Review Essay: Our Rules Leave a Backdoor Open—At the Heart of the Radically Incomplete Psychoanalytic Process

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Michael Langenbach

2008-10-01

Full Text Available Practical work in psychoanalytic practice is a core component of the enhancement of psychoanalytic knowledge. Despite its importance it is a rather dark chapter in the research history of psychoanalysis and empirical research into what actually happens in practice has been rare. The book by Andreas STRATKÖTTER reviewed here takes psychoanalytic practice as the empirical basis of an extensive qualitative study. The psychoanalysts interviewed by STRATKÖTTER describe the criteria they take to indicate the need for psychoanalytic treatment, the practical relevance of central psychoanalytic notions, and their professional development after psychoanalytic training. STRATKÖTTER's study can be taken as a reference for demands for improvements in the culture of psychoanalytic training and for further development of qualitative research approaches in psychoanalysis. URN: urn:nbn:de:0114-fqs0901173

The French model of psychoanalytic training: Ethical conflicts.

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François-Poncet, Claire-Marine

2009-12-01

Research on psychoanalytical education within the IPA may be clarified by reflecting on the ethic behind each of the three main models (Eitingonian, French and Uruguayan). In fact, the ethic underpinning psychoanalytical education, whatever the model, is confronted by irreducible conflicts between transmitting psychoanalysis by means of analytical experience or by means of academic teaching. Transmission by experience is essentially based on the ethic of psychoanalytic practice, which is difficult to regulate through institutional standards, whereas the academic aspect can be evaluated by objective and public criteria. The importance of both aspects and their relative weight in the training process depend on the conception of psychoanalysis underlying each model. This paper will look primarily at the French training model, the essentially analytical aspects of which favour the transmission of the very ethical foundations of psychoanalytic practice itself: the application of the method both as a working tool and as a tool of evaluation. It presupposes expanding the observation and analysis of transference beyond the framework of treatment to that of supervision. From this analysis, the paper will attempt to demonstrate how the French model proposes dealing with the inevitable conflicts between transmission by means of analysis and training by means of apprenticeship.

Symptoms and personality problems before, during and after long-term psychoanalytic treatment: A multiple-cohort study

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Berghout, C.C.; Zevalkink, D.J.; de Jong, J.T.V.M.

2010-01-01

Using a multiple cohort design, we compared symptoms and personality functioning (SCL-90, BDI-II, STAI, IIP-64, MMPI-2) of patients (N= 231) in different phases of long-term psychoanalytic treatment (before, during, end, follow-up). Our results confirmed findings from earlier meta-analyses that

The seventh penis: towards effective psychoanalytic work with pre-surgical transsexuals.

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Withers, Robert

2015-06-01

The author reflects on his contrasting analytic work with two transsexual patients. He uses three previous psychoanalytic studies (Stoller, Morel and Lemma) to explore whether effective analytic work with the issues driving a person's determined wish for sex reassignment surgery (SRS) is possible. Particular consideration is given to how such work might navigate a path between traumatizing and pathologizing the patient on the one hand and avoiding important analytic material out of fear of so doing on the other. The author proceeds to ask whether it is possible to tell in advance, with any degree of reliability, who is and who is not likely to benefit from surgery. He considers certain diagnostic issues in relation to these questions. Illustrations are given of how, in practice, countertransference anxieties about psychopathologizing transsexual patients can contribute to significant difficulties in working clinically with them. It is argued that the understanding and containment of such anxieties could eventually lead to more effective analytic work, and that such work might be further facilitated by considering the contribution of mind-body dissociation to transsexualism. © 2015, The Society of Analytical Psychology.

The mind: psychoanalytic understanding then and now.

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Bergmann, Martin S

2008-01-01

The author discusses the evolution of psychoanalytic understanding from Freud's time to the present, citing the influence of various sociocultural changes. He addresses Freud's proper place in history and notes ways in which Freud's contributions cast him as belonging to Romanticism. Freud's shift from the topographic model of the mind to the structural one, and the influence of this on psychoanalysis, is discussed, as well as important developments in the field since Freud. The author focuses particularly on difficulties encountered in psychoanalytic practice today, and he describes what he has termed organizing interpretations as uniquely valuable in the treatment setting.

[Perspectives of psychoanalytic psychosomatics].

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Küchenhoff, J

2001-01-01

The paper discusses a variety of perspectives of psychoanalytic psychosomatics in the past, the present and the future. An epigenetic model of scientific development is introduced and developmental strains in psychosomatic medicine are evaluated according to the claims of the bio-psycho-social model. In historical terms, the psychological dimension of psychoanalytic psychosomatics has been the first strain to be elaborated; it is being extended still. The biological, somatic and bodily dimension of psychosomatic medicine was the next to be explored; during the last decade, this strain has found increasing interest, especially neurobiological research. Though the social dimension has not been neglected, it will be the main task for psychoanalytic psychosomatics to consider in the future. Likewise, a mandatory future challenge will be a more intensive discussion of the epistemological basis of psychosomatic medicine and psychoanalytic psychosomatics. The historical development of psychosomatic medicine is highlighted by examples drawn mainly from the history of Heidelberg Psychosomatic University Clinic that has its 50th anniversary in 2000.

Developing Derrida’s Psychoanalytic Graphology: Diametric and Concentric Spatial Movements

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Downes, Paul

2013-01-01

Derrida’s work encompasses dynamic spatial dimensions to understanding as a pervasive theme, including the search for a ‘new psychoanalytic graphology’ in Writing and Difference. This preoccupation with a spatial text for repression also occurs later in Archive Fever. Building on Derrida, this paper seeks to develop key aspects of a new dynamic psychoanalytic graphology through diametric and concentric interactive spatial relation. These spatial movements emerge from a radical reconstruction ...

Psychoanalytic Criticism and Teaching Shakespeare.

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Wheeler, Richard P.

1987-01-01

Presents a brief overview of previous psychoanalytically based theories of Shakespeare's plays, particularly "Hamlet," and defends the notion of introducing undergraduates to psychoanalytically based criticism because of the insights it may give students into their own lives. (JC)

Towards psychoanalytic contribution to linguistic metaphor theory.

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Caspi, Tair

2017-07-05

This paper lays out a formulation of the psychoanalytical contribution to linguistic metaphor theory. The author's main argument is that psychoanalysis can help enrich and shed light on linguistic metaphor theories, since these have focused on the cognitive aspect, to the exclusion of the role played by affect. Based on the tight link between metaphor and symbol - both configurations of figurative language - the author shall apply ideas sourced from some of the key psychoanalytic symbolization theories, focusing in particular on Klein, Winnicott, and Ogden. The course of exploration will serve to trace the unconscious emotional aspects that participate in the metaphor's mechanism, just as they participate in the symbol's workings. The study leads to the main conclusion that the intersubjective transitional space is of substantial importance to metaphor's constitution, particularly in regard to novel metaphors. Expanding the understanding of metaphor's modus operandi has important implications in conceptual clarification and for an in-depth analytical work, and is of immense significance when it comes to analytical work with patients who suffer impairment of their metaphoric ability. Copyright © 2017 Institute of Psychoanalysis.

["The most ill go into psychoanalytic treatment"? Critical comments on an article in Report Psychologie].

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Richter, R; Hartmann, A; Meyer, A E; Rüger, U

1994-01-01

Thomas and Schmitz claim that they "deliver a proof for the effectiveness of humanistic methods" (p. 25) with their study. However, they did not or were not able to verify their claim due to several reasons: The authors did not say if and if so to what extent the treatments carried out within the framework of the TK-regulation were treatments using humanistic methods. The validity of the only criterium used by the authors, the average duration of the inability to work, must be questioned. The inferential statistical treatment of the data is insufficient; a non-parametrical evaluation is necessary. Especially missing are personal details concerning the treatment groups (age, sex, occupation, method, duration and frequency of therapy), which are indispensable for a differentiated interpretation. In addition there are numerous formal faults (wrong quotations, mistakes in tables, unclear terms etc.). In view of this criticism we come to the conclusion that the results are to a large degree worthless, at least until several of our objections have been refuted by further information and adequate inferential statistical methods. This study is especially unsuitable to prove a however defined "effectiveness of out-patient psychotherapies", therefore also not suitable to prove the effectiveness of those treatments conducted within the framework of the TK-regulation and especially not suitable to prove the superiority of humanistic methods in comparison with psychoanalytic methods and behavioural therapy.

Tavistock Adult Depression Study (TADS: a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression

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Taylor David

2012-07-01

Full Text Available Abstract Background Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. Methods/Design INDEX GROUP: Patients with treatment resistant/treatment refractory depression. DEFINITION & INCLUSION CRITERIA: Current major depressive disorder, 2 years history of depression, a minimum of two failed treatment attempts, ≥14 on the HRSD or ≥21 on the BDI-II, plus complex personality and/or psycho-social difficulties. EXCLUSION CRITERIA: Moderate or severe learning disability, psychotic illness, bipolar disorder, substance dependency or receipt of test intervention in the previous two years. DESIGN: Pragmatic, randomised controlled trial with qualitative and clinical components. TEST INTERVENTION: 18 months of weekly psychoanalytic psychotherapy, manualised and fidelity-assessed using the Psychotherapy Process Q-Sort. CONTROL CONDITION: Treatment as usual, managed by the referring practitioner. RECRUITMENT: GP referrals from primary care. RCT MAIN OUTCOME: HRSD (with ≤14 as remission. SECONDARY OUTCOMES: depression severity (BDI-II, degree of co-morbid disorders Axis-I and Axis-II (SCID-I and SCID-II-PQ, quality of life and functioning (GAF, CORE, Q-les-Q, object relations (PROQ2a, Cost-effectiveness analysis (CSRI and GP medical records. FOLLOW-UP: 2 years. Plus: a. Qualitative study of participants’ and therapists’ problem formulation, experience of treatment and of participation in trial. (b Narrative data from semi-structured pre/post psychodynamic interviews to produce prototypes of responders and non-responders. (c Clinical case-studies of sub-types of TRD and of change. Discussion TRD needs complex, long-term intervention and

Adding some notes to the "Music of Containment". Discussion of paper: "The Music of Containment: Addressing the participants in mother-infant psychoanalytic treatment".

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Moggio, Françoise

2011-11-01

Thinking about the psychoanalytical process in parent-infant psychotherapy is the purpose of Björn Salomonsson's article. He proposes to consider that containment is the core of the treatment and that musicality is his main vehicle. His thought is linked with the research on primary intersubjectivity and is so exciting for all the parent-infant therapists. For myself, I emphasize the use of the psychoanalytical concept of affects rather than emotions, and I present my understanding of the transference phenomena with the part of the infantile sexuality of all the participants. Copyright © 2011 Michigan Association for Infant Mental Health.

RELIGIOUS AND PHILOSOPHICAL CRITICISM OF THE PSYCHOANALYTIC APPROACH TO EKZEGETICS OF DREAMS

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Viyacheslav Alekseevich Ermakov

2015-08-01

Full Text Available n this article the author reconstructed and generalized the religious and philosophical aspects of Christian criticism of psychoanalytic methodology of dreams interpretation. The research opens an occult specifics of a psychoanalytic oneurocritics. There is a consideration of a concept how such factors as «cocaine promotion» affects Freudian theory of dreams, a freemasonry and cabalism. The article reveals that Christian ekzegetics of dreams is essentially opposite to psychoanalytic interpretation of dreaming experience. The author makes a hypothesis of before-Freud unity of psychiatric and Christian approaches to interpretation of dreams and an orientation of psychoanalysis on destruction of this unity. The assumption of spiritual and psychological danger of application of psychoanalytic approach of dreams interpretation in psychological work is reasonable. The author comes to a conclusion that the Freudian methodology of dreams interpretation has been developed with the purposes of introduction of anti-Christian occult psychology in the theory and practice of medical and psychiatric activity and elimination of Christian vicarial psychotherapy.Purpose. The research objective consists of retrospective reconstruction of the main critical aspects of the psychoanalytic concept of dreams presented in Christian approach to ekzegetics of dreams.Methodology. Method of this research is a comparative analysis of Christian and psychoanalytic approaches of understanding the nature and essence of dreaming process and its interpretation.Results. Results of research can be used as in the scientific purposes of critical genera-lization and studying of the theoretical model of a dream developed by psychoanalysis and in educational activity where students can compare Christian and psychoanalytic approaches.Practical implementation: psychology, philosophy history, sociology, theological researches.

The Psychoanalytic Study of the Child. Volume XXIII.

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Eissler, Ruth S., Ed.; And Others

Twenty-seven papers treat aspects of the psychoanalytic study of the child. Problems of psychopathology and therapy considered are the fantasy of the phallic woman, the use of child analysis, the background of perversions, variables in the production of neurotic disturbances, treatment of narcissistic personality disorders, and problems of the…

The music of containment: Addressing the participants in mother-infant psychoanalytic treatment.

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Salomonsson, Björn

2011-11-01

The author discusses the psychoanalyst's approach in mother-infant treatments. Emphasis is given to the infant as an important, though often neglected, addressee. A clinical example is used in which a telephone call during a prior session triggered fretting in a 3-month-old girl and distress in her mother. It is suggested that in the session, nonverbal levels of the interventions reached the girl and contained her, and that this containment worked along similar lines as the communicative musicality between mother and baby. In the discussion, the psychoanalytic concept of containment (Bion, 1962) is linked with the concept of communicative musicality (Trevarthen & Aitken, 2001). The mother's need for containment also is emphasized, and the therapist must be on alert when it is essential to focus on either participant in the therapy room. This choice is guided both by explicit deliberations and by the unconscious countertransference. However, the therapist's wish to grasp the countertransference is countered by his or her unwillingness of being reminded of feelings of infantile helplessness. Similarly, when the mother's conscious and unconscious messages diverge, the baby's ability to receive her caretaking is compromised. In the article's clinical case, this happened when the mother tried to soothe her daughter while being preoccupied with anger at the therapist to an extent to which she was not fully aware. Copyright © 2011 Michigan Association for Infant Mental Health.

Contemporary Psychoanalytic Perspectives on Eating Disorders: A Case Illustration.

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Lerner, Howard D.

This paper examines recent formulations derived from different lines of conceptual development within psychoanalytic theory in relation to the anorexic and bulimic syndromes. The case history, clinical picture, and course of treatment of a bulimic adolescent girl are reviewed. This discussion illustrates the profound consequences upon cognition of…

Observation of agoraphobic syndrome through the prism of psychoanalytic epistemology

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Sandić Aneta

2014-01-01

Full Text Available Focus of the text is on psychoanalytic epistemology of agoraphobic syndrome which is still not sufficiently clarified in psychodynamic parameters. Detailed theorethic study starts from the very origins, theoretical and practical suggestions of Sigmund Freud. Early psychoanalytic formulations include psychodynamic models of Karl Abraham, Helene Deutsch and Edoardo Weiss, as well as a number of other significant analysts who gave significant insight to the metapsychological formulations of agoraphobia in the beginning of XX century. After portraying crucial theoretic frames of dynamics of agoraphobia originating from French psychoanalysis, illustrated through the work of Maurice Bouvet and Jannine Chasseguet - Smirgle, author moves towards psychoanalytic models presented to the psychoanalytic community during the first and second decade of XXI century. This segment incorporates autistic objects of agoraphobic neurotic according to Donald Cartwright and synthesis of crucial traits of representations of self and representations of object according to Barbara Milrod. Leading us towards the conclusion author makes a resume of the actual psychoanalytic epistemology of the agoraphoic syndrome pointing out at the centrality of non adequately solved separation - individuation stage, as well as ego defects associated to he agoraphobic syndrome. Specificity of object relations of agoraphobic neurotic she illustrates pointing out at the nature of his relationship with the follower, that psychic fusion which provides the feeling of certainty outside the safety of ones own home. This detailed overview of severely insufficient published literature devoted to agoraphobia is resumed accenting the necessity for its further research, as well as clear notion that although neurotic disorder, agoraphobic syndrome by at least one of its pole gravitates towards nozologycal unit marking personality disorders.

Theory and practice in psychoanalysis: psychoanalytic praxis. 1969.

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Bleger, José

2012-08-01

The author systematises and examines the relation between theory and practice in psychoanalysis in three directions: one, eminently epistemological, which is only mentioned because it pertains not only to psychoanalysis but to all the sciences; another, the relation between theory and technique; and the third, the relation between theory and the institutional organisation of psychoanalysis and psychoanalysts. All the problems described, especially the second and third points, together define psychoanalytic praxis. With regard to contradictions between theory and technique, the author points out that psychoanalytic theory is constructed fundamentally on the basis of an approach that is historico-genetic, dynamic and consistent with formal logic, whereas psychoanalytic practice occurs within a transference–countertransference relation, in a situation configured as an analytic field, a ‘here and now’, within a dramatic explanation and in a dialectic process. This triple diagnosis involves naturalistic and phenomenological approaches, the problem of objectivity and the role given to sexuality as a privileged parameter in psychoanalytic theory. In relation to the third direction mentioned above,the author refers briefly to the problem of psychoanalytic organisations, in the sense that they come into conflict with the development of psychoanalytic theory and the deepening of investigation. In reference to the latter, the author emphasises the need to widen the perspective of what constitutes psychoanalytic praxis. He points out that praxis is always replete with contradictions and that it is not a question of ignoring,denying or impeding these contradictions themselves (which would in any case be totally ineffective), but that by taking them into account, scientific development could be managed in a more planned way, less blindly; that is to say, less abandoned to spontaneity.

Identities and ideals: Psychoanalytic dialogues of self and leadership

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Gazi Islam

2014-01-01

The author contextualizes recent developments in socio-cognitive approaches to leadership by drawing on psychoanalytic conceptions of self-identity. It is argued that psychoanalytic views of the self are complementary to contemporary social-cognitive approaches, although historical divergences in these literatures have impeded mutual dialogue. This initiative at dialogue examines charismatic, schema, and self- identity theories of leadership within a psychoanalytic framework, arguing that whe...

Exploring the role of children's dreams in psychoanalytic practice today: a pilot study.

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Lempen, Olivia; Midgley, Nick

2006-01-01

The aim of this research study was to investigate the role of children's dreams in the practice of child psychoanalysis today, and to explore contemporary psychoanalytic understanding of children's dreams. This pilot study consisted of two stages. The first involved a document analysis of published articles in The Psychoanalytic Study of the Child, making a comparison between those of the early 1950s and the 1990s, in order to see in what way the discourse around children's dreams within the psychoanalytic literature has changed over time. The second stage, based on questionnaires and in-depth interviews, attempted to understand in more detail the way contemporary child analysts, working in the Anna Freudian tradition, think about dreams and use them in their clinical practice. Results suggest that there has been a decreased focus on dreams in a clinical context over time, and that this may partly be a consequence of changing theoretical models and changes in training. When work with dreams does take place, it appears that child analysts have

[Lou Andreas-Salome (1861-1937)--psychoanalytical and feministic contribution to understanding her biography].

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Bramness, J G

2001-06-30

Lou (Louise) Andreas-Salomé's life and work has preoccupied many biographers. The interest may have be sparked by her liaisons with many of the greatest men of her time. She had an intimate relationship with Friedrich Nietzsche in a period of great change for him. She was Rainer Marie Rilke's mistress for several years. And she pursued a close friendship and working relationship with Sigmund Freud in the latter part of her life. But her significance goes beyond these associations. She was a celebrated novelist and essayist in her own right, with ten novels and more than 50 essays, also on psychoanalytical subjects. She has been viewed as femme fatale, opportunist, feminist, radical, liberal, but also as a significant contributor to psychoanalytical thought. There have been two biographical approaches: a psychoanalytical approach focusing on her loss of father-figures and later difficult relationships with famous men, and a feministic approach accusing psychoanalysts of not contributing to insight, but belittling Salomé's legitimate position. A fuller understanding may be obtained by integrating these two views.

Brief Treatment for Borderline and Narcissistic Couples: Working the Reenactment Spiral.

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Clark, Steven

1997-01-01

Develops a brief, psychoanalytically informed treatment model for borderline and narcissistic couples. Advantages and disadvantages as well as treatment principles of brief treatment for this population are explored. Phases of treatment are reviewed with an emphasis on process and interventions. Explores managing the spiraling escalation of affect…

Validation of psychoanalytic theories: towards a conceptualization of references.

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Zachrisson, Anders; Zachrisson, Henrik Daae

2005-10-01

The authors discuss criteria for the validation of psychoanalytic theories and develop a heuristic and normative model of the references needed for this. Their core question in this paper is: can psychoanalytic theories be validated exclusively from within psychoanalytic theory (internal validation), or are references to sources of knowledge other than psychoanalysis also necessary (external validation)? They discuss aspects of the classic truth criteria correspondence and coherence, both from the point of view of contemporary psychoanalysis and of contemporary philosophy of science. The authors present arguments for both external and internal validation. Internal validation has to deal with the problems of subjectivity of observations and circularity of reasoning, external validation with the problem of relevance. They recommend a critical attitude towards psychoanalytic theories, which, by carefully scrutinizing weak points and invalidating observations in the theories, reduces the risk of wishful thinking. The authors conclude by sketching a heuristic model of validation. This model combines correspondence and coherence with internal and external validation into a four-leaf model for references for the process of validating psychoanalytic theories.

Patterns of interpersonal problems and their improvement in depressive and anxious patients treated with psychoanalytic therapy.

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Salzer, Simone; Leibing, Eric; Jakobsen, Thorsten; Rudolf, Gerd; Brockmann, Josef; Eckert, Jochen; Huber, Dorothea; Klug, Günther; Henrich, Gerhard; Grande, Tilmann; Keller, Wolfram; Kreische, Reinhard; Biskup, Joachim; Staats, Hermann; Warwas, Jasmin; Leichsenring, Falk

2010-01-01

Interpersonal problems were studied in 121 patients treated with psychoanalytic therapy using the Inventory of Interpersonal Problems. Four characteristic subtypes were identified, which differed in the quality and flexibility of their interpersonal behavior. Independent of the predominant type of interpersonal problems, the psychotherapy treatment led to strong decreases in interpersonal distress and increases in interpersonal differentiation. Psychoanalytic therapy was highly effective for all identified interpersonal subtypes and seems to help patients achieve more satisfactory relationships.

Psychoanalytical personality types and agoraphobia.

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Hoffart, A

1995-03-01

The aim of this study was to examine the relationship between psychoanalytical personality types and agoraphobia. Thirty-two panic disorder with agoraphobia patients and 18 agoraphobia without panic disorder patients attending an inpatient 11-week behavioral-psychodynamic treatment program were assessed repeatedly from pretreatment to 2 years after the end of treatment. On personality scales measuring oral, obsessive, hysterical, and reality-weak traits, there were no differences between agoraphobic patients with and without panic disorder. The examined traits correlated across the period from pretreatment to 2-year follow-up, although the potential influence of symptoms were controlled for. Higher scores on the oral scale predicted poorer course of symptoms in the year immediately after treatment. Scores on the oral scale decreased with the improvements of agoraphobic and general symptoms, but did not attain a normal level. The results supported a combined predisposition-state model for the relationship between oral traits and agoraphobia.

The Latin American contribution to the psychoanalytic concept of phantasy.

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de Barros, Izelinda Garcia

2012-12-01

The author argues that the ubiquity of phantasies at various levels of mental functioning is undisputed in the current schools of psychoanalytic thought; however, she demonstrates some variations in their understanding of how the psychotherapeutic access to different configurations occurs. In the process of examining and acknowledging the central role played by unconscious phantasies in his patients' symptoms, Freud gradually broadened the vernacular meaning of the German word 'Phantasie' that refers to imagination and the world of imagination, conferring on it the specific features that came to characterize its use in the psychoanalytic vocabulary. Later, the expansion of the concept derived from Melanie Klein's clinical material obtained from child analyses gave rise to important debates. The author discusses the main points of disagreement that led to these debates, as well as their various theoretical and technical implications. Psychoanalytic associations in Latin America were strongly influenced by Klein and her followers. Thus, most of their scientific writings use the concept of unconscious phantasy put forward by the Kleinian school. Taking Kleinian principles as their starting point, Baranger and Baranger made the most original Latin American contribution to the concept of unconscious phantasy with their works on the unconscious phantasies generated by the analytic pair. Copyright © 2012 Institute of Psychoanalysis.

The application of postmodern thought to the clinical practice of psychoanalytic psychotherapy.

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Chessick, R D

1996-01-01

The purpose of this article has been to acquaint psychoanalysts and psychoanalytically oriented psychotherapists with some of the most current ideas in philosophy and psychology, which have crucial implications for our professional organizations and our clinical work. The basic stance of this postmodern thinking constitutes a challenge to what is called foundationalism, which dominated scientific and philosophical thought until recently. In place of foundationalism, even in the production of scientific or philosophical works, we could hope for an ongoing dialogue between a king or queen who states the basic theoretical orientation, the loyal opposition that looks for inconsistencies and kinks in it, the jester who deconstructs the whole thing and introduces parenthetical digressions, and finally, a secret society of organization that functions to hold the adherents of the theory together and provide them with a unifying ego ideal. Postmodern thought is described and there is some discussion of its "four horsemen," Derrida, Rorty, Foucault, and Lyotard, who in general question the possibility of whether any form of interpretation can be thought of as related to reality or the truth. My own point of view is that an intermediate position is necessary rather than a binary opposition between nihilism and foundationalism or more specifically, postmodernism and traditional psychoanalysis. That is to say, within certain horizons and with an understanding of the cultural and historical referents that always affect and delimit both the patient and the therapist, it is still possible to reach conceptions about what is going on both in the psychoanalytic process and the psyche of the patient that have at least a tentative "truth." Careful attention to the patient's material following an interpretation can provide clues about the validity of our conception at the time. But the horizons and historicity that delimit all "truth" reduce the authority and the stature of the analyst

The sanctuary of empathy and the invitation of engagement: psychic retreat, Kafka's "A Hunger Artist," and the psychoanalytic process.

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Karbelnig, Alan Michael

2014-12-01

As part of a broader scholarly and political effort to unify clinical psychoanalysis, the author argues that psychoanalysts' presence, engagement, and framing constitute the three overarching features of their work. Additionally, patients' propensity to turn inward, alternatively known as psychic retreat or narcissistic withdrawal, provides a similarly unifying way to view psychoanalytic patients. Narrowing the investigation to a phenomenological one, the author tapers the exploration further by studying the psychoanalytic process as it unfolds in real time. After addressing the problems of diffusion in professional identity and psychoanalytic theory that have plagued psychoanalysis from the start, the author presents three case examples into which he integrates Kafka's short story "A Hunger Artist." These vehicles are utilized to demonstrate how such nomenclature provides the basis for a more cohesive understanding of how psychoanalysts work.

ON BECOMING ABLE TO PLAY: INDIVIDUAL CHILD PSYCHOANALYTIC PSYCHODRAMA AND THE DEVELOPMENT OF SYMBOLIZATION.

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Quagelli, Luca; Solano, Paola

2017-10-01

In this paper, the authors analyze the relevance and transformative potential of individual psychoanalytic psychodrama in the treatment of children with severe impairments in symbolization. Central features of this modality, including promoting the representation of early traumatic experiences, are presented and discussed. Specific features include double-envelope containment of the co-therapists' group and play leader, consequent diffraction of the transference-determining portrayal, gradual integration, and initial figuration of coexisting split-off fragments. Drawing on in-depth clinical material, the authors show how psychodrama tempers the potentially traumatic effects of the encounter with the object, allowing these patients to access the transitional area of play. © 2017 The Psychoanalytic Quarterly, Inc.

The case of rat man: A psychoanalytic understanding of obsessive-compulsive disorder

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Suresh Thapaliya

2017-01-01

Full Text Available This article discusses case of Mr. Ernst Lanzer known as the “Rat Man” in the history of psychoanalysis. He was diagnosed as a case of obsessive-compulsive disorder by Sigmund Freud known as obsessional neurosis that time. The patient presented to Freud with number of distressing obsessions of which the main one was fear of a corporal punishment to his loved ones using rats. The patient underwent psychoanalytic treatment for his symptoms for 6 months following which he was declared cured. Freud has discussed the case in a published case note. Over the subsequent years, the case received wider attention from the psychoanalytic community and continues to be interpreted and discussed from different perspectives after nearly one century of his clinical interaction with Freud.

Lacanian Psychoanalytical Theories in Marsha Norman’s ‘Night, Mother

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Alieyh Alsadat Jafari

2015-05-01

Full Text Available Marsha Norman’s ‘Night, Mother (1983, is a great American play with psychological basis and it is considered as a feminist play. The present paper investigates it in the light of Jacques Lacan’s psychoanalytical theories which serve as a methodology in psychoanalytic criticism. Lacan knows the human psyche formed by the three interacting ‘orders’ of the Imaginary, Symbolic, and Real. He argues that the roles of ‘father’, ‘mother’, ‘Object petit a’, ‘Jouissance’, ‘the Name-of-the-Father’, ‘Big Other’ and ‘others’ are also significant in affecting one’s psyche. The characters of ‘Night, Mother are Lacanian ‘subjects’ whose lives have been embodiments of Lacan’s psychoanalytical theories, especially Jessie whose disorders, behaviors, reactions to the ‘others’, frustration, committing suicide, and death indicate that many familial, social and mental issues have affected her psyche, and they are crystalized by psychoanalytical theories of Lacan in this paper.

Phantasm of Freud: Nandor Fodor and the psychoanalytic approach to the supernatural in interwar Britain.

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Timms, Joanna

2012-01-01

The paper examines the appearance of "psychoanalytic psychical research" in interwar Britain, notably in the work of Nandor Fodor, Harry Price and others, including R. W. Pickford and Sylvia Payne. The varying responses of Sigmund Freud and Ernest Jones to the area of research are discussed. These researches are placed in the context of the increasingly widespread use of psychoanalytic and psychological interpretations of psychical events in the period, which in turn reflects the penetration of psychoanalysis into popular culture. The saturation of psychical research activity with gender and sexuality and the general fascination with, and embarrassment about, psychical activity is explored.

Drawing cure: children's drawings as a psychoanalytic instrument.

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Wittmann, Barbara

2010-01-01

This essay deals with the special case of drawings as psychoanalytical instruments. It aims at a theoretical understanding of the specific contribution made by children's drawings as a medium of the psychical. In the influential play technique developed by Melanie Klein, drawing continuously interacts with other symptomatic (play) actions. Nonetheless, specific functions of drawing within the play technique can be identified. The essay will discuss four crucial aspects in-depth: 1) the strengthening of the analysis's recursivity associated with the graphic artifact; 2) the opening of the analytic process facilitated by drawing; 3) the creation of a genuinely graphic mode of producing meaning that allows the child to develop a "theory" of the workings of his own psychic apparatus; and 4) the new possibilities of symbolization associated with the latter. In contrast to classical definitions of the psychological instrument, the child's drawing is a weakly structured tool that does not serve to reproduce psychic processes in an artificial, controlled setting. The introduction of drawing into the psychoanalytic cure is by no means interested in replaying past events, but in producing events suited to effecting a transformation of the synchronic structures of the unconscious.

Beyond Death’s Dream Kingdom: modernity and the psychoanalytic Social Imaginary

Directory of Open Access Journals (Sweden)

Neil Turnbull

2016-02-01

Full Text Available The appearance on the historical stage of Western modernity is often understood as an “epochal event” that overturned an earlier pre-modern cultural condition that was premised on the dialectic of life and death and the attempt to forge a suitable balance or harmony between them. As such Western modernity is often viewed as the emergence as a new liberal political order based upon individualism, radical immanence and the emergence of a new calculating subjectivities and governmentalities in ways that led to the rejection of the transcendent, the metaphysical and the theological dimensions of human life. In this paper, using Hans Holbein’s famous painting The Ambassadors as a point of reference and adopting the oblique position in relation to the modern taken up by the artist in this painting, I suggest that in the 20th Century, largely as a result of an awareness of the metaphysical significance of the catastrophe of the First World War, that modern liberalism was thrown into crisis and the old pre-modern metaphysical problematic returned as new focus of social and political concern. With specific reference to the work of Sigmund Freud and later psychoanalytic thinkers who took Freud’s idea of the death drive as their theoretical point of departure, I show how in the 20th century psychoanalytically-informed practitioners attempted to resolve the ancient conflict between the forces of life and death through the creation of an enchanted phantasmagoria of mass consumable objects that were often specifically designed and marketed in order to eroticise the nascent thanatic dimensions of modern life, thereby rendering the latter manageable and ultimately liveable. Drawing on the work of social theorists of the imaginary such as Glibert Durand as well as famous propagandisers of Freud such as Edward Bernays and Ernst Dichter (who saw in Freud’s work the possibility of developing a political technology I will suggest that in the 20th century

The explicit and implicit dance in psychoanalytic change.

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Fosshage, James L

2004-02-01

How the implicit/non-declarative and explicit/declarative cognitive domains interact is centrally important in the consideration of effecting change within the psychoanalytic arena. Stern et al. (1998) declare that long-lasting change occurs in the domain of implicit relational knowledge. In the view of this author, the implicit and explicit domains are intricately intertwined in an interactive dance within a psychoanalytic process. The author views that a spirit of inquiry (Lichtenberg, Lachmann & Fosshage 2002) serves as the foundation of the psychoanalytic process. Analyst and patient strive to explore, understand and communicate and, thereby, create a 'spirit' of interaction that contributes, through gradual incremental learning, to new implicit relational knowledge. This spirit, as part of the implicit relational interaction, is a cornerstone of the analytic relationship. The 'inquiry' more directly brings explicit/declarative processing to the foreground in the joint attempt to explore and understand. The spirit of inquiry in the psychoanalytic arena highlights both the autobiographical scenarios of the explicit memory system and the mental models of the implicit memory system as each contributes to a sense of self, other, and self with other. This process facilitates the extrication and suspension of the old models, so that new models based on current relational experience can be gradually integrated into both memory systems for lasting change.

Finding Educational Insights in Psychoanalytic Theory with Marcuse and Adorno

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Huhtala, Hanna-Maija

2016-01-01

This article seeks to clarify the potential that Herbert Marcuse's and Theodor W. Adorno's psychoanalytic accounts may have with respect to the philosophy of education today. Marcuse and Adorno both share the view that psychoanalytic theory enables a deeper understanding of the social and biological dynamics of consciousness. For both thinkers,…

Monday-Morning Quarterbacking: A Senior Analyst Uses His Early Work to Discuss Contemporary Child and Adolescent Psychoanalytic Technique.

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Sugarman, Alan

2015-01-01

Contemporary child and adolescent psychoanalytic technique has evolved and changed a great deal in the last thirty years. This paper will describe the analysis of an adolescent girl from early in the author's career to demonstrate the ways in which technique has changed. The clinical material presented highlights six areas in which contemporary child and adolescent analysts practice and/or understand material and the clinical process differently than they did thirty years ago: (1) the contemporary perspective on mutative action, (2) the contemporary emphasis on mental organization, (3) the developmental lag in integrating the structural model, (4) the child analyst's multiple functions, (5) the child analyst's use of countertransference, and (6) the child analyst's work with parents. The author discusses how he would work differently with the patient now using his contemporary perspective. But he also wonders what might have been lost by not working in a more traditional manner, in particular the opportunity to analyze the patient's hypersensitivity to feeling hurt and mistreated so directly in the transference.

Recrimination in the analytic situation. A hypothesis about its influence on psychoanalytical groups.

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Gálvez, Manuel José; Maldonado, Jorge Luis

2002-10-01

This paper deals with certain distortions in communication generated by mutual recrimination that is the result of disturbances in the ideal agencies of both parties. Although the ideal ego, superego and ego ideal participate equally in reproach, it is the latter which is the most decisive. In clinical experience, recrimination may easily colour the analytic dialogue. In such cases, interpretation loses its sense of clarification and another type of dialogue replaces it. There, words are used to take possession of the other, for its autonomy is a threat to the static character of the pathology of mourning. The problem of recrimination has also tainted the development of psychoanalysis, to the point of disrupting the process of discovery itself. This paper deals with repercussions in the psychoanalytic movement and also in the elements that constitute its structure. Finally, different variations and disturbances in the psychoanalytic ideal are considered, as well as the involvement of the psychoanalytic institution in preserving or transforming the ideal. Here the importance of institutions and institutional ideals is emphasised. Finally, we suggest that ideals either encourage or hinder the working through of individual and collective mourning.

Thirdness and psychoanalytic concepts.

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Green, André

2004-01-01

Many psychoanalytic concepts lend themselves to the notion of thirdness. Starting from a basis of Freudian thought, the author discusses some of the elaborative contributions of Winnicott, Lacan, and Bion, as well as the ideas of Saussure and Peirce, noting how all these incorporate an appreciation of the value and relevance of thirdness in both the theory and practice of psychoanalysis.

Inner and Outer Life at Work

DEFF Research Database (Denmark)

Lundgaard Andersen, Linda

2012-01-01

involving people to people interactions offered by psychodynamic theories and methods take up a pivotal position. Psychoanalytic organisational and work life research explores how work, organisations and individuals are affected by psychic dynamics, the influence of the unconscious in the forms of human...... development and interaction situated in a societal context. Based on this substantial work I draw upon two influential psychoanalytical positions—the British Tavistock position and German psychoanalytic social psychology in order to situate and identify how to understand the inner and outer life at work...

HYPOCHONDRIA: A REVIEW OF ITS PLACE IN PSYCHOANALYTIC THEORY.

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Stathopoulos, Georgios

2017-04-01

After identifying Freud's fundamental contributions to the concept of hypochondria, the author undertakes a brief review of the term's trajectory within the Anglophone and Francophone psychoanalytic literature. Notions of defense, anxiety, and representation as they relate to corporeal experience are discussed. The author illustrates these main axes with which to read hypochondria with clinical material drawn from the analysis of a woman in whom somatic manifestations were especially pervasive. © 2017 The Psychoanalytic Quarterly, Inc.

Hamlet and psychoanalytic experience.

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Schwaber, Paul

2007-01-01

Hamlet draws us into its rendered world, enabling us to experience it with depth, awareness, and resonance, in a mode we recognize as aesthetic. By way of Shakespeare's play--primarily the first act--and a detailed case study, aesthetic and psychoanalytic experience are compared, to suggest that, for our own analytic discourse, we revalue Freud's unease that his case studies read like short stories.

A Psychoanalytic Approach to Fieldwork

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Ramvi, Ellen

2012-01-01

This article focuses on what both psychoanalysis and anthropology have in common: the emphasis on the researcher's own experience. An ethnographic fieldwork will be used to illustrate how a psychoanalytical approach unfolds the material when studying conditions for learning from experience among teachers in two Norwegian junior high schools, and…

Encountering a cartwheeling princess: relational psychoanalytic ...

African Journals Online (AJOL)

Objective: This study was conducted to demonstrate the use and process of contemporary relational psychoanalytic child therapy to address the interpersonal implications of attention deficit hyperactivity disorder and interlinked insecure attachment processes. Method: This therapy case study explicates the seven-month ...

The art of Pirandello: a psychoanalytic view.

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Coppolillo, H P

1997-01-01

Luigi Pirandello, a playwright of immense profundity and creativity, won the Nobel Prize for his work in theater. A brief history of his personal and educational development is presented here, followed by an excellent translation by Gigi Gatti and Terry Doyle of one of his plays, The Man with the Flower in His Mouth, written in 1926. It is a play that is little known in the United States, but which conveys his style and many of his views in a succinct manner. This is followed by an interpretation of some of the symbols, the psychodynamics, and the ego states of the characters that Pirandello described before those ego states were described in psychoanalytic literature.

[In-patient psychoanalytical psychotherapy of a 12 year old boy with secondary encopresis].

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Pressel, Christine

2007-01-01

Case report on the in-patient psychoanalytical psychotherapy of a 12 year old boy, who developed a nonorganic encopresis at the age of nine after his mother died. One focal issue is his denial of this loss and the beginning of a process of mourning due to the treatment. The Operationalized Psychodynamic Diagnostics (OPD) for Children and Adolescents are illustrated for this case.

Neuroscience in the residency curriculum: the psychoanalytic psychotherapy perspective.

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Watson, Brendon O; Michels, Robert

2014-04-01

Educators of future psychiatrists tend to teach an array of approaches to the mind and brain, including among them the neurobiologic perspective and the psychoanalytic perspective. These may be considered at opposite ends of many spectra, including the fact that psychoanalysis takes a large-scale and treatment-oriented perspective and has helped countless patients over the years, while neuroscience has tended to be reductionistic, focused on understanding, and has helped very few people. A tension, therefore, exists for the educator in teaching neuroscience: is it wise to spend valuable time and energy teaching this interesting but, thus far, impractical field to future practitioners? Here, we argue that neuroscience is re-orienting itself towards more psychoanalytically relevant questions and is likely, in future years, to give new insights into the nature of basic drives and social relations. We additionally argue for balance on the part of providers in both acknowledging biologic underpinnings for clinical phenomena and yet continuing to take a stance oriented towards appropriate change. Given the burgeoning new focus within neuroscience on topics directly relating to the human internal experience and the novel challenges in both understanding those advances and appropriately using them, we encourage educators to continue to give future psychiatrists the educational foundation they need to follow neuroscientific discoveries into the future.

The development of psychoanalytic parent–infant/child ...

African Journals Online (AJOL)

The development of psychoanalytic parent–infant/child psychotherapy in South Africa: Adaptive responses to ... on different services currently offered in the South African parent–infant/child psychotherapy field. ... AJOL African Journals Online.

Converging Paradigms: A Reflection on Parallel Theoretical Developments in Psychoanalytic Metapsychology and Empirical Dream Research.

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Schmelowszky, Ágoston

2016-08-01

In the last decades one can perceive a striking parallelism between the shifting perspective of leading representatives of empirical dream research concerning their conceptualization of dreaming and the paradigm shift within clinically based psychoanalytic metapsychology with respect to its theory on the significance of dreaming. In metapsychology, dreaming becomes more and more a central metaphor of mental functioning in general. The theories of Klein, Bion, and Matte-Blanco can be considered as milestones of this paradigm shift. In empirical dream research, the competing theories of Hobson and of Solms respectively argued for and against the meaningfulness of the dream-work in the functioning of the mind. In the meantime, empirical data coming from various sources seemed to prove the significance of dream consciousness for the development and maintenance of adaptive waking consciousness. Metapsychological speculations and hypotheses based on empirical research data seem to point in the same direction, promising for contemporary psychoanalytic practice a more secure theoretical base. In this paper the author brings together these diverse theoretical developments and presents conclusions regarding psychoanalytic theory and technique, as well as proposing an outline of an empirical research plan for testing the specificity of psychoanalysis in developing dream formation.

Psyche--the meeting of mind and soul: current psychoanalytic views on the mental representation of god.

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Clemens, Norman A

2013-11-01

The author presents an overview of two contemporary, related psychoanalytic perspectives on religious phenomena. Based on data from systematic interviews, Ana-Maria Rizzuto explores the way the human mind forms the idea of God as it evolves through the various stages of childhood and adult development. The object-representation of God is greatly influenced by the mental representations of mother, father, and other important adults in the child's life. Object relations theory and the writings of Winnicott play an important role in these concepts. William Meissner, a Jesuit priest as well as a psychoanalyst, addresses Freud's views of religious belief as an illusion, or when accepted with certainty as real, as a delusion. Instead, Meissner sees religious belief as a developmental process that resides in the mental realm of transitional phenomena where spirituality, creativity, appreciation of beauty, transcendental states, play, and the psychoanalytic process itself also take place. In psychoanalytic treatment, religious phenomena are not exempt from exploration and understanding, perhaps resulting in more mature development of object representations, ego functions, and the superego functions of conscience and ego ideal as well as more mature religious life.

The Valency Theory: The Human Bond From A New Psychoanalytic Perspective

OpenAIRE

Med Hafsi

2008-01-01

The present paper discusses some psychoanalytical conceptions concerning what links people to each other, or the human bond. Psychoanalysis, can be regarded as a science dealing basically with, although not directly, the human bond or link linking the person with his external and internal objects. The fact that this bond is in perpetualtransformation, and therefore can be apprehended from different angles has led to various psychoanalytical conceptions or theories which are more complementary...

Understanding Suicidal Behaviour in Young People Referred to Specialist CAMHS: A Qualitative Psychoanalytic Clinical Research Project

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Anderson, Jan; Hurst, Margaret; Marques, Ana; Millar, David; Moya, Sue; Pover, Lesley; Stewart, Sue

2012-01-01

A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted…

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought.

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Fonagy, Peter; Target, Mary

2007-01-01

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.

The interplay of deductive and inductive reasoning in psychoanalytic theorizing.

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Hanly, Charles

2014-10-01

Deductive and inductive reasoning both played an essential part in Freud's construction of psychoanalysis. In this paper, the author explores the happy marriage of empiricism and rationalism in Freud's use of deductive reasoning in the construction of psychoanalytic theory. To do this, the author considers three major amendments Freud made to his theory: (i) infant and childhood sexuality, (ii) the structural theory, and (iii) the theory of signal anxiety. Ultimately, the author argues for, and presents Freud as a proponent of, the epistemological position that he calls critical realism. © 2014 The Psychoanalytic Quarterly, Inc.

Desire, gender, power, language: a psychoanalytic reading of Mary Shelley’s Frankenstein

Directory of Open Access Journals (Sweden)

H. Kotze

2000-04-01

Full Text Available Psychoanalytic literary criticism has always had a particular fascination with texts dealing with the supernatural, the mysterious and the monstrous. Unfortunately such criticism, valuable and provocative though the insights it has provided have been, has all too often treated the text as a “symptom” by which to explain or analyse an essentially extratextual factor, such as the author's psychological disposition. Many interpretations of Mary Shelley’s novel Frankenstein provide typical examples of this approach. Much psychoanalytic (and also feminist criticism and interpretation of the novel have focused on the female psyche “behind” the text, showing how the psychoanalytic dynamics structuring Shelley’s own life have found precipitation in her novel. This article offers an alternative to this type of psychoanalytic reading by interpreting the novel in terms of a framework derived from Lacanian psychoanalysis, focusing on the text itself. This interpretation focuses primarily on the interrelated aspects of language, gender, desire and power as manifested in the novel, with the aim of highlighting some hitherto largely unexplored aspects of the text which may be useful in situating the text within the larger current discourse concerning issues of language and power.

Psychoanalytic and musical ambiguity: the tritone in gee, officer krupke.

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Jaffee Nagel, Julie

2010-02-01

The poignant and timeless Broadway musical West Side Story is viewed from the standpoint of taking musical forms as psychoanalytic data. The musical configuration of notes called the tritone (or diabolus in musica) is taken as a sonic metaphor expressing ambiguity both in musical vocabulary and in mental life. The tritone, which historically and harmonically represents instability, is heard throughout the score and emphasizes the intrapsychic, interpersonal, and social dramas that unfold within and between the two gangs in West Side Story. Particular emphasis is given to the comic but exceedingly sober song Gee, Officer Krupke. Bernstein's sensitivity to the ambiguity and tension inherent in the tritone in West Side Story is conceptualized as an intersection of music theory and theories of mind; this perspective holds implications for clinical practice and transports psychoanalytic concepts from the couch to the Broadway stage and into the community to address the complexities of love, hate, aggression, prejudice, and violence. Ultimately, West Side Story cross-pollinates music and theater, as well as music and psychoanalytic concepts.

Psychoanalytic dream theory and recent neurobiological findings about REM sleep.

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Wasserman, M D

1984-01-01

I have reviewed Hobson and McCarley's activation-synthesis hypothesis of dreaming which attempts to show that the instigation and certain formal aspects of dreaming are physiologically determined by a brainstem neuronal mechanism, their reasons for suggesting major revisions in psychoanalytic dream theory, and neurophysiological data that are inconsistent with their hypothesis. I then discussed the concept of mind-body isomorphism pointing out that they use this concept inconsistently, that despite their denials they regularly view physiology as primary and psychological processes as secondary, and that they frequently make the error of mixing the languages of physiology and psychology in their explanatory statements. Finally, in order to evaluate Hobson and McCarley's claim that their findings require revision of psychoanalytic dream theory, I examined their discussions of chase dreams, flying dreams, sexual dreams, the formal characteristics of dreams, the forgetting of dreams, and the instigation of dreams. I concluded that although their fascinating physiological findings may be central to understanding the neurobiology of REM sleep, they do not alter the meaning and interpretation of dreams gleaned through psychoanalytic study.

Psychoanalytic Thoughts on the European Refugee Crisis and the Other.

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Volkan, Vamık D

2017-12-01

There are many aspects-political, economic, legal, medical, cultural, religious-of the present refugee crisis in Europe. Difficulties at border crossings, settlement programs, life-saving issues, and security measures come to mind immediately, but the refugee crisis also needs to be examined from a psychological angle. This paper outlines psychoanalytic findings on voluntary and forced immigration and human responses to the Other. Change in the twenty-first century is occurring at an unprecedented pace and scale. Globalization, incredible advances in communication technology, fast travel, recourse limitations, terrorist activities, and now the refugee crisis in Europe make psychoanalytic investigation of the Other a necessity.

The edge of chaos: A nonlinear view of psychoanalytic technique.

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Galatzer-Levy, Robert M

2016-04-01

The field of nonlinear dynamics (or chaos theory) provides ways to expand concepts of psychoanalytic process that have implications for the technique of psychoanalysis. This paper describes how concepts of "the edge of chaos," emergence, attractors, and coupled oscillators can help shape analytic technique resulting in an approach to doing analysis which is at the same time freer and more firmly based in an enlarged understanding of the ways in which psychoanalysis works than some current recommendation about technique. Illustrations from a lengthy analysis of an analysand with obsessive-compulsive disorder show this approach in action. Copyright © 2016 Institute of Psychoanalysis.

[Social representation of a psychoanalytical concept: what is the popular meaning of an "unconscious conflict"?].

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Schomerus, Georg; Heitmann, Sabine; Matschinger, Herbert; Angermeyer, Matthias C

2008-05-01

A majority of the population regards unconscious conflict as a possible cause for depression or schizophrenia. We examine to what extent people associate psychoanalytical concepts with this term. Population-based telephone survey (n = 1010), open questions about the meaning and origin of the term unconscious conflict. 5 % gave a definition with clearly psychoanalytical elements, another 13 % perceived an internal conflict. 24 % thought of a conflict between persons, 23 % had no answer. Regarding the origin of the term, 4 % associated Freud or psychoanalysis, 27 % psychology. For both questions, answers closer to Freudian ideas were more common in West compared to East Germany. A concretised understanding far from Freud's original conception of unconscious conflict dominates, which is even stronger in the former communist parts of Germany. Psychoanalytical terms do not necessarily carry a psychoanalytical significance with the public.

Psychoanalytic theory and loving God concepts: parent referencing versus self-referencing.

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Buri, J R; Mueller, R A

1993-01-01

We investigated the relationship of college students' conceptions of the wrathfulness-kindliness of God to their parents' nurturance, their parents' permissiveness, authoritarianism, and authoritativeness, and the students' own self-esteem. Although parents' nurturance, authoritarianism, and authoritativeness were related to participants' conceptions of God (thus providing some support for psychoanalytic assertions), the variable of self-esteem far outweighed all other variables in accounting for the variance in God concepts. These results suggest that self-referencing explanations better account for individuals' conceptions of God than do parent referencing (i.e., psychoanalytic) explanations.

Raymond de Saussure. First president of the European Psychoanalytical Federation.

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Vermorel, H

1998-02-01

The author reviews the life and career of the Swiss psychoanalyst Raymond de Saussure, who died in 1971. A member of an ancient Protestant family with a distinguished intellectual record in Geneva, Saussure studied medicine and psychiatry before turning to psychoanalysis after a fateful encounter with Sigmund Freud, with whom he subsequently maintained intermittent contacts. His subsequent efforts to establish psychoanalysis as a discipline in its own right separate from psychiatry, especially in the French-speaking countries, are described in detail. We learn of his important role in the promotion of psychoanalysis, the organisation of psychoanalytic training and the publication of psychoanalytic material, including his own substantial theoretical and clinical contributions. He is shown also to have had a wide range of other interests. Particular stress is laid on Saussure's Europeanism, as revealed in his familiarity with Germanic as well as French-language culture, his activities in France in addition to Switzerland, his role as an ambassador for European culture during his New York period, and, most importantly, his commitment to the formation of the European Psychoanalytical Federation, of which he was the first President. The author notes too that Saussure was a man of unfailing courtesy.

Qualitative methodology in a psychoanalytic single case study

DEFF Research Database (Denmark)

Grünbaum, Liselotte

features and breaks in psychotherapy investigated. One aim of the study was to contribute to the development of a transparent and systematic methodology for the psychoanalytic case study by application of rigorous qualitative research methodology. To this end, inductive-deductive principles in line...

THE STUDY AND TREATMENT OF MOTHERS AND INFANTS, THEN AND NOW: MELANIE KLEIN'S "NOTES ON BABY" IN A CONTEMPORARY PSYCHOANALYTIC CONTEXT.

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Aguayo, Joseph; Salomonsson, Björn

2017-04-01

This paper draws on Melanie Klein's (unpublished) observational notes of her infant grandson, written primarily in 1938 and 1939. Apart from moving glimpses into a young family's life, the notes contain astute observations of an infant's behavior and emotions. Compared with Klein's published writings, the style is less theoretical and polemical. Later, in his latency years, Klein's grandson was in analysis with Marion Milner, who in 1952 published a paper drawing on the treatment. The present paper focuses on (1) how observations and treatment of the same child and his family by clinicians in close relationships with each other (Klein, Milner, and Winnicott) fertilized reciprocal influence but also brought into question the validity of Klein's observations, and (2) the relative merits and contributions of various modalities in understanding the infant's psyche, including experimental research, direct observation, parent-infant psychotherapy, and reconstructions from older patients-as occurs, for example, in psychoanalysis. © 2017 The Psychoanalytic Quarterly, Inc.

Mixed methods research design for pragmatic psychoanalytic studies.

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Tillman, Jane G; Clemence, A Jill; Stevens, Jennifer L

2011-10-01

Calls for more rigorous psychoanalytic studies have increased over the past decade. The field has been divided by those who assert that psychoanalysis is properly a hermeneutic endeavor and those who see it as a science. A comparable debate is found in research methodology, where qualitative and quantitative methods have often been seen as occupying orthogonal positions. Recently, Mixed Methods Research (MMR) has emerged as a viable "third community" of research, pursuing a pragmatic approach to research endeavors through integrating qualitative and quantitative procedures in a single study design. Mixed Methods Research designs and the terminology associated with this emerging approach are explained, after which the methodology is explored as a potential integrative approach to a psychoanalytic human science. Both qualitative and quantitative research methods are reviewed, as well as how they may be used in Mixed Methods Research to study complex human phenomena.

The Psychoanalytic Interpretation of the Organizational Environment as a Management Tool for Sustainable Development

Directory of Open Access Journals (Sweden)

Khripko Elena

2016-01-01

Full Text Available The article exposes contemporary materials and structures for sustainable development of organizational environment. Psychoanalytic modeling of organizational behavior makes it possible to identify out reflection, unconscious tendencies in individual, group and corporate behavior. This enables to significantly increase the effectiveness of measures for personnel management. Organizational Environment Researches base on psychoanalytic theory of object relations.

TRANSCENDING FAMILY/UNIVERSALITY: A PSYCHOANALYTIC STUDY OF ROHINTON MISTRY'S SUCH A LONG JOURNEY

OpenAIRE

Dr. Ram Lalit

2017-01-01

Tracing the origin of psychoanalytical interpretation of the literary texts M.A.R. Habib writes: Critics, rhetoricians, and philosophers since Aristotle have examined the psychological dimensions of literature, ranging from an author’s motivation and intentions to the effect of texts and performances on an audience. The application of psychoanalytic principles to the study of literature, however, is a relatively recent phenomenon, initiated primarily by Freud and in other directions by Alfred...

Hamlet in Freud's Thoughts: Reinterpretations in the Psychoanalytic Literature.

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Diaz de Chumaceiro, Cora L.

1998-01-01

Presents a selection of interpretations in the psychoanalytic literature of "Hamlet," by William Shakespeare, beginning with an extensive look at the role this literature played in Sigmund Freud's mind at the origins of psychoanalysis. Also examines later interpretations. (SR)

Ethical Presence in the Psychoanalytic Encounter and the Role of Apology.

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Weiss, Micha

2018-03-01

This paper discusses aspects of ethical presence in psychoanalysis, and the possible use of apology in the therapeutic process. The author roughly delineates two periods in the history of psychoanalysis regarding the ethical dimension-the early classical period which is influenced by Freud's ethics of honesty, which gradually evolves towards the more recent intersubjectively-influenced period, necessitating the assimilation of an ethics of relationships. It is suggested that explicit theorizing of the ethical dimension into psychoanalysis offers added value to its effectiveness, and a framework is presented for combining relational, intersubjectively informed ethical dialogue, with contributions of classical technique, enriching the therapeutic potential of psychoanalytic work.

A Clinical Case Presentation: Understanding and Interpreting Dreams while Working Through Developmental Trauma.

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Levy, Joshua; Finnegan, Paul

2016-02-01

The purpose of this paper is to demonstrate the unique place of understanding and interpreting dreams in the psychoanalytic process while working through developmental trauma. This psychoanalytic process extended over six years and is presented in four phases: establishing the therapeutic alliance, a crisis, working through, and termination. Dreams from each of these four phases of the analysis are presented, and the collaborative work of understanding and interpreting these dreams is highlighted. Evidence is presented that from this analytic work there ensued an amelioration of the impact of developmental trauma and a furtherance of the development of internal psychic structure. © 2016 by the American Psychoanalytic Association.

Gestalt and psychoanalytic therapies: structural analysis and rapprochement.

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Nielsen, A C

1980-10-01

This paper examines the psychoanalytic concepts of interpretation, resistance, and transference as manifest in gestalt therapy. Although these concepts are de-emphasized, criticized, and disavowed in gestalt theoretical writings, they are actually fundamental to the underlying or "deep" structure of gestalt therapy. Examples of gestalt interventions are described and indications for their use suggested.

Deepening psychoanalytic listening: the marriage of Buddha and Freud.

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Rubin, Jeffrey B

2009-06-01

Freud (1912) delineated the ideal state of mind for therapists to listen, what he called "evenly hovering" or "evenly suspended attention." No one has ever offered positive recommendations for how to cultivate this elusive yet eminently trainable state of mind. This leaves an important gap in training and technique. What Buddhism terms meditation-non-judgmental attention to what is happening moment-to-moment-cultivates exactly the extraordinary, yet accessible, state of mind Freud was depicting. But genuine analytic listening requires one other quality: the capacity to decode or translate what we hear on the latent and metaphoric level-which meditation does not do. This is a crucial weakness of meditation. In this chapter I will draw on the best of the Western psychoanalytic and Eastern meditative traditions to illuminate how therapists could use meditation to cultivate "evenly hovering attention" and how a psychoanalytic understanding of the language and logic of the unconscious complements and enriches meditative attention.

DREAM DIAGNOSTICS: FRITZ MORGENTHALER'S WORK ON DREAMS.

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Binswanger, Ralf

2016-07-01

The unique approach to dreams of Swiss psychoanalyst Fritz Morgenthaler (1919-1984) is presented and discussed. Although rarely discussed in the English-speaking psychoanalytic world, this approach is very alive in German-speaking countries. Focusing on the distinction between the remembered hallucinatory experience of dreamers and the event of telling dreams within psychoanalytic sessions, Morgenthaler made two major innovations: first, he proposed a new understanding and handling of associations to dreams, and second, he offered what he called dream diagnostics as an instrument with which to integrate both resistance and transference into clinical work with dreams. © 2016 The Psychoanalytic Quarterly, Inc.

Addiction as an attempt at self-regulation (contemporary psychoanalytic theories of addiction

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Gregor Žvelc

2001-09-01

Full Text Available In the article author presents the development of psychoanalytic theory of addiction from early writings to contemporary ego, self psychological and theories of object relations. Classical psychoanalysis understood addiction as a regressive gratification of libidinal drives, whereas contemporary authors understand it as an attempt of adaptation to certain problems and worries. The neurotic conflict is not anymore in the foreground, but disturbances in ego, self and object relations. On the basis of a review of contemporary psychoanalytical theories, the author concludes that individuals prone to addiction have a disturbance in self-regulation. Because of that, they have problems in tolerating and coping with certain emotions. With the help of outer means they tend to re-establish internal balance, which they can't manage alone. This outer 'help' can be seen in various forms of addiction (drugs, food, relationships, sex .... So, the core problem of addicted people is a deficit of self-regulation, which is a consequence of a lack of internalisaton of regulatory functions of primary object. Contemporary psychoanalytical theories of addiction bring us greater insight in personality factors which influence the formation of addiction, thus giving us guidelines for adequate psychotherapy of addiction.

The roots of violence: converging psychoanalytic explanatory models for power struggles and violence in schools.

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Twemlow, S W

2000-10-01

This paper demonstrates that several psychoanalytic models taken together converge to collectively explain school violence and power struggles better than each does alone. Using my own experience in doing psychoanalytically informed community intervention, I approach the problem of school violence from a combination of Adlerian, Stollerian, dialectical social systems, and Klein-Bion perspectives. This integrated model is then applied to the Columbine High School massacre in Littleton, Colorado.

Sexuality and psychoanalytic aggrandisement: Freud's 1908 theory of cultural history.

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Cotti, Patricia

2011-03-01

In 1908, in his article "'Civilized" sexual morality and modern nervous illness', Freud presented neuroses as the consequence of a restrictive state of cultural development and its 'civilized morality'. He found the inspiration for this idea by expanding upon previous formulations in this area by his predecessors (notably Christian von Ehrenfels) that focused on a cultural process earlier introduced by Kant, while also integrating in his analysis the principles of Haeckel's evolutionism (history of development, recapitulation) which eventually re-defined the psychoanalytic theory of neuroses. These new theoretical elements became the basis of psychoanalytic theory and thereby influenced subsequent thinking in the cultural process itself and in human sciences. This transformation of underlying theory provided a unique historical and analytical framework for psychoanalysis which allowed Freud to claim for it a pre-eminent position among the human sciences.

[Adolescents at play: the benefit of individual psychoanalytic psychodrama].

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Titia Rizzi, Alice; Zimmerman, Camille; Saada, Valérie; Moro, Marie Rose

An individual psychoanalytic psychodrama session with an adolescent treated at the Maison de Solenn shows the benefit of psychodrama role playing. Using the body, the imagination and 'pretend play', this therapy gives access to symbolisation and facilitates the care process. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Eracing the Simple Certainty of Difference: A Psychoanalytic Contribution.

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Lombardi, Karen L.

2002-01-01

Asserts that racism, classism, and sexism are fostered not only through material conditions but also through the privileging of difference common to Western intellectual thought. Turns to the unconscious of psychoanalytic theory, especially the theories of Melanie Klein and Ignacio Matter Blanco, recommending an alternative discourse on race,…

Is it all grist to the mill? Wandering between indications for psychoanalytic treatment and the analytic field Caiu na rede é peixe? Entre as indicações de tratamento psicanalítico e o campo analítico

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Marina Bento Gastaud

2013-01-01

Full Text Available Determining the indications and contraindications for psychoanalytic treatment seems crucial to achieve therapeutic success and improve treatment effectiveness. In reviewing the classic literature on the topic, aspects such as age, diagnosis, motivation for treatment, present moment in life, ability to gain insight, psychic suffering when seeking treatment, defensive behaviors, and frustration tolerance are clearly analyzed by therapists/analysts when indicating psychoanalytic treatments. However, traditionally, most criteria underlying such indications date back to a time when the therapeutic relationship was viewed merely as a therapist treating a patient, with no regard to the therapeutic relationship itself. The goal of this article was to critically review the relevance and current adequacy of indications for psychoanalytic treatment, in view of advancements in knowledge on the analytic field. Considering cases that do not evolve as expected according to the indications, patients who are better suited to certain therapists, and therapist-patient pairs that modify their interaction over the course of treatment, the main question remains on how to identify the necessary elements in evaluating a candidate patient for psychoanalytic treatment, as well as the significant elements of therapeutic action.Determinar critérios de indicação e contraindicação para tratamentos psicanalíticos parece um ponto técnico crucial para a obtenção de sucesso terapêutico e a elevação de seus índices de efetividade. Na revisão da literatura clássica sobre o tema, percebe-se que a idade, o diagnóstico do paciente, a motivação para tratamento, o momento de vida, a capacidade de insight, o sofrimento psíquico apresentado no momento da busca de tratamento, o estilo defensivo e a tolerância à frustração são alguns dos pontos analisados pelos terapeutas/analistas para indicar tratamentos psicanalíticos. Contudo, classicamente, tais indica

What Is the Use of Theory? A Psychoanalytic Discussion

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Britzman, Deborah P.

2012-01-01

Freud asking whether psychoanalysis could be taught in the university, and then whether it could be learned, provides an occasion for asking about the emotional uses of theory. The paper draws from literature, clinical writing and pedagogy to build a psychoanalytic discussion of teaching and learning that takes seriously phantasies of knowledge…

Like grandparents, like parents: Empirical evidence and psychoanalytic thinking on the transmission of parenting styles.

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De Carli, Pietro; Tagini, Angela; Sarracino, Diego; Santona, Alessandra; Bonalda, Valentina; Cesari, Paola Elena; Parolin, Laura

2018-01-01

The authors discuss the issue of intergenerational transmission of parenting from an empirical and psychoanalytic perspective. After presenting a framework to explain their conception of parenting, they describe intergenerational transmission of parenting as a key to interpreting and eventually changing parenting behaviors. Then they present (1) the empirical approach aimed at determining if there is actually a stability across generations that contributes to harsh parenting and eventually maltreatment and (2) the psyphoanalytic thinking that seeks to explain the continuity in terms of representations and clinical phenomena. The authors also discuss the relationship between the attachment and the caregiving systems and hypothesize a common base for the two systems in childhood experience. Finally, they propose the psychoanalytic perspective as a fruitful theoretical framework to integrate the evidence for the neurophysiological mediators and moderators of intergenerational transmission. Psychoanalytically informed research can provide clinically relevant insights and hypotheses to be tested.

A obra poética de Pablo Neruda: um estudo psicanalítico The Pablo Neruda’s poetic work: a psychoanalytical study

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Ismael Pereira de Siqueira

2002-12-01

Full Text Available Neste trabalho realizou-se uma leitura da obra poética de Pablo Neruda, conforme os pressupostos teóricos de Freud e Lacan. A preocupação inicial foi a de elaborar um esquema teórico que fornecesse subsídios ao estudo. Num segundo momento foi realizada uma leitura das principais obras que marcam os três períodos literários de Pablo Neruda, tentando-se interpretar psicanaliticamente a rede simbólica encontrada nessas obras. Com base nas análises realizadas, pôde-se observar que a poesia de Pablo Neruda parece possuir um papel de figura objetal, possibilitando ao autor religar-se às suas figuras parentais, nas quais projeta os seus desejos e frustrações.In this work a reading of Pablo Neruda’s poetic work was done, according to a Freud’s and Lacan’s theoretical presuppositions. The first concern was to elaborate a theoretical schema to supply subsidies to this study. After, a reading of the most important works of Pablo Neruda’s three literary periods was done, trying to interpret psychoanalytically the symbolic net of these works. Based on the these analysis, it was observed that Pablo Neruda’s poetry seems to have an object figure role, causing the author to link again to his parents figures on whom he projects his desires and frustrations.

PARRHESIA, PHAEDRA, AND THE POLIS: ANTICIPATING PSYCHOANALYTIC FREE ASSOCIATION AS DEMOCRATIC PRACTICE.

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Gentile, Jill

2015-07-01

This essay explores the mostly unexamined analogy of psychoanalytic free association to democratic free speech. The author turns back to a time when free speech was a matter of considerable discussion: the classical period of the Athenian constitution and its experiment with parrhesia. Ordinarily translated into English as "free speech," parrhesia is startlingly relevant to psychoanalysis. The Athenian stage-in particular, Hippolytus (Euripides, 5th century BCE)-illustrates this point. Euripides's tragic tale anticipates Freud's inquiries, exploring the fundamental link between free speech and female embodiment. The author suggests that psychoanalysis should claim its own conception of a polis as a mediated and ethical space between private and public spheres, between body and mind, and between speaking and listening communities. © 2015 The Psychoanalytic Quarterly, Inc.

[Self-reflection, interpersonal behavior and psychoanalytic ethics].

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Bürgy, M

1997-05-01

In the middle ages, ethical practice included a metaphysical theory of value. In comparison with that, self-reflection and interpersonality should be described as principles of more individual ethics and proceeding from philosophy to psychoanalysis in modern times. Drawing a borderline between human philosophy and metaphysies, Kant defined his so-called categorial imperative as a basic phenomenon of human reciprocity. Ethical relationship to another person, however, requires realization of one's own self, i.e. self-reflection. Hegel's subsequent association of intersubjectivity and selfreflection supplied the basis for Sarte's constitution of consciousness: Existence as existing for the good of the fellow-being. Self-reflection, basing on the sight of one's own self by the other person, leads to Sartre's concept of existential psychoanalysis and to his understanding of ethics. His concept illustrates the decline of significance of philosophy for the analysis of human relationship. Habermas describes self-reflection and interpersonality as fundamental principles of the psychoanalytic therapy and its ethical demands. With the historical concept of the super-ego, Freud established therapeutical one-sidedness and abstinence from ethics; however, as therapeutical interrelationship continued to intensity, ethics of depth psychology also began to develop. This ethical demand was not expressly formulated within the context of psychoanalysis, with the exception of jung and his epigones. Nevertheless, psychoanalytic interaction implies the development of self-reflection, which definitely represents a step forward in the sense of "ethical enlightenment" represented by Kant.

Transference and countertransference: two concepts specific to psychoanalytic theory and practice.

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Ladame, F

1999-12-01

The development of the theory of transference and countertransference from Freud to post-Freudian authors is described. It is concluded that the concepts of transference and countertransference are pertinent only within a definite psychoanalytic setting. They cannot be applied in every therapeutic situation.

Psychoanalytic Bases for One's Image of God: Fact or Artifact?

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Buri, John R.

As a result of Freud's seminal postulations of the psychoanalytic bases for one's God-concept, it is a frequently accepted hypothesis that an individual's image of God is largely a reflection of experiences with and feelings toward one's own father. While such speculations as to an individual's phenomenological conceptions of God have an…

On the Madness of Lecturing on Gender: A Psychoanalytic Discussion

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Britzman, Deborah P.

2010-01-01

This essay comments on the emotional difficulties psychoanalytic discussion introduces to conceptualising the poesis of gender through its reconsideration of the valence of aggression and its development in psychical reality. It returns to the 1936 lectures on the emotional life of gender given by Melanie Klein and Joan Riviere to a public about…

THE PSYCHOANALYTIC CONTRIBUTIONS OF MELITTA SCHMIDEBERG KLEIN. MORE THAN MELANIE KLEIN'S REBEL DAUGHTER.

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Cassullo, Gabriele

2016-03-01

Compared to the impact of the work of Melanie Klein on the history of psychoanalysis, the contributions of her daughter, Melitta Schmideberg, passed almost unnoticed. At present, Schmideberg is solely remembered for having harshly attacked her mother at the start of the Controversial Discussions of the British Psycho-Analytical Society and for having coined the fitting expression "stable instability" in order to describe borderline and asocial personality disorders. However, the author discusses how the early groundbreaking discoveries of Klein with regards to primitive anxieties were the result of the joint work and thinking of Melanie and Melitta. Moreover, he argues that the conflict between the two, along with the subsequent polarization of their views, did not facilitate the development of psychoanalysis, neither did it help the analytic community to recognize the value of Melitta's contributions to psychoanalysis.

On Whether to Convert from a Rhetorical to a Psychoanalytic Pedagogy

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Kraemer, Don J.

2010-01-01

Like psychoanalysis, psychoanalytic pedagogy is a particular way of paying attention, a way of paying attention that deflects attention away from other pedagogies' means and goals. Looking for what psychoanalysis deems the "root cause" of writing problems--intrapsychic conflict--foregrounds that kind of conflict, relegating to the background other…

The poetry of Bartłomiej Majzel: a psychoanalytic approach

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Marcin Jurzysta

2010-12-01

Full Text Available Bartłomiej Majzel is one of the most interesting young polish authors. His first poetic book is robaczywość [worminess] published in 1997. As regards interpretation, many motifs which recur in the volume, suggest a psychoanalytic approach. This approach reveals a dark world of sub-consciousness and transcription of struggling against oneself, reporting the consequences of this tragic party called literature.

In the Intimacy of My "Enactlon": Modeling Kohut's "Bipolar Self" as an Autopoietic System: A Dialectic Approach to Phenomenological Research in Contemporary Psychoanalytic Self Psychology.

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Prendergast, Claire Nicole

2016-06-01

This paper demonstrates that Kohut's definitional system of the "bipolar self" within psychoanalytic self psychology can be modeled as a biological autopoietic system, both in terms of its structure and dynamics, in a way that accounts for the phenomenological aspects of experiential living. Based on this finding, the author argues that a nonreductionist definitional system of this type is an integral component of any pragmatic methodology, such as Kohut's "empathic-introspective" method of treatment, which aims to enable the analyst, as observer, to gain access to the phenomenological world of the analysand within the analytic setting. The dialectic approach undertaken in this preliminary exploration of the "bipolar self" as an autopoietic system has proven fruitful in excavating some of the theoretical features of psychoanalytic self psychology, the weighted importance of which can now be reevaluated in contemporary practice.

Psychoanalytic/Psychodynamic Psychotherapy for Sexually Abused Children and Adolescents: A Systematic Review

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Parker, Ben; Turner, William

2014-01-01

Objective: To assess the effectiveness of psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused. Method: The Cochrane Collaboration's criteria for data synthesis and study quality assessment were used. Electronic bibliographic databases and web searches were used to identify randomized and…

Psychoanalytical interpretations of prejudices with emphasis on prejudices towards persons with disabilities

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Dimoski Sanja

2012-01-01

Full Text Available This paper deals with interpretations of prejudices and specifically, prejudices towards people with disabilities, from the perspective of one of the many theoretical approaches. Psychoanalytic theoretical point of view interpret prejudices through the personality of the individual. The study and interpretation of prejudices towards people with disabilities is one of the major themes of modern social model of disability. Psychoanalytic interpretations determine prejudices, as well as prejudices towards people with disabilities, as a result of defense mechanisms, especially projection. This paper discusses the emotional component of attitude, based on its predominance in prejudices, as a extreme attitudes. In this analysis we have taken into account the emotional and unconscious reactions that can compose an emotional ambivalence in relation to the object of an attitude. Prejudice towards people with disabilities were brought in connection with the irrational and emotional reactions and unconscious fantasies related to the object of an attitude.

Miss Freud Returns to the Classroom: Toward Psychoanalytic Literacy among Educators

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Tieman, John Samuel

2013-01-01

This essay is a call for a more psychoanalytically informed approach to educational psychology and teacher formation. To this end, the author gives an overview of a course in psychology that he recommends for inclusion in teacher education. This course is in two parts. The first part is an introduction to some important elements of psychoanalytic…

Psychodynamics in child psychiatry in Sweden, 1945-85: from political vision to treatment ideology.

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Nelson, Karin Zetterqvist; Sandin, Bengt

2013-09-01

In this article, changing treatment ideologies and policies in child psychiatric outpatient services in Sweden from 1945 to 1985 are examined. The aim is to discuss the role played by psychoanalytic and psychodynamic thinking in this process of change. When mental health services for children were introduced in the mid-1940s, psychoanalytic thinking was intertwined with the social democratic vision of the Swedish welfare state in which children symbolized the future. In practice, however, treatment ideology was initially less influenced by psychoanalytic thinking. From the early 1960s, child psychiatric services expanded and the number of units increased. By then, the political vision had disappeared, but a treatment ideology began to evolve based on psychodynamic theories, which became dominant in the 1970s.

Pichon Rivière's psychoanalytic contributions: Some comparisons with object relations and modern developments in psychoanalysis.

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Scharff, David E; Losso, Roberto; Setton, Lea

2017-02-01

Enrique Pichon Rivière's work, fundamental to Latin American and European psychoanalytic development, is largely unknown in English-language psychoanalysis. Pichon's central contribution, the link (el vinculo), describes relational bonds in all dimensions. People are born into, live in, and relate through links. Psychic structure is built of links that then influence external interaction. Links, expressed in mind, body and external action, continuously join internal and external worlds. Links have two axes: vertical axis links connect generations through unconscious transgenerational transmission; horizontal axis links connect persons to life partners, family, community and society. For Pichon, treatment constitutes a spiral process through which interpretation disrupts existent structures, promoting new emergent organizations at successively deeper levels. Psychic and link structures evolve over time unless repetitive cycles stunt growth. For Pichon, transference is constituted in the here-and-now-with-me because of the analytic link. Pichon also undertook family and group psychoanalysis where individuals become spokespersons for unconscious links and family secrets. He developed operative groups that apply psychoanalysis to both analytic and non-analytic tasks. After describing Pichon's major contributions, the paper compares Pichon Rivière's ideas with those of Klein, Fairbairn, Bion, Winnicott and Bowlby, and contemporary writers including Ogden, Kaës, and Ferro whose works echo Pichon Rivière's thought. Copyright © 2016 Institute of Psychoanalysis.

Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

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Meganck, Reitske; Inslegers, Ruth; Krivzov, Juri; Notaerts, Liza

2017-01-01

Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization) over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation. PMID:29046660

["... here I am entirely among patients now..": the psychoanalytical practice of Lou Andreas-Salomé].

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Klemann, Manfred

2005-01-01

The aim of this article is to disprove the widespread prejudice depicting Andreas-Salomé merely as a femme fatale, or companion of a few famous contemporaries (Nietzsche, Rilke, and Freud), while suppressing her original intellectual and clinical-practical achievement as a psychoanalyst. An evaluation of both published and hitherto unpublished sources clearly confirms the broad and thorough foundations of her psychoanalytical training in theory as well as in practice. Between 1913 and 1933 Andreas-Salomé conducted a relatively large number of analyses, discussed some of them with Freud in a kind of "supervision" by correspondence and published several articles on central psychoanalytical issues. So far, however, many psychoanalysts seem to have been unaware of her status as a former accomplished colleague.

TIGA-CUB - manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5-11 years with treatment-resistant conduct disorders and their primary carers: study protocol for a randomised controlled feasibility trial.

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Edginton, Elizabeth; Walwyn, Rebecca; Burton, Kayleigh; Cicero, Robert; Graham, Liz; Reed, Sadie; Tubeuf, Sandy; Twiddy, Maureen; Wright-Hughes, Alex; Ellis, Lynda; Evans, Dot; Hughes, Tom; Midgley, Nick; Wallis, Paul; Cottrell, David

2017-09-15

The National Institute for Health and Care Excellence (NICE) recommends evidence-based parenting programmes as a first-line intervention for conduct disorders (CD) in children aged 5-11 years. As these are not effective in 25-33% of cases, NICE has requested research into second-line interventions. Child and Adolescent Psychotherapists (CAPTs) address highly complex problems where first-line treatments have failed and there have been small-scale studies of Psychoanalytic Child Psychotherapy (PCP) for CD. A feasibility trial is needed to determine whether a confirmatory trial of manualised PCP (mPCP) versus Treatment as Usual (TaU) for CD is practicable or needs refinement. The aim of this paper is to publish the abridged protocol of this feasibility trial. TIGA-CUB (Trial on improving Inter-Generational Attachment for Children Undergoing Behaviour problems) is a two-arm, pragmatic, parallel-group, multicentre, individually randomised (1:1) controlled feasibility trial (target n = 60) with blinded outcome assessment (at 4 and 8 months), which aims to develop an optimum practicable protocol for a confirmatory, pragmatic, randomised controlled trial (RCT) (primary outcome: child's behaviour; secondary outcomes: parental reflective functioning and mental health, child and parent quality of life), comparing mPCP and TaU as second-line treatments for children aged 5-11 years with treatment-resistant CD and inter-generational attachment difficulties, and for their primary carers. Child-primary carer dyads will be recruited following a referral to, or re-referral within, National Health Service (NHS) Child and Adolescent Mental Health Services (CAMHS) after an unsuccessful first-line parenting intervention. PCP will be delivered by qualified CAPTs working in routine NHS clinical practice, using a trial-specific PCP manual (a brief version of established PCP clinical practice). Outcomes are: (1) feasibility of recruitment methods, (2) uptake and follow-up rates, (3

Psychoanalytic reality of prose

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Todorović Milorad V.

2015-01-01

Full Text Available Scientific methods of a particular field of knowledge can not be freely applied to a different field without any adjustments or reservations. Openness to a different approach is detrimental here. According to Nothrop Frye, psychonalysis in literature tends to 'blur the lines between methods' (Frye 1979: 383 thus increasing openness. Therefore, the anxiety that exists between the theory of psychonalysis and the practice of psychoanalytic therapy will follow the application of psychoanalysis to other scientific fields. Solid grasp of the theory of psychoanalysis is incomplete without understanding its practical implementation in the domain of pain as its priviledged source of truth. Even Jacques Lacan emphasized this by distinguishing between understanding and knowing Jacques Derrida's psychoanalysis. The interdisciplinary activity, valued today as an important aspect of research, cannot be accomplished by simple confrontations between various specialized branches of knowledge. According to Roland Barthes, interdisciplinary work is not a peaceful operation: it begins effectively when the solidarity of the old disciplines breaks down to the benefit of a new object and a new language, neither of which is in the domain of those branches of knowledge that one calmly sought to confront (Barthes 1986b:181. Mirjana Lončar Vujnović proposes, following Barthes logic, to substitute the term psychoanalysis with the term 'experimental mysticism' (Lončar Vujnović 2014: 46. Her proposition has no semantic justification (and not only for its failed attempt at oxymoron let alone scientific. The exploration of the unconscious psyche which is unknown and irrational - designated under certain circumstances as the exploration of the mystical as a hidden, secret part of a man's soul - was scrutinized in psychoanalysis by employing a rigorous scientific method in reverence to the methods of the natural sciences. Furthermore, due to the nomothetic-ideographic and

REBEL WITHOUT A CAUSE: A PSYCHOANALYTIC AND FAMILY-LIFE-CYCLE VIEW OF EMERGING ADULTHOOD IN THE FILM.

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Fulmer, Richard H

2017-07-01

The period during which grown children leave home and establish a new, self-supporting family is called emerging adulthood. This paper uses psychoanalytic concepts and family-life-cycle theory to analyze the film Rebel without a Cause () as a dramatic example of three families going through this phase. Freud's () rescue-motif of the child trying to save an endangered peer to repay his parents for having been nurtured is also characteristic of this period and is considered practice for parenting the next generation. Proximate conflict and support enable two of the film's families to continue the path to reproduce themselves. © 2017 The Psychoanalytic Quarterly, Inc.

Miss Julie: A Psychoanalytic Study

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Sonali Jain

2015-10-01

Full Text Available Sigmund Freud theorized that ‘the hero of the tragedy must suffer…to bear the burden of tragic guilt…(that lay in rebellion against some divine or human authority.’ August Strindberg, the Swedish poet, playwright, author and visual artist, like Shakespeare before him, portrayed insanity as the ultimate of tragic conflict. In this paper I seek to explore and reiterate the dynamics of human relationships that are as relevant today as they were in Strindberg’s time. I propose to examine Strindberg’s Miss Julie, a play set in nineteenth century Sweden, through a psychoanalytic lens. The play deals with bold themes of class and sexual identity politics. Notwithstanding the progress made in breaking down gender barriers, the inequalities inherent in a patriarchal system persist in modern society. Miss Julie highlights these imbalances. My analysis of the play deals with issues of culture and psyche, and draws on Freud, Melanie Klein, Lacan, Luce Irigaray and other contemporary feminists. Miss Julie is a discourse on hysteria, which is still pivotal to psychoanalysis. Prominent philosophers like Hegel and the psychoanalyst Jacques Lacan have written about the dialectic of the master and the slave – a relationship that is characterized by dependence, demand and cruelty. The history of human civilization shows beyond any doubt that there is an intimate connection between cruelty and the sexual instinct. An analysis of the text is carried out using the sado-masochistic dynamic as well the slave-master discourse. I argue that Miss Julie subverts the slave-master relationship. The struggle for dominance and power is closely linked with the theme of sexuality in the unconscious. To quote the English actor and director Alan Rickman, ‘Watching or working on the plays of Strindberg is like seeing the skin, flesh and bones of life separated from each other. Challenging and timeless.’

Vanda Shrenger Weiss - the Croatian pioneer between two worlds: Her role in the birth of the Italian Psychoanalytic Society (SPI).

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Corsa, Rita

2017-08-01

In this paper the author sheds light on Vanda Shrenger Weiss, a forgotten pioneer of the international psychoanalytic movement. Vanda Shrenger was born into a large Jewish family in Croatia (1892), and her life was thoroughly intertwined with the great tragedies of European history: the First World War, the anti-Semitic persecution within Eastern Europe, which entailed the decimation of her extended family in Croatia. Finally, the introduction of fascist laws in Italy led to her and her husband - Edoardo Weiss, the founder of the Italian Psychoanalytic Society - seeking refuge in the United States of America. During her time spent in Italy (1919-39), Vanda Shrenger, doctor and paediatrician, dedicated herself to psychoanalysis. She played a crucial part in the reconstruction of the Italian Psychoanalytic Society (SPI), whilst also being a founding member of the Rivista Italiana di Psicoanalisi (Rome, 1932). Vanda was the first woman to be a member of the SPI as well as to present a paper for it. This insightful and extensive analysis relating to this pioneer of the psychoanalytic world, has been meticulously accomplished by use of a combination of original archival materials, along with access to previously unpublished documents and personal details, kindly made available to the author by Marianna, the daughter of Vanda and Edoardo Weiss, who still lives in the United States today. Copyright © 2016 Institute of Psychoanalysis.

Beyond Freud in psychoanalytic psychology of religion? On the discussion of religion as projection

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Belzen, J.A.

2010-01-01

In 1907, Sigmund Freud initiated the psychoanalytic psychology of religion, until the present day the most important contributor to the psychology of religion literature in general, and the branch of psychological critique of religion best known outside of psychology circles (having drawn attention

Phantastic objects and the financial market's sense of reality: a psychoanalytic contribution to the understanding of stock market instability.

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Tuckett, David; Taffler, Richard

2008-04-01

This paper sets out to explore if standard psychoanalytic thinking based on clinical experience can illuminate instability in financial markets and its widespread human consequences. Buying, holding or selling financial assets in conditions of inherent uncertainty and ambiguity, it is argued, necessarily implies an ambivalent emotional and phantasy relationship to them. Based on the evidence of historical accounts, supplemented by some interviewing, the authors suggest a psychoanalytic approach focusing on unconscious phantasy relationships, states of mind, and unconscious group functioning can explain some outstanding questions about financial bubbles which cannot be explained with mainstream economic theories. The authors also suggest some institutional features of financial markets which may ordinarily increase or decrease the likelihood that financial decisions result from splitting off those thoughts which give rise to painful emotions. Splitting would increase the future risk of financial instability and in this respect the theory with which economic agents in such markets approach their work is important. An interdisciplinary theory recognizing and making possible the integration of emotional experience may be more useful to economic agents than the present mainstream theories which contrast rational and irrational decision-making and model them as making consistent decisions on the basis of reasoning alone.

Current developments in the practice of individual psychoanalytic psychodrama in France.

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Corcos, Maurice; Jeammet, Philippe; Morel, Alexandre; Chabert, Catherine; De Lara, Aline Cohen

2012-06-01

The authors present the history of individual psychoanalytic psychodrama and its current developments as practised in France. They put forward the technique, objectives and rules, along with the indications, limits and risks that ensue from the specific nature of this therapeutic approach. Through its technical adjustments, individual psychoanalytic psychodrama provides a therapeutic option that is appropriate to the defences prevalent in many patients that cause classical psychotherapies to fail: massive inhibition, operative functioning far removed from affects or in false self mode; phobias, disavowal or splitting of the internal psychic life and emotions; prevalence of short discharge circuits in acted-out behaviours and bodily or visceral complaints and expressions. Psychodrama utilizes these defences not in order to eliminate them but to 'subvert' them so that they can continue to carry out their protective role, in particular ensuring narcissistic continuity. At the same time, psychodrama relaxes these defences and facilitates a possible filtering through of the repressed material. Through the number of actors and the diffraction of transference that this allows, psychodrama provides a possibility of adjusting the potentially traumatic effect of the encounter with the object and the instigation of the transference in the regressive dimension induced by any psychotherapeutic process. Copyright © 2012 Institute of Psychoanalysis.

Psychoanalytic contributions to the generation of creativity in children.

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Gottschalk, L A

1981-08-01

This paper describes the major characteristics of the concept of creativity: (1) originality and uniqueness, (2) comprehensibility to others, (3) utility, (4) generalizability to allied and other fields, (5) a capacity for continued and repeated creative outputs in similar and/or different fields, and (6) a capacity to stimulate others to artistic, literary, or scientific originality. Consideration is given to out limited current knowledge of hereditary factors contributing to creativity, in contrast to familial factors which are likely to include environmental contributions. A review follows of psychiatric and psychoanalytic observations on the enhancement or inhibition, during child development, of the innate capacity to be creative in children and adults. In regard to the development of creative prowess, emphasis is placed on the importance of preserving and encouraging the use of primary-process thinking in children so that this mental activity can be called upon at will. Emphasized also is the importance of the availability of examples of creative ability in parental behavior as well as in the kinship and social networks to which the child is exposed. The encouragement of analogical thinking and imagination in children and the development of the ability to turn on and off such mental activity by secondary-process thinking is stressed. Hence, in the enhancement of the creative process in children, catalytic parent-child rearing and exposure to creative people are key elements. Three brief case examples are given in which the creative potential was blocked or inhibited and later released by psychoanalytic psychotherapy.

Mind the gap: In-session silences are associated with client attachment insecurity, therapeutic alliance, and treatment outcome

DEFF Research Database (Denmark)

Daniel, Sarah Ingrid Franksdatter; Folke, Sofie; Lunn, Susanne

2018-01-01

Objective: The association between in-session silences and client attachment, therapeutic alliance, and treatment outcome was investigated in two treatments for bulimia nervosa. Method: 69 women and one man were randomized to two years of psychoanalytic psychotherapy (PPT) or 20 sessions of cogni......Objective: The association between in-session silences and client attachment, therapeutic alliance, and treatment outcome was investigated in two treatments for bulimia nervosa. Method: 69 women and one man were randomized to two years of psychoanalytic psychotherapy (PPT) or 20 sessions...

Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind

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Patrick Connolly

2017-09-01

Full Text Available The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization provides the critical theoretical context within which the significance of Friston's (2010a Free Energy Principle (FEP for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while “psychoanalytic” mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989 offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect, which is itself founded upon the tendency toward autopoiesis (self-making within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis

Being an adult: Psychoanalytic model and social model

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Luigi Cappelli

2013-06-01

Full Text Available The author uses two psychoanalytic models, namely Kernberg’s and Kohut’s conceptualizations, to delineate a possible prototype of adult from the point of view of psychoanalysis. The author believes that this process of modulation of narcissism primitive, both in an evolutionary context and therapeutic, is crucial to achieving an adult level of integration.The author traces also, with the help of two political philosophers, a model of a democratic society, in which you can complete evolution of the mind. The concepts of negative freedom and pluralism of values of Berlin and that of Rawls' justice as fairness are used to identify some key aspects of a modern liberal society.

A psychoanalytic understanding of the desire for knowledge as reflected in Freud's Leonardo da Vinci and a memory of his childhood.

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Blass, Rachel B

2006-10-01

The author offers an understanding of the psychoanalytic notion of the desire for knowledge and the possibility of attaining it as it fi nds expression in Freud's Leonardo da Vinci and a memory of his childhood. This understanding has not been explicitly articulated by Freud but may be considered integral to psychoanalysis' Weltanschauung as shaped by Freud's legacy. It emerges through an attempt to explain basic shifts, contradictions, inconsistencies and tensions that become apparent from a close reading of the text of Leonardo. Articulating this implicit understanding of knowledge provides the grounds for a stance on epistemology that is integral to psychoanalysis and relevant to contemporary psychoanalytic concerns on this topic. This epistemology focuses on the necessary involvement of passion, rather than detachment, in the search for knowledge and views the psychoanalytic aim of self-knowledge as a derivative, and most immediate expression, of a broader and more basic human drive to know.

On emergence: a neo-psychoanalytic essay on change and science.

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Whitehead, Clay C

2011-01-01

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.

Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker's "Regeneration"

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Sadjadi, Bakhtiar; Esmkhani, Farnaz

2016-01-01

The present paper seeks to critically read Pat Barker's "Regeneration" in terms of Cathy Caruth's psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker's novel in order to explore how trauma and history are interrelated in the…

PSYCHOANALYTIC INTERPRETATION OF JUSTICE IN CONTEXT OF PROBLEMS OF TECHNO-GENESIS (Part II

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N. I. Mushinskij

2009-01-01

Full Text Available Carl Gustav Jung, Erich Fromm, Karen Horney, Jacques Lacan, Gilles Deleuze, Felix Guattari continue to develop a psychoanalytic theory of Freud under modern conditions. They investigate archetypes of unconscious which are linked with up-to-date conception of Justice. Ethics of psychoanalysis interprets the category of Justice from humanistic positions in the context of the techno-genesis processes.

The evolution of psychoanalytic thought: a brief view through the lens of Western art and history: Freud and beyond.

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Stavovy, Tania

2017-06-01

The aim of this paper is to explore the diversity and progress in psychoanalysis and psychotherapy post-Sigmund Freud from the perspective of Western art. Since 1900 the shift from one-person psychology to the more contemporary two-person psychology is reflected in the creativity of artists, particularly in their depiction of the mother-infant relationship. An alternative perspective in understanding the evolution of Man's nature can be drawn from a discourse between art, history and psychoanalytic thought. Using art as evidence that reflects concurrent changes in psychoanalytic thought is a stimulating way to engage trainee psychiatrists and psychiatrists in their exploration of human nature.

Dante's Comedy: precursors of psychoanalytic technique and psyche.

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Szajnberg, Nathan Moses

2010-02-01

This paper uses a literary approach to explore what common ground exists in both psychoanalytic technique and views of the psyche, of 'person'. While Western literature has developed various views of psyche and person over centuries, there have been crystallizing, seminal portraits, for instance Shakespeare's perspective on what is human, some of which have endured to the present. By using Dante's Commedia, particularly the Inferno, a 14th century poem that both integrates and revises previous models of psyche and personhood, we can examine what features of psyche, and 'techniques' in soul-healing psychoanalysts have inherited culturally. Discovering basic features of technique and model of psyche we share as psychoanalysts permits us to explore why we have differences in variations on technique and models of inner life.

Working during cancer treatment

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... medlineplus.gov/ency/patientinstructions/000834.htm Working during cancer treatment To use the sharing features on this page, ... JavaScript. Many people continue to work throughout their cancer treatment. Cancer, or the side effects of treatment, may ...

Using dreams to assess clinical change during treatment.

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Glucksman, Myron L; Kramer, Milton

2004-01-01

This article describes several studies that examine the relationship between the manifest content of selected dreams reported by patients and their clinical progress during psychoanalytic and psychodynamically oriented treatment. There are a number of elements that dreaming and psychotherapy have in common: affect regulation; conflict resolution; problem-solving; self-awareness; mastery and adaptation. Four different studies examined the relationship between the manifest content of selected dreams and clinical progress during treatment. In each study, the ratings of manifest content and clinical progress by independent observers were rank-ordered and compared. In three of the four studies there was a significant correlation between the rankings of manifest content and the rankings of clinical progress. This finding suggests that the manifest content of dreams can be used as an independent variable to assess clinical progress during psychoanalytic and psychodynamically oriented treatment.

Treatment Options in Kleptomania

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Lut Tamam

2009-06-01

Full Text Available Kleptomania is a rare disorder with inability or great difficulty in resisting impulses of stealing. People with this disorder are compelled to steal things, generally things of little or no value. This disorder usually begins during puberty and usually last until late adulthood; in some cases lasts throughout the person's life. People with this disorder are likely to have a comorbid conditions like mood disorders. Individuals with the disorder are usually referred for treatment due to the comorbid psychiatric complaints rather than kleptomanic behaviour per se. On the other hand literature lacks of studies about the treatment of kleptomania. A wide variety of therapeutic strategies have been proposed for its treatment, among them psychoanalytic oriented psychotherapy, behavioral therapy and pharmacotherapy. Some medications that are used for people diagnosed with kleptomania are selective serotonin reuptake inhibitors, mood stabilizers and opioid antagonists. There is evidence from numerous case studies that a variety of cognitive behavioral therapy techniques are effective in the treatment of kleptomania and it is favored over other approaches such as psychodynamic and psychoanalytic therapies. Studies to date suggest that cognitive behavioral therapy when used in combination with medication, is more effective than medication alone.

Treatment strategies for different types of teacher burnout.

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Farber, B A

2000-05-01

Using teachers as a prototype, this article suggests that there are three types of burnout: "wearout," wherein an individual gives up, feeling depleted in confronting stress; "classic" burnout, wherein an individual works increasingly hard in the face of stress; and an "underchallenged" type, wherein an individual is faced not with excessive degrees of stress per se (e.g., overload), but rather with monotonous and unstimulating work conditions. The major arguments put forward are that: a) clinicians should avoid treating teacher burnout as if it were a single phenomenon, and instead tailor their treatment to the specific type of burnout manifested by their client; and b) these treatments, while embodying different elements, should be essentially integrative in nature. Psychoanalytic insight, cognitive restructuring, empathic concern, and stress-reduction techniques may all be necessary, albeit in different combinations, to treat successfully burnout of each type.

Treatment of Childhood Depression: The State of the Art.

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Clarizio, Harvey F.

1986-01-01

This article reviews various aspects of seven approaches to the treatment of childhood depression--psychoanalytic, behavioral, cognitive, familial, rational-emotive, multimodal, and drug interventions. Implications for practitioners are considered in terms of target selection, choice of treatment methods, rational evaluation based on developmental…

INDIAN CASTE SYSTEM: HISTORICAL AND PSYCHOANALYTIC VIEWS.

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Vallabhaneni, Madhusudana Rao

2015-12-01

This paper elucidates the historical origins and transformations of India's caste system. Surveying the complex developments over many centuries, it points out that three positions have been taken in this regard. One suggests that the caste one is born into can be transcended within one's lifetime by performing good deeds. The other declares caste to be immutable forever. And, the third says that one can be reborn into a higher caste if one lives a virtuous life. Moving on to the sociopolitical realm, the paper notes how these positions have been used and exploited. The paper then attempts to anchor the existence and purpose of the Hindu caste system in Freud's ideas about group psychology and Klein's proposals of splitting and projective identification. The paper also deploys the large group psychology concepts of Volkan and the culturally nuanced psychoanalytic anthropology of Roland and Kakar. It concludes with delineating some ameliorative strategies for this tragic problem in the otherwise robust democratic society of India.

Psychoanalytic Interpretation of Blueberries by Susan Gibb

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Maya Zalbidea Paniagua

2014-06-01

Full Text Available Blueberries (2009 by Susan Gibb, published in the ELO (Electronic Literature Organization, invites the reader to travel inside the protagonist’s mind to discover real and imaginary experiences examining notions of gender, sex, body and identity of a traumatised woman. This article explores the verbal and visual modes in this digital short fiction following semiotic patterns as well as interpreting the psychological states that are expressed through poetical and technological components. A comparative study of the consequences of trauma in the protagonist will be developed including psychoanalytic theories by Sigmund Freud, Jacques Lacan and the feminist psychoanalysts: Melanie Klein and Bracha Ettinger. The reactions of the protagonist will be studied: loss of reality, hallucinations and Electra Complex, as well as the rise of defence mechanisms and her use of the artistic creativity as a healing therapy. The interactivity of the hypermedia, multiple paths and endings will be analyzed as a literary strategy that increases the reader’s capacity of empathizing with the speaker.

The IPA and the American Psychoanalytic Association: a perspective on the regional association agreement.

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Wallerstein, R S

1998-06-01

Ever since 1938 the American Psychoanalytic Association has had a special autonomous relationship within the IPA accorded to no other component organisation. This Regional Association status has had two main features: (1) total internal control over training standards and membership criteria, with no accountability to the IPA; and (2) an 'exclusive franchise', so that the IPA was barred from recognising any other component within the United States. This unique Regional Association status reflected the resolution at the time (1938) of the long-standing controversy between the IPA and the American over the issue of 'lay analysis', and remained unaltered for half a century until, with the resolution of the 3 1/2-year long law-suit against the American (and secondarily against the IPA) in 1988, the Regional Association agreement was modified (but not totally abrogated) by the American's giving up the 'exclusive franchise' aspect (thus permitting IPA recognition of psychoanalytic groups in the US organised outside the American), but still retaining its internal full control over training and membership. The meanings and consequences for psychoanalysis of this special status of the American are explored.

Between Trauma and Perpetration: Psychoanalytical and Social Psychological Perspectives on Difficult Histories in the Israeli Context

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Goldberg, Tsafrir

2017-01-01

This study explores the applicability of psychoanalytic trauma-centered perspectives and social psychological intergroup comparison perspectives to difficult histories of the Israeli context. The study describes 2 test cases of difficult histories in the Jewish-Israeli context at the levels of curriculum policy, teachers, and learners. The first…

Instituições psicanalíticas: uma política de avestruz? Psychoanalytical Institutions: ostrich politics?

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Paulina Schmidtbauer Rocha

2000-12-01

Full Text Available Este trabalho aponta questões que consideramos fundamentais para a constituição de instituições psicanalíticas mais democráticas e fraternas, capazes de sustentar a vocação crítica da psicanálise e sua marca de subversão em prol da humanidade. Refletimos sobre suas marcas históricas e seus desdobramentos políticos, destacando que não se trata mais de colocar a instituição como um mal necessário para a formação e transmissão da psicanálise. É necessário, ao contrário, vê-la como uma das possíveis escolhas para pensar o homem e suas circunstâncias na contemporaneidade. O que, por sua vez, implica em responsabilidades indelegáveis de cada um que se reconhece como psicanalista e quer pertencer à pólis psicanalítica.This paper points to questions considered fundamental for the constitution of more democratic and fraternal psychoanalytical institutions. These should be capable of preserving the critical vocation of psychoanalysis as well as its subversive character on behalf of humanity. The author reflects on the historical marks and political developments of the psychoanalytical institution, emphasizing that it should no longer be seen as a necessary evil for training psychoanalysts and transmitting psychoanalysis. Rather, it should be considered as one of several possible alternatives for thinking about man and his contemporary circumstances. This in turn implies non-delegable responsibilities that must be acknowledged by all psychoanalysts who wish to belong to the psychoanalytical polis.

Dr Jekels' health resort in Bystra near Bielsko: the first treatment centre which adopted psychoanalysis in Poland.

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Dembińska, Edyta; Rutkowski, Krzysztof

2017-08-29

The paper sets out to present the history of a health resort and hydrotherapy centre in Bystra near Bielsko from 1898 to 1912. At that time Dr Ludwik Jekels, one of the Polish psychoanalysis forerunners, was the owner of the centre. Initially, Dr Jekels was very enthusiastic about climatic treatment and hydrotherapy, until 1905 when he got interested in psychoanalysis. Shortly afterwards he became its staunch supporter and adopted it as a curative procedure in his health resort. That was the first documented case of psychoanalysis use in Poland. This paper presents the development of the therapeutic centre in Bystra and the characteristic of typical patients receiving treatment there. It also briefly reports on medical histories of the conditions of patients who received psychoanalytic treatment. The paper also focuses on another significant area of Dr Jekels'contact with Sigmund Freud ranging from an accidental meeting in Vienna around 1898, through the summer of 1910 when Jekels looked after Freud's daughters in his spa, to 1912 which saw Jekels'receiving psychoanalytic treatment from Freud. It also presents a detailed analysis of hypotheses why Jekels decided to sell the health resort and move to Vienna. Finally, the significance of Jekels'currently underrated therapeutic work for the development of the Polish psychoanalysis is reiterated.

The "Matchbox School" (1927-1932): Anna Freud and the Idea of a "Psychoanalytically Informed Education"

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Midgley, Nick

2008-01-01

Of all the applications of psychoanalysis to various fields, perhaps none has been as important--or as fraught--as the application of psychoanalytic insights to education. This paper re-constructs some of the early debates around psychoanalysis and pedagogy that Anna Freud engaged with during the 1920s in Vienna, when the whole question of what…

Conceptualización psicoanalítica acerca del juego de los niños: Punto de partida para una investigación empírica en psicoterapia Psychoanalytical conceptual approach to children´s play: Initial step for an empirical research in psychotherapy

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Ana M. Luzzi

2009-12-01

Full Text Available Este trabajo es una exploración del marco teórico de una investigación desarrollada mediante una beca UBACyT de maestría, cuyo propósito es efectuar un estudio descriptivo del juego de niños entre 6 y 8 años en el contexto de la psicoterapia psicoanalítica grupal y su potencial relación con la contención emocional de los padres. Objetivos: Delimitar el significado otorgado al juego de los niños en la obra de autores clásicos del psicoanálisis. Metodología: Se efectúa una investigación conceptual sobre el juego de los niños, en tanto actividad normal de su vida anímica y en el contexto de la psicoterapia psicoanalítica. Se rastrea el concepto en la obra de Sigmund Freud, punto de partida de teorizaciones posteriores de autores de la Escuela Inglesa de Psicoanálisis. Dentro de esta corriente, se enfatizan los aportes de Melanie Klein, pionera en el trabajo psicoanalítico con niños, y de Donald Winnicott, que enriquecen la conceptualización de la actividad lúdica. Resultados y Conclusión: Los diferentes modos de conceptuar la actividad lúdica de los niños por parte de los autores mencionados, influyó en el modo de concebir la clínica psicoanalítica con niños.The following paper is part of the theoretical frame of an investigation that is being developed by an UBACyT master scholarship, which purpose is to carry out a descriptive study of children´s play between six and eight years old in the context of the psychoanalytic psychotherapy group and its potential relationship with the capacity of emotional containment of parents. Aim: Specify the meaning given to children´s play in the work of classical psychoanalytical authors. Methodology: A conceptual research about children´s play is carried out, as a normal activity in their mind life and as a psychoanalytical psychotherapy activity. The concept has been searched throughout Sigmund Freud´s work, as the basic and first step of the following theoretical discoveries

THE MISSING FATHER FUNCTION IN PSYCHOANALYTIC THEORY AND TECHNIQUE: THE ANALYST'S INTERNAL COUPLE AND MATURING INTIMACY.

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Diamond, Michael J

2017-10-01

This paper argues that recovering the "missing" paternal function in analytic space is essential for the patient's achievement of mature object relations. Emerging from the helpless infant's contact with primary caregivers, mature intimacy rests on establishing healthy triadic functioning based on an infant-with-mother-and-father. Despite a maternocentric bias in contemporary clinical theory, the emergence of triangularity and the inclusion of the paternal third as a separating element is vital in the analytic dyad. Effective technique requires the analyst's balanced interplay between the paternal, investigative and the maternal, maximally receptive modes of functioning-the good enough analytic couple within the analyst-to serve as the separating element that procreatively fertilizes the capacity for intimacy with a differentiated other. A clinical example illustrates how treatment is limited when the paternal function is minimized within more collusive, unconsciously symbiotic dyads. © 2017 The Psychoanalytic Quarterly, Inc.

The Bible as Transformational Object: The Psychoanalytic Theories of Christopher Bollas and Their Relevance for Religious Educators

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DeGear, Elizabeth Berne

2016-01-01

This article examines the psychoanalytic concepts of object-relations theorist Christopher Bollas, applying them to a view of the Bible as "transformational object." Emphasizing the connection between psychological process and religious experience, this article suggests that each person's innate ability to choose and use objects is a key…

Revising psychoanalytic interpretations of the past. An examination of declarative and non-declarative memory processes.

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Davis, J T

2001-06-01

The author reviews a contemporary cognitive psychology perspective on memory that views memory as being composed of multiple separate systems. Most researchers draw a fundamental distinction between declarative/explicit and non-declarative/implicit forms of memory. Declarative memory is responsible for the conscious recollection of facts and events--what is typically meant by the everyday and the common psychoanalytic use of the word 'memory'. Non-declarative forms of memory, in contrast, are specialised processes that influence experience and behaviour without representing the past in terms of any consciously accessible content. They operate outside of an individual's awareness, but are not repressed or otherwise dynamically unconscious. Using this theoretical framework, the question of how childhood relationship experiences are carried forward from the past to influence the present is examined. It is argued that incorporating a conceptualisation of non-declarative memory processing into psychoanalytic theory is essential. Non-declarative memory processes are capable of forming complex and sophisticated representations of the interpersonal world. These non-declarative memory processes exert a major impact on interpersonal experience and behaviour that needs to be analysed on its own terms and not mistakenly viewed as a form of resistance.

Psychoanalytic theory and the problem of creativity.

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Fossi, G

1985-01-01

The current crisis of psychoanalysis also involves studies of various forms of creativity. After having pointed out the need for distinction between clinical-empirical theory and hypothetical theory (such as metapsychology) the author identifies and summarizes a number of trends of investigation as reported in our literature: libidinal-energetic, contenutistic (unconscious fantasies), anthropomorphic (of the ego), aggression-reparation, phenomenological, and object-relationship approaches. The role played by metapsychological concepts (the author, in agreement with those who consider them unacceptable, discusses some of the most well-known criticisms), and the confusion between theoretical levels are responsible for having made the psychoanalytical contribution entirely unsatisfactory at a higher explanatory level and for having hindered adequate reorganization of data of an empirical nature. After having examined several elements involved in creativity (symbolism, role of pathology and body experience, etc.), the author outlines a personal theoretical hypothesis of the structural type as a basis for the establishment of a clinical-empirical theory which, as regards research on creativity too, may constitute the chief field of investigation for psychoanalysis.

Freedom and Authority: a conceptual focus in work with violent ...

African Journals Online (AJOL)

The author presents a case example and makes recommendations regarding how psycho-analytically informed work with offenders could be adapted in order to respond to the particular demands encountered in therapeutic endeavours. Southern African Jnl Child and Adolescent Mental Health Vol.14(1) 2002: 37-49.

When the Subconscious Goes to Steering - Psychoanalytic Subtexts in Thriller Cinema: The Example of Duel

OpenAIRE

Erol, Volkan

2017-01-01

Fear, an inseparable part of humanity, manifests itself in art andliterature as a reflection of subconscious, also occupies cinema since itsbeginning. Images that reflected from gigantic screens in the darkness of movietheaters, manage to revive collective fears simultaneously unlike any othermedium. Horror, thriller and suspense films, which use subconscious fears as asource and more often than not, prefer to use metaphors while narrate them,prepare the ground for psychoanalytic film analysi...

The constitution of intelligence: a psychoanalytical approach / A constituição da inteligência: uma abordagem psicanalítica

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Regina Orgler Sordi

2005-01-01

Full Text Available This paper aims to discuss human intelligence in the psychoanalytical perspective, particularly considering the contribution of Silvia Bleichmar who explores how human mind develops the intellectual activity from the embryonic states. It is recognized the contribution of genetic epistemology developed by Jean Piaget which allows to understand the capacity to build symbolic systems from sensory-motor schemes. There is also pointed some convergence between the genetic psychology and the psychoanalytic thought. What is stressed in this article, however, is that the contribution of psychoanalysis about the origins of intelligence has been less studied, although it is of most interest both theoretically and clinically. The theoretical inspiration of the paper relies on Freud's theory but it is more definitely grounded on the French school of Jean Laplanche. It tries to show that to reach the objectivity of logical structures, characterized by the categories of the Aristotelian logic – classification, space, time, causality, denial – the psychism does an active work of mind connection which starts in the first inscriptions of the other sexualized human and has to implant the originary repression, the only one able to organize the logic of the secondary thought. It stresses, at the end, that the contribution about a theory of the origins of psychism, concerning the development of intelligence is of great help in the studies about learning disabilities, as it differentiates learning difficulties due to secondary causes of the disorders which address to the lack of constitution of the ego.

Agents of the Father's law in a society of brothers: A philosophic and psychoanalytic perspective on legitimate use of violence.

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Even-Tzur, Efrat; Hadar, Uri

This paper explores subjective processes of "Agents of Law" - individuals who the state grants the authority to use violence - and the dissonance stemming from the contradictory demands posed on them as legitimate users of violence despite the societal taboo against violence. A conceptual model will be offered based on two theoretical legs, Lacanian psychoanalysis and political theories of legitimacy. Specifically, psychoanalytic ideas would serve to examine unconscious processes, subject position and various identifications related to the question of "self-legitimacy" of Agents of Law. A central link between psychoanalysis and political thought is found in the image of the father and in the triad ruler-God-Father, which calls for an oedipal analysis. A psychoanalytic reading of two philosophical schools that elaborated on the question of legitimacy will be presented, and yield two analytic poles of a model for the understanding of possible subject positions of agents of Law: identification with a "Living Father" vs. identification with a "Dead Father". The psychoanalytic reading will shed light on the limitations of the philosophical perspectives in reflecting on the various (im)possible psychological positions of agents of Law. Finally, then, it will be shown how psychoanalysis helps finding words to characterize different nuances in the coping of agents of Law with the contradictory demands posed on them in an age in which God is dead, the father was murdered and the king was beheaded. Copyright © 2017 Elsevier Ltd. All rights reserved.

An Inclusive Psychoanalyst: Sidney Blatt's Contribution In Perspective.

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Berman, Emanuel

2017-06-01

Sidney Blatt personified in many ways the striving toward an inclusive, broad-minded, nonsectarian, and nondogmatic psychoanalysis. Intrigued and inspired by many trends in psychoanalytic thought and neighboring disciplines, he believed deeply in the coexistence and mutual contributions of a psychoanalytic clinical practice and of systematic empirical research on development and its disruptions, evolving personality traits, and the ways psychoanalytic treatment becomes effective. Carl Rogers, David Rapaport, and John Bowlby were among the figures who played a significant role in the development of his rich and complex thinking and productive work.

Mourning, Memorials, and Religion: A Psychoanalytic Perspective on the Park51 Controversy

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Nathan Carlin

2011-06-01

Full Text Available This article summarizes a version of the “mourning religion” thesis—derived from the work of Peter Homans and further developed and advanced by William Parsons, Diane Jonte-Pace, and Susan Henking—and then demonstrates how this thesis can shed light on the Park51 controversy. We argue that the Park51 controversy represents a case of incomplete cultural mourning of an aspect of American civil religion that manifests itself in melancholic rage by means of protests, threats to burn the Qur’an (as well as actual burnings of the Qur’an, and vandalism of mosques around the United States. We explore various losses—military, economic, and symbolic—and note that these losses remain ambiguous, therefore preventing closure and productive mourning. The fact that a permanent memorial still has not been built at Ground Zero reflects, and perhaps exacerbates, this incomplete cultural mourning. Also, the fact that Freedom Tower, the building to replace the Twin Towers, is to be 1776 feet tall reflects that the losses related to 9/11 are connected to American civil religion, as 1776 is a sacred year in American history. Setting aside the ethics and the politics related to this controversy, we attempt here to understand this controversy from a psychoanalytic perspective.

Transformations in dreaming and characters in the psychoanalytic field.

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Ferro, Antonino

2009-04-01

Having reviewed certain similarities and differences between the various psychoanalytic models (historical reconstruction/development of the container and of the mind's metabolic and transformational function; the significance to be attributed to dream-type material; reality gradients of narrations; tolerability of truth/lies as polar opposites; and the form in which characters are understood in a psychoanalytic session), the author uses clinical material to demonstrate his conception of a session as a virtual reality in which the central operation is transformation in dreaming (de-construction, de-concretization, and re-dreaming), accompanied in particular by the development of this attitude in both patient and analyst as an antidote to the operations of transformation in hallucinosis that bear witness to the failure of the functions of meaning generation. The theoretical roots of this model are traced in the concept of the field and its developments as a constantly expanding oneiric holographic field; in the developments of Bion's ideas (waking dream thought and its derivatives, and the patient as signaller of the movements of the field); and in the contributions of narratology (narrative transformations and the transformations of characters and screenplays). Stress is also laid on the transition from a psychoanalysis directed predominantly towards contents to a psychoanalysis that emphasizes the development of the instruments for dreaming, feeling, and thinking. An extensive case history and a session reported in its entirety are presented so as to convey a living impression of the ongoing process, in the consulting room, of the unsaturated co-construction of an emotional reality in the throes of continuous transformation. The author also describes the technical implications of this model in terms of forms of interpretation, the countertransference, reveries, and, in particular, how the analyst listens to the patient's communications. The paper ends with an

Enduring relevance: an introduction to the clinical contributions of K. R. Eissler.

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Garcia, Emanuel E

2009-10-01

The author offers a personal selection and discussion of papers that epitomize the enduring relevance of K. R. Eissler's contributions to psychoanalytic therapy. The innovations of technique embodied by these works (on parameters, schizophrenia, adolescence, cure, fees, and the treatment of the dying patient) reveal a therapeutic approach that is a natural extension of psychoanalytic science: patient-centered, maximally comprehensive, and appropriately flexible.

From playfulness and self-centredness via grand expectations to normalisation: a psychoanalytical rereading of the history of molecular genetics.

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Zwart, H A E

2013-11-01

In this paper, I will reread the history of molecular genetics from a psychoanalytical angle, analysing it as a case history. Building on the developmental theories of Freud and his followers, I will distinguish four stages, namely: (1) oedipal childhood, notably the epoch of model building (1943-1953); (2) the latency period, with a focus on the development of basic skills (1953-1989); (3) adolescence, exemplified by the Human Genome Project, with its fierce conflicts, great expectations and grandiose claims (1989-2003) and (4) adulthood (2003-present) during which revolutionary research areas such as molecular biology and genomics have achieved a certain level of normalcy--have evolved into a normal science. I will indicate how a psychoanalytical assessment conducted in this manner may help us to interpret and address some of the key normative issues that have been raised with regard to molecular genetics over the years, such as 'relevance', 'responsible innovation' and 'promise management'.

What does "brief" mean? A theoretical critique of the concept of brief therapy from a psychoanalytic viewpoint.

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Migone, Paolo

2014-08-01

The concept of "brief therapy" contains internal contradictions. The techniques suggested by brief therapists are the same techniques that have been discussed historically in debates on theory of technique, both within and without psychoanalysis (e.g., the experiential factor at the center of the Freud-Ferenczi confrontation is also an important aspect of Gestalt therapy). A time limit is the only operational criterion that allows a rigorous definition of brief therapy; without this criterion it is impossible to discriminate between "brief" and simply "good" therapies (i.e., those in which patients are successfully treated in a short time). An important question is why, with a given patient, a therapist should decide, a priori, to terminate a treatment within a set time. Two clinical examples are presented, illustrating the usefulness of Eissler's concept of parameters as a heuristic framework to identify the potentially defensive nature of both "brief" and "long-term" therapy. © 2014 by the American Psychoanalytic Association.

A psychoanalytical phenomenology of perversion.

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Jiménez, Juan Pablo

2004-02-01

After stating that the current tasks of psychoanalytic research should fundamentally include the exploration of the analyst's mental processes in sessions with the patient, the author describes the analytical relation as one having an intersubjective nature. Seen from the outside, the analytical relation evidences two poles: a symmetric structural pole where both analyst and patient share a single world and a single approach to reality, and a functional asymmetric pole that defines the assignment of the respective roles. In the analysis of a perverse patient, the symmetry-asymmetry polarities acquire some very particular characteristics. Seen from the perspective of the analyst's subjectivity, perversion appears in the analyst's mind as a surreptitious and unexpected transgression of the basic agreement that facilitates and structures intersubjective encounters. It may go as far as altering the Aristotelian rules of logic. When coming into contact with the psychic reality of a perverse patient, what happens in the analyst's mind is that a world takes shape. This world is misleadingly coloured by an erotisation that sooner or later will acquire some characteristics of violence. The perverse nucleus, as a false reality, remains dangling in mid-air as an experience that is inaccessible to the analyst's empathy. The only way the analyst can reach it is from the 'periphery' of the patient's psychic reality, by trying in an indirect way to lead him back to his intersubjective roots. At this point, the author's intention is to explain this intersubjective phenomenon in terms of metapsychological and empirical research-based theories. Finally, some ideas on the psychogenesis of perversion are set forth.

Psychoanalytic psychodrama in France and group elaboration of counter-transference: Therapeutic operators in play therapy.

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Blanc, Adrien; Boutinaud, Jérôme

2017-06-01

In France, psychoanalytic psychodrama is mainly envisioned in its individual form - that is, a single patient working with a group of therapists. Its originality consists in bringing together several clinicians within a clinical experience that is shared as a group. This experience is fundamentally different from traditional individual therapies, psychotherapies or group co-led therapies. Its configuration may be confusing or overwhelming due to the large number of co-therapists involved in the setting. However, thanks to group elaboration based on the transferential-countertransferential dynamics induced by the treated patient, this potential 'cacophony' can lead to fruitful psychic development embedded in play. This is tied to the co-therapists' positioning in the transitional space shared with the patient as well as to the patient's subjective appropriation of their initiatives. By reflecting on clinical material taken from actual sessions as well as from the exchanges and elaborations occurring at their margins, this article shows how psychodrama and group come to metabolize the transferential elements, shaping the engagement of participants in the context of improvised play. Copyright © 2016 Institute of Psychoanalysis.

W. R. D. FAIRBAIRN AND THE PROBLEM OF HOMOSEXUALITY: A STUDY IN PSYCHOANALYTIC PREJUDICE.

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Beattie, Hilary J

2016-10-01

W. R. D. Fairbairn believed that the psychoanalyst's motivations and theories must ultimately be rooted in a need to resolve personal conflicts. His self-analytic and other records, now publicly available, indicate how his struggles with unacceptable sexual feelings and their symptomatic manifestations affected not only his theorizing, especially about sexuality, but also his clinical practice, as well as his personal and family life. Fairbairn's case affords a unique opportunity to document the effects of homophobia in a major psychoanalyst. © 2016 The Psychoanalytic Quarterly, Inc.

The paternal function in Winnicott: the psychoanalytical frame.

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Faimberg, Haydée

2014-08-01

My first aim has been to identify the implicit assumptions underlying Winnicott's detailed notes on a fragment of an analysis dating from 1955 and published after his death. The importance given by Winnicott to the father figure as early as 1955 is one of my discoveries; another is the deep Freudian roots of his thinking. In this essay I propose a new way of linking together the concepts of 'paternal function' and the 'psychoanalytical frame'. Developing my hypothesis, I compare my reading of Winnicott and my way of reading José Bleger's study on the frame. Like Winnicott, I explore in detail a process of discovery, focusing on what the analyst and the patient are nor fully aware of …'as yet'. I am not proposing to unify Winnicott's and Bleger's thinking. My aim is to avoid the pitfall of eclecticism and, in so doing, to recognize both the related depths they sound in their thinking and their otherness. I want to share with the readers their 'meeting' in my mind. Copyright © 2014 Institute of Psychoanalysis.

The challenge of professional identity for Chinese clinicians in the process of learning and practicing psychoanalytic psychotherapy: the discussion on the frame of Chinese culture.

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Yang, Yunping

2011-06-01

One important element in psychoanalysis, which is derived from Western culture, is individualization: the independency and autonomy of an individual are highly valued. However, one of the significant essences in Chinese culture is that the collective interests transcend the individual interests and the interests of social groups are more important than those of families. Therefore, when learning and practicing psychoanalytic psychotherapy, Chinese clinicians inevitably experience conflicts derived from this difference of cultural values. This article attempts to use a historical perspective to discuss the current challenges of professional identity for Chinese clinicians learning and practicing psychoanalytic psychotherapy and psychoanalysis. Copyright © 2011 Institute of Psychoanalysis.

The lure of the symptom in psychoanalytic treatment.

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Ogden, Thomas H; Gabbard, Glen O

2010-06-01

Psychoanalysis, which at its core is a search for truth, stands in a subversive position vis-à-vis the contemporary therapeutic culture that places a premium on symptomatic "cure." Nevertheless, analysts are vulnerable to succumbing to the internal and external pressures for the achievement of symptomatic improvement. In this communication we trace the evolution of Freud's thinking about the relationship between the aims of psychoanalysis and the alleviation of symptoms. We note that analysts today may recapitulate Freud's early struggles in their pursuit of symptom removal. We present an account of a clinical consultation in which the analytic pair were ensnared in an impasse that involved the analyst's preoccupation with the intransigence of one of the patient's symptoms. We suggest alternative ways of working with these clinical issues and offer some thoughts on how our own work as analysts and consultants to colleagues has been influenced by our understanding of what frequently occurs when the analyst becomes symptom-focused.

Psychoanalytic reflections through the prism of September 11, 2001.

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Nunberg, Henry; Dahl, Kirsten; Herschkowitz, Samuel; Kantrowitz, Judy L; Neubauer, Peter; Orgel, Shelly; Basch, Samuel; Fogelman, Eva

2011-01-01

An important area for psychoanalytic study is the significance for intrapsychic life of important events taking place in the community of which analyst and analysand are a part. September 11, 2001 provides a vantage point for examination of questions that arise from looking at the interrelationship between current environment and intrapsychic life. Two cases are presented as a focus for discussing the interaction of the memorialized past and occurrences in present reality, the significance for an analysis of analyst and patient sharing the same experience, instigations to progress that a current event may provide and the ways in which communal experience influences intrapsychic life. As a part of the discussion, we ask as well in what ways a common experience may be shared, and the significance of radically different meanings that the same event may have for analyst and analysand. We also pose the question whether the differences and similarities, each in their own way, may serve as progressive forces in the analysis.

From Narcissism to Face Work: Two Views on the Self in Social Interaction.

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Peräkylä, Anssi

2015-09-01

Through the analysis of conversational interaction and clinical notes, this article develops conceptual linkages between the Goffmanian concept of face and the psychoanalytic and psychiatric understandings of narcissism. Self-cathexis--the investment of libidinal emotion to the image of self--is a key issue both for Goffman and in psychoanalytic studies of narcissism. For Goffman, the self and its cathexis are inherently fragile interactional achievements, whereas for psychoanalysts such as Kernberg and Kohut, they are relatively stable intrapsychic structures. An application of Goffman's theory to narcissistic personality disorders suggests that pathological narcissism involves the isolation of the person's self-image from interactional. practices and a consequent inability to benefit from face work in ordinary social encounters. Clinical experience suggests revisions to the theory of face work: there is a biographical continuity in a person's experience of face, and successful participation in face work is made possible by the psychic capacity of playful orientation to one's own and others' narcissistic illusions. Such playful orientation is manifested through the interactional practices of role distancing.

A critical review of treatment approaches for gambling disorders.

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Stea, Jonathan N; Hodgins, David C

2011-06-01

This review presents the theoretical model, evidence base, and theoretical and methodological issues for seven treatment approaches to gambling disorders: 1) psychoanalytic and psychodynamic treatments, 2) Gamblers Anonymous, 3) behavioural treatments, 4) cognitive and cognitive-behavioural therapies, 5) brief, motivational, and self-directed interventions, 6) pharmacotherapies, and 7) family therapy approaches. Throughout the review, broader clinical and research issues are also discussed, including barriers to treatment-seeking, controlled gambling versus abstinence as a treatment goal, comorbidity, and the evaluation of treatment efficacy and effectiveness.

Behavioral activation in TFP: The role of the treatment contract in transference-focused psychotherapy.

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Yeomans, Frank E; Delaney, Jill C; Levy, Kenneth N

2017-09-01

Transference-focused psychotherapy (TFP) is a manualized evidence-based treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Similar to other psychodynamic psychotherapies, TFP focuses on changing psychological structures, but also focuses on symptom and behavioral change, particularly the importance of being active (e.g., obtaining a job or involvement in similar activities). In TFP, the establishment of the treatment contract, also known as the treatment frame, is where goals such as work and other activities are agreed upon. The focus on such activities is particularly relevant to the concept of behavioral activation. We provide a clinical vignette to illustrate how TFP utilizes behavioral activation in facilitating treatment outcome both at the behavioral level and at the psychological level. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Paranoia and psychotic process: some clinical applications of projective identification in psychoanalytic psychotherapy.

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Sweet, Alistair D

2010-01-01

The concept of projective identification has, since its introduction by Melanie Klein over half a century ago, caused much controversy amongst psychoanalysts and psychotherapists. In this paper the author traces some of the key theoretical developments of the concept since its introduction in 1946, including: normal and pathological projective identification, aspects of symbolisation and projective identification as an intrapsychic mechanism. An extended case report of a patient in weekly psychoanalytic psychotherapy is offered in order to expand upon some of the theoretical ideas previously considered. Emphasis is placed on the patient's use of intrapsychic projective mechanisms and the emergence and mutation of such mechanisms in the therapeutic relationship.

Humanistic Approaches to the Understanding and Treatment of Anorexia Nervosa.

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Dittmar, Helga; Bates, Brian

1987-01-01

Summarizes some attempts to understand the causes and consequent treatments of anorexia nervosa from the viewpoints of psychoanalytically informed, family, existential and feminist psychology. These perspectives, which focus on the individual experience of the anorexic, leave many questions unanswered, but provide fresh frameworks from which to…

'For Beauty is nothing but the barely endurable onset of Terror': Outline of a general psychoanalytic aesthetics.

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Leikert, Sebastian

2017-06-01

Even close to 80 years after Freud's words that psychoanalysis "has scarcely anything to say about beauty" (Freud, Civilization and its Discontents, SE 21, p. 82) the question of a specific psychoanalytic aesthetic is still faced with a deficit in theory. Since aesthetics is related to Aisthesis, the Greek word for 'perception', a psychoanalytic aesthetic can solely emerge from a psychoanalysis of perceptive structures. The term 'kinaesthetic semantic' is introduced in order to exemplify via music how perceptive experiences must be structured for them to be experienced as beautiful. The basic mechanisms - repetition of form (rhythm, unification) and seduction (deviation, surprise) - are defined. With the help of these mechanisms an intensive contact between perceiving object and kinetic subject, the physical self, is established. The intensive relatedness is a requirement for the creative process in art and also for psychic growth on the subject's level. The described basic mechanisms of the aesthetic process in music can also be encountered in painting and poetry. By the means of a self-portrait by Bacon it will be examined how, in art, terror and traumatization are represented via targeted disorganization of beauty endowing mechanisms, hence finding an enabling form of confrontation and integration of fended contents. Copyright © 2017 Institute of Psychoanalysis.

[Enduring relevance. An introduction to the clinical contributions of K. R. Eissler].

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Garcia, Emanuel E

2007-01-01

The author offers a personal selection and discussion of papers that epitomize the enduring relevance of Eissler's contributions to psychoanalytic therapy. The innovations of technique embodied by these works (on parameters, schizophrenia, adolescence, cure, fees, and the treatment of the dying patient) reveal a therapeutic approach that is a natural extension of psychoanalytic science: patient-centered, maximally comprehensive and appropriately flexible. Firsthand observations of Eissler's clinical manner and a selected bibliography are also presented.

Towards a psychoanalytic understanding of Fascism and anti-Semitism: perceptions from the 1940s.

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Fisher, David James

2004-01-01

After selecting five representative European psychoanalytic thinkers, all of whom emigrated to the United States, this essay surveys their earliest perceptions and interpretations of the historical and psychological roots of Fascism, with particular emphasis on anti-Semitism. My samples almost all derive from the period before, during, and immediately after World War II. In examining the writings of Otto Fenichel, Ernst Simmel, Erik Homburger Erikson, Rudolf Loewenstein and Bruno Bettelheim, it discusses the various environmental and psychological dimensions of their understandings of racial prejudice. The paper argues that each thinker attempted to integrate historical, sociological, cultural and clinical factors into their psychodynamic formulations about the individual and group mind of the Fascist anti-Semite. This generation of psychoanalysts explained Fascist anti-Semitism by exploring the mechanisms of projection, the process of massive splitting mechanisms of the group mind, fantasies of delinquent adolescent aggrandizement in Hitler, sado-masochistic and perverse oedipal dynamics, and a macabre identification with the torturers on the part of Jewish inmates in the concentration camps, that obliterated the individual's sense of autonomy and capacity to respond morally. The paper points out the pronounced ambivalence of this generation of Jewish analysts and intellectuals toward their own Jewish backgrounds and sense of themselves as Jews. It also argues that this generation muted its left-wing and socialist political tendencies once they arrived in America, taking a turn against politics. It suggests that some of the features of this Jewish ambivalence can be seen in the exploration of a so-called "Jewish psychology," itself a disguised form of racism, a derivative of projection, which may have had rather negative and authoritarian consequences for the psychoanalytic movement in America.

The case of David: on the couch for sixty minutes, nine years of once-a-week treatment.

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Kavaler-Adler, Susan

2005-06-01

This paper illustrates a unique case of object relations psychoanalytic psychotherapy on a once-a-week treatment basis. The work of developmental mourning that would be thought to require two to five sessions a week was accomplished on a once-a-week basis. The analyst adjusted the treatment hour, in this one case, to 60 minutes, as opposed to the 45- or 50-minute hour. When treatment began, the analyst made an intuitive judgment to increase the patient's one session a week--which the patient made clear was all he was ready to do--to 60 minutes. The analyst made time in her practice for this 60-minute session and has continued with the patient using this format for 9 years of treatment. This had led up to the current stage of treatment, which has been so critical to the patient's self-integration process.

Agressores sexuais: é possível um tratamento psicanalítico sob prescrição judicial? Sexual aggressors: is a psychoanalytic treatment possible under judicial prescription?

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Amal Hachet

2005-01-01

Full Text Available Com base numa prática psicoterápica individual, de inspiração psicanalítica, conduzida junto a agressores sexuais presos em uma casa de detenção para homens, este estudo interpela, por um lado, os limites da inscrição de uma lógica terapêutica em um quadro repressivo, o da prisão, cujas modalidades encontram-se regidas por um enquadre legal - o da lei relativa à obrigação de tratamento - e, por outro, o paradoxo de uma terapia imposta, sustentada por uma lógica de normalização, de efeitos enganadores e à qual os agressores sexuais, sob o efeito de seu funcionamento dominado por processos de clivagem e de recusa, se submetem "de bom grado".As base in an individual psychotherapeutic practice, of psychoanalytic inspiration, conduct alongside the sexual aggressor inmates in a male jail house, this study interpellates, in one hand, the limits of a subscription of a therapeutic logic in a repressive picture-case, that of the prison, which modalities are found to be ruled by a legal approach - that of the law relative to the obligation of treatment - and, on the other hand, the paradox of an imposed therapy, sustained by a normalization logic, of devious effects and to which the sexual aggressors, under the effect of its dominated functioning by process of cleavage and refusal, are submitted as in "good intentions".

Memory, Identity and Desire: A Psychoanalytic Reading of David Lynch’s Mulholland Drive

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Murat Akser

2012-12-01

Full Text Available This is a reading of David Mulholland Drive through psychoanalytic approach of Lacan from the perspective of formation of fantasy and shifting identities. Lynch constructs his films consciously choosing his themes from the sub(versive/conscious side of human mind. Previous attempts to read Lynch's films are fixed around the idea that Lynch is using film genres to create postmodern pastiches. Mulholland Drive has been analyzed several times from different approaches ranging from gender (Love, 2004, narratology (Lentzner, 2005; McGowan, 2004; Cook, 2011. Elements of film noir, musical, caper films can be identified in Lynch’s films. This detailed textual analysis intends to rationalize Lynch’s narrative structure through Lacanian terms in reference to Zizekian terminology.

Dual coding: a cognitive model for psychoanalytic research.

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Bucci, W

1985-01-01

Four theories of mental representation derived from current experimental work in cognitive psychology have been discussed in relation to psychoanalytic theory. These are: verbal mediation theory, in which language determines or mediates thought; perceptual dominance theory, in which imagistic structures are dominant; common code or propositional models, in which all information, perceptual or linguistic, is represented in an abstract, amodal code; and dual coding, in which nonverbal and verbal information are each encoded, in symbolic form, in separate systems specialized for such representation, and connected by a complex system of referential relations. The weight of current empirical evidence supports the dual code theory. However, psychoanalysis has implicitly accepted a mixed model-perceptual dominance theory applying to unconscious representation, and verbal mediation characterizing mature conscious waking thought. The characterization of psychoanalysis, by Schafer, Spence, and others, as a domain in which reality is constructed rather than discovered, reflects the application of this incomplete mixed model. The representations of experience in the patient's mind are seen as without structure of their own, needing to be organized by words, thus vulnerable to distortion or dissolution by the language of the analyst or the patient himself. In these terms, hypothesis testing becomes a meaningless pursuit; the propositions of the theory are no longer falsifiable; the analyst is always more or less "right." This paper suggests that the integrated dual code formulation provides a more coherent theoretical framework for psychoanalysis than the mixed model, with important implications for theory and technique. In terms of dual coding, the problem is not that the nonverbal representations are vulnerable to distortion by words, but that the words that pass back and forth between analyst and patient will not affect the nonverbal schemata at all. Using the dual code

Therapeutic working alliance: From a psychoanalitical to a pantheoretical conception

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Peter Praper

2004-05-01

Full Text Available Although the concept of therapeutic working alliance was rooted in psychoanalysis, today it is more prominent in psychoanalytic psychotherapies than psychoanalysis. It is rather surprising that we cannot find the concept in the Laplanche and Pontalis Dictionary. During the last two decades a growing body of empirical research material on therapeutic working alliance was published, confirming the idea of the alliance as a separate dimension of therapeutic relationship with few recognisable components. The dimension of the therapeutic working alliance was examined in several approaches and proved as one of the most important therapeutic factors, regardless of the approach, and it has finally been accepted as a pantheoretical concept.

Agents of Law: Psychoanalytic Perspective on Parenthood Practices as Socially Accepted Violence.

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Even-Tzur, Efrat; Hadar, Uri

2017-02-01

This paper presents a theoretical model of parental authority from the vantage point of parental subjecthood, using a roughly Lacanian formulation of what it means to take a (parental) subject position. For Freud, the parental role involves the acceptance of social rules that may, at times, involve a socially acceptable degree of violence. Nevertheless, psychoanalytic discussions have disregarded the parents' subjective experience as agents of the Law and purveyors of threatening authority. The authors elaborate on Freud's and Lacan's ideas and delineate several prime types of parental identifications as agents of Law. The Lacanian theoretical constructs expanded in this discussion include two basic parental positions of authority, termed the Symbolic Father and the Imaginary Father, and one derivative position, called the Perverse Father, which are demonstrated through the story of Dr. Moritz Schreber. The paper discusses how these theoretical constructs bear upon the philosophical conceptualizations of law, violence, and legitimacy.

Senses, Musicality and Psychotherapy in a Psychoanalytic Perspective

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Adolfo Pazzagli

2017-05-01

Full Text Available During the in-fancy "verbal" and "non-verbal" are united. Then, when the child begins to understand the semantic meanings of the words, the lived experience’s area and language’s area differentiate. According to some, the emotional connotation and relationship with the person who the word is learned from is essential to establish the link between thing and word. According to others, the language opens a gap between the interpersonal lived experience and the represented one, so it produces a radical split between verbal and non-verbal areas.These different approaches have important consequences in the consideration of mutative and therapeutic aspects in the psychoanalytic experience. We can put the emphasis on the content of the analyst’s interventions or, vice versa, we can highlight the global experiential aspects, keeping separated two areas that indeed are coexisting, seeing as inescapable a rich component of direct affective meanings, even in the tone of the analyst's interventions. In the last decades, the “focus” of psychoanalysis’ interest has expanded from an almost exclusive attention to the theme of “Interpretation” to aspects that can be called "aesthetic reception" both in the patient and in the analyst, being interpretation and “aesthetic” reception intrinsically connected. This paper presents and discusses this complex issue.

Predictive value of clinical risk indicators in child development: final results of a study based on psychoanalytic theory

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Maria Cristina Machado Kupfer

2010-03-01

Full Text Available We present the final results of a study using the IRDI (Clinical Risk Indicators in Child Development. Based on a psychoanalytic approach, 31 risk signs for child development were constructed and applied to 726 children between the ages of 0 and 18 months. One sub-sample was evaluated at the age of three. The results showed a predictive capacity of IRDIs to indicate developmental problems; 15 indicators for the IRDI were also highlighted that predict psychic risk for the constitution of the subject.

The therapeutic alliance: a psychoanalytic perspective.

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Freebury, D R

1989-11-01

Psychoanalysis has long distinguished between the transference neurosis and that part of the communication between therapist and patient which depends upon a relatively intact part of the patient's ego. It has been proposed that it is this capacity of the patient that sustains the difficult work of dealing with communications which are the consequence of transference, and which often threaten the viability of the treatment. This quality has been referred to variously as the unobjectionable positive transference, rational transference, mature transference, therapeutic alliance and working alliance. The ever broadening scope of Psychoanalysis, along with our greater knowledge of early childhood development, has enhanced our understanding of the many influences affecting the treatment alliances. Newer views of the transference, which stress the significance of the therapists' contributions to the therapeutic dyad, make it clear that the therapeutic alliance can no longer be explained as some simple, reality based, conflict free, motivating force. It involves, rather, a complex interaction of several factors, to each of which one must add the therapists' reciprocal reactions. Psychotherapy outcome research will need to take all of these factors into consideration.

Os sonhos: integrando as visões psicanalítica e neurocientífica Dreams: integrating psychoanalytic and neuroscientific views

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Elie Cheniaux

2006-08-01

Full Text Available É realizada uma ampla revisão dos estudos psicanalíticos e das mais recentes pesquisas neurocientíficas sobre os sonhos. Segundo Freud, os sonhos constituem "uma realização (disfarçada de um desejo (reprimido". Para muitos neurocientistas, eles são formados a partir de estímulos aleatórios originados na ponte e não possuem qualquer significado. Contudo, diversos estudos associam as emoções experimentadas durante a vigília e o conteúdo dos sonhos. A hipótese de que o sistema dopaminérgico mesolímbico-mesocortical, relacionado aos estados motivacionais, é essencial para a formação dos sonhos dá algum respaldo à teoria freudiana. Todavia, não há dados empíricos que apóiem a existência de uma instância censora que deturpe os sonhos. É possível que os sonhos exerçam um papel na elaboração psíquica de lembranças traumáticas. Na nossa opinião, as visões psicanalítica e neurocientífica sobre os sonhos podem ser complementares e mutuamente enriquecedoras.A comprehensive review was carried out about psychoanalytic studies and the most recent neuroscientific researches about dreams. According to Freud, dreams represent "a (disguised fulfillment of a (repressed wish." For several neuroscientists, they are formed based on random stimuli originated from the brainstem and do not have any meaning. However, several studies associate the emotions experienced during waking with the content of dreams. The hypothesis that the dopaminergic mesolimbic-mesocortical system, which is associated with instinctual appetitive craving states, is essential to the formation of dreams brings some endorsement to Freudian theory. Nevertheless, there is no empirical data to support the existence of an instance of censorship that distorts the dreams. It is possible that the dreams play a role in psychological working-through of traumatic memories. In our opinion, psychoanalytic and neuroscientific views about dreams can be complementary and

Freedom and the psychoanalytic ontology of quantum physics.

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Gullatz, Stefan; Gildersleeve, Matthew

2018-02-01

Jung's paper 'Synchronicity - an acausal connecting principle', defining the phenomenon as a 'meaningful' coincidence depending on archetypal activation, was published in 1952, together with a conceptually related piece by physicist and Nobel Laureate Wolfgang Pauli entitled, 'The influence of archetypal ideas on the scientific theories of Kepler'. Slavoj Žižek, in The Indivisible Remainder: On Schelling and Related Matters, suggests that, in contrast to any notion of a 'pre-modern Jungian harmony', the main lesson of quantum physics was that not only was the psychoanalytic, empty subject of the signifier constitutively out-of-joint with respect to the world, but that the Real in itself was already incomplete, out-of-joint, 'not-all'. Yet while Žižek frequently tries to separate Jung from his own ontology, this paper shows that his ontology is not as different as he suggests. Consistent with our earlier publications on Jung and Zizek, a closer investigation reveals an underlying congruence of both of their approaches. In this paper we show that this affinity lies in the rejection by both Jung and Žižek of the ideology of reductive materialism, a rejection that demonstrably draws on quantum physics in similar ways. While Jung posits an inherently meaningful universe, Žižek attempts to salvage the freedom of human subjectivity by opposing his Lacanian 'dialectical materialism' to reductive materialism. © 2018, The Society of Analytical Psychology.

Essential Psychoanalysis: Toward a Re-Appraisal of the Relationship between Psychoanalysis and Dynamic Psychotherapy.

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Sripada, Bhaskar

2015-09-01

Freud stated that any line of investigation which recognizes transference and resistance, regardless of its results, was entitled to call itself psychoanalysis (Freud, 1914a, p. 16). Separately he wrote that psychoanalysis was the science of unconscious mental processes (Freud, 1925, p. 70). Combining these two ideas defines Essential Psychoanalysis: Any line of treatment, theory, or science which recognizes the facts of unconscious, transference, or resistance, and takes them as the starting point of its work, regardless of its results, is psychoanalysis. Freud formulated two conflicting definitions of psychoanalysis: Essential Psychoanalysis, applicable to all analysts regardless of their individuality and Extensive Psychoanalysis, modeled on his individuality. They differ in how psychoanalytic technique is viewed. For Essential Psychoanalysis, flexible recommendations constitute psychoanalytic technique, whereas for Extensive Psychoanalysis, rules constitute a key part of psychoanalytic technique.

Work-related limitations and return-to-work experiences in prolonged fatigue: workers' perspectives before and after vocational treatment.

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Joosen, Margot C W; Frings-Dresen, Monique H W; Sluiter, Judith K

2011-01-01

To gain insight into fatigued workers' perspectives regarding work experience before and after receiving vocational rehabilitation (VR) treatments. A qualitative survey was conducted using semi-structured interviews with 21 fatigued workers who attended an outpatient multi-component VR treatment. Six months after treatment, work-related limitations and employed VR strategies at work before treatment were explored. Next, VR treatment experiences regarding return-to-work (RTW) were explored. Two researchers performed partially independent, qualitative analyses that revealed topics, discussed by the project team, and organised into domains, categories and sub-categories. Work-related limitations were: symptoms of prolonged fatigue, personal limitations (e.g. lack of self-reflection on individual capacity and limitations), interpersonal factors, activities and conditions at work and life/work imbalance. Before the treatment, VR strategies such as work adaptations, well-intentioned advice and support, and/or referral to psychological or physical care were employed. VR treatment experiences on RTW were: personal challenges (e.g. gained awareness and coping skills), improved activities during work, work adaptations and unresolved problems (e.g. remaining fatigue symptoms and sickness absence). New information about work experiences before and after multi-component VR treatments in workers with prolonged fatigue may help employers, occupational physicians and other caregivers to develop VR strategies that better meet individuals' needs.

Working memory capacity and addiction treatment outcomes in adolescents.

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Houck, Jon M; Feldstein Ewing, Sarah W

2018-01-01

Brief addiction treatments including motivational interviewing (MI) have shown promise with adolescents, but the factors that influence treatment efficacy in this population remain unknown. One candidate is working memory, the ability to hold a fact or thought in mind. This is relevant, as in therapy, a client must maintain and manipulate ideas while working with a clinician. Working memory depends upon brain structures and functions that change markedly during neurodevelopment and that can be negatively impacted by substance use. In a secondary analysis of data from a clinical trial for adolescent substance use comparing alcohol/marijuana education and MI, we evaluated the relationship between working memory and three-month treatment-outcomes with the hypothesis that the relationship between intervention conditions and outcome would be moderated by working memory. With a diverse sample of adolescents currently using alcohol and/or marijuana (N = 153, 64.7% male, 70.6% Hispanic), we examined the relationship between baseline measures of working memory and alcohol and cannabis-related problem scores measured at the three-month follow-up. The results showed that lower working memory scores were associated with poorer treatment response only for alcohol use, and only within the education group. No relationship was found between working memory and treatment outcomes in the MI group. The results suggest that issues with working memory capacity may interfere with adolescents' ability to process and implement didactic alcohol and marijuana content in standard education interventions. These results also suggest that MI can be implemented equally effectively across the range of working memory functioning in youth.

Troubling Gender or Engendering Trouble? The Problem With Gender Dysphoria in Psychoanalysis.

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Barkai, Ayelet R

2017-02-01

This paper reviews existing case reports in the psychoanalytic literature of children diagnosed with gender identity disorder (GID), now called gender dysphoria. It concentrates on a review of problems and psychoanalytic dilemmas inherent in the use of the term GID and elucidates the concurrent quandaries this term both signifies and is symptomatic of. The focus is on reports of child psychoanalyses published during or after 1991, when the American Psychoanalytic Association formally adopted a nondiscrimination policy against homosexuality. These cases reflect common problematic themes in these treatments, for example, the lack of neutrality in specifying the treatment goal of same-gender identification. This paper explores the effects of these problems on the treatments, raises questions regarding the emphasis on gender in the treatments, and discusses an alternative psychoanalytic approach to children with gender variation.

Cultural function and psychological transformation in psychoanalysis and psychoanalytic psychotherapy.

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Ronningstam, Elsa

2006-10-01

Cultural experience of silence and individual vicissitudes between talking and being silent influence the way individuals form an alliance and pursue the analytic process. This is of relevance both for the patient and for the psychoanalyst/therapist. The author describes a patient, whose silent phase occurred in the fifth and sixth year of intensive psychoanalytic psychotherapy. She suggests that a) the silence functioned as a protection of a space for the core self and promoted inner transformation and psychological development; b) the silence involved a transference-countertransference matrix with projective identifications of the patient's internalized mother- and father-related objects that caused a tenuous balance between maintaining and erasing the relationship between the patient and the author; c) the silence phase was highly influenced by the author's own cultural background and what she brought into the relationship of tolerance of being silent in the presence of another, and understanding of the many complex functions of silence. During the silent phase the patient moved from simply describing and naming her affects and inner experiences or expressing them as somatic processes, to being able to internally access and verbally convey her own affects and experiences in the therapeutic alliance. This process involved both affect desomatization, affect differentiation, and affect verbalization.

Infantile anorexia, co-excitation and co-mastery in the parent/baby cathexis: The contribution of Sigmund and Anna Freud.

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Cascales, Thomas

2017-04-01

Recent epidemiological studies show that 2% of babies in ordinary paediatric clinics suffer from infantile anorexia. In the first part of this paper we present a case study from our hospital clinical activity. Our framework combines clinical psychoanalytic sessions and perinatal videos. In the second part, we will focus on the concepts of instinct and excitation proposed by Sigmund Freud and the concept of mastery proposed by Anna Freud. In the third part, we will examine these concepts in the light of the case study. The fourth part is devoted to clinical recommendations from our hospital psychoanalytic practice. In conclusion, unlike other clinical settings, the psychoanalytic setting allows for the elaboration of the parental hatred included in the libidinal cathexis. Our psychoanalytic setting (sessions/videos) makes it possible to decontaminate parental intrapsychic elements overloaded with excitement, saturated with hate elements, and rendered sterile by the instinct for mastery. An initial part of the treatment process involves working through the intersubjective elements observed in the video. Copyright © 2016 Institute of Psychoanalysis.

The Personal Meaning of Social Values in the Work of Abraham Maslow

OpenAIRE

John H. Morgan

2012-01-01

Abraham Maslow (1908-1970) was, with Carl Rogers, the co-founder of what came to be known as the Third Force school of psychology. Considered a neo-Freudian in the post-psychoanalytical school, Maslow became a leader in the development of new modalities of treatment using psychotherapeutic techniques developed in his practice over many years and ultimately became a celebrated scholar and teaching using his concept of the hierarchy of needs and self-actualization. Where Maslow has too often an...

Policy and identity change in youth social work

DEFF Research Database (Denmark)

Vitus, Kathrine

2017-01-01

_ Summary: This article analyses – by drawing on ideology critical and psychoanalytical concepts from Slavoj Zizek and Glynos et al. – how political, social and fantasmatic logics interplay and form social workers’ professional identities within two youth social work institutions that operate...... within different social policy paradigms: a socialinterventionist paradigm in 2002 and a neoliberal paradigm in 2010. _ Findings: The article shows how the current neoliberalisation of public policy permeates social work practices through fantasmatic narratives that create professional identities to heal...... discrepancies in and conceal the political dimension of everyday life. In one institution, within a welfare state-based ideology a compensating-including social professional identity is created in response to the young people’s alleged deficiencies; in the other institution, within a neoliberal ideology...

Bullying nurses at work: theorizing a gendered experience.

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Bray, C

2001-03-01

This paper is about bullying among nurses at work. It presents the psychoanalytically based theory that workplace bullies, impaired during infancy by primary caregivers who were less than loving, project their own hostile personalities onto others and then relate to others without empathy or understanding, in demeaning ways. When these hostile people are employed in a masculine workplace, they protest against the gendered imperatives imposed upon them, hysterically. Because of the masculinization of the workplace, hysterical bullying varies according to gender, with women bullying in a hostile connected way, and men bullying in a hostile separated way. Research data gathered in Canada in the 1990s is utilised in presenting the theories. Suggestions about anti-bullying practices that arise from this theoretical analysis conclude the work.

Work-Focused Treatment of Common Mental Disorders and Return to Work: A Comparative Outcome Study

NARCIS (Netherlands)

Lagerveld, S.E.; Blonk, R.W.B.; Brenninkmeijer, V.; Wijngaards-de Meij, L.; Schaufeli, W.B.

2012-01-01

The aim of this study was to compare the effectiveness of two individual-level psychotherapy interventions: (a) treatment as usual consisting of cognitive– behavioral therapy (CBT) and (b) work-focused CBT (W-CBT) that integrated work aspects early into the treatment. Both interventions were carried

La concepción psicoanalítica de los sueños. The psychoanalytic conception of dreams.

OpenAIRE

Velásquez, Claudia

2010-01-01

 The psychoanalytic conception of dreams. Resumen Este artículo presenta un recorrido amplio por los principales aportes al estudio de los sueños realizado por Sigmund Freud, el creador del psicoanálisis. Inicia con una presentación de la concepción de los sueños previa a la aparición del psicoanálisis, época en que los sueños tenían un carácter mágico y aún premonitorio. Se pasa, entonces, al propósito freudiano del estudio de los sueños entendidos como una producción psíquica de la persona ...

Sigmund Freud's practice: visits and consultation, psychoanalyses, remuneration.

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Tögel, Christfried

2009-10-01

This paper provides an overview of the quantitative side of the systematic records kept by Freud on his practice. He left precise records of the duration, frequency, and fees of psychoanalytic treatments. These statistics are compared with the treatment duration and frequency customary in present-day psychoanalytic practice in German-speaking countries. The results suggest that, regarding frequency and duration and their relationship, there is little difference between Freud's psychoanalytic practice and that of the present day.

Preparing patients with cancer who work and treatment responsiveness.

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Kamau, Caroline

2017-03-01

Many patients with life-limiting illnesses continue to work because of financial reasons and because work provides good psychosocial support. A lack of appropriate advice/support through patient education could, however, make having a job detrimental to well-being (eg, symptom worsening). This study investigated the frequency with which patients received information that empowers their understanding of their condition, treatment, side effects of treatment and the likely impact on occupational functioning. A cross-sectional study. An analysis of survey data from 3457 patients with cancer in employment. Logistic regression showed that patients who received information about the impact of cancer on work life or education are 1.72 times more likely to have a positive treatment outcome. Patients who receive written information about the type of cancer are 1.99 times more likely to have a positive treatment outcome. Also, patients who receive written information before a cancer-related operation are 1.90 times more likely to have a positive treatment outcome. Information about the side effects of cancer treatment produces worse odds of a positive treatment outcome (0.65-1). A stepwise logistic regression analysing the effects irrespective of current employment status in 6710 patients showed that preparing them produces nearly twice better odds of cancer treatment responsiveness. Palliative care teams should consider ways of actively advising patients who work. Whereas the results showed evidence of good practice in cancer care, there is a need to ensure that all working patients with potentially life-limiting illnesses receive similar support. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Psychoanalysis, Islam, and the other of Liberalism.

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Massad, Joseph

2009-01-01

This paper examines the terms and methods used by psychoanalytic authors to explain and understand something they other as "Islam." The paper engages critically and psycho-analytically with these authors' attempts to read "Islam" psychoanalytically, and finds that more often than not they subject it to liberal principles that are not defined in psychoanalytic terms. Focusing on the work of Tunisian author Fethi Benslama, the paper analyses and deconstructs certain key semantic and conceptual confusions of "Islam" and "Islamism" that are manifest in the general psychoanalytic literature on "Islam".

The course of the working alliance during virtual reality and exposure group therapy for social anxiety disorder.

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Ngai, Irene; Tully, Erin C; Anderson, Page L

2015-03-01

Psychoanalytic theory and some empirical research suggest the working alliance follows a "rupture and repair" pattern over the course of therapy, but given its emphasis on collaboration, cognitive behavioral therapy may yield a different trajectory. The current study compares the trajectory of the working alliance during two types of cognitive behavioral therapy for social anxiety disorder - virtual reality exposure therapy (VRE) and exposure group therapy (EGT), one of which (VRE) has been proposed to show lower levels of working alliance due to the physical barriers posed by the technology (e.g. no eye contact with therapist during exposure). Following randomization, participants (N = 63) diagnosed with social anxiety disorder received eight sessions of manualized EGT or individual VRE and completed a standardized self-report measure of working alliance after each session. Hierarchical linear modeling showed overall high levels of working alliance that changed in rates of growth over time; that is, increases in working alliance scores were steeper at the beginning of therapy and slowed towards the end of therapy. There were no differences in working alliance between the two treatment groups. Results neither support a rupture/repair pattern nor the idea that the working alliance is lower for VRE participants. Findings are consistent with the idea that different therapeutic approaches may yield different working alliance trajectories.

The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis.

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Moritz, Steffen; Berna, Fabrice; Jaeger, Susanne; Westermann, Stefan; Nagel, Matthias

2017-06-01

Clinicians and patients differ concerning the goals of treatment. Eighty individuals with schizophrenia were assessed online about which symptoms they consider the most important for treatment, as well as their experience with different interventions. Treatment of affective and neuropsychological problems was judged as more important than treatment of positive symptoms (p experience with Occupational and Sports Therapy, only a minority had received Cognitive-Behavioral Therapy, Family Therapy, and Psychoeducation with family members before. Patients appraised Talk, Psychoanalytic, and Art Therapy as well as Metacognitive Training as the most helpful treatments. Clinicians should carefully take into consideration patients' preferences, as neglect of consumers' views may compromise outcome and adherence to treatment.

[The transformation of Friedrich the Great. A psychoanalytic study].

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Lewy, E

1995-08-01

The transformation of Frederick the Great. A psychoanalytic study.--As a child and young man, Prince Frederick Hohenzollern, later King Frederick II of Prussia, flatly rejected his father's militaristic, Teutonic code of behaviour with its emphasis on dutiful service, self-abnegation and obedience. Instead he indulged his more "effeminate" leanings, taking an interest in literature, music and the unsoldierly delights provided by the courtly life of the age, and was encouraged in this by both his mother and his sister. This refusal to espouse the manly, paternal principle drove the crown prince into an increasingly vehement conflict with his father, who observed his son's indifference to all things military with growing bitterness, and finally led to a catastrophe in the course of which Frederick's closest friend was executed and he himself only just escaped his father's deadly vengeance. After this crisis, Frederick conformed more and more closely to his father's expectations and instructions and after the latter's death in 1740 developed into a ruler who enhanced Prussia's military and political glory and established a paternalistic principle that not only equalled but indeed exceeded everything that his father had stood for. The author traces in detail Frederick's astounding transformation into the "Frederick the Great" familiar to us from history books, analysing it both psychodynamically and in terms of identity theory. His conclusion is that it was the strength of Frederick's ego--itself the very prerequisite of "greatness"--that saved him from coming to grief over this conflict of identity.

Titration in the treatment of the more troubled patient.

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Winer, J A; Ornstein, E D

2001-01-01

This article defines and discusses a modification of technique recommended by the authors in the psychoanalytic treatment of more troubled patients--a modification they call titration. Titration is defined as a conscious decision by the analyst to increase or decrease assistance (or gratification) gradually, in order to facilitate the analytic process. The authors emphasize the complexity of decisions in treatment by focusing on the decision-making processes that titration requires. Guidelines and a case vignette are presented. The authors conclude by considering some of the politics involved in the introduction of technique modifications, the salience of the titration concept, and directions for further exploration.

El dibujo y la simbolización en algunos casos de maltrato infantil. // Drawing and symbolization in some cases of child maltreatment. A psychoanalytical look

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Nicolás Uribe Aramburo.

2009-06-01

Full Text Available This article makes part of a research carried out within the framework of the Master in Psychoanalytical Research, which comes up from the analysis of clinical material obtained from psychotherapeutic work developed during more than three years with children coming to a psychology service of a non-profit institution located in one of Medellin's communes, mainly because of problems related to child maltreatment. In order to obtain such analysis material, we started from the psychoanalytical thesis of psychic determinism and the neutrality of the therapist. For that reason we invited some kids to draw and associate freely, expecting what they showed would be related to their maltreatment experiences. Consequently, the methodology used consisted not only in handing over to children but in leading them to use drawing. // Este artículo es parte de una investigación llevada a cabo en el marco de la Maestría en Investigación psicoanalítica, que surge del análisis del material clínico obtenido en el trabajo psicoterapéutico realizado por más de tres años con población infantil que acudía a un servicio de psicología de una institución sin ánimo de lucro ubicada en una de las comunas de la ciudad de Medellín, principalmente por problemáticas asociadas al maltrato infantil. Para obtener dicho material de análisis partimos de las tesis psicoanalíticas del determinismo psíquico y la neutralidad del terapeuta, razón por la cual invitamos a los niños a dibujar y asociar libremente con la expectativa que de que aquello que exteriorizaran tendría una relación con sus vivencias de maltrato. En consecuencia, la metodología utilizada no sólo consistió en darles la palabra a los niños, sino que también implicó inducirlos a usar el dibujo.

ON THE ANALYST'S IDENTIFICATION WITH THE PATIENT: THE CASE OF J.-B. PONTALIS AND G. PEREC.

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Schwartz, Henry P

2016-01-01

The writer Georges Perec was in psychoanalysis with Jean-Bertrand Pontalis for four years in the early 1970s. In this essay, the author presents the exceptional interest this analyst took in this patient and the ways in which that interest manifested itself in his work, psychoanalytic and otherwise. Many correlative factors suggest that identificatory processes persisted beyond the treatment and were maintained into Pontalis's later life. While this paper is primarily intended to provide evidence to support this view of a specific case, the author closes by reflecting that this may be a more general phenomenon and the reasons for this. © 2016 The Psychoanalytic Quarterly, Inc.

Preditores de não aderência ao tratamento na psicoterapia psicanalítica de crianças Predictors of treatment non-adherence in child psychoanalytic psychotherapy

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Marina Bento Gastaud

2011-01-01

assess associations between social, demographic, and clinical variables and adherence/non-adherence to treatment in child psychoanalytic psychotherapy. METHOD: This is a retrospective study based on the analysis of medical records of all children who received treatment at two psychological clinics in Porto Alegre, southern Brazil, between 1979 and 2007. RESULTS: A total of 2,106 records were analyzed, and 1,083 children were included in the final sample. Of these, 21.5% did not adhere to treatment. The variable referral source was associated with the outcome, i.e., referral to psychotherapy by psychiatrists was a protective factor to non-adherence to treatment, whereas referral by the family was a risk factor for non-adherence. CONCLUSION: Knowing the profile of children who do not adhere to psychotherapy enables therapists to establish intervention techniques in the early stages of treatment, so as to facilitate family adherence to child psychotherapy. Because dropout and non-adherence to therapy have different predictive factors, they should be considered as distinct phenomena by clinicians and investigators.

The question of representation in the psychoanalytical and cognitive-behavioural approaches. Some theoretical aspects and therapy considerations

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Philippe eDe Timary

2011-04-01

Full Text Available This paper compares the cognitive-behavioural and psychoanalytical approaches with respect to the way in which each of them conceives of representation and deals with the issues that this involves. In both of them conscious and latent (unconscious representations play a crucial role. Highlighting similarities and differences facilitate communication on a theoretical level but also prove helpful to the clinical practitioners involved. We try to put forward an attempt at comparison, with the idea of going beyond the -- obviously important -- differences in vocabulary. In this attempt at comparison, we have successively compared the definitions of representation and the respective therapeutic interventions proposed by each approach. There are no doubt many overlapping elements in the way in which the workings of the mind are conceived of in these approaches, particularly as regards their links with affects. We next developed the implications of representation deficits in pathology, suggesting the important role played by elements that are avoided, suppressed from memory or repressed, and with respect to the need to treat such material in a specific manner so as to ensure some progress as to the symptoms presented. We finally summarized common and distinct aspects of the two perspectives. The very fact that two approaches that follow very distinct methodologies reach the same conclusion concerning the importance of distortions and failures of representation in generating mental distress strengthens, in our view, the epistemological reliability of the role of representation in psychopathology.

Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis.

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Midgley, Nick

2012-02-01

A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.

The Interactive Play and a Persuasive God: A Psychoanalytic Approach to Re-envisioning Pastoral Care and Counseling.

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Jang, Jung Eun

2016-06-01

The purpose of this article is to present a sketch of a new image of pastoral care and counseling, which reflects the psychoanalytic understanding of the interacting transference and countertransference matrix, along with a process view of God in a mutually influencing relationship with creatures. A more effective approach in pastoral care and counseling can be conceptualized as the interactive play in which pastoral caregivers and receivers co-create a therapeutic relationship with their own past experiences and their creative capabilities. The interactive play is a concept of describing the mutually influencing relationship in the transference and countertransference interchange. The article introduces the concept of a persuasive God as a new image of pastoral care and counseling which includes aspects of the mutually interacting process in play. © The Author(s) 2016.

Progress report for 1988/89 from the Waste Treatment and Disposal Working Party covering joint funded work

International Nuclear Information System (INIS)

Claxton, D.G.S.A.

1989-05-01

The report covers progress in the area of ILW Product Evaluation. This work is a continuation of a generic study programme directed by the Waste Treatment and Disposal Working Party. The objective of the programme was to evaluate potential waste products arising from the treatment of ILW. (author)

A Psychoanalytic-Feminist Reading of Martha’s “Battle” with Mrs. Quest in Doris Lessing’s Martha Quest

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Mohammad Kaosar Ahmed

2014-05-01

Full Text Available Sense of consternation and dismay always dominate the mother-daughter relationship in Doris Lessing’s novels. Over protective tendency and sense of self-righteousness of the mother act as a stumbling block in achieving daughter’s physical, psychological and sexual flourishment. The same we see in the case of Lessing’s adolescent heroine, Martha Quest in the first volume of The Children of Violence Series. Analyzing from the psychoanalytic point of view, this article sheds light on the entanglement in Martha’s familial relationship, specially with her mother. It also probes deep into the psyche of Martha and her mother as well as delineates how Martha’s individuation is hold back by her possessive mother throughout her journey to maturity.

One hundred years after Sigmund Freud's lectures in America: towards an integration of psychoanalytic theories and techniques within psychiatry.

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Hoffman, Leon

2010-12-01

The impact of Sigmund Freud's lectures in America in 1909 is discussed. Some of the roots of psychoanalysis and their contemporary relevance are addressed: neurological ideas, the discussions of the sexologists, and the degeneration theories at the turn of the twentieth century. Factors which led to the dominance of psychoanalysis in psychiatry included, in particular, its arguments against the hopelessness of degeneracy theories;yet,by isolating itself from mainstream academic psychiatry and psychology,organized psychoanalysis itself contributed to its own subsequent marginalization. In order to re-integrate itself with mainstream psychiatry, psychoanalysis needs to appreciate the importance of systematic demonstrations of the therapeutic power of psychodynamic/psychoanalytic concepts and techniques when caring for individuals.

Child Sexual Abuse, Baby Gender, and Intergenerational Psychic Transmission: An Exploratory, Projective Psychoanalytic Approach.

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de Tychey, Claude; Vandelet, Elena; Laurent, Mélanie; Lighezzolo-Alnot, Joelle; Prudent, Cécile; Evrard, Renaud

2016-04-01

The aim of this article is to present a French psychoanalytic model of how and to what extent the sequellae of sexual abuse by a male during a girl's childhood are transmitted to the next generation, as a function of the gender of the abused mother's children. The authors conducted a qualitative exploratory study based on the longitudinal follow-up of a woman who had two boys and a girl. They focused on the impact of two general sequellae: separation anxiety and negativity-disqualification of the paternal and/or male figures. From the methodological standpoint, they used a clinical interview to assess the mother, and a projective tool, a storytelling test, to assess the child's personality using content analysis. The results confirm both the merits of the theoretical framework and the relevance of the projective methodology for grasping sequellae transmitted to the child. The sequellae turned out to be markedly different for the two baby genders: rejection for the male, overprotection and ghostly encryption for the female. Avenues for using this tool and model in future quantitative, comparative studies are suggested.

Individual and Group Responses of Fourteen and Fifteen Year Olds to Short Stories, Novels, Poems, and Thematic Apperception Tests: Case Studies Based on Piagetian Genetic Epistemology and Freudian Psychoanalytic Ego Psychology.

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Petrosky, Anthony R.

A descriptive profile of adolescent response to literature is presented in this study, which also examines findings in terms of psychoanalytic concepts that relate response to life styles in terms of Piaget's genetic epistemology. There are two primary questions in this investigation: What is the psychological dynamic of response to literature? By…

Psychoanalysis on the couch: can neuroscience provide the answers?

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Mechelli, Andrea

2010-12-01

Over a century after Freud's attempt to establish psychoanalysis as a natural science, there is renewed interest in the integration of psychoanalytic and neuroscientific findings within a single theoretical and experimental framework. However, it is important that any intellectual exchange is not motivated only by declining confidence in psychoanalytic theory and practice or awareness of the rising fortunes of the brain sciences. The present paper considers three possible ways in which psychoanalysis and neuroscience might be integrated. These include the investigation of the neurological organisation of psychoanalytically defined phenomena; the evaluation of psychoanalytic theories based on their neurobiological evidence; and the use of neuroimaging techniques to assess the progress and outcome of psychoanalytic treatment. The author argues that these exercises are unlikely to provide psychoanalysis with the "unlimited opportunities for overcoming its uncertainties and doubts" that some have anticipated. For instance, the argument that mapping psychoanalytically defined phenomena in the brain may provide biological validity to these phenomena should be considered an expression of logical confusion; the evaluation of psychoanalytic theories based on their biological evidence is critically dependent on speculative interpretation of what the theories predict at neuronal level; and the supposedly objective evaluation of the progress and outcome of psychoanalytic treatment on the basis of neurobiological data relies on the subjective reports of the patient and analyst. In light of this conclusion, there are a number of outstanding questions which remain to be addressed, including whether psychoanalysis should adhere to scientific canons and whether this would necessarily require an experimental methodology. Copyright © 2010 Elsevier Ltd. All rights reserved.

The Neuropsychoanalytic Approach: Using Neuroscience as the Basic Science of Psychoanalysis.

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Johnson, Brian; Flores Mosri, Daniela

2016-01-01

Neuroscience was the basic science behind Freud's psychoanalytic theory and technique. He worked as a neurologist for 20 years before being aware that a new approach to understand complex diseases, namely the hysterias, was needed. Solms coined the term neuropsychoanalysis to affirm that neuroscience still belongs in psychoanalysis. The neuropsychoanalytic field has continued Freud's original ideas as stated in 1895. Developments in psychoanalysis that have been created or revised by the neuropsychoanalysis movement include pain/relatedness/opioids, drive, structural model, dreams, cathexis, and dynamic unconscious. Neuroscience has contributed to the development of new psychoanalytic theory, such as Bazan's (2011) description of anxiety driven by unconscious intentions or "phantoms." Results of adopting the "dual aspect monism" approach of idiographic psychoanalytic clinical observation combined with nomothetic investigation of related human phenomena include clarification and revision of theory, restoration of the scientific base of psychoanalysis, and improvement of clinical treatments. By imbricating psychoanalytic thinking with neuroscience, psychoanalysts are also positioned to make contributions to neuroscience research. Freud's original Project for a Scientific Psychology/Psychology for Neurologists can be carried forward in a way that moves psychoanalysis into the twenty-first century as a core contemporary science (Kandel, 1999). Neuroscience as the basic science of psychoanalysis both improves the field, and enhances its scientific and cultural status.

[Psychoanalytic study of social withdrawal: grandiose narcissism and passive aggression due to insufficient maternal containing in childhood].

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Ogawa, Toyoaki

2012-01-01

Two different types of pathology can cause social withdrawal: the narcissistic--schizoid personality organization (NSPO) type and the mild Asperger's syndrome (mild developmental disorders) type. Only the former type can be treated by psychoanalytic psychotherapy. In the childhood of both types, one may find traumatic family environments which will result in social withdrawal (Hikikomori). In the infancy of the NSPO type, the mother fails to function as a sufficient container of the child's emotion, which encourages formation of a schizoid personality organization i.e. the psychic withdrawal (or "psychic retreat" by Steiner, J.). With only a little failure in life events, this may turn into a physical withdrawal for a long time. And in this type of pathology their aggression takes a passive form that hardens their social withdrawal situation. Moreover, the social withdrawal itself serves to reinforce the pathological narcissism.

The Hampstead Clinic at work. Discussions in the Diagnostic Profile Research Group.

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Koch, Ehud

2012-01-01

Minutes of the Hampstead Clinic's Diagnostic Profile Research Group during a fifteen-month period (1964-1965) are reviewed and discussed. A wide range of topics were considered and discussed, with a special focus on the affective life, object relations, and ego function of atypical children in comparison to the early ego functions and differentiation of normal and neurotic children. These lively clinical and theoretical discussions and their implications for therapeutic work with a wide range of children, demonstrate the multifaceted leadership and contributions of Anna Freud as teacher, clinician, and thinker, and of the Hampstead Clinic as a major center for psychoanalytic studies.

The future of tic disorder treatment.

Science.gov (United States)

Bennett, Shannon M; Keller, Alex E; Walkup, John T

2013-11-01

Competing theories on the etiology and treatment of chronic tic disorders and Tourette syndrome have long made the search for efficacious intervention more challenging for patients and families seeking to reduce functional impairment related to tic symptoms. These symptoms were historically posited to be either psychological in origin, leading to the long tradition of psychoanalytic psychotherapy for tics, or biological in nature, particularly since the advent of successful treatments using neuroleptic medications. Current thinking about the phenomenology of tic disorders comes from growing empirical evidence as well as advances in neuroscience and genetics research and reveals a biological vulnerability that is exacerbated by physiological arousal related to environmental or interpersonal stress. This manuscript summarizes the evolution of this knowledge base and describes current best-practice recommendations for patients, families, and clinicians. © 2013 New York Academy of Sciences.

Aetiology of phenomenon of fair play in sport through psychoanalytic discourse

Directory of Open Access Journals (Sweden)

Roman Vodeb

2003-12-01

Full Text Available When discussing fair play, sports experts nowadays mostly talk about how to "be a sport" on a sport field. It means telling and preaching to athletes to obey all the written rules of sport's ethic and those not written as well. Here we want to explore the other meaning of the term "fair play". We want to really learn about it, because fair play certainly is a psychological category. Psychoanalytic logic teaches us that roots of fair play should be sought in the infantile period of child's development. It seems, that the events caused by the Oedipus complex and the building Superego have the most sufficient impact on someone's sports behavior. Theoretically speaking, fair play cannot be considered as something gained from culture - it is mainly a construct, a symptom of returning infantile repressions in the context of father as a sexual concurrent. "Turning to the opposite side" (reaction-formation is an ego-defense mechanism that in the etiology of fair play ought to be pointed out in particularly. As we are talking about men in sports, let us tell, it is the boy's relation towards his father at the time when he's arrogating the boy's mother to himself, the most crucial for feeling and performing fair play. Fantasies and repressions, which happened in the psychical reality of a child, have the main impact on fair play in sports as well as in other situations.

Insight, working through, and practice: the role of procedural knowledge.

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Rosenblatt, Allan

2004-01-01

A conception of insight is proposed, based on a systems and information-processing framework and using current neuroscience concepts, as an integration of information that results in a new symbolization of experience with a significant change in self-image and a transformation of non-declarative procedural knowledge into declarative knowledge. Since procedural memory and knowledge, seen to include emotional and relationship issues, is slow to change, durable emotional and behavioral change often requires repeated practice, a need not explicitly addressed in standard psychoanalytic technique. Working through is thus seen as also encompassing nondynamic factors. The application of these ideas to therapeutic technique suggests possible therapeutic interventions beyond interpretation. An illustrative clinical vignette is presented.

The Association between Shift Work and Treatment-seeking Migraine in Denmark

DEFF Research Database (Denmark)

Jakobsen, Gitte Sofie; Timm, Anne Matilde; Hansen, Åse Marie

2017-01-01

In Europe, the one-year prevalence of migraine is 14.9% and migraine is on the top-ten list of leading causes of years lost to disability. Sleep disturbances and irregular daily routines are considered triggers of migraine and these factors are well-known consequences of shift work. We studied...... the association between treatment-seeking migraine and shift work, categorised as fixed evening work, fixed night work and variable working hours with and without night work in a Danish working population of 5,872 participants. When compared with fixed day workers, only participants with fixed evening work were...... found to have significantly increased odds of reporting treatment-seeking migraine after adjustment for socio-demographic and behavioural covariates (OR=1.56; 95% CI 1.05-2.32). Participants with seniority of ten years or more notably accounted for this association. Due to the cross-sectional design...

Effect of treatment with natalizumab on ability to work in people with multiple sclerosis: productivity gain based on direct measurement of work capacity before and after 1 year of treatment.

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Olofsson, Sara; Wickström, Anne; Häger Glenngård, Anna; Persson, Ulf; Svenningsson, Anders

2011-10-01

Sweden is a high endemic region for multiple sclerosis (MS), a neurologic disorder characterized by repeated inflammatory episodes affecting the CNS. The disease has its peak age of onset at approximately 30 years and affects women twice as often as men. The young age of onset makes MS one of the major causes of reduced capacity to work due to neurologic disease in Western society. Natalizumab (Tysabri®) is among the new generation of biologic drugs for the treatment of MS. Clinical studies have demonstrated that natalizumab is an effective treatment for preventing relapses and inflammatory activity. The aim of the study was to estimate the monetary value of treatment with natalizumab on the ability to work in patients with MS in Sweden, based on a direct measurement of weekly hours worked before and after 1 year of treatment with natalizumab. A sample of patients, consisting of all patients who had started treatment with natalizumab during the period June 2007-May 2008, was identified through the Swedish Multiple Sclerosis Register (SMSreg). Data about sex, age, disease severity, and disease duration were collected from the register. Data about type of work and work capacity (number of hours worked per week) were collected retrospectively through a postal questionnaire. The average hours worked per week was estimated at baseline (2 weeks before treatment started) and at follow-up (50 weeks after treatment started), and the change was assigned an economic value using the human capital approach. This study showed that after 50 weeks of treatment with natalizumab, people with MS increased their productivity by 3.3 hours per week on average (p productivity gain (p = 0.025 and p = 0.002, respectively). A shorter duration of illness and a lower age at the start of treatment were significantly associated with a greater productivity gain after 50 weeks of treatment with natalizumab, which indicates that it is more beneficial to initiate efficient therapy early

Treatment of shift work disorder and jet lag.

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Zee, Phyllis C; Goldstein, Cathy A

2010-09-01

With the growth of the 24-hour global marketplace, a substantial proportion of workers are engaged in nontraditional work schedules and frequent jet travel across multiple time zones. Thus, shift work disorder and jet lag are prevalent in our 24/7 society and have been associated with significant health and safety repercussions. In both disorders, treatment strategies are based on promoting good sleep hygiene, improving circadian alignment, and targeting specific symptoms.Treatment of shift work must be tailored to the type of shift. For a night worker, circadian alignment can be achieved with bright light exposure during the shift and avoidance of bright light (with dark or amber sunglasses) toward the latter portion of the work period and during the morning commute home. If insomnia and/or excessive sleepiness are prominent complaints despite behavioral approaches and adequate opportunity for sleep, melatonin may be administered prior to the day sleep period to improve sleep, and alertness during work can be augmented by caffeine and wake-promoting agents.For jet lag, circadian adaptation is suggested only for travel greater than 48 h, with travel east more challenging than travel west. Although advancing sleep and wake times and circadian timing for eastward travel with evening melatonin and morning bright light several days prior to departure can help avoid jet lag at the new destination, this approach may be impractical for many people, Therefore, strategies for treatment at the destination, such as avoidance of early morning light and exposure to late-morning and afternoon light alone or in conjunction with bedtime melatonin, can accelerate re-entrainment following eastward travel. For westward travel, a circadian delay can be achieved after arrival with afternoon and early-evening light with bedtime melatonin.Good sleep hygiene practices, together with the application of circadian principles, can improve sleep quality, alertness, performance, and safety in

The Neuropsychoanalytic Approach: Using Neuroscience as the Basic Science of Psychoanalysis

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Johnson, Brian; Flores Mosri, Daniela

2016-01-01

Neuroscience was the basic science behind Freud's psychoanalytic theory and technique. He worked as a neurologist for 20 years before being aware that a new approach to understand complex diseases, namely the hysterias, was needed. Solms coined the term neuropsychoanalysis to affirm that neuroscience still belongs in psychoanalysis. The neuropsychoanalytic field has continued Freud's original ideas as stated in 1895. Developments in psychoanalysis that have been created or revised by the neuropsychoanalysis movement include pain/relatedness/opioids, drive, structural model, dreams, cathexis, and dynamic unconscious. Neuroscience has contributed to the development of new psychoanalytic theory, such as Bazan's (2011) description of anxiety driven by unconscious intentions or “phantoms.” Results of adopting the “dual aspect monism” approach of idiographic psychoanalytic clinical observation combined with nomothetic investigation of related human phenomena include clarification and revision of theory, restoration of the scientific base of psychoanalysis, and improvement of clinical treatments. By imbricating psychoanalytic thinking with neuroscience, psychoanalysts are also positioned to make contributions to neuroscience research. Freud's original Project for a Scientific Psychology/Psychology for Neurologists can be carried forward in a way that moves psychoanalysis into the twenty-first century as a core contemporary science (Kandel, 1999). Neuroscience as the basic science of psychoanalysis both improves the field, and enhances its scientific and cultural status. PMID:27790160

26 CFR 1.147(b)-1 - Bond maturity limitation-treatment of working capital.

Science.gov (United States)

2010-04-01

... and Local Bonds § 1.147(b)-1 Bond maturity limitation-treatment of working capital. Section 147(b) does not apply to proceeds of a private activity bond issue used to finance working capital... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Bond maturity limitation-treatment of working...

The Physician-Patient Working Alliance in Hemodialysis Treatment.

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Fuertes, Jairo N; Rubinstein, Sofia; Reyes, Mariela; Iampornpipopchai, Pichet; Mujeeb, Shanza; Smith, Carroll R; Toporovsky, Arielle

2017-01-01

Over the past 20 years, the role of psychological and social factors, including the physician-patient working alliance, have emerged as integral components of medical care for patients with a myriad of health conditions. The current study examines a model comprised of psychological-interpersonal factors and the extent to which it explains patient satisfaction with and adherence to hemodialysis treatment. One hundred and seven adults with end-stage renal disease who were receiving regular outpatient hemodialysis participated in the study. Path analyses show that the physician-patient working alliance indirectly predicts patient adherence through patient satisfaction and patients' outcome expectations. The working alliance directly predicts patients' quality of life. It is concluded that consistent with previous research, the physician-patient working alliance is a significant factor in predicting key patient behaviors in medical care.

Psychoanalysis in modern mental health practice.

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Yakeley, Jessica

2018-05-01

Like any discipline, psychoanalysis has evolved considerably since its inception by Freud over a century ago, and a multitude of different psychoanalytic traditions and schools of theory and practice now exist. However, some of Freud's original ideas, such as the dynamic unconscious, a developmental approach, defence mechanisms, and transference and countertransference remain essential tenets of psychoanalytic thinking to this day. This Review outlines several areas within modern mental health practice in which contemporary adaptations and applications of these psychoanalytic concepts might offer helpful insights and improvements in patient care and management, and concludes with an overview of evidence-based psychoanalytically informed treatments and the links between psychoanalysis, attachment research, and neuroscience. Copyright © 2018 Elsevier Ltd. All rights reserved.

Distinct work-related, clinical and psychological factors predict return to work following treatment in four different cancer types.

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Cooper, Alethea F; Hankins, Matthew; Rixon, Lorna; Eaton, Emma; Grunfeld, Elizabeth A

2013-03-01

Many factors influence return to work (RTW) following cancer treatment. However specific factors affecting RTW across different cancer types are unclear. This study examined the role of clinical, sociodemographic, work and psychological factors in RTW following treatment for breast, gynaecological, head and neck, and urological cancer. A 12-month prospective questionnaire study was conducted with 290 patients. Cox regression analyses were conducted to calculate hazard ratios (HR) for time to RTW. Between 89-94% of cancer survivors returned to work. Breast cancer survivors took the longest to return (median 30 weeks), and urology cancer survivors returned the soonest (median 5 weeks). Earlier return among breast cancer survivors was predicted by a greater sense of control over their cancer at work (HR 1.2; 95% CI: 1.09-1.37) and by full-time work (HR 2.1; CI: 1.24-3.4). Predictive of a longer return among gynaecological cancer survivors was a belief that cancer treatment may impair ability to work (HR 0.75; CI: 0.62-0.91). Among urological cancer survivors constipation was predictive of longer RTW (HR 0.99; CI: 0.97-1.00), whereas undertaking flexible working was predictive of returning sooner (HR 1.70; CI: 1.07-2.7). Head and neck cancer survivors who perceived greater negative consequences of their cancer took longer to return (HR 0.27; CI: 0.11-0.68). Those reporting better physical functioning returned sooner (HR1.04; CI: 1.01-1.08). A different profile of predictive factors emerged for the four cancer types. In addition to optimal symptom management and workplace adaptations, the findings suggest that eliciting and challenging specific cancer and treatment-related perceptions may facilitate RTW. Copyright © 2012 John Wiley & Sons, Ltd.

The Personal Meaning of Social Values in the Work of Abraham Maslow

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John H. Morgan

2012-06-01

Full Text Available Abraham Maslow (1908-1970 was, with Carl Rogers, the co-founder of what came to be known as the Third Force school of psychology. Considered a neo-Freudian in the post-psychoanalytical school, Maslow became a leader in the development of new modalities of treatment using psychotherapeutic techniques developed in his practice over many years and ultimately became a celebrated scholar and teaching using his concept of the hierarchy of needs and self-actualization. Where Maslow has too often and undeservedly been overlooked is in his exploration of the meaning and nature of values in the arena of public education. This essay is an attempt to correct this common oversight.

Tertiary work-up of apparent treatment-resistant hypertension.

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Heimark, Sondre; Eskås, Per Anders; Mariampillai, Julian Eek; Larstorp, Anne Cecilie K; Høieggen, Aud; Fadl Elmula, Fadl Elmula M

2016-10-01

Treatment-resistant hypertension (TRH) has regained attention with development of new methods for treatment. However, the prevalence of TRH varies considerably from primary to secondary and tertiary care. We aimed to assess the prevalence of true TRH in a population of patients with apparent TRH in a university hospital setting of tertiary work-up and also investigate reasons for poor BP control and evaluate how work-up can be performed in general practice and secondary care. In this cohort study, we characterize a study population from Oslo Renal Denervation (RDN) Study. Patients (n = 83) were referred for RDN from secondary care. All patients underwent thorough medical investigation and 24-h ambulatory blood pressure measurements (24ABPM) after directly observed therapy (DOT). We then assessed reasons for lack of BP control. Fifty-three of 83 patients did not have true TRH. Main reasons for non-TRH were poor drug adherence (32%), secondary hypertension (30%) and white coat hypertension (15%). Forty-seven percent achieved blood pressure control after DOT with subsequent 24ABPM. There were otherwise no statistically significant differences in patient characteristics between the true TRH and the non-TRH group. Despite being a highly selected cohort referred for tertiary work-up of apparent TRH, BP control was achieved or secondary causes were identified in almost two thirds of the patients. Thorough investigation according to guidelines and DOT with subsequent 24ABPM is needed in work-up of apparent TRH.

Return-to-work intervention during cancer treatment - The providers' experiences

DEFF Research Database (Denmark)

Petersen, K S; Momsen, A H; Stapelfeldt, C M

2018-01-01

To explore in-depth understanding of providers' experiences when involved in a return-to-work (RTW) intervention offered during cancer treatment. Semi-structured individual interviews and participant observations at a hospital department and two municipal job centers were carried out, including ten...... providers (physicians, nurses and social workers). A phenomenological-hermeneutic approach was applied, involving coding, identification of themes and interpretation of findings. Three major themes were identified: Treatment first, Work as an integrated component in cancer rehabilitation, and Challenges...... in bringing up work issues. Differences in providers' experiences of the RTW intervention offered to cancer patients were found: in the hospital setting RTW was a second priority, whereas in the municipality job centers it was an integrated component. Further studies are needed to investigate how and when...

Return to work helps maintain treatment gains in the rehabilitation of whiplash injury.

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Sullivan, Michael; Adams, Heather; Thibault, Pascal; Moore, Emily; Carriere, Junie S; Larivière, Christian

2017-05-01

This study examined the relation between return to work and the maintenance of treatment gains made over the course of a rehabilitation intervention. The study sample consisted of 110 individuals who had sustained whiplash injuries in rear collision motor vehicle accidents and were work-disabled at the time of enrolment in the study. Participants completed pre- and post-treatment measures of pain severity, disability, cervical range of motion, depression, posttraumatic stress symptoms, and catastrophizing. Pain severity was assessed again at 1-year follow-up. At 1-year follow-up, 73 participants had returned to work and 37 remained work-disabled. Analyses revealed that participants who returned to work were more likely to maintain treatment gains (77.5%) than participants who remained work-disabled (48%), χ = 6.3, P whiplash injury are maintained. Clinical implications of the findings are also addressed.

The invasion of reality (or of negotiation): The psychoanalytic ethic and extinction anxiety.

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Nociforo, Nicola

2017-10-01

Extinction anxiety is the expression used to describe a pervasive and ever more realistic sense of futurelessness. A group emotion characterized by terror of the extinction of the human race, the family, or professional or shared cultural group, it grips the individual with a sense of desperation and impotence through the internal groups present in the mind of every individual. The contribution presented here aims to demonstrate how extinction anxiety has also infected psychoanalysts and psychoanalytic institutions, thereby seriously weakening the ethics of psychoanalysis. The term ethics here should not be confused with morals, but is intended as the happiness that is derived from the capacity to be responsible for one's self and one's own professional identity. The contagion of extinction anxiety has, in fact, accentuated the crisis of psychoanalysts and their faith in psychoanalysis. The author relates a particularly tormented clinical experience in order to show how only the relationship with psychoanalysis and its capacity to interpret the manifestations of the unconscious, enables the recognition of the effects of what he defines as a true invasion of reality, thus restoring to thought the power to establish a deep, transformative, and fecund relationship between internal and external reality. Copyright © 2016 Institute of Psychoanalysis.

[Mobbing, bullying and other forms of aggression among pupils as a source of stress in school. How far the "victims" are involved?].

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Seiffge-Krenke, Inge; Welter, Nicole

2008-01-01

Aggression among pupils is one of the frequent sources of stress in school. Aggression among pupils can display diverse forms and also has different origins. In this contribution, bullying, mobbing and relational aggression as different forms of aggression were described, based on recent research. In addition, a psychoanalytic treatment of a female adolescent is presented who suffered from mobbing. The treatment includes 70 hours work with the female patient and additional work with her parents. Based on this case study, it became obvious that it necessary to precisely analyse the own contribution for eliciting and maintaining aggression.

The War on Women in Psychoanalytic Theory Building: Past to Present.

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Balsam, Rosemary H

2015-01-01

Psychoanalysis has both waged "hot" war on women overtly and "cold" war covertly over the years by colluding with cultural stereotypes offered as "theory," starting with Freud and his Viennese circle. True freedom of thinking, however, broke through in Freud's originality even then, and from time to time subsequently in the history of the movement only to keep retreating. Fritz Wittels's thesis on the "Child Woman" will exemplify Horneys (1924, 1926, 1933) and Jones's (1927) grounds for engaging in the "hot war" in the 1920s and challenging the unselfconscious inbuilt denigration of women. This skirmish had little impact, however, in the New World up till the 1970s. In the aftermath of the second wave of feminism, there were (and are) bursts of new thought about sex and gender that remain fragmented and unintegrated into general acceptance. The contemporary situation has been more like a "cold" war waged by ennui in the field. A sexed and agendered theories of mind as a "no man's land" absorb an intense focus away from the sexual and gender specificities that were alive, contentious, and unresolved in Freud's libido theory. The third sociocultural wave of feminism, since the 1990s, has refocused vitality on individuality, race, and varieties of sexual identity. I identify the latter as the psychoanalytic space for a potential renewed interest in theorizing the female body within heterosexual, homosexual, queer, or transgendered individuals. The "wars" have shown how fruitless for peace and new discovery is the compulsive (but still common) close comparison between males and females developmentally. Female development is as fresh and unsettled a theoretical question as it once was with Freud.

Before babel: reflections on reading and translating freud.

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Rolnik, Eran J

2015-04-01

The author offers some thoughts on reading and teaching Freud, on translating Freud, on translation in general, and on a possible kinship between translation and the psychoanalytic process. His reading of Freud's works, and the years he spent translating them into Hebrew and editing Hebrew editions of his writings, have made a deep and salient impression on his personal psychoanalytic palimpsest. The author began this labor prior to his psychoanalytic training and has no doubt that, to this day, the experience greatly shapes not only his attitude toward Freud himself, but also the nature of how he listens to patients and the way he thinks and writes about psychoanalysis. © 2015 The Psychoanalytic Quarterly, Inc.

Work-related limitations and return-to-work experiences in prolonged fatigue: workers' perspectives before and after vocational treatment

NARCIS (Netherlands)

Joosen, Margot C. W.; Frings-Dresen, Monique H. W.; Sluiter, Judith K.

2011-01-01

To gain insight into fatigued workers' perspectives regarding work experience before and after receiving vocational rehabilitation (VR) treatments. A qualitative survey was conducted using semi-structured interviews with 21 fatigued workers who attended an outpatient multi-component VR treatment.

The analyst's desire in the clinic of anorexia

OpenAIRE

Silva, Mariana Benatto Pereira da; Pereira, Mario Eduardo Costa; Celeri, Eloísa Helena Valler

2010-01-01

The present work deals with the issue of the analyst's desire in the psychoanalytical treatment of anorexia. It analyzes important elements to establish transference in these cases, as the pursuit of death and the choice of refusing food as a way of controlling the demands of the Other. It then discusses the "analist's desire" function in this clinic. Rejecting the definition of a treatment model and the structural categorization of anorexia, we can find in the cases of the girl of Angouleme ...

[Psychiatric Inpatient Treatment and Return to Work].

Science.gov (United States)

Mernyi, Lena; Hölzle, Patricia; Hamann, Johannes

2017-05-12

Objective People with mental diseases have a high risk of unemployment and they have only limited access to the labor market. The return to work is often associated with fears.The present study aims to provide an overview of the number of hospitalized psychiatric patients with permanent employment. Moreover it should give an insight into the process of return to work, the experiences patients gain and the support they receive. Methods In the participating clinics we measured the number of patients with permanent employment. The main inclusion criteria for further survey were the status of permanent employment and age between 18 and 65. The participating patients were interviewed on two occasions, at the time of inclusion and 3 months after the patient was discharged. The questions addressed working conditions, job satisfaction and the process of return-to-work. For statistical analysis, descriptive statistics (frequencies, means, standard deviations) were used. Results Only 21 % of n = 815 inpatients of the participating hospitals were permanently employed. Many patients did not return to work after being discharged. In many cases the interviewed patients saw a connection between their job and their current episode of illness. In this context patients reported unsatisfying workplace conditions such as long working hours, bad work organization and social conflicts. Conclusions For mentally ill patients, the employment rate in the primary labor market is devastating low. After psychiatric inpatient treatment patients are at high risk to lose their jobs. In order to prevent this development, work-related stress factors should be discussed with inpatients at an early stage and support should be provided during the return-to-work-process. © Georg Thieme Verlag KG Stuttgart · New York.

Masochisms. Mythologizing as an Aesthetics of Crisis in the Work of Bruno Schulz

Directory of Open Access Journals (Sweden)

Janis Augsburger

2011-01-01

Full Text Available The study Masochisms. Mythologizing as an Aesthetics of Crisis in the Work of Bruno Schulz, parts of which have been translated below, presents the thesis that in the work of B. Schulz the phenomenon of mythologizing is connected with masochism – a concept conceived of as a historical, cultural and aesthetic interpretative category. The combination of the two phenomena makes it possible to notice some relationships between Schulz’s literary and graphic works which have not been recognized yet. The author discusses some psychoanalytical, sociological, historical and philosophical notions of masochism applicable to a literary text. She tries to describe the “masochistic aesthetics” appearing in Schulz’s short stories (on the narrative level: lack of motion, suspense, tension and in his graphics (theatricalization, lack of eye contact between the figures and shows how this aesthetics integrates the prose of Schulz, his Idolatrous Book and his illustrations for the short story The Book.

[The concept of identity in relation to motherhood in the discourse of teenagers who attend a pregnancy from a linguistic and psychoanalytical perspective].

Science.gov (United States)

Pardo, María L

2013-01-01

My aim in this paper is to briefly discuss the notion of identity and how can unify the Psychoanalytical concept with the discursive, in order to carry out multidisciplinary research on this topic. This work is based on life stories collected in the Hospital Larcade, from 2008 to 2011, from teenagers who attend a pregnancy. Through the linguistic analysis of the guarantees, following the model of Toulmin (17), as it has been redefined by Pardo (14) and Molina (12), I intend to give an account of the discursive and psychological bases of what will then form an identity for these young women on maternity. They live in extreme poverty in the Buenos Aires suburbs and are combined with a large dose of family violence that links their identities as mothers to the image (or identities of the other) who have over their own mothers, parents, couples in these contexts of violence. These data are also confronted with domestic violence cases that appear in the media and how they are dealt with discursively at these. Thus realizes the contradictions imposed the cultural identity of a group (the viewers or readers of means, which are a large part of society) against the experience of violence of these mothers. This research has as theoretical framework the Critical Discourse Analysis and the methodology is qualitative.

Kinetic characterization and of recrystallization of the aluminum alloy 6063 after S work hardening treatment

International Nuclear Information System (INIS)

Esposito, Iara Maria

2006-01-01

The aluminum 6063 alloy possesses a great industrial interest, presenting characteristics that justify its frequent use, when compared to the other aluminum alloys: the precipitation hardening and high cold work capacity. These alloys present high ductility, that allows their use in operations with high deformation degrees, as the cold work. The objective of this work is to show comparative analysis of the hardness Vickers of the commercial aluminum 6063 alloy, after cold work with different area reduction degree and thermal treatment. Considering the frequent utilization aluminium 6063 alloy, this work studies the characterization and recrystallization of this alloy, after the plastic deformation in different area reduction degrees, thermal treatment and convenient treatment times - Thermo mechanic Treatments. (author)

THE PAST IS IN THE PRESENT: READING THE WORK OF EDNA O'SHAUGHNESSY.

Science.gov (United States)

Zeavin, Lynne

2016-01-01

Inquiries in Psychoanalysis: Collected Papers of Edna O'Shaughnessy. By Edna O'Shaughnessy; edited by Richard Rusbridger. London/New York: Routledge, 2014. 342 pp. © 2016 The Psychoanalytic Quarterly, Inc.

Five analogies between a King's Speech treatment and contemporary play therapies.

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Terr, Lenore C

2012-01-01

Psychiatric patients frequently respond positively to play therapy, which may rely on psychoanalytic, Jungian, cognitive-behavioral, familial, school-based, or other theories. I wished to determine if there were unifying principles that tie together these various types of play treatments. The fact-based film, The King's Speech, vividly illustrates play utilized by Lionel Logue in his speech treatment (1926-1939) of the future King of England. In the film I found five analogies to the play therapy I employ in office practice. The play scenes in The King's Speech point to five unifying principles among contemporary play therapies: (1) the crucial nature of the relationship, (2) the centrality of having fun, (3) the occasional reliance on others, (4) the interjection of pithy talk, and (5) the usefulness of a little drama. No matter what theory a play therapist ascribes to, these five unifying principles should be kept in mind during treatment.

Winifred Rushforth and the Davidson Clinic for Medical Psychotherapy: a case study in the overlap of psychotherapy, Christianity and New Age spirituality.

Science.gov (United States)

Miller, Gavin

2015-09-01

The activities of both Winifred Rushforth (1885-1983), and the Edinburgh-based Davidson Clinic for Medical Psychotherapy (1941-73) which she directed, exemplify and elaborate the overlap in Scotland of religious discourses and practices with psychoanalytic psychotherapy. Even as post-war secularization began to affect Scottish culture and society, Rushforth and the Davidson Clinic attempted to renew the biographical discourses of Christianity using the idioms and practices of psychoanalytic psychotherapy. Furthermore, alongside these Christian-inflected activities, Rushforth promoted a psychoanalytically-informed New Age spirituality. This parallel mode of belief and practice drew on Christian life-narrative patterns, preserving them within psychoanalytic forms grafted onto a vitalist worldview informed by the work of Pierre Teilhard de Chardin. © The Author(s) 2015.

Progress report for 1985/86 from the Waste Treatment and Disposal Working Party covering joint funded work

International Nuclear Information System (INIS)

Claxton, D.G.S.A.

1986-01-01

The Waste Treatment and Disposal Working Party (WTDWP) covered the areas of: ILW Product Evaluation, ILW and HLW Disposal Studies and ILW and HLW Quality Checking. The objectives of the programme were to evaluate potential waste products arising from the treatment of ILW, and to develop appropriate techniques which could be used to check the quality of the finished waste product. (author)

Melatonin treatment of pediatric residents for adaptation to night shift work.

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Cavallo, Anita; Ris, M Douglas; Succop, Paul; Jaskiewicz, Julie

2005-01-01

Night float rotations are used in residency training programs to reduce residents' sleep deprivation. Night shift work, however, is accompanied by deleterious effects on sleep, mood, and attention. To test whether melatonin reduces the deleterious effects of night shift work on sleep, mood, and attention in pediatric residents during night float rotation. Double-blind, randomized, placebo-controlled crossover. Participants took melatonin (3 mg) or a placebo before bedtime in the morning after night shift; completed a sleep diary and an adverse-effects questionnaire daily; and completed the Profile of Mood States and the Conners Continuous Performance Test 3 times in each study week to test mood and attention, respectively. A university-affiliated, tertiary-care pediatric hospital. Healthy second-year pediatric residents working 2 night float rotations. Standardized measures of sleep, mood, and attention. Twenty-eight residents completed both treatments; 17 completed 1 treatment (10 placebo, 7 melatonin). There was not a statistically significant difference in measures of sleep, mood, and 5 of 6 measures of attention during melatonin and placebo treatment. One measure of attention, the number of omission errors, was significantly lower on melatonin (3.0 +/- 9.6) than on placebo (4.5 +/- 17.5) (z = -2.12, P = .03). The isolated finding of improvement of 1 single measure of attention in a test situation during melatonin treatment was not sufficiently robust to demonstrate a beneficial effect of melatonin in the dose used. Other strategies need to be considered to help residents in adaptation to night shift work.

Pyromania and the primal scene: a psychoanalytic comment on the work of Yukio Mishima.

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Arlow, J A

1978-01-01

In the writings of the Japanese novelist, Yukio Mishima, primal scene experiences and derivative expressions of them recur persistently. The element of fire figures prominently in connection with the wish to wreak vengeance on the persons originally observed in the act of intercourse. As a destructive, attention-compelling spectacle, fire is a particularly suitable vehicle for this purpose. In Mishima's works, revenge takes the form of retaliation in kind: parental figures, or their surrogates, are put into the position of having to observe the child, or substitutes for him, in the act of sexual infidelity. These observations as well as clinical reports in the literature suggest some insights into fantasies of pyromania. They also make possible certain speculations concerning Misima's turbulent life and dramatic suicide.

Visual communication in the psychoanalytic situation.

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Kanzer, M

1980-01-01

The relationship between verbal and visual aspects of the analytic proceedings shows them blended integrally in the experiences of both patient and analyst and in contributing to the insights derived during the treatment. Areas in which the admixture of the verbal and visual occur are delineated. Awareness of the visual aspects gives substance to the operations of empathy, intuition, acting out, working through, etc. Some typical features of visual 'language" are noted and related to the analytic situation. As such they can be translated with the use of logic and consciousness on the analyst's part, not mere random eruptions of intuition. The original significance of dreams as a royal road to the unconscious is confirmed-but we also find in them insights to be derived with higher mental processes. Finally, dyadic aspects of the formation and aims of dreams during analysis are pointed out, with important implications for the analyst's own self-supervision of his techniques and 'real personality" and their effects upon the patient. how remarkable that Dora's dreams, all too belatedly teaching Freud about their transference implications, still have so much more to communicate that derives from his capacity to record faithfully observations he was not yet ready to explain.

Foraging at wastewater treatment works increases the potential for ...

African Journals Online (AJOL)

Wastewater treatment works (WWTWs) are known to provide profitable foraging areas for insectivorous bats in Europe and the New World because of their association with high abundance of pollution-tolerant midges (Diptera). However, bats that feed on these insects may also accumulate metal pollutants such as cadmium ...

Psychoanalysis in Post-Apartheid South Africa

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Elda Storck-van Reenen

2015-12-01

Full Text Available The following paper seeks to describe the trajectory of psychoanalytic endeavours in South Africa since the political thaw of the 1990s. The first part, written by Elda Storck – van Reenen, centres on the alignment of psychoanalytic training to international standards and the formation of institutions to contain these developments. Encouraging demographic and professional diversity and addressing the deficit of personal therapy – «Selbsterfahrung» – in formal training modalities are of primary importance. The second part, written by Mary-Anne Smith, elaborates on the application of basic psychoanalytic concepts to community and outreach work in an impoverished and traumatized society. In addition, the aspiration of engaging the interest and support of governmental agencies around the value and relevance of psychoanalytic thinking for primary and preventative health care is explored.

Job Burnout, Work Engagement and Self-reported Treatment for Health Conditions in South Africa.

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de Beer, Leon T; Pienaar, Jaco; Rothmann, Sebastiaan

2016-02-01

The purpose of the study being reported here was to investigate the relationship of job burnout and work engagement with self-reported received treatment for health conditions (cardiovascular condition, high cholesterol, depression, diabetes, hypertension and irritable bowel syndrome), while controlling for age, gender, smoking and alcohol use. The sample comprised 7895 employees from a broad range of economic sectors in the South African working population. A cross-sectional survey design was used for the study. Structural equation modelling methods were implemented with a weighted least squares approach. The results showed that job burnout had a positive relationship with self-reported received treatment for depression, diabetes, hypertension and irritable bowel syndrome. Work engagement did not have any significant negative or positive relationships with the treatment for these health conditions. The results of this study make stakeholders aware of the relationship between job burnout, work engagement and self-reported treatment for health conditions. Evidence for increased reporting of treatment for ill-health conditions due to burnout was found. Therefore, attempts should be made to manage job burnout to prevent ill-health outcomes. Copyright © 2014 John Wiley & Sons, Ltd.

"The only way I know how to live is to work": a qualitative study of work following treatment for prostate cancer.

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Grunfeld, Elizabeth A; Drudge-Coates, Lawrence; Rixon, Lorna; Eaton, Emma; Cooper, Alethea F

2013-01-01

For many survivors of prostate cancer, returning to work posttreatment is a realistic goal. However, little research to date has explored work among prostate cancer survivors. The focus of this study was to explore the meaning of work among prostate cancer survivors and to describe the linkages between masculinity and work following prostate cancer treatment. Fifty prostate cancer survivors who were in paid employment prior to their diagnosis completed a semistructured interview following completion of their treatment and of these, 41 also completed a 12-month follow-up interview. Framework analysis of the 91 transcripts was undertaken. The majority of the men had returned to work at the 12-month interview. Four themes were identified, and these were labeled "Work and self-identity," "Work-related implications of treatment side effects," "Disclosure of cancer," and "Perceptions of future as a cancer survivor." A degree of embarrassment and concern about residual side effects and whether these would present a challenge within the workplace was apparent among our sample and was compounded by a reluctance to disclose these. The descriptions provided by the men in this study reveal that the experience of prostate cancer can lead to challenges for both social and work-related roles. The influence of prostate cancer on men's reports of masculinity was variable, and recognition of these differences is required. In addition, some survivors of prostate cancer may require specific interventions aimed at helping them to manage disclosure of their illness, particularly within a work environment. PsycINFO Database Record (c) 2013 APA, all rights reserved.

Progress report for 1983/84 from the Waste Treatment and Disposal Working Party covering joint BNFL/DOE funded work

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Higson, S.G.

1984-01-01

The subject is covered in paragraphs: introduction (arisings of intermediate-level radioactive waste); organisation and role of the Waste Treatment and Disposal Working Party; main objectives (to provide data on intermediate-level waste treatment systems and allow assessment of alternative processes); ILW process and flowsheeting studies; ILW product evaluation. (U.K.)

Working with a child's envy in the transference.

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Gericke, Renate

2006-10-01

In literature, envy has long been written of as one of the seven cardinal sins. In biblical mythology, envy as a consequence of vanity can be understood to be the reason for archangel Lucifer's fall from a state of heavenly grace and unionship. Freud was the first psychoanalytic theorist to introduce the idea of envy, albeit through his controversial concept of penis envy. Karl Abrahams and Melanie Klein later placed envy at the crucial developing stages of the relationship between primary caregiver and infant. Klein boldly identified envy as a primary constitutional emotion. However, the presence and difficulties of envy in clinical work remain largely underreported, more so in work with children. This paper asks whether an attachment base can be secure if envy is dominant. The analysis of a nine-year-old girl ('Kirsten') and her envious transference with her therapist will be examined, to explore the relationship between envy and attachment security. While contemporary research focuses on developing attachment theory in relation to specific psychiatric conditions, this paper will discuss affect as the binding link or disruptive force between self and object representations, that then determine attachment security.

Catching a Wave: The Hypnosis-Sensitive Transference-Based Treatment of Dissociative Identity Disorder (DID).

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Brenner, Ira

2018-01-01

In this article, I will describe the way in which I work with enactment-prone dissociative patients in the transference. This approach requires an appreciation of the phenomena of hypnosis and the auto-hypnotic aspects of some forms of dissociation. Essentially, I learn from the patient and my interactions with the patient how hypnotic phenomena and auto-hypnotic defenses manifest themselves in the therapeutic relationship in order both to understand them and ultimately to bring them under conscious control. Because of the fluidity and turbulence of these states, I use the analogy of catching a wave, in which timing and balance are essential, albeit elusive factors in effecting a successful treatment. The importance of having experience with many patients, attending conferences, seeking supervision, and undergoing one's own therapy will be also discussed as important prerequisites for the clinician endeavoring to utilize this type of approach. This preparation, this quest for such a "balance," is modeled after the so-called tripartite model of training employed in psychoanalytic training institutes. I will offer clinical material to illustrate this approach, which I have described as "psychoactive psychotherapy." In such treatments, the clinician may be taken by surprise and is likely to be thrown "off balance" from time to time. The mutually shared understanding of such moments is essential to regaining clinical balance in the therapeutic setting, and can lead to if not create important turning points in the treatment process.

Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker’s Regeneration

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Bakhtiar Sadjadi

2016-12-01

Full Text Available The present paper seeks to critically read Pat Barker’s Regeneration in terms of Cathy Caruth’s psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker’s novel in order to explore how trauma and history are interrelated in the narrative of past history and, particularly, in the history of World War I. The present paper also demonstrates how Barker’s novel Regeneration acts as the narrative of trauma that vocalizes the silenced history of shell-shocked soldiers of World War I to represent British society, the history that has been concealed due to social and individual factors. The study thus investigates the dissociative disorders which are experienced by traumatized survivors of World War I as the aftermath of traumatic experiences of wartime. In addition, it argues how time moves for the traumatized victim and how the notion of latency in terms of Caruth’s theory is traceable in Barker’s novel. In Regeneration, the traumatized survivors are haunted with traumatic memory of past history; furthermore, past history constantly disrupts their present and the victims are in continuous shift from present time to past time. Time thus loses its linearity in the narrative of traumatized survivors. Keywords: Latency, post-traumatic stress disorders, traumatic memory, trauma

Towards a history of operatic psychoanalysis.

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Carpenter, Alexander

2010-01-01

This paper examines the history of the trope of psychoanalytic therapy in musical dramas, from Richard Wagner to Kurt Weill, concluding that psychoanalysis and the musical drama are, in some ways, companions and take cues from each other, beginning in the mid-19th century. In Wagner's music dramas, psychoanalytic themes and situations - specifically concerning the meaning and analysis of dreams - are presaged. In early modernist music dramas by Richard Strauss and Arnold Schoenberg (contemporaries of Freud), tacit representations of the drama of hysteria, its aetiology and "treatment" comprise key elements of the plot and resonate with dissonant musical soundscapes. By the middle of the 20th century, Kurt Weill places the relationship between analyst and patient in the foreground of his musical "Lady in the Dark," thereby making manifest what is latent in a century-spanning chain of musical works whose meaning centres, in part, around representations of psychoanalysis.

Contemporary perspectives on psychosomatics in Germany: A commentary on Karen Gubb's paper, "Psychosomatics today: a review of contemporary theory and practice".

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Frommer, Jörg

2013-02-01

Karen Gubb's (2013) review focuses on contemporary developments in psychoanalytic theory and practice in relation to psychosomatics, starting with some historical remarks, and Paris School with the Attachment approach. This paper examines the question of how the German scene fits into the issues raised in Gubb's discussion. From a historical point of view, psychosomatic thinking had already come into existence at the beginning of the twentieth century in internal medicine, influenced not only by Freud's ideas, but also by holistic philosophical approaches, anthropology, and semiotic systems theory as well. Psychosomatics is still under the influence of psychodynamic thinking, but as a required subject for all medical students, it is currently more involved in inpatient treatment settings than in psychoanalyses in the classical couch setting. Research projects using standardized questionnaires, neuroimaging, and other empirical methods have also proved that these treatments are as effective as therapy based on psychoanalytic concepts like alexithymia or the Attachment approach. In addition, qualitative methods have been implemented to grasp the fine-grained conscious and unconscious processes in the inner life of patients and in the verbal and nonverbal interaction phenomena of therapies. To sum up: Recent developments in psychoanalytic theory, which begin to overcome the differences among psychoanalytic schools in favor of re-erecting a common psychoanalytic understanding like that demonstrated in Gubb's article, fit together in bridging the gap between insights from classical psychoanalyses and results from empirical research.

Slavery and jouissance: analysing complaints of suffering in UK and Australian nurses' talk about their work.

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Traynor, Michael; Evans, Alicia

2014-07-01

Nursing has a gendered and religious history where ideas of duty and servitude are present and shape its professional identity. The profession also promotes idealized notions of relationships with patients and of professional autonomy both of which are, in practice, highly constrained or even impossible. This paper draws on psychoanalytic concepts in order to reconsider nursing's professional identity. It does this by presenting an analysis of data from two focus group studies involving nurses in England and Australia held between 2010 and 2012. The studies gave rise to data where extremely negative talk about nursing work seemed to produce, or to be expressed with, a high degree of energy, and a particular kind of enjoyment. In our analysis, we focus on the nurses' apparent enjoyment derived from their expression of a position of powerlessness in which they describe themselves as 'slaves' or 'martyrs' in the health care system. We interpret this as jouissance and suggest that the positions of slave or martyr provide a possible response to what we argue is the impossibility of the nurse's role. We argue that a remnant of a quasi-religious ethic within the profession makes it acceptable for nurses to talk about self-sacrifice and powerlessness as part of their working subjectivity. We further argue that this analysis offers a new consideration of the issue of power and professional identity in nursing that goes beyond seeing nurses as simply overpowered by, or engaged in, a gendered power struggle with other professional groups. We suggest that powerlessness and victimhood hold particular attractions and advantages for nurses and are positions that are more available to nurses than to other occupational groups. This research shows how psychoanalytic theory can help produce new insights into the problems and complexity of nursing and extend existing study of the professions. © 2014 John Wiley & Sons Ltd.

Development of psychotherapy as a method of mental disorders treatment at the Jagiellonian University and in Kraków before World War I.

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Dembińska, Edyta; Rutkowski, Krzysztof

2016-01-01

This article presents the origins of Polish psychotherapy with a special focus on psychotherapy development in Krakow and at the Jagiellonian University. The history of Krakow psychotherapy starts with the foundation of the Psychiatry and Neuropathology Clinic of the Jagiellonian University in 1905. Doctors working in the Department of psychotherapy developed their skills through contacts with the Zurich University Psychiatric Clinic Burgholzli. At the same time psychotherapy, and psychoanalysis in particular, were raising more and more interest in Poland. The most dynamic development of psychoanalysis reflected in the number of scientific publications, occurs in the years leading to the outbreak of War World I. This article presents brief portraits of the first Polish psychoanalysts ( Ludwik Jekels, Herman Nunberg, Ludwika Karpińska, Stefan Borowiecki, Jan Nelken, Kraol de Beaurain). Many of them worked in Psychiatry and Neuropathology Clinic of the Jagiellonian University. Their scientific achievements and contribution to the development of the international psychoanalytic movement are described, as well as relationships with leading psychoanalysts of this period (Freud, Jung). With the outbreak of World War I the research on and treatment of war neurosis was initiated in the Psychiatry and Neuropathology Clinic. Professor Piltz, the director of the clinic, together with his assistants (Borowiecki, de Beuarain, Artwiński) devised a unique in European psychiatry and highly efficient method of post-traumatic disorders treatment, in which psychotherapy was of key importance.

[At the limits of discipline].

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Kadi, Barbara U; Ruhs, August; Löffler-Stastka, Henriette

2012-01-01

According to Foucault, in medicine, the paradigm of discipline has outweighed the paradigm of sovereignty for over a hundred years now. It has become clear, however, that within the field of psychiatry, particularly in psychoanalytic and psychotherapeutic research, an interchangeable corpus of knowledge is not sufficient for the treatment of patients. Moreover, it is often the changing relationship between doctor and patient which seems to be crucial to the process and outcome of the treatment. Every treatment-relationship must be understood as a zone of transference. Psychoanalytic research on transference, its potential and pitfalls, therefore, has to be more integrated into the research of psychic disorders.

O tratamento institucional do outro na psicose infantil e no autismo

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Maria Cristina M. Kupfer

2014-08-01

Full Text Available In the present work we discuss proposals of institutional treatment of psychosis and autism based on the psychoanalytic clinic. Initially, we present some controversial points around the status of the Other in psychosis and autism, since the proposed treatments at present orbit around two divergent diagnosis assumptions: in these cases one supposes that there is either absence or excess of the Other. The concept of Other is based on the theoretical contributions of J. Lacan. Subsequently we present some proposals of institutional treatments called Treatment of the Other. Finally, we report on the experience of an institution of treatment in which there are devices created specifically to treat the Other of the psychotic subject.

O tratamento institucional do Outro na psicose infantil e no autismo

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M. Cristina M. Kupfer

2007-01-01

Full Text Available In the present work we discuss proposals of institutional treatment of psychosis and autism based on the psychoanalytic clinic. Initially, we present some controversial points around the status of the Other in psychosis and autism, since the proposed treatments at present orbit around two divergent diagnosis assumptions: in these cases one supposes that there is either absence or excess of the Other. The concept of Other is based on the theoretical contributions of J. Lacan. Subsequently we present some proposals of institutional treatments called Treatment of the Other. Finally, we report on the experience of an institution of treatment in which there are devices created specifically to treat the Other of the psychotic subject.

From somatic pain to psychic pain: The body in the psychoanalytic field.

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Hartung, Thomas; Steinbrecher, Michael

2017-03-24

The integration of psyche and soma begins with a baby's earliest contact with his or her parents. With the help of maternal empathy and reverie, β-elements are transformed into α-elements. While we understand this to be the case, we would like to enquire what actually happens to those parts of the affect which have not been transformed? For the most part they may be dealt with by evacuation, but they can also remain within the body, subsequently contributing to psychosomatic symptoms. This paper describes how the body serves as an intermediate store between the psychic (inner) and outer reality. The authors focuses on the unconscious communicative process between the analyst and the analysand, and in particular on how psychosomatic symptoms can spread to the analyst's body. The latter may become sensitive to the analysand's psychosomatic symptoms in order to better understand the psychoanalytical process. Sensory processes (visual and auditory) and psychic mechanisms such as projective identification can serve as a means for this communication. One of the first analysts to deal with this topic was Wilhelm Reich. He described one kind of psychosomatic defence like a shell, the character armour, comparing the armour formed by muscle tension with another, more psychical type of armour. This concept can be linked to Winnicott's contribution of the false self and later on to Feldman's concept of compliance as a defence. The authors links further details of the clinical material with theoretical concepts from Joyce McDougall, Piera Aulagnier, and Ricardo Rodulfo and Marilia Aisenstein. With the aid of the complex concept of projective identification, as described by Heinz Weiss, the authors discusses the important question of how the analyst gets in touch with the patient's current psychosomatic state, and describes a specific communication between the body of the psychoanalyst and the body of the patient. A vignette illustrates in greater detail the relationship

A supervisão psicanalítica: revisão e uma proposta de sistematização La supervisión psicoanalítica: revisión y una propuesta de sistematización Psychoanalytic supervision: a review and an approach to systematize

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Jacó Zaslavsky

2003-08-01

Full Text Available A formação psicanalítica está alicerçada sobre três pilares básicos: a análise didática, os seminários teóricos e a supervisão clínica de análises. O modelo de supervisão psicanalítica, como um todo ou parte dele, é utilizado em diversas áreas do ensino da medicina, da psiquiatria e da psicologia, principalmente na psicanálise e na psicoterapia de orientação analítica, o que motiva um permanente estudo e aperfeiçoamento da sua aplicação prática. A presente revisão tem como finalidade tentar sistematizar aspectos da supervisão psicanalítica, visando a contribuir para uma área ainda em desenvolvimento, e que conta com crescentes contribuições realizadas em nosso meio.La formación psicoanalítica está fundamentada sobre tres pilares básicos: la análisis didáctica, los seminarios teóricos y la supervisión clínica de análisis. El modelo de supervisión psicoanalítica, como un todo o parte de él, es utilizado en diversas áreas de la enseñanza de la medicina, de la psiquiatría y de la sicología, principalmente en el psicoanálisis y en la psicoterapia de orientación analítica, lo que motiva un permanente estudio y perfeccionamiento de su aplicación práctica. La presente revisión tiene como finalidad intentar sistematizar aspectos de la supervisión psicoanalítica, con el objetivo de contribuir para un área todavía en desarrollo, y que cuenta con crecientes contribuciones realizadas en nuestro medio.The psychoanalytic training is based on three basic pillars: the didactic analysis, the theoretical seminars and the clinical supervision of analyses. The psychoanalytic supervision model, has been used in several areas in medicine, in psychiatry and in psychology, mainly in the psychoanalysis and in the psychoanalytic psychotherapy. This fact motivates a permanent study and improvement of its practical application. The purpose of this review is to try to systematize aspects of the psychoanalytic

Psychoanalysis and the nuclear threat

Energy Technology Data Exchange (ETDEWEB)

Levine, H.B.; Jacobs, D.; Rubin, L.J.

1988-01-01

{ital Psychoanalysis and the Nuclear Threat} provides coverage of the dynamic and clinical considerations that follow from life in the nuclear age. Of special clinical interest are chapters dealing with the developmental consequences of the nuclear threat in childhood, adolescence, and adulthood, and those exploring the technical issues raised by the occurrence in analytic and psychotherapeutic hours of material related to the nuclear threat. Additional chapters bring a psychoanalytic perspective to bear on such issues as the need to have enemies, silence as the real crime, love, work, and survival in the nuclear age, the relationship of the nuclear threat to issues of mourning and melancholia, apocalyptic fantasies, the paranoid process, considerations of the possible impact of gender on the nuclear threat, and the application of psychoanalytic thinking to nuclear arms strategy. Finally, the volume includes the first case report in the English language---albeit a brief psychotherapy---involving the treatment of a Hiroshima survivor.

Feminist psychodynamic psychotherapy of eating disorders. Theoretic integration informing clinical practice.

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Zerbe, K J

1996-12-01

Ideas derived from feminism and psychoanalytic theory can be combined for the integrated treatment of eating disorder patients. For a large subgroup of patients who continue to have a poor quality of life or inadequate symptom control (despite customary psychopharmacologic and cognitive behavioral interventions), feminist psychodynamic psychotherapy may prove lifesaving. This article explores how the patient may come to grasp more deeply the multiple roles her symptom has played in her psychological survival. Practical suggestions to enrich the psychotherapy as the patient traverses the natural struggles of adult life are emphasized. The importance of understanding and working with transference and countertransference issues while helping the patient accept life's paradoxes, ambiguities, and potential avenues for growth are underscored. The author reviews eight specific areas that warrant attention in psychotherapeutic exploration from a feminist psychoanalytic perspective (Culture as Bedrock Issue; Gender as Organizer of Behavior, Ownership of Body; Moral Development; Development of Personal Voice; Emphasis on Adult Development; Sexual Concerns; and Aggressive Conflicts).

Drømmetydning

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Nielsen, Julie; Thiesen, Christopher; Hummelgren, Troels; Bojer, Christopher; Anthonsen-Rahbek, Simon

2016-01-01

This paper will investigate primarily the psychoanalytic theory practiced today through interviews with practicing psychologists, focusing on dream analysis as a therapeutic method. The report will explain the fundamental theories of the psyche and dreams in psychoanalysis, taking offset in the works of Sigmund Freud. Furthermore, it will explain the general method used in psychoanalytic therapy. Through interviews with psychologists, in the report we discuss the recent debate published by Th...

When Worlds Collide: Sociology, Disciplinary Nightmares, and Fromm's Revision of Freud.

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McLaughlin, Neil

2017-08-01

After decades of neglect, sociology is experiencing a revival of interest in psychoanalytic insights, and Erich Fromm's work is uniquely valuable for encouraging dialogue between the two fields. A recipient of a PhD in sociology as a young man in the 1920s, Fromm was a prominent psychoanalytic theorist and clinician, as well as a social researcher and public intellectual in the 1930s, up to his death in 1980. After a historical account of the relative neglect of Fromm in both disciplines, this paper examines the place of his psychoanalytic theory within sociology today as a way of discussing sociology's complicated relationship to psychoanalysis and the insights each field can offer the other.

Erich Fromm's Involvement With Zen Buddhism: Psychoanalysts and the Spiritual Quest in Subsequent Decades.

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Roland, Alan

2017-08-01

The first section of this paper covers Erich Fromm's profound involvement with Zen Buddhism, culminating in his co-authoring the book Zen Buddhism and Psychoanalysis in 1960. It details why this was a groundbreaking endeavor, as it countered the pervasive psychoanalytic denigration of spiritual traditions, practices, and experiences. The second section describes the effect of Fromm's Zen Buddhism and Psychoanalysis on the author of this paper, as he came to clinical psychology and psychoanalysis from involvement in Indian philosophy. The third section is a case study of a spiritually advanced Hindu woman seen in intensive short-term psychoanalytic therapy in Bombay, describing the interface of the spiritual with psychoanalytic therapy. The fourth section explains what eventually led to a sea change in psychoanalytic attitudes toward spiritual traditions and practices, with a small but significant group of psychoanalysts becoming involved in one or another spiritual practice, and working with patients also so involved.

Pain and nurses' emotion work in a paediatric clinic: treatment procedures and nurse-child alignments.

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Rindstedt, Camilla

2013-01-01

In the treatment of cancer in children, treatment procedures have been reported to be one of the most feared elements, as more painful than the illness as such. This study draws on a video ethnography of routine needle procedure events, as part of fieldwork at a paediatric oncology clinic documenting everyday treatment negotiations between nurses and young children. On the basis of detailed transcriptions of verbal and nonverbal staff-child interaction, the analyses focus on ways in which pain and anxiety can be seen as phenomena that are partly contingent on nurses' emotion work. The school-age children did not display fear. In the preschool group, though, pain and fear seemed to be phenomena that were greatly reduced through nurses' emotion work. This study focuses on three preschoolers facing potentially painful treatment, showing how the nurses engaged in massive emotion work with the children, through online commentaries, interactive formats (delegation of tasks, consent sequences, collaborative 'we'-formats), as well as solidarity-oriented moves (such as praise and endearment terms). Even a young toddler would handle the distress of needle procedures, when interacting with an inventive nurse who mobilized child participation through skilful emotion work.

Algunas puntualizaciones psicoanalíticas sobre Durkheim Some psychoanalytical views about Durkheim

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Osvaldo Umérez

2005-12-01

Full Text Available Es el objetivo del siguiente trabajo realizar una lectura psicoanalítica de los aportes de Emile Durkheim al entendimiento de la crisis de los lazos sociales producto de la "sociedad industrial", centrándonos en las nociones de "anomia" y "mal de lo infinito"que dicho autor utilizara para dar cuenta del descontento del hombre en la sociedad de tales características. Sostenemos la vigencia de su pensamiento en el acercamiento a lo actual y realizamos un retorno a dicho autor mediante conceptualizaciones freudianas y lacanianas. Desde Freud, se aborda la perspectiva propuesta en relación al malestar en la cultura y la imposibilidad del hombre para llevar a cabo el programa del principio del placer. Desde Lacan, se trabaja la noción de Superyó en tanto imperativo de goce , la resignificación del concepto de castración y la cuestión de la femeneidad. Esta última trabajada por los tres autores mencionados como excepción a la ley universal.The aim of the following paper is to make a psychoanalytical approach to the contributions of Emile Durkheim to the understanding of the social relationship crisis produced by the "industrial society", highlighting the notions of "anomy" and "infinite evil" which that author used to show the discontent of the man in a society with those characteristics. His standing thought is supported as a way of approaching the present time and a return to the ideas of the author is made through concepts from Freud and Lacan. From Freud, the perspective proposed in connection to the cultural malaise is studied as well as the impossibility of the man to carry out the pleasure principle programme. From Lacan, the notion of the Superego as an imperative of enjoyment, the reappraisal of the concept of castration and the femineity matter are considered. This last issue has been elaborated by the three authors mentioned as an exception to the universal law.

Psychosomatics today: a review of contemporary theory and practice.

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Gubb, Karen

2013-02-01

In the past few years there has been a dramatic increase in the number of psychoanalytic publications on the topic of psychosomatic illness, including edited collections and special editions of psychoanalytic journals. This paper is a critical conceptual review of the topic of psychosomatic illness using the material contained in a number of these recent publications as a basis, but also drawing on other works by the key authors of the publications discussed herein. This paper proposes that currently there appear to be two schools of thought around the origin, development, and treatment of psychosomatic symptoms. The first of these is the well-established "Paris School of Psychosomatics." The second approach does not formally exist, but is referred to in this paper as the "Attachment approach" since there are a number of authors who theorize about the treatment of psychosomatic symptoms in a similar and important way. The paper will compare and contrast the two approaches with respect to their underlying theories, treatment approaches, and conceptualization of the mind-body problem, with particular attention paid to how this is related to mentalization. The understanding of how problems in mentalization may be linked to psychosomatic illness can be conceptualized as the "speechless mind" from the perspective of the Paris School and as the "speaking body" by the Attachment approach. The paper concludes by engaging with these two conceptualizations and suggests that in order for an individual to achieve both psychological and physical health, the work of sensation must be located primarily in the logic and function of the body, while the work of making sense of these sensations and interpreting them must be located in the mind.

Regularities of texture formation in alloys undergoing phase transformations during heat treatment and plastic working

International Nuclear Information System (INIS)

Ageev, N.V.; Babarehko, A.A.

1983-01-01

Peculiarities of texture formation in metals undergoing phase transformations in the temperature range of heat treatment and hot working are investigated theoretically and experimentally. A low-temperature phase after hot working is shown to inherite a high-temperature phase texture due to definite orientation conformity during phase transformation. Strengthened heat and thermomechanical treatments, as a rule, do not destroy material texture but change it

Strategies used by breast cancer survivors to address work-related limitations during and after treatment.

Science.gov (United States)

Sandberg, Joanne C; Strom, Carla; Arcury, Thomas A

2014-01-01

The primary objective of this exploratory study was to delineate the broad range of adjustments women breast cancer survivors draw upon to minimize cancer-related limitations at the workplace. The study also analyzed whether survivors used strategies to address work-related limitations in isolation or in combination with other strategies, and whether they used formal or informal strategies. Semi-structured, in-depth interviews were conducted with 14 women who were employed at the time of diagnosis of breast cancer and who continued to work during treatment or returned to work. Interviews were conducted 3 to 24 months after diagnosis. An iterative process was used to systematically analyze the data (the transcripts) using qualitative methods. Participants who worked during or after treatment adjusted their work schedule, performed fewer or other tasks, modified or changed their work environment, reduced non-work activities at the workplace, used cognitive prompts, and acted preemptively to make work tasks manageable after their return to work. Survivors used multiple adjustments and drew upon both formal and informal tactics to minimize or prevent cancer- or treatment-related effects from negatively affecting job performance. Knowledge about the broad range of both formal and informal strategies identified in this study may enable health care and social services providers, as well as cancer survivors and employers, to identify a wide range of specific strategies that may reduce the negative effects of work-related limitations in specific work settings. Insights gained from this analysis should inform future research on work and cancer survivorship. Copyright © 2014 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Interference with work in fibromyalgia - effect of treatment with pregabalin and relation to pain response

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Hallier Ernst

2011-06-01

Full Text Available Abstract Background Clinical trials in chronic pain often collect information about interference with work as answers to component questions of commonly used questionnaires but these data are not normally analysed separately. Methods We performed a meta-analysis of individual patient data from four large trials of pregabalin for fibromyalgia lasting 8-14 weeks. We analysed data on interference with work, inferred from answers to component questions of Fibromyalgia Impact Questionnaire (FIQ, Short Form 36 Health Survey, Sheehan Disability Scale, and Multidimensional Assessment of Fatigue, including "How many days in the past week did you miss work, including housework, because of fibromyalgia?" from FIQ. Analyses were performed according to randomised treatment group (pregabalin 150-600 mg daily or placebo, pain improvement (0-10 numerical pain rating scale scores at trial beginning vs. end, and end of trial pain state (100 mm visual analogue pain scale [VAS]. Results Comparing treatment group average outcomes revealed modest improvement over the duration of the trials, more so with active treatment than with placebo. For the 'work missed' question from FIQ the change for patients on placebo was from 2.2 (standard deviation [SD] 2.3 days of work lost per week at trial beginning to 1.9 (SD 2.1 days lost at trial end (p /= 50% pain improvement and from 1.9 (SD 2.2 days to 0.73 (SD 1.4 days (p /= 50% pain improvement and a pain score Conclusions Effective pain treatment goes along with benefit regarding work. A reduction in time off work >1 day per week can be achieved in patients with good pain responses.

The treatment of compulsive gambling.

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Lester, D

1980-02-01

The techniques used for treating compulsive gamblers are reviewed. They include psychoanalytic psychotherapy, aversion therapy, marital therapy, and self-help groups (Gamblers Anonymous). The problems especially important in treating compulsive gamblers include lack of motivation for change and the role of the significant others in maintaining the gambler as the scapegoat of the family. Although therapists report good success in treating gamblers, the sporadic nature of gambling probably inflates "success' rates.

Diagnóstico estrutural de personalidade em psicopatologia psicanalítica Structural diagnosis of personality in psychoanalytical psychopathology

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Tânia Maria José Aiello Vaisberg

2000-01-01

Full Text Available Este artigo apresenta o diagnóstico estrutural de personalidade como prática clínica fundamentada na Psicopatologia Psicanalítica Estrutural. As concepções de Bleger, Bergeret e Winnicott são articuladas visando oferecer subsídios teóricos para o estabelecimento de tal diagnóstico, cuja finalidade principal é orientar decisões clínicas quanto à escolha de técnicas e estratégias psicanalíticas adequadas ao tipo de psicopatologia envolvido em cada caso particular. Procedimentos Projetivos, utilizados transicionalmente nas entrevistas clínicas, são especialmente mencionados, uma vez que possibilitam o acesso, num contexto lúdico e criativo, aos determinantes lógico-emocionais subjacentes às condutas humanas.This article presents the structural diagnosis of personality, as a clinical practice based on Psychoanalytic Structural Psychopathology and established from Bleger, Bergeret and Winnicott’s theoretical conceptions. The aim of this diagnosis consists on guiding the psychoanalyst through clinical decisions about peculiar techniques and strategies, depending on the kind of psychopathology of each particular case. Projective Procedures, transitionally used on clinical interviews, are specially mentioned, once they provide the access, in a ludic and creative basis, to the latent logical-emotional determinants related to human manifestations.

Pena Private Freedom with psychiatric treatment and psychological for Abused

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Mirza Maria Pedrosa Porto de Mendonça

2016-06-01

Full Text Available The research aimed to investigate the opinion of professionals in law and health areas on the profile of the sexual abuser of children within the family and the effectiveness of the type of penalty he suffers. The offender is someone who probably does not enjoy enough sanity to control its inclination to unlawful and may or may not be classified as mentally ill. The research covers the incidence and effects of this event on intra-family life. Deals with this issue in order to establish a new legal paradigm in the context of the penalties in the most private sphere of criminal law. The work aims to demonstrate the social relevance of the topic and the need for an effective regulatory sweater for sexual abusers, especially the intra-family and makes a clear proposal for legislative changes with regard to this type of crime, arguing the need to adapt the law the objective reality. It argues that psychoanalytic treatment of offenders as a means of punishment is more important than the simple deprivation of liberty. It argues that the current legislation is incipient and inadequate for such cases and this opinion supported by a significant number of experts. This is not to defend this criminal who practice sexual abuse, but to seek solutions to impunity and respect for the principle of individualization of punishment.

Fatores associados a abandono precoce do tratamento em psicoterapia de orientação analítica Factors related to early dropout in psychoanalytic psychotherapy

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Simone Hauck

2007-12-01

Report Questionnaire, Defensive Style Questionnaire, Scale of Defensive Functioning of Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR and Global Assessment of Functioning, and followed for 3 months. RESULTS: Dropout rate was 12.5%. There was no difference between groups in respect to Global Assessment of Functioning, Self Report Questionnaire and Defensive Style Questionnaire scores. Dropout patients reported to be satisfied with their health, despite psychopathological severity, even when other variables were controlled (p < 0.0001. The group that remained in psychotherapy was better adjusted before treatment and had average or superior estimated intelligence (p < 0.05. More dropout patients presented lower levels of defensive style, by means of the Scale of Defensive Functioning of DSM-IV-TR. CONCLUSIONS: Psychopathology severity alone did not predict dropout. However, patients with lower levels of insight and immature defenses (especially narcissistic had higher dropout rates. Therefore, such aspects must be seriously considered, along with patients' expectations about the psychoanalytic method, and should be judiciously assessed before indication.

Simulation of Industrial Wastewater Treatment from the Suspended Impurities into the Flooded Waste Mining Workings

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Bondareva, L.; Zakharov, Yu; Goudov, A.

2017-04-01

The paper is dedicated to the mathematical model of slurry wastewater treatment and disposal in a flooded mine working. The goal of the research is to develop and analyze the mathematical model of suspended impurities flow and distribution. Impurity sedimentation model is under consideration. Due to the sediment compaction problem solution domain can be modified. The model allows making a forecast whether volley emission is possible. Numerical simulation results for “Kolchuginskaya” coal mine presented. Impurity concentration diagrams in outflow corresponding to the real full-scale data obtained. Safely operation time mine workings like a wastewater treatment facility are estimated. The carried out calculations demonstrate that the method of industrial wastewater treatment in flooded waste mine workings can be put into practice but it is very important to observe all the processes going on to avoid volley emission of accumulated impurities.

The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

NARCIS (Netherlands)

de Jong, Steven; Renard, S. B.; van Donkersgoed, R. J. M.; van der Gaag, M.; Wunderink, Alexander; Pijnenborg, G. H. M.; Lysaker, P. H.

Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known

The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

NARCIS (Netherlands)

de Jong, S.; Renard, S.B.; van Donkersgoed, R.J.M.; van der Gaag, M.; Wunderink, L.; Pijnenborg, G.H.M.; Lysaker, P.H.

2014-01-01

Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known

Debilidade mental: o patinho feio da clínica psicanalítica Mental debility: the ugly duckling of the psychoanalytical clinic

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Daniele Rosa Sanches

2010-12-01

Full Text Available A debilidade mental permanece com etiologia obscura, e hoje em dia é definida pela psiquiatria como o grau mais leve de todos os retardos mentais (QI entre 50 e 70. Além desta classificação métrica, a Clínica Psicanalítica define a Debilidade Mental como uma posição psíquica encontrada tanto em indivíduos saudáveis biologicamente quanto em portadores de alguma deficiência neurológica. Por esta concepção, a psicanálise pode contribuir ao debate do tema.Nowadays the origin of Mental Debility is not clear. Mental Debility is defined by psychiatry as the lowest level of all Mental Retardations (IQ ranging from 50 to 70. Besides this metric assessment, the psychoanalytic clinic defines Mental Debility as a psychic position established in both biologically healthy individuals as well as in individuals with some kind of neurologic deficiency. Therefore, psychoanalysis may have a contribution to this discussion.

Abstracts of the Standard Edition of the Complete Psychological Works of Sigmund Freud.

Science.gov (United States)

Rothgeb, Carrie Lee, Ed.

In order to make mental health-related knowledge available widely and in a form to encourage its use, the National Institute of Mental Health collaborated with the American Psychoanalytic Association in this pioneer effort to abstract the 23 volumes of the "Standard Edition of Freud." The volume is a comprehensive compilation of…

The Danubian Eros and Thanatos in Mihail Sebastian’s Work

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Alina Beatrice Chesca

2013-08-01

Full Text Available The present paper approaches two psychoanalytical concepts – the EROS and the THANATOS – which are extremely complex and, at the same time, fascinating due to their implications and the way they relate to the biography and work of Mihail Sebastian – the writer from the Danube. Art and biography meet in this danubian writer’s work, who tried to fight against his traumas and to heal himself through writing. The Eros and the Thanatos are omnipresent in the fiction of Sebastian’s obsessions and, when he faced destruction at an objective level, this fight resulted in anxiety and anguish. Along one’s life, there are two types of anxiety: the fear of life and the fear of death. The main theme of Sebastian’s work is that the human universe proves its strength only by suffering and that human beings can reach the ultimate dignity through their ability to endure. However, the instinct of death – the Thanatos – is always connected to the instinct of life – the Eros. We do not intend to reduce the latter one to the idea of love or passion, but we will interpret it in a broader sense – that of life, of creative energy, of light. Sebastian himself said: ”Life starts in darkness. There is a night for every day, there is a shadow for every light”.

Kritické zhodnocení psychoanalytických přístupů k řeckému náboženství

OpenAIRE

Maľová, Anna

2011-01-01

Two psychoanalytic interpretations are subjected to scrutiny in this thesis. Richard Caldwell, the author of the first interpretation, presents psychoanalytic interpretation of Greek theogonic myths in his book The Origin of the Gods. The Greek family and its influence on Greek myths is subject of the second interpretation presented in the work The Glory of Hera by Philip E. Slater. While Caldwell prefers classical psychoana- lysis Slater is interested in specific schema of the Greek family w...

Heat Treatment Optimization and Properties Correlation for H11-Type Hot-Work Tool Steel

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Podgornik, B.; Puš, G.; Žužek, B.; Leskovšek, V.; Godec, M.

2018-02-01

The aim of this research was to determine the effect of vacuum-heat-treatment process parameters on the material properties and their correlations for low-Si-content AISI H11-type hot-work tool steel using a single Circumferentially Notched and fatigue Pre-cracked Tensile Bar (CNPTB) test specimen. The work was also focused on the potential of the proposed approach for designing advanced tempering diagrams and optimizing the vacuum heat treatment and design of forming tools. The results show that the CNPTB specimen allows a simultaneous determination and correlation of multiple properties for hot-work tool steels, with the compression and bending strength both increasing with hardness, and the strain-hardening exponent and bending strain increasing with the fracture toughness. On the other hand, the best machinability and surface quality of the hardened hot-work tool steel are obtained for hardness values between 46 and 50 HRC and a fracture toughness below 60 MPa√m.

A psychoanalytic study of Alexander the Great.

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Thomas, K R

1995-12-01

The purpose of this paper was to demonstrate how Freudian concepts such as the Oedipus complex, castration anxiety, fear of loss of love, the psychosexual stages of development, and the tripartite structure of personality can be used to understand the life and achievements of Alexander the Great. To accomplish this purpose, specific incidents, myths, and relationships in Alexander's life were analyzed from a Freudian psychoanalytic perspective. Green (1991), in his recent biography of Alexander, has questioned the merit of using Freudian concepts to understand Alexander's character. In fact, he stated specifically: If he (Alexander) had any kind of Oedipus complex it came in a poor second to the burning dynastic ambition which Olympias so sedulously fostered in him; those who insist on his psychological motivation would do better to take Adler as their mentor than Freud (p.56). Later, in the concluding section of his book, Green (1991, pp. 486-487) discounted Freudian interpretations of Alexander's distaste for sex, the rumors of his homosexual liaisons, his partiality for middle-aged or elderly ladies, and the systematic domination of his early years by Olympias as little more than the projected fears and desires of the interpreters. And again, an Adlerian power-complex paradigm was suggested as the preferable theoretical framework to use. Green's argument was based primarily on an exchange, reported originally by Plutarch, which took place between Alexander and Philip prior to Alexander's tutorship with Aristotle. Purportedly, Philip enjoined his son to study hard and pay close attention to all Aristotle said "so that you may not do a great many things of the sort that I am sorry I have done." At this point, Alexander "somewhat pertly" took Philip to task "because he was having children by other women besides his wife." Philip's reply was: "Well then, if you have many competitors for the kingdom, prove yourself honorable and good, so that you may obtain the

The analyst's desire in the clinic of anorexia

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Mariana Benatto Pereira da Silva

2010-06-01

Full Text Available The present work deals with the issue of the analyst's desire in the psychoanalytical treatment of anorexia. It analyzes important elements to establish transference in these cases, as the pursuit of death and the choice of refusing food as a way of controlling the demands of the Other. It then discusses the "analist's desire" function in this clinic. Rejecting the definition of a treatment model and the structural categorization of anorexia, we can find in the cases of the girl of Angouleme (Charcot and Sidonie (M. Mannoni present possible subjective ways to get out of this psychopathological impasse, by means of this function.

Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms.

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Backes, Daan; Rinkel, Gabriel J E; van der Schaaf, Irene C; Nij Bijvank, Jenny A; Verweij, Bon H; Visser-Meily, Johanna M A; Post, Marcel W; Algra, Ale; Vergouwen, Mervyn D I

2015-06-01

The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to balance the pros and cons of preventive aneurysm occlusion. We sent a questionnaire on time-to-recovery to preintervention functioning and return-to-work and life satisfaction to patients treated for an unruptured aneurysm between 2000 and 2013. Changes in life satisfaction before treatment, during recovery, and at follow-up were assessed with Wilcoxon signed-rank tests. The questionnaire was sent to 159 patients of whom 110 (69%) responded. The mean follow-up time after aneurysm treatment was 6 years (SD 4). Fifty-four patients had endovascular and 56 had microsurgical occlusion. Complete recovery to preintervention functioning was reported by 81% (95% confidence interval [CI], 74-88) of patients, with a median time-to-recovery of 3 months (range 0-48). Complete work recovery was reported by 78% (95% CI, 66-87) of patients. The proportion of patients with high life satisfaction reduced from 76% (95% CI, 67-84) before treatment to 52% (95% CI, 43-61) during the period of recovery (PLife satisfaction is significantly reduced during the period of recovery after treatment of unruptured aneurysms. In the long-term, ≈1 out of 5 patients reports incomplete recovery. These treatment effects should be kept in mind when considering preventive aneurysm treatment. Prospective studies are needed to better compare these losses in patients treated for unruptured aneurysms with those who had subarachnoid hemorrhage. © 2015 American Heart Association, Inc.

Effort-reward imbalance at work and the risk of antidepressant treatment in the Danish workforce

DEFF Research Database (Denmark)

Nielsen, Maj Britt D.; Madsen, Ida E. H.; Aust, Birgit

2016-01-01

Background: Previous studies have shown that high effort-reward imbalance (ERI) at work is a risk factor for the onset of self-reported depressive symptoms. In this study, we examined whether ERI predicts risk of treatment with antidepressant medication in a representative sample of the Danish...... workforce. Methods: We linked survey data on ERI and covariates of 4541 participants from the Danish Work Environment Cohort Study 2000 with the Danish National Prescription Registry that includes all legally purchased prescription drugs at pharmacies in Denmark since 1995. Participants with a history....... Results: A total of 309 (6.8%) participants started antidepressant treatment during follow-up. Exposure to ERI at baseline was not related to risk of antidepressant treatment (hazard ratio: 0.91, 95% CI=0.81–1.03 after adjustment for potential confounders). Limitations: The use of antidepressant treatment...

Shifting the perspective after the patient's response to an interpretation.

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Peräkylä, Anssi

2010-12-01

Psychoanalytic interpretation is normally understood as a sequence of two utterances: the analyst gives an interpretation and the patient responds to it. This paper suggests that, in the interpretative sequence, there is also a third utterance where psychoanalytic work takes place. This third interpretative turn involves the analyst's action after the patient's response to the interpretation. Using conversation analysis as method in the examination of audio-recorded psychoanalytic sessions, the paper will explicate the psychoanalytic work that gets done in third interpretative turns. Through it, the analyst takes a stance towards the patient's understandings of the interpretation, which are shown in the patient's response to the interpretation. The third interpretative turns on one hand ratify and accept the patient's understandings, but, in addition to that, they also introduce a shift of perspective relative to them. In most cases, the shift of perspective is implicit but sometimes it is made explicit. The shifts of perspective bring to the foreground aspects or implications of the interpretation that were not incorporated in the patient's response. They recast the description of the patient's experience by showing new layers or more emotional intensity in it. The results are discussed in the light of Faimberg's concept of listening to listening and Schlesinger's concept of follow-up interpretation. Copyright © 2010 Institute of Psychoanalysis.

Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation.

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Sauer-Zavala, Shannon; Boswell, James F; Bentley, Kate H; Thompson-Hollands, Johanna; Farchione, Todd J; Barlow, David H

2018-04-01

Patients' outcome expectancies and the working alliance are two psychotherapy process variables that researchers have found to be associated with treatment outcome, irrespective of treatment approach and problem area. Despite this, little is known about the mechanisms accounting for this association, and whether contextual factors (e.g., psychotherapy type) impact the strength of these relationships. The primary aim of this study was to examine whether patient-rated working alliance quality mediates the relationship between outcome expectancies and pre- to post-treatment change in anxiety symptoms using data from a recent randomized clinical trial comparing a transdiagnostic treatment (the Unified Protocol [UP]; Barlow et al., 2011a; Barlow, Sauer-Zavala, et al., in press) to single diagnosis protocols (SDPs) for patients with a principal heterogeneous anxiety disorder ( n = 179). The second aim was to explore whether cognitive-behavioral treatment condition (UP versus SDP) moderated this indirect relationship. Results from mediation and moderated mediation models indicated that, when collapsing across the two treatment conditions, the relationship between expectancies and outcome was partially mediated by the working alliance ( B = .037, SE = .05, 95% CI [.005, .096]). Interestingly, within-condition analyses showed that this conditional indirect effect was only present for SDP patients, whereas in the UP condition, working alliance did not account for the association between expectancies and outcome. These findings suggest that outcome expectancies and working alliance quality may interact to influence treatment outcomes, and that the nature and strength of the relationships among these constructs may differ as a function of the specific cognitive-behavioral treatment approach utilized.

A COGNITIVE-BEHAVIOURAL GROUP TREATMENT IMPROVED WORK ABILITY IN PATIENTS WITH SEVERE FUNCTIONAL SOMATIC SYNDROMES

DEFF Research Database (Denmark)

Schröder, Andreas; Ørnbøl, Eva; Jensen, Jens Søndergaard

2014-01-01

Objective: Functional somatic syndromes (FSS) such as fibromyalgia, irritable bowel and chronic fatigue syndrome often disrupt employment and may lead to long-term dependence on social benefits and permanently reduced work ability. Cognitive-behavioural treatments (CBT) relief symptoms and improve...... before to 3 years after treatment by means of random effects modelling allowing individual levels and slopes. Results: Compared with the general population, FSS patients showed a continuous decline in self-support, leading to markedly reduced work ability at trial entry. In the following years, EUC...

Essentials of psychoanalytic cure: a symposium. Introduction and survey of some previous views.

Science.gov (United States)

Osman, M P; Tabachnick, N D

1988-01-01

Friedman (1978) suggested that implicit in the theories of the psychoanalytic process a classification of three separate trends can be identified. In the first instance, there is what could be called "understanding," whether it be intellectual or emotional. Second, there is "attachment," which refers to curative measures based on some "binding emotional reaction to the analyst." And third, and less explicitly, there is "integration," which refers to the development of a synthesis that has the effect of harmonizing parts of the mind or elevating psychic functioning to a higher level. Freud's writings embodied all three of these trends. The participants of the symposium at Marienbad, being strongly influenced by Strachey's emphasis on superego alteration through introjection, placed the greater stress on attachment. Loewald, emphasizing as he does the importance of the patient's identification with the analyst as a corrective reliving of the origins of identification in childhood, highlights attachment while also relating it to understanding. Stone and Gitelson also focused on the beneficial aspects of the affective link to the analyst and the important function served by this link in facilitating understanding of the analyst's interpretation. At the Edinburgh conference, however, aside from Gitelson and Nacht, who viewed attachment as an integrating or structuring aspect of the analytic process, the participants placed their confidence almost completely on "understanding" strictly through interpretation. In the latest debate between the proponents of self psychology and the object relations approach proposed by Kernberg, many aspects of these previous discussions and controversies have resurfaced (Friedman, 1978). Kohut, utilizing Freud's concept that links gratification and minimal frustration together as the developer of structure, relied on the empathic bond between patient and analyst as a basic component of the process of cure. Kernberg, however, relying

Intermediate Level Waste Research Programme: Progress report for 1986/87 from the Waste Treatment and Disposal Working Party covering Joint Funded Work

International Nuclear Information System (INIS)

Claxton, D.G.S.A.

1988-06-01

The Waste Treatment and Disposal Working Party (WTDWP) covered the areas of: ILW Product Evaluation; ILW and HLW Disposal Studies, and ILW and HLW Quality Checking. The objectives of the programme were to evaluate potential waste products arising from the treatment of ILW/HLW, and to develop appropriate techniques which could be used to check the quality of the finished waste product. (author)

Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

NARCIS (Netherlands)

Backes, Daan; Rinkel, Gabriel J. E.; van der Schaaf, Irene C.; Bijvank, Jenny A. Nij; Verweij, Bon H.; Visser-Meily, Johanna M. A.; Post, Marcel W.; Algra, Ale; Vergouwen, Mervyn D. I.

Background and Purpose-The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to

Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

NARCIS (Netherlands)

Backes, D.; Rinkel, G.J.; Van der Schaaf, I.C.; Bijvank, J.A.; Verweij, B.H.; Visser-Meily, J.M.A.; Post, Marcel W.M.; Algra, A.; Vergouwen, M.D.

Background and Purpose—The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to

Progress report for 1984/85 from the Waste Treatment and Disposal Working Party covering joint BNFL/DOE funded work

International Nuclear Information System (INIS)

Claxton, D.G.S.A.

1985-01-01

The progress report from the waste treatment and disposal working party is concerned with the management of intermediate-level radioactive waste arising from dismantled fuel assemblies, cladding removed from fuel cans, sludges from fuel cladding corrosion, flocs from liquid waste, ion exchange resins and solid wastes generated during reprocessing. It is proposed that these wastes be incorporated in a matrix for safe transport, storage and disposal and the objectives of the study are to evaluate waste products arising from the treatment of ILWS and to develop techniques to check the quality of the finished waste product. (UK)

Healthcare providers' experiences of working with alcohol addiction treatment in Thailand.

Science.gov (United States)

Hanpatchaiyakul, Kulnaree; Eriksson, Henrik; Kijsomporn, Jureerat; Östlund, Gunnel

2016-02-01

The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand. The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital. Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data. Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories. The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

Managing work and cancer treatment: Experiences among survivors of hematological cancer.

Science.gov (United States)

Thomson, Maria D; Siminoff, Laura A

2018-04-16

The current study was performed to characterize the employment status of survivors of hematological cancer who have an informal caregiver from the time of diagnosis through the first 6 months of treatment. Using a mixed methods approach, semistructured interviews with survivors of hematological cancer were conducted within 6 months of the initiation of cancer treatment. Interviews assessed cancer treatment status, barriers and facilitators to employment, financial and insurance status, and relationship with the primary caregiver. These results are part of a longitudinal study of cancer survivors and informal caregivers. A total of 171 patients were enrolled. Within 6 months of beginning cancer treatments, approximately 35% were no longer employed. Reasons to remain employed included financial need, employee benefits, and a sense of purpose and normalcy. Employer accommodations and supportive colleagues facilitated continued employment. Logistic regression analysis demonstrated that having a higher household income, a desire to work, nonphysical job tasks, and congruent survivor-caregiver communication were associated with greater odds of remaining employed. Within 6 months of initiating cancer treatment, the majority of survivors of hematological cancer had maintained employment. Because of the limitations imposed by the physical stress of cancer treatments, as well as the need to maintain employment to continue receiving employee benefits to cover such treatments, survivors of hematological cancer likely would benefit from employment accommodations that are sensitive to their unique needs. Cancer 2018. © 2018 American Cancer Society. © 2018 American Cancer Society.

Listening and Learning from Gender-Nonconforming Children.

Science.gov (United States)

Ehrensaft, Diane

2014-01-01

The twenty-first century brings to our clinical doorsteps increasing numbers of children exploring and questioning their gender identities and expressions. This paper begins with a reassessment of the psychoanalytic thinking about gender and then outlines a clinical and developmental model of gender adapted from D. W. Winnicott's concepts of true self, false self, and individual creativity. The underlying premise is that gender nonconformity, when the core psychological issue, is not a sign of pathology but rather a reflection of healthy variations on gender possibilities. Working from that premise, composite clinical material from the author's practice as a psychoanalytic gender specialist is presented of a gender-nonconforming child transitioning from female to male, to demonstrate the psychoanalytic tools applied, including listening, mirroring, play, and interpretation, with the goal of facilitating a child's authentic gender self. Emphasis is placed on learning from the patient, working collaboratively with the family and social environments, and remaining suspended in a state of ambiguity and not-knowing as the child explores and solidifies a True Gender Self.

(58 Indices, Metaphors and Montages. The Heterogeneous Work in Current Latin American Literary Studies

Directory of Open Access Journals (Sweden)

Francisco Gelman Constantin

2017-09-01

Full Text Available As contemporary literary scholars challenge the ruling exclusionary criteria for the homogenization of their objects, while at the same time the biopolitical turn on literary theory criticizes representational understandings of the bond between language and the body, this paper suggests to address said relationship with recourse to the Lacanian notion of the ‘montage of heterogeneous’, which was brought forth toward a redefinition of the psychoanalytical concept of drive. Drawing from the notion of ‘heterogeneous literatures’, I advocate a theoretical genealogy from Bataille to Lacan (while Nancy, Foucault and Butler are also summoned to the discussion in order to come to terms with the rethinking of the objects for literary scholarship demanded by works such as Emilio García Wehbi’s performance piece 58 indicios sobre el cuerpo, along with his and Nora Lezano’s poetical- photographical essay Communitas.

Diferenças: os grupos na escola numa perspectiva psicanalítica/Differences: the groups at school in a psychoanalytic perspective

Directory of Open Access Journals (Sweden)

Paula Baracat De Grande

2006-01-01

Full Text Available O presente trabalho é resultado de observações feitas em uma escola pública estadual como parte das atividades práticas da disciplina EL 511 Psicologia e Educação, ministrada pela professora Dra. Regina Maria de Souza, na Universidade Estadual de Campinas (UNICAMP. A partir da observação de duas classes do primeiro ano do Ensino Médio, notamos a diferença - que fabricaram para si - de dois grupos sócio-culturais, chamados, nesse trabalho, de nerds e descolados. Tal diferença é analisada pela perspectiva psicanalítica, ao considerar que os alunos reforçam as diferenças entre o grupo ao qual pertencem em relação ao outro grupo a partir do processo de identificação. A identificação envolve a formação do eu, que passa necessariamente pela imagem do outro. Sustentamos que a diferença entre esses grupos influencia na dinâmica da interação em sala de aula e, por isso, deve ser considerada e discutida no âmbito educacional. Nesse trabalho, também salienta-se a questão da identificação das professoras observadas com um grupo em detrimento do outro. This paper work is the result of the observations made in a state public school as a part of the practice activities of the subject EL 511 Psycology and Education teached by professor Dr. Regina Maria de Souza, in Campinas State University (UNICAMP. From the observation of two first year High School classrooms, we noteced a difference that segregates the students in two social-cultural groups named, in this paper work, nerds and populars. This difference is analysed by the psychoanalytic perspective by considering the differences between the group which they belong in relation to the other group inside a identification process. The identification involves the “I” formation that passes necessary by the image of the other. We defend that the difference between those groups influences the dynamic of the classes iteration and, therefore, must be considered and discussed in the

The psychoanalyst of the adolescent.

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Laufer, M

1996-01-01

The adolescent who comes for psychoanalytic treatment has probably experienced a developmental breakdown-a rejection of his or her body and a distorted image of himself or herself as being male or female. A critical requisite for work with such adolescents is an understanding of one's own adolescent development. The internal freedom of the psychoanalyst is an essential ingredient in the treatment of the adolescent. This means that the psychoanalyst of the adolescent can separate his own sexual life and thoughts from what is lived out in the analytic sessions and thus can ensure that the treatment will confront whatever is essential and that he will avoid deriving gratification from the treatment process through taking over the adolescent's body or feeling that he is secretly sharing the intimacies of the patient.

Freud on Brothers and Sisters: A Neglected Topic

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Sherwin-White, Susan

2007-01-01

This paper explores Freud's developing thought on brothers and sisters, and their importance in his psychoanalytical writings and clinical work. Freud's work on sibling psychology has been seriously undervalued. This paper aims to give due recognition to Freud's work in this area. (Contains 1 note.)

Sex work involvement among women with long-term opioid injection drug dependence who enter opioid agonist treatment.

Science.gov (United States)

Marchand, Kirsten; Oviedo-Joekes, Eugenia; Guh, Daphne; Marsh, David C; Brissette, Suzanne; Schechter, Martin T

2012-01-25

Substitution with opioid-agonists (e.g., methadone) has shown to be an effective treatment for chronic long-term opioid dependency. Survival sex work, very common among injection drug users, has been associated with poor Opioid Agonist Treatment (OAT) engagement, retention and response. Therefore, this study was undertaken to determine factors associated with engaging in sex work among long-term opioid dependent women receiving OAT. Data from a randomized controlled trial, the North American Opiate Medication Initiative (NAOMI), conducted in Vancouver and Montreal (Canada) between 2005-2008, was analyzed. The NAOMI study compared the effectiveness of oral methadone to injectable diacetylmorphine or injectable hydromorphone, the last two on a double blind basis, over 12 months. A research team, independent of the clinic services, obtained outcome evaluations at baseline and follow-up (3, 6, 9, 12, 18 and 24 months). A total 53.6% of women reported engaging in sex work in at least one of the research visits. At treatment initiation, women who were younger and had fewer years of education were more likely to be engaged in sex work. The multivariate logistic generalized estimating equation regression analysis determined that psychological symptoms, and high illicit heroin and cocaine use correlated with women's involvement in sex work during the study period. After entering OAT, women using injection drugs and engaging in sex work represent a particularly vulnerable group showing poorer psychological health and a higher use of heroin and cocaine compared to women not engaging in sex work. These factors must be taken into consideration in the planning and provision of OAT in order to improve treatment outcomes. NCT00175357.

Sex work involvement among women with long-term opioid injection drug dependence who enter opioid agonist treatment

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Marchand Kirsten

2012-01-01

Full Text Available Abstract Background Substitution with opioid-agonists (e.g., methadone has shown to be an effective treatment for chronic long-term opioid dependency. Survival sex work, very common among injection drug users, has been associated with poor Opioid Agonist Treatment (OAT engagement, retention and response. Therefore, this study was undertaken to determine factors associated with engaging in sex work among long-term opioid dependent women receiving OAT. Methods Data from a randomized controlled trial, the North American Opiate Medication Initiative (NAOMI, conducted in Vancouver and Montreal (Canada between 2005-2008, was analyzed. The NAOMI study compared the effectiveness of oral methadone to injectable diacetylmorphine or injectable hydromorphone, the last two on a double blind basis, over 12 months. A research team, independent of the clinic services, obtained outcome evaluations at baseline and follow-up (3, 6, 9, 12, 18 and 24 months. Results A total 53.6% of women reported engaging in sex work in at least one of the research visits. At treatment initiation, women who were younger and had fewer years of education were more likely to be engaged in sex work. The multivariate logistic generalized estimating equation regression analysis determined that psychological symptoms, and high illicit heroin and cocaine use correlated with women's involvement in sex work during the study period. Conclusions After entering OAT, women using injection drugs and engaging in sex work represent a particularly vulnerable group showing poorer psychological health and a higher use of heroin and cocaine compared to women not engaging in sex work. These factors must be taken into consideration in the planning and provision of OAT in order to improve treatment outcomes. Trial Registration NCT00175357.

The Therapist's Self Disclosure in Cross- Cultural Treatment

OpenAIRE

Ruth Lijtmaer; Roy Moodley; Shafik Sunderani

2013-01-01

The argument that self-disclosure will change the psychoanalytic process into a socio-cultural niche distorting the therapeutic alliance and compromise therapeutic effectiveness is still the widely held belief amongst many psychotherapists. This paper considers the issues surrounding culture, disclosure and concealment since they remain largely untheorized and clinically problematic. The first part of the paper will critically examine the theory and practice of psychoanal...

Role of Perceived Fair Interpersonal Treatment and Organization-Based Self-Esteem in Innovative Work Behavior in a Nigerian Bank

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Oluyinka Ojedokun

2012-10-01

Full Text Available The purpose of this study is to examine the role of perceived fair interpersonal treatment, organization-based self-esteem, and some demographic characteristics in innovative work behavior among employees of a Nigerian bank. Data were collected from a randomly selected sample of 185 employees through a structured questionnaire. Hierarchical multiple regression and One-Way Analysis of Variance were carried out to test hypotheses. The results reveal significant positive influence of perceived fair interpersonal treatment and organization-based self-esteem on innovative work behavior. Lastly, the results show significant effect of level of education on innovative work behavior. The findings suggest that perceived fair interpersonal treatment and organization-based self-esteem are important predictors of innovative work behavior. Therefore, organizations should focus on improving the levels of organizational based self-esteem among employees who scored low on this trait by providing more recognition and importance. They should also strive to ensure fair interpersonal treatment among employees in order to promote motivation to engage in innovative work behavior.

Interference with work in fibromyalgia - effect of treatment with pregabalin and relation to pain response

Science.gov (United States)

2011-01-01

Background Clinical trials in chronic pain often collect information about interference with work as answers to component questions of commonly used questionnaires but these data are not normally analysed separately. Methods We performed a meta-analysis of individual patient data from four large trials of pregabalin for fibromyalgia lasting 8-14 weeks. We analysed data on interference with work, inferred from answers to component questions of Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 Health Survey, Sheehan Disability Scale, and Multidimensional Assessment of Fatigue, including "How many days in the past week did you miss work, including housework, because of fibromyalgia?" from FIQ. Analyses were performed according to randomised treatment group (pregabalin 150-600 mg daily or placebo), pain improvement (0-10 numerical pain rating scale scores at trial beginning vs. end), and end of trial pain state (100 mm visual analogue pain scale [VAS]). Results Comparing treatment group average outcomes revealed modest improvement over the duration of the trials, more so with active treatment than with placebo. For the 'work missed' question from FIQ the change for patients on placebo was from 2.2 (standard deviation [SD] 2.3) days of work lost per week at trial beginning to 1.9 (SD 2.1) days lost at trial end (p /= 50% pain improvement and from 1.9 (SD 2.2) days to 0.73 (SD 1.4) days (p /= 50% pain improvement and a pain score 1 day per week can be achieved in patients with good pain responses. PMID:21639874

Speciation and fate of copper in sewage treatment works with and without tertiary treatment: the effect of return flows.

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Innaa, D; Lester, J N; Scrimshawb, M D; Cartmell, E

2014-01-01

The removal of metals from wastewaters is becoming an important issue, with new environmental quality standards putting increased regulatory pressure on operators of sewage treatment works. The use of additional processes (tertiary treatment) following two-stage biological treatment is frequently seen as a way of improving effluent quality for nutrients and suspended solids, and this study investigates the impact of how back washes from these tertiary processes may impact the removal of copper during primary sedimentation. Seven sites were studied, three conventional two-stage biological treatment, and four with tertiary processes. It was apparent that fluxes of copper in traditional return flows made a significant contribution to the load to the primary treatment tanks, and that tanks. These return flows had an impact on copper removal in the primary tanks, probably due to their aerobic nature. Returning such aerobic back wash flows to the main process stream after primary treatment may therefore be worth consideration. The opportunity to treat consolidated liquor and sludge.flows in side-stream processes to remove toxic elements, as they are relatively concentrated, low volume flow streams, should also be evaluated.

Treatment and prevention of music performance anxiety.

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Spahn, Claudia

2015-01-01

Music performance anxiety (MPA) regularly occurs when musicians present themselves before an audience in performance situations, and thus, it plays an important role in the careers of professional musicians. MPA is expressed on the emotional and physical level, as well as on the levels of thinking and behavior, and extends along a continuum of varying severity. Its performance-impairing, afflicting form is considered to be a specific type of social phobia, which requires therapy. There are different psychological theories, which contribute to the understanding of the phenomenon of MPA and provide basic principles for the various treatment approaches. Current "best practice," in our clinical experience, is a personal- and problem-oriented approach within a multimodal therapy model, including the range of psychoanalytic and cognitive behavioral therapies, body-oriented methods, and mental techniques. In order to avoid severe MPA, prevention in the field of music pedagogic is very important. Thus, the concepts of dealing positively with MPA should be implemented very early into the instrumental and vocal education of musicians. © 2015 Elsevier B.V. All rights reserved.

["The aim is familiarity with the infant". Work and research in the Jackson Nursery (Vienna 1937/38)].

Science.gov (United States)

Krivanek, Roman

2014-01-01

The "Jackson Nursery", existing from February 1937 until March 1938, was directed by Anna Freud and financed by Edith Jackson and Dorothy Burlingham. It took care of infants from the poorest strata of Vienna and also gave material support to their families. On the other hand, it was a training institution for psychoanalysts, offering the opportunity of observing children during their first two years, e. g. their feeding habits and social sense. In addition, the Jackson Nursery was a place for research where psychoanalytic theories of infantile development were checked against the findings of direct observation. The work started here was then continued by A. Freud and D. Burlingham on a larger scale in their War Nurseries.--This paper examines the many-sided activities in the nursery mainly on the basis of unpu blished archival documents.

Varied Understanding and Application of Counter Transference in Active Music Therapy in Adult Psychiatry

DEFF Research Database (Denmark)

Pedersen, Inge Nygaard

2006-01-01

The article presents varied ways of understanding and applying the clinical concept of counter transference. The sources are drawn from the author's own clinical praxis, from psychoanalytic and music therapy literature and from a qualitative interview examination among experienced music therapist...... applying the concept in music therapy improvisational work in adult psychiatry.......The article presents varied ways of understanding and applying the clinical concept of counter transference. The sources are drawn from the author's own clinical praxis, from psychoanalytic and music therapy literature and from a qualitative interview examination among experienced music therapists...

An assessment of anti-schistosomal treatment on physical work capacity.

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Awad El Karim, M A; Collins, K J; Sukkar, M Y; Omer, A H; Amin, M A; Doré, C

1981-04-01

Acting as their own controls, village subjects from the Gezira are of the Sudan with relatively high levels of schistosomiasis infection were first tested in an exercise laboratory in Khartoum and the tests were then repeated after a period of about 1 yr during which time the subjects were treated with hycanthone and periodically monitored to ensure that they had remained free of the disease. In the meantime they were also given anti-malarial prophylaxis. Laboratory tests showed a significant improvement in physiological work capacity of up to 20% after treatment compared with untreated controls. An overall improvement in pulmonary function, particularly forced vital capacity, was observed as well as a significant increase in mean haemoglobin concentration by 1.1 g/100 ml of blood in the treated group. Apart from these improvements in physical working capacity, the treated subjects subjectively felt better after the exercise tests, as expressed by the disappearance of fatiguability.

DOCTOR’S AUTOMATIZED WORK PLACE FOR THE TREATMENT OF PATIENTS WITH GAUCHER DISEASE

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N. H. Horovenko

2015-05-01

Full Text Available The program was designed to account the registry of patients with Gaucher disease. During the investigation of object domain a medical documentation and work regime of centre were analyzed including medical forms and questionnaires, medical cards, the order of filling appointment of treatment, report forms. The program provides the creation of automatized work place for interaction with patients with Gaucher disease on a personal computer of doctor. The purpose of development system is to perform a range of functions, which correspond to the full cycle of interaction doctor with patients. General function: introduction and correction of data, analysis and preservation of the history of this treatment, filtration patient records, construction of schedules based on the results of blood tests and examinations which reflect the dynamics of the patient. Special functions: calculation of required quantity of the medicine to the patient, tracing of human health standards depending on the age of the patient, the cost of the medicine.

The health of working nurses: Hypertension prevalence, awareness, treatment and control by medication.

Science.gov (United States)

Gallagher, Robyn; Perry, Lin; Duffield, Christine; Sibbritt, David; Ying Ko, Chih Maggie

2018-03-25

To investigate hypertension awareness, prevalence and treatment in nurses. Nurses are the largest health workforce group, currently facing an ageing demographic and the risk of chronic disease such as hypertension. Little is known about hypertension in nurses despite the potential impact on work productivity. A cross-sectional online survey was distributed to nurses and midwives via the professional association and nursing directors. Questions were taken from published longitudinal health studies for blood pressure, hypertension and key sociodemographic and health factors. The participants' (n = 5,041) mean age was 47.99 (SD 11.46) years. The majority knew their blood pressure, more so if they were female, of higher body mass index and aged 45-64 years, but less so if they were smokers. Hypertension prevalence increased with age, peaking at the oldest ages and the majority were treated (anti-hypertensive medication), less so if aged <55 years. Many nurses treated for hypertension had poor blood pressure control, were most often aged 45-54 years and were smokers. Hypertension prevalence is less in nurses than in the general population, however, once diagnosed treatment is not optimized. The potential impact of hypertension on older nurses' work productivity justifies work-based support for risk reduction behaviours. © 2018 John Wiley & Sons Ltd.

[A transference from somewhere else: reevaluation of the controversies between Melanie Klein and Anna Freud (of noise and silence)].

Science.gov (United States)

Prado de Oliveira, L E

1995-01-01

Starting from The Freud-Klein Controversies, the author explores the historical reality of these controversies and their transformations into myth which give them the appearance of titanic fights. The verification of the different periods, the description of the variations in themes and style of intervention of the principal actors of these debates show aspects of the way a psychoanalytic institute works and of the theoretical elaboration in psychoanalysis: these appear very different from what the myth suggests. The major function of myth is, as Freud noted and Strachey reminds us, to hide very trite, even shameful realities. History and myth, theoritical effort and institutional life are all organized from and around transference, a major axis of psychoanalytic thought. When we organize our psychoanalytic lives in societies, we have the pride or the vanity of participating in a great historical movement. This goes back to the work of transference in institutional life that involves primal objects in the crudeness of their sexuality. Such is the constraining strength of transference. Being fully conscious of it, like Stratchey or Balint show us, enables to alleviate its violence and stimulate creativity.

Psychoanalysis and homosexuality: do we need a new theory?

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Auchincloss, E L; Vaughan, S C

2001-01-01

No need exists, it is argued, for a new psychoanalytic theory of homosexuality. Certainly psychoanalysis should not be expected to generate such a theory using its own methodology alone. The preoccupation with producing such a theory avoids more important questions about psychoanalytic theory building raised by an examination of the long relationship between psychoanalysis and homosexuality. These questions concern the problems related to using psychoanalytic methodology (1) to construct categories (including the categories normal and abnormal), (2) to construct causal theory (the problems include the limitations of psychoanalytic developmental theory and a long-standing confusion between psychoanalytic developmental theory, psychoanalytic genetic reconstruction, and psychodynamics), and (3) to identify "bedrock." Finally, the question is addressed of what might be needed that is new in the psychoanalytic approach to homosexuality.

Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

NARCIS (Netherlands)

Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

2008-01-01

Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

Extinction phenomena: A biologic perspective on how and why psychoanalysis works

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Linda A.W. Brakel

2011-09-01

Full Text Available This article presents the view that much of the success of classical psychoanalysis is centrally predicated on its biological potency; focusing not on neuropsychology, but on the biology of conditioning. The argument suggests that features of classic psychoanalytic technique--the couch, meetings several times per week with both parties present, and free association--uniquely facilitate intense transferences of various sorts, and that these in turn constitute the multiple and diverse extinction trials necessary to best approximate extinction.

Labour law treatment of health, work ability and personal integrity of the employees

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Jovanović Predrag

2014-01-01

Full Text Available Health and working ability are assumptions of entering into and the existence of labour relations. The purpose of entering into and the existence of labour relations is in the organised and meaningful work, in the interest of the employer and the employee. The main obligation of the employee is to do their work personally in accordance with their health and work abilities. With regards to the said abilities, the employee is accepted to the work, and protection and maintaining of these abilities is the assumption of the survival and long lasting of the employment. This makes legitimate the need that the health and work ability be protected by law in a suitable way. To that effect, we can talk about protection of health of the employees and safety at work. Since health does not only mean the absence of illness, but also the overall social security of the employees at work and in connection with work, this and issue of insurance of different risks that follow work of the employee fall into measures of health protection. Finally, not only manpower, as an organic unity of health and work abilities, takes part in labour relations, but also the entire personality of the employee with the overall personal (moral and ethical integrity, which also on its part requires appropriate labour law treatment and protection (ban on discrimination, harassment, abuse, protection of personal data, etc..

Work function modifications of graphite surface via oxygen plasma treatment

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Duch, J.; Kubisiak, P.; Adolfsson, K. H.; Hakkarainen, M.; Golda-Cepa, M.; Kotarba, A.

2017-10-01

The surface modification of graphite by oxygen plasma was investigated experimentally (X-ray diffraction, nanoparticle tracking analysis, laser desorption ionization mass spectrometry, thermogravimetry, water contact angle) and by molecular modelling (Density Functional Theory). Generation of surface functional groups (mainly sbnd OHsurf) leads to substantial changes in electrodonor properties and wettability gauged by work function and water contact angle, respectively. The invoked modifications were analyzed in terms of Helmholtz model taking into account the theoretically determined surface dipole moment of graphite-OHsurf system (μ = 2.71 D) and experimentally measured work function increase (from 0.75 to 1.02 eV) to determine the sbnd OH surface coverage (from 0.70 to 1.03 × 1014 groups cm-2). Since the plasma treatment was confined to the surface, the high thermal stability of the graphite material was preserved as revealed by the thermogravimetric analysis. The obtained results provide a suitable quantitative background for tuning the key operating parameters of carbon electrodes: electronic properties, interaction with water and thermal stability.

Self psychology as a shift away from the paranoid strain in classical analytic theory.

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Terman, David M

2014-12-01

Classical psychoanalytic theory has a paranoid strain. There is, in effect, an "evil other"--the id--within each individual that must be tamed in development and confronted and worked through as resistance in treatment. This last has historically endgendered an adversarial relationship between patient and analyst. This paranoid strain came from a paranoid element in Freud's personality that affected his worldview, his relationships, and his theory. Self psychology offers a different view of development and conflict. It stresses the child's need for responsiveness from and admiration of caretakers in order to develop a well-functioning self. Though severe behavioral and character problems may result from faults in the process of self-construction, the essential need is not instinctual discharge but connection. Hence the long-assumed opposition between individual needs and social institutions or between patient and analyst is no longer inevitable or universal. Rather, an understanding of the primary need for connection creates both a different interpretive stance and a more cooperative ambience. These changes in theory and technique are traced to Kohut's personal struggles to emancipate himself from his paranoid mother. © 2014 by the American Psychoanalytic Association.

Psychoanalysis as a lifeline: a clinical study of a transference perversion.

Science.gov (United States)

Baker, R

1994-08-01

Case material from the analysis of a fetishistic cross-dresser is reported. The evolution of a transference perversion and treatment impasse, in the form of the recalcitrant symptom of anal flatulence, is described. The patient's contrasting needs to cling perversely and addictively to the analyst, on the one hand, and to provoke an acting out of the countertransference, on the other, are placed in the context of his dread of rejection and potentially suicidal reaction. The author argues in favour of offering psychoanalysis as a lifeline, but with the condition that the psychoanalytic setting and boundaries are maintained and that gratifications are denied. Limited but precise interpretive psychoanalytic work in the transference was maintained. The relatively good outcome is explained in terms of the provision of safety, survival of the analyst and avoidance of countertransference acting out, which, in the author's view, represents an implicit and mutative transference interpretation, the specific factor in bringing about psychic change. This enabled the patient to recognise and accept the analyst as a 'new' object and, as a consequence, to question and reject his idealisation of the anal universe that he inhabited.

Return to work after early-stage breast cancer : A cohort study into the effects of treatment and cancer-related symptoms

NARCIS (Netherlands)

Balak, Fulya; Roelen, Corne A. M.; Koopmans, Petra C.; ten Berge, Elike E.; Groothoff, Johan W.

Introduction Earlier diagnosis and better treatment have increased the survival rates of cancer patients. This warrants research on return to work of cancer survivors. What is the return to work rate following early-stage breast cancer? What is the effect of the type of treatment and cancer-related

[Significance of the gestalt, primary, and family therapy for psychoanalysis].

Science.gov (United States)

Sperling, E

1978-01-01

The technical therapeutic premises and the application of gestalt-, primal- and familytherapy are investigated. It is concluded, that these premises and application attempt to do justice to the change of the patients and to the widely varied offer of serious syndromes rather than to psychoanalytic routine by "Uberinvestierung" in the patient. Not only the insistence on ego-psychology but also the emphasis on transference as the only therapeutic medium are viewed critically. The confrontation is in competition with the interpretion; The acting out can help to intensify experience. As the most important result for psychoanalytic work appears the conclusion "ex omissione".

40 CFR Appendix J to Part 122 - NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j))

Science.gov (United States)

2010-07-01

... Publicly Owned Treatment Works (§ 122.21(j)) J Appendix J to Part 122 Protection of Environment... POLLUTANT DISCHARGE ELIMINATION SYSTEM Pt. 122, App. J Appendix J to Part 122—NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j)) Table 1A—Effluent Parameters for All POTWS...

Confessions of an iconoclast: at home on the fringe.

Science.gov (United States)

Loevinger, Jane

2002-04-01

The career of a psychologist whose work has been on the fringe of psychometrics, of personality theory, and, at a stretch, of psychoanalytic theory and the philosophy of science is described in this article.

Competition and postural confrontation in life, sports, and psychoanalytic treatment--illustrated clinically and in relation to Vladimir Nabokov.

Science.gov (United States)

Shengold, Leonard

2008-04-01

The importance of the emotions that can be evoked by (face-to-face and face-to-back) postural and visual contrapositions in life and in psychoanalysis-and specifically in relation to sports and games-is delineated and illustrated in clinical and literary material. The latter features aspects of the life and works of the writer Vladimir Nabokov.

How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda.

Science.gov (United States)

Siu, Godfrey E; Wight, Daniel; Seeley, Janet

2012-06-14

Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART). By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Participant observation and 26 in-depth interviews with men were conducted in a gold mining village in Eastern Uganda between August 2009 and August 2010. Interviewees included men who were taking HIV treatment, who had discontinued treatment, who suspected HIV infection but had not sought testing, or who had other symptoms unrelated to HIV infection. Many participants reported spending large proportions of their income, alleviating symptoms prior to confirming their HIV infection. This seriously undermined their sense of masculinity gained from providing for their families. Disclosing HIV diagnosis and treatment to employers and work colleagues could reduce job offers and/or collaborative work, as colleagues feared working with "ill" people. Drug side-effects affected work, leading some men to discontinue the treatment. Despite being on ART, some men believed their health remained fragile, leading them to opt out of hard work, contradicting their reputation as hard workers. However, some men on treatment talked about "resurrecting" due to ART and linked their current abilities to work again to good adherence. For some men, it was work colleagues who suggested testing and treatment-seeking following symptoms. The central role of a work ethic in expressing masculinity can both encourage and discourage men's treatment-seeking for AIDS. HIV testing and treatment may be sought in order to improve health and get back to work, thereby in the process regaining one's masculine reputation as a hard worker and provider

Actual neurosis as the underlying psychic structure of panic disorder, somatization, and somatoform disorder: an integration of Freudian and attachment perspectives.

Science.gov (United States)

Verhaeghe, Paul; Vanheule, Stijn; De Rick, Ann

2007-10-01

Starting from a contemporary critique of the DSM-IV, this paper argues that the diagnostic categories of panic disorder somatization, and undifferentiated somatoform disorders can be understood as belonging to a common type of psychopathology--i.e., the Freudian actual neuroses. In addition to their strong clinical similarity, these disorders share an etiological similarity; and the authors propose a combination of Freud's focus on this type of patient's inability to represent an endogenous drive arousal with the post-Freudian focus on separation anxiety. An etiological hypothesis is put forward based on contemporary psychoanalytic attachment theory, highlighting mentalization. Concrete implications for a psychoanalytically based treatment are proposed.

A MODEL FOR INTEGRATING ACTUAL NEUROTIC OR UNREPRESENTED STATES AND SYMBOLIZED ASPECTS OF INTRAPSYCHIC CONFLICT.

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Busch, Fredric N

2017-01-01

In psychoanalytic theory, the importance of actual neuroses-considered to be devoid of psychic content-diminished as Freud and subsequent analysts focused on unconscious intrapsychic conflict. This paper explores the relationship between actual neurotic and unrepresented states, which are believed to be best addressed through attention to countertransference, intersubjectivity, and enactments rather than interpretation of intrapsychic conflict. Models suggesting how actual neurotic states and symbolized intrapsychic conflict may interact with each other and environmental stressors are described. Symbolizing actual neurotic states and establishing meaningful linkages between somatic/affective experiences and intrapsychic conflict are viewed as necessary for effective treatment of many disorders. © 2017 The Psychoanalytic Quarterly, Inc.

[Marjorie Brierley and the beginnings of the London Middle Group].

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Huppke, Andrea

2014-01-01

This article presents an introduction to the life and work of Marjory Brierley (1893-1984) who, but for her paper on affects published in 1936, is nowadays relatively unknown. A member of the British Psychoanalytical Society since 1927, she withdrew from active work around 1950. In the 30s, she developed her psychoanalytic and scientific approach, centered on metapsychological issues. In the early 40s she played an important role in the Controversial Discussions between the groups around Melanie Klein and Anna Freud. She remained independent, refusing any idealization, bound only by her obligation to her scientific principles. With this attitude, she can be regarded as a typical pioneer of the later Middle Group or the Independents. After the controversy, Brierley elaborated her metapsychological and ethical ideas in four major papers.

Clínica, a interpretação psicanalítica e o campo de experimentação Clínica, la interpretación psicoanalítica y el campo de la experiencia Clinic, the psychoanalytical interpretation and the field of experience

Directory of Open Access Journals (Sweden)

Leonardo Pinto de Almeida

2009-03-01

Full Text Available O presente trabalho se propõe a questionar se o método de interpretação na clínica psicanalítica pressupõe relações de poder que engessam a experiência clínica em valores universalizantes. Partindo das críticas de Deleuze, Guattari e Foucault à psicanálise, os autores concluíram que a prática da interpretação pode obliterar a experiência clínica, enquadrando-a em um ciclo de idéias universais e intimistas que apontam para a pressuposição de verdades instituídas pelos próprios conceitos psicanalíticos. Esta crítica indica que a clínica psicanalítica pode ser um campo de experimentação onde o sofrimento psíquico seria tratado sem priorizar a violência interpretativa.El presente artículo se propone a la pregunta si el método de interpretación en la clínica psicoanalítica presupone exp relaciones del poder que encarcelan la experiência clínica en valores universales. Pensando en la crítica de Deleuze, de Guattari y de Foucault a la psicoanálisis, los autores concluyeron que la práctica de la interpretación puede borrar la experiencia clínica en un ciclo de ideas universales e intimistas que apuntan a la presuposición de verdades experiência por los propios conceptos psicoanalíticos. Esta crítica indica que la clínica psicoanalítica puede ser un campo de la experimentación donde el sufrimiento psíquico sería tratado sin dar la prioridad a la experiencia interpretativa.The present paper aims to question if the method of interpretation in the psychoanalytical clinic presuppose relations of power that can imprison the clinical experience in universals values. Leaving with the criticism of Deleuze, Guattari and Foucault to the psychoanalysis, the authors had concluded that the practical of the interpretation can obliterate the clinical experience fitting it in a cycle of universal and intimist ideas that points to presupposition of truths instituted by the proper psychoanalytical concepts. This

Analytic institutes: A guide to training in the United States

Science.gov (United States)

Blanken, Terry G.

This investigation was inspired by the researcher's desire to pursue psychoanalytic training subsequent to completion of her PhD in clinical psychology and the discovery that no comprehensive resource existed to assist prospective psychoanalytic candidates with identifying or evaluating psychoanalytic training opportunities. This dissertation therefore aspires to provide a comprehensive guide to analytic training in the United States today. The researcher presents the expanding horizons of depth-oriented training leading to certification as an analyst, including training based on those schools of thought that resulted from early splits with Freud (Adlerian and Jungian) as well as training based on thought that has remained within the Freudian theoretical umbrella (e.g., classical, object relations, self psychology, etc.). Employing a heuristic approach and using hermeneutics and systems theory methodologies, the study situates analytic training in its historical context, explores contemporary issues, and considers its future. The study reviews the various analytic schools of thought and traces the history of psychoanalytic theory from its origins with Freud through its many permutations. It then discusses the history of psychoanalytic training and describes political, social, and economic factors influencing the development of training in this country. The centerpiece of the dissertation is a guidebook offering detailed information on each of 107 training institutes in the United States. Tables provide contact data and information which differentiate the institutes in terms of such parameters as size; length of program, theoretical orientation, and accreditation. A narrative of each institute summarizes the unique aspects of the program, including its admissions policy, the requirements for the training analysis and supervised clinical work, and the didactic curriculum, along with lists of courses offered. Child and adolescent psychoanalytic training is also

WE-FG-BRA-12: Research Work of the Radio-Dynamic Treatment Mechanism

Energy Technology Data Exchange (ETDEWEB)

Zhang, Quanshi; Sun, Q.Y; Xiao, G.P.; Zeng, J.; Wang, L. [Beijing Top Grade Medical (Yiren Hospital), Beijing, BEIJING (China); Chen, L.L.; Ma, C.M.C. [Fox Chase Cancer Center, Philadelphia, PA (United States)

2016-06-15

Purpose: The finite penetration depth of Laser light has limited clinical applications for PDT. This present work investigates the activation of photosensitizers using Cerenkov light emission from 45MV photon beams produced in an LA45 cancer therapy accelerator. We have named this new treatment technique Radio-Dynamic Therapy (RDT). Methods: Monte Carlo simulations were made on various Cerenkov emission energies and their spectroscopy in excited target areas in order to estimate their photosensitizer inner activation efficiency. The Cerenkov light excitation efficiency used in RDT has been theoretically compared with the exotic excitation efficiency of external Laser light used in PDT. In addition, laboratory tests showed the differences of the excitation efficiencies between a patented catalyst coenzyme added as a substrate, and then without the coenzyme. A specific probe of DMA (Singlet Oxygen fluorescent probe-9, 10-dimethylanthracene) was also used to detect singlet oxygen. Finally, we also compared our results with similar previous experimental work reported in the scientific literature. Results: Our Monte Carlo results showed that the Cerenkov light intensity induced with 45MV beams from an LA45 is 8 – 10 times the Cerenkov light intensity induced with 6MV beams from conventional accelerators. Furthermore, the patented catalyst coenzyme enhanced the excitation efficiency of photosensitizers by 3–6 times under different conditions. In clinical situations, the new RDT technique also showed favorable outcomes for early and late stages of specific cancers and it is also good at metastatic cancer treatment. Conclusion: Our results indicated that the process of using the Cerenkov light emission to excite photosensitizers from 45MV photons has a similar process and efficiency as the conventional laser in PDT. Comparing the advantages of RDT with a conventional PDT, the RDT may be developed into a potential treatment modality for a wider range of cancers stages

Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

DEFF Research Database (Denmark)

Netterstrøm, Bo; Bech, Per

2010-01-01

was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. METHODS: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational...... and after four months. A specialist in occupational medicine carried out all sessions.Return To Work (RTW), defined as having a job and not being on sick leave at the census, was used as outcome measure four months after baseline, and after one and two years. RESULTS: The level of sick leave in the stress...... the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years, while gender and depression had no predictive value. CONCLUSIONS: The stress treatment programme showed a significant effect on the return to work rate...

Love, drive and desire in the works of Freud, Lacan and Proust.

Science.gov (United States)

Gammelgaard, Judy

2011-08-01

Both Freud and Lacan have made love the object of scientific enquiry, which is in itself remarkable, since we usually turn this subject over to literary and philosophical treatment. This article discusses Freud and Lacan's contributions to the psychology of love through dialogue with Marcel Proust's seminal novel, Remembrance of Things Past, with special emphasis on the middle sections. The point of departure is love's manifestation in the analytical situation. Freud has described transference love as both resistance and as an extreme variant of normal falling in love, to which Lacan adds the deceptive character of transference. From transference love the investigation continues to the contradictions Freud has described in Three Essays on the Theory of Sexuality as love's affectionate and sensual currents. Lacan contributes the concept of desire, which must be distinguished from drive and love. The differentiation between desire, drive and love introduces the perspective necessary for a psychoanalytic reading of Proust's opus. The main objective is a reading of the protagonists, Albertine and the Baron de Charlus, as representatives of the vicissitudes of love and drive, respectively. Copyright © 2011 Institute of Psychoanalysis.

Methods of sampling airborne fungi in working environments of waste treatment facilities.

Science.gov (United States)

Černá, Kristýna; Wittlingerová, Zdeňka; Zimová, Magdaléna; Janovský, Zdeněk

2016-01-01

The objective of the present study was to evaluate and compare the efficiency of a filter based sampling method and a high volume sampling method for sampling airborne culturable fungi present in waste sorting facilities. Membrane filters method was compared with surface air system method. The selected sampling methods were modified and tested in 2 plastic waste sorting facilities. The total number of colony-forming units (CFU)/m3 of airborne fungi was dependent on the type of sampling device, on the time of sampling, which was carried out every hour from the beginning of the work shift, and on the type of cultivation medium (p airborne fungi ranged 2×102-1.7×106 CFU/m3 when using the membrane filters (MF) method, and 3×102-6.4×104 CFU/m3 when using the surface air system (SAS) method. Both methods showed comparable sensitivity to the fluctuations of the concentrations of airborne fungi during the work shifts. The SAS method is adequate for a fast indicative determination of concentration of airborne fungi. The MF method is suitable for thorough assessment of working environment contamination by airborne fungi. Therefore we recommend the MF method for the implementation of a uniform standard methodology of airborne fungi sampling in working environments of waste treatment facilities. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

Psychoanalysis and the community mental health movement.

Science.gov (United States)

Croghan, L M

1975-01-01

Psychoanalysis and CMHM were once enemies. Psychoanalysis has made noteworthy advances toward the CMHM idea both in technique changes and in community involvement. It is possible that CMHM may finally reject all psychoanalytic contribution and face its future without a theory. If that takes place, the CMHM some day in its future may turn a corner and find itself face to face with the lonely, individual man, conscious of his past and fearful of the unexplained anxiety within him. It is then that the CMHM will find itself once again studying the works of Herbert Marcuse, Erik Erikson, Sigmund Freud, and the psychoanalytic world.

WILLIAM HAZLITT, OBSESSIVE LOVE, AND LIBER AMORIS.

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Trosman, Harry

2017-07-01

William Hazlitt, a distinguished literary figure of the early nineteenth century and a forerunner of psychoanalytic insights, had a keen awareness of the impact of the imagination on assessing works of art. At forty-two, he became hopelessly involved in an obsessive love affair with a nineteen-year-old woman and could not extricate himself from the relationship. The affair followed the death of his father, a powerful influence on his life. Factors in his obsessive love included finding an object of idealization subject to his imaginative creation and narcissistically reexperiencing himself about to begin a new life. © 2017 The Psychoanalytic Quarterly, Inc.

PSYCHOANALYSIS IN CHINA: AN ESSAY ON THE RECENT LITERATURE IN ENGLISH.

Science.gov (United States)

Scharff, David E

2016-10-01

Using extensive quotation, the author reviews the introduction and current state of psychoanalysis and psychoanalytic psychotherapy in China from the vantage point of recent publications in English. Psychoanalysis was briefly introduced to China before the Communist era, then forbidden, and has experienced an accelerated reintroduction since the late 1980s. The author briefly summarizes the cultural and historical background of China relevant to the introduction of psychoanalysis, the traumatic history of China, and the deep structure of thought and philosophical differences from Western culture that challenge a simple imposition of psychoanalytic ideas and practice, and some psychological effects of rapid cultural change throughout China. Training programs in China, the general enthusiasm for analysis among the Chinese, and a number of notable contributions by Western and Chinese authors are discussed. Also surveyed are the use of distance technology for training and treatment, the personal experience of Chinese senior and junior colleagues, and ongoing challenges to the continuing growth of psychoanalysis and analytic psychotherapy in China. © 2016 The Psychoanalytic Quarterly, Inc.

The saga of psychoanalysis in Eastern Europe: repression and rebirth in Hungary, and in former Czechoslovakia and Yugoslavia

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Judit Mészáros

Full Text Available Abstract The paper shortly presents the early roles of Budapest, Prague, and Belgrade in the development of psychoanalytic movement in Central-Europe before the Second World War. Mapping this historical heritage, it suggests how psychoanalysts of former Soviet Bloc countries could restore their own psychoanalytic communities. The study investigates the consequences of these dictatorial and authoritarian regimes for psychoanalysis and for psychoanalysts focusing on similarities and differences in Hungary, in former Czechoslovakia, and Yugoslavia. Furthermore, it emphasizes the contribution of the international professional organizations - the International Psychoanalytic Association, and the European Psychoanalytic Federation - for reintegration of Budapest, Prague, and Belgrade to the international psychoanalytic community.

Reflections on trauma, symbolization and psychic pain in a case of neurosis and a case of psychosis.

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Maldonado, Jorge Luis; Solimano, Alberto Luis

2016-10-01

This paper seeks to advance some considerations on trauma, historical reality, its symbolization and the psychic pain generated by the investigation of unconscious processes in psychoanalytic treatment. These themes will be explored by demonstrating the differences arising between traumatic experiences and their expression in phantasy, as they occurred in a case of neurosis and another of psychosis. In each case, the differences in the features of the symbolization and the processes of working through shall also be taken into consideration. Particular attention shall be paid to the specific difficulties encountered by the analyst in the interpretative treatment of the trauma resulting from the amount of psychic pain induced in the patient, which at times proves to be an insurmountable barrier and a destructive distortion of the process. Copyright © 2016 Institute of Psychoanalysis.

Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

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Bech Per

2010-11-01

Full Text Available Abstract Background In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW rate in persons with work-related stress and establish predictive factors for this outcome. Methods During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational Medicine completed a stress treatment programme consisted of the following: 1 Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when indicated by depression test score. On average each patient attended six one-hour sessions over the course of four months. A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline and after four months. A specialist in occupational medicine carried out all sessions. Return To Work (RTW, defined as having a job and not being on sick leave at the census, was used as outcome measure four months after baseline, and after one and two years. Results The level of sick leave in the stress treatment group dropped from 52% to 16% during the first four months of follow-up and remained stable. In the control group, the reduction in sick leave was significantly smaller, ranging from 48% at baseline to 27% after four months and 24% after one year. No statistically significant difference between the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years

Anna Freud: the Hampstead War Nurseries and the role of the direct observation of children for psychoanalysis.

Science.gov (United States)

Midgley, Nick

2007-08-01

The psychoanalytic tradition of direct observation of children has a long history, going back to the early 20th century, when psychoanalysis and the emerging field of 'child studies' came into fruitful contact in Freud's Vienna. As a leading figure in the attempted integration of direct observation with the new psychoanalytic knowledge emerging from the consulting room, Anna Freud played a crucial role in the emergence of this field. But her major contribution to the theory and practice of observing children came during the Second World War, when she founded the Hampstead War Nurseries. The author describes in detail this important period of Anna Freud's career, and discusses the impact it had on later work. He explores the theoretical contribution that Anna Freud made in the post-war years to the debate about the place of direct observation in psychoanalysis, and concludes that Anna Freud's 'double approach' (direct observation plus analytic reconstruction) still has a great deal to offer as a method of both psychoanalytic research and education.

Prevalence and knowledge of urinary incontinence and possibilities of treatment among low-income working women

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Amabily Carolline Zago

Full Text Available Abstract Introduction: Urinary incontinence (UI can affect women's lives in all areas, including in the occupational context, due to an uncomfortable workplace, incorrect positions for long periods of time and the handling of heavy items. Another worrying aspect is that the knowledge about urinary incontinence, in the health area, and its forms of treatment is still small among the low-income population. Objective: To verify the prevalence and knowledge about urinary incontinence and treatment possibilities among low-income working women. Methods: A cross-sectional study carried out on working women of a poultry processing plant. Results: The study included 136 women with an average age of 33.7 ± 9.7 years; body mass index of 26.6 ± 5.6 kg/m2; parity of 2.1 ± 1.1 children; monthly income of 2.3 ± 1 minimum wages. Of those interviewed, 63.9% were white; 44.8% had incomplete primary education; 52.9% were single; 53.6% underwent cesarean section delivery; and of those who underwent normal labor delivery, 86.6% underwent episiotomy. The prevalence of urinary incontinence was found to be 2.9%, and among the women affected, two reported that UI led to sexual, social, water and occupational restriction, and one of them believes that UI interferes with her concentration and productivity in the workplace. Regarding health knowledge, 46.3% had never heard of urinary incontinence before, and more than half (66.1% did not know about the existence of medical treatment. All women interviewed (100% were unaware of the existence of physiotherapeutic treatment. Conclusion: The prevalence of urinary incontinence was among those interviewed was small, however, the knowledge about the symptoms and possibilities of medical, and mainly physiotherapeutic treatment. is scarce among these women. This study allows to alert and to guide the health professionals and the society about the importance of actions that promote health education in the low income population

If It Works for Pills, Can It Work for Skills? Direct-to-Consumer Social Marketing of Evidence-Based Psychological Treatments.

Science.gov (United States)

Friedberg, Robert D; Bayar, Hasan

2017-06-01

The emergence of evidence-based psychological treatments (EVPTs) is a scientific success story, but unfortunately the application of these empirically supported procedures has been slow to gain ground in treatment-as-usual settings. This Open Forum commentary argues that direct-to-consumer (DTC) marketing, which has worked well in communicating the advantages of various medicines, should perhaps be considered for use in social marketing of EVPTs. DTC marketing of pharmaceuticals is a long-standing advertising strategy in the United States. In fact, DTC marketing of psychotropic medicines is quite a success story. The authors recommend various strategies for using marketing science to devise DTC advertising of EVPTs, discuss previous research on DTC campaigns, and describe initiatives launched in the United Kingdom and Europe to promote EVPTs. Suggestions for evaluating and regulating DTC marketing of EVPTs are included. Finally, the potential for DTC marketing of EVPTs to increase mental health literacy and reduce health disparities is explored.

Development of work on the treatment of radioactive wastes at IPR (Instituto de Pesquisas Radioativas, Minas Gerais, Brazil)

International Nuclear Information System (INIS)

Soares, M.L.L.; Gomes, H.

1974-01-01

The work developed until 1974 by the group of IPR (Instituto de Pesquisas Radioativas - MG, Brazil) responsible for the treatment of radioative wastes, is presented. The evaporation of liquid effluents of medium level activity, the treatment of gaseous effluents, the vitrification of high level liquid wastes and the sites for the final disposal of wastes are discussed [pt

Work-related carpal tunnel syndrome treatment: a cross-sectional study among 106 patients

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M. Aouatef

2017-08-01

Full Text Available The objective is to assess the influence of sociodemographic, professional and clinical variables on the choice of treatment of work-related carpal tunnel syndrome (CTS. An exhaustive and trans-sectional study was conducted over a period of eight years, from 1st January 2006 to 31 December 2013 in the Department of Occupational Medicine at University Hospital of Mahdia, Tunisia. The study population was represented by patients with work-related carpal tunnel syndrome. Data collection was based on a questionnaire sheet, describing social, occupational and medical characteristics of patients. The study population was characterized by a large female dominance, representing 95.3% with an average age of 42±7.8 years. Patients medically treated represented 38.7% and 61.3% had had surgical treatment. After binary logistic regression, surgical indication of CTS was significantly correlated to diabetes (p=0.017, other musculoskeletal disorders (p=0.02, functional signs of CTS (acrocyanosis p=0.05; muscle weakness p=0.015; radiating pain p=0.01; painful discomfort of the hand, the forearm or arm p=0.027 and to the atrophy of thenar muscles (p=0.018. According to this study, the choice of therapy for occupational CTS depends only on clinical data. More detailed studies will be needed to refine these results.

Effectiveness of social work intervention with a systematic approach to improve general health in opioid addicts in addiction treatment centers

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Raheb G

2016-11-01

Full Text Available Ghoncheh Raheb,1,2 Esmat Khaleghi,1 Amir Moghanibashi-Mansourieh,1 Ali Farhoudian,2 Robab Teymouri3 1Department of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 2Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 3Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Purpose: This study takes a systematic approach to investigate the effect of social work intervention aimed at increasing general health among opioid addicts in addiction treatment centers. Patients and methods: This is an experimental plan (pretest to posttest with a control group; the study sample included 60 patients with drug dependencies undergoing treatment in addiction treatment centers. These patients were randomly assigned as case (30 and control (30 groups. The case group was subjected to intervention over ten sessions, whereas the control group received no intervention. Both groups then passed through a posttest, while a follow-up was conducted after 4 months. Data were obtained via a General Health Questionnaire. Results: A covariance analysis test and independent and dependent t-test results indicated that a social work intervention adopting systematic approach was effective in increasing the general health of drug-addicted patients under treatment. Conclusion: Thus, the nature of the presence of social workers in addiction treatment centers has been effective and can have a significant influence by reducing anxiety and insomnia and somatic symptoms, improving patients’ self-understanding and self-recognition, and enhancing social functioning. Keywords: social work, intervention, systematic approach, general health, opioid addicts

Going private: clinicians' experience of working in UK independent sector treatment centres.

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Waring, Justin; Bishop, Simon

2012-02-01

With increased possibility that public healthcare services in the UK will be outsourced to the private sector, this study investigates how clinicians working in Independent Sector Treatment Centres perceive the differences between public and private sectors. Qualitative interviews with 35 clinicians recruited from two ISTCs. All participants were transferred to the independent sector from the public National Health Service. Interview data were analysed to identify shared experience about the variable organisation and delivery of services. Clinicians perceived differences between public and independent sectors in the areas of 'environment and facilities', 'management', 'work organisation and care delivery', and 'patient experience'. The independent sector was described as offering a positive alternative to public services in regard to service environment and patient experience, but there were concerns about management priorities and the reconfiguration of work. Clinicians' experience of moving between sectors reveals mixed experiences. Although some improvements might legitimise the growing role of the independent sector, there remain doubts about the commercialisation of services, the motives of managers and the impact of clinical roles and capabilities. With policies looking to expand the mixed economy of public healthcare services, the study suggests clinicians will not automatically embrace a move between sectors. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Projective techniques in consumer research

African Journals Online (AJOL)

privaat

Various projective techniques for personality assess- ment and psychoanalytic treatment in clinical psychol- .... Some social conventions or barriers may constrain the expression of feelings and reporting of behav- .... ject-stipulated characteristic. Brand mapping may be used in new product development and as a way to.

Uma concepção psicanalítica de personalidade: teoria das relações objetais de Fairbairn Una concepción psicoanalítica de la personalidad: la teoría de las relaciones objetales de Fairbairn A psychoanalytical conception of personality: Fairbairn's object-relations theory

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Luiz Augusto M. Celes

2008-03-01

propone realizar en la teoría psicoanalítica en función de la concepción de la meta libidinal como sujeto.The main purpose of this essay is to develop the idea that the object-relations theory, introduced in the psychoanalytical movement as an opposition to the libido theory as basis to psychic constitution, produced a radical change in the psychoanalytical concept of subjects. Change is represented by the quitting of the drive as a subject foundation and by the apprehension and comprehension of subjects as personalities, or rather, substantially structured. In terms of methodology, the main work by William Ronald D. Fairbairn (1889-1964 was analyzed and taken as paradigmatic for all object-relations theories. The evolution of Fairbairn's thoughts, from his studies on schizophrenia - and the contradiction it brought to the contemporary libido theory - to the changes and overcoming the author proposed to accomplish in psychoanalytical theory, as a result of his finding that the libidinal goal is an object, are presented.

Hans Loewald, psychoanalysis, and the project of autonomy.

Science.gov (United States)

Whitebook, Joel

2008-12-01

For some time psychoanalysts have tended to view Freud's cultural writings--concerning modernity, secularism, science, and religion--disparagingly, seeing them as the unscientific speculations of a misguided genius. But the questions Freud explored in those works are pressing topics that deserve serious attention. Just as fascism provided the historical context in which the critical theorists of the Frankfurt School developed a psychoanalytic social theory in the 1930s and 1940s, so the rise of fundamentalism demands a similar effort today. The "project of autonomy" conceptualized by the psychoanalyst-philosopher Castoriadis can be used to situate psychoanalysis in its broader historical context, as part of the emancipatory movement of modernity, and to elucidate fundamentalism as an attempt to turn back that project and reinstate the values of premodern traditional societies. Because the widespread aversion to secularism today is in no small degree the responsibility of secularists themselves--Freud's relatively crude and simplistic disregard of some of the deepest yearnings of humankind is a case in point--it is time to formulate, using the work of Hans Loewald, a more sensitive and sophisticated psychoanalytic view of religion. Yet psychoanalytic secularists must avoid overcompensating for past mistakes by giving too much ground to antisecularists. The legitimate desire to do justice to religion must not trump the need to advance the project of autonomy as a first priority.

Mortality, integrity, and psychoanalysis (who are you to me? Who am I to you?).

Science.gov (United States)

Pinsky, Ellen

2014-01-01

The author narrates her experience of mourning her therapist's sudden death. The profession has neglected implications of the analyst's mortality: what is lost or vulnerable to loss? What is that vulnerability's function? The author's process of mourning included her writing and her becoming an analyst. Both pursuits inspired reflections on mortality in two overlapping senses: bodily (the analyst is mortal and can die) and character (the analyst is mortal and can err). The subject thus expands to include impaired character and ethical violations. Paradoxically, the analyst's human limitations threaten each psychoanalytic situation, but also enable it: human imperfection animates the work. The essay ends with a specific example of integrity. © 2014 The Psychoanalytic Quarterly, Inc.

Interview with Simona Argentieri. Desire and fatherhood today: to be or to have a father. New realities, clinical issues, aesthetics

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Daniele Balicco

2013-07-01

Full Text Available This work is part of a trilogy of interviews dedicated to the theme of fatherhood today. The goal is to propose an analysis of the metamorphosis of today’s symbolic figure of the father (from a psychoanalytic, historical, political, aesthetic point of view through the comparison between important Italian analysts, belonging to different analytical schools. The interview with Simona Argentieri, analyst, Ordinary and Didactical Member of the Italian Association of Psychoanalysis and the International Psycho-Analytical Association, closes this trilogy by providing a rich theoretical analysis, including aesthetic considerations (in particular, about cinema and literature. Her thoughts focuse mainly on positive responses to the contemporary crisis of the traditional paternal figure.

Effect of cryogenic treatment on microstructure, mechanical and wear behaviors of AISI H13 hot work tool steel

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Koneshlou, Mahdi; Meshinchi Asl, Kaveh; Khomamizadeh, Farzad

2011-01-01

This paper focuses on the effects of low temperature (subzero) treatments on microstructure and mechanical properties of H13 hot work tool steel. Cryogenic treatment at -72 °C and deep cryogenic treatment at -196 °C were applied and it was found that by applying the subzero treatments, the retained austenite was transformed to martensite. As the temperature was decreased more retained austenite was transformed to martensite and it also led to smaller and more uniform martensite laths distributed in the microstructure. The deep cryogenic treatment also resulted in precipitation of more uniform and very fine carbide particles. The microstructural modification resulted in a significant improvement on the mechanical properties of the H13 tool steel.

Psychoanalysis, religion and enculturation: reflections through the life of mother Teresa.

Science.gov (United States)

Mahmood, Kaif

2015-04-01

This paper explores the question of whether psychoanalysis can help those who adhere to a worldview that is non-psychoanalytic or even anti-psychoanalytic. It answers this question by comparing the psychoanalytic understanding of suffering with that of the Catholic faith, through the latter's idea of the 'dark night of the soul'. The life of Mother Teresa is taken as an illustration of the dark night and how it may be responded to by the faithful. Similarities and differences between the two approaches are pointed out. Finally, it is suggested that psychoanalytic perspectives may enrich the inner lives of those living by a religious worldview, without necessarily diluting that worldview. Further, religious counsellors too may benefit from an understanding of psychoanalytic perspectives.

Atividades de investigação escolar: análise psicanalítica do engajamento em pequenos grupos Educational investigation activities: a psychoanalytical analysis of engagement in small groups

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Josimeire M Júlio

2010-12-01

Full Text Available Observamos grupos de alunos de ensino médio que foram desafiados a realizar uma atividade de pesquisa em Física. O objetivo era distinguir o engajamento colaborativo de outras formas de participação em grupo. Apresentamos um estudo pormenorizado de aulas que ocorreram no início do ano letivo em turmas do primeiro ano. Recorremos a gravações em áudio e vídeo para categorizar a participação dos alunos durante a atividade. As categorias são inspiradas no referencial psicanalítico de Grupos de Trabalho e Suposições Básicas. Com a ajuda desses conceitos foi possível caracterizar a participação individual no grupo, atentando para os impulsos emocionais que desviaram os indivíduos da tarefa. Baseados nos dados obtidos e em outros trabalhos nos quais analisamos esses grupos isoladamente, concluímos que a participação dos alunos depende de aspectos intrínsecos da dinâmica dos grupos de aprendizagem. A colaboração e objetividade, necessárias para que o grupo funcione bem, dependem de uma interferência externa ao grupo.We observed groups of secondary school students who were challenged to conduct a research activity in physics. The objective was to distinguish collaborative engagement from other forms of group participation. We present a detailed study of lessons that occurred at the beginning of the school year in first year student classes. We used audio and video recordings to categorize the students' participation during the activity. The categories draw their inspiration from the psychoanalytical approach of Working Groups and Basic Assumptions. With the help of these concepts, it was possible to characterize individual participation in the group, paying attention to the emotional impulses that diverted individuals from the task in hand. Based on the data obtained and on other works in which we analyzed these groups in isolation, we conclude that student participation depends on intrinsic aspects of the dynamics of the

The Mediating Role of Insight for Long-Term Improvements in Psychodynamic Therapy

Science.gov (United States)

Johansson, Paul; Hoglend, Per; Ulberg, Randi; Amlo, Svein; Marble, Alice; Bogwald, Kjell-Petter; Sorbye, Oystein; Sjaastad, Mary Cosgrove; Heyerdahl, Oscar

2010-01-01

Objective: According to psychoanalytic theory, interpretation of transference leads to increased insight that again leads to improved interpersonal functioning over time. In this study, we performed a full mediational analysis to test whether insight gained during treatment mediates the long-term effects of transference interpretation in dynamic…

Symptomen en persoonlijkheidsproblemen voor, tijdens en na langdurige psychoanalytische behandelingen: een multiple-cohort studie

NARCIS (Netherlands)

Berghout, C.C.; Zevalkink, D.J.; Jong, J.T.V.M. de

2010-01-01

Using a multiple cohort design, we compared symptoms and personality functioning (SCL-90, BDI-II, STAI, IIP-64, MMPI-2) of patients (N = 231) in different phases of long-term psychoanalytic treatment (before, during, end, follow-up). Our results confirmed findings from earlier meta-analyses that

A Brief History of the Development of Abnormal Psychology: A Training Guide. Final Report.

Science.gov (United States)

Phelps, William R.

Presented for practitioners is a history of the development of abnormal psychology. Areas covered include the following: Early medical concepts, ideas carried over from literature, early treatment of the mentally ill, development of the psychological viewpoint, Freud's psychoanalytic theory, Jung's analytic theory, the individual psychology of…

Client attachment security predicts alliance in a randomized controlled trial of two psychotherapies for bulimia nervosa

DEFF Research Database (Denmark)

Folke, Sofie; Daniel, Sarah Ingrid Franksdatter; Poulsen, Stig Bernt

2016-01-01

interaction whereby dismissing clients would develop weaker alliances in psychoanalytic psychotherapy and preoccupied clients would develop weaker alliances in cognitive-behavioral therapy. Conclusions: As the first study to examine client attachment and therapeutic alliance using observer-based instruments......Objective: This study investigated the relation between clients’ attachment patterns and the therapeutic alliance in two psychotherapies for bulimia nervosa. Method: Data derive from a randomized clinical trial comparing cognitive-behavioral therapy and psychoanalytic psychotherapy for bulimia...... to be a significant (p = .007) predictor of alliance levels at the three measured time points, with clients higher on attachment security developing stronger alliances with their therapists in both treatments as compared to clients higher on attachment insecurity. No evidence was found to support a hypothesized...

"I had twenty-five piercings and pink hair when . . .": adolescence, transitional hysteria, and the process of subjectivization.

Science.gov (United States)

Campanile, Patrizio

2012-04-01

The author discusses adolescent and preadolescent development as a transformative experience. The role of the ego ideal in this process, as distinct from the ideal of the ego, is highlighted, and idealization, narcissism, and symbolization are also discussed. Changing representations contribute to what the author describes as a process of subjectivization. An illustrative clinical vignette is presented: that of a 12-year-old girl who developed neurological symptomatology during a crucial period of psychosexual transformation, and whose symptoms rapidly receded after only a few psychoanalytically oriented treatment sessions. The author emphasizes his view of preadolescence as an important passage for the individual's knowledge of the plurality that characterizes him, noting that the recognition of one's own internal multiplicity is characteristic of the psychoanalytic process.

Do Males and Females Conceptualise Work and Social Impairment Differently Following Treatment for Different Mental Health Problems?

Science.gov (United States)

Smith, David; Fairweather-Schmidt, A Kate; Riley, Ben; Javidi, Zhila; Zabeen, Sara; Lawn, Sharon; Battersby, Malcolm

2018-04-01

The Work and Social Adjustment Scale (WSAS) is used by psychiatric nurses for screening and evaluating patients' treatment outcomes for a variety of mental health problems. This study investigated longitudinal and gender measurement invariance of WSAS using structural equation modeling within a help-seeking problem gambling sample (n=445), and an intervention program for depression and anxiety sample (n=444). The concept of functional impairment was defined by all WSAS items in males and females at pre- and post-treatment assessments. These findings confirm that the WSAS is a robust and efficacious instrument for evaluating treatment outcomes in two differing populations. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of episodic and working memory impairments on semantic and cognitive procedural learning at alcohol treatment entry.

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Pitel, Anne Lise; Witkowski, Thomas; Vabret, François; Guillery-Girard, Bérengère; Desgranges, Béatrice; Eustache, Francis; Beaunieux, Hélène

2007-02-01

Chronic alcoholism is known to impair the functioning of episodic and working memory, which may consequently reduce the ability to learn complex novel information. Nevertheless, semantic and cognitive procedural learning have not been properly explored at alcohol treatment entry, despite its potential clinical relevance. The goal of the present study was therefore to determine whether alcoholic patients, immediately after the weaning phase, are cognitively able to acquire complex new knowledge, given their episodic and working memory deficits. Twenty alcoholic inpatients with episodic memory and working memory deficits at alcohol treatment entry and a control group of 20 healthy subjects underwent a protocol of semantic acquisition and cognitive procedural learning. The semantic learning task consisted of the acquisition of 10 novel concepts, while subjects were administered the Tower of Toronto task to measure cognitive procedural learning. Analyses showed that although alcoholic subjects were able to acquire the category and features of the semantic concepts, albeit slowly, they presented impaired label learning. In the control group, executive functions and episodic memory predicted semantic learning in the first and second halves of the protocol, respectively. In addition to the cognitive processes involved in the learning strategies invoked by controls, alcoholic subjects seem to attempt to compensate for their impaired cognitive functions, invoking capacities of short-term passive storage. Regarding cognitive procedural learning, although the patients eventually achieved the same results as the controls, they failed to automate the procedure. Contrary to the control group, the alcoholic groups' learning performance was predicted by controlled cognitive functions throughout the protocol. At alcohol treatment entry, alcoholic patients with neuropsychological deficits have difficulty acquiring novel semantic and cognitive procedural knowledge. Compared with

The Waste Treatment Plant, a Work in Progress

International Nuclear Information System (INIS)

Hamel, W. F. Jr.; Duncan, G. M.

2006-01-01

There are many challenges in the design and construction of Department of Energy's (DOE) Waste Treatment and Immobilization Plant (WTP) at the Hanford site. The plant is being built to process some 55 million gallons of radioactive waste from 177 underground tanks. Engineering and construction are progressing on this largest project in the DOE complex. This paper describes some of WTP's principal recent challenges and opportunities and how they are being addressed to minimize impact on the project, enhance the capabilities of the facilities, and reduce risk. A significant new development in 2005 was the need to account for higher seismic accelerations than originally specified for the facility structures and equipment. Efforts have centered on continuing design and construction with minimal risk, while the final seismic design spectra was developed. Other challenges include development of an alternative cesium ion exchange resin to minimize the risk from reliance on a single product, implementing advanced analytical techniques to improve laboratory performance, adopting a thinner walled high level waste (HLW) canister to reduce waste volume and mission duration, and commissioning a comprehensive external flowsheet review of the design, along with its underpinning technologies, and projected plant operability. These challenges make it clear that WTP is a work in progress, but the challenges are being successfully resolved as the design and construction move on to completion. (authors)

Effectiveness of social work intervention with a systematic approach to improve general health in opioid addicts in addiction treatment centers.

Science.gov (United States)

Raheb, Ghoncheh; Khaleghi, Esmat; Moghanibashi-Mansourieh, Amir; Farhoudian, Ali; Teymouri, Robab

2016-01-01

This study takes a systematic approach to investigate the effect of social work intervention aimed at increasing general health among opioid addicts in addiction treatment centers. This is an experimental plan (pretest to posttest with a control group); the study sample included 60 patients with drug dependencies undergoing treatment in addiction treatment centers. These patients were randomly assigned as case (30) and control (30) groups. The case group was subjected to intervention over ten sessions, whereas the control group received no intervention. Both groups then passed through a posttest, while a follow-up was conducted after 4 months. Data were obtained via a General Health Questionnaire. A covariance analysis test and independent and dependent t -test results indicated that a social work intervention adopting systematic approach was effective in increasing the general health of drug-addicted patients under treatment. Thus, the nature of the presence of social workers in addiction treatment centers has been effective and can have a significant influence by reducing anxiety and insomnia and somatic symptoms, improving patients' self-understanding and self-recognition, and enhancing social functioning.

A Psychoanalytic Study of Sylvia Plath.

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Feirstein, Frederick

2016-02-01

Sylvia Plath's rage at her abandoning husband and at her late beloved father was partly a displacement of anger toward her loving but smothering mother. Her schizoid pathology resulting from the symbiosis (along with her bipolarity) helped prompt her suicide. At the same time her rage at the men represented a struggle to prevent it. The focus of this paper is to explore in the context of her life how the style as well as the content of her last book, Ariel, made for one long suicide note-albeit a beautifully written work of art. In the most accessible of her poems, such as "Daddy," "Lady Lazarus," and "Edge," her health overcomes her pathology. In others her pathology dominates. In Ariel Plath attempted and succeeded in turning herself into a tragic, mythic heroine, eventually drowning herself in a gas oven as she would have in the ocean-a key metaphor for her mother.

Play and Power

DEFF Research Database (Denmark)

The power of play, so central to psychoanalytic theory and practice, is conjoined to the social psychological or socio-politically coloured concept of power, giving rise to many fruitful discussions of how these concepts manifest themselves in clinical work with children, groups and adults...

Somatization: a perspective from self psychology.

Science.gov (United States)

Rodin, G M

1991-01-01

Somatization is a complex phenomenon that occurs in many forms and diverse settings. It is not necessarily pathological and may be found in a variety of psychiatric disorders. Much of the psychiatric literature has focused on patients with conversion disorders and hypochondriasis. Psychoanalytic theories regarding such conditions were largely based upon concepts of drive, conflict, and defense. The perspective from self psychology, with its emphasis on subjective experience and the sense of self, may further enhance the psychoanalytic understanding of somatization. Individuals with disturbances in the stability and organization of the self may present with somatic symptoms and disturbances in emotional awareness. Somatization in such cases may be the experiential manifestation of a disturbance in the cohesion of the self and/or may result from defensive operations to ward off affect. The latter may be prominent when affective arousal triggers the psychological threat of fragmentation. Somatization may diminish in such individuals when a self-object relationship is formed that bolsters and consolidates the sense of self. The integration of affect into ongoing subjective experience may also be an important aspect of psychoanalytic treatment in such patients.

Uterine/Endometrial Cancer: Working with Your Treatment Team

Science.gov (United States)

... with Your Treatment Team Treatment Surgery Surgical Staging Pathology of Ovarian Cancer Chemotherapy Radiation Therapy Hormone Therapy ... 20, 2016 January 17, 2017 February 21, 2017 March 22, 2017 April 18, 2017 May 16, 2017 ...

Is there still a place for the concept of 'therapeutic regression' in psychoanalysis?

Science.gov (United States)

Spurling, Laurence S

2008-06-01

The author uses his own failure to find a place for the idea of therapeutic regression in his clinical thinking or practice as the basis for an investigation into its meaning and usefulness. He makes a distinction between three ways the term 'regression' is used in psychoanalytic discourse: as a way of evoking a primitive level of experience; as a reminder in some clinical situations of the value of non-intervention on the part of the analyst; and as a description of a phase of an analytic treatment with some patients where the analyst needs to put aside normal analytic technique in order to foster a regression in the patient. It is this third meaning, which the author terms "therapeutic regression" that this paper examines, principally by means of an extended discussion of two clinical examples of a patient making a so-called therapeutic regression, one given by Winnicott and the other by Masud Khan. The author argues that in these examples the introduction of the concept of therapeutic regression obscures rather than clarifies the clinical process. He concludes that, as a substantial clinical concept, the idea of therapeutic regression has outlived its usefulness. However he also notes that many psychoanalytic writers continue to find a use for the more generic concept of regression, and that the very engagement with the more particular idea of therapeutic regression has value in provoking questions as to what is truly therapeutic in psychoanalytic treatment.

O encontro trabalhador-usuário na atenção à saúde: uma contribuição da narrativa psicanalítica ao tema do sujeito na saúde coletiva The healthcare professional-patient relationship: a contribution of psychoanalytic narrative to the issue of the subject in public health

Directory of Open Access Journals (Sweden)

Rosana Onocko Campos

2005-09-01

Full Text Available Neste trabalho procurou-se problematizar o tema do encontro assistencial entre usuários e trabalhadores de saúde. Utilizando uma abordagem hermenêutico-crítica e narrativa mapeiam-se brevemente algumas linhas narrativas visando situar em relação a elas o tema em estudo. Oferecem-se algumas categorias oriundas da psicanálise e da psicoterapia institucional para repensar a dimensão do encontro profissional-usuário, nas suas relações com a instituição, a clínica, o acolhimento e a gestão. No final, a partir das elaborações de Kristeva, propõe-se uma ligação metodológica entre texto-narrativa e experiência.It is our purpose, in this work, to debate the relationship between workers and patients in the clinic context. Using a hermeneutic and narrative approach, we shall discuss some narrative lines in order to situate the present study. We offer some psychoanalytic and institutional psychotherapy categories, as a tool for rethinking this relationship, in their institutional, clinic, and managing aspects. In the end, following Kristeva, a linking between text, narrative and experience is proposed.

Sacred space, analytic space, the self, and god.

Science.gov (United States)

Rizzuto, Ana-María

2009-01-01

Parental figures influence the type of religious experiences a person may have. Clinical material from the analysis of a young woman documents the importance of having an actual sacred space in which one can be oneself in religious life and a psychoanalytic space during treatment to progressively experience oneself.

Induced Recall of Jane Austen's Novels: Films, Television, Videos.

Science.gov (United States)

Diaz de Chumaceiro, Cora L.

2000-01-01

Notes that the popularity of Jane Austen adaptations in theaters, television, and videos increases the probability that patients and therapists may recall these movies in treatment. Underscores excerpts from a comparison of an Austen novel with the psychoanalytic process and highlights available film adaptations in video format. (SC)

The unconscious and the creative process.

Science.gov (United States)

Horner, Althea J

2006-01-01

Both psychologist and writer, the author describes the creative process from research, psychological, psychoanalytic, and personal experiential perspectives. The approaches of Ernest Hemingway, Stephen King, and W. Somerset Maugham to their work are very different, illustrating that the expression of creativity is idiosyncratic and unique. Examples of the author's creative process are also presented. Creativity can be used to help the writer come to terms with and to master his or her conflicts as described by Ray Bradbury. It can also be used simply to discharge those conflicts without coming to terms with them as was the work of Sylvia Plath. The relation between dreaming and creativity is discussed. Creativity is viewed not only as a vehicle for self-expression but also as a vehicle for self-discovery. The therapist's creativity and its relevance to the treatment process is also pointed out.

The occurrence and removal of selected pharmaceutical compounds in a sewage treatment works utilising activated sludge treatment

Energy Technology Data Exchange (ETDEWEB)

Jones, O.A.H. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Voulvoulis, N. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Lester, J.N. [School of Water Sciences, Cranfield University, Cranfield, Bedfordshire MK43 0AL (United Kingdom)]. E-mail: j.lester@cranfield.ac.uk

2007-02-15

Pharmaceutical substances have been detected in sewage effluents as well as receiving waters in many parts of the world. In this study, the occurrence and removal of a number of drug compounds were studied within a large sewage treatment plant in the south of England. Samples were processed using solid phase extraction and analysed using gas chromatography-mass spectrometry (GC-MS). The results demonstrate that ibuprofen, paracetamol, salbutamol and mefenamic acid were present in both the influent and effluent of the works while propranolol-HCl was not found above the limit of quantification in any sample. Elimination rates were circa 90% for each compound but several hundred nanograms per litre were still present in the final effluent. - This report looks at the occurrence and removal rates of drugs in English wastewater.

The occurrence and removal of selected pharmaceutical compounds in a sewage treatment works utilising activated sludge treatment

International Nuclear Information System (INIS)

Jones, O.A.H.; Voulvoulis, N.; Lester, J.N.

2007-01-01

Pharmaceutical substances have been detected in sewage effluents as well as receiving waters in many parts of the world. In this study, the occurrence and removal of a number of drug compounds were studied within a large sewage treatment plant in the south of England. Samples were processed using solid phase extraction and analysed using gas chromatography-mass spectrometry (GC-MS). The results demonstrate that ibuprofen, paracetamol, salbutamol and mefenamic acid were present in both the influent and effluent of the works while propranolol-HCl was not found above the limit of quantification in any sample. Elimination rates were circa 90% for each compound but several hundred nanograms per litre were still present in the final effluent. - This report looks at the occurrence and removal rates of drugs in English wastewater

Definition, diagnosis and treatment strategies for opioid-induced bowel dysfunction-Recommendations of the Nordic Working Group.

Science.gov (United States)

Drewes, Asbjørn M; Munkholm, Pia; Simrén, Magnus; Breivik, Harald; Kongsgaard, Ulf E; Hatlebakk, Jan G; Agreus, Lars; Friedrichsen, Maria; Christrup, Lona L

2016-04-01

Opioid-induced bowel dysfunction (OIBD) is an increasing problem due to the common use of opioids for pain worldwide. It manifests with different symptoms, such as dry mouth, gastro-oesophageal reflux, vomiting, bloating, abdominal pain, anorexia, hard stools, constipation and incomplete evacuation. Opioid-induced constipation (OIC) is one of its many symptoms and probably the most prevalent. The current review describes the pathophysiology, clinical implications and treatment of OIBD. The Nordic Working Group was formed to provide input for Scandinavian specialists in multiple, relevant areas. Seven main topics with associated statements were defined. The working plan provided a structured format for systematic reviews and included instructions on how to evaluate the level of evidence according to the GRADE guidelines. The quality of evidence supporting the different statements was rated as high, moderate or low. At a second meeting, the group discussed and voted on each section with recommendations (weak and strong) for the statements. The literature review supported the fact that opioid receptors are expressed throughout the gastrointestinal tract. When blocked by exogenous opioids, there are changes in motility, secretion and absorption of fluids, and sphincter function that are reflected in clinical symptoms. The group supported a recent consensus statement for OIC, which takes into account the change in bowel habits for at least one week rather than focusing on the frequency of bowel movements. Many patients with pain receive opioid therapy and concomitant constipation is associated with increased morbidity and utilization of healthcare resources. Opioid treatment for acute postoperative pain will prolong the postoperative ileus and should also be considered in this context. There are no available tools to assess OIBD, but many rating scales have been developed to assess constipation, and a few specifically address OIC. A clinical treatment strategy for OIBD

Comparing Psychodynamic Teaching, Supervision, and Psychotherapy Over Videoconferencing Technology with Chinese Students.

Science.gov (United States)

Gordon, Robert M; Wang, Xiubing; Tune, Jane

2015-12-01

How do experts compare teaching, supervision, and treatment from a psychodynamic perceptive over the Internet with in-person work? Our methodology was based on the expert opinions of 176 teachers, supervisors, and therapists in the China American Psychoanalytic Alliance (CAPA) who use videoconferencing (VCON) with Chinese students. The results from our online survey indicate: (1), The longer teachers teach, the more effective they rate teaching over VCON; (2), Teaching, supervision, and treatment were all rated in the range of "slightly less effective" than in-person, with supervision rated significantly more effective than teaching and treatment over VCON; (3), When doing psychodynamic treatment over VCON the issues of symptom reduction, exploring mental life, working on transference, relational problems, resistance, privacy issues, countertransference, are all equally rated in the range of "slightly less effective" than in-person treatment; (4), The highest significantly rated indications for treatment over VCON are: "To offer high quality treatment to underserved or remote patients" and "When patient is house-bound or travel would be impractical"; and (5), The highest significantly rated contraindication for treatment over VCON is: "Patient needs close observation due to crisis or decompensation." Overall, this survey suggests that VCON teaching, supervision, and treatment from a psychodynamic perceptive is a worthwhile option when considering its unique contribution to extending services where needed.

Fluorescence spectroscopy as a tool for determination of organic matter removal efficiency at water treatment works

Directory of Open Access Journals (Sweden)

M. Z. Bieroza

2010-04-01

Full Text Available Organic matter (OM in drinking water treatment is a common impediment responsible for increased coagulant and disinfectant dosages, formation of carcinogenic disinfection-by products, and microbial re-growth in distribution system. The inherent heterogeneity of OM implies the utilization of advanced analytical techniques for its characterization and assessment of removal efficiency. Here, the application of simple fluorescence excitation-emission technique to OM characterization in drinking water treatment is presented. The fluorescence data of raw and clarified water was obtained from 16 drinking water treatment works. The reduction in fulvic-like fluorescence was found to significantly correlate with OM removal measured with total organic carbon (TOC. Fluorescence properties, fulvic- and tryptophan-like regions, were found to discriminate OM fractions of different removal efficiencies. The results obtained in the study show that fluorescence spectroscopy provides a rapid and accurate characterization and quantification of OM fractions and indication of their treatability in conventional water treatment.

A high working memory load prior to memory retrieval reduces craving in non-treatment seeking problem drinkers

NARCIS (Netherlands)

Kaag, A.M.; Goudriaan, A.E.; de Vries, T.J.; Pattij, T.; Wiers, R.W.

BACKGROUND: Reconsolidation-based interventions have been suggested to be a promising treatment strategy for substance use disorders. In this study, we aimed to investigate the effectiveness of a working memory intervention to interfere with the reconsolidation of alcohol-related memories in a

A high working memory load prior to memory retrieval reduces craving in non-treatment seeking problem drinkers

NARCIS (Netherlands)

Kaag, Anne Marije; Goudriaan, Anna E.; de Vries, Taco J.; Pattij, Tommy; Wiers, Reinout W.

2018-01-01

Reconsolidation-based interventions have been suggested to be a promising treatment strategy for substance use disorders. In this study, we aimed to investigate the effectiveness of a working memory intervention to interfere with the reconsolidation of alcohol-related memories in a sample of

Efficacy of Physical Therapy in the Treatment of Gonarthrosis in Physically Burdened Working Men

Science.gov (United States)

Kasumovic, Mersija; Gorcevic, Emir; Gorcevic, Semir; Osmanovic, Jasna

2013-01-01

Introduction: Gonarthrosis is most frequently defined as the change involving damage of the articular cartilage of the knee joint, emergence of abnormal knee tissue, reactive changes in synovial membrane, and pathological synovial fluid. The site of initial damage most often remains unknown. Goal of the research The goal: The goal of this research is to demonstrate the efficacy of individual physical therapy during the medical treatment for gonarthrosis in the working population engaged in physical labour, and to compare the state of pain and mobility before and after the treatment. Subjects and research methods: The research encompassed 30 subjects diagnosed with gonarthrosis, and it was conducted in the Institute of Occupational Health and Sports Medicine of the Zenica-Doboj Canton. On the basis of the applied physical treatments, we divided the subjects into control group and treatment group. All the subjects were treated during 21 days. Results and conclusions: In the largest number of subjects in both groups gonarthrosis occurred primarily as a consequence of knee joint trauma, and then because of weight and physical strain. Of the total number of subjects covered by this research, 9 subjects in control and 8 in treatment group had gonarthrosis of their right knee. 4 subjects in the control and 5 in the treatment group had gonarthrosis of the left knee, while 2 subjects from each group had gonarthrosis on both knees. By the analysis of clinical symptoms of gonarthrosis prior to the treatment, it was found that all the subjects from both groups had pain symptom, in 13 subjects from the control and 14 subjects from the treatment group limited range of motion was established, while 8 subjects from control and 9 subjects from treatment group had swelling in the joint area. The condition of the subjects prior to the treatment was analyzed by means of pain scale, and it was found that both groups experienced moderate level of pain before the treatment. After the 21

Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment?

DEFF Research Database (Denmark)

Madsen, Ida E H; Hanson, Linda L Magnusson; Rugulies, Reiner Ernst

2014-01-01

Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects of emoti...... of emotional demands on antidepressant treatment, as an indicator of common mental disorders, are buffered by good leadership.......Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects...

Kinetic characterization and of recrystallization of the aluminum alloy 6063 after S work hardening treatment; Caracterizacao e cinetica de recristalizacao da liga de aluminio 6063 apos tratamentos termomecanicos

Energy Technology Data Exchange (ETDEWEB)

Esposito, Iara Maria

2006-07-01

The aluminum 6063 alloy possesses a great industrial interest, presenting characteristics that justify its frequent use, when compared to the other aluminum alloys: the precipitation hardening and high cold work capacity. These alloys present high ductility, that allows their use in operations with high deformation degrees, as the cold work. The objective of this work is to show comparative analysis of the hardness Vickers of the commercial aluminum 6063 alloy, after cold work with different area reduction degree and thermal treatment. Considering the frequent utilization aluminium 6063 alloy, this work studies the characterization and recrystallization of this alloy, after the plastic deformation in different area reduction degrees, thermal treatment and convenient treatment times - Thermo mechanic Treatments. (author)

Oedipuscomplex

NARCIS (Netherlands)

Zock, Hetty; Segal, Robert A.; von Stuckrad, Kocku

2015-01-01

The Oedipus complex, a central concept in Sigmund Freud’s psychoanalytical clinical work and theory of culture, is used in religious studies to explain the origin and function of religion. It is a highly disputed concept that has led to the conflictual history between psychoanalysis and cultural

The mixed waste focus area mercury working group: an integrated approach for mercury treatment and disposal

International Nuclear Information System (INIS)

Conley, T.B.; Morris, M.I.; Holmes-Burns, H.; Petersell, J.; Schwendiman, L.

1997-01-01

In May 1996, the U.S. Department of Energy (DOE) Mixed Waste Focus Area (MWFA) initiated the Mercury Work Group (HgWG), which was established to address and resolve the issues associated with mercury- contaminated mixed wastes. Three of the first four technology deficiencies identified during the MWFA technical baseline development process were related to mercury amalgamation, stabilization, and separation/removal. The HgWG will assist the MWFA in soliciting, identifying, initiating, and managing all the efforts required to address these deficiencies. The focus of the HgWG is to better establish the mercury-related treatment needs at the DOE sites, refine the MWFA technical baseline as it relates to mercury treatment, and make recommendations to the MWFA on how to most effectively address these needs. The team will initially focus on the sites with the most mercury-contaminated mixed wastes, whose representatives comprise the HgWG. However, the group will also work with the sites with less inventory to maximize the effectiveness of these efforts in addressing the mercury- related needs throughout the entire complex

The Broken Self: Injured States in The Transference-Countertransference Matrix.

Science.gov (United States)

Reichenthal, Barbara

2017-06-01

Themes of injury and injuredness reverberate throughout the treatment of patients categorized as having disorders of the self. Aspects of the various identifications that these patients may make with clinicians who are visibly physically handicapped from the outset of treatment are explored. Vignettes from psychoanalytically informed psychotherapies conducted at frequencies of up to three times weekly reveal how these identifications are used to externalize a sense of internal psychic impairment and to shed defective introjects in an attempt to preserve a faltering self. Themes of injury and defectiveness resonate throughout the transference-countertransference matrix, leading either to a working through of the injured state or, in unfortunate cases, to the disabling of the treatment itself. Particular attention is paid to patients who reveal during treatment that they were raised by a physically ill or handicapped parent and are therefore particularly vulnerable to castrative or disintegrative anxiety. Implications for the use of the able-bodied clinician by such patients are also considered, as well as the use of the clinician's injuredness by less primitively organized patients. The limitations of these treatments are also addressed.

Bion's thinking about groups: a study of influence and originality.

Science.gov (United States)

Schneider, John A

2015-04-01

One of Bion's least-acknowledged contributions to psychoanalytic theory is his study of the relationship between the mind of the individual (the ability to think), the mentalities of groups of which the individual is a member, and the individual's bodily states. Bion's early work on group therapy evolved into a study of the interplay between mind and bodily instincts associated with being a member of a group, and became the impetus for his theory of thinking. On the foundation of Bion's ideas concerning this interaction among the thinking of the individual, group mentality, and the psyche-soma, the author presents his thoughts on the ways in which group mentality is recognizable in the analysis of individuals. © 2015 The Psychoanalytic Quarterly, Inc.

Marion Milner, mysticism and psychoanalysis.

Science.gov (United States)

Sayers, Janet

2002-02-01

It is unusual to combine mysticism and psychoanalysis. Marion Milner, however, achieved precisely this. Through her self-analysis and analytic work with children and adults--and using as an illustration her own and others' imaginative ideas, paintings, doodles, drawings and pictures--she drew attention to the potential for health and creativity of undoing the obstacles to mystical experience of oneness with what is beyond or other than the self, which she sometimes called God, the unconscious or the id. This article seeks to explain and highlight this aspect of her contribution to, and continuing importance for, psychoanalytic theory and practice--particularly that associated with Winnicott--through detailing her early life and diary-keeping experiments, some of her psychoanalytic case histories during and after the Second World War, her work as an artist, ending with her travels and her involvement during the 1980s and 1990s with the Squiggle Foundation and British Association of Art Therapists.

Boundary work of dentists in everyday work.

Science.gov (United States)

Franzén, Cecilia

2012-08-01

The Swedish policy objectives in dental care provision - to meet public demands for dental care and to increase the cost-effectiveness of the service - require dentists to work in teams with dental hygienists and dental nurses. This study focused on the role of dentists in the distribution of work tasks within teams in one Swedish Public Dental Service organisation. Dental clinics were viewed as micro-political arenas in which dentists attempt to demarcate professional boundaries in response to teamwork. Semi-structured interviews, observations and documents were used. The interviewed individuals were seven dentists employed at two clinics, the managers of each clinic and the general manager. The dentists were interviewed to investigate how they defend or blur professional boundaries. They were also observed at work. The clinic managers and the general manager were interviewed to identify their expectations of dentists concerning work division. The documents comprised organisational plans and annual reports. Dentists demarcated professional boundaries by utilising various power resources: treatment responsibility, specialist knowledge, discretion, and avoidance of work considered to be low status work. The dentists also contributed to blurred boundaries between themselves and the other dental professionals by discussing patient treatment, giving and receiving advice, and assisting the others in skill development. Although dentists' boundary work could obstruct implementation of policy objectives, dentists' behaviour contributed to effective collaboration within the teams. © 2012 John Wiley & Sons A/S.

What Works in the Treatment of Borderline Personality Disorder

OpenAIRE

Choi-Kain, Lois W.; Finch, Ellen F.; Masland, Sara R.; Jenkins, James A.; Unruh, Brandon T.

2017-01-01

Purpose of the Review This review summarizes advances in treatments for adults with borderline personality disorder (BPD) in the last 5?years. Recent Findings Evidence-based advances in the treatment of BPD include a delineation of generalist models of care in contrast to specialist treatments, identification of essential effective elements of dialectical behavioral therapy (DBT), and the adaptation of DBT treatment to manage post-traumatic stress disorder (PTSD) and BPD. Studies on pharmacol...

Shift Work Disorder and Mental and Physical Effects of Shift Work

Directory of Open Access Journals (Sweden)

Pinar Guzel Ozdemir

2018-03-01

Full Text Available With the growing prevalence of shift work all over the the world, the relationship between the daily lives of irregular lifestyles and rhythms is being investigated for those working as shift workers and their families. The effect of shift work on physical and mental health is a very important field of research in recent years. The onset and persistence of medical complications in shift workers includes impaired synchronization between work schedule rhythms and circadian clock. In this context, studies have been carried out showing the increased risk of sleep-wake disorders, gastrointestinal problems, and cardiovascular diseases. There is little information about the actual frequency, effect on health and treatment of shift work disorder, known as circadian rhythm sleep disorder. Shift work disorder includes insomnia and/or excessive sleepiness related with the work schedule. The aim of this rewiev, mentioning about the physical and mental effects of shift work, and to provide information about the diagnosis, clinic and treatment methods of shift-work disorder.

Tomatoes from the sewage treatment works

International Nuclear Information System (INIS)

Anon.

1994-01-01

In Stendsund a sewage cleaning method was developed in which waste water is subjected to a special treatment in order to regain nutrients which would otherwise aggravate the pollution of the Baltic Sea and to use them as fertilizer and food for food plants and fish. Structure and mode of operation of the method are described. (BWI) [de

Minding the Gap between Neuroscientific and Psychoanalytic Understanding of Autism

Science.gov (United States)

Mitrani, Judith

2010-01-01

This paper offers an integrative approach to the increasingly complex puzzle of autistic spectrum disorders. The author demonstrates how the work of one group of neuroscientists in Parma, on a special class of brain cells called "mirror neurons", and the work of researchers at the University of California in San Diego, applying these…

Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

DEFF Research Database (Denmark)

Netterstrøm, Bo; Bech, Per

2010-01-01

ABSTRACT: BACKGROUND: In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study...... was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. METHODS: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational...... indicated by depression test score.On average each patient attended six one-hour sessions over the course of four months.A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline...

Less Citation, Less Dissemination: The Case of French Psychoanalysis

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Rémy Potier

2016-11-01

Full Text Available We contribute to inquiries about the visibility of globalized psychoanalytic research in the digital era (cf. Stepansky 2009 by adopting a comparative perspective on a specific geographic area of historical importance for psychoanalysis: France. The largely digital globalized psychoanalytic research field relies on standard bibliometric measures of journal quality (Impact Factor, SJR, etc.,which depend on the number and type of academic cites received by a journal. Thus, citing shapes academic publishing space by differentially valuing its component journals. Conversely, not to cite practically means not to engage with the field. Hence, we took citedness rate as a proxy for global visibility.By drawing on an original database created by one of us, we determined the global citational visibility of French vs. Anglo- American psychoanalytic productions (respective global outreach; and we related it to a first look at French vs. Anglo-American citation practices (geographic breakdown of article cites.We found that,on a 15 - year period,the global outreach(citedness rate of French articles is ten times smaller than that of Anglo - American articles;and that French articles are cited in Anglo - American journals five times more than Anglo - American articles in French journals– which in turn don’ t seem to cite their French peers very often.These specific French citation practices could be explained by the implicit modes of reference at work in clinical settings shaped by rich theoretical and clinical local legacies.We conclude by considering that this situation presents French psychoanalytic research with a formidable opportunityfor increased citational visibility.

Procedimentos, colocação em cena da dupla ("Enactment" e validação clínica em psicoterapia psicanalítica e psicanálise Psicoanálisis y psicoterapia psicoanalítica: procedimientos, validación clínica y el modelo de "colocación en escena" ("enactment" Procedures, enactment and clinical validation in psychoanalytical psychotherapy and psychoanalysis

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Roosevelt M. Smeke Cassorla

2003-12-01

Psychoanalytic Psychotherapy are shown as to procedures and objectives. The "enactment" model is presented and its value in the clinical validation process is discussed as related to the treatment objectives. OBJECTIVES: The objectives of the paper are to describe and discuss ways to validate procedures in psychoanalysis clinically and relate them to the objectives of Psychoanalysis and Psychoanalytic Psychotherapy. METHOD: Clinical-psychoanalytical, illustrated with a patient with OCD. RESULTS-CLINICAL MATERIAL: The dynamics involved in parts of two analytical sessions is presented. It shows that the analyst's failure turned out to be productive when its effect was evaluated (clinical validation, resulting in extending the patient's thinking capacity, the theoretical model used. DISCUSSION: Two items are discussed. 1. Validation, "enactment" and countertransference: showing the need for the analyst to be part of the "scene" and use the derivatives of his/her countertransference to understand the "enactment". 2. Psychoanalysis and Psychoanalytic Psychotherapy: showing how clear objectives are a condition for their proper validation. CONCLUSIONS: Because psychoanalysis and psychoanalytic psychotherapy deal with complex variables, which are impossible to isolate and control, they need continuous intra-clinical validation, and clear objectives are essential. The "enactment" model associated with the Bion thinking theory is demonstrated as a basis for this validation.

Treatment of Mobbing in School: Principles for and the Results of the Work of an Anti Mobbing Group

Science.gov (United States)

Pikas, Anatol

1975-01-01

Article attempted to define the concept of mobbing and to develop principles of treatment in connection with cases which really occur, and to use the work in a regular university course providing students with successful personal therapeutic experiences. (Author/RK)

The twilight of the training analysis system.

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Kernberg, Otto F

2014-04-01

This paper briefly reviews challenges to psychoanalysis at this time, including those derived from both external, societal origins and internal psychoanalytic problems. It focuses attention on serious conflicts around psychoanalytic education, and refers to the training analysis system as a central problem determining fundamental constraints on present-day psychoanalytic education. These constraints are examined in some detail, and the general advantages and disadvantages of the training analysis system are outlined. The effects of all these dynamics on the administrative organization of the American Psychoanalytic Association are explored, and a proposal for a fundamental reorganization of our educational system to resolve the correspondent problems is outlined.

Unconsciously Induced Recall of Prose and Poetry: Analysis of Manifest and Latent Contents.

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Diaz de Chumaceiro, Cora L.

1997-01-01

Argues that it is important for therapists to pay attention to the literature that surfaces in their own consciousness during treatment of a patient. Examines a published example of this process in Theodore Reik's (1953) "The Secret Self: Psychoanalytic Experiences in Life and Literature," in which thoughts of Shakespeare's "Hamlet" are evoked.…

Psychological intervention with working memory training increases basal ganglia volume: A VBM study of inpatient treatment for methamphetamine use

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S.J. Brooks, PhD

2016-01-01

Conclusions: While psychological intervention is associated with larger volume in mesolimbic reward regions, the utilisation of additional working memory training as an adjunct to treatment may further normalize frontostriatal structure and function.

Assessment of Change in Psychoanalysis: Another Way of Using the Change After Psychotherapy Scales.

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Pires, António Pazo; Gonçalves, João; Sá, Vânia; Silva, Andrea; Sandell, Rolf

2016-04-01

A systematic method is presented whereby material from a full course of psychoanalytic treatment is analyzed to assess changes and identify patterns of change. Through an analysis of session notes, changes were assessed using the CHange After Psychotherapy scales (CHAP; Sandell 1987a), which evaluate changes in five rating variables (symptoms, adaptive capacity, insight, basic conflicts, and extratherapeutic factors). Change incidents were identified in nearly every session. Early in the analysis, relatively more change incidents related to insight were found than were found for the other types of change. By contrast, in the third year and part of the fourth year, relatively more change incidents related to basic conflicts and adaptive capacity were found. While changes related to symptoms occurred throughout the course of treatment, such changes were never more frequent than other types of change. A content analysis of the change incidents allowed a determination of when in the treatment the patient's main conflicts (identified clinically) were overcome. A crossing of quantitative data with clinical and qualitative data allowed a better understanding of the patterns of change. © 2016 by the American Psychoanalytic Association.

Why it's important for it to stop: Examining the mental health correlates of bullying and ill-treatment at work in a cohort study.

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Butterworth, Peter; Leach, Liana S; Kiely, Kim M

2016-11-01

There is limited Australian information on the prevalence and mental health consequences of bullying and ill-treatment at work. The aims of this study were to use data from an ongoing Australian longitudinal cohort study to (1) compare different measures of workplace bullying, (2) estimate the prevalence of bullying and ill-treatment at work, (3) evaluate whether workplace bullying is distinct from other adverse work characteristics and (4) examine the unique contribution of workplace bullying to common mental disorders in mid-life. The sample comprised 1466 participants (52% women) aged 52-58 from wave four of the Personality and Total Health (PATH) through Life study. Workplace bullying was assessed by a single item of self-labelling measure of bullying and a 15-item scale of bullying-related behaviours experienced in the past 6 months. Factor analysis the identified underlying factor structure of the behavioural bullying scale. Current bullying was reported by 7.0% of respondents, while 46.4% of respondents reported that they had been bullied at some point in their working life. Person-related and work-related bullying behaviours were more common than violence and intimidation. The multi-dimensional scale of bullying behaviours had greater concordance with a single item of self-labelled bullying (Area Under the Curve = 0.88) than other adverse work characteristics (all Area Under the Curves bullying and scales reflecting person-related and work-related bullying were independent predictors of depression and/or anxiety. This study provides unique information on the prevalence and mental health impacts of workplace bullying and ill-treatment in Australia. Workplace bullying is a relatively common experience, and is associated with increased risk of depression and anxiety. Greater attention to identifying and preventing bullying and ill-treatment in the workplace is warranted. © The Royal Australian and New Zealand College of Psychiatrists 2015.

"More Than Lessons in How To Read": Burke, Freud, and the Resources of Symbolic Transformation.

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Quandahl, Ellen

2001-01-01

Argues that Kenneth Burke used "The Interpretation of Dreams," as well as other works by Sigmund Freud, as a lesson on reading, taking over the central tropes of dreamwork and making them broadly dialectical rather than strictly psychoanalytic terms. Suggests that Freud's "tropology" of dreaming is crucial for reading Burke.…

Formation of microstructure and properties on hot working and heat treatment of high strength modular cast iron

International Nuclear Information System (INIS)

Trajno, A.I.; Yusupov, V.S.; Kugushin, A.A.

1999-01-01

The possibility of plastic deformation of high strength modular cast iron (HSNCI) is under study. The microstructure and mechanical properties of hot worked and heat treated cast iron are investigated for the composition, %: Fe - 2.9 C - 2.4 Si - 0.7 Ni - 0.05 Mg - 0.04 Ce. It is stated that HSNCI can withstand various types of hot working without fracturing. Graphite inclusions lose their modular shape irreversibly during plastic deformation. Subsequent heat treatment affects the metal matrix only. The heating in oxidizing environment is noted to result in cast iron surface decarbonization [ru

O conceito de pulsão de morte na obra de Freud The concept of death drive in Freud's work

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José Gutiérrez-Terrazas

2002-06-01

Full Text Available O autor postula que o conceito de "pulsão de morte" na obra de Freud suscita confusão dentro do pensamento psicanalítico porque, embora encadeado com a descoberta original freudiana de uma psicossexualidade inconsciente, vinculada à fantasia, auto-erótica e anárquica, por outro lado favorece a idéia de uma dinâmica psíquica de tipo biológico e inato, que faz do conflito psíquico um conflito de ordem instintiva - que por definição é insuperável.The Author postulates that the concept of a "death drive" in Freud's work arouses bewilderment in the psychoanalytic thought, because even though it's linked with the original Freudian discovery of an unconscious, fantasy related, autoerotical and anarchic psychosexuality, on the other hand it favors the idea of a psychic dynamics of a biologic and innate kind, which makes of the intrapsychic conflict a conflict of an instinctive kind - which by definition is unsurpassable.

Trauma, dream and psychic change in psychoanalyses: a dialogue between psychoanalysis and the neurosciences

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Tamara eFischmann

2013-12-01

Full Text Available To many psychoanalysts dreams are a central source of knowledge of the unconscious – the specific research object of psychoanalysis. The dialogue with the neurosciences, devoted to the testing of hypotheses on human behaviour and neurophysiology with objective methods, has added to psychoanalytic conceptualizations on emotion, memory, sleep and dreams, conflict and trauma. To psychoanalysts as well as neuroscientists, the neurological basis of psychic functioning, particularly concerning trauma, is of special interest. In this article, an attempt is made to bridge the gap between psychoanalytic findings and neuroscientific findings on trauma. We then attempt to merge both approaches in one experimental study devoted to the investigation of the neurophysiological changes (fMRI associated with psychoanalytic treatment in chronically depressed patients. We also report on an attempt to quantify psychoanalysis-induced transformation in the manifest content of dreams. To do so, we used two independent methods. First, dreams reported during the cure of chronic depressed analysands were assessed by the treating psychoanalyst. Second, dreams reported in an experimental context were analysed by an independent evaluator using a standardized method to quantify changes in dream content (Moser method. Single cases are presented. Preliminary results suggest that psychoanalysis-induced transformation can be assessed in an objective way.

Trauma, dream, and psychic change in psychoanalyses: a dialog between psychoanalysis and the neurosciences

Science.gov (United States)

Fischmann, Tamara; Russ, Michael O.; Leuzinger-Bohleber, Marianne

2013-01-01

To many psychoanalysts dreams are a central source of knowledge of the unconscious—the specific research object of psychoanalysis. The dialog with the neurosciences, devoted to the testing of hypotheses on human behavior and neurophysiology with objective methods, has added to psychoanalytic conceptualizations on emotion, memory, sleep and dreams, conflict and trauma. To psychoanalysts as well as neuroscientists, the neurological basis of psychic functioning, particularly concerning trauma, is of special interest. In this article, an attempt is made to bridge the gap between psychoanalytic findings and neuroscientific findings on trauma. We then attempt to merge both approaches in one experimental study devoted to the investigation of the neurophysiological changes (fMRI) associated with psychoanalytic treatment in chronically depressed patients. We also report on an attempt to quantify psychoanalysis-induced transformation in the manifest content of dreams. To do so, we used two independent methods. First, dreams reported during the cure of chronic depressed analysands were assessed by the treating psychoanalyst. Second, dreams reported in an experimental context were analyzed by an independent evaluator using a standardized method to quantify changes in dream content (Moser method). Single cases are presented. Preliminary results suggest that psychoanalysis-induced transformation can be assessed in an objective way. PMID:24381554

Trauma, dream, and psychic change in psychoanalyses: a dialog between psychoanalysis and the neurosciences.

Science.gov (United States)

Fischmann, Tamara; Russ, Michael O; Leuzinger-Bohleber, Marianne

2013-01-01

To many psychoanalysts dreams are a central source of knowledge of the unconscious-the specific research object of psychoanalysis. The dialog with the neurosciences, devoted to the testing of hypotheses on human behavior and neurophysiology with objective methods, has added to psychoanalytic conceptualizations on emotion, memory, sleep and dreams, conflict and trauma. To psychoanalysts as well as neuroscientists, the neurological basis of psychic functioning, particularly concerning trauma, is of special interest. In this article, an attempt is made to bridge the gap between psychoanalytic findings and neuroscientific findings on trauma. We then attempt to merge both approaches in one experimental study devoted to the investigation of the neurophysiological changes (fMRI) associated with psychoanalytic treatment in chronically depressed patients. We also report on an attempt to quantify psychoanalysis-induced transformation in the manifest content of dreams. To do so, we used two independent methods. First, dreams reported during the cure of chronic depressed analysands were assessed by the treating psychoanalyst. Second, dreams reported in an experimental context were analyzed by an independent evaluator using a standardized method to quantify changes in dream content (Moser method). Single cases are presented. Preliminary results suggest that psychoanalysis-induced transformation can be assessed in an objective way.

Growth in Emotional Intelligence. Psychotherapy with a Learning Disabled Girl

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Chantrell, Sue

2009-01-01

This paper describes the once-weekly psychoanalytic psychotherapy of a girl, called Ellie, aged eight at the start of her treatment. Ellie had a learning disability and displayed difficult behaviour at school and at home. In her therapy, Ellie grew in emotional intelligence, more in touch with and able to express her feelings. Her behaviour…

Kristeva's Thérèse: Mysticism and Modernism

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Carol Mastrangelo Bové

2013-05-01

Full Text Available This essay focuses on Julia Kristeva’s recent volume Thérèse mon amour:  Sainte Thérèse d’Avila (2008, describing and placing this blend of novel, play, psychoanalytic cultural theory, and case history in the context of her work.  I argue that the volume contributes to an understanding of religion’s impact—especially Catholic mysticism--on Western categories of women.  I address in particular Thérèse’s mysticism and modernist use of a feminine figure to subvert practices threatening the vitality of the psyche and of social relations.  As in Kristeva’s earlier writing, her psychoanalytic approach to Catholicism’s influence continues to raise questions concerning the apparent stereotypes the approach may feed, especially that of the masochistic woman.

The tragic and the metaphysical in philosophy and psychoanalysis.

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Stolorow, Robert D; Atwood, George E

2013-06-01

This article elaborates a claim, first introduced by Wilhelm Dilthey, that metaphysics represents an illusory flight from the tragedy of human finitude. Metaphysics, of which psychoanalytic metapsychologies are a form, transforms the unbearable fragility and transience of all things human into an enduring, permanent, changeless reality, an illusory world of eternal truths. Three "clinical cases" illustrate this thesis in the work and lives of a philosopher and two psychoanalytic theorists: Friedrich Nietzsche and his metaphysical doctrine of the eternal return of the same, Sigmund Freud and his dual instinct theory, and Heinz Kohut and his theoretical language of the self. It is contended that the best safeguard against the pitfalls of metaphysical illusion lies in a shared commitment to reflection on the constitutive contexts of all our theoretical ideas.

Child versus adult psychoanalysis: two processes or one?

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Sugarman, Alan

2009-12-01

Child analysis continues to be seen as a different technique from adult analysis because children are still involved in a developmental process and because the primary objects continue to play active roles in their lives. This paper argues that this is a false dichotomy. An extended vignette of the analysis of a latency-aged girl is used to demonstrate that the psychoanalytic process that develops in child analysis is structurally the same as that in adult analysis. Both revolve around the analysis of resistance and transference and use both to promote knowledge of the patient's mind at work. And both techniques formulate interventions based on the analyst's appraisal of the patient's mental organization. It is hoped that stressing the essential commonality of both techniques will promote the development of an overarching theory of psychoanalytic technique.

Psychoanalytic Discourse of the 1920s-1930s Ukrainian Novellas

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Nataliya Maftyn

2017-10-01

Full Text Available The article highlights the impact of Freud’s ideas on the Ukrainian prose between the Two World Wars. The analysis of the works by V. Pidmohylnyi and I. Cherniava shows that in literary texts, the erotic-death paradigm is one of the ‘modernist’ algorithms for plot development; in the novellas, this paradigm affects the process of conflict modeling and conflict development. It is rightly believed that V. Pidmohylnyi’s dominant literary interest was the ‘helplessness of human morality before the temptations of crime’. In the novella analyzed in this study, Pidmohylnyi adopts the perspective of the ontogenesis of the human soul at the age of puberty. I. Cherniava explores the theme of subconscious ‘temptation of crime’ a wicked and thoughtless children’s game is sure to unleash. The two stories have many features in common: they are thematically close; in both of them, the plot is based on the Freudian ideas; stylistically, they are realist-oriented works with certain elements of naturalism. The novellas belong to the same type of structurally modified literary works, in which the action is no more important than the resultant psychic changes in the characters. In both novellas, the plot is built around stable structural-behavioural patterns of human culture (in Vania, it is the initiation trial pattern; in The Execution, the perverse play pattern, the game of a trial transformed into a crime. Both works have rather specific expositions, which fulfill the function of ‘Vorgeschichte’ – they tell a reader about certain psychic inclinations of the characters and present the projection of the central theme. In both novellas, the plot type, which determines the development of action, is outlined in the prehistory. Structurally, the two novellas are based on parallelism of events. As to their style, both works bear the features of naturalism.  

How I Have Changed Over Time as a Psychotherapist.

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Messer, Stanley B

2015-11-01

Reflecting on my career as a psychotherapist has led me to consider 3 major areas that have affected the way I practice, namely, assimilative integration, the visions of reality, and brief psychodynamic therapy. Although starting out as a traditional psychoanalytic therapist, I became more integrative as I was exposed to other approaches and to patients with a variety of needs. As a result I developed a mode of integration, which I call assimilative. After applying the literary genres of tragedy, comedy, romance, and irony to psychoanalytic, behavioral, and humanistic psychotherapies, I found that they also could be used to describe any patient's multiple facets and psychological challenges. I demonstrate here how such visions helped in the treatment of a case of bipolar disorder. Upon recognizing the need for briefer forms of treatment, I developed an interest in conducting, conceptualizing, and researching brief psychodynamic therapy. I conclude the article by answering questions posed by the editors regarding how I have changed over time in conducting psychotherapy. © 2015 Wiley Periodicals, Inc.

Re-designing the everyday; The use and perception of time among cancer patients combining work and treatment

DEFF Research Database (Denmark)

Hauge, Bettina

2016-01-01

cancer patients performing their jobs while going through demanding treatment programs found time as their main motive for working while being seriously ill. Actions at work point to a time ahead, so by taking part in the time at the workplace they were inscribed in a future presently under pressure...... by their cancer diagnosis. The article describes how cancer struck women and men perceived time in their different life-worlds, at work, at home on temporary sick leave, and at the hospital, and it shows how these perceptions changed during the process of recovery.To these people time appeared in three forms......: A time beyond control, realizing that they had cancer; taking control of time, discovering that they could go to work; the time of the future, which was their new perception of time as cured. This new perception of time reflected the incidental discovery of the cancer, realizing life as coincidental...

Training Emotional Intelligence Related to Treatment Skills of Staff Working with Clients with Intellectual Disabilities and Challenging Behaviour

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Zijlmans, L. J. M.; Embregts, P. J. C. M.; Gerits, L.; Bosman, A. M. T.; Derksen, J. J. L.

2011-01-01

Background: Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance staff behaviour and treatment skills a training…

Dave Eggers's a heartbreaking work of staggering genius: memoir as a "pain-relief device".

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Miller, Elise

2011-10-01

Dave Eggers's memoir is an important addition to the tradition of autobiography in America, and offers significant contributions to our understanding of creativity, sublimation, and the psychology of the memoir-writing process. A Heartbreaking Work of Staggering Genius is really two books--an autobiographical narrative about unbearable suffering, and a book of psychoanalytic commentary on the challenges of writing a memoir about catastrophic loss and trauma. The main narrative suggests the psychological resilience it takes to contain unbearable suffering. The metanarrative renders transparent the mind of someone who is both remembering his losses and constantly reflecting upon the process of writing about them. Eggers's identification with authorship, rather than bereavement or traumatization, may have played an important role in containing his affect and his sense of self when the heartbreaking events were originally unfolding. But a price is paid when a son uses his art to construct a new identity as an author--unconscious conflicts, primitive affect, anxieties about failing, as well as guilt about succeeding--consequences often missed by readers. Heartbreaking is a palimpsest, a story about story-telling superimposed on tales of death and survival, but its messages will be missed unless all its parts are preserved when being read or studied.

[Consumerism, patient empowerment and changing clinical work--patient awareness and treatment demands on the rise].

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Toiviainen, Hanna

2011-01-01

Consumerism refers to the accentuation of a patient's status and freedom of choice within the health care. Increasing patient knowledge, empowerment and demands stand out in the medical practice. Patients seek for self-diagnosis before attending the consultation. Regarding the treatment relationship, one doctor out of five experiences the situation positive and two out of five negative. The patients influence prescription decisions. Private doctors have a more positive attitude to patients' consumer role than those working within the public sector.

Does interpersonal behavior of psychotherapy trainees differ in private and professional relationships?

OpenAIRE

Fincke, Janna I.; Möller, Heidi; Taubner, Svenja

2015-01-01

Aim: The present study aimed to evaluate the effect of trainees' interpersonal behaviour on Work Involvement (WI) and compared their social behaviour within professional and private relationships as well as between different psychotherapeutic orientations. Methods: The interpersonal scales of the Intrex short-form questionnaire and the Work Involvement Scale (WIS) were used to evaluate two samples of German psychotherapy trainees in psychoanalytic (PA), psychodynamic (PD) and cognitive behavi...

Against Flourishing: Wellbeing as biopolitics, and the psychoanalytic alternative

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C. Wright

2013-11-01

Full Text Available This article critically analyzes what is at stake in the recenttranslation of the term ‘happiness’ into the inter-related terms ‘well-being’and ‘flourishing’ within Happiness Studies. Focussing on the work of MartinSeligman, the article argues that the category of ‘flourishing’ in particularhighlights Happiness Studies and positive psychology as a new, neoliberalinterpretation of utilitarianism. This is supported with reference to MichelFoucault’s late lectures at the Collège de France on the connections betweenneoliberalism and the direct political administration of life that he termed‘biopolitics’, a concept which explains the interweaving of health andhappiness in today’s dominant therapeutic cultures. Finally, the articleattempts to outline a radical alternative to the biopolitical notion of‘flourishing’ by appealing to psychoanalysis, specifically Lacanianpsychoanalysis - its critique of consumer happiness, but also its clinicalcommitment to working transformatively with unhappiness.

Discontinuité et cohésion dans Vivre pour la raconter de Gabriel García Márquez

DEFF Research Database (Denmark)

Jensen, Julio Hans C.

2017-01-01

The present contribution aims at analyzing Gabriel García Márquez’s autobiographical work Vivir para contarla (Living to Tell the Tale) using psychoanalytic theory and Paul Ricœur’s notion of subjectivity (Soi-même comme un autre / Oneself as Another). By means of the analysis, Vivir para contarla...

Consultation in Schools: Helping Staff and Pupils with Unresolved Loss and Mourning

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Maltby, Jane

2008-01-01

This paper describes how an application of psychodynamic principles and techniques in a school setting can open up perspectives and insights into aspects of loss and mourning, which result in the personal and professional growth of individuals. It discusses applied psychoanalytic work in relation to its clinical base in the consulting room, in…

The Cat, the Cradle, and the Silver Spoon: Violence in Contemporary Art and the Question of Ethics for Art Education

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Tavin, Kevin; Kallio-Tavin, Mira

2014-01-01

Against the backdrop of objective and subjective violence, two contemporary artworks are interpreted through theories of the Other. Zhu Yu's "Eating People" (2000) is considered through Lacanian psychoanalytic theory and, in particular, through an Ethics of the Real. Teemu Mäki's "My Way, a Work in Progress" (1995) is…

Enigmatic Sexuality

DEFF Research Database (Denmark)

Zeuthen, Katrine Egede; Gammelgård, Judy

2017-01-01

? Divided into three sections, Clinical Encounters in Sexuality begins with six chapters on important themes in queer theory: identity, desire, perversion, pleasure, discourse and ethics. Section two includes fourteen responses to the chapters in section one by practising psychoanalysts and psychoanalytic......: psychoanalytic and queer. The book is edited by two psychoanalytic practitioners — one Kleinian, one Freudian-Lacanian — who also have research expertise in sexuality studies. All pieces are new and have been commissioned....

Existential analysis and psychoanalysis: specific differences and personal relationship between Ludwig Binswanger and Sigmund Freud.

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Bühler, Karl-Ernst

2004-01-01

The concise curriculum vitae of the founder of existential analysis is followed by an exact comparison of the polarity (homo natura versus homo cultura) between Binswanger and Freud. Then the five stages in the development of (Existential Daseinsanalysis Analysis) are described: the stage of learning, of practice, of criticism, of the alternative to psychoanalysis, and of reconciliation. The criticism is aimed especially at Freud's naturalism and at the concept of drive. These concepts are opposed by ontoanalytic doctrines derived from Heidegger's ontoanalysis. The differences are further exemplified by the comparison of the existentialanalytical and the psychoanalytical view of the unconscious. A presentation of the treatment of a "hysterical phobia," which is first explained in psychoanalytic terms and later in existentialanalytic terminology (mainly concerning the world-projects) makes the difference between the two schools of thought explicit.

THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

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Grażyna Nowak-Starz

2013-11-01

Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

Dilemma-focused intervention for unipolar depression: a treatment manual.

Science.gov (United States)

Feixas, Guillem; Compañ, Victoria

2016-07-12

This article introduces a new treatment protocol for depression. Based on previous research which indicated the presence of cognitive conflicts in depression, this study created an intervention manual to address these conflicts. The therapy manual for depressive patients followed the guideline for inclusion in clinical trials (stage II), which has received high recognition. A preliminary version (stage I) of this manual was formulated based on other, more general dilemma-focused therapy publications, inspired by personal construct theory (PCT), and input from clinical experience. The resulting version was then applied during the 8-session format of a pilot study with patients diagnosed with major depressive disorder or dysthymia. Finally, feedback was requested from seasoned and highly respected therapists, some of whom were familiar with PCT. According to the mentioned guideline, the intervention manual selected the theoretical framework, in this case PCT, to include its conceptualization of depression and resolution of dilemmas (to foster clinical improvement) as a main treatment goal. The manual was then contrasted with psychoanalytic psychotherapy, cognitive-behavior therapy (CBT), motivational interviewing (MI), and other similar approaches such as cognitive-analytic therapy and coherence therapy. Following these conceptual clarifications, the specific interventions included in the manual were defined according to both categories: their unique and essential components and those conceived as common psychotherapeutic factors. Next, the general structure and content for each session were presented. The structure consisted of seven well-defined individual sessions with an additional session, which could complement any of the former sessions to address the patient's issues in greater depth, if needed. This Dilemma-Focused Intervention manual aimed to improve the treatment outcome for depression by offering an intervention that could be combined with other general

Manual therapy for tension-type headache related to quality of work life and work presenteeism: Secondary analysis of a randomized controlled trial.

Science.gov (United States)

Monzani, Lucas; Espí-López, Gemma Victoria; Zurriaga, Rosario; Andersen, Lars L

2016-04-01

The objective of this research is to evaluate the efficacy of manual therapy for tension-type headache (TTH) in restoring workers quality of work life, and how work presenteeism affects this relation. This study is a secondary analysis of a factorial, randomized clinical trial on manual therapy interventions. Altogether, 80 patients (85% women) with TTH and without current symptoms of any other concomitant disease participated. An experienced therapist delivered the treatment: myofascial inhibitory technique (IT), articulatory technique (AT), combined technique (IT and AT), and control group (no treatment). In general, all treatments as compared to our control group had a large effect (f≥.69) in the improvement of participants' quality of work life. Work presenteeism interacted with TTH treatment type's efficacy on participant's quality of work life. The inhibitory technique lead to higher reports of quality of work life than other treatment options only for participants with very low frequency of work presenteeism. In turn, TTH articulatory treatment techniques resulted in higher reports of quality of work life for a high to very high work presenteeism frequency. Articulatory manipulation technique is the more efficient treatment to improve quality of work life when the frequency of work presenteeism is high. Implications for future research and practice are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

Navigating the poverty of heroin addiction treatment and recovery opportunity in Kenya: access work, self-care and rationed expectations.

Science.gov (United States)

Rhodes, Tim; Ndimbii, James; Guise, Andy; Cullen, Lucy; Ayon, Sylvia

2015-01-01

Drawing on the analyses of qualitative interview accounts of people who inject heroin in Kenya, we describe the narration of addiction treatment access and recovery desire in conditions characterised by a 'poverty of drug treatment opportunity'. We observe the performance of addiction recovery narrative in the face of heavy social constraints limiting access to care. Fee-based residential rehabilitation ('rehab') is the only treatment locally available and inaccessible to most. Its recovery potential is doubted, given normative expectations of relapse. Treating drug use is a product of tightly bounded agency. Individuals enact strategies to maximise their slim chances of treatment access ('access work'), develop self-care alternatives when these fail to materialise and ration their care expectations. The use of rehab as a primary means of respite and harm reduction rather than recovery and the individuation of care in the absence of an enabling recovery environment are key characteristics of drug treatment experience. The recent incorporation of 'harm reduction' into policy discourses may trouble the primacy of recovery narrative in addiction treatment and in how treatment desires are voiced. The diversification of drug treatments in combination with social interventions enabling their access are fundamental.

Community mapping of sex work criminalization and violence: impacts on HIV treatment interruptions among marginalized women living with HIV in Vancouver, Canada.

Science.gov (United States)

Goldenberg, Shira M; Deering, Kathleen; Amram, Ofer; Guillemi, Silvia; Nguyen, Paul; Montaner, Julio; Shannon, Kate

2017-09-01

Despite the high HIV burden faced by sex workers, data on access and retention in antiretroviral therapy (ART) are limited. Using an innovative spatial epidemiological approach, we explored how the social geography of sex work criminalization and violence impacts HIV treatment interruptions among sex workers living with HIV in Vancouver over a 3.5-year period. Drawing upon data from a community-based cohort (AESHA, 2010-2013) and linked external administrative data on ART dispensation, GIS mapping and multivariable logistic regression with generalized estimating equations to prospectively examine the effects of spatial criminalization and violence near women's places of residence on 2-day ART interruptions. Analyses were restricted to 66 ART-exposed women who contributed 208 observations and 83 ART interruption events. In adjusted multivariable models, heightened density of displacement due to policing independently correlated with HIV treatment interruptions (AOR: 1.02, 95%CI: 1.00-1.04); density of legal restrictions (AOR: 1.30, 95%CI: 0.97-1.76) and a combined measure of criminalization/violence (AOR: 1.00, 95%CI: 1.00-1.01) were marginally correlated. The social geography of sex work criminalization may undermine access to essential medicines, including HIV treatment. Interventions to promote 'enabling environments' (e.g. peer-led models, safer living/working spaces) should be explored, alongside policy reforms to ensure uninterrupted treatment access.

Freud, Plato and Irigaray: A Morpho-Logic of Teaching and Learning

Science.gov (United States)

Peers, Chris

2012-01-01

This article discusses two well-known texts that respectively describe learning and teaching, drawn from the work of Freud and Plato. These texts are considered in psychoanalytic terms using a methodology drawn from the philosophy of Luce Irigaray. In particular the article addresses Irigaray's approach to the analysis of speech and utterance as a…

What Is Protest? Feminism, Psychoanalysis and Methods of Social Change

Science.gov (United States)

Hansen, Marie

2016-01-01

Despite the fact that feminism has recognised psychoanalysis to be a theory with direct application to the understanding of sexism for over 50 years, the application of psychoanalytic thinking to feminist activism has yet to be significantly realised. Using the work of Julia Kristeva, sexism is described as a symptom of an intolerable situation…

Working Memory and Neurofeedback.

Science.gov (United States)

YuLeung To, Eric; Abbott, Kathy; Foster, Dale S; Helmer, D'Arcy

2016-01-01

Impairments in working memory are typically associated with impairments in other cognitive faculties such as attentional processes and short-term memory. This paper briefly introduces neurofeedback as a treatment modality in general, and, more specifically, we review several of the current modalities successfully used in neurofeedback (NF) for the treatment of working memory deficits. Two case studies are presented to illustrate how neurofeedback is applied in treatment. The development of Low Resolution Electromagnetic Tomography (LORETA) and its application in neurofeedback now makes it possible to specifically target deep cortical/subcortical brain structures. Developments in neuroscience concerning neural networks, combined with highly specific yet practical NF technologies, makes neurofeedback of particular interest to neuropsychological practice, including the emergence of specific methodologies for treating very difficult working memory (WM) problems.

Melanie Klein in Buenos Aires: beginnings and developments.

Science.gov (United States)

Etchegoyen, R Horacio; Zysman, Samuel

2005-06-01

In the first decades of the 20th century, Freud was known and quoted in Latin America by an elite of enlightened minds. In the 1940s a convergence took place in Buenos Aires of European exiles with local pioneers, and thus the Argentine Psychoanalytical Association was founded in 1942. Since then psychoanalysis has grown steadily and has spread into hospitals and universities, influencing culture at large. The socioeconomic situation of that time permitted this phenomenon to develop, to the astonishment of observers. In this paper the authors study the strong influence of Kleinian thought during the first 30 years of this development. The original works of local thinkers constitute the intellectual capital that sustains the idea of an 'Argentine psychoanalytic school'. During the 1970s, both society and psychoanalysis endured deep and complex changes. Lacan's teachings gained support and Klein's influence began to decline. At present the Buenos Aires Kleinians keep working, while their relationship with Lacanians and other schools is calmer. Respectful discussions became thus possible, oriented to strictly scientific differences.

Group Work with Juvenile Delinquents.

Science.gov (United States)

Zimpfer, David G.

1992-01-01

Reviews group work literature on juvenile delinquents. Presents overview of interventions, including positive peer culture, cognitive-behavioral treatment, psychoeducational treatment, treatment of learned behavior, action-oriented treatment, milieu therapy, parental involvement, assertiveness training, and music therapy. Discusses outcome…

Subjetividade, trabalho e ação Subjectivity, work and action

Directory of Open Access Journals (Sweden)

Christophe Dejours

2004-12-01

agreements built by workers within the collective of a team or of a job, which always present a double vectorization: from the one hand, a work efficacy and quality goal; on the other hand, a social goal. A discussion of the psychodynamics of work theory is also proposed, where the work centrality is one of their pillars as well as the psychoanalytical theory, where this issue is not directly approached.

Jacques Lacan and Feminist Epistemology

OpenAIRE

Campbell, Kirsten

2004-01-01

This book outlines a compelling new agenda for feminist theories of identity and social relations. Using Lacanian psychoanalysis with feminist epistemology, the author sets out a groundbreaking psychoanalytic social theory. Campbell's work offers answers to the important contemporary question of how feminism can change the formation of gendered subjectivities and social relations. Drawing on the work of third wave feminists, the book shows how feminism can provide new political models of know...

Optimized chemical composition, working and heat treatment condition for resistance to irradiation assisted stress corrosion cracking of cold worked 316 and high-chromium austenitic stainless steel

International Nuclear Information System (INIS)

Yonezawa, Toshio; Iwamura, Toshihiko; Fujimoto, Koji; Ajiki, Kazuhide

2000-01-01

The authors have reported that the primary water stress corrosion cracking (PWSCC) in baffle former bolts made of austenitic stainless steels for PWR after long-term operation is caused by irradiation-induced grain boundary segregation. The resistance to PWSCC of simulated austenitic stainless steels whose chemical compositions are simulated to the grain boundary chemical composition of 316 stainless steel after irradiation increased with decrease of the silicon content, increases of the chromium content, and precipitation of M 23 C 6 carbides at the grain boundaries. In order to develop resistance to irradiation assisted stress corrosion cracking in austenitic stainless steels, optimized chemical compositions and heat treatment conditions for 316CW and high-chromium austenitic stainless steels for PWR baffle former bolts were investigated. For 316CW stainless steel, ultra-low-impurities and high-chromium content are beneficial. About 20% cold working before aging and after solution treatment has also been recommended to recover sensitization and make M 23 C 6 carbides coherent with the matrix at the grain boundaries. Heating at 700 to 725degC for 20 to 50 h was selected as a suitable aging procedure. Cold working of 5 to 10% after aging produced the required mechanical properties. The optimized composition of the high-chromium austenitic stainless steel contents 30% chromium, 30% nickel, and ultra-low impurity levels. This composition also reduces the difference between its thermal expansion coefficient and that of 304 stainless steel for baffle plates. Aging at 700 to 725degC for longer than 40 h and cold working of 10 to 15% after aging were selected to meet mechanical property specifications. (author)

The conflict and process theory of Melanie Klein.

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Kavaler-Adler, S

1993-09-01

This article depicts the theory of Melanie Klein in both its conflict and process dimensions. In addition, it outlines Klein's strategic place in psychoanalytic history and in psychoanalytic theory formation. Her major contributions are seen in light of their clinical imperatives, and aspects of her metapsychology that seem negligible are differentiated from these clinical imperatives. Klein's role as a dialectical fulcrum between drive and object relations theories is explicated. Within the conflict theory, drive derivatives of sex and aggression are reformulated as object-related passions of love and hate. The process dimensions of Klein's theory are outlined in terms of dialectical increments of depressive position process as it alternates with regressive paranoid-schizoid-position mental phenomenology. The mourning process as a developmental process is particularly high-lighted in terms of self-integrative progression within the working through of the depressive position.

Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

Science.gov (United States)

Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

2016-09-01

Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p accident victims.

The meaning of work and working life after cancer: an interview study.

Science.gov (United States)

Rasmussen, Dorte M; Elverdam, Beth

2008-12-01

Cancer survivors have diverse and complex patterns of return to work, but little attention has been given to individual experiences of returning to work. To analyse the meaning of work and working life for cancer survivors over time. Participant observation was carried out at a cancer rehabilitation centre. A total of 23 participants were interviewed twice. Cancer survivors try to get back to work after treatment and try to re-establish their former structure of everyday-life that is seen as a normal and healthy existence. Work contributes to creating the individual as a social being, partaking in social relations with others. Work plays a role in establishing the individual's identity. It is difficult for many to resume work. When they are unable to work, they establish new activities in everyday-life that give meaning to a life. In order to understand the cultural meaning of work in capitalist society, we incorporate the theoretical perspective of Max Weber. Those who after cancer treatment are unable to work lose a part of their identity; they lose the personal challenge and satisfaction related to work. They are no longer part of the companionship related to work. Having had cancer means a disruption of the structure of everyday-life that is taken for granted. (c) 2008 John Wiley & Sons, Ltd.

Effects of vacuum heat treatment on the photoelectric work function and surface morphology of multilayered silver–metal electrical contacts

International Nuclear Information System (INIS)

Akbi, Mohamed; Bouchou, Aïssa; Zouache, Noureddine

2014-01-01

Contact materials used for electrical breakers are often made with silver alloys. Mechanical and thermodynamical properties as well as electron emission of such complicated alloys present a lack of reliable and accurate experimental data. This paper deals mainly with electron work function (EWF) measurements about silver–metal (Ag–Me) electrical contacts (Ag–Ni (60/40) and Ag–W (50/50)), before and after surface heat treatments at 513 K–873 K, under UHV conditions (residual gas pressure of 1.4 × 10 −7 mbar). The electron work function (EWF) of silver alloyed contacts was measured photoelectrically, using both Fowler's method of isothermal curves and linearized Fowler plots. An interesting fact brought to light by this investigation is that after vacuum heat treatments, the diffusion and/or evaporation phenomena, affecting the atomic composition of the alloy surface, somehow confine the EWF of the silver–nickel alloy, Φ(Ag–Ni), determined at room temperature in interval]Φ(Ag), Φ(Ni) [=] 4.26 eV, 4.51 eV[. Surface analysis of two specimens before and after heating showed a significant increase of tungsten atomic proportion on the contact surface for Ag–W contacts after VH treatments. A multilayer model, taking into account the strong intergranular and volume segregation gives a good interpretation of the obtained results.

Municipal return to work management in cancer survivors undergoing cancer treatment: a protocol on a controlled intervention study.

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Stapelfeldt, Christina M; Labriola, Merete; Jensen, Anders Bonde; Andersen, Niels Trolle; Momsen, Anne-Mette H; Nielsen, Claus Vinther

2015-07-29

Cancer survivors are often left on their own to deal with the challenges of resuming work during or after cancer treatment, mainly due to unclear agreements between stakeholders responsible for occupational rehabilitation. Social inequality exists in cancer risk, survival probability and continues with regard to the chance of being able to return to work. The aim is to apply an early, individually tailored occupational rehabilitation intervention to cancer survivors in two municipalities parallel with cancer treatment focusing on enhancing readiness for return to work. In a controlled trial municipal job consultants use acceptance and commitment therapy dialogue and individual-placement-and-support-inspired tools with cancer survivors to engage them in behaviour changes toward readiness for return to work. The workplace is involved in the return to work process. Patients referred to surgery, radiotherapy or chemotherapy at the Oncology Department, Aarhus University Hospital, Denmark for the diagnoses; breast, colon-rectal, head and neck, thyroid gland, testicular, ovarian or cervix cancer are eligible for the study. Patients must be residents in the municipalities of Silkeborg or Randers, 18-60 years of age and have a permanent or temporary employment (with at least 6 months left of their contract) at inclusion. Patients, for whom the treating physician considers occupational rehabilitation to be unethical, or who are not reading or talking Danish are excluded. The control group has identical inclusion and exclusion criteria except for municipality of residence. Return to work is the primary outcome and is indentified in a social transfer payment register. Effect is assessed as relative cumulative incidences within 52 weeks and will be analysed in generalised linear regression models using the pseudo values method. As a secondary outcome; co-morbidity and socio-economic status is analysed as effect modifiers of the intervention effect on return to work. The

Subjectivity, objectivity, and triangular space.

Science.gov (United States)

Britton, Ronald

2004-01-01

The author reviews his ideas on subjectivity, objectivity, and the third position in the psychoanalytic encounter, particularly in clinical work with borderline and narcissistic patients. Using the theories of Melanie Klein and Wilfred Bion as a basis, the author describes his concept of triangular space. A case presentation of a particular type of narcissistic patient illustrates the principles discussed.

Special problems of women in psychotherapy.

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Friedman, H J

1977-07-01

Feminist critics have failed to acknowledge the usefulness of Freud's neutral observations about female sexual development. This paper is an attempt to refute the prejudiced, incorrect view of the modern psychoanalytically oriented psychotherapist as sexist in orientation. Several detailed case examples are utilized to illustrate the interpretive treatment of excessive passivity in women patients with a variety of neurotic difficulties.

40 CFR Appendix B to Subpart E of... - Federal Guidelines-User Charges for Operation and Maintenance of Publicly Owned Treatment Works

Science.gov (United States)

2010-07-01

... charges is to distribute the cost of operation and maintenance of publicly owned treatment works to the... not be acceptable. Savings resulting from economies of scale should be apportioned to all users or...

Profiles and removal efficiency of polybrominated diphenyl ethers by two different types of sewage treatment work in Hong Kong.

Science.gov (United States)

Man, Yu Bon; Chow, Ka Lai; Man, Ming; Lam, James Chung Wah; Lau, Frankie Tat Kwong; Fung, Wing Cheong; Wong, Ming Hung

2015-02-01

This study was to investigate removal efficiencies and profiles of 14 polybrominated diphenyl ether (PBDE) congeners by two different types of sewage treatment work (STW) in Hong Kong: Stonecutters Island STW (SCISTW) which uses chemically enhanced primary treatment (CEPT) process and Sha Tin STW (STSTW) which adopts biological treatment. The results indicated that both SCISTW and STSTW had a high total removal efficiency for BDE-47, BDE-99 BDE-209 and total PBDEs (SCISTW: 71.6 ± 15.8, 84.7 ± 12.3, 96.0 ± 2.62 and 87.4 ± 8.02%, respectively; STSTW: 74.8 ± 9.5, 90.7 ± 9.14, 96.2 ± 2.41 and 89.3 ± 2.62%, respectively) and PBDEs were chiefly removed by sorption. However, the profile of PBDEs demonstrated that the relative proportions of BDE-28 and BDE-47 in total PBDEs markedly increased, while that of BDE-209 decreased in the effluent samples of the two sewage treatment works, especially in STSTW. The percentage of BDE-209 in total PBDEs in effluent (49.3%) of SCISTW was 21.2% lower than that in influent (70.5%), and the percentage of BDE-209 in total PBDEs in effluent (13.8%) of STSTW was 34.1% reduced from influent (47.9%). Despite overall removal, the percentage of BDE-47 in total PBDEs in effluent (17.6%) of SCISTW was 6.85% higher than that in influent (10.7%), and the percentage of BDE-47 in total PBDEs in effluent (33.5%) of STSTW was 18.1% increased from influent (16.8%). The increase in proportion of BDE-47 in the effluent might raise environmental and public health concerns. Our study is a first attempt in reporting the PBDE congener profiles in different phases of sewage treatment. Copyright © 2014 Elsevier B.V. All rights reserved.

A staged approach evaluation of remotely supervised myofeedback treatment (RSMT) in women with neck-shoulder pain due to computer work

NARCIS (Netherlands)

Huis in 't Veld, M.H.A.; Huijgen, Barbara C.H.; Schaake, Leendert; Hermens, Hermanus J.; Vollenbroek-Hutten, Miriam Marie Rosé

Remotely supervised myofeedback treatment (RSMT) is a relatively new intervention aimed at reducing neck-shoulder pain and disabilities. Subjects are equipped with a garment that can be worn under the clothes during daily work. Dry surface electrodes incorporated in this garment measure muscle

The Dose That Works: Low Level Laser Treatment of Tendinopathy

International Nuclear Information System (INIS)

Tumilty, Steve; Munn, Joanne; David Baxter, G.; McDonough, Suzanne; Hurley, Deirdre A.; Basford, Jeffrey R.

2010-01-01

Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59 Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6 mm less pain on a 100 mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

The Dose That Works: Low Level Laser Treatment of Tendinopathy

Science.gov (United States)

Tumilty, Steve; Munn, Joanne; McDonough, Suzanne; Hurley, Deirdre A.; Basford, Jeffrey R.; David Baxter, G.

2010-05-01

Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59 Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6 mm less pain on a 100 mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

Feasible, Efficient and Necessary, without Exception - Working with Sex Workers Interrupts HIV/STI Transmission and Brings Treatment to Many in Need.

Science.gov (United States)

Steen, Richard; Wheeler, Tisha; Gorgens, Marelize; Mziray, Elizabeth; Dallabetta, Gina

2015-01-01

High rates of partner change in sex work-whether in professional, 'transactional' or other context-disproportionately drive transmission of HIV and other sexually transmitted infections. Several countries in Asia have demonstrated that reducing transmission in sex work can reverse established epidemics among sex workers, their clients and the general population. Experience and emerging research from Africa reaffirms unprotected sex work to be a key driver of sexual transmission in different contexts and regardless of stage or classification of HIV epidemic. This validation of the epidemiology behind sexual transmission carries an urgent imperative to realign prevention resources and scale up effective targeted interventions in sex work settings, and, given declining HIV resources, to do so efficiently. Eighteen articles in this issue highlight the importance and feasibility of such interventions under four themes: 1) epidemiology, data needs and modelling of sex work in generalised epidemics; 2) implementation science addressing practical aspects of intervention scale-up; 3) community mobilisation and 4) the treatment cascade for sex workers living with HIV. Decades of empirical evidence, extended by analyses in this collection, argue that protecting sex work is, without exception, feasible and necessary for controlling HIV/STI epidemics. In addition, the disproportionate burden of HIV borne by sex workers calls for facilitated access to ART, care and support. The imperative for Africa is rapid scale-up of targeted prevention and treatment, facilitated by policies and action to improve conditions where sex work takes place. The opportunity is a wealth of accumulated experience working with sex workers in diverse settings, which can be tapped to make up for lost time. Elsewhere, even in countries with strong interventions and services for sex workers, an emerging challenge is to find ways to sustain them in the face of declining global resources.

Narrating horror: the horror film as cultural construct

OpenAIRE

Haynes, Simon

1997-01-01

This thesis examines horror films through an application of cultural analysis (primarily the work of Pierre Bourdieu) to selected texts in order to answer critics employing psychoanalytic perspectives to horror. It argues that psychoanalysis misses much of the heart of horror texts through its claims that textual 'meaning' lies within individuals rather than in the society in which horror texts were produced.\\ud Bourdieu's hypotheses are applied to films, along with the work of more specific ...

Uses of guilt in the treatment of dehumanization.

Science.gov (United States)

Peskin, Harvey

2017-04-01

It is likely that under the impact of impending Nazism, aggression theory in late Freud, as presented in Civilization and its Discontents (1930), left the entirety of guilt to self-punishment, thus retracting his view that love functions in the superego as remorse and restitution. This change however, essentially withdraws provision for treating victims of abuse, violence and terror. This paper proposes a paradigm shift that reframes Freud's late instinct theory into a theory of dehumanization by recovering reparative and relational components of guilt. This reframe has major implications for the position taken with regard to the role of witnessing and the moral imperative in recovery from dehumanizing experience, which orthodox psychoanalytic theory has essentially bypassed. It is propose that victim treatment, as case examples illustrate, reformulates guilt as drawing on the life instincts to revivify victims' humanity through analytic witnessing and acknowledgment. Indeed, unless breaches of humanity are confronted by a witness, the life instincts stay merely rhetorical, if not contradictory, by leaving the death instincts to grow unseen and, thus, unopposed. A two-fold formulation of guilt may better address and redress disorders of dehumanization, whereby 'death guilt' (under the sway of aggression) signifies the orthodox, irrevocable guilt of self-reproach for the bad we may have done, and 'life guilt' (under the sway of a moral imperative) the redeemable guilt for the good we have still to do. Copyright © 2017 Institute of Psychoanalysis.

Institutional, Financial, Legal, and Cultural Factors in a Distance Learning Program.

Science.gov (United States)

Blakeman, Rachel; Haseley, Dennis

2015-06-01

As psychoanalytic institutes evolve, adapting to the contemporary financial and social environment, the integration of new technologies into psychoanalytic education presents opportunities for expansion to candidates residing beyond the usual geographic boundaries. While the teaching of analytic content through distance learning programs appears to be relatively straightforward, factors including legalities, traditional mind-sets, and cross-cultural issues need to be considered as complicating the situation, as illustrated by one U.S. institute's distance learning initiative with a group in South Korea. © 2015 by the American Psychoanalytic Association.

[Psychanalitic psychotherapy: practice and indications in the aged].

Science.gov (United States)

Claudel, Bertrand

2004-09-01

Use of psychoanalytic psychotherapy for the elderly remains an issue. Even though regular psychoanalysis cure is contraindicated for elderly patients in most cases, yet, face-to-face psychotherapies can prove useful. The methods used for psychoanalytic psychotherapy for elderly patients are different from those applicable to middle age patients. These methods take into account the mourning process experienced by the elderly patient in three spheres: loss of object, loss of function and loss of oneself. Indications concerning psychoanalytic psychotherapy for the elderly have to be carefully assessed and will be detailed throughout the paper.

Study of the performances of nano-case treatment cutting tools on carbon steel work material during turning operation

Science.gov (United States)

Afolalu, S. A.; Okokpujie, I. P.; Salawu, E. Y.; Abioye, A. A.; Abioye, O. P.; Ikumapayi, O. M.

2018-04-01

The degree of holding temperature and time play a major role in nano-case treatment of cutting tools which immensely contributed to its performance during machining operation. The objective of this research work is to carryout comparative study of performance of nano-case treatment tools developed using low and medium carbon steel as work piece. Turning operation was carried out under two different categories with specific work piece on universal lathe machine using HSS cutting tools 100 mm × 12mm × 12mm that has been nano-case treated under varying conditions of temperatures and timeof 800,850, 900, 950°C and 60, 90, 120 mins respectively. The turning parameters used in evaluating this experiment were cutting speed of 270, 380 and 560mm/min, feed rate of 0.15, 0.20 and 0.25 mm/min, depth of cut of 2mm, work piece diameter of 25mm and rake angle of 7° each at three levels. The results of comparative study of their performances revealed that the timespent in the machining of low carbon steel material at a minimum temperature and time of 800°C, 60 mins were1.50, 2.17 mins while at maximum temperature and time of 950°C, 120 mins were 1.19, 2.02 mins. It was also observed that at a corresponding constant speed of 270,380 and 560mm/min at higher temperature and time, a relative increased in the length of cut were observed. Critical observation of the result showed that at higher case hardening temperature and time (950°C/120mins), the HSS cutting tool gave a better performance as lesser time was consumed during the turning operation.

Active pharmaceutical ingredients entering the aquatic environment from wastewater treatment works: A cause for concern?

Science.gov (United States)

Comber, Sean; Gardner, Mike; Sörme, Pernilla; Leverett, Dean; Ellor, Brian

2018-02-01

This work reports on the variation in wastewater treatment works (WwTW) influent concentrations of a wide variety of active pharmaceutical ingredients (APIs), their removal efficiency, effluent concentrations and potential risks to the aquatic environment. The research is based on data generated from two large UK-wide WwTW monitoring programmes. Taking account of removal of parent compound from the aqueous phase during treatment in combination with estimates of dilution available it is possible to prioritise the APIs of greatest risk of exceeding estimates of predicted no effect concentrations (PNEC) in receiving waters for all WwTW in the UK. The majority of substances studied were removed to a high degree, although with significant variation, both within and between WwTW. Poorer removal (between influent and effluent) was observed for ethinyloestradiol, diclofenac, propranolol, the macrolide antibiotics, fluoxetine, tamoxifen and carbamazepine. All except the last two of these substances were present in effluents at concentrations higher than their respective estimated PNEC (based on measurement of effluents from 45 WwTW on 20 occasions). Based on available dilution data as many as 890 WwTW in the UK (approximately 13% of all WwTW) may cause exceedances of estimated riverine PNECs after mixing of their effluents with receiving waters. The overall degree of risk is driven by the toxicity value selected, which in itself is controlled by the availability of reliable and relevant ecotoxicological data and consequently the safety factors applied. The dataset and discussion, provides information to assist in the future management of these types of chemicals. Copyright © 2017 Elsevier B.V. All rights reserved.

Six years working experience of the Marcoule plant for treatment of irradiated fuel

International Nuclear Information System (INIS)

Jouannaud, C.

1964-01-01

The irradiated fuel treatment plant at Marcoule began treating rods from the pile G 1 in July 1958. These six years experience of the plant in operation have led to the confirmation or revision of the original ideas concerning the process as well as the technology or methods of exploitation. The process as a whole has suffered little modification, the performances having proved better than originally foreseen; the only alterations made were justified by greater simplicity of operation, better nuclear security (criticality) or for technological reasons. The processes of plutonium reduction from valency IV to valency III by uranium IV, and of concentration of fission product solutions in the presence of formaldehyde, have always given complete satisfaction. The initial concept of direct maintenance of the installations has been justified by experience. Certain maintenance jobs, originally considered impossible after the start of operations, have proved feasible and have been carried out under acceptable conditions; a number of examples are given. From experience it has been possible to define optimal conditions for the design of these installations such as to provide a maximum in robustness and ease of maintenance. The advantages of continuously-operating equipment have been shown. Certain installations have been altered in accordance with these new ideas. Analytical checking in the laboratory has been profoundly modified, and the plans adopted are such that complete safety in work on radioactive solutions is compatible with a very good working speed. Experience has also shown the advantages of having a group on the spot to carry out short-term applied studies. Finally, a strict working discipline and excellent collaboration with the radiation protection service have enabled us to reach the end of these six years, during some of which the exploitation was intensive, without irradiation accident. (authors) [fr

Clinical status, quality of life, and work productivity in Crohn's disease patients after one year of treatment with adalimumab.

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Saro, Cristina; Ceballos, Daniel; Muñoz, Fernando; de la Coba, Cristóbal; Aguilar, María Dolores; Lázaro, Pablo; García-Sánchez, Valle; Hernández, Mariola; Barrio, Jesús; de Francisco, Ruth; Fernández, Luis I; Barreiro-de Acosta, Manuel

2017-02-01

Clinical trials have shown the efficacy of adalimumab in Crohn's disease, but the outcome in regular practice remains unknown. The aim of the study was to examine clinical status, quality of life, and work productivity of Crohn's disease patients receiving adalimumab for one year in the context of usual clinical practice. This was a prospective, observational study with a one-year follow-up. After baseline, Crohn's disease patients were evaluated at 1, 3, 6, 9, and 12 months after starting treatment with adalimumab. Outcome variables included: clinical status (measured with CDAI), quality of life (measured with EuroQoL-5D and IBDQ), and work productivity (measured with WPAI questionnaire). These outcome variables were compared using the Student's t test or Wilcoxon test for paired comparison data according to the data distribution. Statistical significance was set at two-sided p work productivity impact decreased from 53% to 24% (p quality of life and work productivity.

Residues in the analyst of the patient's symbiotic connection at a somatic level: unrepresented states in the patient and analyst.

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Godsil, Geraldine

2018-02-01

This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through. © 2018, The Society of Analytical Psychology.

The crossroads of countertransference and attribution theory: reinventing clinical training within an evidence-based treatment world.

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Lewis, Jeffrey I

2009-06-01

Social Psychological research on Person Perception/Attribution Theory has concluded that an individual responds to interpersonal situations based upon their interpretation of the "nature" of that situation. For example, physically attractive people are often attributed niceness and capableness even without any basis in reality. The observer, guided by percepts cum attributions, may treat the attractive participant "as though" these qualities are about them rather than about the observer's internal bias. In psychoanalysis, this social phenomenon takes on individual meaning as countertransference. Therapists seem to experience irrational feelings during the psychotherapy exchange, which remain, whether or not the therapist is conscious of these responses or whether their technical objective includes or ignores their own transference. The attributional tendency to act upon these feelings "as though" they were wholly about the patient may lead to therapeutic disasters. Therefore, clinical training of psychotherapists needs the early inclusion of this concept to prevent subsequent dogmatic and untherapeutic attitudes. This paper will discuss the possibility of disarming the damage rendered by medicalized parsimonious "healing" and the latest fashion, Evidence-Based Treatment, via a translation of assumedly unmeasurable psychoanalytic tenets into multiply measured, investigated areas of social research.

Effect of Heat Treatment on the Microstructure and Mechanical Properties of Nitrogen-Alloyed High-Mn Austenitic Hot Work Die Steel

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Yi Zhang

2017-03-01

Full Text Available In view of the requirements for mechanical properties and service life above 650 °C, a high-Mn austenitic hot work die steel, instead of traditional martensitic hot work die steel such as H13, was developed in the present study. The effect of heat treatment on the microstructure and mechanical properties of the newly developed work die steel was studied. The results show that the microstructure of the high-Mn as-cast electroslag remelting (ESR ingot is composed of γ-Fe, V(C,N, and Mo2C. V(C,N is an irregular multilateral strip or slice shape with severe angles. Most eutectic Mo2C carbides are lamellar fish-skeleton-like, except for a few that are rod-shaped. With increasing solid solution time and temperature, the increased hardness caused by solid solution strengthening exceeds the effect of decreased hardness caused by grain size growth, but this trend is reversed later. As a result, the hardness of specimens after various solid solution heat treatments increases first and then decreases. The optimal combination of hardness and austenitic grain size can be obtained by soaking for 2 h at 1170 °C. The maximum Rockwell hardness (HRC is 47.24 HRC, and the corresponding austenite average grain size is 58.4 μm. When the solid solution time is 3 h at 1230 °C, bimodality presented in the histogram of the austenite grain size as a result of further progress in secondary recrystallization. Compared with the single-stage aging, the maximum impact energy of the specimen after two-stage aging heat treatment was reached at 16.2 J and increased by 29.6%, while the hardness decreased by 1–2 HRC. After two-stage aging heat treatment, the hardness of steel reached the requirements of superior grade H13, and the maximum impact energy was 19.6% higher than that of superior grade H13, as specified in NADCA#207-2003.

Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder.

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Mattila-Holappa, Pauliina; Joensuu, Matti; Ahola, Kirsi; Koskinen, Aki; Tuisku, Katinka; Ervasti, Jenni; Virtanen, Marianna

2016-01-01

We examined the extent to which psychotherapeutic and work-oriented interventions were included in a medical treatment and rehabilitation plan and whether they predicted future employment among young adults with work disability due to a mental disorder. Data were obtained from the treatment and rehabilitation plans of 1163 young adults aged 18‒34 years, who in 2008 were granted fixed-term work disability compensation due to a mental disorder and were followed for 5 years. Forty-six percent had no proposal for psychotherapy or a work-oriented intervention in their treatment and rehabilitation plan, 22 % had a plan for only a psychotherapeutic intervention, 23 % had a plan for only a work-oriented intervention, and 10 % had both types of interventions planned. Having a planned psychotherapeutic intervention (HR = 1.35, 95 % CI 1.07-1.69) and of the work-oriented interventions, planned rehabilitative courses and training (HR = 1.34, 95 % CI 1.03-1.70) predicted quicker entry into competitive employment. Having a plan for both a psychotherapeutic and work-oriented intervention was associated with being employed at the end of the follow-up (OR = 1.77, 95 % CI 1.07-2.95). Young adults with a long-term psychiatric work disability episode rarely have a recorded plan for rehabilitation in their treatment and rehabilitation plan although psychotherapeutic interventions and a combination of a psychotherapeutic and work-oriented intervention might help them gain employment.

The Vitiligo Working Group recommendations for narrowband ultraviolet B light phototherapy treatment of vitiligo.

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Mohammad, Tasneem F; Al-Jamal, Mohammed; Hamzavi, Iltefat H; Harris, John E; Leone, Giovanni; Cabrera, Raúl; Lim, Henry W; Pandya, Amit G; Esmat, Samia M

2017-05-01

Treatment of vitiligo with narrowband ultraviolet B light (NBUVB) is an important component of the current standard of care. However, there are no consistent guidelines regarding the dosing and administration of NBUVB in vitiligo, reflected by varied treatment practices around the world. To create phototherapy recommendations to facilitate clinical management and identify areas requiring future research. The Vitiligo Working Group (VWG) Phototherapy Committee addressed 19 questions regarding the administration of phototherapy over 3 conference calls. Members of the Photomedicine Society and a group of phototherapy experts were surveyed regarding their phototherapy practices. Based on comparison and analysis of survey results, expert opinion, and discussion held during conference calls, expert recommendations for the administration of NBUVB phototherapy in vitiligo were created. There were several areas that required further research before final recommendations could be made. In addition, no standardized methodology was used during literature review and to assess the strength of evidence during the development of these recommendations. This set of expert recommendations by the VWG is based on the prescribing practices of phototherapy experts from around the world to create a unified, broadly applicable set of recommendations on the use of NBUVB in vitiligo. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Mixed Waste Focus Area Mercury Working Group: An integrated approach to mercury waste treatment and disposal

International Nuclear Information System (INIS)

Conley, T.B.; Morris, M.I.; Osborne-Lee, I.W.

1998-03-01

In May 1996, the US Department of Energy (DOE) Mixed Waste Focus Area (MWFA) initiated the Mercury Working Group (HgWG). The HgWG was established to address and resolve the issues associated with mercury contaminated mixed wastes. During the MWFA's initial technical baseline development process, three of the top four technology deficiencies identified were related to the need for amalgamation, stabilization, and separation removal technologies for the treatment of mercury and mercury contaminated mixed waste. The HgWG is assisting the MWFA in soliciting, identifying, initiating, and managing efforts to address these areas. The focus of the HgWG is to better establish the mercury related treatment technologies at the DOE sites, refine the MWFA technical baseline as it relates to mercury treatment, and make recommendations to the MWFA on how to most effectively address these needs. Based on the scope and magnitude of the mercury mixed waste problem, as defined by HgWG, solicitations and contract awards have been made to the private sector to demonstrate both the amalgamation and stabilization processes using actual mixed wastes. Development efforts are currently being funded that will address DOE's needs for separation removal processes. This paper discusses the technology selection process, development activities, and the accomplishments of the HgWG to date through these various activities

Problems of reliability and economy work of thermal power plants water treatment based on baromembrane technologies

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Chichirova, N. D.; Chichirov, A. A.; Saitov, S. R.

2017-11-01

The introduction of baromembrane water treatment technologies for water desalination at Russian thermal power plants was beganed more than 25 years ago. These technologies have demonstrated their definite advantage over the traditional technologies of additional water treatment for steam boilers. However, there are problems associated with the reliability and economy of their work. The first problem is a large volume of waste water (up to 60% of the initial water). The second problem a expensive and unique chemical reagents complex (biocides, antiscalants, washing compositions) is required for units stable and troublefree operation. Each manufacturer develops his own chemical composition for a certain membrane type. This leads to a significant increase in reagents cost, as well as creates dependence of the technology consumer on the certain supplier. The third problem is that the reliability of the baromembrane units depends directly on the water preliminary treatment. The popular pre-cleaning technology with coagulation of aluminum oxychloride proves to be unacceptable during seasonal changes in the quality of the source water at a number of stations. As a result, pollution, poisoning and lesion of the membrane structure or deterioration of their mechanical properties are observed. The report presents ways to solve these problems.

Psychoanalysis and Bible

NARCIS (Netherlands)

Vandermeersch, Patrick

2001-01-01

Here you find the introductory and the final chapter, written by P. Vandermeersch, in R. KESSLER & P. VANDERMEERSCH (eds.), God, Biblical Stories and Psychoanalytical Understanding, Frankfurt a. M., Peter Lang, 2001: `Psychoanalytic Interpretations of Religious Texts. Some Basics' (9-27) en `Looking

From "nothing" to "something" to "everything": bisexuality and metaphors of the mind.

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Stimmel, B

1996-01-01

Psychoanalytic understanding of female sexuality has continued to evolve since Freud presented it as a central and abiding question in psychoanalytic theory. This paper is an attempt to demonstrate that much of what we have learned and added to our theory is based in part on the classical thinking which remains a foundation of psychoanalytic wisdom about human sexuality in general, male and female. And this foundation rests on the cornerstone of the human longing for completeness, for "everything"--a bisexual core. A clinical case, the basis of psychoanalytic data, demonstrates, primarily through the analysis of a dream, the neurotic derailments that follow upon a disavowal of the need for the little girl to identify with the metaphorical representation of male genitalia. The theoretical underpinnings of this perspective are presented as well as a correction of a common misreading of Freud's ideas about anatomical "bedrock."

Aportes del proceso diagnóstico psicoanalítico al tratamiento de las adicciones en ámbitos hospitalarios Contributions of the process diagnose psychoanalytic to the treatment of the addictions in hospitable scopes

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Alicia Donghi

2007-12-01

Full Text Available El presente trabajo es una articulación entre el Proyecto de investigación: Alcance de la aplicación del modelo de reducción de daños al campo asistencial en el tratamiento de las adicciones. Directora: Alicia Donghi (Pro. In.Psi de la facultad de Psicología U.B.A (2004-2007 que esta investigando la correspondencia entre la emergencia de diversos efectos, trastornos o lesiones corporales y la abstinencia del consumo de sustancias, en el tratamiento de las adicciones según el modelo abstencionista en ámbitos hospitalarios del GCBA y el proyecto de investigación de UBACyT: La causalidad subjetiva en una situación de urgencia social. El proceso diagnóstico y los efectos terapéuticos específicos del psicoanálisis. Director: Gabriel Lombardi que estudia la factibilidad y las dificultades del proceso diagnostico psicoanalítico en pacientes que consultan en una situación de urgencia socioeconómica en la sede Avellaneda de la UBA. Este trabajo es una articulación entre ambos proyectos alrededor del concepto de responsabilidad subjetiva.This work is the articulation between the investigation project: Significance the reduction harm' s application at attendance camp in addictions treatment. Director: Alicia Donghi ( ProInPsi 2004 - 2007 who is investigating the correspondence between the emergence corporal's disorders or injuries and the abstinence consume substances in the treatment's addictions according to abstentions model and the another investigation project UBACyT: Subjective causality in a social emergency situation. The Diagnostic process and the therapeutic effects of psychoanalysis that studies the feasibility and the difficulties of the diagnosis process in patients who consult in a situation of socioeconomic urgency in the Avellaneda seat of the University of Bs As. The present work is the articulation of sends projects almost the subjective responsibility.

Effects of repeated treatment with MDMA on working memory and behavioural flexibility in mice.

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Viñals, Xavier; Maldonado, Rafael; Robledo, Patricia

2013-03-01

Repeated administration of 3,4-methylenedioxymethamphetamine (MDMA) produces dopaminergic neurotoxicity in mice. However, it is still not clear whether this exposure induces deficits in cognitive processing related to specific subsets of executive functioning. We evaluated the effects of neurotoxic and non-neurotoxic doses of MDMA (0, 3 and 30 mg/kg, twice daily for 4 days) on working memory and attentional set-shifting in mice, and changes in extracellular levels of dopamine (DA) in the striatum. Treatment with MDMA (30 mg/kg) disrupted performance of acquired operant alternation, and this impairment was still apparent 5 days after the last drug administration. Decreased alternation was not related to anhedonia because no differences were observed between groups in the saccharin preference test under similar experimental conditions. Correct responding on delayed alternation was increased 1 day after repeated treatment with MDMA (30 mg/kg), probably because of general behavioural quiescence. Notably, the high dose regimen of MDMA impaired attentional set-shifting related to an increase in total perseveration errors. Finally, basal extracellular levels of DA in the striatum were not modified in mice repeatedly treated with MDMA with respect to controls. However, an acute challenge with MDMA (10 mg/kg) failed to increase DA outflow in mice receiving the highest MDMA dose (30 mg/kg), corroborating a decrease in the functionality of DA transporters. Seven days after this treatment, the effects of MDMA on DA outflow were recovered. These results suggest that repeated neurotoxic doses of MDMA produce lasting impairments in recall of alternation behaviour and reduce cognitive flexibility in mice. © 2012 The Authors, Addiction Biology © 2012 Society for the Study of Addiction.

Psychoanalysis traumatized: the legacy of the Holocaust.

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Prince, Robert

2009-09-01

Psychoanalysis is a survivor of the Holocaust. It was founded and flourished in central European centers that would be destroyed by the Nazis. A core group of refugees who lived through persecution and exile were instrumental in rebuilding their movement on alien shores. They had no opportunity to mourn the loss of their culture or their leader, Freud, whose death was overshadowed by the cataclysmic upheaval around them. Though its trauma has been dissociated, it is represented in psychoanalytic ideas and enacted in institutions within the context of delayed or incomplete mourning. For example, authoritarianism in psychoanalytic institutions will be explored as a reliving of the trauma of both fascism and exile, and not merely typical group psychology. Further evidence of the impact of dissociated trauma includes the astonishing scotoma for actual events in treatment of Holocaust survivors; the extreme privileging of infantile fantasy over reality, and attention to childhood neurosis at the expense of adult catastrophic events.

The death instinct and the mental dimension beyond the pleasure principle in the works of Spielrein and Freud.

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Caropreso, Fátima

2017-12-01

In 'Destruction as Cause of Come-into-being', Spielrein argues for the need of postulating the existence of a death instinct in mental functioning. The idea that she thus anticipated the concept of death instinct Freud introduced in 1920 is often found in psychoanalytic literature. But the specific meaning of Spielrein's hypothesis is seldom discussed, as well as the extent to which she anticipated Freud's concept. In fact, there are important differences between their views. Besides, a closer analysis of Spielrein's text reveals other ideas that come close to fundamental aspects of Freud's theories from 1920 onwards, particularly the assumption of a more primordial mental functioning than the one regulated by the pleasure principle. But also here there are important differences between the views sustained by both authors. With this in view, the objective of this paper is firstly to discuss some hypotheses formulated by Spielrein in her 1912 work in order to elucidate her concept of death instinct as well as her hypothesis of the existence of a more primitive mental functioning than the one governed by the pleasure principle. Next, the question of the possible similarities and differences with regard to Freud's concepts is also addressed. Copyright © 2017 Institute of Psychoanalysis.

Reconciling Feminism and Psychoanalysis: The Patient as Therapist to the Therapist.

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Kanefield, Linda

Although incompatible differences appear to exist between psychoanalytic therapy, which involves a hierarchical relationship, and feminism, which stresses egalitarian values, some versions of psychoanalytic theory are able to maintain their hierarchy within a context consistent with feminist values. Freud touched on the importance of the…

Julia Kristeva: Das weibliche Genie – Melanie Klein. Gießen: Psychosozial-Verlag 2008

Directory of Open Access Journals (Sweden)

Lilli Gast

2009-07-01

Full Text Available Julia Kristeva widmet sich im zweiten Teil ihrer Trilogie über das weibliche Genie dem Leben und Werk von Melanie Klein, die mit ihren Arbeiten über die früheste Verfasstheit des Psychischen das psychoanalytische Denken für die Psychosen und den Wahn aufschloss und die Rolle des Mütterlichen im psychoanalytischen Diskurs neu definierte. In ihrer Auseinandersetzung mit Klein gelingt Kristeva nicht nur eine ausgesprochen gelungene Einführung in Kleins Denken, sondern auch eine Analyse weiblicher Intellektualität im 20. Jahrhundert. Zudem werden die Schnittstellen im Denken Kleins und Kristevas sichtbar.Julia Kristeva devotes this second installment of her trilogy on feminine genius to the life and work of Melanie Klein. Klein’s work on the early state of the psyche opened psychoanalytical thinking to psychoses, delusion, and the redefined the role of the motherly in psychoanalytical discourse. In her discussion of Klein, Kristeva provides not only a markedly insightful introduction to Klein’s thinking, but also an analysis of female intellectuality in the 20th century. Moreover, the reader clearly sees the interconnections between Klein and Kristeva’s thinking.

Variation in Dopamine D2 and Serotonin 5-HT2A Receptor Genes is Associated with Working Memory Processing and Response to Treatment with Antipsychotics.

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Blasi, Giuseppe; Selvaggi, Pierluigi; Fazio, Leonardo; Antonucci, Linda Antonella; Taurisano, Paolo; Masellis, Rita; Romano, Raffaella; Mancini, Marina; Zhang, Fengyu; Caforio, Grazia; Popolizio, Teresa; Apud, Jose; Weinberger, Daniel R; Bertolino, Alessandro

2015-06-01

Dopamine D2 and serotonin 5-HT2A receptors contribute to modulate prefrontal cortical physiology and response to treatment with antipsychotics in schizophrenia. Similarly, functional variation in the genes encoding these receptors is also associated with these phenotypes. In particular, the DRD2 rs1076560 T allele predicts a lower ratio of expression of D2 short/long isoforms, suboptimal working memory processing, and better response to antipsychotic treatment compared with the G allele. Furthermore, the HTR2A T allele is associated with lower 5-HT2A expression, impaired working memory processing, and poorer response to antipsychotics compared with the C allele. Here, we investigated in healthy subjects whether these functional polymorphisms have a combined effect on prefrontal cortical physiology and related cognitive behavior linked to schizophrenia as well as on response to treatment with second-generation antipsychotics in patients with schizophrenia. In a total sample of 620 healthy subjects, we found that subjects with the rs1076560 T and rs6314 T alleles have greater fMRI prefrontal activity during working memory. Similar results were obtained within the attentional domain. Also, the concomitant presence of the rs1076560 T/rs6314 T alleles also predicted lower behavioral accuracy during working memory. Moreover, we found that rs1076560 T carrier/rs6314 CC individuals had better responses to antipsychotic treatment in two independent samples of patients with schizophrenia (n=63 and n=54, respectively), consistent with the previously reported separate effects of these genotypes. These results indicate that DRD2 and HTR2A genetic variants together modulate physiological prefrontal efficiency during working memory and also modulate the response to antipsychotics. Therefore, these results suggest that further exploration is needed to better understand the clinical consequences of these genotype-phenotype relationships.

Mourning and melancholia revisited: correspondences between principles of Freudian metapsychology and empirical findings in neuropsychiatry.

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Carhart-Harris, Robin L; Mayberg, Helen S; Malizia, Andrea L; Nutt, David

2008-07-24

Freud began his career as a neurologist studying the anatomy and physiology of the nervous system, but it was his later work in psychology that would secure his place in history. This paper draws attention to consistencies between physiological processes identified by modern clinical research and psychological processes described by Freud, with a special emphasis on his famous paper on depression entitled 'Mourning and melancholia'. Inspired by neuroimaging findings in depression and deep brain stimulation for treatment resistant depression, some preliminary physiological correlates are proposed for a number of key psychoanalytic processes. Specifically, activation of the subgenual cingulate is discussed in relation to repression and the default mode network is discussed in relation to the ego. If these correlates are found to be reliable, this may have implications for the manner in which psychoanalysis is viewed by the wider psychological and psychiatric communities.

As crianças que ninguém quer: a clínica psicanalítica em uma instituição de portas abertas

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Joana de Vilhena Novaes

2009-01-01

Full Text Available The work aims to discuss the psychoanalytic treatment of children previously at risk. Living with a "social family", the project was set up around twenty years ago in Rio de Janeiro city, having already reinstated more than 1,800 young people. Taking as reference Winnicott's theory we discuss the family role in the constitution of the subject and its implications in the development of violent or anti-social behavior. We present some peculiarities of consultations conducted outside the traditional setting of the "private" office, in an institution marked by very specific characteristics: open doors and parents who created their biological children together with highly traumatized children. We finally discuss how those children, who lived on the streets, were drug dealers, have suffered family violence, abandonment, sexual abuse, somehow find resources to continue and find new meanings for their lives.

The mental health treatment team as a work group: team dynamics and the role of the leader.