakun's Y-model framework, psychoanalysts and dynamic psychiatrist subgroups equally support all core psychotherapy and psychodynamic features, with lesser emphasis but substantial endorsement of cognitive-behavioral psychotherapy features.</p><p><strong>Conclusions: </strong>Dynamic psychiatrists are committed to see most patients once a week for 45-60 minute sessions and use a variety of conceptual frameworks to guide their treatment plans. They endorse supportive and psychodynamic practice elements more than cognitive-behavioral principles.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"7-26"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766885","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}