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

{"title":"Interminable treatment: an autobiographical study.","authors":"Scott C Schwartz","doi":"10.1521/jaap.2011.39.1.209","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.209","url":null,"abstract":"<p><p>While the notion of interminable therapy often is seen to revolve around a patient's unfulfilled needs and inability to individuate, there may exist a strong countertransferential need on the part of the psychoanalyst to continue treatment. This countertransferential need deserves to be regarded through the prism of the power inherent in the analyst's role. This article presents aspects of the author's complex personal analysis marked by the analyst's refusal to allow for termination and, notably, the consequent impact on the patient.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"209-16"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29765724","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":"On emergence: a neo-psychoanalytic essay on change and science.","authors":"Clay C Whitehead","doi":"10.1521/jaap.2011.39.3.471","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.471","url":null,"abstract":"<p><p>The neo-psychoanalytic paradigm re-establishes the connection between psychodynamics and evolution. This allows us to transcend the limitations of dualistic metapsychology, and to make seminal contributions to traditional science. The new paradigm employs the concept of emergence, the potential for change in the evolutionary and clinical process. Emergence is described as originating with the Big Bang, but also is reflected at much higher levels, for example, biochemistry, or the capacity of the evolved mind to produce insights in psychotherapy. The constraints of dualistic theories are examined. A neuron-based view of change illustrates the evolution of traditional science as well as the neuron, itself. The new mind paradigm recognizes individual, familial, communitarian, and global reciprocal influences mediated by culture and illustrated by the extended mind and the democratic spirit. Thus both traditional and psychodynamic sciences are undergoing revolutionary changes in their common efforts to better understand the mechanisms of knowledge, relationship and consciousness. The boundaries of the self and the consultation suite are also expanded in this view. Following a survey of invagination, the work is concluded by an application of emergence theory to the creationist controversy and Freud's views of religion.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"471-98"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30129266","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 rise and fall of the autochthonous self…\" The self is alive and well and living at MoMA.","authors":"Mark Leffert","doi":"10.1521/jaap.2011.39.2.348","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.348","url":null,"abstract":"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).","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"348-57"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262898","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":"Traumatic subjective experiences invite suicide.","authors":"John T Maltsberger,&nbsp;Mark J Goldblatt,&nbsp;Elsa Ronningstam,&nbsp;Igor Weinberg,&nbsp;Mark Schechter","doi":"10.1521/jaap.2011.39.4.671","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.671","url":null,"abstract":"<p><p>The overwhelming events that lead to posttraumatic stress disorders and similar states are commonly understood to arise from noxious external events. It is however the unmasterable subjective experiences such events provoke that injure the mind and ultimately the brain. Further, traumatic over-arousal may arise from inner affective deluge with minimal external stimulation. Affects that promote suicide when sufficiently intense are reviewed; we propose that suicidal crises are often marked by repetitions (flashbacks) of these affects as they were originally endured in past traumatic experiences. Further, recurrent overwhelming suicidal states may retraumatize patients (patients who survive suicide attempts survive attempted murders, albeit at their own hands). We propose that repeated affective traumatization by unendurable crises corrodes the capacity for hope and erodes the ability to make and maintain loving attachments.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"671-93"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325500","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 rise and fall of the autochthonous self…\" did art really start in Italy?","authors":"Scott C Schwartz","doi":"10.1521/jaap.2011.39.2.358","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.2.358","url":null,"abstract":"As is usual with the work of Richard Chessick, we fi nd erudition, a strong investment in the researches of scholars, and an immense range of ideas that are creatively used to elucidate his powerful arguments. I would be hard-pressed to add any great new notions other than those proceeding from my experience as a creator of art and music in the style of the era mentioned in his article and discussions over many years with several prominent Medieval Art-Historians. There is danger in art-historical pronouncements of a later time that regard the panorama of earlier artistic currents—including, as Chessick does, the conception of the Self—in the light of subsequent developments. This is somewhat akin to using psychoanalytic interpretations to “understand” personages long dead from social settings very different from our own and certainly not available for therapeutic undertakings. It is a commonly held belief since Vasari in the 16th century that the culture of the Italian city-states was the initial rebirth of the true awareness of a Classical Aesthetic, an aesthetic placed into a state of hibernation by the Medieval Church and feudal decentralization. Yet, if we follow the paths of trade, education, and creativity, we fi nd great cross-currents from North to South and East to West. For example, the wool grown and sheared in England was taken via the traders and weavers of Bruges and Antwerp to be sold to the emerging class of highly wealthy Italians, often in the banking industry, who loaned money to the merchants and nobles of Europe to afford the very art they wanted. It is interesting to note that the fi nest manuscript in all Venice, possibly all Europe, was the Grimani Breviary, painted not in Italy but in Flanders. The famous “Tres Riches Heures” was painted for the brother of King Charles of France by the Limburg brothers from Dutch Flanders. The Hours of the Genoese Spinola family, for a time the most expensive manuscript ever sold, was painted by a Flemish team as well. The works of Van Eyck, Van der Weiden, and Memling found their way to all the richest houses of Europe (e.g., the Arnolfi ni Marriage) and were treasured as much as","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 2","pages":"358-61"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.2.358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30262899","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 partnership of psychoanalysis and psychiatry in the treatment of psychosis and borderline states: its evolution in North America.","authors":"Zvi Lothane","doi":"10.1521/jaap.2011.39.3.499","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.3.499","url":null,"abstract":"<p><p>The history of psychiatry is about two hundred years old and that of psychoanalysis more than a hundred, with an important anniversary of the latter in 2011. Freud renewed and humanized psychiatry by enriching its static descriptive method with the new dynamic and interpretive discoveries of psychoanalysis. Freud's innovations, while developed in Europe, were integrated into psychiatry briefly by the Swiss School but mainly in the United States. After many years of fruitful collaboration psychiatry and psychoanalysis seemed to part company in the U.S. in the last few decades. However, the tradition of combining psychiatric care with dynamic principles is still considered valid in the treatment of psychoses and severe personality disorders.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 3","pages":"499-523"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.3.499","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29982707","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 \"Dynamic psychotherapy with long-term patients\".","authors":"Ann Price,&nbsp;César A Alfonso","doi":"10.1521/jaap.2011.39.1.217","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.217","url":null,"abstract":"","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"217-9"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29765725","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, psychotherapy, and community psychiatry.","authors":"Paul Fine,&nbsp;Sally W Fine","doi":"10.1521/jaap.2011.39.1.93","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.93","url":null,"abstract":"<p><p>Community psychiatry is defined by mixed systems of care for patients with severe and persistent mental disorders, many of whom are indigent. Much of it dates back to the community mental health movement 50 years ago. The emphasis at that time was on deinstitutionalization, prevention, least restrictive options for care, and transformation of large public hospitals into multiservice regional centers. The current focus, in contrast, is on economy, local control and accountability, emphasizing, for example, manualized behavioral health techniques, pharmacotherapy, and case management by allied professionals. Psychodynamic psychiatry, particularly a psychodynamic orientation is uniquely helpful in complex, community-based clinical situations. Applicable psychodynamics include unconscious mental processes, psychological defenses, emotional relationships, a developmental perspective, disciplined use of the self for healing, transference, and communications in all forms as material for therapy. Literature and case reports illustrate the approach taken. These include examples of active listening, interprofessional collaboration, clinical continuity, appropriate boundaries, and thoughtful timing. Psychodynamic applications in community settings have passed the test of time and because of their validity could again become prevalent. Competence depends upon experience with well-supervised psychodynamic psychotherapy and interdisciplinary collaboration, in a variety of cultures and settings.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"93-110"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766153","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":"Is that an unconscious fantasy or an automatic thought? Challenges of learning multiple psychotherapies simultaneously.","authors":"Emily D Gastelum,&nbsp;Aerin M Hyun,&nbsp;David A Goldberg,&nbsp;Barbara Stanley,&nbsp;Donna M Sudak,&nbsp;Deborah L Cabaniss","doi":"10.1521/jaap.2011.39.1.111","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.111","url":null,"abstract":"<p><p>Today, psychiatry residents learn multiple psychotherapeutic techniques during their training. Learning these different modalities at the same time can cause confusion in the areas of assessment, making a psychotherapeutic recommendation, and conducting a treatment. To investigate these issues, we presented a complex training case to three psychotherapy experts. Although they had somewhat different ideas about how to treat the patient, there was general consensus that adhering to a single conceptual formulation is key to treating individual patients in psychotherapy. A final discussion addresses the pedagogical implications of this perspective.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"111-32"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766154","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":"Psychiatry residents and dynamic psychiatry: two narratives, a survey, and some ideas to enhance recruitment.","authors":"Debra A Katz,&nbsp;Jeffrey P Tuttle,&nbsp;Beth T Housman","doi":"10.1521/jaap.2011.39.1.133","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.133","url":null,"abstract":"<p><p>Psychiatric residency has undergone a major shift over the past 50 years with increasing emphasis on psychopharmacology evidence-based treatments, and competency-based requirements which has led to concerns that psychodynamic knowledge and skills are in jeopardy. Narratives of two residents who developed strong interest in psychodynamic psychotherapy and psychoanalytic training are presented to illustrate the important influences on their identities as psychodynamically oriented psychiatrists. Results from a recent survey of U.S. residents regarding psychodynamic psychiatry indicate that they value psychodynamic psychotherapy, want to incorporate psychotherapy into their careers as psychiatrists, and strongly endorse personal psychotherapy but view their psychodynamic skills as weak. Recommendations about how to enhance education and interest include (1) building or strengthening relationships with mentors, supervisors, and teachers, (2) emphasizing the importance of psychodynamic understanding of patients whether or not the resident is functioning as a therapist, (3) using psychopharmacology to engage residents in thinking psychodynamically, (4) encouraging personal psychotherapy for residents and helping find ways to make it affordable, (5) utilizing awards, visiting scholars, specialized programs, and distance learning, especially for programs without adequate resources, and (6) encouraging clinicians to become familiar with the research base in psychodynamic psychotherapy to correct biases and misperceptions.</p>","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"133-49"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766155","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}