WorldWideScience

Sample records for stridently dismissed psychodynamic

  1. When It Comes to Evaluating Psychodynamic Therapy, the Devil Is in the Details

    Science.gov (United States)

    Anestis, Michael D.; Anestis, Joye C.; Lilienfeld, Scott O.

    2011-01-01

    Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. As Shedler noted, some researchers have reflexively and stridently dismissed psychodynamic therapy (PT) as ineffective without granting outcome studies on this modality a fair hearing. We applaud Shedler's efforts to bring PT into the scientific…

  2. Karolinske psychodynamic profile (KAPP)

    DEFF Research Database (Denmark)

    Mathiesen, Birgit Bork; Søgaard, Ulf

    2006-01-01

    psykologiske testmetoder, assesment, Karolinska psychodynamic profile (KAPP), psykodynamisk profil......psykologiske testmetoder, assesment, Karolinska psychodynamic profile (KAPP), psykodynamisk profil...

  3. Psychodynamic Movement

    DEFF Research Database (Denmark)

    Pedersen, Inge Nygaard

    2002-01-01

    This chapter/article describes the historical development of the disciplin Psychodynamic Movement. The importance of this disciplin for self-experience and for training in developing a therapist identy for the music therapy students are emphasized. Prototypeexercises developed and simplified...

  4. Teacher Dismissal and Due Process.

    Science.gov (United States)

    Leichner, Edward C.; Blackstone, Sidney

    1977-01-01

    This article addresses due process requirements in the nonrenewal and dismissal of tenured and nontenured teachers. The Georgia Fair Dismissal Law is used as a basis for discussing the grounds for teacher dismissal. Dismissal grounds discussed are 1) incompetency; 2) insubordination; 3) willful neglect of duties; 4) immorality; 5) inciting,…

  5. Assessing Psychodynamic Conflict.

    Science.gov (United States)

    Simmonds, Joshua; Constantinides, Prometheas; Perry, J Christopher; Drapeau, Martin; Sheptycki, Amanda R

    2015-09-01

    Psychodynamic psychotherapies suggest that symptomatic relief is provided, in part, with the resolution of psychic conflicts. Clinical researchers have used innovative methods to investigate such phenomenon. This article aims to review the literature on quantitative psychodynamic conflict rating scales. An electronic search of the literature was conducted to retrieve quantitative observer-rated scales used to assess conflict noting each measure's theoretical model, information source, and training and clinical experience required. Scales were also examined for levels of reliability and validity. Five quantitative observer-rated conflict scales were identified. Reliability varied from poor to excellent with each measure demonstrating good validity. However a small number of studies and limited links to current conflict theory suggest further clinical research is needed.

  6. Does Psychodynamic Environmental Therapy Work?

    DEFF Research Database (Denmark)

    Nissen, Poul; Hansen, Kim Gabriel

    2007-01-01

    This article presents the first Danish prospective outcome study of psychodynamic environmental therapy of children in residential treatment with early, serious traumatisation and extential relational disturbances. The study delves beneath the surface and explores the extent to which the children...

  7. Actions against Asse II dismissed

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    In the legal dispute over the storage of radioactive waste in the former Asse II salt mine near Wolfenbuettel, the Higher Administrative Court for Lower Saxony and Schleswig-Holstein in a decision dated January 17, 1980, dismissed as inadmissible the appeals brought by plaintiffs from the Federal Republic of Germany, Denmark and Austria against the decision by the Braunschweig Administrative Court, in which that action had been dismissed. Also more recent applications were declared to be inadmissible on the grounds that the Lower Saxony State Ministry of Social Affairs was not the proper defendant. No appeal was permitted. The written decision by the Court has not yet been published. (HSCH) [de

  8. Psychodynamics in medically ill patients.

    Science.gov (United States)

    Nash, Sara Siris; Kent, Laura K; Muskin, Philip R

    2009-01-01

    This article explores the role of psychodynamics as it applies to the understanding and treatment of medically ill patients in the consultation-liaison psychiatry setting. It provides historical background that spans the eras from Antiquity (Hippocrates and Galen) to nineteenth-century studies of hysteria (Charcot, Janet, and Freud) and into the twentieth century (Flanders Dunbar, Alexander, Engle, and the DSM). The article then discusses the effects of personality on medical illness, treatment, and patients' ability to cope by reviewing the works of Bibring, Kahana, and others. The important contribution of attachment theory is reviewed as it pertains the patient-physician relationship and the health behavior of physically ill patients. A discussion of conversion disorder is offered as an example of psychodynamics in action. This article highlights the important impact of countertransference, especially in terms of how it relates to patients who are extremely difficult and "hateful," and explores the dynamics surrounding the topic of physician-assisted suicide, as it pertains to the understanding of a patient's request to die. Some attention is also given to the challenges surrounding the unique experience of residents learning how to treat medically ill patients on the consultation-liaison service. Ultimately, this article concludes that the use and understanding of psychodynamics and psychodynamic theory allows consultation-liaison psychiatrists the opportunity to interpret the life narratives of medically ill patients in a meaningful way that contributes importantly to treatment.

  9. Practice Parameter for Psychodynamic Psychotherapy with Children

    Science.gov (United States)

    Medicus, Jennifer

    2012-01-01

    This Practice Parameter describes the principles of psychodynamic psychotherapy with children and is based on clinical consensus and available research evidence. It presents guidelines for the practice of child psychodynamic psychotherapy, including indications and contraindications, the setting, verbal and interactive (play) techniques, work with…

  10. A psychodynamic perspective on elections.

    Science.gov (United States)

    Clemens, Norman A

    2010-11-01

    In a democracy, elections are the way in which the collective thought processes of the voters arrive at a decision to direct their government. The author explores how the individual voter assesses and resolves many conflicting internal and external forces to arrive at a vote. The midterm elections of 2010 illustrate the parallel between individual resolution of conflicting forces and the process of a campaign leading to the outcome of an election. The psychodynamic concepts of conflict and compromise, affects, aggression, unconscious forces, mechanisms of defense, superego, and the ego's integrative functions are evident in both the individual voter and the collective electoral process. The author expresses concern about the historical vulnerability of democracies and the unbalancing effect of allowing limitless infusion of anonymous corporate money to pour into campaigns.

  11. Dismissals: A Case for Business Ethics!

    OpenAIRE

    Susanne Hahn

    2009-01-01

    A scenario of dismissal is used to illustrate a business ethical reflection that is guided by the method of reflective equilibrium. Several rules of dismissal are considered with respect to an already proved practice and to the goals of the corporation. The deliberation shows how the demand for coherence between norms and practice and for the achievement of certain purposes works. The limits and chances of business ethical reflection are indicated on the basis of the discussed example. By pro...

  12. The psychodynamics of borderline psychopathology.

    Science.gov (United States)

    Corradi, Richard B

    2015-01-01

    The concept of borderline personality disorder (BPD) remains problematic despite psychiatrists' general familiarity with its DSM diagnostic criteria. The diagnosis of BPD is frequently based simply on the DSM checklist of traits and symptoms without knowledge of their origins or significance. Misdiagnosis is common, as is lack of recognition of the full complexity of this severe personality disorder and the nature of the vulnerabilities that underlie its myriad forms of pathology. The stresses of ordinary life are often too much for people with BPD. Knowledge of the nature and origins of their stress points, such as their great fear of loss or rejection, is necessary for adequate diagnosis and treatment. The author addresses how signature features of the disorder relate to psychosocial development, how they correlate with failed developmental milestones, and how they can be understood psychodynamically. This is essential knowledge for psychotherapists because the pathological interpersonal relationships of the borderline patient will be repeated and acted out in the transference, whatever the modality or intensity of treatment.

  13. Is There Room for Criticism of Studies of Psychodynamic Psychotherapy?

    Science.gov (United States)

    Thombs, Brett D.; Jewett, Lisa R.; Bassel, Marielle

    2011-01-01

    Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. Shedler declared unequivocally that "empirical evidence supports the efficacy of psychodynamic therapy" (p. 98). He did not mention any specific criticisms that have been made of evidence on psychodynamic psychotherapies or address possible distinctions…

  14. The dream: a psychodynamically informative instrument.

    Science.gov (United States)

    Glucksman, M L

    2001-01-01

    The dream is a unique psychodynamically informative instrument for evaluating the subjective correlates of brain activity during REM sleep. These include feelings, percepts, memories, wishes, fantasies, impulses, conflicts, and defenses, as well as images of self and others. Dream analysis can be used in a variety of clinical settings to assist in diagnostic assessment, psychodynamic formulation, evaluation of clinical change, and the management of medically ill patients. Dreams may serve as the initial indicators of transference, resistance, impending crisis, acting-out, conflict resolution, and decision-making. A clinically functional categorization of dreams can facilitate an understanding of psychopathology, psychodynamics, personality structure, and various components of the psychotherapeutic process. Examples of different types of dreams are provided to illustrate their relevance and use in various clinical situations.

  15. Legal aspects associated with dismissal from clinical laboratory education programs.

    Science.gov (United States)

    Legrys, V A; Beck, S J; Laudicina, R J

    1995-01-01

    To review academic dismissals, students' rights in dismissal cases, and several key cases involving academic and disciplinary dismissals. Recent academic literature and legal precedents. Not applicable. Not applicable. Students involved in dismissals are protected under the principles of constitutional law and/or contract law, depending on whether the institution is public or private. The basis for dismissal from educational programs is either academic or disciplinary in nature. In academic dismissals, a student has failed to meet either the cognitive or the noncognitive academic standards of the program. In disciplinary dismissals, a student has violated the institutional rules governing conduct. Policies that affect progress in the program and the dismissal process should be published and distributed to students, as well as reviewed for consistency with institutional policies. The amount of documentation needed in the defense of a dismissal decision has not been specified, but, in general, more is better. Procedures are suggested as a guide to dismissals in clinical laboratory programs.

  16. Is IPT Time-Limited Psychodynamic Psychotherapy?

    Science.gov (United States)

    Markowitz, John C.; Svartberg, Martin; Swartz, Holly A.

    1998-01-01

    Interpersonal psychotherapy (IPT) has sometimes but not always been considered a psychodynamic psychotherapy. The authors discuss similarities and differences between IPT and short-term psychodynamic psychotherapy (STPP), comparing eight aspects: 1) time limit, 2) medical model, 3) dual goals of solving interpersonal problems and syndromal remission, 4) interpersonal focus on the patient solving current life problems, 5) specific techniques, 6) termination, 7) therapeutic stance, and 8) empirical support. The authors then apply both approaches to a case example of depression. They conclude that despite overlaps and similarities, IPT is distinct from STPP.(The Journal of Psychotherapy Practice and Research 1998; 7:185–195) PMID:9631340

  17. What Constitutes Fair Compensation for Unfair Dismissal

    African Journals Online (AJOL)

    user

    Professor, School of Business Leadership,. University of South ... towards its employees, especially in the light of the constitutionally protected right to dignity. The protection of fundamental freedoms such as gender equality, the right to dignity and the .... dismissal is provided for in terms of section 186(1)(e) of the LRA. 17.

  18. POST DISMISSAL EARNING AND REDUCTION OF MONETARY COMPENSATION FOR UNFAIR DISMISSAL IN MALAYSIA

    OpenAIRE

    Ali Mohamed, Ashgar Ali; Shair Mohamed, Mohd Akram; Sardar Baig, Farheen Baig

    2017-01-01

    Atcommon law, a wrongfully dismissed workman is bound to make reasonable exertionand show diligence in endeavouring to procure alternative employment. Failureto accept suitable alternative employment or take reasonable steps to procurethe same would result in a deduction from the total amount recoverable forunfair dismissal calculated on a sum representing the amount the workman mighthave earned during the period. If the workman is unable to secure a comparablejob, or where a comparable job d...

  19. Self-Selection for Readmission after Academic Dismissal: An Experiment.

    Science.gov (United States)

    Phipps, Ronald A.

    A new readmission policy at Salisbury State College for students who were academically dismissed is described, and data are presented on dismissals and readmissions from Fall 1974 through Fall 1976. Academically-dismissed students may be readmitted in time to enroll for the next semester provided they apply for readmission through the Office of…

  20. 39 CFR 955.31 - Dismissal without prejudice.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Dismissal without prejudice. 955.31 Section 955.31... OF CONTRACT APPEALS § 955.31 Dismissal without prejudice. In certain cases, appeals docketed before... discretion, dismiss such appeals from its docket without prejudice to their restoration when the cause of...

  1. 20 CFR 410.698 - Dismissal by Appeals Council.

    Science.gov (United States)

    2010-04-01

    ..., Administrative Review, Finality of Decisions, and Representation of Parties § 410.698 Dismissal by Appeals... discontinuance and dismissal. (b) Death of party. Proceedings before the Appeals Council may be dismissed upon death of a party against whom charges have been preferred. (c) Request for review not timely filed. A...

  2. Drunk Driving Conviction Not Sufficient to Dismiss Tenured Teacher.

    Science.gov (United States)

    Flygare, Thomas J.

    1983-01-01

    Recounts the case of "Turk v. Franklin Special School District" in Tennessee, in which the board's dismissal of a teacher was reversed by the Tennessee Supreme Court because the board failed to follow its own dismissal procedures and because the particular drunk driving conviction did not warrant dismissal. (RW)

  3. Methods and Mechanisms in the Efficacy of Psychodynamic Psychotherapy

    Science.gov (United States)

    McKay, Dean

    2011-01-01

    Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. Shedler summarized a large body of research that shows psychodynamic therapy to have a substantial effect size, comparable to that for many empirically supported treatments. This is an important finding, in part refuting the concerns raised by Bornstein…

  4. [Psychodynamic hypothesis about suicidality in elderly men].

    Science.gov (United States)

    Lindner, Reinhard

    2010-08-01

    Old men are overrepresented in the whole of all suicides. In contrast, only very few elderly men find their way to specialised treatment facilities. Elderly accept psychotherapy more rarely than younger persons. Therefore presentations on the psychodynamics of suicidality in old men are rare and mostly casuistical. By means of a stepwise reconstructable qualitative case comparison of five randomly chosen elderly suicidal men with ideal types of suicidal (younger) men concerning biography, suicidal symptoms and transference, psychodynamic hypothesis of suicidality in elderly men are developed. All patients came into psychotherapy in a specialised academic out-patient clinic for psychodynamic treatment of acute and chronic suicidality. The five elderly suicidal men predominantly were living in long-term, conflictuous sexual relationships and also had ambivalent relationships to their children. Suicidality in old age refers to lifelong existing intrapsychic conflicts, concerning (male) identity, self-esteem and a core conflict between fusion and separation wishes. The body gets a central role in suicidal experiences, being a defensive instance modified by age and/or physical illness, which brings up to consciousness aggressive and envious impulses, but also feelings of emptiness and insecurity, which have to be warded off again by projection into the body. In transference relationships there are on the one hand the regular transference, on the other hand an age specific turned around transference, with their counter transference reactions. The chosen methodological approach serves the systematic finding of hypotheses with a higher degree in evidence than hypotheses generated from single case studies. Georg Thieme Verlag KG Stuttgart - New York.

  5. Wrongful dismissal--an expensive mistake.

    Science.gov (United States)

    Barnes, G

    1982-09-01

    A contract of employment is based on implied terms (a nurse can be expected to work shifts while the same does not apply to a secretary in the purchasing department), on conduct (unacceptable tardiness or laxity can become an accepted term of the contract if it is not corrected by the employer), and on agreements either express (a signed contract) or implied (the acceptance of personnel manual terms during a probationary period). An employee's service can not be terminated without reasonable notice except for cause. To determine if summary dismissal (cause) is warranted, apply the test described in Stilwell v. Audio Pictures Ltd.

  6. Constructing a systems psychodynamic wellness model

    Directory of Open Access Journals (Sweden)

    Sanchen Henning

    2012-03-01

    Research purpose: The purpose of the research was to construct and refine the SPWM in order to understand psychological wellness at the individual, group and organisational levels. Motivation for the study: There is no psychological wellness model that integrates the principles of systems psychodynamics and positive psychology. Systems psychodynamics traditionally focuses on so-called negative behaviour whilst positive psychology tends to idealise positive behaviour. This research tried to merge these views in order to apply them to individual, group and organisational behaviour. Research design, approach and method: The researchers used qualitative, descriptive and conceptual research. They conducted an in-depth literature study to construct the model. They then refined it using the LP. Main findings: The researchers identified 39 themes. They categorised them into three different levels. Three first-level themes emerged as the highest level of integration: identity, hope and love. The nine second-level themes each consisted of three more themes. They were less complex and abstract than the first-level themes. The least complex 27 third-level themes followed. Practical/managerial implications: One can apply the SPWM as a qualitative diagnostic tool for understanding individual, group and organisational wellness and for consulting on systemic wellness. Contribution/value-add: The SPWM offers a model for understanding individual, group and organisational wellness and for consulting on systemic wellness.

  7. Working with boundaries in systems psychodynamic consulting

    Directory of Open Access Journals (Sweden)

    Henk Struwig

    2012-03-01

    Research purpose: The purpose of the research was to produce a set of theoretical assumptions about organisational boundaries and boundary management in organisations and, from these, to develop a set of hypotheses as a thinking framework for practising consulting psychologists when they work with boundaries from a systems psychodynamic stance. Motivation for the study: The researcher used the belief that organisational boundaries reflect the essence of organisations. Consulting to boundary managers could facilitate a deep understanding of organisational dynamics. Research design, approach and method: The researcher followed a case study design. He used systems psychodynamic discourse analysis. It led to six working hypotheses. Main findings: The primary task of boundary management is to hold the polarities of integration and differentiation and not allow the system to become fragmented or overly integrated. Boundary management is a primary task and an ongoing activity of entire organisations. Practical/managerial implications: Organisations should work actively at effective boundary management and at balancing integration and differentiation. Leaders should become aware of how effective boundary management leads to good holding environments that, in turn, lead to containing difficult emotions in organisations. Contribution/value-add: The researcher provided a boundary-consulting framework in order to assist consultants to balance the conceptual with the practical when they consult.

  8. Borderline or Schizotypal? Differential Psychodynamic Assessment in Severe Personality Disorders.

    Science.gov (United States)

    VAN Riel, Laura; Ingenhoven, Theo J M; VAN Dam, Quin D; Polak, Marike G; Vollema, Meinte G; Willems, Anne E; Berghuis, Han; VAN Megen, Harold

    2017-03-01

    Considerable overlap in symptoms between patients with borderline personality disorder (BPD) and schizotypal personality disorder (STPD) complicates personality diagnostics. Yet very little is known about the level of psychodynamic functioning of both personality disorders. Psychodynamic assessment procedures may specify personality characteristics relevant for differential diagnosis and treatment planning. In this cross-sectional study we explored the differences and similarities in level of personality functioning and psychodynamic features of patients with severe BPD or STPD. In total, 25 patients with BPD and 13 patients with STPD were compared regarding their level of personality functioning (General Assessment of Personality Disorder), current quasipsychotic features (Schizotypal Personality Questionnaire), and psychodynamic functioning [Developmental Profile (DP) interview and Developmental Profile Inventory (DPI) questionnaire]. Both groups of patients showed equally severe impairments in the level of personality functioning and the presence of current quasipsychotic features. As assessed by the DP interview, significant differential psychodynamic patterns were found on the primitive levels of functioning. Moreover, subjects with BPD had significantly higher scores on the adaptive developmental levels. However, the self-questionnaire DPI was not able to elucidate all of these differences. In conclusion, our study found significant differences in psychodynamic functioning between patients with BPD and STPD as assessed with the DP interview. In complicated diagnostic cases, personality assessment by psychodynamic interviewing can enhance subtle but essential differentiation between BPD and STPD.

  9. Large-group psychodynamics and massive violence

    Directory of Open Access Journals (Sweden)

    Vamik D. Volkan

    2006-06-01

    Full Text Available Beginning with Freud, psychoanalytic theories concerning large groups have mainly focused on individuals' perceptions of what their large groups psychologically mean to them. This chapter examines some aspects of large-group psychology in its own right and studies psychodynamics of ethnic, national, religious or ideological groups, the membership of which originates in childhood. I will compare the mourning process in individuals with the mourning process in large groups to illustrate why we need to study large-group psychology as a subject in itself. As part of this discussion I will also describe signs and symptoms of large-group regression. When there is a threat against a large-group's identity, massive violence may be initiated and this violence in turn, has an obvious impact on public health.

  10. 20 CFR 410.667 - Dismissal by Appeals Council.

    Science.gov (United States)

    2010-04-01

    ..., Administrative Review, Finality of Decisions, and Representation of Parties § 410.667 Dismissal by Appeals... party or parties who filed the request for review to withdraw such request. (b) Death of party... Council, may be dismissed upon the death of a party only if the record affirmatively shows that there is...

  11. A Psychodynamic Psychologist in Community Psychiatry: 14 Years of Experience

    Directory of Open Access Journals (Sweden)

    Tânia Roquette

    2013-11-01

    Full Text Available This paper aims to critically review the role of a psychodynamic psychologist integrated in a community outpatient clinic of a Psychiatric Department. It describes the characteristics of a psychodynamic intervention that is complementary to the psychiatric approach while sharing a common goal –the suffering patient – and enhancing the knowledge and understanding of several domains like psychopathology, diagnosis, treatment, rehabilitation and integration. Furthermore it describes how the use of Psychological Assessment led to the formulation of specific individual psychotherapies, spanning 14 years of clinical practice. The paper concludes with some considerations regarding the integration of Psychodynamic Psychology in a multidisciplinary mental health team, addressing issues such as the boundaries between technical characteristics, the appropriateness of language to other disciplines and psychodynamic implications of the different features of this clinical setting.

  12. Dismissal: Important criteria in managerial decision-making

    Directory of Open Access Journals (Sweden)

    Fabricio Stocker

    2018-04-01

    Full Text Available Knowledge about dismissal decision-making, particularly concerning the criteria used by managers in choosing who will be dismissed and why, is scarce. Considering the implications of such decisions for organizations and society, in this paper, we identify the seven most frequently used criteria in dismissal decisions and examine their importance for managers. We collected data through a survey among 385 managers and used the rational ranking and the multicriteria Analytic Hierarchy Process (AHP to analyze them. The results show that commitment, performance records, and trust have the greatest impact on the dismissal decision, whereas interpersonal relationship, growth potential, and professional experience are considered secondary criteria. These results contribute to extending our knowledge about dismissal decisions and showing the most relevant criteria in these choices and the relevance assigned to each of the criteria so that greater transparency can be achieved.

  13. A Psychodynamic Systems Perspective on Command Relationship during Combat Operations

    Science.gov (United States)

    2017-06-09

    Hasselager, Wilfred Bion, Bent Jorgensen, Defensive Mechanisms, Assumption Groups , Psychodynamic System Theory . 16. SECURITY CLASSIFICATION OF: 17...LITERATURE REVIEW Introduction The purpose of this chapter is to give the reader a detailed overview of the theories used as a foundation for the analysis...conclusion, psychodynamic system theory can be visually represented as the two operating levels of the group with an external boundary to the

  14. Karolinska Psychodynamic Profile for Sexual Disorders: KAPP-SD. A proposal for a psychodynamic rating scale for sexual disorders.

    Science.gov (United States)

    Soldati, Lorenzo; Köhl, John; Abraham, Georges; Bianchi Demicheli, Francesco; Wilczek, Alexander

    2015-01-01

    Our first objective in this paper was to review the literature on psychodynamic rating scales of sexual disorders. Our second objective, based on the findings from our review, was to develop a psychodynamic rating scale for people with sexual disorders: the KAPP-SD. We developed the KAPP-SD by modifying an existing psychodynamic rating scale, which assesses stable modes of mental functioning and character traits, the Karolinska Psychodynamic Profile (KAPP). We removed items 13 and 14 of the KAPP and replaced them with three other items-sexual fantasies, conceptions and role of gender identity, and conceptions and role of sexual orientation. These items are part of the assessment of an individual's sexuality and are used to evaluate a person with a sexual disorder psychodynamically. The KAPP-SD, a modified version of the KAPP, can be found in the Appendix. We developed the KAPP-SD in order to help sex therapists make a rigorous psychodynamic evaluation of persons with sexual disorders, which would give information on the prognosis and on the type of treatment to offer.

  15. Promotions, dismissals, and employee selection: Theory and evidence

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Takáts, Elód

    2011-01-01

    Firms offer highly complex contracts to their employees. These contracts contain a mix of incentives, such as fixed wages, bonus payments, promotion options, and dismissals or threats of dismissal. In this article, we show that firms having a production process that is sensitive to employee quality...... may find it optimal to combine cost-efficient incentives such as bonuses and promotions with dismissals. Based on this result, we derive a hierarchy of incentives. Furthermore, we demonstrate the close link between the optimal contract and the employee sorting and selection and use this to analyse...

  16. Team building from a psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    F. v. N. Cilliers

    2000-06-01

    Full Text Available The aim of this research is to measure the impact of a psychodynamic, Tavistock stance, team building event. Its task is to provide opportunities for learning about team behaviour and dynamics. Consultants offer interpretations in the form of working hypotheses about what is happening in the here-and-now. This refers to the basic assumptions (dependency, fight/flight, pairing and its relevant dynamic concepts. Post measured, qualitative research findings, indicate an increase in knowledge about the teams unconscious behaviour, a realisation of own identity, boundaries, potential and a strong sense of empowerment to act collectively in problem solving. Opsomming Die doel van die navorsing is om die impak van'n psigodinamiese, Tavistock beskouing, spanbou gebeurtems, te meet. Die taak is om leergeleenthede beskikbaar te stel oor eie spangedrag en -dinamika. Konsultantc bicd interpretasies aan in die vorm van werkshipoteses oor die gebeure in die hier-en-nou. Dit verwys na die basiese aannames (afhanklikheid, veg/vlug, afparing en die relevante dinamiese konsepte. Post-gemete, kwalitatiewe navorsingsresultate, dui op n toename in kennis oor die span se onbewuste gedrag, n beset van eie identiteit, grense, potensiaal en 'n sterk sin van bemagtiging om op 'n kollektiewe wyse op te tree in probleemoplossing.

  17. 20 CFR 410.650 - Dismissal for cause.

    Science.gov (United States)

    2010-04-01

    ..., Finality of Decisions, and Representation of Parties § 410.650 Dismissal for cause. The presiding officer... provided in § 410.669. (d) Death of party. Where the party who filed the hearing request dies and there is...

  18. Psychodynamic theory and counseling in predictive testing for Huntington's disease.

    Science.gov (United States)

    Tassicker, Roslyn J

    2005-04-01

    This paper revisits psychodynamic theory, which can be applied in predictive testing counseling for Huntington's Disease (HD). Psychodynamic theory has developed from the work of Freud and places importance on early parent-child experiences. The nature of these relationships, or attachments are reflected in adult expectations and relationships. Two significant concepts, identification and fear of abandonment, have been developed and expounded by the psychodynamic theorist, Melanie Klein. The processes of identification and fear of abandonment can become evident in predictive testing counseling and are colored by the client's experience of growing up with a parent affected by Huntington's Disease. In reflecting on family-of-origin experiences, clients can also express implied expectations of the future, and future relationships. Case examples are given to illustrate the dynamic processes of identification and fear of abandonment which may present in the clinical setting. Counselor recognition of these processes can illuminate and inform counseling practice.

  19. Dismissive reviews in education policy research: A list

    Directory of Open Access Journals (Sweden)

    Richard P. Phelps

    2016-01-01

    Full Text Available Included in these web pages are the statements—the dismissive reviews—of some prominent education policy researchers. Most of their statements are inaccurate; it is possible that all of them are. Certainly, all of them are misleading. Each linked file includes the dismissive statements, the names of the lead authors (in bold when known and co-authors, title, source, date, and, page numbers for the statement and hyperlink to the source, when available, all listed in reverse chronological order. “Dismissive review” is the general term. In the “type” column of the files, a finer distinction is made among simply “dismissive”—meaning a claim that there is no or little previous research, “denigrating”—meaning a claim that previous research exists but is so inferior it is not worth even citing, and “firstness”—a claim to be the first in the history of the world to ever conduct such a study. For the most part, I have included statements made by “serial dismissers”, researchers who dismiss repeatedly on a variety of topics. This is done to help counter the argument that they might be innocent, actually did make an effort to look for previous research, and simply could not find it. In most cases they dismiss a research literature that is hundreds or thousands of studies deep. And, when they do that repeatedly across a variety of topics, the odds that their dismissive behavior could be innocent fade to minuscule. - See more at: http://nonpartisaneducation.org/Review/Resources/DismissiveList.htm#sthash.TXzlmZhZ.dpuf

  20. Symptoms and Character Traits in Patients Selected for Long-term Psychodynamic Psychotherapy

    Science.gov (United States)

    Wilczek, Alexander; Weinryb, Robert M.; Gustavsson, Petter J.; Barber, Jacques P.; Schubert, Johan; ÅSBERG, Marie

    1998-01-01

    In this naturalistic study of 55 outpatients selected for long-term psychodynamic psychotherapy, two Swedish assessment instruments are presented (the Karolinska Psychodynamic Profile and the Karolinska Scales of Personality), and the significance of psychodynamic criteria for the selection of patients is discussed. Thirty patients (55%) fulfilled criteria for a DSM-III-R diagnosis. The most prominent psychodynamically defined character pathology was found in the areas of coping with aggressive affects; dependency and separation; frustration tolerance; and impulse control. Some psychodynamically defined character traits, particularly poor frustration tolerance, were related to symptomatic suffering. PMID:9407473

  1. Psychodynamic Therapy and Intellectual Disabilities: Dealing with Challenging Behaviour.

    Science.gov (United States)

    Berry, Paul

    2003-01-01

    Four case studies concerning long-term psychodynamic treatment of German individuals with intellectual disabilities are presented: an aggressive young man with a mild intellectual disability; a young man with multiple disabilities with destructive behavior; a withdrawn young woman with self-destructive behavior; and a young man with autism with…

  2. The making and remaking of dismissed industrial sites

    NARCIS (Netherlands)

    Curulli, G.I.

    2014-01-01

    The Making and Remaking of Dismissed Industrial Sites examines the transformation of former industrial areas and the implications of the design of reuse with aesthetics, context, history and memory, public space and reclamation of contaminated soils. Through a critical investigation of these

  3. Parental Emotion Coaching and Dismissing in Family Interaction

    Science.gov (United States)

    Lunkenheimer, Erika S.; Shields, Ann M.; Cortina, Kai S.

    2007-01-01

    We observed the positive emotion socialization practice of parental emotion coaching (EC) and the negative socialization practice of emotion dismissing (ED) during a family interaction task and examined their effects on children's emotion regulation and behavior problems in middle childhood. Participants were 87 sociodemographically diverse…

  4. Writing Assessment's "Debilitating Inheritance": Behaviorism's Dismissal of Experience

    Science.gov (United States)

    Wilson, Maja Joiwind

    2013-01-01

    In this project, I examine the legacy of behaviorism's dismissal of experience on contemporary writing assessment theory and practice within the field of composition studies. I use an archival study of John B. Watson's letters to Robert Mearns Yerkes to establish behaviorism's systematic denial of experience and its related constructs: mind,…

  5. Formal Dismissal Procedures Under Illinois Teacher Tenure Laws. Revised Edition.

    Science.gov (United States)

    Jenkins, Newell N.; And Others

    This handbook, an updated and revised version of the 1975 original, contains the new statutory requirements, state board of education rules, and court decisions pertaining to teacher dismissal in Illinois. This handbook is designed to acquaint Illinois school administrators and school board members with the legal procedures necessary in dismissal…

  6. 28 CFR 345.42 - Inmate worker dismissal.

    Science.gov (United States)

    2010-07-01

    ... worker dismissal. The SOI may remove an inmate from Industries work status in cooperation with the unit team. (a) The SOI may remove an inmate from FPI work status according to the conditions outlined in the pay and benefits section of this policy and in cooperation with the unit team. (b) An inmate may be...

  7. 48 CFR 6302.35 - Dismissal without prejudice (Rule 35).

    Science.gov (United States)

    2010-10-01

    ... prejudice (Rule 35). 6302.35 Section 6302.35 Federal Acquisition Regulations System DEPARTMENT OF TRANSPORTATION BOARD OF CONTRACT APPEALS RULES OF PROCEDURE 6302.35 Dismissal without prejudice (Rule 35). When... prejudice to its restoration to the Board's docket when the cause of suspension has been eliminated. Unless...

  8. Money and sentiment: a psychodynamic approach to behavioral finance.

    Science.gov (United States)

    Mohacsy, Ildiko; Lefer, Heidi

    2007-01-01

    This article tackles one of the timeliest issues for both practitioners and patients today: sentiment, psychodynamics, and the stock market. Economic bubbles and crashes have occurred regularly through history -- from Holland's 17th century tulip mania, to America's 19th century railway mania, to the 1990s high-tech obsession. Though most investors regard themselves as investing rationally, few do. Instead they react collectively, buying high and selling low in crowds. Being subject to the illusion of control, they follow regressive behavior patterns and irrational, wishful thinking. They are victimized by their own emotions of hope, fear, and uncertainty. Crises happen often in economics. Indeed, the market itself may be quantified as a conglomeration of human sentiment. The relationship between magical thinking and the pictorial language of the market will be explored. Psychodynamic conceptualizations about risk and speculation are discussed, as are the interplay of affects versus judgment, rational thinking, and the knowledge of one's own capacity for stress tolerance.

  9. Autoethnography and Psychodynamics in Interrelational Spaces of the Research Process

    DEFF Research Database (Denmark)

    Dybbroe, Betina; Hansson, Birgitte

    2012-01-01

    This article takes the stance that the subjectivity of the researcher is an integral part of the research process. It should be studied as a key to understanding the interrelational processes of meaning in an interview situation. The article demonstrates how the subjectivity of the researcher can...... be made accessible methodologically and methodically by combining a psychodynamic approach with an autoethnographic approach. The methodical question is therefore how the researcher can conduct introspection and at the same time reflect upon and analyse the central object of investigation. The approach...... is psychoanalytically informed, but autoethnography became the actual vehicle for moving beyond reflections on the psychodynamics represented in the texts. The researcher ventured into an introspection of not only the texts, but also her own feelings, fantasies, and bodily experiences at the time of the interview...

  10. Viewing the Disney Movie Frozen through a Psychodynamic Lens.

    Science.gov (United States)

    Kowalski, Christopher; Bhalla, Ruchi

    2015-10-14

    The Disney movie Frozen is the fifth highest grossing movie of all time. In order to better understand this phenomenon and to hypothesize as to why the movie resonated so strongly with audiences, we have interpreted the movie using psychodynamic theory. We pay particular attention to the themes of puberty, adolescence and sibling relationships and discuss examples of ego defenses that are employed by the lead character in relation to these concepts.

  11. Empathy deficit in antisocial personality disorder: a psychodynamic formulation.

    Science.gov (United States)

    Malancharuvil, Joseph M

    2012-09-01

    Empathic difficulty is a highly consequential characteristic of antisocial personality structure. The origin, maintenance, and possible resolution of this profound deficit are not very clear. While reconstructing empathic ability is of primary importance in the treatment of antisocial personality, not many proven procedures are in evidence. In this article, the author offers a psychodynamic formulation of the origin, character, and maintenance of the empathic deficiency in antisocial personality. The author discusses some of the treatment implications from this dynamic formulation.

  12. Early Intervention for Borderline Personality Disorder: Psychodynamic Therapy in Adolescents.

    Science.gov (United States)

    Salzer, Simone; Cropp, Carola; Streeck-Fischer, Annette

    2014-01-01

    Borderline personality disorder (BPD) should be understood as a disorder of development (Streeck-Fischer 2008, 2013) that has its first manifestation in late childhood and adolescence. There are only few treatment studies of adolescents meeting the diagnostic criteria of borderline personality disorder, although early interventions for these patients are urgently needed (see Chanen & McCutcheon 2013). We examined the effectiveness of an inpatient psychodynamic therapy (PDT). Twenty-eight adolescents fulfilling the DSM-IV diagnostic criteria of borderline personality disorder were treated with psychodynamic therapy. The mean duration of treatment was 29.87 weeks (SD = 15.88). Outcomes were remission rates, GAF, GSI, SDQ, IIP and BPI scores. Assessments were made at admission and after treatment. Pre-post comparisons and comparisons with normative data were conducted. At the end of treatment 39.29% of the patients were remitted. We found significant improvements for the GAF, GSI, SDQ, IIP (all p0.001) and the BPI (p = 0.006). These clinically relevant improvements demonstrate the effectiveness of psychodynamic therapy in adolescents with borderline personality disorder and stress the usefulness of an early intervention for these patients.

  13. Group Milieu in systemic and psychodynamic group therapy

    DEFF Research Database (Denmark)

    Lau, Marianne Engelbrecht; Kristensen, Ellids

    Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found in a random......Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found...... in a randomized study of systemic versus psychodynamic group therapy, that the short-term outcome for patients who received systemic group psychotherapy was significantly better than the outcome for patients who received psychodynamic group psychotherapy. The current study assessed the group milieu in both groups....... Methods: This randomized prospective study included 106 women: 52 assigned to psychodynamic group psychotherapy and 54 assigned to systemic group psychotherapy. The Group Environment Scale (GES) was filled in the mid phase of therapy and analysed in three dimensions and 10 subscales. Results: The systemic...

  14. 20 CFR 416.1595 - When the Appeals Council will dismiss a request for review.

    Science.gov (United States)

    2010-04-01

    ... SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Representation of Parties § 416.1595 When the... dismissal. (b) Death of party. The Appeals Council may dismiss a request for review in the event of the death of the representative. (c) Request for review not timely filed. The Appeals Council will dismiss a...

  15. Assessing levels of similarity to a "psychodynamic prototype" in psychodynamic psychotherapy with children: a case study approach (preliminary findings

    Directory of Open Access Journals (Sweden)

    Marina Bento Gastaud

    2015-09-01

    Full Text Available Objective:To analyze the degree of similarity to a "psychodynamic prototype" during the first year of two children's once-weekly psychodynamic psychotherapy.Methods: This study used a longitudinal, descriptive, repeated-measures design based on the systematic case study method. Two male school children (here referred to as Walter and Peter and their therapists took part in the study. All sessions were video and audio recorded. Ten sessions from each case were selected for analysis in this preliminary study. Trained examiners (randomly selected in pairs independently and blindly evaluated each session using the Child Psychotherapy Q-Set (CPQ. Experts in psychodynamic therapy and cognitive behavioral therapy from several countries rated each of the 100 CPQ items with regard to how well it characterized a hypothetical ideal session of either treatment modality. A series of paired t tests comparing analogous adherence scores within each session were conducted.Results:There were no significant correlations between time elapsed and adherence to the prototypes. Walter's treatment adhered to both prototypes and Peter's treatment did not adhere to either prototype.Conclusion:Child psychotherapy theory and practice are not absolutely coincident. Real psychotherapy sessions do not necessarily resemble the ideal prototypes.

  16. SCL-90-R Symptom Profiles and Outcome of Short-Term Psychodynamic Group Therapy

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2013-01-01

    Abstract Background. Psychodynamic group psychotherapy may not be an optimal treatment for anxiety and agoraphobic symptoms. We explore remission of SCL-90-R Global Severity Index (GSI) and target symptoms in 39 sessions of psychodynamic group therapy. Methods. SCL-90-R “target symptom” profile a...

  17. When and Why Should Mental Health Professionals Offer Traditional Psychodynamic Therapy to Cancer Patients?

    Science.gov (United States)

    Yuppa, David P; Meyer, Fremonta

    2017-05-01

    Given the recent studies promoting time-limited manualized therapies in the oncology setting, clinicians may be reluctant to offer traditional psychodynamic therapy to cancer patients. However, there are no studies directly comparing psychodynamic therapy and other therapy modalities in this patient population and no data suggesting harm from psychodynamic approaches. Therefore, it is inappropriate to draw the conclusion that psychodynamic therapy is inferior to manualized therapy from existing evidence. Manualized treatment, such as cognitive behavioral therapy, is generally short term and therefore may reduce the practitioner's own anxiety stemming from exposure to patients facing grave disability and death. However, manualized treatment is not fully effective in specific clinical scenarios. We present a case reflecting these limitations and advocate for a flexible treatment approach incorporating elements of psychodynamic therapy. © 2017 American Medical Association. All Rights Reserved.

  18. Integration of the cognitive and the psychodynamic unconscious.

    Science.gov (United States)

    Epstein, S

    1994-08-01

    Cognitive-experiential self-theory integrates the cognitive and the psychodynamic unconscious by assuming the existence of two parallel, interacting modes of information processing: a rational system and an emotionally driven experiential system. Support for the theory is provided by the convergence of a wide variety of theoretical positions on two similar processing modes; by real-life phenomena--such as conflicts between the heart and the head; the appeal of concrete, imagistic, and narrative representations; superstitious thinking; and the ubiquity of religion throughout recorded history--and by laboratory research, including the prediction of new phenomena in heuristic reasoning.

  19. Psychodynamic Factors Behind Online Social Networking and its Excessive Use.

    Science.gov (United States)

    Li, Thomas Cheuk Wing

    2016-03-01

    This article discusses the psychodynamic factors behind the popularity of one form of Internet activity, online social networking (SN). It views online SN as an extension of the social self, organized in a way that is more controllable than real life relating. The SN platforms reward its users with reassuring surfaces and novel self-object experiences while at the same time induces much anxiety. The addictive quality of online SN is understood in the context of collapse of dialectical space and the defensive use of this technology.

  20. Dismissing Attachment Characteristics Dynamically Modulate Brain Networks Subserving Social Aversion.

    Science.gov (United States)

    Krause, Anna Linda; Borchardt, Viola; Li, Meng; van Tol, Marie-José; Demenescu, Liliana Ramona; Strauss, Bernhard; Kirchmann, Helmut; Buchheim, Anna; Metzger, Coraline D; Nolte, Tobias; Walter, Martin

    2016-01-01

    Attachment patterns influence actions, thoughts and feeling through a person's "inner working model". Speech charged with attachment-dependent content was proposed to modulate the activation of cognitive-emotional schemata in listeners. We performed a 7 Tesla rest-task-rest functional magnetic resonance imaging (fMRI)-experiment, presenting auditory narratives prototypical of dismissing attachment representations to investigate their effect on 23 healthy males. We then examined effects of participants' attachment style and childhood trauma on brain state changes using seed-based functional connectivity (FC) analyses, and finally tested whether subjective differences in responsivity to narratives could be predicted by baseline network states. In comparison to a baseline state, we observed increased FC in a previously described "social aversion network" including dorsal anterior cingulated cortex (dACC) and left anterior middle temporal gyrus (aMTG) specifically after exposure to insecure-dismissing attachment narratives. Increased dACC-seeded FC within the social aversion network was positively related to the participants' avoidant attachment style and presence of a history of childhood trauma. Anxious attachment style on the other hand was positively correlated with FC between the dACC and a region outside of the "social aversion network", namely the dorsolateral prefrontal cortex, which suggests decreased network segregation as a function of anxious attachment. Finally, the extent of subjective experience of friendliness towards the dismissing narrative was predicted by low baseline FC-values between hippocampus and inferior parietal lobule (IPL). Taken together, our study demonstrates an activation of networks related to social aversion in terms of increased connectivity after listening to insecure-dismissing attachment narratives. A causal interrelation of brain state changes and subsequent changes in social reactivity was further supported by our observation of

  1. The action concerning Wyhl was dismissed by another decision

    International Nuclear Information System (INIS)

    Anon.

    1982-01-01

    The action to set aside the first partial construction permit for the nucelar power plant South in Wyhl of the local authority of Weisweil has been dismissed by the tenth senate of the administrative court of Baden-Wuerttemberg in the court of appeal by the decision of March 30th, 1982 - X 582/77 - served on August 16th, 1982. The grounds of the later served decision correspond with those of the decision first served with regard to the content in the most important points. An appeal against the non-admission of the appeal was not lodged, thus the decision entered into force. (orig./HP) [de

  2. Dismissing attachment characteristics dynamically modulate brain networks subserving social aversion.

    Directory of Open Access Journals (Sweden)

    Anna Linda eKrause

    2016-03-01

    Full Text Available Attachment patterns influence actions, thoughts and feeling through a person’s ‘Inner Working Model’. Speech charged with attachment-dependent content was proposed to modulate the activation of cognitive-emotional schemata in listeners. We performed a 7 Tesla rest-task-rest fMRI-experiment, presenting auditory narratives prototypical of dismissing attachment representations to investigate their effect on 23 healthy males. We then examined effects of participants’ attachment style and childhood trauma on brain state changes using seed-based functional connectivity (FC analyses, and finally tested whether subjective differences in responsivity to narratives could be predicted by baseline network states. In comparison to a baseline state, we observed increased FC in a previously described ‘social aversion network’ including dorsal anterior cingulated cortex (dACC and left anterior middle temporal gyrus (aMTG specifically after exposure to insecure-dismissing attachment narratives. Increased dACC-seeded FC within the social aversion network was positively related to the participants’ avoidant attachment style and presence of a history of childhood trauma. Anxious attachment style on the other hand was positively correlated with FC between the dACC and a region outside of the ‘social aversion network’, namely the dorsolateral prefrontal cortex, which suggests decreased network segregation as a function of anxious attachment. Finally, the extent of subjective experience of friendliness towards the dismissing narrative was predicted by low baseline FC-values between hippocampus and inferior parietal lobule. Taken together, our study demonstrates an activation of networks related to social aversion in terms of increased connectivity after listening to insecure-dismissing attachment narratives. A causal interrelation of brain state changes and subsequent changes in social reactivity was further supported by our observation of direct

  3. Brief Adlerian psychodynamic psychotherapy: theoretical issues and process indicators.

    Science.gov (United States)

    Fassino, S; Amianto, F; Ferrero, A

    2008-06-01

    Brief psychotherapy is gaining interest worldwide, because of its good cost/effectiveness ratio and proved efficacy. The aim of the paper was to describe the brief Adlerian psychodynamic psychotherapy (B-APP): a brief, psychodynamically oriented psychotherapy referring to the individual psychology (IP). The B-APP theory refers to the following paradigms: 1) the individual represents a psychosomatic unity integrated in the social context; 2) the individual needs to build and regulate the image of the self; 3) bond patterns regulate human relationships and represent the symbolic ''fil rouge'' connecting the elements of the life-style. Its objectives are: 1) an at least partial resolution of the focus problem; 2) a decrease or a non-increase of symptoms; 3) a global increase of quality of life. The results depend on intrapsychic and relational changes. Indications are more relative than absolute. The possibility of identifying a meaningful focus is fundamental. The treatment scheme includes 15 sessions subdivided into 5 phases. B-APP offers a technical approach to brief psychotherapy which is suitable in many fields of psychiatry and liaison medicine such as preventive interventions in at-risk subjects, somatopsychic disorders and liaison psychiatry, personality and eating disorders, and treatment of emotionally disturbed children. It was applied as psychotherapeutic approach in some clinical outcome studies about eating disorders and severe personality disorders displaying a good efficacy.

  4. Executive coaching in diversity from the systems psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    Lerato Motsoaledi

    2012-03-01

    Research purpose: The purpose of this research was to describe the application of systems psychodynamic role analysis and to determine its trustworthiness in assisting executives to work effectively with conscious and unconscious diversity dynamics in their organisations. Motivation for the study: Executives generally struggle to understand the deeper meaning of diversity behaviour that manifests inside and around them, leading to conflict. Without understanding the unconscious meaning of the behaviour, organisations founder easily. Awareness of below-the-surface behaviour leads to insight and taking responsibility for diversity-related behaviours. Research design, approach and method: The researcher coached six executives in South African state departments over a period of 10 months. The coaching addressed and analysed the executives’ organisational roles. She analysed the data using discourse analysis. Main findings: Themes relating to the diversity dynamics of gender, race, ethnicity, authority, disability, language, age, de-authorisation of diversity work and the coaching process emerged. The coaching assisted the executives to gain insights into below-the-surface diversity dynamics, to address diversity in a sustained manner and to take up their organisational roles more effectively. Practical/managerial implications: Coached executives will have a more objective and dynamic experience of diversity issues that manifest in organisations, between colleagues and within themselves. Contribution/value-add: Executive coaching from a systems psychodynamic perspective displays trustworthiness in improving participants’ diversity awareness, especially with regard to gender, race, ethnicity and authorisation.

  5. The systems psychodynamic experiences of organisational transformation amongst support staff

    Directory of Open Access Journals (Sweden)

    Martin Steyn

    2016-10-01

    Full Text Available Orientation: The unconscious impact of organisational transformation is often neglected and even denied. This research revealed the manifestation and impact of high levels and different forms of anxiety experienced by employees during transformation. Research objective: The objective was to study and describe the manifesting systems psychodynamic behaviour amongst support staff during organisational transformation. Motivation for the study: Organisational transformation is mostly researched from a leadership viewpoint. Little research data are available on the experiences of support staff on the receiving end of decisions about and implementation of transformation. Research design, approach and method: A qualitative approach within the phenomenological hermeneutic interpretive stance was used. The research was set in a government organisation. A semi-structured interview with four conveniently and purposefully chosen support staff members was thematically analysed using systems psychodynamics as theoretical paradigm. Main findings: Four themes manifested, namely de-authorisation and detachment, being bullied and seduced by leadership, the organisation in the mind as incompetent, and a dangerous and persecutory system. In the discussion, the basic assumptions and relevant constructs are interpreted. Practical implications: Understanding the transformation experiences of support staff could assist the industrial psychologist to facilitate appropriate support in coaching more junior staff towards increasing wellness and work performance. Contribution: Organisational transformation is highlighted as an anxiety provoking experience especially on the lower levels of the organisation. Its potentially deep and complex psychological impact could possibly derail parts of the system if not managed in a psychologically contained manner.

  6. Followership's experiences of organisational leadership: A systems psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    Henk Greyvenstein

    2012-03-01

    Research purpose: The purpose of the research was to describe followership’s experiences of organisational leadership from a systems psychodynamic perspective. Motivation for the study: Organisational leadership is under tremendous pressure to perform and often under attack, especially if they do not appear to be caring and supportive. The research was planned to better understand the unconscious nature of this phenomenon. Research design, approach and method: Qualitative, descriptive research was used. Data was collected through psychodynamic Listening Posts and analysed using discourse analysis. Working hypotheses were formulated per theme and integrated into the research hypothesis. Main findings: Six themes manifested, namely a negative leadership view; idealisation of the past and blaming the present; obsession with race and gender; constantly changing identity; unfinished business and the future; and cope and hope. Practical/managerial implications: Leadership seem to focus more on business than followership issues which leads to followers feeling disregarded and de-authorised. As a result followers withhold authorisation from leadership which may be instrumental in leaderships’ difficulties to manage change and transformation effectively. Leadership development needs to incorporate the self-authorisation of leaders as well as the invitation of authorisation by leaders. Contribution/value-add: The data would be useful to leadership towards understanding, repairing and optimising their relationships and organisational impact through people.

  7. Commentary: Coming Full Circle--Psychoanalysis, Psychodynamics, and Forensic Psychiatry.

    Science.gov (United States)

    Hegarty, Angela M

    2015-12-01

    Drs. Simopoulos and Cohen argue that knowledge of one's unconscious processes improves the forensic psychiatrist's capacity to manage complex forensic situations and to generate forensic formulations and opinions that are demonstrably more valid and reliable, much like competence in cultural assessment and formulation. In practice, the challenges posed by the application of these principles in forensic settings are far outweighed by the potential benefit. Forensic practice is informed by many specialties. Forensic psychiatrists do not have to complete full training in these disciplines to make use of the knowledge and perspectives they offer. The same may not be true of psychodynamic assessment and formulation. Although much can be learned from supervision, case seminars, conferences, and reading, such knowledge does little to foster awareness of one's unconscious processes that by definition operate outside awareness and thus contribute to the vitiating effect of bias. To date, the only method whereby psychiatrists can effectively come to appreciate their own unconscious processes in action is arguably through their own analysis conducted in the course of training in analysis or psychodynamic psychotherapy. © 2015 American Academy of Psychiatry and the Law.

  8. Innovative Educational Initiatives to Train Psychodynamic Psychiatrists in Underserved Areas of the World.

    Science.gov (United States)

    Alfonso, César A; Michael, Marco Christian; Elvira, Sylvia Detri; Zakaria, Hazli; Kalayasiri, Rasmon; Adlan, Aida Syarinaz A; Moinalghorabaei, Mahdieh; Lukman, Petrin Redayani; San'ati, Mohammad; Duchonova, Katerina; Sullivan, Timothy B

    2018-06-01

    Psychodynamic psychiatry remains a challenging subject to teach in underserved areas, where enthusiasm to learn is substantial. Besides logistical and psychiatric workforce shortcomings, sensible cultural adaptations to make psychodynamic psychiatry relevant outside of high-income countries require creative effort. Innovative pedagogical methods that include carefully crafted mentoring and incorporate videoconferencing in combination with site visits can be implemented through international collaborations. Emphasis on mentoring is essential to adequately train future psychodynamic psychotherapy supervisors. Examples of World Psychiatric Association initiatives in countries such as Indonesia, Iran, Malaysia, and Thailand are presented as possible models to emulate elsewhere. Copyright © 2018 Elsevier Inc. All rights reserved.

  9. Group Milieu in systemic and psychodynamic group therapy

    DEFF Research Database (Denmark)

    Lau, Marianne Engelbrecht

    Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found in a random......Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found....... Methods: This randomized prospective study included 106 women: 52 assigned to psychodynamic group psychotherapy and 54 assigned to systemic group psychotherapy. The Group Environment Scale (GES) was filled in the mid phase of therapy and analysed in three dimensions and 10 subscales. Results: The systemic...... subscales: Cohesion (pLeader support (p=0.001), Expressiveness (p

  10. Psychodynamic Emotional Regulation in View of Wolpe's Desensitization Model.

    Science.gov (United States)

    Rabinovich, Merav

    2016-01-01

    The current research belongs to the stream of theoretical integration and establishes a theoretical platform for integrative psychotherapy in anxiety disorders. Qualitative metasynthesis procedures were applied to 40 peer-reviewed psychoanalytic articles involving emotional regulation. The concept of psychodynamic emotional regulation was found to be connected with the categories of desensitization, gradual exposure, containment, and transference. This article presents a model according to which psychoanalytic psychotherapy allows anxiety to be tolerated while following the core principles of systematic desensitization. It is shown that despite the antiresearch image of psychoanalytic psychotherapy, its foundations obey evidence-based principles. The findings imply that anxiety tolerance might be a key goal in which the cumulative wisdom of the different therapies can be used to optimize psychotherapy outcomes.

  11. Drop-out from a psychodynamic group psychotherapy outpatient unit.

    Science.gov (United States)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2014-11-01

    BACKGROUND. Drop-out from psychotherapy is common and represents a considerable problem in clinical practice and research. Aim. To explore pre-treatment predictors of early and late drop-out from psychodynamic group therapy in a public outpatient unit for non-psychotic disorders in Denmark. Methods. Naturalistic design including 329 patients, the majority with mood, neurotic and personality disorders referred to 39-session group therapy. Predictors were socio-demographic and clinical variables, self-reported symptoms (Symptom Check List-90-Revised) and personality style (Millon Clinical Multiaxial Inventory-II). Drop-out was classified into early and late premature termination excluding patients who dropped out for external reasons. Results. Drop-out comprised 20.6% (68 patients) of the sample. Logistic regression revealed social functioning, vocational training, alcohol problems and antisocial behavior to be related to drop-out. However, early drop-outs had prominent agoraphobic symptoms, lower interpersonal sensitivity and compulsive personality features, and late drop-outs cognitive and somatic anxiety symptoms and antisocial personality features. Clinical and psychological variables accounted for the major part of variance in predictions of drop-out, which ranged from 15.6% to 19.5% (Nagelkerke Pseudo R-Square). Conclusion. Social functioning was consistently associated with drop-out, but personality characteristics and anxiety symptoms differentiated between early and late drop-out. Failure to discriminate between stages of premature termination may explain some of the inconsistencies in the drop-out literature. Clinical implications. Before selection of patients to time-limited psychodynamic groups, self-reported symptoms should be thoroughly considered. Patients with agoraphobic symptoms should be offered alternative treatment. Awareness of and motivation to work with interpersonal issues may be essential for compliance with group therapy.

  12. Action for declaration of annulment of reactor construction permit dismissed

    International Nuclear Information System (INIS)

    Anon.

    1982-01-01

    The Higher Administrative Court of Rheinland Pfalz has confirmed two decisions by the Koblenz Administrative Court dismissing an actions to declare the annulment of the partial construction permit issued for the Muelheim-Kaerlich reactor. Appeal was not admitted. The plaintiffs, who are under age and were represented by their father, are permanently resident in Schleswig-Holstein, at about 470 km from the site and have a further residence in Mainz, about 60 km away from the site. They plead to have a legitimate interest in the declaration of nullity on the grounds of the uncertainty created in legal matters by the delivery of the permit and its being unconstitutional as well as for ideological and religious reasons. The ruling deals also with the importance of the distance from the site of a nuclear reactor, which is considered to be such as to exclude the 'necessary spatial relation'. (orig./HP) [de

  13. Deficits, Declines, and Dismissals: Faculty Tenure and Fiscal Exigency. Current Issues.

    Science.gov (United States)

    Stroup, Stinson W.; And Others

    Tenured faculty can be dismissed for reasons of financial exigency. If the employment contract provides a specific definition of fiscal exigency and the processes to be used in effecting retrenchment, then those terms govern in lieu of constitutional due process. In the absence of such guidance, courts are willing to allow dismissal for reasons of…

  14. The right to work: transition from free dismissal to guaranteed constitutional right

    Directory of Open Access Journals (Sweden)

    Alfredo Villavicencio Ríos

    2013-12-01

    Full Text Available After presenting the evolution of labor stability law in Peru, public and private scopes of the right to work are described allowing the Constitutional Court redefine dismissal regime (working stability of exit, in general, and specifying temporary recruitment regime (working stability of entry. Redefinition of dismissal legal framework is analyzed from constitutional and judicial case law stressing solved and pending issues.

  15. Dismissing Children's Perceptions of Their Emotional Experience and Parental Care: Preliminary Evidence of Positive Bias

    Science.gov (United States)

    Borelli, Jessica L.; David, Daryn H.; Crowley, Michael J.; Snavely, Jonathan E.; Mayes, Linda C.

    2013-01-01

    The tendency to perceive caregivers in highly positive terms and to perceive the self as strong and problem-free are two facets of the positive bias characteristic of a dismissing attachment classification in adulthood. However, this link has not yet been examined in children. We evaluated the association between dismissing attachment and positive…

  16. Piecewise linear regression techniques to analyze the timing of head coach dismissals in Dutch soccer clubs

    NARCIS (Netherlands)

    Schryver, T. de; Eisinga, R.

    2010-01-01

    The key question in research on dismissals of head coaches in sports clubs is not whether they should happen but when they will happen. This paper applies piecewise linear regression to advance our understanding of the timing of head coach dismissals. Essentially, the regression sacrifices degrees

  17. Psychodynamic psychotherapy, religious beliefs, and self-disclosure.

    Science.gov (United States)

    Tillman, J G

    1998-01-01

    The intersection of psychodynamic psychotherapy and religious beliefs may present technical challenges for the psychotherapists; particularly if patients request to know more about the therapist's religious beliefs. Contrary to a recent technical recommendation for therapists to self-disclose personal religious beliefs when asked to do so, I suggest that such a request is complex and requires a thoughtful grounding in psychotherapeutic theory. Disclosing personal beliefs to patients runs the risk of being off-task as well as holding oneself out as an exemplar for the patient. Rather than adopt a formulaic response to requests for information, to deepen the understanding of the patient and the work of therapy, the therapist needs a complex understanding based on a careful diagnostic assessment of the patient, as well as an assessment of the current status of the psychotherapeutic venture. The workings of patients' particular transferences are often evident in requests for personal information and require careful evaluation and consideration. Likewise, countertransference elements may influence the type of response offered by the therapist. Using ethical principles as a guide is different from using them as a rule. The nexus of religious belief, psychosocial context, psychotherapy, and self-disclosure provides a potentially rich source of understanding when explored in the psychotherapeutic situation.

  18. Treatment resistance and psychodynamic psychiatry: concepts psychiatry needs from psychoanalysis.

    Science.gov (United States)

    Plakun, Eric

    2012-06-01

    Over the last 30 years psychiatry and psychoanalysis have moved in substantially divergent directions. Psychiatry has become rich in methodology but conceptually limited, with a drift toward biological reductionism. Psychoanalysis has remained relatively limited in methodology, but conceptually rich. The rich methodology of psychiatry has led to major contributions in discovering gene by environment interactions, the importance of early adversity, and to recognition of the serious problem posed by treatment resistance. However, psychiatry's biologically reductionistic conceptual focus interferes with the development of a nuanced clinical perspective based on emerging knowledge that might help more treatment resistant patients become treatment responders. This article argues that recognition of the problem of treatment resistance in psychiatry creates a need for it to reconnect with the conceptual richness of psychoanalysis in order to improve patient care. Psychodynamic psychiatry is defined as the relevant intersection of psychiatry and psychoanalysis where this reconnection can occur. I will suggest selected aspects of psychoanalysis that are especially relevant to psychiatry in improving outcomes in work with treatment resistant patients.

  19. The power to dismiss and the right to be heard under the common ...

    African Journals Online (AJOL)

    The power to dismiss and the right to be heard under the common law of Ghana: a need for satutory intervention. ... Journal of Business Research ... Based on the examination of selected Supreme Court cases, the paper demonstrates that, ...

  20. 20 CFR 404.1795 - When the Appeals Council will dismiss a request for review.

    Science.gov (United States)

    2010-04-01

    ... OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Representation of Parties § 404.1795 When the.... (b) Death of party. The Appeals Council may dismiss a request for review in the event of the death of...

  1. Dismissal Disputes and the Incentives to Bargain: Estimates of the Contract Zone

    OpenAIRE

    Benoit P. Freyens

    2011-01-01

    In many countries the arbitration of dismissal disputes by public tribunals and state agencies is regarded as slow and expensive. Some common law countries, including the United States and Australia, are privatizing dispute resolution on the premise that this is more efficient than using statutory channels, and it is thus perceived as a better method of settling disputes. Previous advances in statutory law regarding the arbitration of dismissal disputes have been either rescinded or circumven...

  2. Federal Administrative Court dismisses action of a nuclear power opponent against Grafenrheinfeld nuclear power plant

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    With its decision of April 30, 1980 - BVerwG 7 C 88.79-, the Federal Administrative Court has dismissed an appeal against the decision of the Bavarian Administrative Court, in which the plaintiff's action had been dismissed. The cost of the appeal suit will be paid by the plaintiff. The value in litigation was set at DM 20,000 for the appeal proceedings. The grounds for the decision are given in full wording. (orig./HP) [de

  3. Effectiveness of short-term psychodynamic group therapy in a public outpatient psychotherapy unit

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2010-01-01

    BACKGROUND: Short-term psychodynamic group therapy in heterogeneous patient groups is common in the public Danish psychiatric system but is in need of evaluation. AIM: To investigate improvement in 39-session psychodynamic group therapy using three criteria: 1) effect size (Cohen's d), 2...... compared with Danish norms. Clinical implications: Patients referred to public outpatient treatment settings may need alternative or longer treatment than 39 sessions of psychodynamic group therapy over 3 months.......) and subscales. Analyses were conducted on the total sample and after exclusion of 32 GSI pre-treatment no-cases. RESULTS: The total sample GSI effect size was 0.74 indicating a moderate to large effect size (ranging from 0.67 in depressed to 0.74 in neurotic and personality disorder patients), which increased...

  4. The place of psychodynamic psychotherapy in the integrated treatment of posttraumatic stress disorder and trauma recovery.

    Science.gov (United States)

    Moss, Eric

    2009-06-01

    Psychodynamic psychotherapists treating posttraumatic stress disorder (PTSD) sufferers can draw on an accumulated body of trauma studies from their own field to guide their work. However, these reports, often based on case studies or conceptual reviews, do not have the same empirical conclusiveness as more recent evidence-based research demonstrating the efficacy of cognitive-behavioral and body-oriented therapies. In this article, a psychodynamic psychotherapist reflects on his treatment of an Israeli man who developed PTSD after enduring 4 terrorist attacks. The author shows how assimilative integration offered him a theory- and research-based model that helped him comfortably combine separate treatment interventions. He also shows how this model helped him locate with some precision the specific contribution of psychodynamic psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  5. Reviving and Refining Psychodynamic Interpretation of the Wechsler Intelligence Tests: The Verbal Comprehension Subtests.

    Science.gov (United States)

    Bram, Anthony D

    2017-01-01

    The Wechsler intelligence tests (currently Wechsler, 2008 , 2014) have traditionally been part of the multimethod test battery favored by psychodynamically oriented assessors. In this tradition, assessors have used Wechsler data to make inferences about personality that transcend cognition. Recent trends in clinical psychology, however, have deemphasized this psychodynamic way of working. In this article, I make a conceptual and clinical case for reviving and refining a psychodynamic approach to inference making about personality using the Wechsler Verbal Comprehension subtests. Specifically, I (a) describe the psychological and environmental conditions sampled by the Wechsler tests, (b) discuss the Wechsler tests conceptually in terms of assessing vulnerability to breakdowns in adaptive defensive functioning, (c) review a general framework for inference making, and (d) offer considerations for and illustrate pragmatic application of the Verbal Comprehension subtests data to make inferences that help answer referral questions and have important treatment implications.

  6. Psychodynamic experience enhances recognition of hidden childhood trauma.

    Directory of Open Access Journals (Sweden)

    David Cohen

    Full Text Available BACKGROUND: Experimental psychology has only recently provided supporting evidence for Freud's and Janet's description of unconscious phenomena. Here, we aimed to assess whether specific abilities, such as personal psychodynamic experience, enhance the ability to recognize unconscious phenomena in peers - in other words, to better detect implicit knowledge related to individual self-experience. METHODOLOGY AND PRINCIPAL FINDINGS: First, we collected 14 videos from seven healthy adults who had experienced a sibling's cancer during childhood and seven matched controls. Subjects and controls were asked to give a 5-minute spontaneous free-associating speech following specific instructions created in order to activate a buffer zone between fantasy and reality. Then, 18 raters (three psychoanalysts, six medical students, three oncologists, three cognitive behavioral therapists and three individuals with the same experience of trauma were randomly shown the videos and asked to blindly classify them according to whether the speaker had a sibling with cancer using a Likert scale. Using a permutation test, we found a significant association between group and recognition score (ANOVA: p = .0006. Psychoanalysts were able to recognize, above chance levels, healthy adults who had experienced sibling cancer during childhood without explicit knowledge of this history (Power = 88%; p = .002. In contrast, medical students, oncologists, cognitive behavioral therapists and individuals who had the same history of a sibling's cancer were unable to do so. CONCLUSION: This experiment supports the view that implicit recognition of a subject's history depends on the rater's specific abilities. In the case of subjects who did have a sibling with cancer during childhood, psychoanalysts appear better able to recognize this particular history.

  7. A Substance Called Food: Long-Term Psychodynamic Group Treatment for Compulsive Overeating.

    Science.gov (United States)

    Schwartz, Deborah C; Nickow, Marcia S; Arseneau, Ric; Gisslow, Mary T

    2015-07-01

    Obesity has proven difficult to treat. Many approaches neglect to address the deep-rooted underlying psychological issues. This paper describes a psychodynamically oriented approach to treating compulsive overeating as an addiction. Common to all addictions is a compulsion to consume a substance or engage in a behavior, a preoccupation with using behavior and rituals, and a lifestyle marked by an inability to manage the behavior and its harmful consequences. The approach represents a shift away from primarily medical models of intervention to integrated models focusing on the psychological underpinnings of obesity. Long-term psychodynamic group psychotherapy is recommended as a primary treatment.

  8. Clouds and silver linings: training experiences of psychodynamically oriented mental health trainees.

    Science.gov (United States)

    Rouff, L C

    2000-01-01

    This paper discusses the experiences of today's psychodynamically oriented mental health trainees. Recent changes in the training environment, such as the increase in managed care, rise in use of psychotropic medication, the waning popularity of psychodynamic thinking, and reduced funding for psychotherapy training, in general, have all affected current trainees' professional development. In particular, trainees struggle with problems of demoralization, professional isolation, and reduced financial opportunities. Advantages that current trainees experience, as well as suggestions for training directors and trainees, will also be discussed.

  9. The Overall Diagnosis: Psychodynamic Psychiatry, Six-Minute Psychotherapy, and Patient-Centered Care.

    Science.gov (United States)

    Weinberg, Elizabeth; Mintz, David

    2018-06-01

    Optimal patient care in psychiatry necessitates attention to the treatment relationship and to the patient's experience as an individual. The growth of patient-centered medicine has led to an increased appreciation of the importance of the biopsychosocial formulation, the personhood of both the patient and the physician, the autonomy and authority of the patient, and the therapeutic alliance. Patient-centered medicine, developed by the seminal psychoanalytic theorist Michael Balint, has its roots in psychodynamic concepts. A psychodynamic approach to psychopharmacology improves psychiatric prescribing, and guides the psychiatrist in providing brief, limited psychotherapy, similar to that which the Balints recommended in primary care practice. Copyright © 2018 Elsevier Inc. All rights reserved.

  10. Supportive psychodynamic psychotherapy versus treatment as usual for first-episode psychosis

    DEFF Research Database (Denmark)

    Rosenbaum, Bent; Harder, Susanne; Knudsen, Per

    2012-01-01

    manualized individual supportive psychodynamic psychotherapy (SPP) in addition to treatment as usual or with treatment as usual alone (TaU). Symptoms and functional outcomes were measured using the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale (GAF). The study.......000) and GAF(symptom) (p = 0.010) significantly favored SPP in combination with TaU over TaU alone. In spite of limitations, this study speaks in favor of including supportive psychodynamic psychotherapy in the treatment for patients with schizophrenic first-episode psychoses....

  11. Psychodynamic Milieu-Therapy and Changes in Personality--What Is the Connection?

    Science.gov (United States)

    Heede, Tine; Runge, Hanne; Storebo, Ole Jakob; Rowley, Eva; Hansen, Kim Gabriel

    2009-01-01

    This article refers to the results of a prospective effect evaluation study of three psychodynamic milieu-therapeutic institutions for children, which included cognitive and projective testing. After introducing milieu-therapy and explaining its roots in psychoanalytic and developmental thinking, the specific results of the research evaluation are…

  12. Using Psychodynamic Interaction as a Valuable Source of Information in Social Research

    Science.gov (United States)

    Schmidt, Camilla

    2012-01-01

    This article will address the issue of using understandings of psychodynamic interrelations as a means to grasp how social and cultural dynamics are processed individually and collectively in narratives. I apply the two theoretically distinct concepts of inter- and intrasubjectivity to gain insight into how social and cultural dynamics are…

  13. Psychodynamic psychotherapy versus cognitive behavior therapy for social anxiety disorder: An efficacy and partial effectiveness trial

    NARCIS (Netherlands)

    Bögels, S.M.; Wijts, P.; Oort, F.J.; Sallaerts, S.J.M.

    2014-01-01

    Objectives: Comparing the overall and differential effects of psychodynamic psychotherapy (PDT) versus cognitive behavior therapy (CBT) for social anxiety disorder (SAD). Design: Patients with a primary SAD (N = 47) were randomly assigned to PDT (N = 22) or CBT (N = 27). Both PDT and CBT consisted

  14. Tracking functional brain changes in patients with depression under psychodynamic psychotherapy using individualized stimuli.

    Directory of Open Access Journals (Sweden)

    Daniel Wiswede

    Full Text Available OBJECTIVE: Neurobiological models of depression posit limbic hyperactivity that should normalize after successful treatment. For psychotherapy, though, brain changes in patients with depression show substantial variability. Two critical issues in relevant studies concern the use of unspecific stimulation experiments and relatively short treatment protocols. Therefore changes in brain reactions to individualized stimuli were studied in patients with depression after eight months of psychodynamic psychotherapy. METHODS: 18 unmedicated patients with recurrent major depressive disorder were confronted with individualized and clinically derived content in a functional MRI experiment before (T1 and after eight months (T2 of psychodynamic therapy. A control group of 17 healthy subjects was also tested twice without intervention. The experimental stimuli were sentences describing each participant's dysfunctional interpersonal relationship patterns derived from clinical interviews based on Operationalized Psychodynamic Diagnostics (OPD. RESULTS: At T1 patients showed enhanced activation compared to controls in several limbic and subcortical regions, including amygdala and basal ganglia, when confronted with OPD sentences. At T2 the differences in brain activity between patients and controls were no longer apparent. Concurrently, patients had improved significantly in depression scores. CONCLUSIONS: Using ecologically valid stimuli, this study supports the model of limbic hyperactivity in depression that normalizes after treatment. Without a control group of untreated patients measured twice, though, changes in patients' brain activity could also be attributed to other factors than psychodynamic therapy.

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

    Science.gov (United States)

    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…

  16. Don't Leave Teaching to Chance: Learning Objectives for Psychodynamic Psychotherapy Supervision

    Science.gov (United States)

    Rojas, Alicia; Arbuckle, Melissa; Cabaniss, Deborah

    2010-01-01

    Objective: The way in which the competencies for psychodynamic psychotherapy specified by the Psychiatry Residency Review Committee of the Accreditation Council for Graduate Medical Education translate into the day-to-day work of individual supervision remains unstudied and unspecified. The authors hypothesized that despite the existence of…

  17. Using Psychodynamic Interaction as a Valuable Source of Information in Social Research

    DEFF Research Database (Denmark)

    Schmidt, Camilla

    2012-01-01

    This article will address the issue of using understandings of psychodynamic interrelations as a means to grasp how social and cultural dynamics are processed individually and collectively in narratives. I apply the two theoretically distinct concepts of inter- and intrasubjectivity to gain insight...... are valuable sources of information in understanding the process of becoming a social educator....

  18. A Psychodynamic Perspective of Workplace Bullying: Containment, Boundaries and a Futile Search for Recognition

    Science.gov (United States)

    White, Sheila

    2004-01-01

    This paper presents a psychodynamic perspective of workplace bullying. It focuses on two related psychoanalytical concepts, containment and boundaries. The life cycle theory of bullying builds on these concepts and describes in-depth the evolving relationship between a bully and a victim. The search for recognition by the bully and victim proves…

  19. A Pilot Use of Team-Based Learning in Psychiatry Resident Psychodynamic Psychotherapy Education

    Science.gov (United States)

    Touchet, Bryan K.; Coon, Kim A.

    2005-01-01

    Objective: Demonstrating psychotherapy competency in trainees will test the resources of psychiatry training programs. The authors outline the phases of team-based learning (TBL). Methods: The University of Oklahoma College of Medicine, Tulsa (OUCM-T), Department of Psychiatry reorganized its psychodynamic psychotherapy didactic course using TBL.…

  20. The dismissal of an employee because of absence from work after recent labor reforms

    Directory of Open Access Journals (Sweden)

    Josep Moreno Gené

    2013-01-01

    Full Text Available By analyzing contract termination because of absence from work for both objective reasons (article 52 d ET and disciplinary dismissal (article 52.4 a ET, this article aims to discuss the two defining aspects of the effect of the labour reforms of 2012 on the termination of work contracts: namely, that the dismissal of a worker is much simpler and much more economical. To this end, we first analyse the reformulationof the cause of termination because of absence from work covered by article 52 d ET, which has made it easier for employers to terminate contracts by this means. Then we study the effects of the declaration of unfair dismissal because of absence from work covered in both article 54.2 a ET and article 52 d ET. In both cases, the amount of compensation has been considerably reduced and procedural salaries have virtually been done away with.

  1. [Psychodynamic and forensic approach of constitutional mythomania: a case report].

    Science.gov (United States)

    Ben Thabet, J; Zouari, N; Charfeddine, F; Zouari, L; Maâlej, M

    2012-12-01

    Constitutional mythomania presents several diagnostic, aetiopathogenic and forensic problems for the doctor. We have discussed these aspects through the analysis of a case report. The case report relates to a 43 year-old man, who was subjected to a penal expertise following the emission of cheques without provision. During the examination, he pretended being both a doctor and a lawyer at the same time. He was in charge, among other things, of sale contracts dealing sometimes with high value transactions, obviously without following the required legal procedure. He was pursued subsequently for many other affairs of swindle. Data collected from his medical file indicated that he was the only boy of his family. Since his father had suffered from psychotic episodes, his grandfather had reared him; which he did it in a strictly religious way. He spent his childhood isolated. He was 15 years old when his grandfather died. He had then expressed religious and megalomaniac ideas that had motivated psychiatric management. Later on, he expressed imaginative ideas evoking unsystematized delusion (he pretended to have made a trip to America and to have seen a fish flying and turning into a woman). From a psychodynamic point of view, constitutional mythomania is considered as a borderline personality. It reflects an important narcissisic cleavage. The deceitfulness of the mythomaniac allows him to keep in touch with reality and to avoid mental disintegration. The recognition, by others, of these delusions allows the mythomaniac to have access to his proper level of existence. For a while, to the experts our patient appeared to be suffering from schizophrenia. Therefore, we can apply the Maleval theory to him, which identifies four periods as delusion structuring levels in psychosis : P0 (consequence of the phallic signification deficiency, it includes anxiety, annihilation, perplexity, interrogative attitude), P1 (stage of paranoid delusion), P2 (stage of paranoiac delusion

  2. The effect of interpersonal psychotherapy and other psychodynamic therapies versus 'treatment as usual' in patients with major depressive disorder

    DEFF Research Database (Denmark)

    Jakobsen, Janus Christian; Hansen, Jane Lindschou; Simonsen, Erik

    2011-01-01

    Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment...

  3. Review of Legal Guidelines Pertaining to Unjust Dismissals and Whistleblowing in the Public and Private Sectors. A Position Paper.

    Science.gov (United States)

    Spurger, Steven O.

    As a result of the large number of employees who feel a sense of duty to report waste and corruption within their firms, 500,000 people each year are unjustly dismissed. This document reviews several positions taken by various courts and illustrates some common ground for employees who have been unjustly dismissed due to their whistleblowing.…

  4. The Decision of Dismissal, Suspension, or Discontinuation of Employment of Public/Private School Teachers

    Directory of Open Access Journals (Sweden)

    Jui-Che Wu

    2014-06-01

    Full Text Available There have been controversies over the legal attribute of the decision of dismissal, suspension, or discontinuation of employment of public and private school teachers. The Supreme Administrative Court passed a resolution in July, 2009. In this resolution, the legal relationship between public schools and their teachers was regarded as administrative contracts while the legal attribute of the decision of dismissal, suspension, or discontinuation of employment was categorized into administrative dispositions. Besides, the administrative disposition will not take effect until it obtains approval from the competent educational authorities, and teachers can seek administrative appeal as remedy first, which makes remedy procedure complicated. Therefore, this study first attempts to categorize the legal relationship between the public and private schools and their teachers. Then, the legal attribute of the decision of dismissal, suspension, or discontinuation of employment and the remedy procedure are discussed. It is concluded in this study that the legal relationships between public/private schools and their teachers fall into the categories of administrative/civic contract respectively. Any decision of dismissal, suspension, or discontinuation of employment should be based on this categorization, and the remedy procedure can thus be reduced. Besides teacher’s appeal and re-appeal system being in accordance with Teacher’s Act, the appeal of declaratory judgment on contractual relationship to either the Administrative Court or the Civic Court can also be filed. As a result, the remedy procedure can be simplified to an extent to follow the basic principles stated in the resolution.

  5. issn 1727-3781 analysing the onus issue in dismissals emanating

    African Journals Online (AJOL)

    Admin

    Section 187 (1)(c), it is automatically unfair to dismiss an employee in order to compel the employee to accept a ..... of section 187(1)(c), [in order to discharge the onus in terms of section 192(1)]. In this regard it must be .... the matter for advisory arbitration reflected the employer's intention to avoid the bargaining process to ...

  6. 13 CFR 134.709 - When will a Judge dismiss an appeal?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false When will a Judge dismiss an appeal? 134.709 Section 134.709 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION RULES OF PROCEDURE GOVERNING CASES BEFORE THE OFFICE OF HEARINGS AND APPEALS Rules of Practice for Appeals From Women...

  7. Academic dismissal policy for medical students : effect on study progress and help-seeking behaviour

    NARCIS (Netherlands)

    Stegers-Jager, Karen M.; Cohen-Schotanus, Janke; Splinter, Ted A. W.; Themmen, Axel P. N.

    2011-01-01

    CONTEXT Medical students often fail to finish medical school within the designated time. An academic dismissal (AD) policy aims to enforce satisfactory progress and to enable early identification and timely support or referral of struggling students. In this study, we assessed whether the

  8. Examining the therapeutic relationship and confronting resistances in psychodynamic psychotherapy: a certified public accountant case.

    Science.gov (United States)

    Manetta, Christopher T; Gentile, Julie P; Gillig, Paulette Marie

    2011-05-01

    Psychodynamic psychotherapy is effective for a variety of mental health symptoms. This form of psychotherapy uses patient self reflection and self examination, as well as the therapeutic relationship between the patient and psychiatrist, to explore maladaptive coping strategies and relationship patterns of the patient. A thorough understanding of resistance and the core conflictual relationship theme afford the psychiatrist the ability to facilitate this work. In this article, the composite case illustrates some of the psychodynamic psychotherapy techniques that can be employed in a psychotherapy case. In this example, the case is about a certified public accountant that came to treatment because of an acute stressor that put her career goals at risk. An acute episode or event can bring to light chronic and ongoing symptoms, which have had a remitting and relapsing course, and leave the patient unable to compensate on his or her own.

  9. Integrated cognitive-behavioral and psychodynamic psychotherapy for intimate partner violent men.

    Science.gov (United States)

    Lawson, David M; Kellam, Melanie; Quinn, Jamie; Malnar, Stevie G

    2012-06-01

    Intimate partner violence (IPV) continue to have widespread negative effects on victims, children who witness IPV, and perpetrators. Current treatments have proven to be only marginally effective in stopping or reducing IPV by men. The two most prominent treatment approaches are feminist sociocultural and cognitive-behavioral therapy (CBT). The feminist sociocultural approach has been criticized for failing to adequately consider the therapeutic alliance, personality factors, and sole focus on patriarchy as the cause for IPV, whereas CBT has been criticized for failing to attend to motivation issues in treatment protocols. This article reviews the effectiveness of current treatments for partner-violent men, examines relationship and personality variables related to IPV and its treatment, and presents an emerging IPV treatment model that combines CBT and psychodynamic therapy. The article addresses how psychodynamic therapy is integrated into the more content-based elements of CBT. PsycINFO Database Record (c) 2012 APA, all rights reserved.

  10. Affect-focused psychodynamic psychotherapy for depression and anxiety through the Internet: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Robert Johansson

    2013-07-01

    Full Text Available Background. Psychodynamic psychotherapy is a psychological treatment approach that has a growing empirical base. Research has indicated an association between therapist-facilitated affective experience and outcome in psychodynamic therapy. Affect-phobia therapy (APT, as outlined by McCullough et al., is a psychodynamic treatment that emphasizes a strong focus on expression and experience of affect. This model has neither been evaluated for depression nor anxiety disorders in a randomized controlled trial. While Internet-delivered psychodynamic treatments for depression and generalized anxiety disorder exist, they have not been based on APT. The aim of this randomized controlled trial was to investigate the efficacy of an Internet-based, psychodynamic, guided self-help treatment based on APT for depression and anxiety disorders.Methods. One hundred participants with diagnoses of mood and anxiety disorders participated in a randomized (1:1 ratio controlled trial of an active group versus a control condition. The treatment group received a 10-week, psychodynamic, guided self-help treatment based on APT that was delivered through the Internet. The treatment consisted of eight text-based treatment modules and included therapist contact (9.5 min per client and week, on average in a secure online environment. Participants in the control group also received online therapist support and clinical monitoring of symptoms, but received no treatment modules. Outcome measures were the 9-item Patient Health Questionnaire Depression Scale (PHQ-9 and the 7-item Generalized Anxiety Disorder Scale (GAD-7. Process measures were also included. All measures were administered weekly during the treatment period and at a 7-month follow-up.Results. Mixed models analyses using the full intention-to-treat sample revealed significant interaction effects of group and time on all outcome measures, when comparing treatment to the control group. A large between-group effect size

  11. [Psychotherapy of patients with brain lesions: an integrative model based on neuropsychological and psychodynamic perspectives].

    Science.gov (United States)

    Ouss-Ryngaert, Lisa

    2010-12-01

    Our model of psychotherapy for patients with brain lesions is based on an integrative approach of psychobehavioral symptoms, especially from the neuropsychological and psychodynamic perspectives. Adjustment of technical modalities and aims of psychoanalytical therapy is required for these patients. The analysis of the influence of cognitive disorders on transference and contre-transference plays a major role, including the role of procedural processes in changes in the intersubjective relationship between the patient and the therapist. Two vignettes are presented to illustrate our model, which respects the integrity of the cognitive and psychodynamic approaches and can be implemented by only one therapist, using alternatively each lecture, or by a working team bringing to light the different aspects of the same symptom.

  12. A psychodynamic model of behavior after acute central nervous system damage.

    Science.gov (United States)

    Groswasser, Z; Stern, M J

    1998-02-01

    This article describes a conceptual psychodynamic model for understanding the neurobehavioral manifestations of acute central nervous system damage (ACNSD) displayed by patients during the rehabilitation process. According to the proposed model, patientsO behavioral responses are viewed as their only means of emotional expression and therefore may not be considered entirely abnormal when viewed from the perspective of patientsO interpersonal contexts. An improved understanding of the dynamic processes through which recovering patients with ACNSD journey may lead to better interaction between the patient and the therapeutic environment, the interdisciplinary team, and family members. Combining this proposed psychodynamic model with an emerging understanding of the neurobehavioral foundations of aggression and depression may also lead to a more rational approach to intervention with various psychopharmacologic agents. During the rehabilitation process, understanding patients' cognitive deficits, motivational drives, and emotional needs and proper implementation of medical and environmental treatment can ultimately lead to a better psychosocial outcome.

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

    Science.gov (United States)

    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.

  14. From classical to eclectic psychodrama: conceptual similarities between psychodrama and psychodynamic and interpersonal group treatments.

    Science.gov (United States)

    Kipper, David A; Matsumoto, Mia

    2002-01-01

    A study was conducted to explore the hypothesis that contemporary U.S. psychodramatists evince a shift from strict adherence to the conceptual frame of reference espoused by classical psychodrama toward a degree of sharing concepts with those valued by psychodynamic and interpersonal group therapists. Sixty-two senior psychodramatists ranked a form comprised of 44 concepts. Their rankings were compared to the results of a study by Dies (1992). In general, the results supported the hypothesis.

  15. Heterogeneity of treatment changes after psychodynamic therapy within a one year follow-up

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2014-01-01

    Naturalistic psychotherapy effect studies commonly report effect sizes for the total sample. However, a previous study of SCL-90 Global Severity Index (GSI) improvement in a large outpatient sample used a cluster analytic strategy and reported clinical relevant outcome trajectories that could...... and agoraphobic symptoms may be less optimally treated in short-term time limited psychodynamic groups. There is an obvious need for diversity of treatment offers, better integration of psycho-social treatment components, and long-term open ended treatment....

  16. 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.

  17. Psychodynamic psychotherapy for social phobia: a treatment manual based on supportive-expressive therapy.

    Science.gov (United States)

    Leichsenring, Falk; Beutel, Manfred; Leibing, Eric

    2007-01-01

    Social phobia is a very frequent mental disorder characterized by an early onset, a chronic unremitting course, severe psychosocial impairments and high socioeconomic costs. To date, no manual for the psychodynamic treatment of social phobia exists. After a brief description of the disorder, a manual for a short-term psychodynamic treatment of social phobia is presented. The treatment is based on Luborsky s supportive-expressive (SE) therapy, which is complemented by treatment elements specific to social phobia. The treatment includes the characteristic elements of SE therapy, that is, setting goals, focus on the Core Conflictual Relationship Theme (CCRT) associated with the patient s symptoms, interpretive interventions to enhance insight into the CCRT, and supportive interventions, in particular fostering a helping alliance. In order to tailor the treatment more specifically to social phobia, treatment elements have been added, for example informing the patient about the disorder and the treatment, a specific focus on shame and on unrealistic demands, and encouraging the patient to confront anxiety-producing situations. More directive interventions are included as well, such as specific prescriptions to stop persisting self-devaluations. The treatment manual is presently being used in a large-scale randomized controlled multicenter study comparing short-term psychodynamic psychotherapy and cognitive-behavioral therapy in the treatment of social phobia.

  18. The effect of interpersonal psychotherapy and other psychodynamic therapies versus 'treatment as usual' in patients with major depressive disorder.

    Science.gov (United States)

    Jakobsen, Janus Christian; Hansen, Jane Lindschou; Simonsen, Erik; Gluud, Christian

    2011-04-27

    Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment in systematic reviews. Cochrane systematic review methodology with meta-analysis and trial sequential analysis of randomized trials comparing the effect of psychodynamic therapies versus 'treatment as usual' for major depressive disorder. To be included the participants had to be older than 17 years with a primary diagnosis of major depressive disorder. Altogether, we included six trials randomizing a total of 648 participants. Five trials assessed 'interpersonal psychotherapy' and only one trial assessed 'psychodynamic psychotherapy'. All six trials had high risk of bias. Meta-analysis on all six trials showed that the psychodynamic interventions significantly reduced depressive symptoms on the 17-item Hamilton Rating Scale for Depression (mean difference -3.12 (95% confidence interval -4.39 to -1.86;Pinterpersonal psychotherapy or psychodynamic therapy compared with 'treatment as usual' for patients with major depressive disorder. The potential beneficial effect seems small and effects on major outcomes are unknown. Randomized trials with low risk of systematic errors and low risk of random errors are needed.

  19. The effect of interpersonal psychotherapy and other psychodynamic therapies versus 'treatment as usual' in patients with major depressive disorder.

    Directory of Open Access Journals (Sweden)

    Janus Christian Jakobsen

    Full Text Available BACKGROUND: Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment in systematic reviews. METHODS/PRINCIPAL FINDINGS: Cochrane systematic review methodology with meta-analysis and trial sequential analysis of randomized trials comparing the effect of psychodynamic therapies versus 'treatment as usual' for major depressive disorder. To be included the participants had to be older than 17 years with a primary diagnosis of major depressive disorder. Altogether, we included six trials randomizing a total of 648 participants. Five trials assessed 'interpersonal psychotherapy' and only one trial assessed 'psychodynamic psychotherapy'. All six trials had high risk of bias. Meta-analysis on all six trials showed that the psychodynamic interventions significantly reduced depressive symptoms on the 17-item Hamilton Rating Scale for Depression (mean difference -3.12 (95% confidence interval -4.39 to -1.86;P<0.00001, no heterogeneity compared with 'treatment as usual'. Trial sequential analysis confirmed this result. DISCUSSION: We did not find convincing evidence supporting or refuting the effect of interpersonal psychotherapy or psychodynamic therapy compared with 'treatment as usual' for patients with major depressive disorder. The potential beneficial effect seems small and effects on major outcomes are unknown. Randomized trials with low risk of systematic errors and low risk of random errors are needed.

  20. The Effectiveness of Academic Dismissal Policies in Dutch University Education: An Empirical Investigation

    Science.gov (United States)

    Arnold, Ivo J. M.

    2015-01-01

    This paper uses national data on 450 Dutch bachelor programs to measure the effect of the introduction of academic dismissal policies on study progress and first-year drop-out. Our results show that these policies increase first-year drop-out on average by 6-7%. They also have the effect of improving the study progress of first-year survivors by…

  1. The effect of an early dismissal on player work-rate in a professional soccer match.

    Science.gov (United States)

    Carling, Christopher; Bloomfield, Jonathan

    2010-01-01

    The aim of this study was to examine the effects of an early dismissal (after 5-min play) on work-rate in a professional soccer match. A computerised player tracking system was used to assess the work-rates of seven players who completed the match on a team with 10 players. A minute-by-minute analysis of the remaining 91min following the dismissal was performed for the total distance covered, the distance covered in five categories of movement intensity and the recovery time between high-intensity efforts for each player. The data were calculated for each half and for three equal intervals within each half and profiled against normative data for the same players obtained from the analysis of 15 games in the same season. Following the dismissal, the players covered a greater total distance than normal (pplayers may not always utilise their full physical potential as this match illustrated an increase in overall work-rate when reduced to 10 players. However, as a team with 10 players is likely to incur higher levels of fatigue, tactical alterations may be necessary and/or players may adopt a pacing strategy to endure the remainder of the match. Copyright (c) 2008 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  2. Psychological experiences in South African society before the 2010 FIFA World Cup from the systems psychodynamic and positive psychology perspectives

    Directory of Open Access Journals (Sweden)

    Pieter Koortzen

    2012-05-01

    Research purpose: The objective of this study was to analyse and describe the psychological experiences of South Africans before the 2010 FIFA World Cup. Research design, approach and method: The researchers conducted the study from the systems psychodynamic and positive psychology perspectives. The study comprised a qualitative, explorative and social phenomenological study. The researchers conducted interviews with a wide range of their colleagues and clients. Main findings: The results seemed to indicate that South Africans had had a number of positive and negative experiences before the 2010 FIFA World Cup. Practical/managerial implications: The researchers presented the findings as a number of systems psychodynamic and positive psychology themes. Contribution/value-add: This study presents original research that contributes valuable new knowledge to the positive psychology and systems psychodynamic perspectives.

  3. Changes in brain activity of somatoform disorder patients during emotional empathy after multimodal psychodynamic psychotherapy

    Science.gov (United States)

    de Greck, Moritz; Bölter, Annette F.; Lehmann, Lisa; Ulrich, Cornelia; Stockum, Eva; Enzi, Björn; Hoffmann, Thilo; Tempelmann, Claus; Beutel, Manfred; Frommer, Jörg; Northoff, Georg

    2013-01-01

    Somatoform disorder patients show a variety of emotional disturbances including impaired emotion recognition and increased empathic distress. In a previous paper, our group showed that several brain regions involved in emotional processing, such as the parahippocampal gyrus and other regions, were less activated in pre-treatment somatoform disorder patients (compared to healthy controls) during an empathy task. Since the parahippocampal gyrus is involved in emotional memory, its decreased activation might reflect the repression of emotional memories (which—according to psychoanalytical concepts—plays an important role in somatoform disorder). Psychodynamic psychotherapy aims at increasing the understanding of emotional conflicts as well as uncovering repressed emotions. We were interested, whether brain activity in the parahippocampal gyrus normalized after (inpatient) multimodal psychodynamic psychotherapy. Using fMRI, subjects were scanned while they shared the emotional states of presented facial stimuli expressing anger, disgust, joy, and a neutral expression; distorted stimuli with unrecognizable content served as control condition. 15 somatoform disorder patients were scanned twice, pre and post multimodal psychodynamic psychotherapy; in addition, 15 age-matched healthy control subjects were investigated. Effects of psychotherapy on hemodynamic responses were analyzed implementing two approaches: (1) an a priori region of interest approach and (2) a voxelwise whole brain analysis. Both analyses revealed increased hemodynamic responses in the left and right parahippocampal gyrus (and other regions) after multimodal psychotherapy in the contrast “empathy with anger”—“control.” Our results are in line with psychoanalytical concepts about somatoform disorder. They suggest the parahippocampal gyrus is crucially involved in the neurobiological mechanisms which underly the emotional deficits of somatoform disorder patients. PMID:23966922

  4. Exploring the meaning of trauma in the South African Police Service: A systems psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    Marna Young

    2012-01-01

    Full Text Available Orientation: This study explores individual stories of trauma and their dissonance with the official, dominant discourse on trauma in the South African Police Service (SAPS from a systems psychodynamic perspective.Research purpose: The purpose of the research was, firstly, to explore how trauma experienced by South African Police Service members is constructed or ‘talked about’ and made sense of. Questions and issues that are considered relevant to the primary purpose are: which aspects of the working environment do members consider to be the most stressful, traumatic and difficult to cope with, and what is the effect of the change and transition processes on members’ working experiences?Motivation for the study: The authors set out to explore the role of systems psychodynamics in the experience of trauma and stress in the SAPS.Research design, approach and method: Through this qualitative, explorative, social phenomenological study, contributing circumstances and processes are included as additional discourses in an attempt to deepen understanding. The epistemology viewpoint of the study is found in the social constructionism and the data comprise 15 essays by members of the SAPS, all of which have been analysed from the perspective of systems psychodynamics.Main findings: Although the effect of trauma on police officers can never be negated, the way in which they deal with trauma seems to be different from what was initially believed. Further, their experience of stress is not solely the result of traumatic experiences but rather the result of traumatic experiences and systems psychodynamics operating within their organisation – which includes both organisational stressors or dynamics and transformation dynamics.Practical/managerial implications: The history of psychological trauma indicates that constructions of traumatic stress are strongly related to cultural, social and political circumstances. Current psychoanalytic thinking

  5. Linguistic measures of the referential process in psychodynamic treatment: the English and Italian versions.

    Science.gov (United States)

    Mariani, Rachele; Maskit, Bernard; Bucci, Wilma; De Coro, Alessandra

    2013-01-01

    The referential process is defined in the context of Bucci's multiple code theory as the process by which nonverbal experience is connected to language. The English computerized measures of the referential process, which have been applied in psychotherapy research, include the Weighted Referential Activity Dictionary (WRAD), and measures of Reflection, Affect and Disfluency. This paper presents the development of the Italian version of the IWRAD by modeling Italian texts scored by judges, and shows the application of the IWRAD and other Italian measures in three psychodynamic treatments evaluated for personality change using the Shedler-Westen Assessment Procedure (SWAP-200). Clinical predictions based on applications of the English measures were supported.

  6. Guidelines for Individual and Group Psychodynamic Psychotherapy for the Treatment of Persons Diagnosed with Psychosis and/or Schizophrenia.

    Science.gov (United States)

    Ivezić, Slađana Štrkalj; Petrović, Branka Restek; Urlić, Ivan; Grah, Majda; Mayer, Nina; Stijačić, Dubravka; Jendričko, Tihana; Martić-Biočina, Sanja

    2017-09-01

    The hereby presented guidelines for the use of psychodynamic psychotherapy are based on references and research in the field of individual and group therapy and they refer to psychotherapy for patients suffering from the first psychotic episode, schizophrenia, schizoaffective psychosis, bipolar disorder and paranoid psychosis. The aim was to provide an overview of present literature and to give recommendations based on current knowledge. Clinical experience and research of the outcomes of psychodynamic psychotherapy encourage positioning of such treatments among recommendations for treating various mental disorders, as well as in the field of psychotherapy of patients with psychotic disorders (PD).

  7. The effect of school dismissal on rates of influenza-like illness in New York City schools during the spring 2009 novel H1N1 outbreak.

    Science.gov (United States)

    Egger, Joseph R; Konty, Kevin J; Wilson, Elisha; Karpati, Adam; Matte, Thomas; Weiss, Don; Barbot, Oxiris

    2012-03-01

    The effects of individual school dismissal on influenza transmission have not been well studied. During the spring 2009 novel H1N1 outbreak, New York City implemented an individual school dismissal policy intended to limit influenza transmission at schools with high rates of influenza-like illness (ILI). Active disease surveillance data collected by the New York City Health Department on rates of ILI in schools were used to evaluate the impact. Sixty-four schools that met the Health Department's criteria for considering dismissal were included in the analysis. Twenty-four schools that met criteria subsequently dismissed all classes for approximately 1 school week. A regression model was fit to these data, estimating the effect of school dismissal on rates of in-school ILI following reconvening, adjusting for potential confounders. The model estimated that, on average, school dismissal reduced the rate of ILI by 7.1% over the entire average outbreak period. However, a large proportion of in-school ILI occurred before dismissal criteria were met. A separate model estimated that school absenteeism rates were not significantly affected by dismissal. Results suggest that individual school dismissal could be considered in situations where schools have a disproportionate number of high-risk students or may be unable to implement recommended preventive or infection control measures. Future work should focus on developing more sensitive indicators of early outbreak detection in schools and evaluating the impact of school dismissal on community transmission. © 2012, American School Health Association.

  8. [The significance of psychodynamic relationship factors for psychopathogenesis in childhood Nazi persecution].

    Science.gov (United States)

    Bunk, D; Eggers, C

    1993-02-01

    This study focuses on psychiatric disorders following extreme traumatisation experienced by children born during the Holocaust in World War II. According to numerous epidemiological investigations and case studies on survivors who lived through the Holocaust as children or in adulthood, these traumatic experiences are associated with a higher risk for various psychiatric disturbances during the entire life span. Besides the extreme psychological and physical distress during persecution and following traumatisation (parent-child-separation, discrimination while living in other countries) the coping with the trauma and the development of autonomy and ego-strength is additionally impaired by the specific psychodynamics of families with psychologically altered and disturbed parents. What sort of psychodynamic parent-child relationships developed during traumatisation and after the war in subjects currently suffering from chronic impairment of mental health? Retrospective analysis of 22 cases with applications for pensions of invalids evaluated by diagnostic categories. The implicit pressure on the children to be sensitive to the needs of their deprived parents places a sense of guilt on their attempts to develop autonomy. The parents were experienced as restrictive or overprotective on the one hand or liable to be rejected or to be intolerant on the other. The suffering and trauma continues to be perceived in family communication to the extent that coping with loss of relatives and the development of independence are impaired. The results are discussed critically in terms of current procedures for expertise on pension applications.

  9. Exploring the development of an organisational culture of control and dependency from a systems psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    René van Eeden

    2010-05-01

    Research purpose: The aim of this research was to study the impact of the change process at a plant of a South African production company. Motivations for the study: Problems were experienced in terms of production and a need for transformation at different levels was expressed. Co-dependence in the environment necessitated exploration of intra-organisational dynamics. Research design, approach and method: The study focused on the management team at a specifc plant, but by applying the systems psychodynamic perspective it was possible to also explore the mutual effect of relationships with other systems in the organisation, the company as a whole and the environment. Respondents included the directors of manufacturing and of human resources, the general manager, an 11-member management team and staff representatives. Semi-structured one-to-one interviews, group interviews and a group consultation session were held. Main findings: Hypotheses were formulated regarding the change experienced in the company, the overemphasis of control in the various systems, efforts to move from dependency to interdependence, personal authority as a requirement for interdependent functioning and problems with interrelatedness. Practical/managerial implications: The study illustrates the application of the systems psychodynamic approach in exploring the interaction between and mutual infuence of various organisational systems, especially in times of change. Contribution/value add: At a broader level, the study contributes to the understanding of the application of the theory as well as suggesting the use of a methodology. Recommendations for an intervention of this nature were also made.

  10. A proposed model of psychodynamic psychotherapy linked to Erik Erikson's eight stages of psychosocial development.

    Science.gov (United States)

    Knight, Zelda Gillian

    2017-09-01

    Just as Freud used stages of psychosexual development to ground his model of psychoanalysis, it is possible to do the same with Erik Erikson's stages of development with regards to a model of psychodynamic psychotherapy. This paper proposes an eight-stage model of psychodynamic psychotherapy linked to Erik Erikson's eight stages of psychosocial development. Various suggestions are offered. One such suggestion is that as each of Erikson's developmental stages is triggered by a crisis, in therapy it is triggered by the client's search. The resolution of the search often leads to the development of another search, which implies that the therapy process comprises a series of searches. This idea of a series of searches and resolutions leads to the understanding that identity is developmental and therapy is a space in which a new sense of identity may emerge. The notion of hope is linked to Erikson's stage of Basic Trust and the proposed model of therapy views hope and trust as essential for the therapy process. Two clinical vignettes are offered to illustrate these ideas. Psychotherapy can be approached as an eight-stage process and linked to Erikson's eight stages model of development. Psychotherapy may be viewed as a series of searches and thus as a developmental stage resolution process, which leads to the understanding that identity is ongoing throughout the life span. Copyright © 2017 John Wiley & Sons, Ltd.

  11. Outpatient psychodynamic group psychotherapy - outcomes related to personality disorder, severity, age and gender.

    Science.gov (United States)

    Kvarstein, Elfrida Hartveit; Nordviste, Ola; Dragland, Lone; Wilberg, Theresa

    2017-02-01

    Outpatient group psychotherapy is frequent within specialist services, recruits a mixed population, but effects are poorly documented. This study investigates long-term outcomes for patients with personality disorder (PD) treated in outpatient, psychodynamic groups within secondary mental health service. A naturalistic study (N = 103) with repeated assessments of process and clinical outcomes. Longitudinal statistics are linear mixed models. The main PDs were avoidant, borderline and NOS PD, mean number of PDs 1.4(SD0.7), 60% females and mean initial age 38(SD10) years. Mean treatment duration was 1.5(SD 0.9) years. Therapist alliance and experienced group climate was satisfactory and stable. Improvements were significant (symptom distress, interpersonal problems, occupational functioning and additional mental health services), irrespective of general PD-severity, but not of PD-type, age or gender. The study demonstrates PD NOS benefits across all outcomes, occupational improvements for avoidant PD, despite prevailing symptoms, but generally poorer outcomes for males and age >38 years. For borderline PD, experienced conflict was stronger, treatment duration shorter and outcomes poor for early drop-outs (28%). Psychodynamic group psychotherapy is a recommendable treatment for moderate PDs, which may address avoidant strategies, but may not meet clinical challenges of borderline PD. The outcome differences related to gender and age are noteworthy. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  12. Commentary on patents: Don`t dismiss Rifkin`s damning of gene patents

    Energy Technology Data Exchange (ETDEWEB)

    Hoyle, R.

    1995-07-01

    Biotech may have less to fear from Rifkin than from its own inclination to dismiss the fact that the evolution of ethics and patent laws applying to patenting genes has been haphazard. Perhaps it is time for the biotechnology industry to get behind the establishment of an effective forum for opening much-needed dialogue. Perhaps a Senate proposal to establish a bioethics commission, which reportedly has bogged down in partisan politics, is just such a venue for the government and private sector to begin to hash out the ethical and legal dilemmas that are indisputably at the heart of the biotechnology industry, and its future success.

  13. The enhancement of dismissed military barracks, a method for brownfield recovery

    Directory of Open Access Journals (Sweden)

    Paola Pellegrini

    2012-04-01

    Full Text Available The enhancement of dismissed military barracks is a big problem in Friuli Venezia Giulia region. The changed geo-politic conditions caused the abandonment of the numerous structures and the transfer of their property from State to Region and then to local municipalities. The regional government has not defined guidelines for their re-use and the work for the Patussi barracks, done to produce a re-use program, became a case study to explore possible strategies of intervention and the right method to adopt in order to give technical support to local governments. The paper describes the analysis, the scenarios, the proposal produced for the case-study.

  14. Appeal on constitutional grounds against Muelheim-Kaerlich nuclear power plant dismissed

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    On December 20, 1979 the Federal Constitutional Court dismissed an appeal against a decision by the Rheinland-Pfalz Higher Administrative Court, as of May 3rd, 1977, which at the time rescinded a decision to stop the construction of the Muehlheim-Kaerlich nuclear power plant. The essential reasons and principles underlying the decision to the Federal Constitutional Court (1 BvR 385/77) are given in fall. The dissentient opinion of two judges is also presented. (orig./HP) [de

  15. The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2008-01-01

    In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. The......, and associated with personality factors or domains not captured by standard questionnaires....

  16. A Neural Systems-Based Neurobiology and Neuropsychiatry Course: Integrating Biology, Psychodynamics, and Psychology in the Psychiatric Curriculum

    Science.gov (United States)

    Lacy, Timothy; Hughes, John D.

    2006-01-01

    Objective: Psychotherapy and biological psychiatry remain divided in psychiatry residency curricula. Behavioral neurobiology and neuropsychiatry provide a systems-level framework that allows teachers to integrate biology, psychodynamics, and psychology. Method: The authors detail the underlying assumptions and outline of a neural systems-based…

  17. Comparison of Cognitive-Behavioural Therapy and Psychodynamic Therapy in the Treatment of Anxiety among University Students: An Effectiveness Study

    Science.gov (United States)

    Monti, Fiorella; Tonetti, Lorenzo; Ricci Bitti, Pio Enrico

    2014-01-01

    The aim of the present study was to compare the effectiveness of cognitive-behavioural (CBT) and psychodynamic (PDT) therapies in the treatment of anxiety among university students. To this aim, the Symptom Questionnaire (SQ) was completed by 30 students assigned to CBT and by 24 students assigned to PDT, both at the beginning and at the end of…

  18. Comparing Treatment Outcome of Guided Imagery and Music and Psychodynamic Imaginative Trauma Therapy for Women with Complex PTSD

    DEFF Research Database (Denmark)

    Maack, Carola

    2013-01-01

    To investigate whether the use of recorded music enhances therapy outcome in psychodynamic trauma therapy for women with Complex PTSD, outcome measures of three groups of patients were compared. One group received 50 hours of outpatient trauma therapy with the Bonny Method of Guided Imagery and M....... Participants treated with GIM showed significantly better outcome in all measurements than participants treated with PITT. This indicates that the use of music is beneficial for women with Complex PTSD treated with psychodynamic trauma therapy.......To investigate whether the use of recorded music enhances therapy outcome in psychodynamic trauma therapy for women with Complex PTSD, outcome measures of three groups of patients were compared. One group received 50 hours of outpatient trauma therapy with the Bonny Method of Guided Imagery...... and Music (GIM), another group received 50 hours of outpatient trauma therapy with Psychodynamic Imaginative Trauma Therapy (PITT). The third group was a waiting-list control group of women who had to wait at least nine months for therapy. The participants filled out questionnaires measuring symptoms...

  19. THE ROLE OF THE ECONOMIC JUSTIFICATION IN THE COLLECTIVE DISMISSAL PROCEDURE

    Directory of Open Access Journals (Sweden)

    Luiza Mihai

    2016-11-01

    Full Text Available Given that any collective dismissal process must begin from a decision of the competent corporate body, the paper analyzes the reasons leading to the issuance of such a decision of reorganization, which is the justification for technical and economic viability of that decision and what It must include to be thorough and legal in the context of a possible legal claim before the courts. We studied the role of the efficient and complex analysis of the company in terms of organizational and / or economic reasons but also the impact that the change in the company's structure will have by reducing the positions for which the activity will be considered redundant through the same analysis. Research aimed the position and the implications such an economic analysis will have on the entire collective dismissal procedures, procedures that are very precisely controlled by state institutions empowered by the phases imposed by law but also in agreement with the employer`s social partner. In a state that encourages commercial freedom and the exclusive organizational privilege of the employer, may the court censor the effects of this procedure analyzing itself the opportunity of reducing positions targeted by the reorganization caused by economic reasons, or may issue c onsiderations strictly in terms of reality and the seriousness of the causes that led to the adoption of such a decision of the employer?

  20. Exploring the meaning of trauma in the South African Police Service: A systems psychodynamic perspective

    Directory of Open Access Journals (Sweden)

    Marna Young

    2012-06-01

    Research purpose: The purpose of the research was, firstly, to explore how trauma experienced by South African Police Service members is constructed or ‘talked about’ and made sense of. Questions and issues that are considered relevant to the primary purpose are: which aspects of the working environment do members consider to be the most stressful, traumatic and difficult to cope with, and what is the effect of the change and transition processes on members’ working experiences? Motivation for the study: The authors set out to explore the role of systems psychodynamics in the experience of trauma and stress in the SAPS. Research design, approach and method: Through this qualitative, explorative, social phenomenological study, contributing circumstances and processes are included as additional discourses in an attempt to deepen understanding. The epistemology viewpoint of the study is found in the social constructionism and the data comprise 15 essays by members of the SAPS, all of which have been analysed from the perspective of systems psychodynamics. Main findings: Although the effect of trauma on police officers can never be negated, the way in which they deal with trauma seems to be different from what was initially believed. Further, their experience of stress is not solely the result of traumatic experiences but rather the result of traumatic experiences and systems psychodynamics operating within their organisation – which includes both organisational stressors or dynamics and transformation dynamics. Practical/managerial implications: The history of psychological trauma indicates that constructions of traumatic stress are strongly related to cultural, social and political circumstances. Current psychoanalytic thinking emphasises the meaning of the real occurrence, which causes trauma by changing the person’s experience of the self in relation to self-objects. Practical implications are the loss of the supportive subculture of the police, the loss

  1. THE NONLINEAR TRAJECTORY OF CHANGE IN PLAY PROFILES OF THREE CHILDREN IN PSYCHODYNAMIC PLAY THERAPY

    Directory of Open Access Journals (Sweden)

    Sibel Halfon

    2016-10-01

    Full Text Available Aim: Even though there is substantial evidence that play based therapies produce significant change, the specific play processes in treatment remain unexamined. For that purpose, processes of change in long-term psychodynamic play therapy are assessed through a repeated systematic assessment of three children’s Play Profiles, which reflect patterns of organization among play variables that contribute to play activity in therapy, indicative of the children’s coping strategies, and an expression of their internal world. The main aims of the study are to investigate the kinds of Play Profiles expressed in treatment, and to test whether there is emergence of new and more adaptive Play Profiles using dynamic systems theory as a methodological framework.Methods and Procedures: Each session from the long-term psychodynamic treatment (mean number of sessions = 55 of three 6 year old good outcome cases presenting with Separation Anxiety were recorded, transcribed and coded using items from the Children's Play Therapy Instrument, created to assess the play activity of children in psychotherapy, generating discrete and measurable units of play activity arranged along a continuum of four play profiles: Adaptive, Inhibited, Impulsive, and Disorganized. The play profiles were clustered through K-means Algorithm, generating 7 discrete states characterizing the course of treatment and the transitions between these states were analyzed by Markov Transition Matrix, Recurrence Quantification Analysis (RQA and odds ratios comparing the first and second halves of psychotherapy.Results: The Markov Transitions between the states scaled almost perfectly and also showed the ergodicity of the system meaning that the child can reach any state or shift to another one in play. The RQA and odds ratios showed two trends of change, first concerning the decrease in the use of less adaptive strategies, second regarding the reduction of play interruptions.Conclusions: The

  2. Bias Toward Psychodynamic Therapy: Framing the Problem and Working Toward a Solution.

    Science.gov (United States)

    Plakun, Eric M

    2017-09-01

    Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher access to funding for further research on PDT. The adverse effects of these distortions and biases are detrimental not only to PDT but also to the overall field of psychotherapy, raising questions about its credibility. Here we summarize current evidence for PDT, describe existing biases, and formulate a set of recommendations to foster a more balanced perspective on PDT.

  3. Understanding and working with the psychodynamics of practitioner-patient relationships in the manual therapies.

    Science.gov (United States)

    Sher, Danny; Sher, Mannie

    2016-04-01

    In this paper, we argue that practitioner-patient relationships in the manual therapies would be strengthened by a deeper understanding of the psychodynamics and emotions of those relationships. We suggest that in many cases, a purely bio-mechanical approach may neglect underlying psychological and emotional reasons of the patient's presenting condition, and consequently, lead to a less than adequate outcome for the patient. We offer easily adopted suggestions that could enhance the practice of practitioners of manual therapies as well as other professions that rely on the application of physical methods of diagnosis and treatment. These suggestions could lead to improved prognosis and increased professional satisfaction for practitioners. This paper describes five key dynamics that characterize practitioner-patient relationships: (i) pain as a form of communication; (ii) the 'heart-sink' patient; (iii) dependency; (iv) the erotic transference; (v) endings and loss. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Contributions from personality- and psychodynamically oriented assessment to the development of the DSM-5 personality disorders.

    Science.gov (United States)

    Huprich, Steven K

    2011-07-01

    Advances in personality assessment over the past 20 years have notably influenced the proposed assessment and classification of personality disorders in the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]). However, a considerable body of personality assessment and psychodynamically oriented assessment research has significant relevance to the way in which personality disorders are evaluated that appears to have gone unrecognized in the current proposals for DSM-5. In this article, I discuss the ways in which some of these 2 bodies of literature can and should inform the DSM-5 so that the diagnostic nomenclature can be more scientifically and comprehensively informed and consequently improve the clinical utility of a diagnostic system in need of considerable revision.

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

    Science.gov (United States)

    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).

  6. The addiction concept and technology: diagnosis, metaphor, or something else? a psychodynamic point of view.

    Science.gov (United States)

    Essig, Todd

    2012-11-01

    Many today suffer from an imbalance between life and life on the screen. When extreme, such as excessive gaming, clinicians retreat to familiar explanations, such as "Internet addiction." But the addiction concept is of limited value, limiting both research and treatment options. This article discusses an alternative. Pathological overuse is seen as a failed solution in which people become entrapped by technology's promise of delivering that which only life can offer, such as the grand adventure simulated in World of Warcraft. A two-part treatment approach of such "simulation entrapment" is described in which both the original problem and the entrapment are treated, the former by traditional psychodynamic psychotherapy and the later by highlighting differences between the technologically mediated experience and traditional experiences of being bodies together. The case of a college student suffering from pathological shame with excessive gaming as the failed solution is offered as an illustration. © 2012 Wiley Periodicals, Inc.

  7. Representations of their own sexuality and aging body by old people: phenomenological and psychodynamic approach.

    Science.gov (United States)

    Meyrignac, Lucile; Bouati, Noureddine; Sagne, Alain; Gavazzi, Gaëtan; Zipper, Anne-Claire

    2017-09-01

    The sexuality of the elderly is rarely mentioned in general medicine although it holds an important place in many old people's life, and sexual well-being is a part of the global well-being according to the World Health Organization. To explore the representations of their own sexuality and aging body by the elderly. Qualitative study using semi-structured interviews in 15 healthy elderly people over 65 years of age, living at home. In-depth interviews were transcribed and submitted to qualitative content using a phenomenological and a psychodynamic analysis. The phenomenological approach allows to explore the meaning and significance of the sexuality of older people (their representations and individual experience). The psychodynamic approach allows an analysis of defense mechanisms in verbal and nonverbal behavior. Some elderly maintain a view of their sexuality in accordance with the societal standards existing before the sexual liberalization following the events of May 68 in France. For these people, sexuality is tabooed and only linked to procreation, no longer part of the aging body, and perceived as degraded, then difficult to be approached by general practitioners in relation with defense mechanisms. Other elderly people have managed to free themselves from those previous societal standards. The notion of pleasure is still present in these people and their aging body is perceived as an altered body, difficult to be accepted on account of the pressure for conformity due to actual societal standards. These standards reserve sexuality to young people and convey a picture of a sexuality that would be improper for the elderly. Understanding the representations of their sexuality by the elderly allows GPs a better approach for helping older patients to improve their sexual well-being.

  8. Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers.

    Directory of Open Access Journals (Sweden)

    Johann Roland Kleinbub

    2015-06-01

    Full Text Available Background: Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.Methods: Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients’ primary caregivers and 15 one-by-one matched control patients were considered in the study.Measurements of anxiety, depression and quality of life were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients’ anxiety, depression, quality of life, and functional impairment (ALSFRS-r, as well as on caregivers’ anxiety and depression.Results: The statistical analyses revealed an improvement in psychological variables’ scores immediately after the treatment. Amelioration in patients’ and caregivers’ anxiety as well as caregivers’ depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group’s patients.Discussion: Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS.

  9. Evaluation of a transdiagnostic psychodynamic online intervention to support return to work: A randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Rüdiger Zwerenz

    Full Text Available Given their flexibility, online interventions may be useful as an outpatient treatment option to support vocational reintegration after inpatient rehabilitation. To that purpose we devised a transdiagnostic psychodynamic online intervention to facilitate return to work, focusing on interpersonal conflicts at the workplace often responsible for work-related stress.In a randomized controlled trial, we included employed patients from cardiologic, psychosomatic and orthopedic rehabilitation with work-related stress or need for support at intake to inpatient rehabilitation after they had given written consent to take part in the study. Following discharge, maladaptive interpersonal interactions at the workplace were identified via weekly blogs and processed by written therapeutic comments over 12 weeks in the intervention group (IG. The control group (CG received an augmented treatment as usual condition. The main outcome, subjective prognosis of gainful employment (SPE, and secondary outcomes (psychological complaints were assessed by means of online questionnaires before, at the end of aftercare (3 months and at follow-up (12 months. We used ITT analyses controlling for baseline scores and medical group.N = 319 patients were enrolled into IG and N = 345 into CG. 77% of the IG logged in to the webpage (CG 74% and 65% of the IG wrote blogs. Compared to the CG, the IG reported a significantly more positive SPE at follow-up. Measures of depression, anxiety and psychosocial stressors decreased from baseline to follow-up, whereas the corresponding scores increased in the CG. Correspondingly, somatization and psychological quality of life improved in the IG.Psychodynamic online aftercare was effective to enhance subjective prognosis of future employment and improved psychological complaints across a variety of chronic physical and psychological conditions, albeit with small effect sizes.

  10. THE ROLE OF HUMAN DIGNITY IN THE ASSESSMENT OF FAIR COMPENSATION FOR UNFAIR DISMISSALS

    Directory of Open Access Journals (Sweden)

    Stella Vettori

    2012-11-01

    Full Text Available South African labour law is concerned with the attainment of fairness for both the employer and the employee. In weighing up the interests of the respective parties it is of paramount importance to ensure that a delicate balance is achieved so as to give credence to commercial reality as well as an individual's right to dignity. In other words the attainment of fairness in the employment relationship must give cognisance not only to surrounding socio-economic reality but also to human rights. The environment within which the world of work operates has at its core a free enterprise economy. Ultimately, an employer should generally not be penalised to the extent that it is crippled and unable to continue operating. It is argued in this article that in ascertaining what constitutes appropriate compensation for an unfair dismissal, the underlying reality that labour law operates in a free enterprise system must be and is given cognisance to by the legislation and the courts. At the same time in ascertaining what constitutes fair compensation for unfair dismissal due regard must be had not only to the labour rights contained in the Constitution but also to other rights protected in terms of the Constitution, most importantly, the rights to dignity and equality. The fact that the basis of the employment relationship is commercial and an employer is entitled and even encouraged to make profits is reflected in our law by the fact that there are caps on the amount of compensation for unfair dismissal in the interests of business efficiency and certainty. However, an analysis of relevant case law demonstrates that this can never be at the expense of a person's dignity. Hence the notion that the employment relationship is relational. This is reflected by the interpretation given to the legislation by the courts. Where there has been discrimination or an impairment of the employee's dignity, there are no such limits as to the amount of compensation a court

  11. Dismissal of the stoppage of the Brunsbuettel power plant in spite of procedural faults

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    With the decree of the 17th December 1980 - 7 OVG B 114/77 - the OVG Lueneburg has repudiated the complaint of a plaintiff resident about 110 km Northeast of the Brunsbuettel power plant against the decrees of the Schleswig-Holstein administrative court and thereby confirmed the dismissal of a stoppage. The written statement of arguments now in hand comprises 65 pages from which paragraphs of basic importance are reprinted. The decree defines the right for action on the basis of the radiation burden and the distant residence of the plaintiff and judges the requirements of the proceedings in case of the project being thoroughly attered. However, it maintains the avoided alteration licenses which have been issued without public administrative proceedings (procedural faults) because no other decision could have been made in this case. (orig./HP) [de

  12. Dismissive and deceptive car dealerships create barriers to electric vehicle adoption at the point of sale

    Science.gov (United States)

    Zarazua de Rubens, Gerardo; Noel, Lance; Sovacool, Benjamin K.

    2018-06-01

    As most consumers do not have pre-existing knowledge of electric vehicles (EVs), and current market conditions favour petrol and diesel vehicles, car dealership experiences may strongly influence EV purchasing decisions. Here, we show that car dealerships pose a significant barrier at the point of sale due to a perceived lack of business case viability in relation to petrol and diesel vehicles. In 126 shopping experiences at 82 car dealerships across Denmark, Finland, Iceland, Norway and Sweden, we find that dealers were dismissive of EVs, misinformed shoppers on vehicle specifications, omitted EVs from the sales conversation and strongly oriented customers towards petrol and diesel vehicle options. Dealers' technological orientation, willingness to sell and displayed knowledge of EVs were the main contributors to likely purchase intentions. These findings combined with expert interviews suggest that government and industry signalling affect sales strategies and purchasing trends. Policy and business strategies that address barriers at the point of sale are needed to accelerate EV adoption.

  13. Federal Court of Administration dismissed appeals in nuclear power plant proceedings

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    On July 18, 1980 the Federal Court of Administration handed down several decisions made in proceedings on nuclear power stations. It dismissed the appeal field by the complaining party. 1. In the proceedings concerning the Kruemmel reactor being about to be completed, the World Association for the Protecteion of Life was again denied the right to file a complaint. 2. In the proceedings concerning the nuclear power station under construction at Muelheim-Kaerlich, the objections raised were regarded as being insufficient for repealing the licence. 3. In the proceedings concerning the nuclear power staion at Wyhl which has not been built yet, the objections raised were declared not to be sufficiently substantiated in time. The written opinions of all proceedings are not yet available. (HSCH) [de

  14. Racial Bias in the Manager-Employee Relationship: An Analysis of Quits, Dismissals, and Promotions at a Large Retail Firm

    Science.gov (United States)

    Giuliano, Laura; Levine, David I.; Leonard, Jonathan

    2011-01-01

    Using data from a large U.S. retail firm, we examine how racial matches between managers and their employees affect rates of employee quits, dismissals, and promotions. We exploit changes in management at hundreds of stores to estimate hazard models with store fixed effects that control for all unobserved differences across store locations. We…

  15. The Effect of an Academic Dismissal Policy on Dropout, Graduation Rates and Student Satisfaction. Evidence from the Netherlands

    Science.gov (United States)

    Sneyers, Eline; De Witte, Kristof

    2017-01-01

    This paper examines the effect of the introduction of an academic dismissal (AD) policy (i.e. an intervention, which can lead to compulsory student withdrawal) on student dropout, student graduation rates and satisfaction with the study program. Using a difference-in-differences type of estimator, we compare programs that introduced an AD policy…

  16. Some comments on the nature and use of the concept of psyche in psychoanalysis and psychodynamic psychotherapy.

    Science.gov (United States)

    Brookes, Crittenden E

    2004-01-01

    The term psyche is central to the field of mental health and dysfunction. And yet the term is seldom talked about directly, and is seldom elaborated by the professionals who function under its rubric. This article elaborates this term, and sets forth a definition for the purposes of psychology and psychodynamics as science in the sense of the establishment of psychological knowledge. Psyche is defined in this article as a hypothetical construct, as outlined in the classic article in the theory of psychological science by MacCorquodale and Meehl (1948). Psyche is to be distinguished from the concept of mind, which is identified here as a strictly phenomenological (subjective) concept. Use of psyche in this way allows it to be utilized in descriptions of its dynamics (psychodynamics), as a central concept in a science which utilizes phenomenological (subjective rather than objective) data.

  17. The Non-linear Trajectory of Change in Play Profiles of Three Children in Psychodynamic Play Therapy

    OpenAIRE

    Halfon, Sibel; ?avdar, Alev; Orsucci, Franco; Schiepek, Gunter K.; Andreassi, Silvia; Giuliani, Alessandro; de Felice, Giulio

    2016-01-01

    Aim: Even though there is substantial evidence that play based therapies produce significant change, the specific play processes in treatment remain unexamined. For that purpose, processes of change in long-term psychodynamic play therapy are assessed through a repeated systematic assessment of three children’s “play profiles,” which reflect patterns of organization among play variables that contribute to play activity in therapy, indicative of the children’s coping strategies, and an express...

  18. Art/expressive therapies and psychodynamics of parent-child relationship in concept of sophrology and psychosocial oncology

    OpenAIRE

    Miholić, Damir; Prstačić, Miroslav; Martinec, Renata

    2014-01-01

    Aim: The main aim of this research includes the analysis of the psychodynamics of the changes in the experience of the child and in the parent-child relationship, during the complementary application and supporting creative art/expressive therapy in pediatric oncology, especially in connection with the modern concepts of psychosocial oncology, sophrology, education and rehabilitation sciences. Method: According to initial hypothesis application of complementary and creative art/expressive ...

  19. A new model of techniques for concurrent psychodynamic work with parents of child and adolescent psychotherapy patients.

    Science.gov (United States)

    Novick, Kerry Kelly; Novick, Jack

    2013-04-01

    To address the neglect of the importance of parent work in the psychodynamic psychotherapy of children and adolescents, the authors present a model of concurrent dynamic parent work that has demonstrated success with patients of all ages. The model includes dual goals for all therapies, addresses the challenge of confidentiality by differentiating privacy and secrecy, and emphasizes the importance of parent work throughout treatment. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. An empirical analysis of mental state talk and affect regulation in two single-cases of psychodynamic child therapy.

    Science.gov (United States)

    Halfon, Sibel; Bekar, Ozlem; Gürleyen, Büşra

    2017-06-01

    Literature has shown the importance of mentalizing techniques in symptom remission and emotional understanding; however, no study to date has looked at the dynamic relations between mental state talk and affect regulation in the psychotherapy process. From a psychodynamic perspective, the emergence of the child's capacity to regulate affect through the therapist's reflection on the child's mental states is a core aspect of treatment. In an empirical investigation of 2 single cases with separation anxiety disorder, who were treated in long-term psychodynamic play therapy informed with mentalization principles, the effect of therapists' and children's use of mental state talk on children's subsequent capacity to regulate affect in play was assessed. One case was a positive outcome case, whereas the other did not show symptomatic improvement at the end of treatment. Children's and therapists' utterances in the sessions were coded using the Coding System for Mental State Talk in Narratives, and children's play was coded by Children's Play Therapy Instrument, which generated an index of children's "affect regulation." Time-series Granger Causality tests showed that even though both therapists' use of mental state talk significantly predicted children's subsequent affect regulation, the association between child's mental state talk and affect regulation was only supported for the child who showed clinically significant symptom reduction. This study provided preliminary support that mental state talk in psychodynamic psychotherapy facilitates emotion regulation in play. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  1. Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Zwerenz Rüdiger

    2012-12-01

    Full Text Available Abstract Background There is a lack of psychotherapeutic trials of treatments of comorbid depression in cancer patients. Our study determines the efficacy of a manualized short-term psychodynamic psychotherapy and predictors of outcome by personality and quality of the therapeutic relationship. Methods/design Eligible breast cancer patients with comorbid depression are assigned to short-term psychodynamic psychotherapy (up to 20 + 5 sessions or to treatment as usual (augmented by recommendation for counseling center and physician information. We plan to recruit a total of 180 patients (90 per arm in two centers. Assessments are conducted pretreatment, after 6 (treatment termination and 12 months (follow-up. The primary outcome measures are reduction of the depression score in the Hospital Anxiety and Depression Scale and remission of depression as assessed by means of the Structured Clinical Interview for DSM IV Disorders by independent, blinded assessors at treatment termination. Secondary outcomes refer to quality of life. Discussion We investigate the efficacy of short-term psychodynamic psychotherapy in acute care and we aim to identify predictors for acceptance and success of treatment. Trial registration ISRCTN96793588

  2. [Initial and extension applications for psychodynamic therapy according to the German Guidelines for Psychotherapy].

    Science.gov (United States)

    Lieberz, Klaus; Krumm, Bertram; Adamek, Lucie; Mühlig, Stephan

    2010-01-01

    According to the German Guidelines for Psychotherapy, psychotherapists need the consent of the respective insurance company to commence outpatient therapy. They have two options: (1) To begin a so-called short-term therapy (KZT) for up to 25 sessions--a quick and easy procedure requiring few formal expenses. Afterwards the therapist must provide the reasons for extending the therapy in a formal expert assessment request (extension request). (2) It is also possible to obtain the consent of the insurance company at the beginning of therapy (initial request) for up to 50 sessions (psychodynamic long-term therapy) or even for up to 160 sessions (analytical psychotherapy), both of which require the same expert assessment to be filled out beforehand (LZT). This study examines the initial and extension requests submitted for evaluation for psychodynamic therapies according to the German Guidelines for Psychotherapy. The question is posed as to what influences are important in the selection of therapists for these two types of request. In the context of the MARS study, we evaluated a total of 362 randomly chosen requests submitted between May 2007 and June 2008, 128 of which were initial requests and 234 of which were requests for an extension. The evaluation of the reports proceeded on the basis of a previously developed documentation system with various modules comprising information on the sociodemographics and morbidity of the patients as well as information on the therapists themselves. Further modules are assessed in this review. There were many more requests for an extension submitted than initial requests. Initial requests were preferably made when planning analytical psychotherapy. Patients for whom initial requests were submitted were also distinctly younger. The morbidity of the patients had no noticeable influence on the choice of procedure. In particular, diagnoses that could require crisis intervention were not more common in the requests for an extension

  3. Cognitive-Behavioral and Psychodynamic Therapy in Female Adolescents With Bulimia Nervosa: A Randomized Controlled Trial.

    Science.gov (United States)

    Stefini, Annette; Salzer, Simone; Reich, Günter; Horn, Hildegard; Winkelmann, Klaus; Bents, Hinrich; Rutz, Ursula; Frost, Ulrike; von Boetticher, Antje; Ruhl, Uwe; Specht, Nicole; Kronmüller, Klaus-Thomas

    2017-04-01

    The authors compared cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) for the treatment of bulimia nervosa (BN) in female adolescents. In this randomized controlled trial, 81 female adolescents with BN or partial BN according to the DSM-IV received a mean of 36.6 sessions of manualized disorder-oriented PDT or CBT. Trained psychologists blinded to treatment condition administered the outcome measures at baseline, during treatment, at the end of treatment, and 12 months after treatment. The primary outcome was the rate of remission, defined as a lack of DSM-IV diagnosis for BN or partial BN at the end of therapy. Several secondary outcome measures were evaluated. The remission rates for CBT and PDT were 33.3% and 31.0%, respectively, with no significant differences between them (odds ratio [OR] = 0.90, 95% CI = 0.35-2.28, p = .82). The within-group effect sizes were h = 1.22 for CBT and h = 1.18 for PDT. Significant improvements in all secondary outcome measures were found for both CBT (d = 0.51-0.82) and PDT (d = 0.24-1.10). The improvements remained stable at the 12-month follow-up in both groups. There were small between-group effect sizes for binge eating (d = 0.23) and purging (d = 0.26) in favor of CBT and for eating concern (d = -0.35) in favor of PDT. CBT and PDT were effective in promoting recovery from BN in female adolescents. The rates of remission for both therapies were similar to those in other studies evaluating CBT. This trial identified differences with small effects in binge eating, purging, and eating concern. Clinical trial registration information-Treating Bulimia Nervosa in Female Adolescents With Either Cognitive-Behavioral Therapy (CBT) or Psychodynamic Therapy (PDT). http://isrctn.com/; ISRCTN14806095. Copyright © 2017 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  4. Cognitive Behavioral Therapy versus Short Psychodynamic Supportive Psychotherapy in the outpatient treatment of depression: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Kool Simone

    2007-10-01

    Full Text Available Abstract Background Previous research has shown that Short Psychodynamic Supportive Psychotherapy (SPSP is an effective alternative to pharmacotherapy and combined treatment (SPSP and pharmacotherapy in the treatment of depressed outpatients. The question remains, however, how Short Psychodynamic Supportive Psychotherapy compares with other established psychotherapy methods. The present study compares Short Psychodynamic Supportive Psychotherapy to the evidence-based Cognitive Behavioral Therapy in terms of acceptability, feasibility, and efficacy in the outpatient treatment of depression. Moreover, this study aims to identify clinical predictors that can distinguish patients who may benefit from either of these treatments in particular. This article outlines the study protocol. The results of the study, which is being currently carried out, will be presented as soon as they are available. Methods/Design Adult outpatients with a main diagnosis of major depressive disorder or depressive disorder not otherwise specified according to DSM-IV criteria and mild to severe depressive symptoms (Hamilton Depression Rating Scale score ≥ 14 are randomly allocated to Short Psychodynamic Supportive Psychotherapy or Cognitive Behavioral Therapy. Both treatments are individual psychotherapies consisting of 16 sessions within 22 weeks. Assessments take place at baseline (week 0, during the treatment period (week 5 and 10 and at treatment termination (week 22. In addition, a follow-up assessment takes place one year after treatment start (week 52. Primary outcome measures are the number of patients refusing treatment (acceptability; the number of patients terminating treatment prematurely (feasibility; and the severity of depressive symptoms (efficacy according to an independent rater, the clinician and the patient. Secondary outcome measures include general psychopathology, general psychotherapy outcome, pain, health-related quality of life, and cost

  5. Clinicians' emotional responses and Psychodynamic Diagnostic Manual adult personality disorders: A clinically relevant empirical investigation.

    Science.gov (United States)

    Gazzillo, Francesco; Lingiardi, Vittorio; Del Corno, Franco; Genova, Federica; Bornstein, Robert F; Gordon, Robert M; McWilliams, Nancy

    2015-06-01

    The aim of this study is to explore the relationship between level of personality organization and type of personality disorder as assessed with the categories in the Psychodynamic Diagnostic Manual (PDM; PDM Task Force, 2006) and the emotional responses of treating clinicians. We asked 148 Italian clinicians to assess 1 of their adult patients in treatment for personality disorders with the Psychodiagnostic Chart (PDC; Gordon & Bornstein, 2012) and the Personality Diagnostic Prototype (PDP; Gazzillo, Lingiardi, & Del Corno, 2012) and to complete the Therapist Response Questionnaire (TRQ; Betan, Heim, Zittel-Conklin, & Westen, 2005). The patients' level of overall personality pathology was positively associated with helpless and overwhelmed responses in clinicians and negatively associated with positive emotional responses. A parental and disengaged response was associated with the depressive, anxious, and dependent personality disorders; an exclusively parental response with the phobic personality disorder; and a parental and criticized response with narcissistic disorder. Dissociative disorder evoked a helpless and parental response in the treating clinicians whereas somatizing disorder elicited a disengaged reaction. An overwhelmed and disengaged response was associated with sadistic and masochistic personality disorders, with the latter also associated with a parental and hostile/criticized reaction; an exclusively overwhelmed response with psychopathic patients; and a helpless response with paranoid patients. Finally, patients with histrionic personality disorder evoked an overwhelmed and sexualized response in their clinicians whereas there was no specific emotional reaction associated with the schizoid and the obsessive-compulsive disorders. Clinical implications of these findings were discussed. (c) 2015 APA, all rights reserved).

  6. Amplification of the concept of erroneous meaning in psychodynamic science and in the consulting room.

    Science.gov (United States)

    Brookes, Crittenden E

    2007-01-01

    Previous papers dealt with the concept of psyche as that dynamic field which underlies the subjective experience of mind. A new paradigm, psychodynamic science, was suggested for dealing with subjective data. The venue of the psychotherapeutic consulting room is now brought directly into science, expanding the definition of psychotherapy to include both humanistic and scientific elements. Certain concepts were introduced to amplify this new scientific model, including psyche as hypothetical construct, the concept of meaning as replacement for operational validation in scientific investigation, the synonymity of meaning and insight, and the concept of synchronicity, together with the meaning-connected affect of numinosity. The presence of unhealthy anxiety as the conservative ego attempts to preserve its integrity requires a deeper look at the concept of meaning. This leads to a distinction between meaning and erroneous meaning. The main body of this paper amplifies that distinction, and introduces the concept of intolerance of ambiguity in the understanding of erroneous meanings and their connection with human neurosis.

  7. Do Patient Characteristics Predict Outcome of Psychodynamic Psychotherapy for Social Anxiety Disorder?

    Directory of Open Access Journals (Sweden)

    Jörg Wiltink

    Full Text Available Little is known about patient characteristics as predictors for outcome in manualized short term psychodynamic psychotherapy (PDT. No study has addressed which patient variables predict outcome of PDT for social anxiety disorder.In the largest multicenter trial on psychotherapy of social anxiety (SA to date comparing cognitive therapy, PDT and wait list condition N = 230 patients were assigned to receive PDT, of which N = 166 completed treatment. Treatment outcome was assessed based on diverse parameters such as endstate functioning, remission, response, and drop-out. The relationship between patient characteristics (demographic variables, mental co-morbidity, personality, interpersonal problems and outcome was analysed using logistic and linear regressions.Pre-treatment SA predicted up to 39 percent of variance of outcome. Only few additional baseline characteristics predicted better treatment outcome (namely, lower comorbidity and interpersonal problems with a limited proportion of incremental variance (5.5 to 10 percent, while, e.g., shame, self-esteem or harm avoidance did not.We argue that the central importance of pre-treatment symptom severity for predicting outcomes should advocate alternative treatment strategies (e.g. longer treatments, combination of psychotherapy and medication in those who are most disturbed. Given the relatively small amount of variance explained by the other patient characteristics, process variables and patient-therapist interaction should additionally be taken into account in future research.Controlled-trials.com/ISRCTN53517394.

  8. Some problems with non-inferiority tests in psychotherapy research: psychodynamic therapies as an example.

    Science.gov (United States)

    Rief, Winfried; Hofmann, Stefan G

    2018-02-14

    In virtually every field of medicine, non-inferiority trials and meta-analyses with non-inferiority conclusions are increasingly common. This non-inferiority approach has been frequently used by a group of authors favoring psychodynamic therapies (PDTs), concluding that PDTs are just as effective as cognitive-behavioral therapies (CBT). We focus on these examples to exemplify some problems associated with non-inferiority tests of psychological treatments, although the problems also apply to psychopharmacotherapy research, CBT research, and others. We conclude that non-inferiority trials have specific risks of different types of validity problems, usually favoring an (erroneous) non-inferiority conclusion. Non-inferiority trials require the definition of non-inferiority margins, and currently used thresholds have a tendency to be inflationary, not protecting sufficiently against degradation. The use of non-inferiority approaches can lead to the astonishing result that one single analysis can suggest both, superiority of the comparator (here: CBT) and non-inferiority of the other treatment (here PDT) at the same time. We provide recommendations how to improve the quality of non-inferiority trials, and we recommend to consider them among other criteria when evaluating manuscripts examining non-inferiority trials. If psychotherapeutic families (such as PDT and CBT) differ on the number of investigating trials, and in the fields of clinical applications, and in other validity aspects mentioned above, conclusions about their general non-inferiority are no more than a best guess, typically expressing the favored approach of the lead author.

  9. Clinical holistic medicine: avoiding the Freudian trap of sexual transference and countertransference in psychodynamic therapy.

    Science.gov (United States)

    Ventegodt, Søren; Kandel, Isack; Merrick, Joav

    2008-04-14

    Sexual transference and countertransference can make therapy slow and inefficient when libidinous gratification becomes more important for both the patient and the therapist than real therapeutic progress. Sexual transference is normal when working with a patient's repressed sexuality, but the therapeutic rule of not touching often hinders the integration of sexual traumas, as this needs physical holding. So the patient is often left with sexual, Oedipal energies projected onto the therapist as an "idealized father" figure. The strong and lasting sexual desire for the therapist without any healing taking place can prolong therapy for many years, as it often does in psychodynamic psychotherapy and psychoanalysis. We call this problem "Freud's Trap". Freud used intimate bodywork, such as massage, in the beginning of his career, but stopped, presumably for moral and political reasons. In the tradition of psychoanalysis, touch is therefore not allowed. Recent research in clinical holistic medicine (CHM), salutogenesis, and sexual healing has shown that touch and bodywork (an integral part of medicine since Hippocrates) are as important for healing as conversational therapy. CHM allows the patient to regress spontaneously to early sexual and emotional traumas, and to heal the deep wounds on body, soul, and sexual character from arrested psychosexual development. CHM treats sexuality in therapy more as the patient's internal affair (i.e., energy work) and less as a thing going on between the patient and the therapist (i.e., transference). This accelerates healing, and reduces sexual transference and the need for mourning at the end of therapy.

  10. Economic evaluation of brief psychodynamic interpersonal therapy in patients with multisomatoform disorder.

    Directory of Open Access Journals (Sweden)

    Nadja Chernyak

    Full Text Available BACKGROUND: A brief psychodynamic interpersonal therapy (PIT in patients with multisomatoform disorder has been recently shown to improve health-related quality of life. AIMS: To assess cost-effectiveness of PIT compared to enhanced medical care in patients with multisomatoform disorder. METHOD: An economic evaluation alongside a randomised controlled trial (International Standard Randomised Controlled Trial Number ISRCTN23215121 conducted in 6 German academic outpatient centres was performed. Incremental cost-effectiveness ratio (ICER was calculated from the statutory health insurance perspective on the basis of quality adjusted life years (QALYs gained at 12 months. Uncertainty surrounding the cost-effectiveness of PIT was presented by means of a cost-effectiveness acceptability curve. RESULTS: Based on the complete-case analysis ICER was 41840 Euro per QALY. The results did not change greatly with the use of multiple imputation (ICER = 44222 and last observation carried forward (LOCF approach to missing data (ICER = 46663. The probability of PIT being cost-effective exceeded 50% for thresholds of willingness to pay over 35 thousand Euros per QALY. CONCLUSIONS: Cost-effectiveness of PIT is highly uncertain for thresholds of willingness to pay under 35 thousand Euros per QALY.

  11. Corrective relational experiences in psychodynamic-interpersonal psychotherapy: Antecedents, types, and consequences.

    Science.gov (United States)

    Huang, Teresa Chen-Chieh; Hill, Clara E; Strauss, Nicole; Heyman, Michelle; Hussain, Mahum

    2016-03-01

    In posttherapy interviews with 31 clients who had recently terminated from individual open-ended psychodynamic-interpersonal psychotherapy, 18 reported having had at least 1 corrective relational experience (CRE) during psychotherapy, whereas 13 did not report any CREs. CREs typically occurred in the context of therapeutic relationships that were primarily positive but also had minor difficulties. Therapists typically facilitated CREs by identifying or questioning client behavior patterns and conveying trustworthiness. Corrective shifts for clients typically involved a new understanding of the therapy experience and variantly involved gaining a new understanding of behavior patterns. Consequences generally included improvements in the therapy relationship and intrapersonal well-being. Qualitatively, the 13 non-CRE clients more frequently reported wishing the therapist's theoretical orientation was a better match than did the 18 CRE clients. Quantitatively, the CRE clients rated themselves as having more interpersonal problems at intake on the Inventory of Interpersonal Problems-32 (Barkham, Hardy, & Startup, 1996), had marginally significant improvements in interpersonal functioning over time, rated their therapy alliances higher on the Working Alliance Inventory-Short Revised (Hatcher & Gillaspy, 2006) midtherapy, and rated their therapy alliances higher over time compared with the non-CRE clients. Implications for practice and research are discussed. (c) 2016 APA, all rights reserved).

  12. Interactions between Obsessional Symptoms and Interpersonal Ambivalences in Psychodynamic Therapy: An Empirical Case Study.

    Science.gov (United States)

    Cornelis, Shana; Desmet, Mattias; Van Nieuwenhove, Kimberly L H D; Meganck, Reitske; Willemsen, Jochem; Inslegers, Ruth; Feyaerts, Jasper

    2017-01-01

    The classical symptom specificity hypothesis (Blatt, 1974) particularly associates obsessional symptoms to interpersonal behavior directed at autonomy and separation from others. Cross-sectional group research, however, has yielded inconsistent findings on this predicted association, and a previous empirical case study (Cornelis et al., in press; see Chapter 2) documented obsessional pathology to be rooted in profound ambivalences between autonomous and dependent interpersonal dynamics. Therefore, in the present empirical case study, concrete operationalizations of the classical symptom specificity hypothesis are contrasted to alternative hypotheses based on the observed complexities in Chapter 2. Dynamic associations between obsessional symptoms and interpersonal functioning is further explored, aiming at further contribution to theory building (i.e., through suggestions for potential hypothesis-refinement; Stiles, 2009). Similar to the first empirical case study (Chapter 1), Consensual Qualitative Research for Case studies is used to quantitatively and qualitatively describe the longitudinal, clinical interplay between obsessional symptoms and interpersonal dynamics throughout the process of supportive-expressive psychodynamic therapy. In line with findings from Chapter 1, findings reveal close associations between obsessions and interpersonal dynamics, and therapist interventions focusing on interpersonal conflicts are documented as related to interpersonal and symptomatic alterations. Observations predominantly accord to the ambivalence-hypothesis rather than to the classical symptom specificity hypothesis. Yet, meaningful differences are observed in concrete manifestations of interpersonal ambivalences within significant relationships. Findings are again discussed in light of conceptual and methodological considerations; and limitations and future research indications are addressed.

  13. THE CHALLENGE OF WORKING WITH TEENAGERS IN CONFLICT WITH THE LAW: PSYCHODYNAMIC WORK INTERVENTION

    Directory of Open Access Journals (Sweden)

    Jéssica Emanoeli Moreira da Costa

    2017-07-01

    Full Text Available Socio-educational Reintegration Workers play a role in the custody, safety and monitoring of teenagers, complying with socio-educational measures for having infringed the law according to Brazil’s Child and Teenager Statute. This study in terms of public policies has to do with education and sanction. Further, it discusses collective defense strategies from social reintegration workers, who deal on a daily basis with teenagers in conflict with the law. The methodology applied is based upon Work Psychodynamics.  The study concludes that given their strong unity, social reintegration workers protect themselves from work-related pathologies given that they preserve themselves from isolation by inserting themselves in a space of intersubjective relations that support their work and keep them from fear and anxiety. Collective strength comes through cooperation built around the almost prison-like discipline shown towards teenagers deprived of their freedom. This discipline disguises a collective defense strategy that denies the fact that teenagers in conflict with the law are in a vulnerable psychosocial situation. This collective defense strategy serves under current work conditions to protect social reintegration workers from the fear of building a close relationship with teenagers given the certainty that this relationship will leave the first group at risk and unprotected.

  14. Interactions between Obsessional Symptoms and Interpersonal Ambivalences in Psychodynamic Therapy: An Empirical Case Study

    Directory of Open Access Journals (Sweden)

    Shana Cornelis

    2017-06-01

    Full Text Available The classical symptom specificity hypothesis (Blatt, 1974 particularly associates obsessional symptoms to interpersonal behavior directed at autonomy and separation from others. Cross-sectional group research, however, has yielded inconsistent findings on this predicted association, and a previous empirical case study (Cornelis et al., in press; see Chapter 2 documented obsessional pathology to be rooted in profound ambivalences between autonomous and dependent interpersonal dynamics. Therefore, in the present empirical case study, concrete operationalizations of the classical symptom specificity hypothesis are contrasted to alternative hypotheses based on the observed complexities in Chapter 2. Dynamic associations between obsessional symptoms and interpersonal functioning is further explored, aiming at further contribution to theory building (i.e., through suggestions for potential hypothesis-refinement; Stiles, 2009. Similar to the first empirical case study (Chapter 1, Consensual Qualitative Research for Case studies is used to quantitatively and qualitatively describe the longitudinal, clinical interplay between obsessional symptoms and interpersonal dynamics throughout the process of supportive-expressive psychodynamic therapy. In line with findings from Chapter 1, findings reveal close associations between obsessions and interpersonal dynamics, and therapist interventions focusing on interpersonal conflicts are documented as related to interpersonal and symptomatic alterations. Observations predominantly accord to the ambivalence-hypothesis rather than to the classical symptom specificity hypothesis. Yet, meaningful differences are observed in concrete manifestations of interpersonal ambivalences within significant relationships. Findings are again discussed in light of conceptual and methodological considerations; and limitations and future research indications are addressed.

  15. Using Psychodynamic Interaction as a Valuable Source of Information in Social Research

    Directory of Open Access Journals (Sweden)

    Camilla Schmidt

    2012-11-01

    Full Text Available This article will address the issue of using understandings of psychodynamic interrelations as a means to grasp how social and cultural dynamics are processed individually and collectively in narratives. I apply the two theoretically distinct concepts of inter- and intrasubjectivity to gain insight into how social and cultural dynamics are processed as subjective experiences and reflected in the interrelational space created in narrative interviews with trainee social educators. By using a combination of interactionist theory and psychosocial theory in the analysis of an interview with a student of social education, I demonstrate how the often conflicting demands and expectations are being played out in the interrelational tension between the researcher (myself and the interviewee or narrator. In a confrontation with “inner” expectations and concerns regarding a future profession and one’s ability to cope, and the “outer” socially and culturally embedded discourses as they are played out in the objectives of self-development and education, the narrative about a forthcoming internship is filled with tension and contradiction. In this article I will demonstrate how such tensions and contradictions are valuable sources of information in understanding the process of becoming a social educator.

  16. Dreaming of you: client and therapist dreams about each other during psychodynamic psychotherapy.

    Science.gov (United States)

    Hill, Clara E; Knox, Sarah; Crook-Lyon, Rachel E; Hess, Shirley A; Miles, Joe; Spangler, Patricia T; Pudasaini, Sakar

    2014-01-01

    Our objectives were to describe the frequency of therapists' dreams about their clients and clients' dreams about their therapists, to determine how therapists and clients who had such dreams differed from those who did not have such dreams, whether therapy process and outcome differed for those who had and did not have such dreams, and to describe the content and consequences of these dreams. Thirteen doctoral student therapists conducted psychodynamic psychotherapy with 63 clients in a community clinic. Therapists who had dreams about clients had higher estimated and actual dream recall than did therapists who did not dream about clients. Qualitative analyses indicated that therapists' dreams yielded insights about the therapist, clients, and therapy; therapists used insights in their work with the clients. Among the clients, only two (who were particularly high in attachment anxiety and who feared abandonment from their therapists) reported dreams that were manifestly about their therapists. Therapists-in-training dreamed more about their clients than their clients dreamed about them. Dreams about clients can be used by therapists to understand themselves, clients, and the dynamics of the therapy relationship.

  17. Fetullahist Terror Organization in the Universities: A Study on the Academics Dismissed from Turkish Universities

    Directory of Open Access Journals (Sweden)

    Hamza ATES

    2017-05-01

    Full Text Available The Gülen community, which started as a service movement, first became a parallel state structure and then was converted into a terrorist organization from the beginning of 2010. This organization led one of the most horrific and bloody coup attempts in Turkey on July 15, 2016. However, the Turkish people have overcome this coup attempt with an exemplary resistance. This coup attempt, which took place on July 15th, has about half a century of preparation. In this preparation process, the organization has been staffed in strategic institutions such as the state, military and judiciary, and they have found important positions in important institutions. One of the areas where this terrorist organization is staffed is the education sector that the organization attaches great importance since its establishment and development stages. the Fetullahist Terrorist Organization (FETO had considered organizing in higher education institutions and filling both the state and the foundation universities with FETO sympathizers as a strategic priority. The purpose of this article is to reveal the situation of the Fetullahist Terrorist Organization in the academy. By analyzing the academicians who have been dismissed from public service through Decrees of Laws No. 667, 672, 675, 677 and 679 and their universities, the article aims to reveal how FETO, previously Gulen Movement, made progress in Turkish Academia, which scientific areas it attaches importance to as well as the profile of the academicians in the organization in terms of their respective universities.

  18. The Effect of Interpersonal Psychotherapy and other Psychodynamic Therapies versus ‘Treatment as Usual’ in Patients with Major Depressive Disorder

    Science.gov (United States)

    Jakobsen, Janus Christian; Hansen, Jane Lindschou; Simonsen, Erik; Gluud, Christian

    2011-01-01

    Background Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment in systematic reviews. Methods/Principal Findings Cochrane systematic review methodology with meta-analysis and trial sequential analysis of randomized trials comparing the effect of psychodynamic therapies versus ‘treatment as usual’ for major depressive disorder. To be included the participants had to be older than 17 years with a primary diagnosis of major depressive disorder. Altogether, we included six trials randomizing a total of 648 participants. Five trials assessed ‘interpersonal psychotherapy’ and only one trial assessed ‘psychodynamic psychotherapy’. All six trials had high risk of bias. Meta-analysis on all six trials showed that the psychodynamic interventions significantly reduced depressive symptoms on the 17-item Hamilton Rating Scale for Depression (mean difference −3.12 (95% confidence interval −4.39 to −1.86;Pinterpersonal psychotherapy or psychodynamic therapy compared with ‘treatment as usual’ for patients with major depressive disorder. The potential beneficial effect seems small and effects on major outcomes are unknown. Randomized trials with low risk of systematic errors and low risk of random errors are needed. PMID:21556370

  19. When is it permissible to dismiss a family who refuses vaccines? Legal, ethical and public health perspectives.

    Science.gov (United States)

    Halperin, Beth; Melnychuk, Ryan; Downie, Jocelyn; Macdonald, Noni

    2007-12-01

    Although immunization is one of the most important health interventions of the 20th century, cases of infectious disease continue to occur. There are parents who refuse immunization for their children, creating a dilemma for the primary care physician who must consider the best interest of the individual child as well as that of the community. Some physicians, when faced with parents who refuse immunization on behalf of their children, choose to dismiss these families from their practice. Given the existing shortage of primary care physicians across Canada, this decision to dismiss families based on vaccine refusal has far-reaching implications. The present article explores this issue in the Canadian context from a legal, ethical and public health perspective.

  20. Federal Administrative Court dismisses appeal of the city of Schweinfurt in the matter of Grafenrheinfeld nuclear power plant

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    With its decision of April 30, 1980, - BVerwG 7 C 91.79 - the Federal Administrative Court has dismissed the appeal of the city of Schweinfurt against the interim decision of the Bavarian Administrative Court of April 9, 1979. The cost will have to be paid by the plaintiff. The value of the appeal suit is set at DM 100.000. The main grounds for the decision are given in full wording. (orig./HP) [de

  1. Appeal in nuclear power proceedings dismissed on the grounds of expiration of the period for lodging an appeal

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    In its decision of November 18, 1980 - No. 22 B 80 a 796 - the Administrative Court of Bavaria dismissed the appeal lodged against the dismissal of the Administrative Court of Regensburg handed down on March 19, 1980. The complainants had filed a declaratory action concerning the nullity of the licence granted for the Niederaischbach reactor, and for the Isar reactor at Ohu. Their actions were dismissed with costs on the grounds of lacking interest in the declaration - the complainants live a few hundred kilometers away from the sites of the nuclear power plants. The decision of the Administrative Court of Bavaria is based on the fact that the period for lodging appeals had expired. (Exept for the changed decision on costs) the decision of the Administrative Court of Regensburg has become final. The value in litigation of a declaratory action of nullity filed by a private person who denounces the violation of his basic right to life and to inviolability of his person is generally to be assessed at DM 10.000. In case of several complaints filed by different complainants, the subject value of the individual complaints are to be added according to Sect. 5 of the Code of Civil Procedure (ZPO). (orig./HSCH) [de

  2. A randomized clinical trial of cognitive behavioural therapy versus short-term psychodynamic psychotherapy versus no intervention for patients with hypochondriasis

    DEFF Research Database (Denmark)

    Sørensen, Per; Birket-Smith, M; Wattar, U

    2011-01-01

    Hypochondriasis is common in the clinic and in the community. Cognitive behavioural therapy (CBT) has been found to be effective in previous trials. Psychodynamic psychotherapy is a treatment routinely offered to patients with hypochondriasis in many countries, including Denmark. The aim of this ......Hypochondriasis is common in the clinic and in the community. Cognitive behavioural therapy (CBT) has been found to be effective in previous trials. Psychodynamic psychotherapy is a treatment routinely offered to patients with hypochondriasis in many countries, including Denmark. The aim...... of this study was to test CBT for hypochondriasis in a centre that was not involved in its development and compare both CBT and short-term psychodynamic psychotherapy (STPP) to a waiting-list control and to each other. CBT was modified by including mindfulness and group therapy sessions, reducing the therapist...

  3. The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study.

    Science.gov (United States)

    Kikkert, Martijn J; Driessen, Ellen; Peen, Jaap; Barber, Jacques P; Bockting, Claudi; Schalkwijk, Frans; Dekker, Jeff; Dekker, Jack J M

    2016-11-15

    Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated. We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression. We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP). Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. Prediction and moderation of improvement in cognitive-behavioral and psychodynamic psychotherapy for panic disorder.

    Science.gov (United States)

    Chambless, Dianne L; Milrod, Barbara; Porter, Eliora; Gallop, Robert; McCarthy, Kevin S; Graf, Elizabeth; Rudden, Marie; Sharpless, Brian A; Barber, Jacques P

    2017-08-01

    To identify variables predicting psychotherapy outcome for panic disorder or indicating which of 2 very different forms of psychotherapy-panic-focused psychodynamic psychotherapy (PFPP) or cognitive-behavioral therapy (CBT)-would be more effective for particular patients. Data were from 161 adults participating in a randomized controlled trial (RCT) including these psychotherapies. Patients included 104 women; 118 patients were White, 33 were Black, and 10 were of other races; 24 were Latino(a). Predictors/moderators measured at baseline or by Session 2 of treatment were used to predict change on the Panic Disorder Severity Scale (PDSS). Higher expectancy for treatment gains (Credibility/Expectancy Questionnaire d = -1.05, CI 95% [-1.50, -0.60]), and later age of onset (d = -0.65, CI 95% [-0.98, -0.32]) were predictive of greater change. Both variables were also significant moderators: patients with low expectancy of improvement improved significantly less in PFPP than their counterparts in CBT, whereas this was not the case for patients with average or high levels of expectancy. When patients had an onset of panic disorder later in life (≥27.5 years old), they fared as well in PFPP as CBT. In contrast, at low and mean levels of onset age, CBT was the more effective treatment. Predictive variables suggest possibly fruitful foci for improvement of treatment outcome. In terms of moderation, CBT was the more consistently effective treatment, but moderators identified some patients who would do as well in PFPP as in CBT, thereby widening empirically supported options for treatment of this disorder. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Clinical Holistic Medicine: Avoiding the Freudian Trap of Sexual Transference and Countertransference in Psychodynamic Therapy

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2008-01-01

    Full Text Available Sexual transference and countertransference can make therapy slow and inefficient when libidinous gratification becomes more important for both the patient and the therapist than real therapeutic progress. Sexual transference is normal when working with a patient's repressed sexuality, but the therapeutic rule of not touching often hinders the integration of sexual traumas, as this needs physical holding. So the patient is often left with sexual, Oedipal energies projected onto the therapist as an “idealized father” figure. The strong and lasting sexual desire for the therapist without any healing taking place can prolong therapy for many years, as it often does in psychodynamic psychotherapy and psychoanalysis. We call this problem “Freud's Trap”. Freud used intimate bodywork, such as massage, in the beginning of his career, but stopped, presumably for moral and political reasons. In the tradition of psychoanalysis, touch is therefore not allowed. Recent research in clinical holistic medicine (CHM, salutogenesis, and sexual healing has shown that touch and bodywork (an integral part of medicine since Hippocrates are as important for healing as conversational therapy. CHM allows the patient to regress spontaneously to early sexual and emotional traumas, and to heal the deep wounds on body, soul, and sexual character from arrested psychosexual development. CHM treats sexuality in therapy more as the patient’s internal affair (i.e., energy work and less as a thing going on between the patient and the therapist (i.e., transference. This accelerates healing, and reduces sexual transference and the need for mourning at the end of therapy.

  6. The role of cognitive biases in short-term psychodynamic psychotherapy.

    Science.gov (United States)

    Kramer, Ueli; Ortega, Diana; Ambresin, Gilles; Despland, Jean-Nicolas; de Roten, Yves

    2018-06-01

    The concept of biased thinking - or cognitive biases - is relevant to psychotherapy research and clinical conceptualization, beyond cognitive theories. The present naturalistic study aimed to examine the changes in biased thinking over the course of a short-term dynamic psychotherapy (STDP) and to discover potential links between these changes and symptomatic improvement. This study focuses on 32 self-referred patients consulting for Adjustment Disorder according to DSM-IV-TR. The therapists were experienced psychodynamically oriented psychiatrists and psychotherapists. Coding of cognitive biases (using the Cognitive Errors Rating Scale; CERS) was made by external raters based on transcripts of interviews of psychotherapy; the reliability of these ratings on a randomly chosen 24% of all sessions was established. Based on the Symptom Check List SCL-90-R given before and after, the Reliable Change Index (RCI) was used. The assessment of cognitive errors was done at three time points: early (session 4-7), mid-treatment (session 12-17), and close to the end (after session 20) of the treatment. The results showed that the total frequency of cognitive biases was stable over time (p = .20), which was true both for positive and for negative cognitive biases. In exploring the three main subscales of the CERS, we found a decrease in selective abstraction (p = .02) and an increase in personalization (p = .05). A significant link between RCI scores (outcome) and frequency of positive cognitive biases was found, suggesting that biases towards the positive might have a protective function in psychotherapy. Therapists may be attentive to changes in biased thinking across short-term dynamic psychotherapy for adjustment disorder. Therapists may foster the emergence of positive cognitive biases at mid-treatment for adjustment disorder. © 2017 The British Psychological Society.

  7. Clinical Holistic Medicine: Avoiding the Freudian Trap of Sexual Transference and Countertransference in Psychodynamic Therapy

    Science.gov (United States)

    Ventegodt, Søren; Kandel, Isack; Merrick, Joav

    2008-01-01

    Sexual transference and countertransference can make therapy slow and inefficient when libidinous gratification becomes more important for both the patient and the therapist than real therapeutic progress. Sexual transference is normal when working with a patient's repressed sexuality, but the therapeutic rule of not touching often hinders the integration of sexual traumas, as this needs physical holding. So the patient is often left with sexual, Oedipal energies projected onto the therapist as an “idealized father” figure. The strong and lasting sexual desire for the therapist without any healing taking place can prolong therapy for many years, as it often does in psychodynamic psychotherapy and psychoanalysis. We call this problem “Freud's Trap”. Freud used intimate bodywork, such as massage, in the beginning of his career, but stopped, presumably for moral and political reasons. In the tradition of psychoanalysis, touch is therefore not allowed. Recent research in clinical holistic medicine (CHM), salutogenesis, and sexual healing has shown that touch and bodywork (an integral part of medicine since Hippocrates) are as important for healing as conversational therapy. CHM allows the patient to regress spontaneously to early sexual and emotional traumas, and to heal the deep wounds on body, soul, and sexual character from arrested psychosexual development. CHM treats sexuality in therapy more as the patient’s internal affair (i.e., energy work) and less as a thing going on between the patient and the therapist (i.e., transference). This accelerates healing, and reduces sexual transference and the need for mourning at the end of therapy. PMID:18454245

  8. Psychosomatic regularities of psychotic disorders of women in involution (pathogenesis, clinics, psychodynamic psychotherapy

    Directory of Open Access Journals (Sweden)

    М. М. Pustovoyt

    2017-08-01

    Full Text Available The problem of psychotic disorders with onset in the age of involution from broader perspective, guided by modern multidimensional paradigm, was never discussed before. Involutional psychosis is considered as a constellation of the biological changes that are irrefutable in this age period. Certain personality traits and coping strategies can be predisposing to psychotic response, as well as typical features of the “life curve” and external stressors that can run a psychotic reaction. The paper presents the result of our study. This study pays much attention to study of premorbid personality, with emphasis on characteristic features, peculiarities of the emotional reaction and motivation-behavioral area, which completely coincided with characteristics of the narcissistic personality disorder listed in DSM-V (2013. Aim: To explore the psychosomatic pathogenetic connections inherent involutionary psychosis, given pathogenic and pathoplastic impact of premorbid personality structure their syndromic form and dynamics, determine their place on the psychosomatic continuum and develop adequate and pathogenetic justified method of therapy. Methods. Data obtained by the clinical method were confirmed by the results of experimental psychological and neuropsychological researches. Results. Clinical characteristics of psychotic disorders in the patient population showed in the structure of psychosis the existence of two oppositely directed continuums: affective (depressive and delusional. This allows to allocate four main clinical forms of psychosis and their tendency to unite in two clusters that differed each other by the features, and also by their response to therapy and, therefore, by the prognosis. Conclusions: The psychodynamic approach to understanding the involutional psychosis, that was introduced by the author, got natural development in the proposed method of treatment that included complex medication and psychotherapy. The schemes of

  9. Psychodynamic therapy from the perspective of self-organization. a concept of change and a methodological approach for empirical examination.

    Science.gov (United States)

    Gumz, Antje; Geyer, Michael; Brähler, Elmar

    2014-01-01

    Observations from therapeutic practice and a series of empirical findings, for example, those on discontinuous change in psychotherapeutic processes, suggest modelling the therapeutic process as a self-organizing system with stable and critical instable phases and abrupt transitions. Here, a concept of psychotherapeutic change is presented that applies self-organization theory to psychodynamic principles. The authors explain the observations and considerations that form the basis of the concept and present some connections with existing findings and concepts. On the basis of this model, they generated two hypotheses regarding the co-occurrence of instability and discontinuous change and the degree of synchrony between the therapist and patient. A study design to test these hypotheses was developed and applied to a single case (psychodynamic therapy). After each session, patient and therapist rated their interaction. A measure of instability was calculated across the resulting time series. Sequences of destabilization were observed. On the basis of points of extreme instability, the process was divided into phases. Local instability maxima were accompanied by significant discontinuous change. Destabilization was highly synchronous in therapist and patient ratings. The authors discussed the concept and the methodological procedure. The approach enables the operationalization of crises and to empirically assess the significance of critical phases and developments within the therapeutic relationship. We present a concept of change that applies self-organization theory to psychodynamic therapy. We empirically tested the hypotheses formulated in the concept based on an extract of 125 long-term psychodynamic therapy sessions. We continuously monitored the therapeutic interaction and calculated a measure of the instability of the assessments. We identified several sequences of stable and unstable episodes. Episodes of high instability were accompanied by discontinuous

  10. Girls who cut: treatment in an outpatient psychodynamic psychotherapy practice with adolescent girls and young adult women.

    Science.gov (United States)

    Ruberman, Louise

    2011-01-01

    The observation of deficits in the capacity for mature emotional self-regulation in girls who cut is noted in the literature (Daldin, 1990; Novick & Novick, 1991; Nock et al., 2008). The acquisition of the ability to respond in a healthy manner to stress and challenge, either from outside or inside the self is one of the most important tasks of early development; girls who cut have not accomplished this developmental task or are seriously compromised in their efforts to do so. The connection between this observation, the psychosexual developmental antecedents of this deficit, and psychodynamic approaches to treatment are explored in the literature and in case reviews.

  11. Is training effective? A study of counseling psychology doctoral trainees in a psychodynamic/interpersonal training clinic.

    Science.gov (United States)

    Hill, Clara E; Baumann, Ellen; Shafran, Naama; Gupta, Shudarshana; Morrison, Ashley; Rojas, Andrés E Pérez; Spangler, Patricia T; Griffin, Shauna; Pappa, Laura; Gelso, Charles J

    2015-04-01

    We investigated changes over 12 to 42 months in 23 predoctoral trainees during their externship training in a psychodynamic/interpersonal psychotherapy clinic. Over time, trainees increased in client-rated working alliance and real relationship, therapist-rated working alliance, client-rated interpersonal functioning, ability to use helping skills (e.g., challenges, immediacy), higher-order functioning (e.g., conceptualization ability, countertransference management), feelings about themselves as therapists (e.g., more authentic, more self-aware), and understanding about being a therapist (e.g., theoretical orientation, curiosity about client dynamics). In contrast, trainees did not change in engaging clients (return after intake or for at least 8 sessions), judge-rated psychodynamic techniques in third and ninth sessions across clients (although trainees used more cognitive-behavioral techniques over time in third but not ninth sessions), or changes in client-rated symptomatology. Trainees primarily attributed changes to graduate training, individual and group supervision, research participation, and working with clients. Implications for training and research are discussed. (c) 2015 APA, all rights reserved).

  12. Psychodynamic Treatment of the Criminal Offender: Making the Case for Longer-Term Treatment in a Longer-Term Setting.

    Science.gov (United States)

    Mulay, Abby L; Kelly, Elspeth; Cain, Nicole M

    2017-01-01

    In recent years, prisons and jails have become de facto psychiatric hospitals, responsible for the care and treatment of individuals with serious mental illness. Historically, cognitive-behaviorally informed therapeutic approaches have been the treatment of choice among mental health practitioners in correctional settings. However, inmate-clients often present with complex diagnostic issues that are arguably better served by long-term treatment options, such as psychodynamic psychotherapy. We first review the nature of psychotherapy in the correctional setting, as well as treatment barriers and challenges faced by both mental health providers and inmate-clients. We then review treatment studies that examine the efficacy of various therapeutic techniques in correctional/forensic contexts. Finally, we argue that, due to the complex nature of psychopathology, average length of time incarcerated, and treatment issues that arise in this multifaceted and challenging setting, mental health treatment providers should consider providing psychodynamic treatment modalities when working with incarcerated individuals. We also argue that more research is needed to examine the efficacy of these treatment approaches with inmate-clients.

  13. The treatment of chronic post-traumatic nightmares using psychodynamic-interpersonal psychotherapy: a single-case study.

    Science.gov (United States)

    Kellett, S; Beail, N

    1997-03-01

    This article presents a single-case experimental study of a woman suffering a traumatized reaction to a road traffic accident (RTA). In addition to meeting the DSM-IV (APA, 1994) criteria for the diagnosis of PTSD, the client suffered recurrent bizarre nightmares. The client reported at assessment, that each night her dreams were dominated by a terrifying hooded cloaked faceless figure. The central aim of the study therefore was to assess the efficacy of a psychodynamic-interpersonal (PI) style psychotherapy in the context of an unusual PTSD reaction. The methodology employed an A/B multiple baseline time series design, with six month follow-up. A and B represent a series of dream diary observations under two conditions: assessment/baseline (A) and treatment/intervention (B). Treatment consisted of a manualized psychodynamic-interpersonal (PI) psychotherapy to facilitate insight into the content and meaning of the nightmares. The intervention reduced the frequency and associated distress of the nightmares to zero. Follow-up at six months noted the long-term efficacy of the psychotherapy. The study is discussed with reference to the assimilation model of psychotherapeutic change.

  14. Psicodinâmica do adolescente envolvido com drogas Psychodynamic of the adolescent involved with drugs

    Directory of Open Access Journals (Sweden)

    Felix Kessler

    2003-04-01

    Full Text Available O uso e o abuso de drogas pelos adolescentes é cada vez mais prevalente e traz desdobramentos sérios nos vários níveis de seu desenvolvimento e na sua família. O presente trabalho aborda as pesquisas no campo epidemiológico sobre fatores de proteção e de risco para o uso de drogas entre os jovens, que demonstram que fracassos tanto pessoais como familiares, além de eventos estressores durante a vida, estão mais associados com o uso de drogas. No entanto, a presença dos pais, a motivação pessoal e o monitoramento do adolescente, estão associados com o não uso. São descritos os principais estudos prospectivos já realizados nessa área. Em seguida, à luz do pensamento de diversos autores como H. Kohut, J. McDougall, H. Rosenfeld, C. Olievenstein, Khantzian, entre outros, apresentam-se teorias psicodinâmicas relacionadas ao problema das adições e sua evolução ao longo dos anos dentro do paradigma psicanalítico. A aplicação das técnicas baseadas nos modelos psicoterápicos de orientação analítica, em dependentes químicos, é também discutida.Drug abuse amongst adolescents is becoming increasingly prevalent placing serious consequences in their development and their relationship with family and society. The present paper discloses some epidemiological data on protectors and risk factors for drug abuse in this population demonstrating that personal and family stressors during early life are associated with drug abuse. On the other hand, engaged parents, personal motivation and constant monitoring are associated with avoidance of drugs. Major prospective studies in this field are also reviewed. Psychodynamic theories related to addiction and their evolution through the thoughts of authors such as H. Kohut, J. McDougall, H. Rosenfeld, C. Olievenstein, Khantzian, are analyzed. The application of the thecnics based on psychoanalytic psychotherapy in chemical dependents is also discussed.

  15. An investigation on the effectiveness of group psychodynamic psychotherapy on the personality dimensions in divorced and non-divorce woman with low marital satisfaction

    Directory of Open Access Journals (Sweden)

    Mehdi Mehryar

    2017-08-01

    Full Text Available Introduction: Present study is aimed at investigating the effectiveness of psychodynamic psychotherapy on the personality characteristics of divorced and non-divorced women with low marital satisfaction. Materials and Methods: This clinical research conducted in the clients referred to Khane Roshan-e-Doost Psychological Studies Institute. They are evaluated clinically through interviews and questionnaires. So, 45 patients selected and divided in three equal groups of divorced women, non-divorced women (married with low marital satisfaction, and control group. Then, the groups of divorced and non-divorced women with low marital satisfaction participated in 24 sessions of psychodynamic psychotherapy. To collect data, Cattel’s 16-item questionnaire and Enrich marital satisfaction questionnaire were used. Data analyzed through multivariate analysis of covariance (MANCOVA. Results: The results of this study indicated that training of psychodynamic psychotherapy caused a significant change in personality traits in divorced women and in married women with low marital satisfaction. Only in factor B (intelligent - low intelligence and factor Q1 (conservatism there was no significant difference between experimental and control groups. The results of correlation between personality factors and low marital satisfaction pointed that there is a significant relationship between all factors of personality except the factor of conservatism.  Conclusion: Based on the results, psychodynamic psychotherapy is effective in significant improvement of most of personality traits. Therefore, applying this method can be useful in improving marital personality traits, reducing divorce and maintaining mental health.

  16. Using Psychodynamic, Cognitive Behavioral, and Control Mastery Prototypes to Predict Change: A New Look at an Old Paradigm for Long-Term Single-Case Research

    Science.gov (United States)

    Pole, Nnamdi; Ablon, J. Stuart; O'Connor, Lynn E.

    2008-01-01

    This article illustrates a method of testing models of change in individual long-term psychotherapy cases. A depressed client was treated with 208 sessions of control mastery therapy (CMT), an unmanualized approach that integrates elements of psychodynamic therapy (PDT) and cognitive behavioral therapy (CBT). Panels of experts developed prototypes…

  17. Consequences of players' dismissal in professional soccer: a crisis-related analysis of group-size effects.

    Science.gov (United States)

    Bar-Eli, Michael; Tenenbaum, Gershon; Geister, Sabine

    2006-10-01

    This study documents the effect of players' dismissals on team performance in professional soccer. Our aim was to determine whether the punishment meted out for unacceptable player behaviour results in reduced team performance. The official web site of the German Soccer Association was used for coding data from games played in the first Bundesliga between the 1963 - 64 and 2003 - 04 (n = 41) seasons. A sample of 743 games where at least one red card was issued was used to test hypotheses derived from crisis theory (Bar-Eli & Tenenbaum, 1989a). Players' dismissals weaken a sanctioned team in terms of the goals and final score following the punishment. The chances of a sanctioned team scoring or winning were substantially reduced following the sanction. Most cards were issued in the later stages of matches. The statistics pertaining to outcome results as a function of game standing, game location, and time phases - all strongly support the view that teams can be considered conceptually similar to individuals regarding the link between stress and performance. To further develop the concept of team and individual psychological performance crisis in competition, it is recommended that reversal theory (Apter, 1982) and self-monitoring and distraction theories (Baumeister, 1984) be included in the design of future investigations pertaining to choking under pressure.

  18. The Non-linear Trajectory of Change in Play Profiles of Three Children in Psychodynamic Play Therapy.

    Science.gov (United States)

    Halfon, Sibel; Çavdar, Alev; Orsucci, Franco; Schiepek, Gunter K; Andreassi, Silvia; Giuliani, Alessandro; de Felice, Giulio

    2016-01-01

    Aim: Even though there is substantial evidence that play based therapies produce significant change, the specific play processes in treatment remain unexamined. For that purpose, processes of change in long-term psychodynamic play therapy are assessed through a repeated systematic assessment of three children's "play profiles," which reflect patterns of organization among play variables that contribute to play activity in therapy, indicative of the children's coping strategies, and an expression of their internal world. The main aims of the study are to investigate the kinds of play profiles expressed in treatment, and to test whether there is emergence of new and more adaptive play profiles using dynamic systems theory as a methodological framework. Methods and Procedures: Each session from the long-term psychodynamic treatment (mean number of sessions = 55) of three 6-year-old good outcome cases presenting with Separation Anxiety were recorded, transcribed and coded using items from the Children's Play Therapy Instrument (CPTI), created to assess the play activity of children in psychotherapy, generating discrete and measurable units of play activity arranged along a continuum of four play profiles: "Adaptive," "Inhibited," "Impulsive," and "Disorganized." The play profiles were clustered through K -means Algorithm, generating seven discrete states characterizing the course of treatment and the transitions between these states were analyzed by Markov Transition Matrix, Recurrence Quantification Analysis (RQA) and odds ratios comparing the first and second halves of psychotherapy. Results: The Markov Transitions between the states scaled almost perfectly and also showed the ergodicity of the system, meaning that the child can reach any state or shift to another one in play. The RQA and odds ratios showed two trends of change, first concerning the decrease in the use of "less adaptive" strategies, second regarding the reduction of play interruptions. Conclusion

  19. ‘You have to keep your head on your shoulders’: A systems psychodynamic perspective on women leaders

    Directory of Open Access Journals (Sweden)

    Claude-Helene Mayer

    2018-03-01

    Full Text Available Background:Women leaders within Higher Education Institutions (HEIs in South Africa have increased in numbers over the past years and they have changed the dynamics in these institutions. Yet, it is a subject that has hardly been explored from the perspective of women leaders. Aim:The aim of this study is to explore the experiences of women leaders in HEIs from a systems psychodynamic perspective using the conflict, identity, boundaries, authority, roles, task (CIBART model, a well-researched model to analyse systems psychodynamics and to gain a deeper understanding of (unconscious dynamics within organisations. Methods:This qualitative study is based on Dilthey‘s modern hermeneutics. Interviews were conducted with 23 women leaders from the Higher Education Resource Services South Africa, network across 8 HEIs. Observations were conducted in one organisation to support the data analysis and interpretation. Data were analysed through content analysis. Findings:Findings show that women leaders re-evaluate and reconstruct themselves constantly within organisations. This continuous re-evaluation and reconstruction become visible through the constructs of the CIBART model. The findings reveal deeper insights into systems psychodynamics, which considers anxiety within the system where women leaders seem to contain such anxiety by mobilising specific defence mechanisms. Certain diversity markers, such as race, gender, mother tongue, position within the organisation and generational belonging play a role in creating the dynamics. Women leaders’ experience of de-authorisation and role confusion impacts significantly on women leadership and their action towards ownership. Practical implications: The study provides new, valuable and context-specific insights into women leadership seen through the lens of the CIBART model, highlighting unconscious dynamics that need practical attention in the HEIs to empower women leaders for gender-specific leadership

  20. A view from Riggs: treatment resistance and patient authority-IX. Integrative psychodynamic treatment of psychotic disorders.

    Science.gov (United States)

    Tillman, Jane G

    2008-01-01

    Psychotic spectrum disorders present treatment challenges for patients, families, and clinicians. This article addresses the history of the dualism in the field between biological and psychological approaches to mental disorders, and surveys the contemporary literature about the etiology and treatment of psychotic spectrum disorders. An integrative approach to treatment derived from work at Austen Riggs with previously treatment refractory patients with psychotic spectrum disorders is described that combines individual psycho- dynamic psychotherapy, psychopharmacology, family systems approaches, and intensive psychosocial engagement. Helping patients develop their own authority to join the treatment, use relationships for learning, and understand the meaning of their symptoms is central to the treatment at Austen Riggs. An extended case vignette of a patient diagnosed with a schizoaffective disorder is presented illustrating this integrative psychodynamic treatment approach.

  1. Observing the determinants of the psychotherapeutic process in depressive disorders. A clinical case study within a psychodynamic approach

    Directory of Open Access Journals (Sweden)

    Osmano eOasi

    2015-04-01

    Full Text Available This paper focuses on the relationship between depressive disorders, personality configurations, and mental functioning. A years treatment of a young man with the diagnosis of Depression is presented: the clinical and empirical points of view are described in depth through an assessment at the beginning and at one year after of an oriented psychodynamic psychotherapy. SCID I and II and HAMRS were administered to the patient in assessement phase. In the same phase he filled in BDI-II, and DEQ; the psychotherapist completed SWAP-200. These clinician instruments were used again after one year of the treatment. The PDM point of view is also presented. All sessions are audiotaped: twelve verbatim transcripts were coded with the Defense Mechanisms Rating Scale and CCRT. The results show a decrease in depressive symptoms, a change in some personality configurations, but a substantial invariance of the introjective profile, and a modification in mental functioning.

  2. Therapists' thoughts on therapy: clinicians' perceptions of the therapy processes that distinguish schema, cognitive behavioural and psychodynamic approaches.

    Science.gov (United States)

    Boterhoven De Haan, Katrina L; Lee, Christopher W

    2014-01-01

    Debates continue over shared factors in therapy processes between different theoretical orientations. By seeking the opinions of practicing clinicians, this study aimed to elucidate the similarities and differences between cognitive-behavioural (CBT), psychodynamic (PDT), and schema therapy (ST) approaches. Forty-eight practitioners aligning with one of the three approaches were asked to identify crucial processes in their therapy using a modified online version of the Psychotherapy Process Q-set. Distinct differences between each theoretical orientation with few shared common factors were found. A comparison with ratings from previous studies indicated that CBT therapists have not changed over the last 20 years, whereas PDT therapists have changed and the differences appeared consistent with modern PDT theory. The differences between the therapy approaches were consistent with theories underlying each model. PDT therapists valued a neutral relationship, CBT therapists emphasized a didactic interaction, and therapists form a ST orientation placed a greater emphasis on emotional involvement.

  3. Outcomes of specific interpersonal problems for binge eating disorder: comparing group psychodynamic interpersonal psychotherapy and group cognitive behavioral therapy.

    Science.gov (United States)

    Tasca, Giorgio A; Balfour, Louise; Presniak, Michelle D; Bissada, Hany

    2012-04-01

    We assessed whether an attachment-based treatment, Group Psychodynamic Interpersonal Psychotherapy (GPIP) had a greater impact compared to Group Cognitive Behavioral Therapy (GCBT) on Cold/Distant and Intrusive/Needy interpersonal problems. Ninety-five individuals with Binge Eating Disorder (BED) were randomized to GPIP or GCBT and assessed at pre-, post-, and six months post-treatment. Both therapies resulted in a significant decrease in all eight interpersonal problem subscales except the Nonassertive subscale. GPIP resulted in a greater reduction in the Cold/Distant subscale compared to GCBT, but no differences were found for changes in the Intrusive/Needy subscale. GPIP may be most relevant for those with BED who have Cold/Distant interpersonal problems and attachment avoidance.

  4. Introduction to the JPA special issue: Can the Psychodynamic Diagnostic Manual put the complex person back at the center-stage of personality assessment?

    Science.gov (United States)

    Huprich, Steven K; Meyer, Gregory J

    2011-03-01

    We briefly introduce this special issue, which focuses both on the Psychodynamic Diagnostic Manual (PDM) and the practice of idiographic, depth-oriented personality assessment. The 7 articles in this issue are diverse in scope but all address these 2 important topics. To set the stage, the special issue opens with a description of the history behind, the purposes of, and the steps taken to develop the PDM, and the next article provides a compelling illustration of depth-oriented personality assessment in the context of a long-term course of psychodynamic treatment. The third and fourth articles describe how the PDM model fosters attention to dynamic processes, not just overt symptoms, and they articulate the challenges and benefits of integrating this model into both the revitalized practice of assessment and diagnosis and the research avenues that will evaluate its validity and utility. The fifth article provides a broad overview of interesting experimental research on implicit processes from personality, social, and cognitive psychology, with implications for understanding and assessing dynamic processes. The sixth article illustrates how a PDM-based assessment of an adolescent boy helpfully contributed to his psychodynamic therapy. Finally, the issue closes with an illuminating article describing a PDM-based training model for the graduated development of assessment and diagnosis skills in a doctoral program. Overall, this special issue helps show how the PDM can invigorate multimethod personality assessment by placing the complex idiographic understanding of a person at the center-stage in the assessment process.

  5. Psicoterapia psicodinâmica em grupo para fobia social generalizada Psychodynamic group treatment for generalized social phobia

    Directory of Open Access Journals (Sweden)

    Daniela Zippin Knijnik

    2004-06-01

    Full Text Available OBJETIVOS: O objetivo deste estudo é verificar a efetividade do tratamento psicodinâmico em grupo de pacientes com fobia social generalizada. MÉTODOS: 30 pacientes foram incluídos em um estudo randomizado, simples-cego, comparando Terapia Psicodinâmica de Grupo (TPG com um Grupo de Controle Placebo com Credibilidade (CPC. A TPG foi conduzida em 12 sessões de terapia de orientação psicodinâmica em grupo. Os pacientes do grupo controle receberam um pacote de aulas-discussões e tratamento de apoio por 12 semanas, que foi comparado à TPG. Todos os participantes preencheram a Escala de Liebowitz para Ansiedade Social (LSAS, a Escala Hamilton de Ansiedade (HAM-A e a Escala de Impressão Clínica Global (CGI, na entrevista inicial e na 12ª semana de tratamento. Os dados foram analisados com uma ANOVA de medidas repetidas. Pacientes em vigência de tratamento farmacológico ou psicoterápico foram excluídos. RESULTADOS: Ambos os grupos apresentaram melhora na maioria das medidas. Na LSAS, os pacientes da TPG obtiveram melhora superior aos do grupo controle, ao cabo de 12 semanas (F1,28=4.84, p=0.036. Nas medidas basais dos sujeitos que completaram o estudo, não houve diferença entre os grupos em variáveis demográficas e de desfecho. CONCLUSÃO: Neste estudo, a TPG foi superior ao tratamento placebo com credibilidade no tratamento da fobia social generalizada, em um ensaio clínico randomizado, simples-cego, de 12 semanas.OBJECTIVES: The aim of this study is to assess the effectiveness of psychodynamic group therapy in patients with generalized social phobia. METHODS: Thirty patients were included in a randomized single-blind clinical trial comparing psychodynamic group treatment (PGT with a credible placebo control group (CPC. PGT was carried out within a 12-session psychodynamically-oriented group psychotherapy. Control patients received a treatment package of lecture-discussion and support group for 12 weeks which was compared to PGT

  6. Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial.

    Science.gov (United States)

    Zipfel, Stephan; Wild, Beate; Groß, Gaby; Friederich, Hans-Christoph; Teufel, Martin; Schellberg, Dieter; Giel, Katrin E; de Zwaan, Martina; Dinkel, Andreas; Herpertz, Stephan; Burgmer, Markus; Löwe, Bernd; Tagay, Sefik; von Wietersheim, Jörn; Zeeck, Almut; Schade-Brittinger, Carmen; Schauenburg, Henning; Herzog, Wolfgang

    2014-01-11

    Psychotherapy is the treatment of choice for patients with anorexia nervosa, although evidence of efficacy is weak. The Anorexia Nervosa Treatment of OutPatients (ANTOP) study aimed to assess the efficacy and safety of two manual-based outpatient treatments for anorexia nervosa--focal psychodynamic therapy and enhanced cognitive behaviour therapy--versus optimised treatment as usual. The ANTOP study is a multicentre, randomised controlled efficacy trial in adults with anorexia nervosa. We recruited patients from ten university hospitals in Germany. Participants were randomly allocated to 10 months of treatment with either focal psychodynamic therapy, enhanced cognitive behaviour therapy, or optimised treatment as usual (including outpatient psychotherapy and structured care from a family doctor). The primary outcome was weight gain, measured as increased body-mass index (BMI) at the end of treatment. A key secondary outcome was rate of recovery (based on a combination of weight gain and eating disorder-specific psychopathology). Analysis was by intention to treat. This trial is registered at http://isrctn.org, number ISRCTN72809357. Of 727 adults screened for inclusion, 242 underwent randomisation: 80 to focal psychodynamic therapy, 80 to enhanced cognitive behaviour therapy, and 82 to optimised treatment as usual. At the end of treatment, 54 patients (22%) were lost to follow-up, and at 12-month follow-up a total of 73 (30%) had dropped out. At the end of treatment, BMI had increased in all study groups (focal psychodynamic therapy 0·73 kg/m(2), enhanced cognitive behaviour therapy 0·93 kg/m(2), optimised treatment as usual 0·69 kg/m(2)); no differences were noted between groups (mean difference between focal psychodynamic therapy and enhanced cognitive behaviour therapy -0·45, 95% CI -0·96 to 0·07; focal psychodynamic therapy vs optimised treatment as usual -0·14, -0·68 to 0·39; enhanced cognitive behaviour therapy vs optimised treatment as usual -0·30

  7. Short-Term Psychodynamic Psychotherapy in Patients with “Male Depression” Syndrome, Hopelessness, and Suicide Risk: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Gloria Angeletti

    2013-01-01

    Full Text Available Objectives and Methods. This was an observational study of the efficacy of short-term psychodynamic psychotherapy (STPP in a sample of 35 (30 women and 5 men patients with moderate-to-severe “male depression” (Gotland Scale for Male Depression (GSMD ≥ 13 comorbid with unipolar mood disorder (dysthymia and major depression or anxiety disorder. Outcome measures were GSMD and BHS (Beck Hopelessness Scale score changes from baseline. Results. Patients had a strong response to STPP on the GSMD (estimated mean score change (± SE=−9.08 ± 2.74;P<0.01; partial eta squared  =0.50, but not on the BHS (estimated mean score change (± SE=−0.92 ± 1.55;P=0.57; partial eta squared  =0.03. BHS score changes were significantly associated with GSMD score changes (Pearson's r=0.56; P<0.001, even when controlling for the severity of hopelessness at the baseline (partial r=0.62; P<0.001. Conclusions. STPP proved to be effective in patients suffering from “male depression” although hopelessness was only marginally reduced by this treatment which points to the need to better understand how STPP can be involved in the reduction of suicide risk.

  8. The systems psychodynamic experiences of first-year master’s students in industrial and organisational psychology

    Directory of Open Access Journals (Sweden)

    Frans Cilliers

    2012-03-01

    Research purpose: The purpose of this research was to describe the systems psychodynamic experiences of first-year master’s students in Industrial and Organisational Psychology. Motivation for the study: Academic staff members tend to forget their own experiences as master’s students, lose touch with their students’ experiences, lose empathy and treat student groups in mechanistic ways. Although the students’ conscious tasks and roles are relatively clear, very little is known about their unconscious experiences. Research design, approach and method: The researchers used qualitative research involving a case study. They collected the data and conducted their analyses by administering a Listening Post (LP and discourse analysis. Two themes emerged, from which the researchers formulated their working and research hypotheses. Main findings: The themes related to anxiety and basic assumption behaviour. The research hypothesis referred to students’ introjections of emotional incompetence. This resulted in exhaustion. Practical/managerial implications: More focused attention to the students’ emotional experiences, by themselves and by academic staff members, could conserve students’ energy for their academic work and relationships. Contribution/value-add: Being master’s students consumes emotional energy that jeopardises students’ academic work and forming relationships. Being aware of these and managing them could help students to achieve better academically.

  9. Focus is key: Panic-focused interpretations are associated with symptomatic improvement in panic-focused psychodynamic psychotherapy.

    Science.gov (United States)

    Keefe, John R; Solomonov, Nili; Derubeis, Robert J; Phillips, Alexander C; Busch, Fredric N; Barber, Jacques P; Chambless, Dianne L; Milrod, Barbara L

    2018-04-18

    This study examines whether, in panic-focused psychodynamic psychotherapy (PFPP), interpretations of conflicts that underlie anxiety (panic-focused or PF-interpretations) are specifically associated with subsequent panic disorder (PD) symptom improvement, over and above the provision of non-symptom-focused interpretations. Technique use in Sessions 2 and 10 of a 24-session PFPP protocol was assessed for the 65 patients with complete outcome data randomized to PFPP in a two-site trial of psychotherapies for PD. Sessions were rated in 15-min segments for therapists' use of PF-interpretations, non-PF-interpretations, and PF-clarifications. Robust regressions were conducted to examine the relationship between these interventions and symptom change subsequent to the sampled session. Interpersonal problems were examined as a moderator of the relationship of PF-interpretations to symptom change. At Session 10, but not at Session 2, patients who received a higher degree of PF-interpretations experienced greater subsequent improvement in panic symptoms. Non-PF-interpretations were not predictive. Patients with more interpersonal distress benefitted particularly from the use of PF-interpretations at Session 10. By the middle phase of PFPP, panic-focused interpretations may drive subsequent improvements in panic symptoms, especially among patients with higher interpersonal distress. Interpretations of conflict absent a panic focus may not be especially helpful.

  10. [About the heterogeneity in adolescents with gender identity disorder: differential importance of psychiatric comorbidity and considerations of individual psychodynamics].

    Science.gov (United States)

    Korte, Alexander; Beier, Klaus M; Vukorepa, Julia; Mersmann, Maik; Albiez, Verena

    2014-01-01

    Gender identity disorder (GID), gender dysphoria (GD) respectively, is considered a multifactorial disease whose etiology is subject to complex bio-psycho-social conditions, each with different weighting. As a result, therapists, who treat children and adolescents with GID/GD, have to deal with a very heterogeneous group with individually varying causes, differing psychopathology and varying disease progression. In addition to general psychiatric aspects of development, particularly psychiatric comorbidity, but also the different individual psychodynamics--i. e. the specific constellation of conflicts and possible ego deficits and structural deficits in the learning history of the person are of differential importance. In regard to the indication for gender reassignment measures this sometimes is relevant for the decision. The difficulties arising for decision making and the usefulness of a systematic evaluation of case reports as a basis for further optimization of the treatment recommendations are illustrated by two case reports. In the course of this, also the disadvantages and potential dangers of too early diagnostic definition and introduction of gender somato-medical and legal measures are shown exemplarily.

  11. Clinical Holistic Medicine (Mindful, Short-Term Psychodynamic Psychotherapy Complemented with Bodywork in the Treatment of Experienced Impaired Sexual Functioning

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2007-01-01

    Full Text Available In this clinical follow-up study, we examined the effect of clinical holistic medicine (psychodynamic short-term therapy complemented with bodywork on patients with poor self-assessed sexual functioning and found that this problem could be solved in 41.67% of the patients ((95% CI: 27.61–56.7%; 1.75 < NNT < 3.62, p = 0.05. The bodywork was inspired by the Marion Rosen method and helped the patients to confront painful emotions from childhood trauma(s, and thus accelerated and deepened the therapy. The goal of therapy was the healing of the whole life of the patient through Antonovsky-salutogenesis. In this process, rehabilitation of the character and purpose of life of the patient was essential, and assisted the patient to recover his or her sense of coherence (existential coherence. We conclude that clinical holistic medicine is the treatment of choice if the patient is ready to explore and assume responsibility for his or her existence (true self, and willing to struggle emotionally in the therapy to reach this important goal. When the patient heals existentially, quality of life, health, and ability to function in general are improved at the same time. The therapy was “mindful” in its focus on existential and spiritual issues. The patients received in average 14.8 sessions at the cost of 1,188 EURO.

  12. Working alliance, real relationship, session quality, and client improvement in psychodynamic psychotherapy: A longitudinal actor partner interdependence model.

    Science.gov (United States)

    Kivlighan, Dennis M; Hill, Clara E; Gelso, Charles J; Baumann, Ellen

    2016-03-01

    We used the Actor Partner Interdependence Model (APIM; Kashy & Kenny, 2000) to examine the dyadic associations of 74 clients and 23 therapists in their evaluations of working alliance, real relationship, session quality, and client improvement over time in ongoing psychodynamic or interpersonal psychotherapy. There were significant actor effects for both therapists and clients, with the participant's own ratings of working alliance and real relationship independently predicting their own evaluations of session quality. There were significant client partner effects, with clients' working alliance and real relationship independently predicting their therapists' evaluations of session quality. The client partner real relationship effect was stronger in later sessions than in earlier sessions. Therapists' real relationship ratings (partner effect) were a stronger predictor of clients' session quality ratings in later sessions than in earlier sessions. Therapists' working alliance ratings (partner effect) were a stronger predictor of clients' session quality ratings when clients made greater improvement than when clients made lesser improvement. For clients' session outcome ratings, there were complex three-way interactions, such that both Client real relationship and working alliance interacted with client improvement and time in treatment to predict clients' session quality. These findings strongly suggest both individual and partner effects when clients and therapists evaluate psychotherapy process and outcome. Implications for research and practice are discussed. (c) 2016 APA, all rights reserved).

  13. What hath freud wrought? Current confusion and controversies about the clinical practice of psychoanalysis and psychodynamic psychotherapy.

    Science.gov (United States)

    Chessick, Richard D

    2014-12-01

    This article discusses the current state of psychoanalysis and the challenges to the fundamental premises of Freud's psychoanalysis by those who have shifted to relationship or so-called two-person psychologies in our field. The author begins by briefly describing a parallel to the recent history of psychoanalysis in the sudden rise and fall of scholastic philosophy in the 14th century. He then focuses on contemporary attacks on Freud's psychoanalysis as a science, based on the contention by two-person psychologists that free association by the patient and evenly hovering attention by the analyst are actually impossible. He reviews Freud's idea of psychoanalysis, discusses psychodynamic psychotherapy, both conceived as scientific treatment procedures, and describes the current assault on their metapsychological and epistemological foundations. Returning to the parallel between what happened to medieval scholasticism and what has happened to psychoanalysis, he examines why this happened, and the resulting fragmentation of psychoanalytic practice. The article concludes with suggestions for the integration of various schools of psychoanalysis, reminding us of Benjamin Franklin's warning: "We must, indeed, all hang together or, most assuredly, we shall all hang separately."

  14. Is psychodynamic psychotherapy an effective intervention for individuals at ultra-high risk (UHR of psychosis?: a case report

    Directory of Open Access Journals (Sweden)

    Paula A. Martins

    2012-01-01

    Full Text Available OBJECTIVE: To report a case and to discuss the use of psychodynamic psychotherapy (PD-P to treat individuals at ultra-high risk (UHR of psychosis. METHODS: An individual at UHR was followed up for 24 months. The baseline evaluation included a psychiatric interview, the Structured Interview for Prodromal Symptoms (SIPS, the Scale of Prodromal Symptoms (SOPS, and neuropsychological assessment. He underwent weekly sessions of PD-P for 12 months and was followed up for 12 months after the end of PD-P. The evaluations were at baseline, after 6-, 12-, and 24-month follow-up. No medication was prescribed during the 24-month follow-up. RESULTS: The prodromal symptoms remitted. The initial total score on the SIPS/SOPS was 37 points. After the first 12 months of PD-P, there was a reduction to 12 points on the SIPS/SOPS score, which stabilized in the 24-month follow-up. There was also a slight improvement in his performance on the neuropsychological evaluations. CONCLUSION: This case report suggests that PD-P can reduce prodromal symptoms; nevertheless, a better understanding of the specificity and efficacy of PD-P as an option of treatment for UHR individuals is needed.

  15. Clinical Holistic Medicine (Mindful, Short-Term Psychodynamic Psychotherapy Complemented with Bodywork in the Treatment of Experienced Physical Illness and Chronic Pain

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2007-01-01

    Full Text Available We investigated the treatment effect of psychodynamic short-term therapy complemented with bodywork on patients who presented with physical illness at the Research Clinic for Holistic Medicine in Copenhagen. Psychodynamic short-term therapy was complemented with bodywork (Marion Rosen to help patients confront old emotional pain from childhood trauma(s. Patients were measured with a five-item quality of life and health questionnaire (QOL5, a one-item questionnaire of self-assessed quality of life (QOL1, and four questions on self-rated ability to love and to function sexually, socially, and at work (ability to sustain a full-time job. Most of the patients had chronic pain that could not be alleviated with drugs. Results showed that 31 patients with the experience of being severely physically ill (mostly from chronic pain, in spite of having consulted their own general practitioner, entered the study. The holistic approach and body therapy accelerated the therapy dramatically and no significant side effects were detected. After the intervention, 38.7% did not feel ill (1.73 < NNT < 4.58 (p = 0.05. Psychodynamic short-term therapy complemented with bodywork can help patients. When the patients responded to the therapy, the self-assessed mental health, relationship with partner, ability to work, self-assessed quality of life, relationships in general, measured QOL (with the validated questionnaire QOL5, and life's total state (mean of health, QOL and ability were significantly improved, statistically and clinically. Most importantly, all aspects of life were improved simultaneously, due to induction of Antonovsky-salutogenesis. The patients received in average 20 sessions over 14 months at a cost of 1600 EURO. For the treatment responders, the treatment seemingly provided lasting benefits.

  16. Internet-based affect-focused psychodynamic therapy for social anxiety disorder: A randomized controlled trial with 2-year follow-up.

    Science.gov (United States)

    Johansson, Robert; Hesslow, Thomas; Ljótsson, Brjánn; Jansson, Angelica; Jonsson, Lina; Färdig, Smilla; Karlsson, Josefine; Hesser, Hugo; Frederick, Ronald J; Lilliengren, Peter; Carlbring, Per; Andersson, Gerhard

    2017-12-01

    Social anxiety disorder (SAD) is associated with considerable individual suffering and societal costs. Although there is ample evidence for the efficacy of cognitive behavior therapy, recent studies suggest psychodynamic therapy may also be effective in treating SAD. Furthermore, Internet-based psychodynamic therapy (IPDT) has shown promising results for addressing mixed depression and anxiety disorders. However, no study has yet investigated the effects of IPDT specifically for SAD. This paper describes a randomized controlled trial testing the efficacy of a 10-week, affect-focused IPDT protocol for SAD, compared with a wait-list control group. Long-term effects were also estimated by collecting follow-up data, 6, 12, and 24 months after the end of therapy. A total of 72 individuals meeting diagnostic criteria for DSM-IV social anxiety disorder were included. The primary outcome was the self-report version of Liebowitz Social Anxiety Scale. Mixed model analyses using the full intention-to-treat sample revealed a significant interaction effect of group and time, suggesting a larger effect in the treatment group than in the wait-list control. A between-group effect size Cohen's d = 1.05 (95% [CI]: [0.62, 1.53]) was observed at termination. Treatment gains were maintained at the 2-year follow-up, as symptom levels in the treated group continued to decrease significantly. The findings suggest that Internet-based affect-focused psychodynamic therapy is a promising treatment for social anxiety disorder. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  17. A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: feasibility, impact on symptoms and mentalising capacity.

    Science.gov (United States)

    Montag, Christiane; Haase, Laura; Seidel, Dorothea; Bayerl, Martin; Gallinat, Jürgen; Herrmann, Uwe; Dannecker, Karin

    2014-01-01

    This pilot study aimed to evaluate the feasibility of an assessor-blind, randomised controlled trial of psychodynamic art therapy for the treatment of patients with schizophrenia, and to generate preliminary data on the efficacy of this intervention during acute psychotic episodes. Fifty-eight inpatients with DSM-diagnoses of schizophrenia were randomised to either 12 twice-weekly sessions of psychodynamic group art therapy plus treatment as usual or to standard treatment alone. Primary outcome criteria were positive and negative psychotic and depressive symptoms as well as global assessment of functioning. Secondary outcomes were mentalising function, estimated with the Reading the mind in the eyes test and the Levels of emotional awareness scale, self-efficacy, locus of control, quality of life and satisfaction with care. Assessments were made at baseline, at post-treatment and at 12 weeks' follow-up. At 12 weeks, 55% of patients randomised to art therapy, and 66% of patients receiving treatment as usual were examined. In the per-protocol sample, art therapy was associated with a significantly greater mean reduction of positive symptoms and improved psychosocial functioning at post-treatment and follow-up, and with a greater mean reduction of negative symptoms at follow-up compared to standard treatment. The significant reduction of positive symptoms at post-treatment was maintained in an attempted intention-to-treat analysis. There were no group differences regarding depressive symptoms. Of secondary outcome parameters, patients in the art therapy group showed a significant improvement in levels of emotional awareness, and particularly in their ability to reflect about others' emotional mental states. This is one of the first randomised controlled trials on psychodynamic group art therapy for patients with acute psychotic episodes receiving hospital treatment. Results prove the feasibility of trials on art therapy during acute psychotic episodes and justify

  18. A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: feasibility, impact on symptoms and mentalising capacity.

    Directory of Open Access Journals (Sweden)

    Christiane Montag

    Full Text Available This pilot study aimed to evaluate the feasibility of an assessor-blind, randomised controlled trial of psychodynamic art therapy for the treatment of patients with schizophrenia, and to generate preliminary data on the efficacy of this intervention during acute psychotic episodes. Fifty-eight inpatients with DSM-diagnoses of schizophrenia were randomised to either 12 twice-weekly sessions of psychodynamic group art therapy plus treatment as usual or to standard treatment alone. Primary outcome criteria were positive and negative psychotic and depressive symptoms as well as global assessment of functioning. Secondary outcomes were mentalising function, estimated with the Reading the mind in the eyes test and the Levels of emotional awareness scale, self-efficacy, locus of control, quality of life and satisfaction with care. Assessments were made at baseline, at post-treatment and at 12 weeks' follow-up. At 12 weeks, 55% of patients randomised to art therapy, and 66% of patients receiving treatment as usual were examined. In the per-protocol sample, art therapy was associated with a significantly greater mean reduction of positive symptoms and improved psychosocial functioning at post-treatment and follow-up, and with a greater mean reduction of negative symptoms at follow-up compared to standard treatment. The significant reduction of positive symptoms at post-treatment was maintained in an attempted intention-to-treat analysis. There were no group differences regarding depressive symptoms. Of secondary outcome parameters, patients in the art therapy group showed a significant improvement in levels of emotional awareness, and particularly in their ability to reflect about others' emotional mental states. This is one of the first randomised controlled trials on psychodynamic group art therapy for patients with acute psychotic episodes receiving hospital treatment. Results prove the feasibility of trials on art therapy during acute psychotic

  19. Clinical Holistic Medicine (Mindful,Short-Term Psychodynamic Psychotherapy Complemented with Bodywork in the Treatment of Experienced Mental Illness

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2007-01-01

    Full Text Available Short-term psychodynamic psychotherapy (STPP complemented with bodywork improved 31 of 54 patients (57.4%, 95% CI: 43.21–70.77% who rated themselves mentally ill before treatment. Calculated from this we find 1.41 500. Of the 54 patients, 40% had already had traditional treatment that did not help them. Bodywork helped the patients to confront repressed painful feelings from childhood and this seemingly accelerated and improved the therapy. The patients received in average 20 sessions over 14 months at a cost of 1600 EURO. For the treatment responders, all measured aspects of life (on a five point Likert Scale improved significantly, simultaneously, and radically: somatic health (from 2.9 to 2.3, self-esteem/relationship to self (from 3.5 to 2.3, relationship to partner (from 4.7 to 2.9 [no partner was rated as “6”], relationship to friends (from 2.5 to 2.0, ability to love (from 3.8 to 2.4, self-assessed sexual ability (from 3.5 to 2.4, self-assessed social ability (from 3.2 to 2.1, self-assessed working ability (from 3.3 to 2.4, and self-assessed quality of life (from 4.0 to 2.3. Quality of life as measured with QOL5 improved (from 3.6 to 2.3 on a scale from 1 to 5; p < 0.001. This general improvement strongly indicated that the patient had healed existentially, i.e., had experienced what Aaron Antonovsky (1923–1994 called “salutogenesis”, defined as the process exactly the opposite of pathogenesis. For the treatment responders, the treatment provided lasting benefits, without the negative side effects of drugs. A lasting, positive effect might also prevent many different types of problems in the future.

  20. Neural activity in relation to clinically derived personality syndromes in depression using a psychodynamic fMRI paradigm

    Directory of Open Access Journals (Sweden)

    Svenja eTaubner

    2013-12-01

    Full Text Available Objective: The heterogeneity between patients with depression cannot be captured adequately with existing descriptive systems of diagnosis and neurobiological models of depression. Furthermore, considering the highly individual nature of depression, the application of general stimuli in past research efforts may not capture the essence of the disorder. This study aims to identify subtypes of depression by using empirically-derived personality-syndromes, and to explore neural correlates of the derived personality syndromes.Method: In the present exploratory study an individually tailored and psychodynamically based fMRI paradigm using dysfunctional relationship patterns was presented to 20 chronically depressed patients. Results from the Shedler-Westen-Assessment-Procedure (SWAP-200 were analyzed by Q-factor analysis to identify clinically relevant subgroups of depression and related brain activation.Results: The principle component analysis of SWAP-200 items from all 20 patients lead to a 2-factor solution: Depressive Personality and Emotional-Hostile-Externalizing Personality. Both factors were used in a whole-brain correlational analysis but only the second factor yielded significant positive correlations in four regions: A large cluster in the right orbitofrontal cortex (OFC, the left ventral striatum, a small cluster in the left temporal pole and another small cluster in the right middle frontal gyrus. Discussion: The degree to which patients with depression score high on the factor Emotional-Hostile-Externalizing Personality correlated with relatively higher activity in three key areas involved in emotion processing, evaluation of reward/punishment, negative cognitions, depressive pathology and social knowledge (OFC, ventral striatum, temporal pole. Results may contribute to an alternative description of neural correlates of depression showing differential brain activation dependent on the extent of specific personality syndromes in

  1. Clinical Severity as a Moderator of Outcome in Psychodynamic and Dialectical Behavior Therapies for Borderline Personality Disorder.

    Science.gov (United States)

    Sahin, Zeynep; Vinnars, Bo; Gorman, Bernard S; Wilczek, Alexander; Åsberg, Marie; Barber, Jacques P

    2017-12-14

    The aim of the present study was to assess the effect of initial level of psychiatric severity on treatment outcome in psychodynamic therapy and dialectical behavior therapy (DBT) for borderline personality disorder (BPD). It was hypothesized that DBT would lead to better outcome for patients with high psychiatric severity, whereas dynamic treatment would lead to better outcome for patients with lower psychiatric severity. Data from the 5th-year follow-up of the Stockholm City Council's and the Karolinska Institute's Psychotherapy Project were used in the present study. A total of 106 female patients diagnosed with BPD with at least 2 past suicide attempts were randomized into object-relational psychotherapy (ORP; based on transference-focused psychotherapy), DBT, and treatment as usual. Patients' baseline global severity index was used as a moderator. Global Assessment of Functioning (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [American Psychiatric Association, 1994]) was used to examine outcome. There was a significant 3-way interaction of Time × Treatment × Severity. Post hoc analyses suggested that patients with lower levels of severity had significantly better outcomes in object-relational psychotherapy. For patients with higher severity, the 3 treatments resulted in similar outcomes in terms of level of functioning. Outcome of treatment for BPD might differ significantly for patients depending on their initial levels of overall psychiatric severity. If our findings are replicated for patients with low severity and supported for a high-severity sample, psychiatric severity can be used as a low-cost and effective tool to match patients with BPD to optimal treatments. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. Interpersonal processes in psychodynamic-interpersonal and cognitive behavioral group therapy: a systematic case study of two groups.

    Science.gov (United States)

    Tasca, Giorgio A; Foot, Meredith; Leite, Catherine; Maxwell, Hilary; Balfour, Louise; Bissada, Hany

    2011-09-01

    This mixed method systematic case study applied an interpersonal stage model of the therapeutic process to examine interpersonal processes among a highly adherent Group Psychodynamic-Interpersonal Psychotherapy (GPIP) therapist and a highly adherent Group Cognitive Behavioral Therapy (GCBT) therapist and their groups of binge eating disordered (BED) patients. This is the first case study to apply the interpersonal stage model of psychotherapy to compare GCBT and GPIP methods and the first to apply the model to group therapy. Early-, middle-, and late-stage transcribed video recordings of sequential interactions among therapists and patients in each of these two time-limited group therapies were analyzed with the Structural Analysis of Social Behavior (SASB). We also provide qualitative presentations of the transcripts from each stage as context for the quantitative analyses. BED patients in both groups achieved positive outcomes for binge eating and depression. Consistent with their treatment model, the GPIP therapist was more autonomy-giving, whereas the GCBT therapist was more controlling/directive. The GPIP therapist and her group had high levels of interpersonal complementary interaction sequences in the early stage followed by lower complementarity in the middle stage. The GCBT therapist and her group showed a high-low-high pattern of complementarity across the three stage of therapy. However, overall the GPIP group had higher levels complementarity than the GCBT group. This mixed method case study of group processes based on an interpersonal stage model of psychotherapy suggested specific therapist behaviors in each modality to maximize positive therapeutic interactions at each stage of group therapy. (c) 2011 APA, all rights reserved.

  3. Cost-effectiveness of focal psychodynamic therapy and enhanced cognitive-behavioural therapy in out-patients with anorexia nervosa.

    Science.gov (United States)

    Egger, N; Wild, B; Zipfel, S; Junne, F; Konnopka, A; Schmidt, U; de Zwaan, M; Herpertz, S; Zeeck, A; Löwe, B; von Wietersheim, J; Tagay, S; Burgmer, M; Dinkel, A; Herzog, W; König, H-H

    2016-12-01

    Anorexia nervosa (AN) is a serious illness leading to substantial morbidity and mortality. The treatment of AN very often is protracted; repeated hospitalizations and lost productivity generate substantial economic costs in the health care system. Therefore, this study aimed to determine the differential cost-effectiveness of out-patient focal psychodynamic psychotherapy (FPT), enhanced cognitive-behavioural therapy (CBT-E), and optimized treatment as usual (TAU-O) in the treatment of adult women with AN. The analysis was conducted alongside the randomized controlled Anorexia Nervosa Treatment of OutPatients (ANTOP) study. Cost-effectiveness was determined using direct costs per recovery at 22 months post-randomization (n = 156). Unadjusted incremental cost-effectiveness ratios (ICERs) were calculated. To derive cost-effectiveness acceptability curves (CEACs) adjusted net-benefit regressions were applied assuming different values for the maximum willingness to pay (WTP) per additional recovery. Cost-utility and assumptions underlying the base case were investigated in exploratory analyses. Costs of in-patient treatment and the percentage of patients who required in-patient treatment were considerably lower in both intervention groups. The unadjusted ICERs indicated FPT and CBT-E to be dominant compared with TAU-O. Moreover, FPT was dominant compared with CBT-E. CEACs showed that the probability for cost-effectiveness of FTP compared with TAU-O and CBT-E was ⩾95% if the WTP per recovery was ⩾€9825 and ⩾€24 550, respectively. Comparing CBT-E with TAU-O, the probability of being cost-effective remained <90% for all WTPs. The exploratory analyses showed similar but less pronounced trends. Depending on the WTP, FPT proved cost-effective in the treatment of adult AN.

  4. [Charcot, working and 'Male Hysteria': A new approach to the Leçons du mardi (Tuesday Lessons) from the standpoint of psychodynamics of work].

    Science.gov (United States)

    Molinier, Pascale

    2015-01-01

    This paper examines the role of work in Charcot's clinical teaching focusing on cases of male hysteria in The Tuesday's Lessons from 1887 to 1889. Today, we read the work of Charcot in a retrospective way as having ended in a failure: He would have missed the discovery of the sexual unconscious. From the perspective of psychodynamics of work, it appears an alternative way which was present in Charcot, though unfinished, opening on a possible development of a relationship between psychic and body. The role of work in traumatic hysteria has been forgotten by Freud's posterity and this obliteration continues today.

  5. Clinical holistic medicine (mindful, short-term psychodynamic psychotherapy complemented with bodywork) in the treatment of experienced physical illness and chronic pain.

    Science.gov (United States)

    Ventegodt, Søren; Thegler, Suzette; Andreasen, Tove; Struve, Flemming; Enevoldsen, Lars; Bassaine, Laila; Torp, Margrethe; Merrick, Joav

    2007-03-02

    We investigated the treatment effect of psychodynamic short-term therapy complemented with bodywork on patients who presented with physical illness at the Research Clinic for Holistic Medicine in Copenhagen. Psychodynamic short-term therapy was complemented with bodywork (Marion Rosen) to help patients confront old emotional pain from childhood trauma(s). Patients were measured with a five-item quality of life and health questionnaire (QOL5), a one-item questionnaire of self-assessed quality of life (QOL1), and four questions on self-rated ability to love and to function sexually, socially, and at work (ability to sustain a full-time job). Most of the patients had chronic pain that could not be alleviated with drugs. Results showed that 31 patients with the experience of being severely physically ill (mostly from chronic pain), in spite of having consulted their own general practitioner, entered the study. The holistic approach and body therapy accelerated the therapy dramatically and no significant side effects were detected. After the intervention, 38.7% did not feel ill (1.73 treatment responders, the treatment seemingly provided lasting benefits.

  6. Associations of PM2.5 and black carbon concentrations with traffic, idling, background pollution, and meteorology during school dismissals.

    Science.gov (United States)

    Richmond-Bryant, J; Saganich, C; Bukiewicz, L; Kalin, R

    2009-05-01

    An air quality study was performed outside a cluster of schools in the East Harlem neighborhood of New York City. PM(2.5) and black carbon concentrations were monitored using real-time equipment with a one-minute averaging interval. Monitoring was performed at 1:45-3:30 PM during school days over the period October 31-November 17, 2006. The designated time period was chosen to capture vehicle emissions during end-of-day dismissals from the schools. During the monitoring period, minute-by-minute volume counts of idling and passing school buses, diesel trucks, and automobiles were obtained. These data were transcribed into time series of number of diesel vehicles idling, number of gasoline automobiles idling, number of diesel vehicles passing, and number of automobiles passing along the block adjacent to the school cluster. Multivariate regression models of the log-transform of PM(2.5) and black carbon (BC) concentrations in the East Harlem street canyon were developed using the observation data and data from the New York State Department of Environmental Conservation on meteorology and background PM(2.5). Analysis of variance was used to test the contribution of each covariate to variability in the log-transformed concentrations as a means to judge the relative contribution of each covariate. The models demonstrated that variability in background PM(2.5) contributes 80.9% of the variability in log[PM(2.5)] and 81.5% of the variability in log[BC]. Local traffic sources were demonstrated to contribute 5.8% of the variability in log[BC] and only 0.43% of the variability in log[PM(2.5)]. Diesel idling and passing were both significant contributors to variability in log[BC], while diesel passing was a significant contributor to log[PM(2.5)]. Automobile idling and passing did not contribute significant levels of variability to either concentration. The remainder of variability in each model was explained by temperature, along-canyon wind, and cross-canyon wind, which were

  7. The effect of adding psychodynamic therapy to antidepressants in patients with major depressive disorder. A systematic review of randomized clinical trials with meta-analyses and trial sequential analyses.

    Science.gov (United States)

    Jakobsen, Janus Christian; Hansen, Jane Lindschou; Simonsen, Erik; Gluud, Christian

    2012-03-01

    Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Psychodynamic therapy may be a treatment option for depression, but the effects have only been limitedly assessed in systematic reviews. Using Cochrane systematic review methodology, we compared the benefits and harms of psychodynamic therapy versus 'no intervention' or sham for major depressive disorder. We accepted any co-intervention, including antidepressants, as long as it was delivered similarly in both intervention groups. Trials were identified by searching the Cochrane Library's CENTRAL, MEDLINE via PubMed, EMBASE, Psychlit, Psyc Info, and Science Citation Index Expanded until February 2010. Two authors independently extracted data. We evaluated risk of bias to control for systematic errors. We conducted trial sequential analysis to control for random errors. We included five trials randomizing a total of 365 participants who all received antidepressants as co-intervention. All trials had high risk of bias. Four trials assessed 'interpersonal psychotherapy' and one trial 'short psychodynamic supportive psychotherapy'. Meta-analysis showed that psychodynamic therapy significantly reduced depressive symptoms on the 17-item Hamilton Rating Scale for Depression (mean difference -3.01 (95% confidence interval -3.98 to -2.03; Ptherapy to antidepressants might benefit depressed patients, but the possible treatment effect measured on the Hamilton Rating Scale for Depression is small. Copyright © 2011 Elsevier B.V. All rights reserved.

  8. Knowledge, attitudes, and practices of nonpharmaceutical interventions following school dismissals during the 2009 Influenza A H1N1 pandemic in Michigan, United States.

    Directory of Open Access Journals (Sweden)

    Jianrong Shi

    Full Text Available BACKGROUND: Many schools throughout the United States reported an increase in dismissals due to the 2009 influenza A H1N1 pandemic (pH1N1. During the fall months of 2009, more than 567 school dismissals were reported from the state of Michigan. In December 2009, the Michigan Department of Community Health, in collaboration with the United States Centers for Disease Control and Prevention, conducted a survey to describe the knowledge, attitudes, and practices (KAPs of households with school-aged children and classroom teachers regarding the recommended use of nonpharmaceutical interventions (NPIs to slow the spread of influenza. METHODS: A random sample of eight elementary schools (kindergarten through 5th grade was selected from each of the eight public health preparedness regions in the state. Within each selected school, a single classroom was randomly identified from each grade (K-5, and household caregivers of the classroom students and their respective teachers were asked to participate in the survey. RESULTS: In total, 26% (2,188/8,280 of household caregivers and 45% (163/360 of teachers from 48 schools (of the 64 sampled responded to the survey. Of the 48 participating schools, 27% (13 experienced a school dismissal during the 2009 fall term. Eighty-seven percent (1,806/2,082 of caregivers and 80% (122/152 of teachers thought that the 2009 influenza A H1N1 pandemic was severe, and >90% of both groups indicated that they told their children/students to use NPIs, such as washing hands more often and covering coughs with tissues, to prevent infection with influenza. CONCLUSIONS: Knowledge and instruction on the use of NPIs appeared to be high among household caregivers and teachers responding to the survey. Nevertheless, public health officials should continue to explain the public health rationale for NPIs to reduce pandemic influenza. Ensuring this information is communicated to household caregivers and teachers through trusted sources is

  9. Psicoterapia psicodinâmica e o tratamento do jogo patológico Psychodynamic psychotherapy and the treatment of pathological gambling

    Directory of Open Access Journals (Sweden)

    Richard J. Rosenthal

    2008-05-01

    ão evitativo de comportamento e defesas psicodinâmicas.OBJECTIVE: The search for empirically based treatments for pathological gambling is in its infancy, with relatively few clinical trials and an absence of naturalistic studies. Treatment retention of gamblers has been a problem; cognitive-behavioral treatment and pharmacotherapy studies report especially high dropout rates. Psychodynamic approaches, with their emphasis on the therapeutic relationship, and the meaning of the patient's self-destructive and seemingly irrational behaviors, and on obstacles to self-forgiveness, might improve outcome. METHOD: After a description of psychodynamic psychotherapy, the literature on both short-term and longer therapies is reviewed regarding their efficacy for a variety of disorders. With regard to pathological gambling, the author summarizes the early (1914-1970 psychoanalytic literature then reviews the more recent psychodynamic psychotherapy literature on pathological gambling. RESULTS: A review of the recent psychodynamic psychotherapy literature on pathological gambling failed to disclose a single randomized controlled study of treatment efficacy or effectiveness. However, there are eight positive outcome studies described as multi-modal eclectic; half of those seem to utilize psychodynamic approaches. Two of the more successful programs are described. CONCLUSIONS: A review of the outcomes literature for psychodynamic psychotherapy demonstrates efficacy for a variety of disorders sufficient to justify a clinical trial for pathological gambling. Short-term psychodynamic psychotherapy, with its focus on core issues, may be particularly applicable to the pathological gambler's need to avoid or escape intolerable affects and problems. Longer therapies may be needed to modify an avoidant coping style and defenses.

  10. Efficacy of an adjunctive brief psychodynamic psychotherapy to usual inpatient treatment of depression: rationale and design of a randomized controlled trial

    Science.gov (United States)

    2012-01-01

    Background A few recent studies have found indications of the effectiveness of inpatient psychotherapy for depression, usually of an extended duration. However, there is a lack of controlled studies in this area and to date no study of adequate quality on brief psychodynamic psychotherapy for depression during short inpatient stay exists. The present article describes the protocol of a study that will examine the relative efficacy, the cost-effectiveness and the cost-utility of adding an Inpatient Brief Psychodynamic Psychotherapy to pharmacotherapy and treatment-as-usual for inpatients with unipolar depression. Methods/Design The study is a one-month randomized controlled trial with a two parallel group design and a 12-month naturalistic follow-up. A sample of 130 consecutive adult inpatients with unipolar depression and Montgomery-Asberg Depression Rating Scale score over 18 will be recruited. The study is carried out in the university hospital section for mood disorders in Lausanne, Switzerland. Patients are assessed upon admission, and at 1-, 3- and 12- month follow-ups. Inpatient therapy is a manualized brief intervention, combining the virtues of inpatient setting and of time-limited dynamic therapies (focal orientation, fixed duration, resource-oriented interventions). Treatment-as-usual represents the best level of practice for a minimal treatment condition usually proposed to inpatients. Final analyses will follow an intention–to-treat strategy. Depressive symptomatology is the primary outcome and secondary outcome includes measures of psychiatric symptomatology, psychosocial role functioning, and psychodynamic-emotional functioning. The mediating role of the therapeutic alliance is also examined. Allocation to treatment groups uses a stratified block randomization method with permuted block. To guarantee allocation concealment, randomization is done by an independent researcher. Discussion Despite the large number of studies on treatment of depression

  11. A Therapist’s Review of Process: Rupture and repair cycles in relational transactional analysis psychotherapy for a client with a dismissive attachment style: ‘Martha’

    Directory of Open Access Journals (Sweden)

    Silvia Baba Neal

    2017-07-01

    Full Text Available This article is a therapist review of the process that occurred during a systematic case study of psychotherapy with ‘Martha’, a female client who presented with depression, anxiety, alexithymia and dismissive/avoidant attachment style.  Assessment, diagnosis of the client and treatment direction is described, followed by a detailed account of the therapeutic process through 12 sessions and 2 post-therapy interviews. Analysis team results are summarised, indicating support for the therapist’s identification of issues during the process of the therapy. Particular attention is paid by the analysis team two points of rupture and repair, with pragmatic evaluation confirming that the relational struggles between therapist and client seemed pivotal in generating positive change. Citation - APA format: Baba Neal, S. (2017. A Therapist’s Review of Process: Rupture and repair cycles in relational transactional analysis psychotherapy for a client with a dismissive attachment style: ‘Martha’. International Journal of Transactional Analysis Research & Practice, 8(2, 24-34.

  12. A multi-site analysis of the association between black carbon concentrations and vehicular idling, traffic, background pollution, and meteorology during school dismissals.

    Science.gov (United States)

    Richmond-Bryant, J; Bukiewicz, L; Kalin, R; Galarraga, C; Mirer, F

    2011-05-01

    A study was performed to assess the relationship between black carbon (BC), passing traffic, and vehicular idling outside New York City (NYC) schools during student dismissal. Monitoring was performed at three school sites in East Harlem, the Bronx, and Brooklyn for 1month per year over a two-year period from November 2006-October 2008. Monitoring at each site was conducted before and after the Asthma Free School Zone (AFSZ) asthma reduction education program was administered. Real-time equipment with a one-minute averaging interval was used to obtain the BC data, while volume counts of idling and passing school busses, trucks, and automobiles were collected each minute by study staff. These data were matched to ambient PM(2.5) and meteorology data obtained from the New York State Department of Environmental Conservation. A generalized additive model (GAM) model was run to examine the relationship between BC concentration and each variable while accounting for site-to-site differences. F-tests were employed to assess the significance of each of the predictor variables. The model results suggested that variability in ambient PM(2.5) concentration contributed 24% of the variability in transformed BC concentration, while variability in the number of idling busses and trucks on the street during dismissal contributed 20% of the variability in transformed BC concentration. The results of this study suggest that a combination of urban scale and local traffic control approaches in combination with cessation of school bus idling will produce improved local BC concentration outside schools. Published by Elsevier B.V.

  13. The dual process of adolescent immigration and relocation: from country to country and from childhood to adolescence--its reflection in psychodynamic psychotherapy.

    Science.gov (United States)

    Sharabany, Ruth; Israeli, Etziona

    2008-01-01

    This chapter presents psychological issues and processes in adolescent patients who have also migrated or relocated from one country to another. Theoretical perspectives related to attachment processes illumine both migration and adolescence as changes for which secure bases are most needed, lost, and sometimes rediscovered. The psychodynamic processes underlying the difficulties encountered by such adolescents, and their meaning, are presented. Relationships with parents, which normally go through separation-individuation and renegotiation of the oedipal crisis, both of which are central to adolescence, are disrupted by migration. Migration poses new challenges and choices while identity formation is evolving during adolescence. These include adopting a new identity, embracing and letting go of the old, and accepting and integrating the new. The dual relationship with identity finds expression, for example, in language. Fluctuations in understanding and not understanding the new and the old language represent the ambivalence toward the new and the old. The developmental roller-coaster of adolescence, which involves more intense use of defense mechanisms, is heightened during immigration. Processes of idealization (of parents, therapist, old country, new culture) rapidly fade with the devaluation of the same targets. Mechanisms of splitting between good and bad, as well as massive repression of issues that are too hard to deal with at this crossroad, are profuse. Hopeful fantasies of rebirth are concurrent with despair, depression, and, in some cases, suicidal thoughts and attempts. Excerpts from a case in psychodynamic psychotherapy are presented, focusing on the evolving new balances: integrating the old and the new by maintaining attachments to the one while forming attachments to the other; relinquishing and mourning the lost paradise of childhood, as well as the old country, friends, culture, smells, and tastes; accepting disappointments when the shining new

  14. Moderation of the Alliance-Outcome Association by Prior Depressive Episodes: Differential Effects in Cognitive-Behavioral Therapy and Short-Term Psychodynamic Supportive Psychotherapy.

    Science.gov (United States)

    Lorenzo-Luaces, Lorenzo; Driessen, Ellen; DeRubeis, Robert J; Van, Henricus L; Keefe, John R; Hendriksen, Mariëlle; Dekker, Jack

    2017-09-01

    Prior studies have suggested that the association between the alliance and depression improvement varies as a function of prior history of depression. We sought to replicate these findings and extend them to short-term psychodynamic supportive psychotherapy (SPSP) in a sample of patients who were randomized to one of these treatments and were administered the Helping Alliance Questionnaire (N=282) at Week 5 of treatment. Overall, the alliance was a predictor of symptom change (d=0.33). In SPSP, the alliance was a modest but robust predictor of change, irrespective of prior episodes (d=0.25-0.33). By contrast, in CBT, the effects of the alliance on symptom change were large for patients with 0 prior episodes (d=0.86), moderate for those with 1 prior episode (d=0.49), and small for those with 2+ prior episodes (d=0.12). These findings suggest a complex interaction between patient features and common vs. specific therapy processes. In CBT, the alliance relates to change for patients with less recurrent depression whereas other CBT-specific processes may account for change for patients with more recurrent depression. Copyright © 2016. Published by Elsevier Ltd.

  15. Patterns of Change in Interpersonal Problems During and After Short-term and Long-term Psychodynamic Group Therapy: A Randomized Clinical Trial.

    Science.gov (United States)

    Fjeldstad, Anette; Høglend, Per; Lorentzen, Steinar

    2017-05-01

    In this study, we compared the patterns of change in interpersonal problems between short-term and long-term psychodynamic group therapy. A total of 167 outpatients with mixed diagnoses were randomized to 20 or 80 weekly sessions of group therapy. Interpersonal problems were assessed with the Inventory of Interpersonal Problems at six time points during the 3-year study period. Using linear mixed models, change was linearly modelled in two steps. Earlier (within the first 6 months) and later (during the last 2.5 years) changes in five subscales were estimated. Contrary to what we expected, short-term therapy induced a significantly larger early change than long-term therapy on the cold subscale and there was a trend on the socially avoidant subscale, using a Bonferroni-adjusted alpha. There was no significant difference between short-term and long-term group therapy for improving problems in the areas cold, socially avoidant, nonassertive, exploitable, and overly nurturant over the 3 years.

  16. An investigation of client mood in the initial and final sessions of cognitive-behavioral therapy and psychodynamic-interpersonal therapy.

    Science.gov (United States)

    Mcclintock, Andrew S; Stiles, William B; Himawan, Lina; Anderson, Timothy; Barkham, Michael; Hardy, Gillian E

    2016-01-01

    Our aim was to examine client mood in the initial and final sessions of cognitive-behavioral therapy (CBT) and psychodynamic-interpersonal therapy (PIT) and to determine how client mood is related to therapy outcomes. Hierarchical linear modeling was applied to data from a clinical trial comparing CBT with PIT. In this trial, client mood was assessed before and after sessions with the Session Evaluation Questionnaire-Positivity Subscale (SEQ-P). In the initial sessions, CBT clients had higher pre-session and post-session SEQ-P ratings and greater pre-to-post session mood change than did clients in PIT. In the final sessions, these pre, post, and change scores were generally equivalent across CBT and PIT. CBT outcome was predicted by pre- and post-session SEQ-P ratings from both the initial sessions and the final sessions of CBT. However, PIT outcome was predicted by pre- and post-session SEQ-P ratings from the final sessions only. Pre-to-post session mood change was unrelated to outcome in both treatments. These results suggest different change processes are at work in CBT and PIT.

  17. The early impact of therapeutic alliance in brief psychodynamic psychotherapy O impacto inicial da aliança terapêutica em psicoterapia psicodinâmica breve

    Directory of Open Access Journals (Sweden)

    José Alvaro Marques Marcolino

    2003-06-01

    Full Text Available INTRODCTION: Therapeutic alliance is a key component of the psychotherapeutic process. This study estimated the impact of the therapeutic alliance as measured by CALPAS-P in an individual brief psychodynamic psychotherapy program. METHODS: To study the impact of the therapeutic alliance patients in psychotherapy answered to the CALPAS-P at the first and third session and to the Self-report Questionnaire (SRQ-20, to the Beck Depression Inventory (BDI and to the Hamilton Anxiety Scale at the beginning and at the end of psychotherapy. RESULTS: The study of the impact of the therapeutic alliance in brief psychodynamic psychotherapy showed that higher TUI scores in the first session were significantly associated to the improvement on the BDI. Patients with best scores in the working alliance, measured at the third PWC session had also significant symptomatic changes. DISCUSSION: The study of the impact of the therapeutic alliance in brief psychotherapy indicated that patients who perceived that their therapists had the best capability to understand and to be involved in their issues had best results in reducing depressive symptoms and patients with higher capability to form the working alliance reached the best psychotherapy outcomes.INTRODUÇÃO: A aliança terapêutica é um conceito central do processo psicoterápico. Este estudo avaliou o impacto da aliança terapêutica em um programa de psicoterapia individual psicodinâmica breve. MÉTODO: Para o estudo do impacto da aliança, pacientes em psicoterapia responderam, ao início e ao final de cada psicoterapia, ao Questionário de auto-avaliação (SRQ-20, ao Inventário de Depressão de Beck (BDI e à Escala de Ansiedade de Hamilton. Responderam também a CALPAS-P ao término da primeira e da terceira sessão. RESULTADOS: Os resultados mostraram que os pacientes com uma pontuação mais alta da TUI na primeira sessão tiveram um impacto significativo sobre a mudança da sintomatologia medida

  18. Moderating Effects of Alexithymia on Associations between the Therapeutic Alliance and the Outcome of Brief Psychodynamic-Interpersonal Psychotherapy for Multisomatoform Disorder.

    Science.gov (United States)

    Probst, Thomas; Sattel, Heribert; Gündel, Harald; Henningsen, Peter; Kruse, Johannes; Schneider, Gudrun; Lahmann, Claas

    2017-01-01

    This secondary analysis of a trial on brief psychodynamic-interpersonal therapy (PIT) for patients with multisomatoform disorder investigated whether alexithymia moderates the associations between the therapeutic alliance and the outcome of PIT and whether moderating effects of alexithymia remain significant when controlling for depression. Eighty-three patients with multisomatoform disorder receiving PIT were statistically analyzed. Moderation analyses were performed with the SPSS macro PROCESS. The primary outcome (Y), self-reported physical quality of life at 9-month after the end of PIT, was measured with the physical component summary (PCS) of the SF-36 Health Survey. The potential moderator (M) alexithymia was operationalized with the Toronto Alexithymia Scale (TAS-20) at pre-treatment and the predictor (X) the therapeutic alliance was rated by both patients and therapists via the Helping Alliance Questionnaire (HAQ) at the end of PIT. Moreover, the PCS at pre-treatment functioned as covariate in all moderation models. When the patients' alliance ratings were analyzed, alexithymia did not moderate associations between the alliance and the outcome. When the therapists' alliance ratings were evaluated, alexithymia moderated the relationship between the alliance and the outcome ( p  moderating effect of alexithymia was, however, not statistically significant anymore when adding the pre-treatment depression scores (PHQ-9) as a covariate to the moderation model. The results underline the importance of a good therapists' view of the alliance when treating alexithymic patients and highlight the complex interaction between alexithymia and depression. Future studies are needed to extend the scope of research regarding which psychotherapeutic mechanisms of change are beneficial for which patients.

  19. Self-critical perfectionism, dependency, and symptomatic distress in patients with personality disorder during hospitalization-based psychodynamic treatment: A parallel process growth modeling approach.

    Science.gov (United States)

    Lowyck, Benedicte; Luyten, Patrick; Vermote, Rudi; Verhaest, Yannic; Vansteelandt, Kristof

    2017-07-01

    There is growing evidence for the efficacy and effectiveness of psychotherapy in patients with personality disorder (PD), but very little is known about the factors underlying these effects. Two-polarities models of personality development provide an empirically supported approach to studying therapeutic change. Briefly, these models argue that personality pathology is characterized by an imbalance between development of the capacity for self-definition and for relatedness, with an exaggerated emphasis on issues regarding self-definition and relatedness being expressed in high levels of self-critical perfectionism (SCP) and dependency, respectively. This study used data from a study of 111 patients with PD who received long-term hospitalization-based psychodynamic treatment to investigate whether (a) treatment was related to changes in SCP, dependency, and symptomatic distress; (b) these changes could be explained by pretreatment levels of SCP, dependency, and/or symptomatic distress; and (c) changes in these personality dimensions over time were associated with symptomatic improvement. SCP, dependency, and symptomatic distress were assessed at admission (baseline), at 12 and 24 weeks into treatment, and at discharge. Parallel process multilevel growth modeling showed that (a) treatment was associated with a significant decrease in levels of SCP, dependency, and symptomatic distress, whereas (b) pretreatment levels of each of these three factors did not predict the decreases observed, and (c) changes in SCP, but not dependency, were associated with the rate of decrease in symptomatic distress over time. Implications of these findings for our understanding of therapeutic change in the treatment of PD are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Large-group psychodynamics and massive violence Psicodinâmica da violência de grandes grupos e da violência de massas

    Directory of Open Access Journals (Sweden)

    Vamik D. Volkan

    2006-06-01

    Full Text Available Beginning with Freud, psychoanalytic theories concerning large groups have mainly focused on individuals' perceptions of what their large groups psychologically mean to them. This chapter examines some aspects of large-group psychology in its own right and studies psychodynamics of ethnic, national, religious or ideological groups, the membership of which originates in childhood. I will compare the mourning process in individuals with the mourning process in large groups to illustrate why we need to study large-group psychology as a subject in itself. As part of this discussion I will also describe signs and symptoms of large-group regression. When there is a threat against a large-group's identity, massive violence may be initiated and this violence in turn, has an obvious impact on public health.A partir de Freud, as teorias psicanalíticas a respeito de grandes grupos focalizam principalmente as percepções e os significados que os indivíduos psicologicamente atribuem a eles. Este texto analisa alguns aspectos sobre a psicologia dos grandes grupos e sua psicodinâmica interna e específica. Toma como referência grupos étnicos, nacionais, religiosos e ideológicos cujo pertencimento dos sujeitos iniciou-se na infância. Faz-se uma comparação entre o processo de luto em indivíduos e o processo de luto em grandes grupos para ilustrar por que é necessário investir no conhecimento da psicologia destes últimos, como um objeto específico. Descreve ainda sinais e sintomas de regressão em grandes grupos. Quando há ameaça à identidade coletiva pode ocorrer um processo de violência de massas que obviamente influencia na sua saúde coletiva.

  1. Psicodinâmica da violência de grandes grupos e da violência de massas Large-group psychodynamics and massive violence

    Directory of Open Access Journals (Sweden)

    Vamik D. Volkan

    2006-01-01

    Full Text Available A partir de Freud, as teorias psicanalistas sobre grandes grupos focalizam, principalmente, as percepções e os significados que, psicologicamente, os indivíduos atribuem a eles. Este texto analisa alguns aspectos sobre a psicologia dos grandes grupos e sua psicodinâmica interna e específica. Toma como referência grupos étnicos, nacionais, religiosos e ideológicos cujo pertencimento dos sujeitos iniciou-se na infância. O autor faz uma comparação entre o processo de luto em indivíduos e o processo de luto em grandes grupos para ilustrar por que é necessário investir no conhecimento da psicologia destes últimos como um objeto específico. O autor descreve, ainda, sinais e sintomas de regressão em grandes grupos. Quando há ameaça à identidade coletiva, pode ocorrer um processo de violência de massas que obviamente influencia a saúde pública.Beginning with Freud, psychoanalytic theories concerning large groups have mainly focused on individuals' perceptions of what their large groups psychologically mean to them. This text examines some aspects of large-group psychology in its own right and studies psychodynamics of ethnic, national, religious or ideological groups, the membership of which originates in childhood. I will compare the mourning process in individuals with the mourning process in large groups to illustrate why we need to study large-group psychology as a subject in itself. As part of this discussion I will also describe signs and symptoms of large-group regression.When there is a threat against a large-group's identity, massive violence may be initiated and this violence in turn, has an obvious impact on public health.

  2. Moderating Effects of Alexithymia on Associations between the Therapeutic Alliance and the Outcome of Brief Psychodynamic-Interpersonal Psychotherapy for Multisomatoform Disorder

    Directory of Open Access Journals (Sweden)

    Thomas Probst

    2017-12-01

    Full Text Available This secondary analysis of a trial on brief psychodynamic-interpersonal therapy (PIT for patients with multisomatoform disorder investigated whether alexithymia moderates the associations between the therapeutic alliance and the outcome of PIT and whether moderating effects of alexithymia remain significant when controlling for depression. Eighty-three patients with multisomatoform disorder receiving PIT were statistically analyzed. Moderation analyses were performed with the SPSS macro PROCESS. The primary outcome (Y, self-reported physical quality of life at 9-month after the end of PIT, was measured with the physical component summary (PCS of the SF-36 Health Survey. The potential moderator (M alexithymia was operationalized with the Toronto Alexithymia Scale (TAS-20 at pre-treatment and the predictor (X the therapeutic alliance was rated by both patients and therapists via the Helping Alliance Questionnaire (HAQ at the end of PIT. Moreover, the PCS at pre-treatment functioned as covariate in all moderation models. When the patients’ alliance ratings were analyzed, alexithymia did not moderate associations between the alliance and the outcome. When the therapists’ alliance ratings were evaluated, alexithymia moderated the relationship between the alliance and the outcome (p < 0.05: a stronger alliance in the therapists’ perspective was beneficial for the outcome only for patients scoring above 61 on the TAS-20. This moderating effect of alexithymia was, however, not statistically significant anymore when adding the pre-treatment depression scores (PHQ-9 as a covariate to the moderation model. The results underline the importance of a good therapists’ view of the alliance when treating alexithymic patients and highlight the complex interaction between alexithymia and depression. Future studies are needed to extend the scope of research regarding which psychotherapeutic mechanisms of change are beneficial for which patients.

  3. Clinical Holistic Medicine (Mindful, Short-Term Psychodynamic Psychotherapy Complemented with Bodywork Improves Quality of Life, Health, and Ability by Induction of Antonovsky-Salutogenesis

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2007-01-01

    Full Text Available We had a success rate of treating low, self-assessed, global quality of life (measured by QOL1: How would you assess the quality of your life now? with clinical holistic medicine of 56.4% (95% CI: 42.3–69.7% and calculated from this the Number Needed to Treat (NNT as 1.43–2.36. We found that during treatment, (in average 20 sessions of psychodynamic psychotherapy complemented with bodywork at a cost of 1600 EURO, the patients entered a state of Antonovsky-salutogenesis (holistic, existential healing, which also improved their self-assessed health and general ability one whole step up a 5-point Likert Scale. The treatment responders radically improved their self-assessed physical health (0.6 step, self-assessed mental health (1.6 step, their relation to self (1.2 step, friends (0.3 step, and partner (2.1 step on a 6-step scale, and their ability to love (1.2 step and work (0.8 step, and to function socially (1.0 step and sexually (0.8 step. It seems that treatment with clinical holistic medicine is the cure of choice when the patients (1 present the triad of low quality of life, poor self-assessed physical and/or mental health, and poor ability to function; and (2 are willing to suffer during the therapy by confronting and integrating old emotional problems and trauma(s from the past. For these patients, the treatment provided lasting benefits, without the negative side effects of drugs. A lasting, positive effect might also prevent many different types of problems in the future. The therapy was “mindful” in its focus on existential and spiritual issues.

  4. Psychodynamic Leadership Approach and Leader-Member Exchange (LMX): A Psychiatric Perspective on Two Leadership Theories and Implications for Training Future Psychiatrist Leaders.

    Science.gov (United States)

    Plakiotis, Christos

    2017-01-01

    An increased emphasis in recent years on psychiatrists as healthcare leaders has not only drawn attention to the skills they can bring to this role but has also raised questions about how to best train and prepare them to assume leadership responsibilities. Such training should not be conducted in isolation from, and oblivious to, the wide-ranging expertise in human behaviour and relationships that psychiatrists can bring to the leadership arena. The aim of this theoretical paper is to draw attention to how psychiatrists can use their existing knowledge and skill set to inform their understanding of leadership theory and practice. In particular, the Psychodynamic Leadership Approach and Leader-Member Exchange theory are compared and contrasted to illustrate this point. The former represents a less well-known approach to leadership theory and practice whereas the latter is a widely familiar, conventional theory that is regularly taught in leadership courses. Both are underpinned by their emphasis on leader-follower relationships-and human relationships more broadly-and are intuitively appealing to psychiatrists endeavouring to understand aspects of organisational behaviour in the healthcare settings in which they work and lead. The application of these theories to assist reflection on and understanding of professional and personal leadership behaviours through leadership-oriented Balint-style groups and 360-degree appraisal is proposed. It is hoped that this paper will serve to stimulate thought and discussion about how leadership training for future psychiatrists can be tailored to better harness their existing competencies, thereby developing richer formative learning experiences and, ultimately, achieving superior leadership outcomes.

  5. The ANTOP study: focal psychodynamic psychotherapy, cognitive-behavioural therapy, and treatment-as-usual in outpatients with anorexia nervosa - a randomized controlled trial

    Science.gov (United States)

    Wild, Beate; Friederich, Hans-Christoph; Gross, Gaby; Teufel, Martin; Herzog, Wolfgang; Giel, Katrin E; de Zwaan, Martina; Schauenburg, Henning; Schade-Brittinger, Carmen; Schäfer, Helmut; Zipfel, Stephan

    2009-01-01

    Background Anorexia nervosa is a serious eating disorder leading to high morbidity and mortality as a result of both malnutrition and suicide. The seriousness of the disorder requires extensive knowledge of effective treatment options. However, evidence for treatment efficacy in this area is remarkably weak. A recent Cochrane review states that there is an urgent need for large, well-designed treatment studies for patients with anorexia nervosa. The aim of this particular multi-centre study is to evaluate the efficacy of two standardized outpatient treatments for patients with anorexia nervosa: focal psychodynamic (FPT) and cognitive behavioural therapy (CBT). Each therapeutic approach is compared to a "treatment-as-usual" control group. Methods/Design 237 patients meeting eligibility criteria are randomly and evenly assigned to the three groups – two intervention groups (CBT and FPT) and one control group. The treatment period for each intervention group is 10 months, consisting of 40 sessions respectively. Body weight, eating disorder related symptoms, and variables of therapeutic alliance are measured during the course of treatment. Psychotherapy sessions are audiotaped for adherence monitoring. The treatment in the control group, both the dosage and type of therapy, is not regulated in the study protocol, but rather reflects the current practice of established outpatient care. The primary outcome measure is the body mass index (BMI) at the end of the treatment (10 months after randomization). Discussion The study design surmounts the disadvantages of previous studies in that it provides a randomized controlled design, a large sample size, adequate inclusion criteria, an adequate treatment protocol, and a clear separation of the treatment conditions in order to avoid contamination. Nevertheless, the study has to deal with difficulties specific to the psychopathology of anorexia nervosa. The treatment protocol allows for dealing with the typically occurring

  6. Preliminary opinion on the authorization file on water dismissal and drawing by the Aube storage centre. Study performed by the CRIIRAD laboratory on the request by the CEDRA and with the financial support of the Champagne-Ardenne regional Council

    International Nuclear Information System (INIS)

    2006-06-01

    This document reports a critical analysis of the public inquiry file presented by the ANDRA to support its authorization requests of water releases and drawing about the Aube storage centre. After some generalities about this storage site, the report outlines that this site releases contaminated effluents in the storm basin without any authorization. It also outlines uncertainties in the radionuclide inventory. Then it describes and reports the liquid effluent management and characterization, formulates some remarks about liquid and atmospheric dismissal authorization requests, and about the dose assessment for residents (radiation level, exposure due to waste transport)

  7. Short-term intensive psychodynamic group therapy versus cognitive-behavioral group therapy in day treatment of anxiety disorders and comorbid depressive or personality disorders: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Suszek, Hubert; Holas, Paweł; Wyrzykowski, Tomasz; Lorentzen, Steinar; Kokoszka, Andrzej

    2015-07-29

    Psychodynamic and cognitive-behavioral group therapies are frequently applied in day hospitals for the treatment of anxiety disorders and comorbid depressive or personality disorders in Poland and other Eastern European countries. Yet there is not enough evidence as to their effectiveness in this environment; this study addresses this gap. The aim of the study is to determine the effectiveness of these two kinds of day treatment care consisting of intensive, short-term group psychodynamic and cognitive-behavioral therapy, for patients with anxiety disorders and/or comorbid depressive or personality disorders. Our objectives are to: 1) show the effectiveness of each treatment in a day-care setting relative to the wait-list control group; 2) demonstrate the relative short- and long-term effectiveness of the two active treatments; 3) carry out a preliminary examination of the predictors and moderators of treatment response; 4) carry out a preliminary examination of the mediators of therapeutic change; and 5) compare the impact of both methods of treatment on the outcome of the measures used in this study. In this randomized controlled trial, a total of 199 patients with anxiety disorders and comorbid depressive and/or personality disorders will be assigned to one of three conditions: 1) psychodynamic group therapy; 2) cognitive-behavioral group therapy; or 3) wait-list control group. The therapy will last 12 weeks. Both treatments will be manualized (the manuals will address comorbidity). Primary outcome measures will include self-reported symptoms of anxiety, observer-rated symptoms of anxiety, global improvement, and recovery rate. Secondary outcome measures will include the number of pathological personality traits, depression, self-esteem, defense mechanisms, beliefs about self and others, interpersonal problems, object relations, parental bonding, meta-cognition, and quality of life. Measures will be taken at baseline, post-treatment, and at six months following

  8. Psicoterapias breves psicodinâmicas: características da produção científica nacional e estrangeira (1980/2003 Brief psychodynamic psychotherapies: Characteristics of national and foreign scientific production (1980/2003

    Directory of Open Access Journals (Sweden)

    Elisa Medici Pizão Yoshida

    2005-06-01

    Full Text Available Apresenta o levantamento de algumas características formais da produção científica para saber quem, onde e o que tem sido indexado nas bases de dados eletrônicas, sob os verbetes: "psicoterapias breves psicodinâmicas" e "psicoterapias psicodinâmicas de tempo limitado". As produções estrangeira e nacional foram cotejadas e críticas apresentadas. A amostra de 534 resumos (1980 a 2003, publicados em bases nacionais e internacionais, indicou que a produção estrangeira foi quantitativamente superior quanto ao número de referências, periódicos científicos e autores. No entanto, a nacional equipara-se em aspectos tais como: média de referência por autor, predomínio de autoria única e adoção de psicoterapias integrativas, em que influências de outras abordagens, que não a psicodinâmica, são identificadas. Nas duas realidades predominaram, ainda, publicações sobre psicoterapias individuais de adultos, veiculadas por periódicos psiquiátricos. Espera-se que com a expansão das bases de dados da psicologia, esta última característica venha a se reverter, ao menos no Brasil.It presents a survey of some formal characteristics of the scientific production with the aim of knowing whom, where, and what have been indexed in electronic databases, under the entry: "brief psychodynamic psychotherapy" and "time-limited psychodynamic psychotherapy". Foreign and national productions were checked and critiques were presented. The sample of 534 abstracts (1980 to 2003, published in Brazil and abroad, indicated that the foreign production was quantitatively superior concerning the number of references, journals and authors. However, the national production compares in some aspects such as: reference average by author, predominance of unique authorship and adoption of integrative psychotherapy, in which influences of other approaches, rather than the psychodynamic, are identified. In the two realities there was a predominance of publications

  9. Psychodynamic Perspective of Organizational Change

    Directory of Open Access Journals (Sweden)

    Barabasz Adela

    2016-05-01

    Full Text Available The complex processes and phenomena that are taking place in the contemporary world require new and adequate methods of acting also in the area of management. This means the need for a fresh approach to the process of organization development and change. This paper presents the key concepts stemming from the psychoanalytic approach to organization and management. Its main aim is to discuss the major categories (concepts derived from psychoanalytic theories, which pertain to the issues related to organizational change. Theoretical considerations are complemented by presentation of the data collected during interviews with managers from the examined organization and identification of the defence mechanisms of representatives of the organization’s management.

  10. Psychodynamic treatment of depressed adolescents.

    Science.gov (United States)

    Bemporad, J R

    1988-09-01

    Depression may be conceptualized as the response to the loss of meaning or satisfaction sufficient to affect the individual's optimal view of the self. At each stage of the life cycle, the failure to achieve developmental tasks threatens the concept of the self, producing a phase-specific vulnerability to depression. Adolescence presents particular stresses by forcing the youngster to relinquish the relative familiarity and security of a childhood psychosocial role and create a sense of self independent of family, without childhood denial mechanisms, and of value to a new peer culture. Most individuals experience a sense of loss, confusion, apprehension, and dysphoria during this difficult period of transition. Many who seek psychotherapy require only a secure holding environment that will support their self-esteem as they create new avenues of worth and satisfaction. A few, however, are so hampered by psychosocial limitations that they cannot master this developmental passage without more extensive therapeutic assistance.

  11. What Constitutes Fair Compensation for Unfair Dismissal

    African Journals Online (AJOL)

    user

    Generally the monetary compensation is perceived to be a solatium. 19 .... compensation for non-patrimonial loss in the context of an unfair labour practice. 41 .... awards of compensation where a person's dignity is impaired in the course of an.

  12. Experts dismiss doomsday scenarios for RHIC

    CERN Multimedia

    Levi, B G

    2000-01-01

    A panel of particle physicists examining the possibility that operation of RHIC could generate blackholes or 'strangelets' which would consume ordinary matter, have declared that such scenarios are 'firmly excluded' (1 p).

  13. Temporary provision against Kernkraftwerk Biblis dismissed

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    With its decision of November 19, 1979 - VIII IG 13/79 -, the Administrative Court of Hesse has refused the complaint of a Darmstadt resident whose application for a temporary provision interdicting further operation of the power plant units Biblis A and B had been refused by the Darmstadt Administrative Court. The costs of the procedure, including the extra-judicial costs of the witnesses heard, are to be paid by the plaintiff. The value in litigation was raised to DM 10 000,-. (orig./HP) 891 HP/orig.- 892 CKA [de

  14. Latvia's commissioner dismisses "homemade" fuel tax proposals

    Index Scriptorium Estoniae

    2005-01-01

    Euroopa Liidu energiavolinik Andris Piebalgs ei toeta naftatoodete maksude vähendamist. Voliniku sõnul pole maailmaturul näha lähiajal nafta hinna langust ning seega peaks riik leidma teisi võimalusi kütusehinna langetamiseks

  15. Psicoterapia psicodinâmica breve: estratégia terapêutica e mudança no padrão de relacionamento conflituoso Brief psychodynamic therapy: therapeutic strategy and change in the conflictual relationship pattern

    Directory of Open Access Journals (Sweden)

    Elisa Medici Pizão Yoshida

    2009-12-01

    Full Text Available Examinaram-se possíveis relações entre mudanças no padrão de relacionamento conflituoso de paciente, de 48 anos, submetida a psicoterapia breve psicodinâmica, e a estratégia terapêutica adotada pela terapeuta. Foi também avaliada a "magnitude" da mudança em sintomas psicopatológicos ao final do processo e entrevistas de acompanhamento (3 e 6 meses, com instrumentos de autorrelato: Inventário Beck de Depressão (BDI, Escala de Alexitimia de Toronto (TAS, Escala de Avaliação de Sintomas-40 (EAS-40, Escala Fatorial de Ajustamento Emocional/ Neuroticismo (EFN. A avaliação do padrão relacional baseou-se no Tema Central de Relacionamento Conflituoso - CCRT e a estratégia terapêutica, no grau de "expressividade vs. apoio" das intervenções. Os resultados mostraram melhoras clinicamente significantes nos sintomas e mudança parcial do padrão central de relacionamento. As intervenções terapêuticas foram mais expressivas no início e mais suportivas à medida que mudanças positivas eram observadas. É necessária cautela na generalização dos resultados. A abordagem metodológica permite comparar diferentes indivíduos.This study aimed to evaluate possible association between change in the conflictual relationship pattern of a 48 year-old, woman, assisted on brief psychodynamic therapy, and the therapist's therapeutic strategy. Yet it was evaluated the magnitude of change of psychopathological symptoms at the end and follow-up interviews (3 and 6 months according to self-report measures: Beck Depression Inventory (BDI, Toronto Alexithymia Scale (TAS, Symptom Assessment Scale40 (EAS-40, Emotional Adjustment/ Neuroticism Factorial Scale (EFN. The relationship pattern was assessed based on the Core Conflictual Relationship Theme - CCRT method and the therapeutic strategy according to the degree of expressiveness vs supportiveness of the therapist's interventions. Results pointed out to clinically significant improvement on symptoms

  16. Alterations in family psychodynamics following a ...

    African Journals Online (AJOL)

    Background: The emotional stress of a young couple whose child has hydrocephalus can be immense. When a shunt has to be inserted without the parents being thoroughly educated on every aspect of the procedure, the situation can be overwhelming and significant psychosocial problems can develop. Aim: To report the ...

  17. Dynamic psychiatry and the psychodynamic formulation

    African Journals Online (AJOL)

    processes and psychiatric disorders are biological, the range ... The formulation furthermore helps with the initial orientation towards the patient: it anticipates and predicts how the patient ..... contributed to problems with his sexual identity.

  18. Women, money, and psychodynamic group psychotherapy.

    Science.gov (United States)

    Motherwell, Lise

    2002-01-01

    Developmental concerns and sociocultural expectations may keep female patients and therapists from addressing financial issues openly in group psychotherapy. Interpersonal theory provides a different view of nurturing that may help women leaders deal better with financial discussions in group. This paper includes a review of the literature on group psychotherapy and fees; feminist literature relevant to leadership; money management in group therapy; countertransference; and case examples.

  19. Prazer e sofrimento no trabalho da equipe de enfermagem: reflexão à luz da psicodinâmica Dejouriana Placer e sufrimiento en el trabajo del equipo de enfermería: reflexión bajo la visión de la psicodinamica Dejouriana Pleasure and suffering in the nursing group: reflection to the light of Dejour psychodynamics

    Directory of Open Access Journals (Sweden)

    Júlia Trevisan Martins

    2010-12-01

    Full Text Available O presente trabalho é uma reflexão teórica com o objetivo de refletir sobre as questões de vivências de prazer e sofrimento no trabalho da equipe de enfermagem, sob a ótica da psicodinâmica dejourina do trabalho. Esta reflexão contribui para elucidar a importância dos processos organizativos no trabalho da equipe de enfermagem, em especial por considerar os aspectos relacionados à intersubjetividade e à história singular de cada ser humano. Diagnosticar as situações cotidianas no ambiente de trabalho é importante para intervenções nas formas de organização do processo de trabalho, bem como em outras situações que forem necessárias, contribuindo, assim, para a melhoria da qualidade de vida no ambiente laboral e na vida privada.El presente trabajo es un ensayo teórico que tuvo como objetivo reflexionar sobre las cuestiones de experiencia de placer y sufrimiento en el trabajo del equipo de enfermería bajo la óptica de la psicodinámica dejouriana del trabajo. Esta reflexión contribuye a elucidar la importancia de los procesos organizativos del trabajo del equipo de enfermería, en especial por considerar los aspectos relacionados a la intersubjetividad y a la historia singular de cada ser humano. Diagnosticar las situaciones cotidianas en el ambiente de trabajo es importante para intervenciones en los modos de organización del proceso de trabajo, así como en otras situaciones en que fuera necesario hacerlo, contribuyendo de tal modo en la mejora de la calidad de vida en el propio ambiente laboral y, consecuentemente, en la vida privada.The present study is a theoretical reflection which approaches the feelings of pleasure and suffering in the nursing team work in the perspective of the psychodynamic under Dejour optics. This reflection contributes to elucidate the importance of the organization processes of nursing team work, in special for considering the aspects related to the intersubjectivity and the singular history

  20. Análise do trabalho e serviço de limpeza hospitalar: contribuições da ergonomia e da psicodinâmica do trabalho Work analysis in a higiene service of a hospital: contributions from ergonomics and work psychodynamics

    Directory of Open Access Journals (Sweden)

    Laerte Idal Sznelwar

    2004-12-01

    Full Text Available Neste artigo são apresentados os resultados de uma parceria envolvendo dois grupos de pesquisa que estudaram uma situação concreta de trabalho geradora de elevado índice de absenteísmo, afastamentos por doença e por acidentes de trabalho: o Serviço de Limpeza Hospitalar. O objetivo do trabalho é responder a uma demanda específica dos responsáveis por um hospital público. O intuito é entender a problemática referida e buscar soluções através de transformações na organização do trabalho destes profissionais. Para tanto, a equipe de pesquisa envolvida propôs que a mesma situação fosse abordada através de duas metodologias distintas: a da ergonomia e a da psicodinâmica do trabalho. O diálogo que se busca a partir da utilização dessas duas abordagens é útil para a construção de melhorias no trabalho e para analisar as relações de complementaridade, confluência e/ou divergência entre estas duas disciplinas que abordam o trabalhar sobre ópticas distintas.This paper contains the results of a study made in partnership between two research groups. The work situation in a hygiene service of a hospital is the object of the study. The request made by the health and safety services was due to high levels of absenteeism, work diseases and accidents and the direction of the hospital was preoccupied with this scenario and would like to improve the work situation. The study was performed with two different approaches from ergonomics and from work psychodynamics. The results of the study and the dialogue between two different areas can be useful to build work improvements as well as to analyze the relationship between these two disciplines that approaches work with distinct points of view. This discussion concerns complementarities, confluence, and divergence.

  1. Why do dismissed employees need art? / Margit Säde

    Index Scriptorium Estoniae

    Säde, Margit, 1984-

    2009-01-01

    "Koondatute kunsti keskus" Tallinna Postimajas 23.-30. aprillini 2009. Eesti Kunstiakadeemia üliõpilaste sotsiaalse kunstiprojekti eesmärgist, sellest osavõtust, dokumentaalfilmi õpikojast, mida viisid läbi Anna Škodenko, Anne-Liis Kogan ja Margit Säde. Valminud tööd ja projekti dokumentatsioon olid väljas detsembris 2009 avatud Anders Härmi kureeritud näitusel "Blue-Collar Blues" Tallinna Kunstihoones

  2. When Access for the "Gimme" World Proves Dismissive of Finesse

    Science.gov (United States)

    Verdesca, Anthony F., Jr.

    2011-01-01

    A recent "New York Times" article heralded a film documentary whose subject was a competition in which the entrants vied for the title of "one of the best craftsmen of France." The film spotlights the competition between pastry chefs--French pastry chefs--who come from all over France to compete. It's a microcosm of larger…

  3. Motion to strike claim dismissed in HIV defamation suit.

    Science.gov (United States)

    Gold, J; Elliott, R

    2001-01-01

    On 23 April 2001, the Ontario Superior Court of Justice issued the first Canadian ruling on the issue of whether words inputing that a person is HIV-positive or has AIDS can be the basis of a defamation action per se, in the case of Serdar v Metroland Printing, Publishing and Distributing Ltd.

  4. 75 FR 28063 - M & N Distributors; Dismissal of Proceeding

    Science.gov (United States)

    2010-05-19

    ... expected sales range of the products and statistical probability that various sales levels were consistent... retail marketing and statistics'' ``to analyze national sales data for over-the-counter non- prescription... shown that ``Respondent sold listed chemical products in amounts sufficient to support an inference of...

  5. THE COURT’S COMPETENCE TO DISMISS THE SUPPLEMENTARY SANCTION

    Directory of Open Access Journals (Sweden)

    Eugenia IOVĂNAȘ

    2017-05-01

    Full Text Available According to art. 34 par. 1 from the UGO no. 34/2001, the court settling the complaint against the offence notice, verifying the legality and substantiality of same, decides on the sanction without distinguishing between the main and the supplementary sanctions. From corroborating these legal provisions with the stipulations under art. 5 from the same normative act, according to which the established sanction must be proportional with the degree of social danger of the committed act, without making differences between the types of sanctions, as well as those of art. 5 and art. 6 according to which the supplementary sanctions are to be applied depending on the nature and seriousness of the fact, it results that the law enforcer has also decided on the right of the court to assess inclusively the proportionality of the sanction in case of applying the supplementary measures, not only in applying main sanctions. And this is so because the proportionality of the committed act and its consequences is one of the requirements demanded by the ECHR jurisprudence in the matter of applying any rights restrictive measures.

  6. Unfair dismissal in Nigeria: Imperative for a departure from the ...

    African Journals Online (AJOL)

    One burning issue in the modern day labour and employment relations in Nigeria is the security of tenure of employment. The law had developed from the ... The researchers adopt construction of statutes, case law, journal articles, textbooks and Internet materials as part of their methodology. At the end, the researchers ...

  7. 75 FR 49951 - Hilmes Distributing, Inc.; Dismissal of Proceeding

    Science.gov (United States)

    2010-08-16

    ..., meat snacks, salty snacks, novelties, seasonal items, toys, maps,'' as well as List I chemical products... hearing, the quantity of List I chemical product it was selling was down but, due to price increases, its...

  8. Jurmala mayor dismissed, arrested for bribery / Kira Savchenko

    Index Scriptorium Estoniae

    Savchenko, Kira

    2010-01-01

    Jurmala linnapea Raimonds Munkevics peeti 18. mail kinni, teda kahtlustatakse 5000 lati suuruse pistise andmises. Pistisega tahtis ta kindlustada võitu usaldushääletusel. Jurmala uueks linnapeaks sai Romualds Razuks. Sarnased varasemad juhtumid

  9. Methodological individualism in experimental games: not so easily dismissed.

    Science.gov (United States)

    Krueger, Joachim I

    2008-06-01

    Orthodox game theory and social preference models cannot explain why people cooperate in many experimental games or how they manage to coordinate their choices. The theory of evidential decision making provides a solution, based on the idea that people tend to project their own choices onto others, whatever these choices might be. Evidential decision making preserves methodological individualism, and it works without recourse to social preferences. Rejecting methodological individualism, team reasoning is a thinly disguised resurgence of the group mind fallacy, and the experiments reported by Colman et al. [Colman, A. M., Pulford, B. D., & Rose, J. (this issue). Collective rationality in interactive decisions: Evidence for team reasoning. Acta Psychologica, doi:10.1016/j.actpsy.2007.08.003.] do not offer evidence that uniquely supports team reasoning.

  10. Dismissing Attachment Characteristics Dynamically Modulate Brain Networks Subserving Social Aversion

    NARCIS (Netherlands)

    Krause, Anna Linda; Borchardt, Viola; Li, Meng; van Tol, Marie-Jose; Demenescu, Liliana Ramona; Strauss, Bernhard; Kirchmanny, Helmut; Buchheim, Anna; Metzger, Coraline D.; Nolte, Tobias; Walter, Martin

    2016-01-01

    Attachment patterns influence actions, thoughts and feeling through a person's "inner working model". Speech charged with attachment-dependent content was proposed to modulate the activation of cognitive-emotional schemata in listeners. We performed a 7 Tesla rest-task-rest functional magnetic

  11. Class Dismissed? Historical Materialism and the Politics of "Difference"

    Science.gov (United States)

    Scatamburlo-D'Annibale, Valerie; McLaren, Peter

    2004-01-01

    Perhaps one of the most taken-for-granted features of contemporary social theory is the ritual and increasingly generic critique of Marxism in terms of its alleged failure to address forms of oppression other than that of "class." Marxism is considered to be theoretically bankrupt and intellectually passe, and class analysis is often savagely…

  12. Robotic surgery in children: adopt now, await, or dismiss?

    Science.gov (United States)

    Cundy, Thomas P; Marcus, Hani J; Hughes-Hallett, Archie; Khurana, Sanjeev; Darzi, Ara

    2015-12-01

    The role of robot-assisted surgery in children remains controversial. This article aims to distil this debate into an evidence informed decision-making taxonomy; to adopt this technology (1) now, (2) later, or (3) not at all. Robot-assistance is safe, feasible and effective in selected cases as an adjunctive tool to enhance capabilities of minimally invasive surgery, as it is known today. At present, expectations of rigid multi-arm robotic systems to deliver higher quality care are over-estimated and poorly substantiated by evidence. Such systems are associated with high costs. Further comparative effectiveness evidence is needed to define the case-mix for which robot-assistance might be indicated. It seems unlikely that we should expect compelling patient benefits when it is only the mode of minimally invasive surgery that differs. Only large higher-volume institutions that share the robot amongst multiple specialty groups are likely to be able to sustain higher associated costs with today's technology. Nevertheless, there is great potential for next-generation surgical robotics to enable better ways to treat childhood surgical diseases through less invasive techniques that are not possible today. This will demand customized technology for selected patient populations or procedures. Several prototype robots exclusively designed for pediatric use are already under development. Financial affordability must be a high priority to ensure clinical accessibility.

  13. Pledge Stays Intact as Justices Dismiss Atheist's Challenge

    Science.gov (United States)

    Hendrie, Caroline

    2004-01-01

    This article reports on the fiery California atheist who lost his bid at the U.S. Supreme Court to get "under God" stricken from the Pledge of Allegiance. Dr. Michael A. Newdow, an emergency-room physician with a law degree who represented himself before the Supreme Court in the high-profile case against the Elk Grove, California, school…

  14. Psychodynamic conflicts in hearing children of deaf parents.

    Science.gov (United States)

    Frank, H

    A case study documents the consequences of parental deafness on the personality development of hearing children. Of central dynamic significance are unacknowledged feelings of resentment generated by (1) acute feelings of humiliation experienced about the parents' imperfections, (2) identity confusion resulting from the parents' suspicious attitude toward the hearing world, and (3) the inevitable role-reversal resulting from the parents' handicapped status. The possibility of taking triumphant pleasure in more fortunate life circumstances evokes intense guilt and forms the basis for a conflictual attitude toward success. A proclivity toward guilt appears to be an outstanding psychological characteristic of children of handicapped parents, irrespective of the nature of the handicap. Some relevant variables include: greater resentment due to unavoidable early frustrations, a reluctance to direct aggression outward, despair about making reparations to parents seen as damaged by the child's aggression, and absence of external controls on the expression hostility (victories are easy). Some parallels are noted between conflicts displayed in hearing children of deaf parents and children of immigrant parents.

  15. Dream analysis in the psychodynamic psychotherapy of borderline patients.

    Science.gov (United States)

    Stone, Michael H

    2012-06-01

    Despite Freud's dictum that dreams are the royal road to the unconscious, the use of dream analysis by therapists working with Borderline Personality Disorder and other severe psychiatric conditions has in the past two decades has fallen into a state of decline, if not outright neglect. The reasons why are not altogether clear, though some have said that the growing popularity of ego psychology and other movements in the domain of psychoanalysis have perhaps pushed dream analysis to one side. To me this marginalization seems unjustified. I hope to demonstrate in this article the enduring utility of dream analysis in working with the more severely disordered patients, with the aim of revivifying its application--and its efficacy--in our work with such patients.

  16. School Shock: A Psychodynamic View of Learning Disability.

    Science.gov (United States)

    Zitani, E. Alfredo

    Learning disability is seen to be a dissociative disorder (school shock) similar to shell shock in wartime. The shell shock model is explained to focus diagnosis and treatment of learning disabilities around the dynamics of the predisposing unconscious conflict, the dynamics in the environment, the mechanism which allows these two conditions to…

  17. Leadership Development From A Systems Psychodynamic Consultancy Stance

    Directory of Open Access Journals (Sweden)

    W. J. De Jager

    2003-11-01

    Hierdie navorsing poog om die impak van ‘n leierskapsontwikkelingsprogram wat aangebied is vanuit die sistemiese psigodinamiese perspektief, te evalueer. Die doel was om psigoanalitiese ingeligte leiers te ontwikkel om verandering en transformasie in die gedurige veranderende en transformerende Nuwe Ekonomie netwerk organisasie, te lei. Ten einde dit te bolwerk is. ‘n Groep -verhoudinge-opleidingsprogram is aangebied vir 30 leiers. Kwalitatiewe evaluasie deur van begrondingsteorie gebruik te maak gedurende, die post-intervensie fokus groepe het ‘n groepbewustheid aangedui van psigodinamiese leierskapgedrag soos die regressie na dikwelse patologiese leierskapspersoonlikheidskenmerke, regressie in onbewustelike groep- en organisatoriese prosesse soos die basiese aanname-groep, die koverte-koalisie- en sosiaal-gestruktureerde-verdedigingsisteme teen verandering en transformasie. Insig is ook in die nuwe leierskap rol en die opneem van persoonlike outoriteit in die netwerk organisasie wat moet funksioneer as ‘n sistemiese geheel, bekom. Aanbevelings word gemaak om die leierskapsrol in verandering in terme van vaardighede in die Nuwe Ekonomienetwerkorganisasie, te bevorder.

  18. LANGUAGE PSYCHODYNAMIC ANALYSIS IN THE DRUG DEPENDENT PATIENT

    Directory of Open Access Journals (Sweden)

    José Alonso Andrade Salazar

    2011-07-01

    Full Text Available Addictions are currently the starting point of many behaviors that border on the maladaptive and have a dynamic articulation in the patient language, the same is expressed in his words, the dynamic relationship between the origins of their addiction and inherent conflict consumption added. Dynamic analysis seeks to generate a cathartic process, in order to achieve an unleash chain reaction, significant value-content, then, is in the gorge of the word, bringing together the split of speech grounds, a point from where the reorganization of the reality principle parts, in the addict and his psycho detoxification. This is a basic research with qualitative cut, approached by Psychoanalysis epistemology and methodology principles. The paradigms leading the research are psychological determinism and phenomenological.

  19. [Long-term effectiveness of psychodynamic outpatient treatment of addiction].

    Science.gov (United States)

    Steffen, D V; Werle, L; Steffen, R; Steffen, M; Steffen, S

    2012-07-01

    The aim of this study is to make an evaluation of the effectiveness of long-term outpatient treatment for addiction on the basis of abstinence, cognitive functions, and changes in personality structure. This is a prospective cohort study of 259 patients with registration of the German core data set "addiction", a 12-month follow-up and neuropsychological testing (personality inventory, intelligence and cognitive functions). One year after the end of the long-term treatment we see an abstinence rate (DGSS4) of 57.5 %. The most substantial factors in abstinence are the participation in a self-help-group (β = 0.734, p addiction seem to show its high effectiveness in terms of abstinence and processing of drug structures. The cognitive functions could increase. This could be determinate of a condition for the conservation and restoration of working capacity. Further studies should differentiate the effect of insight into the dependency structure from the abstinence as an specific or unspecific effect. © Georg Thieme Verlag KG Stuttgart · New York.

  20. [Vaginismus--a psychiatric perspective, "secrets" and other psychodynamic causes].

    Science.gov (United States)

    Sheinfeld, H; Roshka, P; Finkelshtein, I; Davis, H

    2001-09-01

    Vaginismus is a disorder involving both psychiatry and gynecology. Psychiatric help is sought in only a small proportion of cases, although it is probable that the psychological etiology of the disorder is more frequent than generally recognized. This article deals with the causes and psychological circumstances of the disorder. Five cases are presented. In the first three cases, primary vaginismus caused unconsummated marriage in young women of religious or traditional background. In these cases a "secret" was revealed relating to a previous sexually related experience. This provides the basis for therapy. The other cases describe secondary vaginismus which appeared in older women who developed the symptom after a number of years of marriage. This article discusses the different psychotherapeutic approaches for the two types of cases. In the former cases, therapy may be brief and the prognosis is favorable. In the second case type, there is often more significant personality or marital pathology requiring prolonged and extensive psychotherapy. The authors stress the need for physicians to be mindful of cases of vaginismus requiring psychiatric intervention rather than gynecological treatment.

  1. Euripides' Medea: a psychodynamic model of severe divorce pathology.

    Science.gov (United States)

    Jacobs, J W

    1988-04-01

    Analysis of Euripides' play, Medea, and a divorcing family suggests that divorce between a narcissistically scarred, embittered, dependent woman and a pathologically narcissistic, devaluing man may lead to the mother's attempt to sever father-child contact as a means of revenging the injury inflicted on her by the loss of a selfobject, her hero-husband.

  2. Missing outcome data in a naturalistic psychodynamic group therapy study

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2017-01-01

    might have had a reliable improvement in GSI. The SPSS standard statistical imputations procedure estimated that 48.6% of the patients reliably improved in GSI, and 50.2% when therapist evaluations were not included. It is concluded that therapist evaluations are essential in order to avoid bias...

  3. Dreams and fantasies in psychodynamic group psychotherapy of psychotic patients.

    Science.gov (United States)

    Restek-Petrović, Branka; Orešković-Krezler, Nataša; Grah, Majda; Mayer, Nina; Bogović, Anamarija; Mihanović, Mate

    2013-09-01

    Work with dreams in the group analysis represents an important part of the analytical work, with insight into unconscious experiences of the individual dreamer, and his transferrential relations with the therapist, other members of the group, and with the group as a whole. The way dreams are addressed varies from one therapist to another, and in line with that, members of the group have varying frequency of dreams. In groups of psychotic patients dreams are generally rarely discussed and interpreted by the group, with analysis mainly resting on the manifested content. This paper describes a long-term group of psychotic patients which, after sharing the dreams of several members and daydreams of one female patient, their interpretation and reception in the group achieved better cohesion and improved communication and interaction, i.e. created a group matrix. Furthermore, through the content of dreams in the group, traumatic war experiences of several of the group members were opened and discussed, which brought with it recollections of the traumatic life situations of other group members. In expressing a daydream, a female member of the group revealed the background for her behaviour which was earlier interpreted as a negative symptom of the illness.

  4. The reflective meta-dialogue in psycho-dynamic supervision

    DEFF Research Database (Denmark)

    Frølund, Lone; Nielsen, Jan

    2009-01-01

    the therapeutic practice in the supervision. The mutual relations and processes between therapeutic practice and supervision will be illustrated by the so-called mirror axes, which play an important part in the transformation from learning to integrated experience. We will focus on the relationship...

  5. [Psychodynamics in organisation and cooperation of child and adolescents institutions].

    Science.gov (United States)

    Fliedl, Rainer; Sevecke, Kathrin

    2017-09-01

    According to underlying law (Krankenanstaltengesetz) the internal structure of Departments of Child and Adolescent Psychiatry (CAP) represents a matrix structure, defining formal roles and tasks of the personel. In contrast, external cooperation is defined in several different laws. Furthermore, patients and their systems are exhibiting a high tensional potential. These different influences can cause more or less severe enmeshments. Thus, during the treatment of this patients it is necessary to take into account the possibility of these enmeshments. It should be answered by special forms of care of the relationship between professionals and families. These special forms of relational care can be delivered by clear organizational structures and must undergo reflective processes on a regular basis. The planning and delivery of those structures is clearly seen as a central responsibility of the management of a CAP-Department.

  6. A psychodynamic understanding of trauma and adolescence - A ...

    African Journals Online (AJOL)

    Developmental challenges and difficulties regarding the period of adolescence are discussed. Emphasis is placed on particular vulnerabilities evoked during adolescence and the importance of looking at a case in its developmental and environmental context. The impact of the environment, which forms the backdrop to the ...

  7. The systems psychodynamic leadership coaching experiences of nursing managers

    Directory of Open Access Journals (Sweden)

    Frans Cilliers

    2010-07-01

    Opsomming Die meestal liniêre en meganistiese aard van die verpleegbestuursrol is vinnig besig om na ’n meer dinamiese en sistemiese rol te verander. Die verandering behels taak- en mensbestuur binne 'n steeds veranderende organisasie-identiteit, waar 'n verskeidenheid rolle opgeneem word, die self en ander in 'n komplekse matrikssisteem bemagtig word, en waartydens bewuste en onbewuste sielkundige grense in en tussen botsende sisteme bestuur word. Die doel van hierdie studie was om die sisteem-psigodinamiese leerervaringe van verpleegbestuurders tydens leierskapafrigting te beskryf. Die afrigtingstaak was om leergeleenthede aan die individuele leier beskikbaar te stel vir die ontwikkeling van insig in bewuste en onbewuste leierskapsdinamika in terme van angs, taak, rol, outoriteit, grense en identiteit. 'n Kwalitatiewe navorsingsontwerp is gebruik. Ses verpleegbestuurders het tien leierskapafrigtingsessies oor tien weke bygewoon. Veldnotas en besinnende opstelle is deur middel van sisteem-psigodinamiese gespreksanalise ontleed. Die bevindinge dui op duidelikheid oor en bemagtiging in hulle primêre taak en normatiewe rol; angs en ontmagtiging in hulle ervarings- en fenomenale rolle; angs in grenshandhawing wat verband hou met magsmisbruik deur andere; en die voortdurende ondersoek en integrasie van leierskapsrolidentiteit. Deelnemers se leerervarings is na aanleiding van kriteria vir organisasieleer geëvalueer, waarna die algemene hipotese geformuleer is.

  8. Copies without originals: the psychodynamics of cosmetic surgery.

    Science.gov (United States)

    Lemma, Alessandra

    2010-01-01

    The use of cosmetic surgery and procedures has sharply increased in recent years. This paper outlines an object-relational framework for understanding the unconscious fantasies that may drive the pursuit of body modification and proposes three categories of such fantasies. For some individuals, the pursuit of "beauty" through cosmetic surgery provides a psychic retreat from the reality of dependency as the self retreats into believing that it can create itself (the self-made fantasy). For others, it is a means for creating a felt-to-be ideal self, thereby averting the pain of the loss of an object that would love and desire the self (the perfect-match fantasy). For still others, it may be the only means of expelling an object felt to be alien or polluting that is unconsciously identified with the body (the reclaiming fantasy).

  9. Child serial murder-psychodynamics: closely watched shadows.

    Science.gov (United States)

    Turco, R

    2001-01-01

    There is a malignant transformation in object relations resulting in an identification with an omnipotent and cruel object resulting in an identity transformation. If the tension, desperation, and dissociation increase, serial murder becomes spree murder. The presence of pathological narcissism and psychopathic tendencies are of diagnostic significance in understanding the murderer's personality functioning and motivation to kill. Meloy (1988) considered the degree of sadism and aggression combined with narcissistic qualities to reflect the "malignancy" of the psychopathic disturbance where gratification (of aggression) occurs in the service of narcissistic functioning--that is, cruelty toward others in the form of a triumphant victory over a rejecting object. Meloy also believes that dissociation is ubiquitious in the psychopath. The initial murder of the serial murderer may reflect a "new identity." The pathological object-relations of narcissism and the malignant narcissism are important diagnostic indicators in the personality functioning of serial killers and the occurrence of these phenomena is a significant factor in the formation of the personalities of serial killers, their inner motivations, and their pattern of commission.

  10. Psicoterapia breve psicodinâmica preventiva: pesquisa exploratória de resultados e acompanhamento Psicoterapia breve psicodinamica preventiva: pesquisa exploratoria de resultados y acompañamiento Brief preventive psychodynamic psychotherapy: exploratory research on results and follow-up

    Directory of Open Access Journals (Sweden)

    Tales Vilela Santeiro

    2008-12-01

    follow-up.Systematic studies on Psychotherapy processes, even of a prevention kind, are scarce in Brazilian clinic-schools. Current proposal focuses Brief Psychodynamic Psychotherapy (BPP conducted by students in a clinic-school context. Depression, anxiety degrees and neuroticism in first-year volunteer students of the Psychology undergraduate course (N=6 are evaluated at the start, end and six months after BPP ending (follow-up. Depression and Anxiety Beck Scales (BDI/BAI and the Emotional/Neuroticism Adjustment were employed. The weekly sessions, a total of 10, were recorded in audio and observed in a room provided with unidirectional mirror. As a rule, changes, occurring in analyzed variables, were more evident from the start to the 10th session and when BDI and BAI Scales were used as measurements. Eventual gains at the end have not always been kept in follow-up.

  11. Ring Organisation Model of Managing Dismissal of Employees at Industrial Enterprises Кольцевая организационная модель управления высвобождением наемных работников на промышленных предприятиях

    Directory of Open Access Journals (Sweden)

    Sotnikova Yuliya V.

    2013-06-01

    Full Text Available The article marks our main stages of a life cycle of an enterprise and main factors of external environment that influence activity of industrial enterprises. It justifies a necessity of managing dismissal at each stage, which manifests itself in conducting a set of measures that were called “dismissal programme”, taking into account specific features of external environment. It identifies resources of enterprises, which would be necessary for realisation of each programme of dismissal of employees in accordance with the stage of a life cycle. It offers a ring organisation model of managing dismissal of employees, which takes into account stages of a life cycle, resources of enterprises and dismissal programmes appropriate to each stage. The external ring and the ring of the second level envisage dismissal on own initiative or stimulation of such a dismissal; the third ring and internal ring cover measures that are directed at dismissal on initiative of the administration (or by economic reasons.В статье обозначены основные стадии жизненного цикла предприятия, а также основные факторы внешней среды, влияющие на деятельность промышленных предприятий. Обоснована необходимость управления высвобождением на каждой стадии, что проявляется в осуществлении комплекса мероприятий, которые получили название «программа высвобождения», с учетом особенностей внешней среды. Определены ресурсы предприятий, которые будут необходимы для реализации каждой программы высвобождения работников в соответствии со стадией

  12. Lessons from Hurricane Katrina: The Employment Effects of The Mass Dismissal of New Orleans Teachers

    Science.gov (United States)

    Lincove, Jane Arnold; Barrett, Nathan; Strunk, Katharine O.

    2018-01-01

    In the aftermath of Hurricane Katrina, the Orleans Parish school district fired over 4,000 public school teachers as the city underwent a transition to a market-based system of charter schools. Using administrative data, we examine whether and how these teachers returned to public school employment and teaching. We estimate that school reform and…

  13. 77 FR 3797 - Joseph Deluca, D.O.; Dismissal of Proceeding

    Science.gov (United States)

    2012-01-25

    ... It is well settled ``that due process requires the government to provide `notice reasonably... relieve the State of its constitutional obligation.'' Id. at 232 (quoting Brief for United States as... that it has not complied with its obligation under the Due Process Clause ``to provide `notice...

  14. 42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?

    Science.gov (United States)

    2010-10-01

    ... SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child... over Indian children, and it has been adjudicated, pursuant to § 136.414 and § 136.415, that the... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or...

  15. 25 CFR 63.19 - When should an employer deny employment or dismiss an employee?

    Science.gov (United States)

    2010-04-01

    ... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996...

  16. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Science.gov (United States)

    2010-10-01

    ... is sought. (4) “Other consideration” consists of financial concessions, including, but not limited to, the transfer of assets or the provision of tangible pecuniary benefit, as well as non-financial...

  17. Soviet and American Airwomen During World War II: A Comparison of Their Formation, Treatment and Dismissal

    National Research Council Canada - National Science Library

    Myers, Beth

    2003-01-01

    .... World War II provides an interesting setting to study women and warfare because the belligerent countries mobilized millions of women for the war effort, both in civilian and military capacities...

  18. 77 FR 29696 - James Edgar Lundeen, Sr., M.D.; Dismissal of Proceeding

    Science.gov (United States)

    2012-05-18

    .... \\2\\ In accordance with the Administrative Procedure Act (APA), an agency ``may take official notice... General's Manual on the Administrative Procedure Act 80 (1947) (Wm. W. Gaunt & Sons, Inc., Reprint 1979). In accordance with the APA and DEA's regulations, Respondent is ``entitled on timely request to an...

  19. Too early to dismiss Yersinia enterocolitica infection in the aetiology of Graves' disease

    DEFF Research Database (Denmark)

    Brix, Thomas H; Hansen, Pia S; Hegedüs, Laszlo

    2008-01-01

    BACKGROUND: Yersinia enterocolitica (YE) infection has long been implicated in the pathogenesis of Graves' disease (GD). The association between YE and GD could, however, also be due to common genetic or environmental factors affecting the development of both YE infection and GD. This potential...

  20. 76 FR 20033 - Robert Charles Ley, D.O. ; Dismissal of Proceeding

    Science.gov (United States)

    2011-04-11

    ..., whether he intends to remain in professional practice, and why he failed to file a renewal application... Law Judge (ALJ), who proceeded to conduct pre-hearing procedures. On November 4, 2009, the Government...

  1. Dynamic disconnection of the supplementary motor area after processing of dismissive biographic narratives

    NARCIS (Netherlands)

    Borchardt, Viola; Krause, Anna L.; Li, Meng; van Tol, Marie-Jose; Demenescu, Liliana Ramona; Buchheim, Anna; Metzger, Coraline D.; Sweeney-Reed, Catherine M.; Nolte, Tobias; Lord, Anton R.; Walter, Martin

    2015-01-01

    Introduction: To understand the interplay between affective social information processing and its influence on mental states we investigated changes in functional connectivity (FC) patterns after audio exposure to emotional biographic narratives. Methods: While lying in the 7T MR scanner, 23 male

  2. Factors Influencing School Closure and Dismissal Decisions: Influenza A (H1N1), Michigan 2009

    Science.gov (United States)

    Dooyema, Carrie A.; Copeland, Daphne; Sinclair, Julie R.; Shi, Jianrong; Wilkins, Melinda; Wells, Eden; Collins, Jim

    2014-01-01

    Background: In fall 2009, many US communities experienced school closures during the influenza A H1N1 pandemic (pH1N1) and the state of Michigan reported 567 closures. We conducted an investigation in Michigan to describe pH1N1-related school policies, practices, and identify factors related to school closures. Methods: We distributed an online…

  3. 47 CFR 73.3588 - Dismissal of petitions to deny or withdrawal of informal objections.

    Science.gov (United States)

    2010-10-01

    ... withdraw the petition to deny or the informal objection, either unilaterally or in exchange for financial...: (1) A certification that neither the petitioner nor its principals has received or will receive any... or promised; (3) An itemized accounting of the expenses for which it seeks reimbursement; and (4) The...

  4. 47 CFR 1.935 - Agreements to dismiss applications, amendments or pleadings.

    Science.gov (United States)

    2010-10-01

    ... petition, either unilaterally or in exchange for a financial consideration, must obtain the approval of the... certification that neither the party nor its principals has received or will receive any money or other...; (3) An itemized accounting of the expenses for which it seeks reimbursement; and (4) The terms of any...

  5. Scots scientists dismiss Apollo mission doubts university team deals with the conspiracies

    CERN Multimedia

    Simpson, Cameron

    2004-01-01

    "Scientists from a Scottish university are going walkabout to combat the sceptics who claim US astronaut Neil Armstrong never set foot on the moon. The conspiracists claim the Apollo moon landings of the 60s and 70s were faked by Nasa in a TV studio in an attempt to help America claim victory in the space race with the former Soviet Union" (1 page)

  6. 77 FR 35054 - Donald Brooks Reece II, M.D.; Dismissal of Proceeding

    Science.gov (United States)

    2012-06-12

    ..., M.D. (Respondent), of Morehead City, N.C. The Order proposed the revocation of Respondent's DEA... pleading entitled: ``Notice To The Administrator Regarding State Authority,'' with attachments. Therein..., at 3. This Order was effective on December 8, 2011. Id., Attachment 5, at 6. Upon review of the...

  7. 47 CFR 73.3523 - Dismissal of applications in renewal proceedings.

    Science.gov (United States)

    2010-10-01

    ... withdraw its application and thereby remove a conflict between applications pending before the Commission... consideration paid or promised; (3) An itemized accounting of the expenses for which it seeks reimbursement; (4...

  8. Dismissing subliminal perception because of its famous problems is classic "baby with the bathwater".

    Science.gov (United States)

    Finkbeiner, Matthew; Coltheart, Max

    2014-02-01

    Newell & Shanks (N&S) appeal to well-known problems in establishing subliminality to argue that there is little convincing evidence that subliminally presented stimuli can affect decision making. We discuss how recent studies have successfully addressed these well-known problems and, in turn, have revealed clear evidence that subliminally presented stimuli can affect decision making.

  9. Are men universally more dismissing than women? Gender differences in romantic attachment across 62 cultural regions

    OpenAIRE

    Schmitt, David A.; Alcalay, Lidia; Allensworth, Melissa; Allik, Juri; Ault, Lara; Austers, Ivars; Bennett, Kevin L.; Bianchi, Gabriel; Boholst, Fredrick; Borg Cunen, Mary Ann; Braeckman, Johan; Brainerd, Edwin G.; Caral, Leo Gerard A.; Caron, Gabrielle; Casullo, Maria Martina

    2003-01-01

    The authors thank Susan Sprecher (USA), Del Paulhus (Canada), Glenn D. Wilson (England), Qazi Rahman (England), Alois Angleitner (Germany), Angelika Hofhansl (Austria), Tamio Imagawa (Japan), Minoru Wada (Japan), Junichi Taniguchi (Japan), and Yuji Kanemasa (Japan) for helping with data collection and contributing significantly to the samples used in this study.

  10. 76 FR 20032 - Thomas E. Mitchell, M.D.; Dismissal of Proceeding

    Science.gov (United States)

    2011-04-11

    ... DEPARTMENT OF JUSTICE Drug Enforcement Administration [Docket No. 10-7] Thomas E. Mitchell, M.D... Control, Drug Enforcement Administration, issued an Order to Show Cause to Thomas E. Mitchell, M.D....100(b) and 0.104, I hereby order that the Order to Show Cause issued to Thomas E. Mitchell, M.D., be...

  11. Teacher Incompetence, Misconduct and Dismissal in British Columbia: An Archival Analysis (1962–1987

    Directory of Open Access Journals (Sweden)

    Stuart M. Piddocke

    2010-05-01

    Full Text Available The assessment of teacher competence and the administrative management of teacher performance are pressing issues of educational accountability. Much is claimed about the putative incompetence of teachers but little systematic data exist to document the extent of this alleged incompetence or to describe incidents of incompetence. This paper reports an archival study of such cases in British Columbia between 1962-1987 and compares these findings with an earlier study from the United States.

  12. 78 FR 36591 - David M. Lewis, D.M.D., Dismissal of Proceeding

    Science.gov (United States)

    2013-06-18

    .... I reject the Government's request for two reasons. First, contrary to the Government's understanding... Government offered no evidence of an act of the Registrant establishing that he had granted authority to the... client.'' Id. at 2. Thereafter, on February 8, 2013, the Government submitted a Request for Final Agency...

  13. Dismissed! Avoidance of Students' Spiritual and LGBT Identities in Public Schools

    Science.gov (United States)

    Schwarz, Jill; Roe, Stuart

    2015-01-01

    Negotiation of identity development in adolescence has implications that affect overall well-being. Spirituality and sexuality are two salient aspects of identity that are challenging for adolescents, especially those who identify as LGBT. Analysis of intersecting themes across two research inquiries indicated that school counselors and students…

  14. Psychodynamic Interpretations of the Immigrant's Dream: Comments on Adler's (1993) "Refugee Dreams and Attachment Theory."

    Science.gov (United States)

    Munteanu, Mircea A.

    1994-01-01

    Immigrants and refugees often experience difficulty adjusting to a strange new environment. This article considers Adler's (1993) article, "Refugee Dreams and Attachment Theory" but recommends a depth psychology approach, including both Freudian and Jungian perspectives, to incorporating dream analysis as a technique in cross-cultural…

  15. Why People Use Facebook: A Comprehensive Review of the Current Literature and Psychodynamic Perspective

    Science.gov (United States)

    Chow, Stanley S.

    2014-01-01

    In 2008, Facebook became the most widely-used social networking website (Arrington, 2009), and in 2012, Facebook surpassed one billion active users on its site (Facebook, 2013). With such immense growth, psychology researchers are simply unable to keep up with the constantly-evolving and growing online community of users with its outdated research…

  16. Invited Commentary: Applying Psychodynamic Developmental Assessment to Explore Mental Functioning in Adolescents

    Science.gov (United States)

    Czopp, Shira Tibon

    2012-01-01

    Recent publications in the "Journal of Youth and Adolescence" present a variety of topics exploring adolescents' mental functioning in the twenty first century. Conceptually, many of the articles address the intriguing, though rarely explicit, question of developmental continuities and change from adolescence to adulthood. Such…

  17. Do personality traits predict outcome of psychodynamically oriented psychosomatic inpatient treatment beyond initial symptoms?

    Science.gov (United States)

    Steinert, Christiane; Klein, Susanne; Leweke, Frank; Leichsenring, Falk

    2015-03-01

    Whether personality characteristics have an impact on treatment outcome is an important question in psychotherapy research. One of the most common approaches for the description of personality is the five-factor model of personality. Only few studies investigated whether patient personality as measured with the NEO-Five-Factor Inventory (NEO-FFI, Costa & McCrae [1992b]. Revised NEO-PI-R and NEO-FFI. Professional manual. Odessa, FL: Psychological Assessment Recources) predicts outcome. Results were inconsistent. Studies reporting personality to be predictive of outcome did not control for baseline symptoms, while studies controlling initial symptoms could not support these findings. We hypothesized that after taking into account baseline symptoms, the NEO-FFI would not predict outcome and tested this in a large sample of inpatients at a psychosomatic clinic. Naturalistic, non-controlled study using patients' data for multiple regression analysis to identify predictors of outcome. Data of 254 inpatients suffering primarily from depressive, anxiety, stress, and somatoform disorders were analysed. Personality was assessed at the beginning of therapy. For psychotherapy outcome, changes in anxiety and depression (Hospital Anxiety and Depression Scale; HADS), overall psychopathology (Symptom Checklist-90-R Global Severity Index [GSI]), and interpersonal problems (Inventory of Interpersonal Problems; IIP) were measured. The treatment resulted in significant decreases on all outcome measures corresponding to moderate to large effect sizes (HADS: d = 1.03; GSI: d = 0.90; IIP: d = 0.38). Consistent with our hypothesis, none of the personality domains predicted outcome when baseline symptoms were controlled for. Personality assessment at baseline does not seem to have an added value in the prediction of inpatient psychotherapy outcome beyond initial symptoms. Clinical implications Personality dimensions overlap with symptomatic distress. Rather than serve as predictors of outcome, the domains tapped by the NEO-FFI reflect current psychological symptomatology in inpatients with depressive, anxiety, stress or somatoform disorders. From a clinician's point of view monitoring individual progress by using actuarial measures is more valuable than trying to predict who will benefit from treatment using personality assessments. Limitations of the study Diagnostic assessment was solely based on clinical evaluation rather than structured interviews. Twenty-five per cent of the original sample had to be excluded due to missing data. There was a focus on only one set of client characteristics (i.e., five-factor model personality traits). Assessment of personality domains in the acute phase of a mental disorder may be problematic and could have influenced findings. © 2014 The British Psychological Society.

  18. [Validity of the axis "conflicts" of the Operationalized Psychodynamic Diagnostics (OPD)].

    Science.gov (United States)

    Pieh, Christoph; Frisch, Martin; Meyer, Nicole; Loew, Thomas; Lahmann, Claas

    2009-01-01

    This clinical trial is concerned with controlling the validity of unconscious conflicts within the OPD by verifying the hypotheses by means of psychometric analysis. Unconscious conflicts were determined by use of the OPD as well as by psychometric tests (GT, IIP, RQ-2) for patients in treatment in a psychosomatic hospital; they were divided into an explorative (n=1377) and a confirmative (n=1380) sample. Using the Mann-Whitney U-test, we investigated the connection between the main conflicts according to OPD-1 and the psychometric findings. For seven of most frequently chosen conflict types, a great coherence was found. For the others the results were inconsistent. Concerning the seven most frequently chosen conflict types, the OPD is a valid diagnose tool. As to the other conflicts, this study cannot clear up open questions concerning validity.

  19. A Psychodynamic Approach on Group Career Counseling: A Brazilian Experience of 40 Years

    Science.gov (United States)

    Lehman, Yvette Piha; Ribeiro, Marcelo Afonso; da Conceição Coropos Uvaldo, Maria; da Silva, Fabiano Fonseca

    2015-01-01

    Career guidance and career counselling have traditionally been conducted in an individualized fashion focusing on the counsellor-client relationship. Specialized literature, however, points to the potential use of group strategies. This article seeks to contribute to the advancement of studies in group career counselling practices, by introducing…

  20. Exploring the therapist's use of self: enactments, improvisation and affect in psychodynamic psychotherapy.

    Science.gov (United States)

    Pagano, Christopher J

    2012-01-01

    Psychoanalytic psychotherapists, drawing upon intersubjective and attachment theories, recognize that mutual influence impacts the treatment process. Mutual influence generates enactments--emotionally intense joint creations stemming from the unconscious of both therapist and patient--which often leave both patient and therapist feeling confused and stuck. The author presents a case in which the therapist's use of improvisational role play was a critical therapeutic response to an enactment. The therapist's self-expression through the displacement of the role play 1) modeled a safe, affectively genuine engagement in relationship, 2) provided the patient with an unexpected and powerful window into the therapist's emotional world, 3) shifted the patient's fundamental belief that fathers and men are cold and unfeeling, and 4) led the patient to uncover "new" early memories and to become aware of his role as an agent of vitality and intimacy. The author concludes that using improvisation as a flexible response to rigid patterns of enactment may provide a catalyst for therapeutic change.

  1. Preliminary thoughts on the neurobiology of innate unconscious structures and the psychodynamics of language acquisition.

    Science.gov (United States)

    Mizen, Susan

    2017-11-01

    This paper builds upon Britton's recent writing on 'models in the mind', in which he gives an account of preverbal metaphoric structures based on object relations (Britton 2015). These correspond with Jung's theory of innate unconscious structures. These innate models are considered alongside current linguistic theory following Chomsky and post-Chomskyan views about language acquisition. Neuroscience evidence linking language and abstract thinking with structures involved in tool use are presented. The implications of these findings, and our understanding of the relational context within which language, metaphor and abstract thought are acquired, will be discussed along with the failures of symbolization and verbal communication common amongst those with severe narcissistic disorders. © 2017, The Society of Analytical Psychology.

  2. Andrew Wyeth and N.C. Wyeth: a psychodynamic perspective on father and son.

    Science.gov (United States)

    Shaw, Jon A

    2013-01-01

    This paper examines the relationship between two extraordinary artists, father and son--N.C. Wyeth (1882-1945) and Andrew Wyeth (1917-2009)--and their art. N.C. Wyeth, the father, the most famous illustrator of his day, painted scenes full of drama and action, often of men engaged in violent life and death struggles. N.C. was unable to separate from his powerful mother and yearned for his iconic father. He thought himself an artistic failure and dedicated himself to raising his children to be geniuses. The youngest son, Andrew Wyeth, who lived a "secret life," painted scenes often characterized by pathos: bleak and barren landscapes, leaden skies, tire tracks, gray framed houses, desiccated fields, and circling buzzards. In the father-son relationship, we often seen three themes perpetuated developmentally: (1) the son's identification with the innermost conflicts of his father; (2) the yearning for the iconic father of his youth; and (3) a continuation and disavowal of his father's life. These themes are played out in the relationship between Andrew Wyeth and his father.

  3. 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…

  4. "This is not death, it is something safer": a psychodynamic approach to Sylvia Plath.

    Science.gov (United States)

    Gerisch, B

    1998-12-01

    An attempt is made to illustrate the chronic suicidality and the separation-individuation conflict in the life and work of Sylvia Plath. Explanations of female suicidality in prevailing suicidality research are primarily influenced by male fantasms and gender role cliches. Plath's work, however, not only enables insight into her individual fate, but also offers a differentiated perception of suicidality among women. It becomes apparent that the texts in question are centered on specific conflict areas, in the sense of the formation of female identity and subjectivity, which affect current discussion on imagined concepts of femininity, and which are closely interwoven with the problems of female suicidality.

  5. [Contributions to the psychodynamic approach to understanding the phenomenon of music].

    Science.gov (United States)

    Giglio, J S; Giglio, Z G

    1980-12-01

    Based on different writings from different periods, this article gives us some of the psychodinamic view of musical phenomenon. It is divided in three parts. 1. The initial one is about general aspects of musical phenomenon. Music has a hihg power of symbolization, due to its ambiguity and simultaneity of elements. It can make a change on the common state of consciousness. Music also can influence on the Ego's cognitive style. Music has relationship with both the Ego's dissociative function and Ego's integrative function. 2. The secon part refers to the affective nature of music. Music release libidinal energy mainly through rhythm; for exemple we see the link between and dance in primitive societies. It also gives expression for emotional life, and arouses emotions too. 3. The third part refers to structural and functional aspects of music. This last part talks about the role of music to the listener and to the creative musician; it presents an analogy between the structure of the music and structure of the dreams. The joy of music involves the whole personality and music may be used to expand the Self.

  6. Predictors of non-responding in short-term psychodynamic group therapy

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2017-01-01

    .g. somatic illness, loss of partner or job), lack of social support, social burden and occupation were all significantly associated with non-responding in the bivariate analyses. However, in the multivariate analysis only adverse life events reached significance, and Interpersonal Sensitivity marginal...

  7. VIDEO-TERMINAL DISSOCIATIVE TRANCE:TOWARD A PSYCHODYNAMIC UNDERSTANDING OF PROBLEMATIC INTERNET USE

    Directory of Open Access Journals (Sweden)

    Adriano Schimmenti

    2017-02-01

    Full Text Available Objective: In this article, we propose the clinical construct of Video-terminal Dissociative Trance (VDT and discuss its potential usefulness for the assessment and treatment of people who display problematic Internet use. VDT is defined as a clinical syndrome characterized by clusters of symptoms in the psychological domains of addiction, regression, and dissociation in the individual’s interactions with the computer and its applications. Method: Study 1 examines the relationships between Internet addiction symptoms, dissociative experiences, and attachment styles in a sample of university students. Study 2 explores the associations between Internet addiction symptoms, cyberpornography use, and dissociative experiences in another sample of university students. Two clinical vignettes are presented to provide anecdotal evidence for VDT cases. Results: Preoccupied attachment style and dissociation predicted Internet addiction symptoms in Study 1. Dissociation scores predicted Internet addiction symptoms in Study 2, while cyberpornography use did not add to the prediction. Clinical vignettes suggest that a VDT framework can help to interpret both of these findings and improve the understanding of the specific motives behind an individual’s misuse of the Internet. Conclusions: VDT may involve significant disturbances in the state of consciousness, identity, and memory, the dilution of self-awareness and self-integrity, and the replacement of the customary sense of personal identity by a new virtual identity. People who display problematic Internet use may greatly benefit from clinical interventions aimed at addressing these symptoms and understanding their origins.

  8. Reality of near-death-experience memories: Evidence from a psychodynamic and electrophysiological integrated study

    Directory of Open Access Journals (Sweden)

    Arianna ePalmieri

    2014-06-01

    Full Text Available The nature of near-death experiences (NDEs is largely unknown but recent evidence suggests the intriguing possibility that NDEs may refer to actually perceived, and stored, experiences (although not necessarily in relation to the external physical world. We adopted an integrated approach involving a hypnosis-based clinical protocol to improve recall and decrease memory inaccuracy together with Electroencephalography (EEG recording in order to investigate the characteristics of NDE memories and their neural markers compared to memories of both real and imagined events. We included 10 participants with NDEs, defined by the Greyson NDE scale, and 10 control subjects without NDE. Memories were assessed using the Memory Characteristics Questionnaire.Our hypnosis-based protocol increased the amount of details in the recall of all kind of memories considered (NDE, real, and imagined events. Findings showed that NDE memories were similar to real memories in terms of detail richness, self-referential, and emotional information. Moreover, NDE memories were significantly different from memories of imagined events. The pattern of EEG results indicated that real memories recall was positively associated with two memory-related frequency bands, i.e., high alpha and gamma. NDE memories were linked with theta band, a well-known marker of episodic memory. The recall of NDE memories was also related to delta band, which indexes processes such as the recollection of the past, as well as trance states, hallucinations, and other related portals to transpersonal experience. It is notable that the EEG pattern of correlations for NDE memories recall differed from the pattern for memories of imagined events. In conclusion, our findings suggest that, at a phenomenological level, NDE memories cannot be considered equivalent to imagined memories, and at a neural level, NDE memories are stored as episodic memories of events experienced in a peculiar state of consciousness.

  9. Five-Year Follow-Up of Supportive Psychodynamic Psychotherapy in First-Episode Psychosis

    DEFF Research Database (Denmark)

    Harder, Susanne; Køster, Anne; Valbak, Kristian

    2014-01-01

    up for 5 years (N = 269). The SPP targeted interpersonal relationships, emotion regulation, social cognition, and self-coherence. RESULTS: Significant between-group effects in favor of SPP+ST on social functioning, overall symptoms, and positive psychotic symptoms were found during the period...

  10. The relevance of psychodynamic psychotherapy to understanding therapist-patient sexual abuse and treatment of survivors.

    Science.gov (United States)

    Yahav, Rivka; Oz, Sheri

    2006-01-01

    Regardless of the therapy modality, research continues to point to the therapeutic relationship as a major salient factor in clinical success or failure. When a patient is sexually abused by his or her therapist, this therapeutic relationship is cynically exploited in a way that does not properly serve the essential needs of the patient. When this patient then seeks reparative therapy, the subsequent therapist needs to pay close attention to issues of the relationship which were breached by the previous clinician. In this article, two case studies showing very different dynamics will be presented in order to demonstrate: (1) relevant factors related to transference, countertransference, projective identification, and the analytic third pertaining to the former, abusive therapy; and (2) needs versus wishes, and issues related to boundaries and self-disclosure in the corrective therapy.

  11. Enemies of the People: Latin-American Populism, Political Myth, and the Psychodynamics of Conspiracy Thinking

    OpenAIRE

    Vassiliou, Phaidon Thymios Benedetti

    2017-01-01

    This article examines Latin-American populism from a psychonalytical perspective and suggests a possible understanding of the role played by group dynamics, such as group regression and large-group identity, in the rise of conspiracy thinking associated with populist mobilization. It argues that conspiracy thinking is an inextricable feature of populist movements, since both come about as interrelated manifestations of a defensive psychological response intertwined with a preexisting politica...

  12. Time limited psychodynamic group therapy: Predictors of patients seeking additional treatment

    DEFF Research Database (Denmark)

    Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

    2010-01-01

    for psychological or psychiatric problems; the percentage was 41.6 when further treatment was defined as participating in more than 5 sessions. The majority (94.8 was treated within the public health services. Participation in additional treatment was predicted by improvement on the MCMI Antisocial personality...... disorder scale and a higher SCL-90-R Somatization end-state score. When additional treatment was defined as receiving more than 5 sessions, lack of paid work before treatment (odds ratio 8.0), lack of social network support (odds ratio 2.9), and the Antisocial pre-post difference score (odds ratio 1...

  13. Psychopathy and Pathological Narcissism: A Descriptive and Psychodynamic Formulation on the Antisocial Personality Disorder.

    Science.gov (United States)

    MacKay, James R.

    1986-01-01

    Considers the Antisocial Personality Disorder within the context of a psychopathology model. Criticizes and reviews the Diagnostic and Statistical Manual of Mental Disorders approach and suggests revisions. Coins the term narcissistic-antisocial personality and reviews it within several contexts. (Author/ABB)

  14. Behind the Mask: A Psychodynamic Exploration of the Experiences of Individuals Diagnosed with Social Anxiety Disorder.

    Science.gov (United States)

    McEvoy, Beth; O'Connor, John; McCarthy, Odhran

    2016-01-01

    The diagnostic category of social anxiety disorder (SAD) is one that is widely drawn upon in mental health settings; SAD is primarily characterized by a marked fear of social performance situations and possible scrutiny by other people (American Psychiatric Association [APA], 1994, 2013). The current study aims to explore the experiences of people diagnosed with SAD. Psychoanalytically informed research interviews, drawing on psychoanalytic ideas around the parameters of engagement and levels of engagement and analysis, were carried out with 4 male and 2 female participants with diagnoses of SAD. Four themes emerged strongly, reflecting the content and process of interviews: "A Critical Voice," "A Passive Presence," "Failure to Launch," and "Behind the Mask." These emerging themes and the overall findings are conceptualized through a Winnicottian lens, emphasising the role of the good-enough mother and facilitating environment in the struggle of participants to achieve an experience of individuation as well as authenticity with others. Theoretical, clinical, and research implications are discussed, including the need for clinicians to consider the role of early parent-child dynamics and the overall home environment and what these have left in the here and now for people presenting in this way, particularly in the way services are used and the therapeutic relationship develops. Further research into underlying dynamic issues in the origins and maintenance of social anxiety is proposed.

  15. Choosing between internet-based psychodynamic versus cognitive behavioral therapy for depression: a pilot preference study

    NARCIS (Netherlands)

    Johansson, R.; Nyblom, A.; Carlbring, P.; Cuijpers, P.; Andersson, G.

    2013-01-01

    Background: Major depression is a world-wide problem that can be treated with various forms of psychotherapy. There is strong research support for treating major depression using cognitive behavior therapy delivered in the format of guided self-help via the Internet (ICBT). Recent research also

  16. Psychometric properties of the Helping Alliance Questionnaire-I in psychodynamic psychotherapy for major depression

    NARCIS (Netherlands)

    Hendriksen, Marielle; Van, Rien; Peen, Jaap; Oudejans, Suzan; Schoevers, Robert; Dekker, Jack

    2010-01-01

    The psychometric properties of the Helping Alliance Questionnaire-I were analyzed at two times in short-term psychoanalytic supportive psychotherapy for outpatient depression. Exploratory factor analysis conducted in 142 patients generated a model that was confirmed in a different validation sample

  17. Applying a psychodynamic approach to the means-end chain : implications for advertising theory and practice

    OpenAIRE

    2014-01-01

    D.Com. (Marketing Management) The reality is that the advertising industry has not yet achieved this kind of effectiveness - in fact, it will be argued in this chapter that the advertising industry is in trouble because there is considerable doubt as to how effective advertising works and whether it works at all. There is therefore an urgency in the advertising and marketing industries to find ways of making advertising more effective, and to develop methods of measuring the effectiveness ...

  18. The woman's voice. Social policy should be gender specific.

    Science.gov (United States)

    Post, S

    1989-01-01

    The burdens of the elderly cannot be fully understood in a nonfeminist framework--that is, one that does not consider women's special concerns--for these burdens fall primarily on women. Surprisingly little attention has been given to the woman's voice in discussions of the aging society, but times are changing. Elaine M. Brody defines "women in the middle" as those who care for a parent or parent-in-law while also fulfilling parental duties and possibly working outside the home. Even the traditionalist who stridently affirms filial caretaking must recognize that these duties have limits. Obligations to one's parents or parents-in-law, to one's children, and to oneself can conflict. Some dismiss the need to develop support programs for family caretakers. Familial care for the elderly is the ideal. Government can assist families, however, without being invasive. The fastest way to deplete caring is not to care for the care giver. This debate is not gender neutral. Those in need of respite are most often women. Feminist and nonfeminist women soon will find common cause in supporting new policies that ease the burdens of family caretaking.

  19. THE ENFORCEMENT ISSUES IN THE PERIOD 2013-2018 OF THE SOCIAL PROTECTION MEASURES FOR COLLECTIVE DISMISSAL

    Directory of Open Access Journals (Sweden)

    Ana Vidat

    2013-11-01

    Full Text Available Given the current economic climate, it has become imperative – for social protection of people redundant – to adopt urgent measures to mitigate the social impact of the plans for layoffs. Immediate actions as those above – evident are based on the need to continue the economic recovery in accordance with the strategies in the field, to comply with state aid rules, to achieve the objectives of improving the activity of domestic companies, companies national or companies owned by the state, as well as companies and self subordinate local authorities.

  20. Environmental rehabilitation of dismissed quarry areas in the Emilia Apennines (Italy) based on the exploitation of geosites

    Science.gov (United States)

    Soldati, Mauro; Coratza, Paola; Vandelli, Vittoria

    2016-04-01

    The landscape modifications induced by human activity in the past 50 years, due to quarrying in the catchment of Rio della Rocca (Province of Reggio Emilia, northern Italy) and plans for its environmental rehabilitation, are illustrated. The study area is located in the northern Apennines margin, specifically in the municipality of Castellarano, and is characterised by a great variety of abiotic environments and high biodiversity. As regards the geological aspects of the area, the main lithological outcrops consists of yellow sandstones belonging to the Epi-Ligurian Sequence (Upper Eocene - Lower Oligocene) and grey clays (Lower Pliocene - Lower Pleistocene) of the marine units of the Apennine margin. From a geomorphological viewpoint, the landscape evolution of this valley has been deeply influenced by the presence of rocks with different mechanical behaviour, gravitational and rainwash processes and, more recently, human activities. The latter have played a fundamental role in modelling the physical landscape of the area in recent times. In the Sassuolo area (Province of Modena), very close to the study area, there is the largest tile making district in the world, which was developed during the '60s and '70s of the 20th century, partly thanks to the wide availability of clayey raw materials with suitable technological properties. Since the mid-1950s the study area has been affected by intense quarrying activities which have largely modified its environmental and, in particular, geomorphological features. In the 1970s, three clay pits and four sandstone quarries were active in the area. The clay pits were used for tile production whereas the sandstone materials were utilised in large part for the building industry. This production scenario has radically changed during the past twenty years, with the progressive abandonment of quarries due to the introduction of ever-more restrictive environmental policies, imposing rigorous planning on mining activities. Considering the high scenic and environmental value of the study area, multidisciplinary investigations concerning the main geological, botanical and faunistic aspects were carried out in order to plan the environmental rehabilitation of the whole valley. Specific attention was given to recognition and assessment of geosites of the area in order to exploit them within a Masterplan. On the basis of the results attained, proposals of territorial upgrading have been developed by taking into account also appraisal measures for geotourism and recreational purposes. A series of specific proposals have been presented for the protection and use of sites of geological interest in the valley. These proposals include the design of physical protection measurements, the formulation of traditional itineraries, aiming at integrating geological-geomorphological elements and information on flora and fauna, and the appraisal of geosites as basis for fostering tourism and recreation and contributing to economic activities. The aim is to show the link between Man and the geological environment with respect to exploitation of raw materials which are particularly abundant in the area studied.

  1. McMunn, et al. v. Babcock and Wilcox Power Generation Group, Inc., et al.: The long road to dismissal

    International Nuclear Information System (INIS)

    Berger, Marjorie

    2016-01-01

    McMunn, et al. v Babcock and Wilcox Power Generation Group, Inc., et al. was one of 17 related public liability actions filed between 2010 and 2015 by individuals living and/or working in the vicinity of two former fuel fabrication facilities who alleged that releases of radioactive materials from those facilities contaminated the air, soil, surface water and groundwater in the surrounding communities, causing them personal injury and property damage. The plaintiffs in all 17 cases claimed they had contracted various cancers and their property was contaminated with uranium. Plaintiffs brought their claims pursuant to the Price-Anderson Amendments Act (PAA) and the Atomic Energy Act of 1954, as amended (AEA), and also asserted related state law claims of negligence, negligence per se, strict liability, civil conspiracy, and wrongful death and survival. The defendants, Babcock and Wilcox Power Generation Group, Inc., B and W Technical Services, Inc. and Atlantic Richfield Company (ARCO), were unrelated companies who, at different times, owned and operated those facilities. The PAA, which became law on 2 September 1957, is a federal statute that governs claims for personal injury and property damage 'arising from the activities of NRC licensees and DOE contractors'. These claims are defined in the PAA as public liability actions. In order to prevail in a public liability action, plaintiffs must establish through expert evidence that the defendants released radiation into the environment in excess of the limits then permitted by federal regulations and that the plaintiffs were exposed to those releases. They must also establish that their respective exposures to radionuclides were capable of causing their illnesses and that the doses of radiation they received did in fact cause their illnesses

  2. 28 CFR 68.10 - Motion to dismiss for failure to state a claim upon which relief can be granted.

    Science.gov (United States)

    2010-07-01

    ... JUDGES IN CASES INVOLVING ALLEGATIONS OF UNLAWFUL EMPLOYMENT OF ALIENS, UNFAIR IMMIGRATION-RELATED... relief may be granted, upon his or her own motion, without affording the complainant an opportunity to...

  3. Tenured Teacher Dismissal in New York: Education Law § 3020-a "Disciplinary Procedures and Penalties." Working Paper 2014-1

    Science.gov (United States)

    Stevens, Katharine B.

    2014-01-01

    The two recently-filed New York lawsuits claiming that teacher tenure laws violate children's constitutional right to a "sound basic education" are finally dragging the long-obscure Section 3020-a of the state's Education Law into the spotlight. This attention is badly overdue because for decades § 3020-a has impeded efforts to ensure a…

  4. [Adolescent arsonists--psychodynamics, family dynamics and attempt at framing a typology based on 40 expert opinions].

    Science.gov (United States)

    Klosinski, G; Bertsch, S L

    2001-02-01

    Psychiatric, psychological and medical data of 40 adolescent firesetters are obtained from a retrospective analysis of expert opinions which have been drawn up by the Department of Child and Adolescent Psychiatry in Tübingen over a period of 16 years (1981-1997). This analysis mainly focusses on the patients' physical and psychosexual development, their social integration and competence and their family dynamics. It further concentrates on the psychic situation at the time of the offense, the reasons and motives given for firesetting (by the patient and by the expert) and specific psychological test results. According to the results three different characteristic groups can be found: 1st a group of offenders who have set fires to their parents' house, 2nd firesetters being member of the firebrigade, and 3rd an unspecific inhomogeneous group of firesetters.

  5. On psychodynamics of personal value-judgements - Nietzsche's theory of resentment and its reception by Karl Jaspers and Kurt Schneider.

    Science.gov (United States)

    Bormuth, Matthias

    2009-06-01

    A hundred years ago when Karl Jaspers was introducing psychological understanding to psychiatry the founder of the school of Heidelberg spoke of Friedrich Nietzsche as one of the "greatest" psychologists. Especially his theory of resentment with its core thesis unconscious prejudices were influencing our behaviour was able to illuminate the complex structure of human will. Taking into account this horizon of psychiatric history of ideas the presentation wants to persecute the following three questions: 1) Why the postulate which Nietzsche was giving on cultural prejudices of our thoughts, feelings and acts was so provocative so that many of the classical thinkers of psychological understanding were taking it up according to the needs of their disciplines sociology, psychology, psychiatry and philosophy? 2) What were the results of this inspiring theory which could be especially seen in the works of Karl Jaspers and Kurt Schneider? In other words: What were the aspects in which they agreed in their reception of Nietzsche and what were the points in which the two psychiatrists of the school of Heidelberg differed in the way they took the theory of resentment into account for their psychological understanding? 3) What could be the actual significance of the historical fact that Nietzsche and in his footsteps Max Weber were taking deep influence on psychiatric thinking around 1900?

  6. Patient preference compared with random allocation in short-term psychodynamic supportive psychotherapy with indicated addition of pharmacotherapy for depression.

    NARCIS (Netherlands)

    Van, H.L.; Dekker, J.J.M.; Koelen, J.; Kool, S.; van Aalst, G.; Hendriksen, I.J.M.; Peen, J.; Schoevers, R.A.

    2009-01-01

    Depressed patients randomized to psychotherapy were compared with those who had been chosen for psychotherapy in a treatment algorithm, including addition of an antidepressant in case of early nonresponse. There were no differences between randomized and by-preference patients at baseline in

  7. [Validity of axis III "Conflicts" of Operationalized Psychodynamic Diagnostics (OPD-1)--empirical results and conclusions for OPD-2].

    Science.gov (United States)

    Schneider, Gudrun; Mendler, Till; Heuft, Gereon; Burgmer, Markus

    2008-01-01

    Using specific psychometric instruments, we investigate criteria-related validity of axis III ("conflicts") of OPD-1 by a priori formulated hypotheses concerning the relations to the main conflict/mode. A consecutive sample of 105 psychotherapy inpatients was examined using self-assessment scales (Inventory of Interpersonal Problems; Rosenberg Self-Esteem Scale, Test of Self-Conscious Affect; Toronto Alexithymia-Scale; Frankfurt Self Concept Scales) and videotaped OPD research interviews in the first week after admission to the hospital. Two OPD-certified raters first rated the interviews independently, then in a consensus rating. Due to the different frequency of the main conflict and mode, evaluation of 4 of 7 conflicts was possible. The a priori hypotheses could be confirmed for the conflicts Dependence versus Autonomy (both modes), Submission versus Control (active mode), Desire for Care versus Autarchy (active mode), and Self-Value (passive mode). Confirmation of the a priori hypotheses indicates validity of axis III (Conflicts) of OPD. We discuss the small numbers of some conflicts, the comparison of expert rating OPD with self-assessment and the meaning of the results for OPD-2.

  8. The Cooperative Threat Reduction Program and Russian-American Relations in the Late 1990s: Power vs. Institutions

    National Research Council Canada - National Science Library

    Weaver, Brent

    2000-01-01

    .... Despite the fact that Chechnya is geographically a part of sovereign Russia, the United States government stridently protests what it considers to be the wholesale slaughter and displacement of the Chechen people...

  9. The U.S. Freedom Agenda in the Middle East

    National Research Council Canada - National Science Library

    Makepeace, Neil J

    2007-01-01

    .... The thesis of this paper is that the United States requires a more balanced and realistic policy agenda in the Middle East, one that discards the strident promotion of constitutional democracy...

  10. Enforced dismissal of Dutch patients who are not motivated to leave forensic psychiatric settings and treatment--is it ethically acceptable?

    Science.gov (United States)

    Martens, W H J

    2009-09-01

    The ethical issues surrounding enforced release of forensic psychiatric patients are discussed in this article. Some patients disagree with their discharge because they are convinced that they need the continued structure of the hospital setting and the social relationships with fellow patients and therapists. They fear that without this structure they will unable to cope with the challenges of life in society and the consequence could be relapse and recidivism. Suggestions for guidelines on a practical approach to this category of forensic patients are presented.

  11. Preparing for Infectious Disease: Department of Education Recommendations to Ensure the Continuity of Teaching and Learning for Schools (K-12) during Extended Student Absence or School Dismissal

    Science.gov (United States)

    US Department of Education, 2014

    2014-01-01

    The U.S. Department of Education (ED) wishes to remind states, districts, schools, students, staff, families, and guardians as well as communities about the importance of: (1) addressing the prevention of infectious disease in schools, including the seasonal flu, viral meningitis, enterovirus, and Ebola; and (2) ensuring the continuity of teaching…

  12. Action against 2nd partial construction permit for Muelheim-Kaerlich reactor dismissed on grounds of the community having no claim to legal action

    International Nuclear Information System (INIS)

    Anon.

    1985-01-01

    Key sentences: (non-official) 1. A community is not authorized to plead its citizens' rights and interests. 2. A community is not entitled to plead environmental and nature-protection aspects. 3. Fear of community-owned land being adversely affected constitutes no cause of action. 4. By transferring self-administration tasks to an independent company the community gives up the possibility to plead on its own behalf the legal claims deriving from the self-administration. Koblenz Court of Administration. Ruling of December 13, 1984 - 10 K 3/82 - (non-final). From the reasons given for the ruling: Nonsuit on grounds of the action being inadmissible. (orig./HP) [de

  13. On "White Supremacy" and Caricaturing, Misrepresenting and Dismissing Marx and Marxism: A Response to David Gillborn's "Who's Afraid of Critical Race Theory in Education".

    Science.gov (United States)

    Cole, Mike

    2009-01-01

    In this journal in 2007, the author and Alpesh Maisuria critiqued two central tenets of Critical Race Theory (CRT) from a Marxist perspective (Cole and Maisuria, 2007). These are its primacy of "race" over class, and its concept of "white supremacy". Part of the critique focused on the work of leading UK Critical Race Theorist,…

  14. Hard power dismisses soft power – the United States’ relations with the Iranian Islamic Republic in the shadow of the nuclear program

    OpenAIRE

    Fiedler, Radosław

    2013-01-01

    In the paper a correlation between hard and soft policy in relations between Iran and US is shown. These two states share a negative heritage (hostage crisis, US interference in Iranian politics, terrorism and nuclear program). Washington has decided to use hard policy methods against Iran, through numerous sanctions, without any effect in changing Iranian behaviour. The ignored sphere of soft policy is presented in the article, upon which America and Iran could achieve much more. W artyku...

  15. The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy : A replication study

    NARCIS (Netherlands)

    Kikkert, M. J.; Driessen, E.; Peen, J.; Barber, J. P.; Bockting, C. L. H.; Schalkwijk, F.; Dekker, J.; Dekker, J. J. M.

    2016-01-01

    BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of

  16. From classical psychodynamics to evidence synthesis: the motif of repression and a contemporary understanding of a key mediatory mechanism in psychosis.

    Science.gov (United States)

    Fleming, Mick P; Martin, Colin R

    2012-06-01

    The stress vulnerability model has proven to be a politically important model for two reasons. It has provided the framework that defines a temporal and dynamic process whereby a person's uniquely determined biopsychosocial vulnerability to schizophrenia symptoms interacts with his or her capacity to manage stress and the amount and type of stress experienced in such a way that the person experiences schizophrenia symptoms. Second, the development of this framework promoted the notion of inherited and acquired vulnerability. Implicit was that vulnerability was individually determined and that there was a role for psychosocial factors in the development/maintenance of schizophrenia symptoms. This proved to be a catalyst for the development of studies implicating psychosocial factors in the etiology of schizophrenia symptoms. Studies derived from cognitive-behavioral theories have proven the most successful in identifying thinking patterns, emotional disturbances, and neurocognitive and defensive vulnerability factors inherent in the development of schizophrenia symptoms. Historically, within the psychoanalytic school there has been debate regarding the role of repressive coping mechanisms in schizophrenia development. Psychoanalytic theories have always appeared incapable of providing etiologic explanations of schizophrenia symptoms, with the possible exception of Melanie Klein, than other more salient psychosocial schools. Mechanisms within the process of repressive coping are consistent with evidence and mechanisms supporting the stress vulnerability models and existing cognitive-behavioral theories regarding development of paranoid delusions. These mechanisms are less consistent with social cognitive explanations of schizophrenia symptoms.

  17. Using a transdiagnostic, psychodynamic online self-help intervention to maintain inpatient psychosomatic treatment effects: Study protocol of a feasibility study

    Directory of Open Access Journals (Sweden)

    Jan Becker

    2016-09-01

    Conclusion: We expect insight into the usefulness and acceptance of an online self-help intervention used to maintain inpatient treatment effects. Furthermore, we await both groups to benefit from the participation in the intervention. Pre- post and between subject differences will be used as estimate effect sizes to calculate the necessary sample size for a larger efficacy trial.

  18. [Care work in the health sector based on the psychodynamics of work and the care perspective: An interview with Pascale Molinier].

    Science.gov (United States)

    Wlosko, Miriam; Ros, Cecilia

    2015-09-01

    This interview with Pascale Molinier was carried out in Buenos Aires in October 2014, in the context of activities organized by the Health and Work Program at the Department of Community Health of the Universidad Nacional de Lanús, Argentina. The interview explores the relationship between work and subjectivation, examining the role of work in the structuring of the psyche, in the dynamics of pleasure and suffering, and in the construction of gender identities. "Feminized" work - that of nurses, caregivers and maids, among others - is examined from a "care" perspective, analyzing its intrinsic invisibility and impossibility of being quantified and measured, which makes it a challenge to management-based logic.

  19. Parent-infant interactions in families with women diagnosed with postnatal depression: a longitudinal study on the effects of a psychodynamic treatment

    Directory of Open Access Journals (Sweden)

    Renata eTambelli

    2015-08-01

    Full Text Available Background: Several studies have shown a connection between mothers with post-natal depression (PND and emotional-behavioral problems in their children. Mothers' psychopathology may impair interactional patterns with children and these outcomes can be influenced by father's psychopathological symptoms. The primary aim of the study was to assess over time parent-infant interaction in families where mothers have experienced postnatal depression and have received psychological treatment during the child's first year of life considering the severity of parents' psychopathological symptoms and children's temperament. Methods: Three groups of families were involved: families with mothers with PND wherein both parents followed a psychological treatment (TxMF; families with mothers affected by PND wherein only the mother followed the treatment (TxM and control families wherein the mothers did not have a psychopathological diagnosis and did not receive any treatment (Con. The families were assessed at two time points through Symptom Check-List-90-Revised (SCL-90-R, Questionari Italiani Temperamento (QUIT and the video-recorded procedure observing mealtime Scala di Valutazione Interazioni Alimentari (SVIA. Results: Parents in the TxMF group had significantly lower SVIA scores (i.e . less maladaptive at T2. TxMF group scored lower at T2 at SCL-90-R, whereas TxM showed no significant differences between T1 and T2. Involvement of fathers in the treatment was important to improve the psychopathological symptoms of both parents and the quality of interactions with their children.

  20. DSM-5, ICD-10, ICD-11, the Psychodynamic Diagnostic Manual, and Person-Centered Integrative Diagnosis: An Overview for College Mental Health Therapists

    Science.gov (United States)

    Cooper, Stewart E.

    2014-01-01

    Therapists in the field of college mental health counseling commonly voice an ambivalent orientation towards the utilization of formal psychological diagnostic systems yet often use diagnostic terms. Knowledge of the current and emerging diagnostic systems may contribute to greater syntheses of these differing approaches. This article will first…

  1. The Effect of Colour Psychodynamic Environment on the Psychophysiological and Behavioural Reactions of Severely Handicapped Children. Effects of Colour/Light Changes on Severely Handicapped Children.

    Science.gov (United States)

    Wohlfarth, H.; Sam, C.

    The effects of varied lighting and coloring in the classroom environment were examined on the behavior of seven severely handicapped 8 to 11 year olds with behavior problems. Analysis of changes in systolic blood pressure indicated that Ss were more comfortable and relaxed in the experimental room (in which the fluorescent lights were replaced by…

  2. Evidens for psykodynamisk psykoterapi

    DEFF Research Database (Denmark)

    Alberdi, Francisco; Rosenbaum, Bent

    2010-01-01

    phobia, generalised anxiety and post-traumatic stress disorder. For complex mental conditions, long-term psychodynamic psychotherapy shows greater effect than no treatment, standard treatment and short-term psychotherapy. Psychodynamic psychotherapy can be recommended for treatment of specific...

  3. Early and sustained dynamic intervention in schizophrenia

    DEFF Research Database (Denmark)

    Rosenbaum, Bent; Rosenbaum, Bent

    2009-01-01

    This paper is based on the Danish National Schizophrenia Project manual for psychodynamic individual psychotherapy with persons in states of schizophrenia. The methods for engaging with and treating a patient with schizophrenia in a supportive, psychodynamic way are described....

  4. Evidens for psykodynamisk psykoterapi

    DEFF Research Database (Denmark)

    Alberdi, Francisco; Rosenbaum, Bent

    2010-01-01

    In general, psychodynamic psychotherapy is not considered evidence-based treatment. This review includes recent meta-analyses and review papers. We conclude that evidence in favour of psychodynamic psychotherapy exists for unipolar depression, panic anxiety with and without agoraphobia, social...... phobia, generalised anxiety and post-traumatic stress disorder. For complex mental conditions, long-term psychodynamic psychotherapy shows greater effect than no treatment, standard treatment and short-term psychotherapy. Psychodynamic psychotherapy can be recommended for treatment of specific...

  5. Managing the College or University Brand: The Board's Perspective

    Science.gov (United States)

    Moore, Robert M.

    2010-01-01

    A new responsibility--"brand management"--has developed for some boards of trustees as competition for high-achieving students and various types of resources has intensified. As this competition has grown more intense, and as alumni and donor response to publicized rankings has grown more strident, trustees have begun to focus on brand strength…

  6. Troubled traces: painting and displaying intercultural traumas of Aboriginality

    Directory of Open Access Journals (Sweden)

    Heather Kamarra Shearer

    2014-10-01

    Full Text Available Behind the pointillism of dot paintings or ‘naïve’ techniques, Aboriginal artists stridently critique histories of injustice, incarceration, racism, colonialism and dispossession. This personal testimony from Heather Kamarra Shearer, one of the ‘stolen generation’ of Aboriginal Australians, reflects on her life story and her present vocation in the field of legal rights and as an artist.

  7. 'Well, I Have to Write That": A Cross-Case Qualitative Analysis of Young Writers' Motivations to Write

    Science.gov (United States)

    Magnifico, Alecia Marie

    2013-01-01

    Hickey (2003), taking a "stridently sociocultural" position on motivation, notes that conceptualizations of motivation must shift to successfully study "motivation-in-context" (p. 401 ). This study represents an attempt to navigate such a shift. Rather than taking established understandings of achievement goals and motivation…

  8. Old Wine in New Bottles

    NARCIS (Netherlands)

    Warner, J.F.; Hoogesteger van Dijk, J.D.; Hidalgo, Jean Pablo

    2017-01-01

    Despite a widely embraced ecological turn and strident critique of megastructures in the 1990s, construction of large infrastructure has been reignited worldwide. While Integrated Water Resources Management (IWRM) and River Basin Management (RBM) have at least discursively held sway as the dominant

  9. What's Foucault Got to Do with It? History, Theory, and Becoming Subjected

    Science.gov (United States)

    Butchart, Ronald E.

    2011-01-01

    The three essays that make up this issue on theory in educational history by Eileen Tamura, Caroline Eick, and Roland Sintos Coloma constitute an indictment of the field of the history of education for its neglect of theory. Read linearly, from the Introduction through Coloma, the indictment becomes increasingly strident, moving from a gentle call…

  10. Every Parent Matters: Reflections from England upon New Labour's Parent Policy

    Science.gov (United States)

    Gibson, Howard; Simon, Catherine A.

    2010-01-01

    In England, until May 2010, the New Labour party had been in power for thirteen years. This paper is a reflection back upon its period in office and its strident policies on parents and families. It questions its stance on parental "voice and choice," looks at issues of trust and contract, and considers the idea of "parent…

  11. Nigeria's Banking Sector Reforms: the Journey So Far | Onodje ...

    African Journals Online (AJOL)

    The current economic crisis appears to vindicate strident calls for financial sector reforms to enthrone sound financial practices and good corporate governance as means to ensuring sustainable economic growth and development. It is thus appropriate in the current adverse global economic circumstances, to determine the ...

  12. Psychiatry residents and dynamic psychiatry: two narratives, a survey, and some ideas to enhance recruitment.

    Science.gov (United States)

    Katz, Debra A; Tuttle, Jeffrey P; Housman, Beth T

    2011-01-01

    Psychiatric residency has undergone a major shift over the past 50 years with increasing emphasis on psychopharmacology evidence-based treatments, and competency-based requirements which has led to concerns that psychodynamic knowledge and skills are in jeopardy. Narratives of two residents who developed strong interest in psychodynamic psychotherapy and psychoanalytic training are presented to illustrate the important influences on their identities as psychodynamically oriented psychiatrists. Results from a recent survey of U.S. residents regarding psychodynamic psychiatry indicate that they value psychodynamic psychotherapy, want to incorporate psychotherapy into their careers as psychiatrists, and strongly endorse personal psychotherapy but view their psychodynamic skills as weak. Recommendations about how to enhance education and interest include (1) building or strengthening relationships with mentors, supervisors, and teachers, (2) emphasizing the importance of psychodynamic understanding of patients whether or not the resident is functioning as a therapist, (3) using psychopharmacology to engage residents in thinking psychodynamically, (4) encouraging personal psychotherapy for residents and helping find ways to make it affordable, (5) utilizing awards, visiting scholars, specialized programs, and distance learning, especially for programs without adequate resources, and (6) encouraging clinicians to become familiar with the research base in psychodynamic psychotherapy to correct biases and misperceptions.

  13. The role of visual appearance in Punch’s early-Victorian satires on religion

    OpenAIRE

    Janes, Dominic

    2014-01-01

    Satires on various aspects of contemporary religion can frequently be found in the early Victorian editions of Punch. The more strident forms of Protestant evangelicalism, in the earlier 1840s, and Roman Catholic revivalism, around 1850, came in for particular attack. This pattern was partly the result of a drift in the editorial policy of the publication towards a less radical social and political position. However, Catholicism, in both its Roman and Anglican varieties, was particularly vuln...

  14. How to Design and Equip a Mentalization-Based Play Therapy Room.

    Science.gov (United States)

    Rüth, Ulrich; Holch, Astrid

    2018-01-01

    Designing and equipping a play therapy room as a differentiated tool in a psychodynamic approach to child psychotherapy is seldom discussed. This article sketches out the equipment and furnishing of a play therapy room to be used for mentalization-based psychodynamic psychotherapy and gives examples of the use of such a room in practice.

  15. Evidens for psykodynamisk psykoterapi

    DEFF Research Database (Denmark)

    Alberdi, Francisco; Rosenbaum, Bent

    2010-01-01

    In general, psychodynamic psychotherapy is not considered evidence-based treatment. This review includes recent meta-analyses and review papers. We conclude that evidence in favour of psychodynamic psychotherapy exists for unipolar depression, panic anxiety with and without agoraphobia, social...

  16. Is the residential combined (psychotherapy plus medication) treatment of patients with severe personality disorder effective in terms of suicidality and impulsivity?

    Science.gov (United States)

    Vaslamatzis, Grigorios; Theodoropoulos, Panayiotis; Vondikaki, Stamatia; Karamanolaki, Hara; MiliaTsanira, Myrto; Gourounti, Kleanthi

    2014-02-01

    The aim of this study was to compare the effectiveness of combined treatment-medication plus psychodynamic psychotherapy-and psychodynamic psychotherapy alone on the outcome variables of suicidality and impulsivity in a population of adult inpatients with severe personality disorder (SPD). This is a naturalistic-empirical (observational) study under the conditions of clinical practice (an intensive specialized inpatient psychotherapeutic program [SIPP]). The sample consisted of 33 inpatients with SPD who were allocated to two subgroups (groups A and B). The patients in group A received psychodynamic psychotherapy and adjunctive pharmacotherapy, whereas the patients in group B received multimodal psychodynamic psychotherapy only. A statistically significant reduction in suicidality score was observed in the patients in group A, whereas a tendency for significant reduction in impulsivity score was observed in group B after the SIPP termination. Pharmacotherapy combined with multimodal psychodynamic psychotherapy, always within the SIPP, seems more effective in the case of suicidality rather than impulsivity.

  17. Psicoterapia di gruppo ad orientamento psicodinamico: elaborazione teorica e ricerca empirica

    Directory of Open Access Journals (Sweden)

    Marie Di Blasi

    2012-11-01

    Full Text Available This article examines some theoretical and methodological aspects of research in psychodynamic group psychotherapy. Despite the increasing diffusion of therapeutic groups, the small number of researches on psychodynamic group therapy points out methodological difficulties related to research designs, the presence of several variables and the creation of operational indicators. The article examines how the recent constitution of an Italian network focused on psychodynamic group psychotherapy research makes it possible to analyze the results of different national groups and compare theoretical and epistemological assumptions and methodological choices that can make the relationship between psychotherapy and research more consistent.

  18. Preserving the Person in Contemporary Psychiatry.

    Science.gov (United States)

    Gabbard, Glen O

    2018-06-01

    Psychodynamic psychiatry is a way of thinking that places the person at the heart of diagnostic understanding and treatment. This emphasis on unique characteristics of an individual is at odds with much of contemporary psychiatric thought, which is geared to identifying a set of criteria designed to identify discrete diagnostic categories with biological underpinnings. This article addresses component parts of the person that are linked to psychodynamic constructs and lie at the heart of diagnostic understanding and treatment in psychodynamic psychiatry. Copyright © 2018 Elsevier Inc. All rights reserved.

  19. Molecular evidence for the Southern Hemisphere origin and deep-sea diversification of spiny lobsters (Crustacea: Decapoda: Palinuridae).

    Science.gov (United States)

    Tsang, L M; Chan, T-Y; Cheung, M K; Chu, K H

    2009-05-01

    Spiny lobsters (family Palinuridae) are economically important marine animals that have been the subject of a considerable amount of research. However, the phylogeny of this group remains disputed. Morphological analyses have not been able to resolve the relationships of the various members of the group, and no agreement has yet been reached on its phylogeny as indicated by the different gene trees reported to date. In the present study, we attempt to reconstruct the phylogeny of Palinuridae and its allies using sequences from three nuclear protein-coding genes (phosphoenolpyruvate carboxykinase, sodium-potassium ATPase alpha-subunit and histone 3). The inferred topology receives strong nodal support for most of the branches. The family Palinuridae is found to be paraphyletic with the polyphyletic Synaxidae nested within it. Stridentes forms a monophyletic assemblage, indicating that the stridulating sound producing organ evolved only once in the spiny lobsters. By contrast, Silentes is paraphyletic, as Palinurellus is more closely related to Stridentes than to other Silentes genera. The three genera restricted to the southern high latitudes (Jasus, Projasus and Sagmariasus) constitute the basal lineages in the spiny lobsters, suggesting a Southern Hemisphere origin for the group. Subsequent diversification appears to have been driven by the closure of the Tethys Sea and the formation of the Antarctic circumpolar current, which isolated the northern and southern taxa. Contrary to an earlier hypothesis that postulated evolution from a deep-sea ancestral stock, the shallow-water genus Panulirus is the basal taxon in Stridentes, while the deep-sea genera Puerulus and Linuparus are found to be derived. This indicates that the spiny lobsters invaded deep-sea habitats from the shallower water rocky reefs and then radiated. Our results suggest that Synaxidae is not a valid family, and should be considered to be synonymous with Palinuridae. We also found that the

  20. A nuclear engineer's ethical responsibility to society

    International Nuclear Information System (INIS)

    Kemeny, L.G.

    1989-01-01

    Chernobyl notwithstanding, this paper seeks to illustrate why, on numerous fronts, nuclear technology provides the safest, cleanest and most effective method of base-load power generation. In particular it seeks to demonstrate that, despite the strident rhetoric and media exposure given to the anti-nuclear lobby, the technology is fundamental to the quality of life and the equitable sharing of energy by the year 2000. Therefore, the safety and technological superiority of the nuclear fuel cycle together with its high technology peripheral benefits both societal and fiscal are viewed as an ever increasing challenge and motivation which constitutes a major part of the nuclear engineer's ethical responsibility to society

  1. The Group Treatment of Bulimia.

    Science.gov (United States)

    Weinstein, Harvey M.; Richman, Ann

    1984-01-01

    Bulimia has become an increasing problem in the college population. This article describes a group psychotherapeutic treatment approach to the problem. A theoretical formulation of the psychodynamics that may underlie the development of bulimia is offered. (Author/DF)

  2. Theory and Methodology in Researching Emotions in Education

    Science.gov (United States)

    Zembylas, Michalinos

    2007-01-01

    Differing theoretical approaches to the study of emotions are presented: emotions as private (psychodynamic approaches); emotions as sociocultural phenomena (social constructionist approaches); and a third perspective (interactionist approaches) transcending these two. These approaches have important methodological implications in studying…

  3. A Rational-Emotive Approach to Mental Health for College Students: Study 1 and Study 2

    Science.gov (United States)

    Kujoth, Richard K.; Topetzes, Nick J.

    1977-01-01

    Further replication using other test instruments and measured variables is suggested, but the results of two studies appear to support the view that providing rational ideas fosters mental health while providing psychodynamic insight does not. (Author)

  4. A Counselor's Primer on Postpartum Depression.

    Science.gov (United States)

    Pfost, Karen S.; And Others

    1990-01-01

    Notes that women are particularly vulnerable to depression during the postpartum period. Distinguishes postpartum depression from normal postpartum adjustment, postpartum blues, and postpartum psychosis. Describes biological, psychodynamic, and diathesis-stress perspectives on postpartum depression. Encourages counselors to fashion individualized…

  5. An Integrative Approach to Treatment-Resistant Obsessive-Compulsive Disorder.

    Science.gov (United States)

    Woon, Luke Sy-Cherng; Kanapathy, Anita; Zakaria, Hazli; Alfonso, César A

    2017-01-01

    Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed. We describe the treatment process of a person with treatment-resistant OCD who received pharmacotherapy, concurrent CBT/ERP, and a brief course of psychodynamic psychotherapy. Case formulations from cognitive behavioral and psychodynamic perspectives are presented. The authors discuss the advantages of doing a psychodynamic assessment and formulation in treatment refractory cases and the wisdom of integrating psychotherapy interventions for OCD, as well as the unique clinical features of cases that warrant a multimodal treatment approach.

  6. feasibilty, impact on symptoms and mentalising capacity

    OpenAIRE

    Hari, Laura (geb. Haase)

    2016-01-01

    Introduction: This pilot study aimed to evaluate the feasibility of an assessor-blind, randomised controlled trial of psychodynamic art therapy for the treatment of patients with schizophrenia, and to generate preliminary data on the efficacy of this intervention during acute psychotic episodes. Methods: Fifty-eight inpatients with DSM-diagnosis of schizophrenia were randomised to either 12 twice-weekly sessions of psychodynamic group art therapy plus treatment as usual or to standard tre...

  7. Treatment of adolescents with depression: the effect of transference interventions in a randomized controlled study of dynamic psychotherapy

    OpenAIRE

    Ulberg, Randi; Hersoug, Anne Grete; H?glend, Per

    2012-01-01

    Background Depression in adolescents seems to be a growing problem that causes mental suffering and prevents young people from joining the workforce. There is also a high risk of relapse during adult life. There is emerging evidence for the effect of psychodynamic psychotherapy in adolescents. In-session relational intervention (that is, transference intervention) is a key component of psychodynamic psychotherapy. However, whether depressed adolescents profit most from psyc...

  8. RECOVERING NON-PECUNIARY LOSSES IN BREACH OF EMPLOYMENT CONTRACT UNDER MALAYSIAN LAW

    OpenAIRE

    Ali Mohamed, Ashgar Ali; Shair Mohamed, Mohd Akram; Sardar Baig, Farheen Baig

    2017-01-01

    Dismissal from employment is the prerogative ofthe employer. An impending dismissal must be carried out fairly with theaffected employee given the right to be heard. When a dismissal has beeneffected in high-handed manner, it may have real prospect of humiliation andembarrassment to the employee. Besides besmirching his reputation, it can alsoaffect the employee’s ability to seek new employment, forcing him to acceptemployment offering lower wages than what would have been expected in the typ...

  9. Appeals to AC as a Percentage of Appealable Hearing Level Dispositions

    Data.gov (United States)

    Social Security Administration — Longitudinal report detailing the numbers and percentages of Requests for Review (RR) of hearing level decisions or dismissals filed with the Appeals Council (AC)...

  10. Observations of the sound producing organs in achelate lobster larvae

    Directory of Open Access Journals (Sweden)

    John A. Fornshell

    2017-06-01

    Full Text Available The Achelata, lobsters lacking claws and having a phyllosoma larva, are divided into two families, the Palinuridae or spiny lobsters and the Scyllaridae or slipper lobsters. Within the Palinuridae adults of two groups were identified by Parker (1884, the Stridentesthat are capable of producing sounds, and the Silentesthat are not known to produce sounds. The Stridentes employ a file-like structure on the dorsal surface of the cephalon and a plectrum consisting of a series of ridges on the proximal segment of the second antenna to produce their sounds. All species of Achelata hatch as an unpigmented thin phyllosoma larva. The phyllosoma larva of the Stridentes have a presumptive file-like structure on the dorsal cephalon. A similar file-like structure is found on the cephalon of one species of Silentes, Palinurellus wienckki, and some but not all of the phyllosoma larvae of the Scyllaridae. No presumptive plectrum is found on the second antenna of any of the phyllosoma larvae. Presence of a presumptive file-like structure on phyllosoma larvae of Silentes and Scyllaridae suggests that the ability to produce sounds may have been lost secondarily in the Silentes and Scyllaridae.

  11. Discussion Note: Contemporary Philosophy Versus the Free Society

    Directory of Open Access Journals (Sweden)

    Tibor R. Machan

    2010-11-01

    Full Text Available Some libertarians are impatient with philosophical discussions and even dismiss philosophy as not needed to make the case for the free society. I dispute this and indicate why. As many have found, even to dismiss philosophy, one needs a bit of it!

  12. Who gets fired, who gets re-hired: the role of workers’ contract, age, health, work ability, performance, work satisfaction and employee investments

    NARCIS (Netherlands)

    Wagenaar, A.F.; Kompier, M.A.J.; Houtman, I.L.D.; Bossche, S.N.J. van den; Taris, T.E.

    2015-01-01

    Many workers have been dismissed in the past few years, either becoming unemployed or finding re-employment. The current study examined whether dismissal and its follow-up for the employee (re-employment versus unemployment) could be predicted from workers’ employment contract and age, and their

  13. Do Principals Fire the Worst Teachers? NBER Working Paper No. 15715

    Science.gov (United States)

    Jacob, Brian A.

    2010-01-01

    This paper takes advantage of a unique policy change to examine how principals make decisions regarding teacher dismissal. In 2004, the Chicago Public Schools (CPS) and Chicago Teachers Union (CTU) signed a new collective bargaining agreement that gave principals the flexibility to dismiss probationary teachers for any reason and without the…

  14. Do Principals Fire the Worst Teachers?

    Science.gov (United States)

    Jacob, Brian A.

    2011-01-01

    This article takes advantage of a unique policy change to examine how principals make decisions regarding teacher dismissal. In 2004, the Chicago Public Schools (CPS) and Chicago Teachers Union signed a new collective bargaining agreement that gave principals the flexibility to dismiss probationary teachers for any reason and without the…

  15. Principled Principals: New Evidence from Chicago Shows They Fire the Least Effective Teachers

    Science.gov (United States)

    Jacob, Brian A.

    2011-01-01

    If principals have the authority to dismiss teachers, will they dismiss the less effective ones, or will they instead make perverse decisions by letting the good teachers go? Evidence from low-stakes surveys suggests that principals are able to identify the most and least effective teachers in their schools, as measured by their impact on student…

  16. 29 CFR 24.104 - Investigation.

    Science.gov (United States)

    2010-07-01

    ... be dismissed unless the complainant has made a prima facie showing that protected activity was a... to make a prima facie showing as follows: (i) The employee engaged in a protected activity; (ii) The... be dismissed unless the complainant has made a prima facie showing that protected activity was a...

  17. 77 FR 2242 - Radio Broadcasting Services; Ehrenberg, First Mesa, Kachina Village, Wickenburg, and Williams, AZ...

    Science.gov (United States)

    2012-01-17

    ... rule; dismissal. SUMMARY: The Audio Division dismisses a Petition for Rule Making filed by Michael... full text of this Commission decision is available for inspection and copying during normal business... fewer than 25 employees,'' pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107...

  18. Successfull expansion of renewable energies due to reimbursement rates. Companies demand safety of investment; Erfolgreicher Ausbau Erneuerbarer Energien dank Einspeiseverguetung. Unternehmen fordern Investitionssicherheit

    Energy Technology Data Exchange (ETDEWEB)

    Kunz, Claudia (comp.)

    2012-06-22

    Quota systems for the promotion of renewable energy sources are inferior to the reimbursement rates such as the German Renewable Energy Law (EEG). The reimbursement rates have been proven to be efficient and effective. Therefore companies demand no dismissal of the EEG because a dismissal reduces the security of investment and thwarts the expansion of renewable energies.

  19. 75 FR 81190 - Television Broadcasting Services; Yuma, AZ

    Science.gov (United States)

    2010-12-27

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 73 [DA 10-2365; MB Docket No. 02-151; RM-10453] Television Broadcasting Services; Yuma, AZ AGENCY: Federal Communications Commission. ACTION: Dismissal. SUMMARY: The Commission dismisses the petition for rulemaking filed by Arizona Western College, requesting...

  20. [Epidemiologic findings of the etiology of psychogenic diseases].

    Science.gov (United States)

    Franz, M; Schellberg, D; Schepank, H

    1993-01-01

    In an epidemiological longitudinal field study, a sample of high risk probands suffering from medium psychogenic impairment was investigated with regard to the etiological relevancy of factors influencing psychogenic disorders (psychoneuroses, character neuroses, psychosomatic and/or psychosomatic functional diseases). The study focused the question of the etiological impact of personality, life events, and social support. With theoretical reference to the psychodynamic concept of personality trained physicians and psychologists investigated 240 probands in a half standardized psychodynamic interview which included psychometric and social empiric instruments. Expert ratings and self ratings were used to assess the current psychogenic impairment. The impact of the constructs personality, critical life events, and social support on psychogenic impairment was specified in two path models. In both models psychodynamic personality variables had the highest impact on the criterium. Psychodynamically consistent, the ability to establish mature object relations and the maturity of ego functions was inversely related to the degree of psychogenic impairment, whereas an immature organisation of defense mechanisms exerted an aggravating influence on the severity of impairment. The present path analyses altogether point to a possible central etiological impact of personality and/or psychodynamic variables on the severity of psychogenic impairment.

  1. PREJUICIOS, ESTEREOTIPOS Y DISCRIMINACIÓN: REFLEXIÓN ÉTICA Y PSICODINÁMICA SOBRE LA SELECCIÓN DE SEXO EMBRIONARIO PRECONCEITOS, ESTEREÓTIPOS E DISCRIMINAÇÃO: REFLEXÃO ÉTICA E PSICODINÂMICA SOBRE A SELEÇÃO DO SEXO EMBRIONÁRIO PREJUDICE, STEREOTYPES AND DISCRIMINATION: ETHICAL AND PSYCHODYNAMIC REFLECTION ON EMBRYONIC SEX SELECTION

    Directory of Open Access Journals (Sweden)

    María de la Luz Casas Martínez

    2008-01-01

    Full Text Available La elección de sexo embrionario es una posibilidad biotecnológica que por ser realizada sobre gametos no causa daño al cigoto. La elección del sexo de los hijos podría ser inocua pero, para que fuera libre, debería estar exenta de presiones psicológicas, específicamente de sentimientos de discriminación como síntoma neurótico. El artículo señala las bases de este síntoma y sus manifestaciones. Existe una gran responsabilidad cuando se toman decisiones que afectan a terceros y es necesario que se realicen con el más alto grado posible de libertad. En este trabajo también se analizan las alternativas, prevención y manejo de la discriminación neurótica.A escolha do sexo embrionário é uma possibilidade biotecnológica que por ser realizada sobre gametas não causa dano ao zigoto. A escolha do sexo dos filhos poderá ser inócua, porém, para ser livre, deverá estar isenta de pressões psicológicas, especificamente de sentimentos de discriminação como sintoma neurótico. O artigo assinala as bases deste sintoma e suas manifestações. Existe uma grande responsabilidade quando se tomam decisões que afetam a terceiros é necessário que sejam realizadas com o mais alto grau possível de liberdade. Neste trabalho também se analisam as alternativas, prevenção e manejo da discriminação neurótica.The selection of embryonic sex is a biotechnological possibility that, because it is done on gametes, does not cause damage to the zygote. Selecting the sex of a child can be innocuous, but for that choice to be freely made there should be no psychological pressure, specifically from feelings of discrimination as a neurotic symptom. The article outlines the bases of this symptom and its manifestations. A great responsibility exists when decisions are taken that affect third parties, and it is necessary that they are realized with the highest possible level of freedom. This work also analyzes the alternatives, prevention and management of neurotic discrimination.

  2. [Swan Song: The Advent of the Psychotic Nucleus].

    Science.gov (United States)

    Zúñiga, Fernando Muñoz

    2012-09-01

    Different forms of artistic expression, such as literature and cinema, constitute an inexhaustible source for the study of mental illness. The use of psychodynamic models may contribute to a better understanding of the spectrum between personality disorders and the psychosis spectrum, thus enriching the phenomenological approach in the psychiatric clinical practice. To examine from psychodynamic standpoints the main character of the American film Black Swan, and the nature of her psychotic symptoms. Reviewing of sources and relevant theoretical currents. Analysis shows the usefulness of a psychodynamically- oriented dimensional model for understanding the so-called psychotic breaks as well as the applicability of psychoanalytic psychosis theories in general psychiatric practice, as they may provide a more flexible clinical approach, closer to the patient's subjective experience. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  3. Who gets fired, who gets re-hired: the role of workers' contract, age, health, work ability, performance, work satisfaction and employee investments.

    Science.gov (United States)

    Wagenaar, Alfred F; Kompier, Michiel A J; Houtman, Irene L D; van den Bossche, Seth N J; Taris, Toon W

    2015-04-01

    Many workers have been dismissed in the past few years, either becoming unemployed or finding re-employment. The current study examined whether dismissal and its follow-up for the employee (re-employment versus unemployment) could be predicted from workers' employment contract and age, and their health status, work ability, work performance, work satisfaction and employee investments at baseline. Our sample comprised a selection of participants from the Netherlands Working Conditions Survey 2010 who participated in a follow-up questionnaire in 2012 (N = 2,644). We used logistic regression analyses to test our hypotheses. Temporary employment, low health status, low work ability, poor work performance, low work satisfaction and no employee investments in terms of training predicted future dismissal. Furthermore, older workers and workers reporting decreased work performance due to impaired health at baseline had a lower chance of re-employment after being dismissed. Interestingly, after taking into account all predictors, former temporary workers without permanent employment prospects had much better chances of re-employment after their dismissal than former permanent workers. Temporary, less healthy, low work ability, poor performing, dissatisfied and "under-invested" workers are at risk for dismissal, whereas older and less healthy workers are (also) at risk for long-term unemployment after being dismissed.

  4. Culinary nationalism.

    Science.gov (United States)

    Ferguson, Priscilla Parkhurst

    2010-01-01

    Culinary consciousness raisers, cooking texts often serve as vehicles of national identification. From Pampille (Marthe Allard Daudet) and her cookbook, Les Bons Plats de France, in 1913 to the international culinary competitions of today such as the Bocuse d'or, culinary distinction promotes national interests. In contrast to the strident nationalism of the early twentieth century, culinary nationalism today operates in an increasingly globalized world. National culinary distinction defines the nation and sells its products in a highly competitive international arena. A recent culinary text, the South Korean film Le Grand Chef [Sik Gaek ] (2007), illustrates the phenomenon, subsuming national culinary promotion in a mega culinary competition, all in the service of Korean culinary achievement.

  5. Efficient Marketing Strategies in the Financial-Banking Field in Crisis Conditions

    Directory of Open Access Journals (Sweden)

    Mitran Paula Cornelia

    2009-06-01

    Full Text Available Financial-banking marketing will have to radically reform. The specialists in this field will needto give up the classic and aggressive tactics totally not transparent. They will sit in front of the clients withnon sophisticated products dressed up in strident colours. The change of the marketing tactics inside avisionary, unitary strategy will be the key to launch again the loaning on a healthy market. The bankingsystem will have to keep up with Europe, not only for the services offered to clients, but also for themarketing and promotion strategies afferent to the banking segment found in a continuous change during thelast decade. The social marketing will have to leave for always the theory sphere and all the adoptedstrategies must go through social responsibility: precise developing objectives with tangible results over time.

  6. Pathological narcissism and the obstruction of love.

    Science.gov (United States)

    Kealy, David; Ogrodniczuk, John S

    2014-03-01

    Pathological narcissism is a form of maladaptive self-regulation that impedes the capacity to love. Although narcissism is often construed as excessive self-love, individuals with pathological narcissism are impaired in being able to love themselves as well as others. With the subject of impaired love in mind, we review selected conceptualizations from an enormous and diverse psychodynamic literature on narcissism. Major theoretical approaches illustrate a number of psychodynamics associated with narcissistic self-regulatory problems. This paper provides a concise overview of major conceptual themes regarding pathological narcissism and impaired capacity to love.

  7. Compulsive buying and binge eating disorder--a case vignettes.

    Science.gov (United States)

    Marcinko, Darko; Bolanca, Marina; Rudan, Vlasta

    2006-12-30

    Compulsive buying behaviour has recently received long overdue attention as a clinical issue. Aim of this report is to describe treatment of two female patients diagnosed with compulsive buying disorder in comorbidity with binge eating disorder. In both cases, criteria for diagnosing of other axis I or axis II disorder were not present. Fluvoxamine was used in pharmacotherapy, and psychodynamic psychotherapy as a psychotherapeutical approach. We conclude that fluvoxamine and psychodynamic psychotherapy may be effective in treatment of compulsive buyers in comorbidity with binge eating disorder.

  8. The role of fantasies, countertransference, and psychological defenses in patient violence.

    Science.gov (United States)

    Dubin, W R

    1989-12-01

    Over the past decade the management of aggression on psychiatric units has generally focused on pharmacologic and physical interventions rather than on psychodynamic concerns. The author reviews the dynamics of violence and discusses how clinical staff's fantasies, countertransferences, and psychological defenses may interact to trigger patient aggression. Interventions that address these issues with staff include developing a cohesive treatment team in which clinical staff can express their feelings without the need to explore the psychodynamic underpinnings, having clinical leaders maintain a strong presence on the unit to serve as role models, and providing regular inservice training.

  9. "The Matrix": An allegory of the psychoanalytic journey.

    Science.gov (United States)

    Mischoulon, David; Beresin, Eugene V

    2004-01-01

    "The Matrix" has been a huge commercial and critical success and has spawned a series of books and essays exploring the philosophical and religious themes in the story. The authors propose is that "The Matrix" can be interpreted as an allegory for an individual's journey into spiritual and mental health, achieved by overcoming one's intrapsychic conflicts with the help of psychodynamic psychotherapy or psychoanalysis. Neo's story parallels the journey undertaken by the individual who chooses to enter psychotherapy and illustrates several themes of analytic psychotherapy, its benefits, and liabilities. The movie may therefore serve as a teaching tool for psychiatric residents about the goals, functions, and intricacies of psychodynamic psychotherapy.

  10. ["What I don't Appreciate in Real Life": Online Role Playing Game Addiction of an Adolescent--Case Study].

    Science.gov (United States)

    Gerlach, Marie; Traxl, Bernd

    2015-01-01

    The present article aims to provide an insight into the life story of a computer-game addicted adolescent. Here, the relationship between the symptom game addiction, the family as a reference framework, the game's characteristics, as well as the subjective emotional state of the adolescent are of particular interest. An emphasis is also laid on the psychodynamically approached question of the impact of infantile and current relationship experiences (both within a family environment as well as with peers) on personal development. Last, still within a psychodynamic framework, we hope to provide a better understanding of the role of online computer-game addiction in the process of experiences potentially dominated by conflicts.

  11. ARBITRATION PROCEEDINGS: LAW SOCIETY OF THE ...

    African Journals Online (AJOL)

    10332324

    and a party has alleged that the reason for the dismissal relates to the ..... sustainable considering the informal nature of the CCMA process and the active ..... automatic right to legal representation is now manifested in both the LRA and PAJA,.

  12. Agrofuels capitalism: a view from political economy

    NARCIS (Netherlands)

    B.N.F. White (Benjamin); A. Dasgupta (Anirban)

    2010-01-01

    textabstractThis article considers the global expansion of agrofuels feedstock production from a political economy perspective. It considers and dismisses the environmental and pro-poor developmental justifications attached to agrofuels. To local populations and direct producers, the specific

  13. Civil Law Glossary.

    Science.gov (United States)

    Update on Law-Related Education, 1997

    1997-01-01

    Presents a glossary of civil law terms originally compiled for journalists by the American Bar Association. Defines many essential civil law concepts and practices including compensatory damages, jurisdiction, motion to dismiss, discovery, and remedy. (MJP)

  14. DRUG COURTS: Better DOJ Data Collection and Evaluation Efforts Needed to Measure Impact of Drug Court Programs

    National Research Council Canada - National Science Library

    2002-01-01

    .... Under this concept, in exchange for the possibility of dismissed charges or reduced sentences, defendants are diverted to drug court programs in various ways and at various stages in the judicial process...

  15. trend and causes of female students dropout from teacher education ...

    African Journals Online (AJOL)

    User

    This article examines the state of female students' enrollment and dismissal rate and major factors ... poor time management, anxiety, financial problems lack of proper guidance, and counseling ..... especially depression, with feelings of low.

  16. Real-Time Motion Planning and Safe Navigation in Dynamic Multi-Robot Environments

    National Research Council Canada - National Science Library

    Bruce, James R

    2006-01-01

    .... While motion planning has been used for high level robot navigation, or limited to semi-static or single-robot domains, it has often been dismissed for the real-time low-level control of agents due...

  17. Internal Audit Charter, Mar2018

    International Development Research Centre (IDRC) Digital Library (Canada)

    Jessica Perkins

    2018-03-02

    Mar 2, 2018 ... authorizes the Finance and Audit Committee to oversee IDRC's Internal ... reassignment, or dismissal of the Chief Audit Executive. ... Audit Executive's duties as the Senior Officer for disclosure pursuant to the Public Servants.

  18. Download this PDF file

    African Journals Online (AJOL)

    Fr. Ikenga

    standards. Key words: Unfair Dismissal, Common Law, Employment, Labour, Nigeria. 1. .... The phrase 'all employed persons' depicts any person who is engaged in a gainful ... religion, political opinion, national extraction or social origin; and.

  19. 76 FR 80780 - Review of the Emergency Alert System

    Science.gov (United States)

    2011-12-27

    ...--intermediary devices--that connects in some fashion with previously certified EAS equipment to allow that... Compliance Deadline is dismissed as moot; 9. It is further ordered that the Commission's Consumer and...

  20. Poor service is not acceptable.

    Science.gov (United States)

    Thompson, Andrew

    2017-05-31

    The public perception of the nurses' station should not be dismissed. We need to look at this as a profession and work out how we can improve patients' and their relatives' experience in our own areas.

  1. WHITE MEN IN AFRICA: CELATI, THEROUX, KAPUSCINSKI

    African Journals Online (AJOL)

    User

    Africa of the typical white tourist is dismissed as “predictable, programmed”, while the .... The segmentation of space to which he is used, the separation between ... far removed from the marketing brochure and the consumer- friendly itinerary.

  2. 45 CFR 150.455 - Sanctions.

    Science.gov (United States)

    2010-10-01

    ... severity and nature of the failure or action. (b) A sanction may include any of the following actions: (1... or defense. (3) Striking pleadings, in whole or in part. (4) Staying the case. (5) Dismissing the...

  3. 47 CFR 1.1707 - Acceptance of filings.

    Science.gov (United States)

    2010-10-01

    ... dismissed immediately. For any submission that is found subsequently to have minimally deficient or... timely corrected application, it will ordinarily be processed as a minor amendment in accordance with the...

  4. Muslim institutions of higher education in postcolonial africa

    CERN Document Server

    Lo, Mbaye

    2016-01-01

    Muslim Institutions of Higher Education in Postcolonial Africa examines the colonial discriminatory practices against Muslim education through control and dismissal and discusses the education reform movement of the post-colonial experience.

  5. 47 CFR 76.956 - Cable operator response.

    Science.gov (United States)

    2010-10-01

    ... directed by the local franchising authority, a cable operator must file with the local franchise authority... failure to meet the minimum showing requirement. Any such motion for dismissal must state with...

  6. Strategic Decisions and Implications of the German Assault on Norway in 1940

    National Research Council Canada - National Science Library

    Amundsen, Steinar

    2005-01-01

    .... Dismissing one-dimensional theories on the decisions for and strategic implications of the German attack on Norway, this paper discusses underlying factors in the German decision-making process...

  7. African-Americans and Alzheimer's

    Science.gov (United States)

    ... Share Plus on Google Plus African-Americans and Alzheimer's alz.org | IHaveAlz Introduction 10 Warning Signs Brain ... African-Americans are at a higher risk for Alzheimer's disease. Many Americans dismiss the warning signs of ...

  8. PSYOP and the Problem of Measures of Effectiveness (MOE) for the Combatant Commander

    National Research Council Canada - National Science Library

    Sammons, David

    2004-01-01

    ... multiplier and peacetime contributor in the pursuit of national and military objectives. This often one-sided viewpoint dismisses the difficulty of PSYOP assessment and only exacerbates the key problem of which the total PSYOP program suffers...

  9. News bites

    African Journals Online (AJOL)

    researcher and professor of molecular pharmacology and biological chemistry at Northwestern. 'This class of .... 1 in 35 at risk of breast cancer. Graham. Anderson, Principal ... easily dismissed as simple stomach pains. 'A sign that something ...

  10. 78 FR 18598 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2013-03-27

    ... increasing absenteeism among students or staff. These dismissals impacted at least 824,966 students and 53... and organizations and not as private citizens. The data collection does not involve personally...

  11. 75 FR 14163 - Agency Forms Undergoing Paperwork Reduction Act Review

    Science.gov (United States)

    2010-03-24

    ... resulted in at least 1351 school dismissals due to rapidly increasing absenteeism among students or staff... information; the organization/agency; phone number of the organization/agency; and e-mail address. There is no...

  12. 77 FR 71797 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Science.gov (United States)

    2012-12-04

    ... due to rapidly increasing absenteeism among students or staff. These dismissals impacted at least 824... officials and representatives of their agencies and organizations and not as private citizens. The data...

  13. Procedures of interdisciplinary cooperation and conflict in school

    DEFF Research Database (Denmark)

    Røn Larsen, Maja

    of such processes, e.g. political, legal and administrative conditions, without either dismissing the structural aspects or assigning them with determining power. The study investigates how legislation and administrative conditions influence the interdisciplinary collaborative processes of in- and exclusion...

  14. From Lëtzebuerg to Luxembourg: EU Law, Non-Discrimination and Pregnancy

    OpenAIRE

    BELAVUSAU, Uladzislau

    2010-01-01

    [Virginie Pontin v. T-Comalux SA, ECJ (Third Chamber), Judgment of 29 October 2009, C-63/08] In autumn 2009 the ECJ made another step forward in fostering gender equality through the instrumental framework of the EU law. The case triggers the right of pregnant women to protection against employers, who use inadequately constructed procedural norms to disguise an illegal dismissal. The Court holds that where the only remedy available under national legislation to a worker dismissed during preg...

  15. Shopping around for Theories for Counseling Psychology Practice: Reaction

    Science.gov (United States)

    Hill, Clara E.

    2012-01-01

    Three psychotherapy theories are summarized and critiqued for their applicability to counseling psychology. The lack of attention to psychodynamic and experiential theories in the special section and the lack of theorizing by counseling psychologists in general are lamented. A plea is made for encouraging counseling psychologists to construct more…

  16. Browse Title Index

    African Journals Online (AJOL)

    Items 1 - 50 of 338 ... Journal of Child and Adolescent Mental Health. ... Psychiatry and Allied Professions (SAACAPAP) Conference 2005 ... Psychodynamic aspects of suicidal risk in adolescence: two case studies ... Criminal capacity in children accused of murder: challenges in the forensic mental health assessment, Abstract.

  17. Types of sons/siblings, fraternal function and peers

    Directory of Open Access Journals (Sweden)

    Luisa Brunori

    2013-12-01

    Full Text Available In this article, the author starts by exploring family dynamics using the psychodynamic-groupanalytic paradigm to explore the intertwined relationships amongst the family figures like son, daughter, parents and sibling. The work focuses on the analysis of the psychological aspects related to siblings in the family, birth order and their consequences.

  18. Experiences of long-term tranquillizer use

    DEFF Research Database (Denmark)

    Skinhoj, K T; Larsson, S; Helweg-Joergensen, S

    2001-01-01

    , the psychodynamic perspective is integrated within a multi-dimensional model that considers biological, cognitive, identity, gender and social learning factors. The analysis reveals the possibility of achieving a detailed understanding of the dynamic processes involved in the development of long-term tranquillizer...

  19. College Students' Therapy Preferences: The Role of Psychological Mindedness

    Science.gov (United States)

    Price, Jennifer L.

    2016-01-01

    The current study examined expectations and preferences of psychotherapy approach in 225 college students. Psychodynamic-interpersonal (PI) techniques were generally favored over cognitive-behavioral (CB) techniques both in expectations of what is characteristic of a typical therapy session and perceived helpfulness. There was no difference in…

  20. When Values and Ethics Conflict: The Counselor's Role and Responsibility

    Science.gov (United States)

    Elliott, Glenda R.

    2011-01-01

    Based on the core conditions of client-centered counseling and supported by aspects of psychodynamic, cognitive developmental, and behavioral theories, a perspective is introduced that provides a resolution to the dilemma experienced by counselors and counseling students whose personal values and beliefs conflict with the ethical guidelines of the…

  1. Creating and Maintaining a Safe Space in Experiential Learning

    Science.gov (United States)

    Kisfalvi, Veronika; Oliver, David

    2015-01-01

    The increasing popularity of experiential learning in management education raises a number of new opportunities and challenges for instructors, particularly with regard to shifting instructor roles and attention to learning through one's emotions. In this article, we draw on psychodynamics--in particular D. W. Winnicott's notions of…

  2. The Cognitive-Developmental Approach to Inter-Ethnic Attitudes.

    Science.gov (United States)

    Kohlberg, Lawrence; Davidson, Florence

    Psychological research on race and ethnic stereotypes and attitudes has been carried out from two points of view -- a social learning view and a psychodynamic view. Neither of these grasp essential components of young children's ethnic attitudes or prejudices, nor do they detail the major developmental factors leading to the growth of tolerance…

  3. Family Change and Gender Differences: Implications for Theory and Practice.

    Science.gov (United States)

    Hare-Mustin, Rachel T.

    1988-01-01

    Examines theories of gender differences. Discusses alpha bias, exaggeration of gender opposition, as characteristic of psychodynamic and sex role theories; and beta bias, denial of gender differences, as evident in systems theories. Calls for new model of gender differences which recognizes asymmetry in women's and men's roles and…

  4. Military Personnel Dilemmas: Perspectives on Gender-Related Issues. A Selected List of Resource Materials.

    Science.gov (United States)

    1981-05-01

    Psychopatho- logy In Men: A Psychodynar,.ic Analysis Of I!omosexuality, Trans- sexualismt, Plnd Transvestism ." JOURNAL OF THE AMERICAN ACADEMY OF...identity and sexual behavior are markedly aberrant; homosexuality, transsexualism, and transvestism . For each disorder a psychodynamic analysis of the

  5. Integrating play therapy in the treatment of children with obsessive-compulsive disorder.

    Science.gov (United States)

    Gold-Steinberg, S; Logan, D

    1999-10-01

    While behavioral and psychopharmacological approaches are the most effective interventions for treating obsessive-compulsive disorder (OCD), psychodynamically oriented play therapy can enhance the treatment of children with this disorder. Play therapy techniques are useful in addressing treatment resistance, feelings of shame around OCD symptoms, negative self-concept, and issues of psychosocial adjustment. A case study illustrates this integrated approach to treatment.

  6. Evidens for psykodynamisk psykoterapi

    DEFF Research Database (Denmark)

    Olano, Francisco Alberdi; Rosenbaum, Bent

    2017-01-01

    Evidence of the effect of psychodynamic psychotherapy (PDT) has been called into question. Thus, an updated review of the effect of short-term and long-term PDT (STPP and LTPP) for anxiety, depression and personality disorders seems necessary. A systematic search of randomized controlled studies ...

  7. Death Related Themes in Anorexia Nervosa: A Practical Exploration.

    Science.gov (United States)

    Russell, Janice; And Others

    1990-01-01

    Explored death-related themes in psychodynamic etiology of anorexia nervosa by comparing anorexic adolescent patients (n=28) to age-matched controls (n=238). Results suggest that death-related themes are of significance in the understanding and management of anorexia nervosa. (Author/ABL)

  8. Symptom Management of Bulimia.

    Science.gov (United States)

    Johnson, Craig; And Others

    1987-01-01

    Describes a treatment approach for the symptom management of bulimia that is a synthesis of various techniques, including cognitive-behavioral therapy, response prevention, relapse training, and psychodynamic therapy. The model has been a useful teaching tool for staff and patients in both group and individual formats. Addresses the challenges of…

  9. The History of Art Therapy at the National Institutes of Health

    Science.gov (United States)

    Robb, Megan

    2012-01-01

    The National Institutes of Health (NIH) Clinical Research Center is a government facility that has a long history of groundbreaking research. Art therapy research began at NIH in 1958 with Hanna Kwiatkowska, whose work contributed to the foundation of art therapy with families, and with Harriet Wadeson, who conducted psychodynamic art therapy…

  10. Silent Suffering: Children with Selective Mutism

    Science.gov (United States)

    Camposano, Lisa

    2011-01-01

    Despite increasing awareness, the childhood disorder of selective mutism is under-researched and commonly misdiagnosed. The purpose of this article is to highlight current issues related to this disorder as well as describe various treatment approaches including behavioral, cognitive-behavioral, psychodynamic, family, and pharmacological…

  11. Freud Was Right. . . about the Origins of Abnormal Behavior

    Science.gov (United States)

    Muris, Peter

    2006-01-01

    Freud's psychodynamic theory is predominantly based on case histories of patients who displayed abnormal behavior. From a scientific point of view, Freud's analyses of these cases are unacceptable because the key concepts of his theory cannot be tested empirically. However, in one respect, Freud was totally right: most forms of abnormal behavior…

  12. The Psychotherapy Process with Adolescents: A First Pilot Study and Preliminary Comparisons between Different Therapeutic Modalities Using the "Adolescent Psychotherapy Q-Set"

    Science.gov (United States)

    Bychkova, Tetyana; Hillman, Saul; Midgley, Nick; Schneider, Celeste

    2011-01-01

    An innovative methodology is presented for describing the therapeutic processes involved in five types of adolescent treatments: psychoanalysis, psychodynamic psychotherapy, cognitive-behavioural therapy, mentalisation-based treatment and interpersonal psychotherapy. Using the "Adolescent Psychotherapy Q-Set" (APQ), 18 experienced clinicians…

  13. Postpartum Depression: An Overview.

    Science.gov (United States)

    Albright, Angela

    1993-01-01

    Occurring in about 12 percent of postpartum women, postpartum depression has been focus of considerable research. Variables that have been correlated with postpartum depression range from biological causes, to lack of social support, to relationship with husband, to attributional styles, to psychodynamic explanations. There is need for more…

  14. Working through: In-Session Processes that Promote Between-Session Thoughts and Activities

    Science.gov (United States)

    Owen, Jesse; Quirk, Kelley; Hilsenroth, Mark J.; Rodolfa, Emil

    2012-01-01

    This study examined whether clients' ratings of the working alliance as well as their perception of cognitive-behavioral (CB) and psychodynamic-interpersonal (PI) techniques (delivered by therapists who used both) were associated with clients' intersession processes (i.e., their thoughts about therapy and therapeutic activity between sessions).…

  15. Looking as Strongly as We Should in the Right Places: Reply to Norcross and Rossi (1994).

    Science.gov (United States)

    Shapiro, David A.; And Others

    1994-01-01

    Responds to comments by Norcross and Rossi (this issue) concerning Shapiro et al.'s (this issue) article comparing psychodynamic-interpersonal therapy with cognitive-behavioral therapy in treating depression. Contends that power of analyses in original study was sufficient to address substantive questions at issue. (Author/NB)

  16. Looking Weakly in All the Wrong Places? Comment on Shapiro et al. (1994).

    Science.gov (United States)

    Norcross, John C.; Rossi, Joseph S.

    1994-01-01

    Commends Shapiro et al.'s (this issue) article comparing psychodynamic-interpersonal therapy with cognitive-behavioral therapy in treating depression. Questions uncritical support of equivalent outcomes conclusion and implicit rejection of differential efficacy among psychotherapies as function of patient variables. Contends that Shapiro et al.…

  17. "Fasting Girls": Reflections on Writing the History of Anorexia Nervosa

    Science.gov (United States)

    Brumberg, Joan Jacobs

    1986-01-01

    Reflects on the history of anorexia nervosa among adolescent ("fasting") girls, suggesting that its psychodynamics have changed over time. Focuses on the social and cultural processes by which anorexia nervosa became a disease. Argues for a conception of anorexia nervosa that incorporates culture as well as biomedical and psychological…

  18. Transference and Countertransference Issues Unique to Long-Term Group Psychotherapy of Adult Women Molested as Children: Trials and Rewards.

    Science.gov (United States)

    Abney, Veronica D.; And Others

    1992-01-01

    Discusses transference and countertransference issues associated with long-term psychodynamic group treatment of adult women molested as children. Describes and examines these women's transference reactions toward group members and the therapist. Also explores the specific effects of race and ethnicity, sexual orientation, and gender of the…

  19. Childhood Suicide and Myths Surrounding It.

    Science.gov (United States)

    Greene, Dorothea B.

    1994-01-01

    Dispels five misconceptions surrounding the suicide of children: that children under the age of six do not commit suicide; that suicide in latency years is extremely rare; that psychodynamically and developmentally true depression is not possible in childhood; that child cannot understand finality of death; and that children are cognitively and…

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

    Science.gov (United States)

    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…

  1. The Role of Exercise in Reducing Childhood and Adolescent PTSD, Anxiety, and Depression

    Science.gov (United States)

    Motta, Robert W.; Kuligowski, Jenna M.; Marino, Dawn M.

    2010-01-01

    A great many interventions for posttraumatic stress disorder (PTSD) in adults have been described in the literature. These include, but are not limited to, cognitive-behavioral therapy, psychodynamic therapy, psychopharmacology, exposure therapy, anxiety management training, stress management techniques, eye movement desensitization and…

  2. Self-Esteem: A Model.

    Science.gov (United States)

    Steffenhagen, R. A.

    Alfred Adler's Individual Psychology theory is actually a theory of self-esteem psychology. For Adler the most important motivating force for behavior is a striving for superiority. A self-esteem theory of deviance was developed with the underlying proposition being that low self-esteem is the basic psychodynamic mechanism underlying deviance. For…

  3. Advanced Psychotherapy Training: Psychotherapy Scholars' Track, and the Apprenticeship Model

    Science.gov (United States)

    Feinstein, Robert E.; Yager, Joel

    2013-01-01

    Background/Objective: Guided by ACGME's requirements, psychiatric residency training in psychotherapy currently focuses on teaching school-specific forms of psychotherapy (i.e., cognitive-behavioral, supportive, and psychodynamic psychotherapy). On the basis of a literature review of common factors affecting psychotherapy outcomes and…

  4. Trends in Psychotherapy Training: A National Survey of Psychiatry Residency Training

    Science.gov (United States)

    Sudak, Donna M.; Goldberg, David A.

    2012-01-01

    Objective: The authors sought to determine current trends in residency training of psychiatrists. Method: The authors surveyed U.S. general-psychiatry training directors about the amount of didactic training, supervised clinical experience, and numbers of patients treated in the RRC-mandated models of psychotherapy (psychodynamic,…

  5. The Grandmaternal Transference in Parent-Infant/Child Psychotherapy

    Science.gov (United States)

    Dugmore, Nicola

    2013-01-01

    The psychic significance of the figure of the grandmother in psychodynamic psychotherapy has received scant attention. This paper develops the concept of the "grandmaternal transference" in parent-infant psychotherapy and explores its identification, its possible functions and its therapeutic significance. The grandmaternal transference has…

  6. Fifty Strategies for Counseling Defiant, Aggressive Adolescents: Reaching, Accepting, and Relating.

    Science.gov (United States)

    Hanna, Fred J.; Hanna, Constance A.; Keys, Susan G.

    1999-01-01

    Takes a transtheoretical approach using ideas from cognitive behavioral, existential, Gestalt, psychodynamic, and multicultural therapies to describe both new and established strategies for relationships building with defiant youth. Arranges strategies in three categories: reaching, accepting, and relating. Suggestions for counselors when working…

  7. Effektiv ledelse?

    DEFF Research Database (Denmark)

    Raae, Peter Henrik

    2018-01-01

    Based on a psychodynamic analysis of a leadership interview, this paper discusses how public modernization initiatives have put educational leaders on terms where they handle their leadership roles by drawing on special forms of defence. This paper asks whether the demands made of ‘an effective...... leader’ can trigger defensive patterns of interaction that are even counter-productive rather than effective....

  8. Parapsychology and the neurosciences: a computer-based content analysis of abstracts in the database "MEDLINE" from 1975 to 1995.

    Science.gov (United States)

    Fassbender, P

    1997-04-01

    A computer-based content of 109 abstracts retrieved by the subject heading "parapsychology" from the database MEDLINE for the years 1975-1995 is presented. Data were analyzed by four categories to terms denoting (1) research methods, (2) neurosciences, (3) humanities/psychodynamics, and (4) parapsychology. Results indicated a growing interest in neuroscientific and neuropsychological explanations and theories.

  9. Den lille galskab

    DEFF Research Database (Denmark)

    Gitz-Johansen, Thomas

    2016-01-01

    of consciousness. This process has led to great technological, scientific and administrative advantages, but it has also weakened the connection between consciousness and the unconscious layers of the psyche. Utilizing psychodynamic theory, it is argued that the connection between consciousness and the unconscious...

  10. Integrative Problem-Centered Therapy: Toward the Synthesis of Family and Individual Psychotherapies.

    Science.gov (United States)

    Pinsof, William M.

    1983-01-01

    Presents an overview of the Integrative Problem-Centered Therapy (IPCT) Model, and describes its core principles and premises, and basic methodological steps. The IPCT provides a technique for applying individual and family therapy and behavioral, communicational, and psychodynamic orientations to client problems. Its goal is to create efficient…

  11. Schema therapy for aggressive offenders with personality disorders

    NARCIS (Netherlands)

    Keulen-de Vos, M.; Bernstein, D.P.; Arntz, A.; Tafrate, R.C.; Mitchell, D.

    2014-01-01

    Schema therapy (ST) is increasingly used in personality-disordered (PD) patients. ST is an integrative psychotherapy that blends elements of cognitive-behavioral, psychodynamic and experiential approaches. The key concepts in ST are early maladaptive schemas, (dysfunctional) coping styles and schema

  12. An integrative relational point of view.

    Science.gov (United States)

    Wachtel, Paul L

    2014-09-01

    This article, part of a special section on the Relational Foundations of Psychotherapy, describes a particular relational approach called cyclical psychodynamics. Cyclical psychodynamics is rooted both in the relational perspective in psychoanalysis and in an integrative melding of psychodynamic, cognitive-behavioral, systemic, and experiential points of view. Central to its theoretical structure is a focus on the vicious and virtuous circles that perpetuate (or contribute to changing) personality patterns that may have originated in childhood but that persist because they often generate the very feedback from others that is necessary to keep them going. As a consequence of this latter focus, the relational foundation of cyclical psychodynamic therapy addresses in equal and dynamically reciprocal fashion both the therapeutic relationship in the consulting room and the key relationships outside the consulting room that play an essential role in the maintenance or change of the problematic patterns the person has come to therapy to work on. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  13. Off Grid

    OpenAIRE

    Watson, V.A.; Pandya, S.; Weng, J.; de Alberto Castro,; Justine,; Dimitriou, E.; Tengtrirat, N.; Mansoor, Z.; Yurtbulmus, Y.; Montina, J.; Klak, N.; Vasilev Martin,; de Castro, A.

    2015-01-01

    Doctor Watson Architects joined with Samir Pandya and a select group of architecture students to work with line, colour and thread as a means of achieving a psycho-dynamic suspension of matter form and space in the newly opened studios on the 4th & 5th floors of the University of Westminster's Marylebone Block.

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

    Science.gov (United States)

    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.

  15. A child's nightmare. Mum comes and comforts her child. Attachment evaluation as a guide in the assessment and treatment in a clinical case study

    Directory of Open Access Journals (Sweden)

    Silvia eSalcuni

    2014-08-01

    Full Text Available There is a gap between proposed theoretical attachment theory frameworks, measures of attachment in the assessment phase and their relationship with changes in outcome after a psychodynamic oriented psychotherapy. Based on a clinical case study of a young woman with Panic Attack Disorder, this paper examined psychotherapy outcome findings comparing initial and post-treatment assessments, according to the mental functioning in S and M-axis of the Psychodynamic Diagnostic Manual (PDM. Treatment planning and post-treatment changes were described with the main aim to illustrate from a clinical point of view why a psycho-dynamic approach, with specific attention to an attachment theory stance, was considered the treatment of choice for this patient. The Symptom Check List 90 Revised (SCL-90-R and the Shedler-Westen Assessment Procedure (SWAP–200 were administered to detect patient’s symptomatic perception and clinician’s diagnostic points of view, respectively; the Adult Attachment Interview (AAI and the Adult Attachment Projective Picture System (AAP were also administered as to pay attention to patient’s unconscious internal organization and changes in defense processes. A qualitative description of how the treatment unfolded was included. Findings highlight the important contribution of attachment theory in a 22-month psychodynamic psychotherapy framework, promoting resolution of patient’s symptoms and adjustment.

  16. Confirmatory research on the assessment of murderers.

    Science.gov (United States)

    Piotrowski, C

    1997-12-01

    Prior research, from the psychodynamically oriented literature, characterizes homicidal offenders as impulsive, vulnerable to stress, with difficulties in emotional control, particularly anger. In 1995 Coram reported Rorschach data from a sample of murderers which tentatively support earlier findings. This paper argues that confirmatory data from measures which objectively assess emotional states and behaviors could elucidate this issue.

  17. Outpatient Treatment of the Sexually Motivated Murderer and Potential Murderer.

    Science.gov (United States)

    Schlesinger, Louis B.; Revitch, Eugene

    1990-01-01

    Introduces the psychopathology and psychodynamics of sex murderer (and potential sex murderer) with emphasis on treatment in outpatient setting. Reviews system of classification of murder based on motivational dynamics of the act itself. Presents three cases that demonstrate a treatment failure, successful treatment of a catathymic sex murderer,…

  18. Special Education and the New Mental Health: A Response to New Direction of CCBD?

    Science.gov (United States)

    Forness, Steven R.

    2011-01-01

    The emphasis or focus of a professional association often shifts imperceptibly over time in ways that neither its membership nor its leadership seems able to recognize until pivotal events compel it to do so. The historical shift from psychodynamic to behavioral approaches in special education for children with emotional or behavioral disorders…

  19. Brief Psychotherapy for Posttraumatic Stress Disorders.

    Science.gov (United States)

    Brom, Daniel; And Others

    1989-01-01

    Examined the effectiveness of psychotherapeutic methods for the treatment of posttraumatic stress disorders. Compared trauma desensitization, hypnotherapy, psychodynamic therapy and control condition for 112 persons suffering from serious disorders resulting from traumatic events in the past 5 years. Results indicated that treated cases were…

  20. The Impact of Belonging Groups in an Institutional Merger Process

    DEFF Research Database (Denmark)

    Broeng, Susanne

    2017-01-01

    for the discussions and worker's disaffection and anxieties about job security were brought to light in the research process. The analysis of the research process is informed by psychodynamic system theory and focuses on individual and group processes, and on the leaders' roles in the merger process. This leads...

  1. Palmistry, tarot cards, and psychotherapy.

    Science.gov (United States)

    Pejic, Nicholas G

    2008-01-01

    The author summarizes his experience with palm and Tarot card readers in New Orleans. The history, practice, and psychodynamics of palmistry and Tarot are explored. It's postulated that these practices are forms of archaic psychotherapy, which employ supportive treatment and placebo. These tactics are used to elicit hope for its clients.

  2. Considerations in the Treatment of the Adult Blind Patient.

    Science.gov (United States)

    Shulman, Dennis G.

    1986-01-01

    Contends that blindness is not a single clinical determinant, but, rather, that two groups of blind people exist. For those congenitally blind, lack of vision can cause developmental difficulties. For those who later acquire blindness, the premorbid psychodynamics and object relationships are most important in understanding the persons' reactions…

  3. The Self-Image of Adolescents: A Study of Four Cultures.

    Science.gov (United States)

    Offer, D.; And Others

    The Offer Self Image Questionnaire measures adolescent personality and adjustment from a psychodynamic perspective. It has been used by many investigators who administered the test to a large variety of teenage populations, and has significantly differentiated between normal, delinquent and disturbed populations; males and females; younger and…

  4. Psychogenic infertility and adoption | Cooper | South African Medical ...

    African Journals Online (AJOL)

    It is suggested that a lack of normal maternal nurture is the most important factor on which the relatively high incidence of psychiatric disturbance in adoptees is to be explained. Psychogenic infertility is discussed and the psychodynamics thereof related to those responsible for the rejection of adoptees by their ...

  5. Rationalizing the Promotion of Non-Rational Behaviors in Organizations.

    Science.gov (United States)

    Smith, Peter A. C.; Sharma, Meenakshi

    2002-01-01

    Organizations must balance rational/technical efficiency and emotions. Action learning has been proven to be effective for developing emotional openness in the workplace. Facilitators of action learning should draw upon the disciplines of counseling, Gestalt, psychodynamics, and Eastern philosophies. (Contains 23 references.) (SK)

  6. Predictive value of object relations for therapeutic alliance and outcome in psychotherapy for depression: an exploratory study

    NARCIS (Netherlands)

    Van, H.L.; Hendriksen, M.; Schoevers, R.A.; Peen, J.; Abraham, R.A.; Dekker, J.J.M.

    2008-01-01

    The concept of object relations has been shown to be relevant for the process and outcome of psychodynamic psychotherapies. However, little is known about its relevance for the psychotherapeutic treatment of depression. In this study, we explored the predictive value of object relational functioning

  7. A Psychoanalytic Approach to Organizational Diagnosis.

    Science.gov (United States)

    Mark, Barbara

    1980-01-01

    Evaluation of leadership is a central task in organizational consultation, but too often ignores the relationship between task definition and administrative structure, and the availability of scarce resources. A systems approach focuses on the reciprocal impact of individual psychodynamics and organizational characteristics on leadership…

  8. Book Review of “Human Behaviour and the Social Environment: Models, Metaphors, and Maps for Applying Theoretical Perspectives to Practice”. 640 pages, Thomson Brooks/Cole, 2007, by James A. Forte

    OpenAIRE

    Moula, Alireza

    2008-01-01

    This voluminous book which draws on almost 1000 references provides an important theoretical base for practice. After an informative introduction about models, maps and metaphors, Forte provides an impressive presentation of several perspectives for use in practice; applied ecological theory, applied system theory, applied biology, applied cognitive science, applied psychodynamic theory, applied behaviourism, applied symbolic interactionism, applied social role theory, applied economic theory...

  9. Treatment of adolescents with depression: the effect of transference interventions in a randomized controlled study of dynamic psychotherapy

    Directory of Open Access Journals (Sweden)

    Ulberg Randi

    2012-09-01

    Full Text Available Abstract Background Depression in adolescents seems to be a growing problem that causes mental suffering and prevents young people from joining the workforce. There is also a high risk of relapse during adult life. There is emerging evidence for the effect of psychodynamic psychotherapy in adolescents. In-session relational intervention (that is, transference intervention is a key component of psychodynamic psychotherapy. However, whether depressed adolescents profit most from psychodynamic psychotherapy with or without transference interventions has not been stated. Object The effect of transference interventions in depressed adolescents and the moderator moderating effect of quality of object relations, personality disorder and gender will be explored. Methods and study design The First Experimental Study of Transference Work–In Teenagers (FEST–IT will be a randomized clinical trial with a dismantling design. The study is aimed to explore the effects of transference work in psychodynamic psychotherapy for adolescents with depression. One hundred patients ages 16 to 18 years old will be randomized to one of two treatment groups, in both of which general psychodynamic techniques will be used. The patients will be treated over 28 weeks with either a moderate level of transference intervention or no transference intervention. Follow-up will be at 1 year after treatment termination. The outcome measures will be the Psychodynamic Functioning Scales (PFS, Inventory of Interpersonal Problems–Circumplex Version (IIP-C, Global Assessment of Functioning (GAF, and the total mean score of Symptom Checklist–90 (Global Severity Index; GSI, Beck Depression Inventory (BDI, and Montgomery Åsberg Rating Scale (MADRS. The quality of adolescents’ relationships will be a central focus of the study, and the Adolescent Relationship Scales (ARS and Differentiation–Relatedness Scale (DRS will also be used. Change will be assessed using linear-mixed models

  10. Treatment of adolescents with depression: the effect of transference interventions in a randomized controlled study of dynamic psychotherapy.

    Science.gov (United States)

    Ulberg, Randi; Hersoug, Anne Grete; Høglend, Per

    2012-09-06

    Depression in adolescents seems to be a growing problem that causes mental suffering and prevents young people from joining the workforce. There is also a high risk of relapse during adult life. There is emerging evidence for the effect of psychodynamic psychotherapy in adolescents. In-session relational intervention (that is, transference intervention) is a key component of psychodynamic psychotherapy. However, whether depressed adolescents profit most from psychodynamic psychotherapy with or without transference interventions has not been stated. The effect of transference interventions in depressed adolescents and the moderator moderating effect of quality of object relations, personality disorder and gender will be explored. The First Experimental Study of Transference Work-In Teenagers (FEST-IT) will be a randomized clinical trial with a dismantling design. The study is aimed to explore the effects of transference work in psychodynamic psychotherapy for adolescents with depression. One hundred patients ages 16 to 18 years old will be randomized to one of two treatment groups, in both of which general psychodynamic techniques will be used. The patients will be treated over 28 weeks with either a moderate level of transference intervention or no transference intervention. Follow-up will be at 1 year after treatment termination. The outcome measures will be the Psychodynamic Functioning Scales (PFS), Inventory of Interpersonal Problems-Circumplex Version (IIP-C), Global Assessment of Functioning (GAF), and the total mean score of Symptom Checklist-90 (Global Severity Index; GSI), Beck Depression Inventory (BDI), and Montgomery Åsberg Rating Scale (MADRS). The quality of adolescents' relationships will be a central focus of the study, and the Adolescent Relationship Scales (ARS) and Differentiation-Relatedness Scale (DRS) will also be used. Change will be assessed using linear-mixed models. Gender personality disorder (PD) and quality of object relations (QOR

  11. Conquering the Mesoscale of Africa's Landscapes: deciphering the Genomic Record of Individuating Landforms with Geoecodynamics

    Science.gov (United States)

    Cotterill, Fenton P. D.

    2016-04-01

    geomorphology characterize Africa's older surfaces, many of which qualify as palimpsests: overwritten and reshaped repeatedly over timescales of 10 000-100 000 000 yr. Inheritance, equifinality, and exhumation are commonly invoked to explain such landscape patterns, but are difficult to measure and thus test; here Africa's vast, deep regoliths epitomize the starkness of these challenges facing researchers across much of the continent. These deficiencies and problems are magnified when we consider the knowledge we seek of African landscape evolution toward resolving the complex history of the African plate since its individuation. The credentials of this knowledge are prescribed by the evidence needed to test competing hypotheses, especially invoking first order determinants of landscape dynamics e.g. membrane tectonics (Oxburgh ER & Turcotte DL 1974. Earth Planet. Sci. Lett. 22:133-140) versus plumes (Foulger G 2013. Plates vs Plumes: A Geological Controversy. Wiley Blackwell). The evidence needed to test such competing hypotheses demands robust reconstructions of the individuated histories of landforms; in the African context, robustness pertains to the representativeness of events reconstructed in form and space (up to continental scales) and back through time from the Neogene into the Late Mesozoic. The ideal map of quantitative evidence must aim to integrate salient details in the trajectories of individuated landforms representing the principal landscapes of all Africa's margins, basins and watersheds. This in turn demands measurements - in mesoscale detail - of relief, drainage and regolith back though time, wherever keystone packages of evidence have survived Gondwana break up and its aftermath. Such a strategy is indeed ambitious, and it may well be dismissed as impractical. Nevertheless, the alternatives fall short. If it is to be representative of the history it purports to explain, we need the mesoscale facts to inform any narrative of a larger landscape (regional

  12. Geobiology of the Critical Zone: the Hierarchies of Process, Form and Life provide an Integrated Ontology

    Science.gov (United States)

    Cotterill, Fenton P. D.

    2016-04-01

    geomorphology characterize Africa's older surfaces, many of which qualify as palimpsests: overwritten and reshaped repeatedly over timescales of 10 000-100 000 000 yr. Inheritance, equifinality, and exhumation are commonly invoked to explain such landscape patterns, but are difficult to measure and thus test; here Africa's vast, deep regoliths epitomize the starkness of these challenges facing researchers across much of the continent. These deficiencies and problems are magnified when we consider the knowledge we seek of African landscape evolution toward resolving the complex history of the African plate since its individuation. The credentials of this knowledge are prescribed by the evidence needed to test competing hypotheses, especially invoking first order determinants of landscape dynamics e.g. membrane tectonics (Oxburgh ER & Turcotte DL 1974. Earth Planet. Sci. Lett. 22:133-140) versus plumes (Foulger G 2013. Plates vs Plumes: A Geological Controversy. Wiley Blackwell). The evidence needed to test such competing hypotheses demands robust reconstructions of the individuated histories of landforms; in the African context, robustness pertains to the representativeness of events reconstructed in form and space (up to continental scales) and back through time from the Neogene into the Late Mesozoic. The ideal map of quantitative evidence must aim to integrate salient details in the trajectories of individuated landforms representing the principal landscapes of all Africa's margins, basins and watersheds. This in turn demands measurements - in mesoscale detail - of relief, drainage and regolith back though time, wherever keystone packages of evidence have survived Gondwana break up and its aftermath. Such a strategy is indeed ambitious, and it may well be dismissed as impractical. Nevertheless, the alternatives fall short. If it is to be representative of the history it purports to explain, we need the mesoscale facts to inform any narrative of a larger landscape (regional

  13. Hacia un nuevo modelo laboral en España

    Directory of Open Access Journals (Sweden)

    Jesús Cruz

    2012-12-01

    Full Text Available Towards a new labor model in SpainThe article starts with confirming the acceleration process in reforms of labor regulations-intensive and extensive-which is faced bySpain that has considered even the reform of constitutional framework. It should be noted that measures taken in the Spanish reform are aimed at increasing the employability of workers and with regard to promotion of employment stability; we find the incorporation of a new contractual modality, literally called “employment contract for indefinite time to support entrepreneurs”.Meanwhile, as the most important novelties are located the following: elimination with general character of administrative authorization for collective dismissals, the expansion of the proper reasons of economic dismissals, with the corresponding reduction effect of the judicial control as justification for business measure and the possible reduction in the practice of dismissal cost, the generalization of compensatory amount for unfair dismissal after 33 days of salary per year of seniority with limit of the 24 monthly salary, the complete suppression of processing salaries when the employer chooses indemnified extinction in case of unfair dismissal, among others. All this range of regulatory changes is analyzed critically by the author who, starting from the Spanish legislation, studies the most relevant legal concepts.

  14. Systematic reviews of randomised clinical trials examining the effects of psychotherapeutic interventions versus "no intervention" for acute major depressive disorder and a randomised trial examining the effects of "third wave" cognitive therapy versus mentalization-based treatment for acute major

    DEFF Research Database (Denmark)

    Jakobsen, Janus Christian

    2014-01-01

    systematic reviews with meta-analyses and trial sequential analyses using The Cochrane Collaboration methodology examining the effects of cognitive therapy and psycho-dynamic therapy for major depressive disorder. We developed a thorough treatment protocol for a randomised trial with low risks of bias...... therapy versus mentalisation-based treatment for major depressive disorder. The first systematic review included five randomised trials examining the effects of psychodynamic therapy versus "no intervention' for major depressive disorder. Altogether the five trials randomised 365 participants who in each...... this result. The second systematic review included 12 randomised trials examining the effects of cognitive therapy versus "no intervention" for major depressive disorder. Altogether a total of 669 participants were randomised. All trials had high risk of bias. Meta-analysis showed that cognitive therapy...

  15. Types of psychotherapy for pathological gamblers.

    Science.gov (United States)

    Fong, Timothy W

    2005-05-01

    Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distortions about gambling. Psychodynamic psychotherapy can help recovering gamblers address core conflicts and hidden psychological meanings of gambling. Family therapy is helpful by providing support and education and eliminating enabling behaviors. To date, no single type of psychotherapy has emerged as the most effective form of treatment. As in other addictive disorders, treatment retention of pathological gamblers is highly variable. Understanding the types of psychotherapy that are available for pathological gamblers, as well their underlying principles, will assist clinicians in managing this complex behavioral disorder.

  16. Treatment of patients with first-episode psychosis: two-year outcome data from the Danish National Schizophrenia Project

    DEFF Research Database (Denmark)

    Rosenbaum, Bent; Valbak, Kristian; Harder, Susanne

    2006-01-01

    First episode psychosis interventions have been in focus in the last two decades in an attempt to improve the course and outcome of schizophrenic disorders. The Danish National Schizophrenia Project began in 1997 its intake of patients, aged 16-35, with a first psychotic episode of a schizophrenic...... psychodynamic psychotherapy as a supplement to treatment as usual", "integrated, assertive, psychosocial and educational treatment programme", or "treatment as usual". Data on symptoms and social function and sociodemographic data were obtained at inclusion, and at year 1 and 2. The three sub-cohorts did...... patients in the treatment-as-usual group. Improvement in the intervention groups continued into the second year. Patients receiving integrated assertive treatment faired better than those being treated with the less intensive method of supportive psychodynamic psychotherapy, and the latter group improved...

  17. TINJAUAN PSIKOLOGI KESEHATAN PADA PENDERITA PENYAKIT KAKI GAJAH KRONIS DI KABUPATEN BANDUNG

    Directory of Open Access Journals (Sweden)

    Ambar Sulianti

    2016-02-01

    Full Text Available Elephantiasis or Filariasis has been reported endemic in Kabupaten Bandung with potentially result in defects. This research aimed to explore health psychology of chronic Elephantiasis patients in Kabupaten Bandung. Qualitative-descriptive method has been used to explore the respondent’s psychodynamics, health behavior, and treatment seeking behavior, while quantitative-descriptive method has been used to determine the percentage distribution. The result showed that there were three kind of respondent’s psychodynamic namely denial (7.7%, anxiety (85%, and depression (7.7%. Due to the lack of knowledge about the disease, the majority of respondents (77% were hiding their disease.Type of treatment seeking behaviors has been chosen by respondent namely relying to the paranormal (92%, doctors (23%, traditional physician (54%, and acupuncturist (15%.

  18. Using dreams to assess clinical change during treatment.

    Science.gov (United States)

    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.

  19. [Selective mutism].

    Science.gov (United States)

    Ytzhak, A; Doron, Y; Lahat, E; Livne, A

    2012-10-01

    Selective mutism is an uncommon disorder in young children, in which they selectively don't speak in certain social situations, while being capable of speaking easily in other social situations. Many etiologies were proposed for selective mutism including psychodynamic, behavioral and familial etc. A developmental etiology that includes insights from all the above is gaining support. Accordingly, mild language impairment in a child with an anxiety trait may be at the root of developing selective mutism. The behavior will be reinforced by an avoidant pattern in the family. Early treatment and followup for children with selective mutism is important. The treatment includes non-pharmacological therapy (psychodynamic, behavioral and familial) and pharmacologic therapy--mainly selective serotonin reuptake inhibitors (SSRI).

  20. Interaction, transference, and subjectivity

    DEFF Research Database (Denmark)

    Lundgaard Andersen, Linda

    2012-01-01

    Fieldwork is one of the important methods in educational, social, and organisational research. In fieldwork, the researcher takes residence for a shorter or longer period amongst the subjects and settings to be studied. The aim of this is to study the culture of people: how people seem to make...... sense of their lives and which moral, professional, and ethical values seem to guide their behaviour and attitudes. In fieldwork, the researcher has to balance participation and observation in her attempts at representation. Consequently, the researcher’s academic and life-historical subjectivity...... is also subjected to psychodynamic processes. In this article, I draw upon a number of research inquiries to illustrate how psychodynamic processes influence research processes: data production, research questions and methodology, relations to informants, as well as interpretation and analysis. I further...