The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry最新文献_第7页

Psychodynamic treatment, training, and supervision using internet-based technologies. 使用基于互联网的技术进行心理动力治疗、培训和监督。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.1.155

Ralph Fishkin, Lana Fishkin, Ubaldo Leli, Barbara Katz, Elise Snyder

{"title":"Psychodynamic treatment, training, and supervision using internet-based technologies.","authors":"Ralph Fishkin, Lana Fishkin, Ubaldo Leli, Barbara Katz, Elise Snyder","doi":"10.1521/jaap.2011.39.1.155","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.155","url":null,"abstract":"For several years, the China American Psychoanalytic Alliance (CAPA) has provided treatment, training, and supervision to Chinese mental health professionals over the Internet. The lack of Chinese analysts and mentors has created an intense demand for psychodynamic psychotherapy training and treatment that CAPA is addressing using Skype™ and other distance communication technologies. This article describes the project, its history, scope, and activities, and the experiences of CAPA teachers and clinicians in exploring and developing the usefulness and power of this very new teaching method. Some particular characteristics of Chinese culture have become apparent as a result of the teaching experience. Aspects of the transference and countertransference that are shaped by the virtual nature of the technology are discussed, using case material. Our hope is that, in helping to train our Chinese students in psychodynamic psychotherapy, they will go on to train future generations of clinicians. This model of teaching and training could also be applied in other underserved areas.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"155-68"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766157","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}

引用次数: 61

Patients who stay. 留下来的病人。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.1.189

Myron L Glucksman

{"title":"Patients who stay.","authors":"Myron L Glucksman","doi":"10.1521/jaap.2011.39.1.189","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.1.189","url":null,"abstract":"For Freud, the ideal goal of a successful analysis is to resolve unconscious conflicts, gain insight, strengthen the ego, modify pathological defenses, contain irrational superego demands, and work through transferential distortions. Termination is based on a satisfactory approximation of these goals. However, there are certain patients who are unable to achieve these therapeutic goals. They include those with severe personality, psychotic, mood, eating, chronic posttraumatic stress, and gender identity disorders. For many of them, perseverance of symptoms, impaired functioning, and maintenance medication preclude termination, necessitating ongoing or intermittent treatment. On the other hand, there are those patients who make significant therapeutic progress, but remain in treatment indefinitely. Many of them approximate the criteria for termination, but maintain a therapeutic relationship for a variety of reasons. These include: unresolved transference-countertransference issues, avoidance of separation, chronically stressful situations (work, interpersonal, illness), lack of an external support system, and gratification from ongoing intrapsychic processing. Although nontermination may be associated with pathological dynamics for both patient and therapist, it may also be connected to non-neurotic, realistic factors. In some cases, indefinite treatment may be preferable. A clinical illustration is provided.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 1","pages":"189-97"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.1.189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29766161","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}

引用次数: 4

Early childhood trauma, posttraumatic stress disorder, and non-adherence in persons with AIDS: a psychodynamic perspective. 儿童早期创伤、创伤后应激障碍和艾滋病患者的不依从:心理动力学的观点。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.4.633

Erin Samuels, Sami Khalife, César A Alfonso, Ricardo Alvarez, Mary Ann Cohen

{"title":"Early childhood trauma, posttraumatic stress disorder, and non-adherence in persons with AIDS: a psychodynamic perspective.","authors":"Erin Samuels, Sami Khalife, César A Alfonso, Ricardo Alvarez, Mary Ann Cohen","doi":"10.1521/jaap.2011.39.4.633","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.633","url":null,"abstract":"Non-adherence to treatment and risk-reduction measures not only leads to increased morbidity and mortality in patients with HIV/AIDS but is also a major public health hazard. While there are multiple determinants of non-adherence, one that is particularly complex and refractory to intervention appears to be the history of childhood trauma and the development of post-traumatic stress disorder (PTSD). While behavioral intervention is occasionally helpful in increasing a patient's commitment to self-care, it is our view that the use of a more psychoanalytic framework, as well as the development of a psychodynamic understanding of the patient's history and struggles, may provide both patient and clinician with a more profound understanding of the forces that perpetuate non-adherence, thus facilitating a more cohesive and empathic approach to treatment. It is the aim of this article to explore, from a psychodynamic perspective, the possible connections between early childhood trauma resulting in PTSD and non-adherence to risk reduction and HIV treatment.","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"633-50"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325498","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}

引用次数: 10

The interminable patient: a case history. 没完没了的病人:病史。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.1.199

Silvia W Olarte

引用次数: 0

FRONTLINE: secure attachment and traumatic life events. 前线:安全依恋和创伤性生活事件。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.3.409

Clarice J Kestenbaum

引用次数: 5

The turn of the screw: the James family's encounters with the terrors lurking in the unconscious mind. 螺丝的转动:詹姆斯一家与潜伏在潜意识中的恐怖的遭遇。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.2.313

Barbara Young

引用次数: 2

Frontline: the liberal arts of psychoanalysis. 前线:精神分析的文科。

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2011-01-01 DOI: 10.1521/jaap.2011.39.4.589

Aranye Fradenburg

{"title":"Frontline: the liberal arts of psychoanalysis.","authors":"Aranye Fradenburg","doi":"10.1521/jaap.2011.39.4.589","DOIUrl":"https://doi.org/10.1521/jaap.2011.39.4.589","url":null,"abstract":"In terms of process, psychoanalysis is more closely related to the disciplines of the arts and humanities than those of the sciences, however much the latter have contributed to our knowledge of the mind and our discussions of technique. Will we, accordingly, assert our support for liberal arts education, at a time when it is under unprecedented attack? Neuroscience has made remarkable strides in establishing the importance of artistic and humanist training to the plasticity and connectedness of mental functioning. But these discoveries have sadly done nothing to protect the academic disciplines of the arts and humanities from budget cuts and closings. It is as if contemporary boosters of technical and scientific education had no interest in, or knew nothing about, the new knowledge of the brain that scientists are actually producing. Will psychiatrists and psychoanalysts, for the sake of the arts and the sciences, support liberal arts education, or will we distance ourselves from it, and thus abandon the well-being of the very minds we will later be trying to tend in our offices? Is it not our responsibility to speak for the importance of thriving, since surviving depends on it?","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"39 4","pages":"589-609"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1521/jaap.2011.39.4.589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30325496","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}

引用次数: 2

In Memoriam: Paul Dince, M.D. 纪念:保罗·普林斯，医学博士

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2010-12-01 DOI: 10.1521/JAAP.2010.38.4.721

R. Wharton

引用次数: 0

In Memoriam: Bertram H. Schaffner 纪念伯特伦·沙夫纳

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2010-12-01 DOI: 10.1521/JAAP.2010.38.4.723

J. Merlino

{"title":"In Memoriam: Bertram H. Schaffner","authors":"J. Merlino","doi":"10.1521/JAAP.2010.38.4.723","DOIUrl":"https://doi.org/10.1521/JAAP.2010.38.4.723","url":null,"abstract":"Dr. Bertram Schaffner was a gay man. He was an extraordinary man, and he was a gay man. To really know and understand Bert, you must know and accept this fact just as he had to. You see, Bert’s wonderfully rich life was shaped at every turn by his need to confront this reality. Bert’s earliest memories were that his “difference” was perfectly normal until, that is, when adults became aware of his gayness and he was made to feel “wicked.” He grew up feeling that he was someone to be avoided (Goldman, 1995). Bert told me, “I always longed to feel acceptable, but despaired that that could ever be. I remained intensely interested in other people, and tried to understand them. Perhaps because I felt unwanted, I made it a point not to reject anyone. I cultivated tolerance” (Merlino, 2007). I was asked to speak about Dr. Schaffner’s professional life as a psychiatrist, psychoanalyst, pioneer in the treatment of persons with HIV/ AIDS, his leadership in the creation of associations for gay and lesbian physicians and mental health professionals, and his personal mentoring of many gay professionals. As I reflected on Dr. Schaffner’s remarkable three quarters of a century of psychiatric practice it became clear to me that a unifying, perhaps the unifying, dynamic in his life was his constant confrontation with his homosexuality and his longing to be accepted. Bert told a reporter last year from his alma mater, Swarthmore College, that “The need to know what makes a person gay and to understand how to live as a gay man without suffering emotional turmoil has been a driving force” in his life (Breen, 2009). From his earliest memories he didn’t seem to fit in. Bertram Schaffner1 was born left-handed but forced, while in an autocratic German","PeriodicalId":85742,"journal":{"name":"The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry","volume":"25 1","pages":"723-727"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81017865","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}

引用次数: 0

Response to Commentary by Mark Leffert 对Mark Leffert评论的回应

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry Pub Date : 2010-09-17 DOI: 10.1521/JAAP.2010.38.3.451

R. Chessick

引用次数: 0