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1.
Am J Psychoanal ; 80(2): 119-132, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32493939

RESUMEN

The coronavirus pandemic, which apparently began in Wuhan in December 2019, and has persisted to the present day, has had several psychological effects in China. The real danger has produced prolonged stress. Large-group phenomena have been stimulated. Overwhelming affects generated by the real danger have led to regression in the stimulus barrier (or "filter"). The COVID-19 has also triggered unconscious defensive reactions, including obsessional cleaning, counterphobic behavior, humor, and denial. The nationally imposed home quarantine of millions of families has caused in-home conflicts and neurotic repetitions of unresolved childhood issues. Prior psychiatric illnesses have been exacerbated. Health workers, including psychiatrists, psychologists, and psychoanalysts, have experienced emotional depletion. Finally, in families where there has been infection or death, delayed mourning and post-traumatic phenomena have been observed. In each of these situations, different interventions based on psychoanalytic principles have been useful.


Asunto(s)
Síntomas Conductuales/psicología , Agotamiento Profesional/psicología , Infecciones por Coronavirus/psicología , Conflicto Familiar/psicología , Personal de Salud/psicología , Pandemias , Neumonía Viral/psicología , Terapia Psicoanalítica , Cuarentena/psicología , Trastornos de Estrés Traumático/psicología , Síntomas Conductuales/terapia , Agotamiento Profesional/terapia , China , Humanos , Trastornos de Estrés Traumático/terapia
2.
Psychoanal Rev ; 106(6): 489-508, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31877072

RESUMEN

Is the fourth chapter of Masud Khan's last book an expression of the author's presumed anti-Semitism, or does it demonstrate a forceful new psychotherapeutic technique? Objective reading of the controversial case material within the context of Khan's stated intention indicates that Khan was attempting to introduce an effective way of managing aggression with patients who often had been considered analytically untreatable. The author further suggests that the limited ability of analysis at that time to encompass the understanding and treatment of aggression in personality disorder contributed to Khan's own individual issues, as well as the intensifying of animosity between Khan and the British Psycho-Analytic Society.


Asunto(s)
Contratransferencia , Prejuicio , Psicoanálisis , Terapia Psicoanalítica , Humanos , Sociedades Médicas , Transferencia Psicológica , Reino Unido
3.
Psychoanal Rev ; 106(6): 573-587, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31877073

RESUMEN

My first experience in analysis with a classically trained analyst left an unexpected but profound imprint on me. After enduring that kind of one-person analysis for eleven years, I was not left with a favorable impression of the method. Originally trained as a classical psychoanalyst, I have since chosen to work intersubjectively and interactively, and I am shifting more deliberately and with more conviction toward an assimilative integrative psychotherapy approach. In this paper I tell the story of my personal analysis and outline the conclusions I have drawn from it that created a seismic shift in my way of thinking and working as a psychoanalyst.


Asunto(s)
Relaciones Médico-Paciente , Terapia Psicoanalítica , Psicoterapia , Humanos
4.
Psychoanal Rev ; 106(6): 559-572, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31877076

RESUMEN

Daydreams and night dreams are similar in that both share the wish fulfillment aspect of dreaming. Even though the difference between day and night dreams is obvious-daydreams happen when a person is awake (conscious) and night dreams happen when a person is asleep (unconscious)-the boundary between day and night dreams becomes blurred when the ego has been severely compromised. The focus of this paper is on the analysis of daydreaming and its relationship to the ego. As in the analysis of nocturnal dreams, analysis of daydreams provides another opportunity for discovery of repressed material. Analysis of daydream material also provides an opportunity to assess the development of a patient's ego. When development of the ego has been severely compromised, daydreaming may become a mechanism of defense. A literature review is presented, followed by discussion of daydreaming and the ego. Case examples illustrate major points in the discussion.


Asunto(s)
Fantasía , Teoría Psicoanalítica , Sueños , Ego , Humanos , Terapia Psicoanalítica
5.
Psychoanal Rev ; 106(6): 537-558, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31877077

RESUMEN

Psychoanalysis has long grappled with understanding and defining termination. Freud came to some pessimistic conclusions about it toward the end of his life. Later, especially in the United States, the field developed some rigid ideas about endings in psychoanalysis. Heinz Kohut, through his wide-ranging ideas about what he came to call self psychology, brought a sense of openness, fluidity, and nonlinearity to our understanding of termination. His ideas lie scattered throughout his writings, as he never developed a coherent theory of endings in treatment. This paper brings together those thoughts and argues that Kohut prefigures more recent writings about termination, especially by self and relational psychoanalysts. It places Kohut's thoughts on termination in the context of his view of the self as tilting toward cohesion and wholeness, gently nudging the listing ship upright. Termination marks the often vague and indeterminate, yet real, point of mutual recognition of that wholeness.


Asunto(s)
Teoría Psicoanalítica , Terapia Psicoanalítica , Autopsicología , Humanos , Psicoanálisis
6.
Am J Psychoanal ; 79(4): 540-554, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31723219

RESUMEN

The importance of human relations in understanding and treating trauma is evident not only from the severity of traumatization inflicted by human agency and the dissociation that ensues from traumatic interpersonal relations, but also from the analyst's affective participation which is essential to the reparation of the serious psychopathologies that originate in traumatization. Developing Ferenczi's theorizations, on the identification with the aggressor, I propose that after the abuse the traumatized subject identifies partly with the persecutor and partly with the victim, which sometimes is represented by the body itself, becoming the object of the destructiveness. Such unconscious identifications are accompanied by the dynamics of experiencing complex feelings of guilt and shame (the victim side) and the aggressiveness and anger, (the persecutor/persecuting side). It was Ferenczi who first described the potential for a therapist, acting benevolently and supportively as sole witness, to create the preconditions for the patient to re-contact long-dissociated parts, thanks to the implicit non-verbal and corporal exchange, a concept which is here explained as embodied testimony/witnessing and enactment, and unconscious communication of the right hemispheres of therapist and patient.


Asunto(s)
Teoría Psicoanalítica , Terapia Psicoanalítica/métodos , Trastornos por Estrés Postraumático/terapia , Sobrevivientes/psicología , Mecanismos de Defensa , Trastornos Disociativos/psicología , Humanos , Relaciones Interpersonales , Trastornos por Estrés Postraumático/psicología
7.
Am J Psychoanal ; 79(4): 555-576, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31685929

RESUMEN

The patient lives in Berlin, the therapist in Lisbon and the supervisor in Budapest. Not long ago, continuous psychotherapy and supervision would have been impossible in such a setting. Nowadays, modern communication technologies via the Internet create new possibilities for patients, therapists, and supervisors. However, when we engage in psychoanalytic practice via modern means of telecommunication, we need to examine if the fundamental tenets of the psychoanalytic process are preserved. We need to think about initial assessment, about how we arrange the setting, how we work with transference and countertransference, what kinds of new forms of resistance we are facing and, indeed, how we can recognize new phenomena and handle inevitable problems. In this clinical paper, we tackle these questions in the context of three-times-a-week psychoanalytic psychotherapy.


Asunto(s)
Terapia Psicoanalítica/métodos , Consulta Remota , Comunicación por Videocoferencia , Contratransferencia , Humanos , Transferencia Psicológica
8.
Medicine (Baltimore) ; 98(48): e18129, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31770244

RESUMEN

BACKGROUND: This study aims to assess the effect of Balint training (BT) in gastroenterology intern nurse practitioners (GINP) systematically. METHODS: This study will search EMBASE, MEDLINE, PsycINFO, Web of Science, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, and China National Knowledge Infrastructure from inception to the September 30, 2019 with no language limitation. In addition, we will also search grey records, such as conference abstracts and dissertations. Study quality will be checked using Cochran risk of bias tool. Statistical analysis will be performed using RevMan 5.3 software. RESULTS: This study will systematically evaluate the effect of BT in GINP and will provide evidence to judge whether BT is effective for GINP clinically. CONCLUSION: The results of this study may provide helpful evidence of BT in GINP in the clinical training.


Asunto(s)
Gastroenterología/educación , Enfermeras Practicantes/educación , Terapia Psicoanalítica/educación , Evaluación Educacional , Humanos , Proyectos de Investigación , Revisiones Sistemáticas como Asunto
9.
Am J Psychoanal ; 79(4): 507-516, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31649295

RESUMEN

In a previous work I tried to show how a parent's traumatic experiences can weigh on the following generations, approaching these phenomena in terms of introjection and incorporation. Traumatized patients who inherited such burdens suffered a block of their vital abilities, and are then challenged to later acquire the ability to symbolize what had remained unelaborated by previous generations. Accidental impressions, foreign to the patient's story, possibly a result of a certain pre-understanding of the patient's unconscious communications, emerge in countertransference and may reveal hitherto unexpressed dimensions, dissociated psychic areas of the patient.


Asunto(s)
Contratransferencia , Emociones , Terapia Psicoanalítica/métodos , Inconsciente en Psicología , Comunicación , Humanos
10.
Am J Psychoanal ; 79(4): 484-493, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31636400

RESUMEN

Psychoanalysis is a narrative activity of a very special kind. One could even say that the method of free association is a subversive activity since its purpose is to cut through layers of previous conditioning in the effort to open new spaces in the psyche. The hypercathexis of neurotic functioning can only be transformed if new, unknown dynamics are able to emerge, and can then be invested by the subject. This process necessitates economic change-investing novel psychic functioning. Aided by personal analytic experience, the psychoanalyst's role is to help initiate and support this subversive activity in the patient by initiating him/her into the method of free association. Difficulties arise when neither the patient, nor the analyst are comfortable with the symbolic and metaphorical dynamics of free association. Reacting to Freud's lack of interest in an emotional analytic process with the patient, Ferenczi considered the analytical space as a mutual frame, to be transformed in and by the intimate psychoanalytical process. The author explores Ferenczi's Clinical Diary as the construction of an intimate space through narration, attempting to discover Ferenczi's techniques in this subversive activity.


Asunto(s)
Psicoanálisis/historia , Terapia Psicoanalítica/métodos , Procesos Psicoterapéuticos , Alianza Terapéutica , Historia del Siglo XX , Humanos , Narración , Transferencia Psicológica
11.
Am J Psychoanal ; 79(4): 468-483, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31636402

RESUMEN

This paper, in its first part, offers historical and clinical research that aims to establish, in a new frame, forms of organizing psychoanalytic theories on psychopathology and its accompanying healing strategies. This new frame is based in two matrices ("Freudo-Kleinian" and "Ferenczian") and it organizes the wide knowledge established by different authors of the psychoanalytic field. Therefore, it recognizes the innovative proposals of the last three decades as transmatricial ones, in which the Freudo-Kleinian lineage and Ferenczian lineage are recognized as supplementary dimensions. In the second part, the paper describes some possible origins of one of the most relevant transmatricial thoughts in contemporary psychoanalysis, namely, Thomas Ogden's work. To the question of what would be the path that leads back from Ogden's conception of "dreaming the analytic session" to Ferenczi's final clinical intersubjective proposals, the hypothesis offered is that it passes, retroactively, through the works of Robert Langs, Harold Searles, Willy and Madeleine Baranger and Wilfred Bion.


Asunto(s)
Psicoanálisis/historia , Teoría Psicoanalítica , Historia del Siglo XX , Humanos , Terapia Psicoanalítica
12.
Psychoanal Rev ; 106(5): 385-416, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31526313

RESUMEN

Eager to distance himself from the clinical mistreatment and theoretical arrogance shown toward a gender-variant population, a self-identified cis-gendered male clinician-researcher narrates his experiences, difficulties, and doubts from a psychoanalytic standpoint in his interactions with a transgender adult in an institutional setting. He thus addresses from a pluralistic perspective the intrapsychic concerns and sociocultural norms that contribute to the patient's suffering, as well as the therapist's own vulnerability and countertransference challenges in this situation. By reflecting on the very traps that he fell into when writing a previous version of this article, the author proposes a focused narrative, co-signed by his supervisor, to provide the reader with a cautionary tale of how easily a clinician's efforts to understand may devolve into objectifications embedded in the history of analytic thinking.


Asunto(s)
Contratransferencia , Heterosexualidad/psicología , Trastornos Mentales/terapia , Relaciones Profesional-Paciente , Terapia Psicoanalítica/métodos , Personas Transgénero/psicología , Adulto , Humanos , Masculino , Trastornos Mentales/psicología
13.
J Anal Psychol ; 64(4): 565-586, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31418828

RESUMEN

Writing from experiences in the consulting room in private practice in Australia, the author refers to the layered complexity of a conflict of ethical duty which has legal and social implications. The paper explores how the ethics that are congruent with creating a safe vas bene claustrum can be diametrically opposed to the social and legal structures and processes on which we all rely. It is suggested that within the vas, analysts and analysands engage in a shared process of emotionally connected, layered, symbolic thinking. Subpoenas directed at analysts are seeking concrete evidence that will stand up in court. The paper argues that this is a category error based on ignorance and misconceptions of what analytic work entails. The intrusion of a subpoena into the vas has the potential to cause havoc in the mental health and the lives of already vulnerable, possibly traumatized and isolated individuals. It can undermine a fundamental human right and undermine the profession of psychotherapy as a whole. The paper proposes that analysts have an ethical obligation to protect the work contained within the vas from these category errors and to educate other professionals as to why we cannot provide the kind of evidence that the courts require.


Asunto(s)
Confidencialidad , Personal de Salud , Jurisprudencia , Relaciones Profesional-Paciente , Terapia Psicoanalítica , Trauma Psicológico/psicología , Adulto , Confidencialidad/ética , Confidencialidad/legislación & jurisprudencia , Personal de Salud/ética , Personal de Salud/legislación & jurisprudencia , Humanos , Relaciones Profesional-Paciente/ética , Terapia Psicoanalítica/ética , Terapia Psicoanalítica/legislación & jurisprudencia
14.
J Anal Psychol ; 64(4): 548-564, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31418834

RESUMEN

This paper discusses the main features of Siberian identity formed throughout the historical development of Siberia under the influence of social, economic, geographical, climatic, and other factors. Siberian cultural identity is closely connected with the mythology and ancient religion of the indigenous peoples of Siberia - shamanism, whose rituals, images, symbols, and motifs are often manifested in the clients' dreams. Following an in-depth study of Siberian history and culture, I formulate a complex of homelessness rooted in a deep collective trauma that left its imprint on people's psyche. Three clinical cases presented in the paper reveal a deep relationship between cultural complexes and collective traumas on the one hand, and individual complexes and traumas, on the other. My psychotherapeutic practice shows that a client's awareness of their history and culture brings them closer to the meaning and source of their suffering, which, in turn, helps them find their own way of individuation, rather than relive the transgenerational trauma of their ancestors.


Asunto(s)
Cultura , Trauma Psicológico/etnología , Chamanismo , Identificación Social , Adulto , Sueños , Femenino , Humanos , Interpretación Psicoanalítica , Terapia Psicoanalítica , Siberia/etnología
15.
J Anal Psychol ; 64(4): 443-461, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31418836

RESUMEN

The paper's central focus is on the usefulness or not of taking established and well-tried and tested models of training into cultures with different social, political and clinical attitudes. Beginning with the author's description of necessary changes introduced to ensure the revival of her own institute, the Society of Analytical Psychology, the author goes on to explore issues relevant to different aspects of training in countries where the IAAP runs its own training, known as the 'Router Programmes'. Here, analysts, teachers and supervisors visiting other cultures to offer their expertise may experience clashes in their views about the nature of the analytic attitude, not only with those they train but also amongst themselves.


Asunto(s)
Cultura , Educación de Postgrado , Terapia Psicoanalítica/educación , Educación de Postgrado/métodos , Educación de Postgrado/organización & administración , Educación de Postgrado/normas , Europa (Continente) , Humanos , Capacitación en Servicio/métodos , Capacitación en Servicio/normas , Sociedades
17.
J Anal Psychol ; 64(4): 485-497, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31418843

RESUMEN

In this paper, the Bluebeard story is used to highlight mechanisms underlying an individual analytic case and some cultural phenomena from a Jungian perspective. I describe a patient whose psyche was dissociated into a tormenting monstrous figure and a regressed childish self, which Kalsched explains as activation of the archetypal defence system. As her analyst, I had to survive attacks of the patient's persecuting inner object, which she related to Bluebeard as a representation of relentless murderousness. At the cultural level, Bluebeard pertains to the concept of the totalitarian object (Sebek 1996) and to the pole of grandiosity of the Russian cultural complex.


Asunto(s)
Cultura , Mecanismos de Defensa , Relaciones Familiares , Teoría Junguiana , Relaciones Profesional-Paciente , Adulto , Femenino , Humanos , Terapia Psicoanalítica
18.
J Anal Psychol ; 64(4): 475-484, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31418846

RESUMEN

Beginning with the story of Bluebeard, the author considers how traumatic overwhelm can occur in everyday childhood situations of a psychically murderous quality; for example, a nanny's totalitarian regime may be invisible to parents ruled by collective social and cultural norms. A child who is remote from mother and idealises a father embodying a powerful patriarchal system may remain naïvely dependent in marriage and unable to cope with the realities of human aggression. The paper describes analytic work with a woman who had suffered repeated breakdowns and needed to relinquish a fragile, socially constructed identity in order to establish her own true orientation.


Asunto(s)
Relaciones Familiares/psicología , Identidad de Género , Trauma Psicológico/psicología , Esposos/psicología , Adulto , Femenino , Humanos , Relaciones Padres-Hijo , Terapia Psicoanalítica
19.
Psychodyn Psychiatry ; 47(3): 235-256, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31448987

RESUMEN

Medications exert effects not only through biological mechanisms but also through the meanings that they carry. While positive effects (e.g., the placebo effect) are broadly recognized, psychiatry is often less attuned to the negative effects that are mediated through the meaning of medications. These negative effects may be especially pronounced when noxious meanings and countertherapeutic aspects of medications are incorporated into the unfolding development of a child and not countered by psychotherapeutic experiences that allow iatrogenic meanings to be placed in context. In this paper, psychosocial mechanisms, by which medications may cause harm, are explored. These include adverse effects on identity, impaired agency, impaired affective competence, and negative effects on the patient's relationship with care. When such harm has occurred at the level of meaning, it is best addressed at the level of meaning. Examples of psychotherapeutic work with young adults is offered to demonstrate the process of reworking developmental harm related to the meaning of medications.


Asunto(s)
Trastornos Mentales/terapia , Terapia Psicoanalítica , Psicotrópicos/uso terapéutico , Niño , Humanos , Trastornos Mentales/tratamiento farmacológico , Trastornos Mentales/psicología
20.
Am J Psychoanal ; 79(3): 375-387, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31292512

RESUMEN

Using theoretical concepts from the Interpersonal tradition in psychoanalysis and supported by findings from the attachment literature, the utility of attending to the issue of psychological security in supervision is considered for its potential to enable increased capacities for conducting psychoanalytic treatment.


Asunto(s)
Capacitación en Servicio , Relaciones Interpersonales , Apego a Objetos , Relaciones Profesional-Paciente , Terapia Psicoanalítica , Adulto , Femenino , Humanos , Capacitación en Servicio/métodos , Masculino , Terapia Psicoanalítica/educación , Terapia Psicoanalítica/métodos
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