{"title":"Frontline--on the evolution of psychodynamic practice.","authors":"Silvia W Olarte, César A Alfonso","doi":"10.1521/jaap.2011.39.1.1","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.1","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30170218","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 the telephone to extend our therapeutic availability.","authors":"Marianne Horney Eckardt","doi":"10.1521/jaap.2011.39.1.151","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.151","url":null,"abstract":"<p><p>The popularity of the ongoing use of telephone sessions as a legitimate mode of conducting psychotherapy is a cause for concern. This article discusses its limitations as well as appreciates its effectiveness with a select group of patients. Embarking on psychotherapy by telephone requires the pre-existence of a good psychotherapeutic alliance and the development of some stability in the patient's life. Many patients do not take to communicating by telephone. The need of a more active therapeutic style will be commented upon. The workability and the quality of the telephone sessions need to be ever re-evaluated, as the patient and the circumstances will change.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"151-3"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766156","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":"Dynamic psychiatry and the treatment of anorexia psychosis.","authors":"Ann-Louise S Silver, Janice White","doi":"10.1521/jaap.2011.39.1.63","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.63","url":null,"abstract":"<p><p>Dynamic psychotherapy of psychosis works through gradually diminishing terror, replacing this with a clearer and shared understanding of the patient's life history, its traumas and its strengths. It is diametrically opposed to our current push for efficiency and an assumption of an underlying brain disorder that responds to our current medications. Over the course of a long treatment, this patient became a scholar of psychoanalytic contributions to understanding psychosis and is now a philosopher of this field, developing an understanding of anorexia psychosis. She draws on the writings of Freud, Bion, Lacan, and Julian Jaynes, placing the core of psychosis not in primary process but in a preceding, non-self phase of development. She relates this individual development to the history of human development.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"63-76"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766888","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 impact of cultural evolution on the ego ideal, depression, psychosis, and suicide: a South India community study of the widow.","authors":"Helen E Ullrich","doi":"10.1521/jaap.2011.39.3.453","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.453","url":null,"abstract":"<p><p>Cultural factors have a significant impact on the manifestation of psychiatric illness and the development of the ego ideal. The evolution of the widow's cultural role in a South India village provides insight on the ego ideal through several generations. As treatment of widows changed so that their appearance became indistinguishable from other women, they no longer became objects of revulsion. A case study approach documents the interrelationship of changes in the cultural ego ideal on psychiatric illness among widows in a South India village over a period of more than four decades.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"453-69"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.453","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30129265","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":"Epilogue: Conversations between a psychoanalyst and a psychiatry resident.","authors":"Aerin Hyun, César A Alfonso","doi":"10.1521/jaap.2011.39.1.221","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.221","url":null,"abstract":"<p><p>The authors discuss the importance of psychoanalytic training from the perspectives of a psychiatry resident about to begin psychoanalytic training and a psychiatrist who is a training and supervising psychoanalyst. Drs. Hyun and Alfonso discuss psychoanalytic motivations and engage in a dialogue reflecting on the relevance of psychoanalytic training in current psychiatric practice and the profession’s need for more dynamically trained psychiatrists. In doing so this article provides further insight from their firsthand experiences as to why young psychiatrists today still choose to engage in psychoanalytic training and its positive impact on their clinical practices.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"221-7"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30170219","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 IV: love, ripe fruit, and other addictions.","authors":"Richard Brockman","doi":"10.1521/jaap.2011.39.4.737","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.737","url":null,"abstract":"<p><p>Passionate love is a powerful emotional/biological force. So too is heart-break a powerful emotional/biological force. This article studies the neurobiological underpinnings of the two. The argument is that passionate love is best understood not as an affective dysregulation but rather as an addiction. And similarly that heart-break is best understood, and treated, not as an affective dysregulation but as an addiction. Clinical examples are given.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"737-47"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325503","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 neural network model for schemas based on pattern completion.","authors":"Arash Javanbakht","doi":"10.1521/jaap.2011.39.2.243","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.243","url":null,"abstract":"<p><p>Abstract Recent developments in neuroscience have provided us with a wealth of the basic knowledge and tools which are required for neurobiological understanding of the psychological concepts. This advantage enables contemporary scientists to suggest and test brain models for psychological concepts, theories, and methods. Considering the current dominance of biological ideas in psychiatry and psychology, such models are essential in confirmation of the psychological theories of mind. In this article a brain model for schemas as essential to cognitive theory is proposed. Schemas are seen as patterns which are recognized and memorized through the training phase of an autoassociative neural network. Then, these patterns are used to complete ambiguous aspects of future experiences through thalamo and hippocampal-cortical pathways. In relation to the self or the outside world when a pattern with unknown, noisy, or vague aspects is encountered, those aspects are completed by the principal components of previously learned patterns (schema). This process is to help the observer acquire a better understanding of the environment or the self. However, the patterns which are used to complete the uncertainties about the self or the environment are sometimes not good estimates of the reality and lead the person/patient to an illusionary perception of the self/environment. In this article, the role of the mirror neuron system in pattern recognition is also explained. Psychological and biological therapeutic implications of this model are discussed and the importance of a link between dynamic and cognitive therapies is rationalized.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"243-61"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.243","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30260193","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 II: psychical locality and biology: toward the neurobiology of psychotherapy.","authors":"Richard Brockman","doi":"10.1521/jaap.2011.39.2.285","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.285","url":null,"abstract":"<p><p>Throughout his career, Freud believed that psychiatry in general and psychoanalysis in particular would one day be rooted in anatomical/biological ground. He felt confidant that such ground would replace the psychological understanding on which he had been forced to base most of his clinical theory and practice. He felt confidant that one day psychotherapy would be more \"scientific.\" This article seeks to demonstrate that this day is arriving. A clinical case is presented where assessment and formulation are largely based on neurobiology, where treatment was conducted less in accord with psychodynamic theory than neurodynamic data of anatomy and biology.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"285-311"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262894","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":"How, if ever, should psychiatric patients be solicited for charitable donations?","authors":"David V Forrest","doi":"10.1521/jaap.2011.39.4.611","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.611","url":null,"abstract":"We recently received correspondence from David V. Forrest, M.D., a member of our Editorial Board, in which a solution is suggested to the problem of soliciting charitable contributions from our patients. This suggestion emerged from a meeting of minds at Columbia’s Department of Psychiatry. Dr. Forrest was interested in our soliciting comments from Board members and others who became aware of the matter. –D.H.I.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"611-3; discussion 613-32"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.611","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325497","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":"Schizophrenia as a human process.","authors":"Richard B Corradi","doi":"10.1521/jaap.2011.39.4.717","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.717","url":null,"abstract":"<p><p>The patient with schizophrenia often appears to be living in an alien world, one of strange voices, bizarre beliefs, and disorganized speech and behavior. It is difficult to empathize with someone suffering from symptoms so remote from one's ordinary experience. However, examination of the disorder reveals not only symptoms of the psychosis itself but also an intensely human struggle against the disintegration of personality it can produce. Furthermore, examination of the individual's attempts to cope with a devastating psychotic process reveals familiar psychodynamic processes and defense mechanisms, however unsuccessful they may be. Knowing that behind the seemingly alien diagnostic features of schizophrenia is a person attempting to preserve his or her self-identity puts a human face on the illness. This article utilizes clinical material to describe some of the psychodynamic processes of schizophrenia. Its purpose is to facilitate understanding of an illness that requires comprehensive biopsychosocial treatment in which a therapeutic doctor-patient relationship is as necessary as antipsychotic medication.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"717-36"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325502","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}