Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 14.391
Nan Fang Yi Ke Da Xue Xue Bao ; 39(5): 505-507, 2019 May 30.
Artigo em Chinês | MEDLINE | ID: mdl-31140411


Somnambulism is defined as a state of dissociated consciousness triggered by impaired arousal, which results in partial wakefulness and partial sleep. No effective therapy or medication has been available for treating children with somnambulism. Herein we present a case in a 4.5-year-old girl, who presented with somnambulism associated with separation anxiety disorder every night in a week. The girl received formal assessment and appropriate interventions, and the symptoms disappeared within a week. The treatment was carried out in 5 stages: diagnosis of the disease, establishment of trust, information collection, supervision, and individualized psychotherapy. Although dreams in childhood can be difficult to interpret, close observation of the behaviors in sleepwalking, as a special form of dream, in addition to the more precise description by the guardians, still provides useful clues to understand those dreams. For children with somnambulism, early intervention with psychotherapy can significantly decrease the false revival of the unconscious desires, and thus may serve as a treatment option other than medications.

Terapia Psicanalítica , Sonambulismo , Criança , Pré-Escolar , Feminino , Humanos , Sono , Sonambulismo/terapia
Z Kinder Jugendpsychiatr Psychother ; 47(5): 400-410, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-30939974


Levels of structural integration in adolescents and the relationship to later mental disorders - A longitudinal study Abstract. Objective: Psychological disorders frequently manifest during adolescence. Because of the multifactorial influencing factors, the courses of the diseases are heterogeneous, from relapsing-remitting to chronic. This study investigated whether the level of structural integration of the Operationalized Psychodynamic Diagnostics in Childhood and Adolescence (OPD-CA) correlates with later symptomatic burden. Method: This long-term study assessed the levels of structural integration according to the OPD-CA of 60 adolescents (mean age = 15.6; SD = 0.9). Seven years later, we then measured symptomatic burden (SCID axis I and II) and overall burden (GAF, BSI-GSI) (73.3 % follow-up participation rate). Results: The results showed high correlations between deficient structural integration in adolescence and later symptoms and overall burden in early adulthood. Conclusion: The follow-up examination after a 7-year time period showed significant correlations, which argue for the predictive value of structural integration. This suggests that early specific treatment, e.g., in the form of intensive psychotherapy, be urgently recommended in order to influence this course.

Comportamento do Adolescente/psicologia , Transtornos Mentais/psicologia , Adolescente , Humanos , Estudos Longitudinais , Transtornos Mentais/prevenção & controle , Transtornos Mentais/terapia , Terapia Psicanalítica , Adulto Jovem
J Consult Clin Psychol ; 87(5): 433-445, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30998046


OBJECTIVE: Although research over the past decades has investigated the impact of the personality dimensions of dependency and self-criticism on treatment outcome, little is known of how these personality features influence responsiveness to treatment in patients with severe, chronic forms of depression. METHOD: The present study uses data from the Tavistock Adult Depression Study, a randomized controlled trial investigating the effectiveness of long-term psychoanalytic psychotherapy (LTPP) compared with treatment as usual (TAU) for individuals diagnosed with treatment-resistant depression. Patients were rated with the Anaclitic-Introjective Depression Assessment Q-sort, which distinguishes between two more maladaptive (Submissive and Dismissive) and two less maladaptive (Needy and Self-Critical) subdimensions of dependent or anaclitic and self-critical or introjective depression. Multilevel modeling was used to compare individuals' growth curves of depression severity as measured by the Hamilton Rating Scale for Depression over the 18-month treatment period and 2-year follow-up. Rates of clinically significant change were also determined. RESULTS: As expected, depressed patients with more maladaptive dependent and self-critical features did not benefit from LTPP or TAU. Patients with less maladaptive self-critical features benefited from both LTPP and TAU, while those with less maladaptive dependent features showed considerable gains from LTPP but not from TAU, with medium to large effect sizes. CONCLUSIONS: Findings of this study are consistent with existing research suggesting the need to modify and tailor treatments in accordance with individuals' pretreatment personality features. Given the time and cost-intensive nature of longer-term treatment, this may be particularly important in patients with treatment-resistant depression. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Transtorno Depressivo Resistente a Tratamento/fisiopatologia , Avaliação de Resultados (Cuidados de Saúde) , Personalidade/fisiologia , Terapia Psicanalítica/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
J Anal Psychol ; 64(2): 147-167, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30864203


In this paper the 'analyst as a citizen in the world' is understood as the analyst interconnecting and harmonising with his or her environment, including not only society, but also nature and the universe. In this sense, Buddhism teaches the Oneness of Life and its Environment, and links are made between Mahayana Buddhism and Jung's understanding of the Self and individuation. The Logic of Lemma in the Flower Ornament Sutra indicates that all phenomena in the world can merge with each other without losing individuality; ten stages are described from the Lotus Sutra and links are made with the development in respect to the ego; Kenji Miyazawa and his work are given as examples to illustrate this. Causality and synchronicity are explored in terms of the interaction between the individual and the environment, and three examples are given where sometimes individual, egoic, causality is more of a feature and sometimes synchronicity has a greater prominence. The paper ends with an examination of tree drawings, made over a period of 50 years by junior high school students, which indicates the way that these individuals have portrayed themselves and their relation to their environment.

Budismo , Psicanálise , Terapia Psicanalítica/métodos , Religião e Psicologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
J Anal Psychol ; 64(2): 119-122, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30864210
J Anal Psychol ; 64(2): 168-188, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30864214


Beginning with Jung's reflections on individuation as a starting point, this article examines the analytic relationship in the context of our current reality. The latter exerts pressures of all sorts that do not favour individuation. Indeed, geopolitical commentators see present-day society as marked globally by excessive self-love that seeks to dominate, at the expense of the other. Given that such forms of dominance are now also very prevalent in the workplace, this article examines how to help the increasing number of individuals with highly successful professional careers who suffer from this pressure and who then seek analysis. 'Progressive movement', an indicator of and incentive to change, is examined by studying the narrative processes emerging from dream activity - including dreaming with the hands in the sand tray - in the co-transference. The article highlights how 'progressive movement', founded on narrative Competence and on the reflective function, may generate experiences of 'realistic hope'. The latter signals the start of an individuation process in the analytic couple and, simultaneously, the transformation of both the analyst and the analysand into good enough 'citizens in the world'.

Individuação , Teoria Junguiana , Relações Profissional-Paciente , Terapia Psicanalítica/métodos , Adulto , Humanos , Masculino
Z Kinder Jugendpsychiatr Psychother ; 47(5): 388-398, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-30882278


Nonsuicidal self-injury in connection with the axes Structure and Relationship of the OPD-KJ-2 (Operationalized Psychodynamic Diagnostics in Childhood and Adolescence) Abstract. This study investigates nonsuicidal self-injury (NSSV) in relation to psychological structure as well as inter- and intrapersonal relationships. The Structure and Relationship axes of the OPD-CA-2 (Operationalized Psychodynamic Diagnosis in Childhood and Adolescence) were used to record relationship dynamics and structural aspects; the MOUSI was applied for nonsuicidal self-injury. The sample included 40 adolescent psychiatric patients, most of whom were in inpatient care. A total of 20 adolescents with and 20 without NSSV were compared with regard to the Structure and Relationship axes. The two samples showed no differences on the Structure axis, whereas differences were found on the Relationship axis. Adolescents with NSSV, for example, were more likely to gently influence others and to react in interactive settings more openly toward their counterpart than adolescents without NSSV. In their relationship to themselves, the adolescents with NSSV were more often assessed as tormented and reproachful. Results indicate that the Relationship axis of the OPD-CA-2 can provide helpful information, so that this should be considered in psychotherapeutic measures for NSSV patients.

Psicologia do Adolescente , Psicologia da Criança , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologia , Adolescente , Criança , Hospitalização , Humanos , Terapia Psicanalítica , Comportamento Autodestrutivo/terapia
Psychodyn Psychiatry ; 47(1): 81-97, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30840557


In Freud's day, his case studies, coupled with the findings of others (e.g., Breuer, Charcot), provided evidence that the Oedipus complex and his dynamic theory of repression (i.e., the unconscious interactions between id, ego, and superego) as causal agents in neurotic symptoms was suspect. With the aid of over 75 years of research since Freud's death, today's psychodynamic-orientated clinicians have discarded many of Freud's tenets related to the Oedipus complex. Modern psychoanalysts have focused their attention instead on a patient's personal relationships in their early life, their current life, and in their interactions with their therapist (transference).

Teoria Freudiana , Relações Interpessoais , Complexo de Édipo , Psicanálise/história , Terapia Psicanalítica/métodos , Transferência (Psicologia) , História do Século XX , História do Século XXI , Humanos
Psychodyn Psychiatry ; 47(1): 27-38, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30840561


The ubiquitous nature of the internet and of online social networking has created new opportunities but also challenges for the psychotherapist. Former notions of anonymity and privacy are now infeasible as a result of massive information sharing through electronic media. The clinical repercussions of these changes are being extensively debated, but issues involving patient privacy and anonymity have not been sufficiently explored. Although several aspects of the impact of the internet on therapeutic setting-such as the need for psychotherapists to exercise caution when making personal information available online-have been addressed in the literature, there has been comparatively little discussion on psychotherapists seeking information about their patients on the internet, a phenomenon known as "patient-targeted googling" (PTG).

Contratransferência (Psicologia) , Internet , Privacidade , Relações Profissional-Paciente , Terapia Psicanalítica , Adulto , Humanos , Internet/ética , Relações Profissional-Paciente/ética , Terapia Psicanalítica/ética
Psychiatry Res ; 272: 774-783, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30832198


The evidence on potentially greater benefits of psychoanalysis (PA) vs. long-term psychodynamic psychotherapy (LPP) is scarce. This study compared the effectiveness of PA and LPP on personality and social functioning during a 10-year follow-up from the beginning of the treatments. The eligible patients, 41 self-selected for PA and 128 assigned to LPP, were 20-45 years of age and had anxiety or mood disorder. Outcomes were analyzed using ten standard measures of personality and social functioning, carried out 5-9 times during the follow-up. Different change patterns by time in PA and LPP emerged, suggesting less benefit of PA during the first years of follow-up and more benefit in most outcomes thereafter. Greater post-treatment improvement in PA than in LPP was seen up to 1-2 years after PA had ended in more mature defense style (DSQ), level of personality organization (LPO), more positive self-concept (SASB), more improved social adjustment (SAS-SR) and sense of coherence (SOC). However, at the 10-year follow-up the differences were non-significant. In conclusion, PA may give some additional benefits when long-term aims are linked to personality and social functioning. The relatively small differences and higher costs in comparison to LPP may restrict the feasibility of PA.

Personalidade , Terapia Psicanalítica/métodos , Psicoterapia Psicodinâmica/métodos , Ajustamento Social , Adulto , Feminino , Seguimentos , Humanos , Masculino , Personalidade/fisiologia , Terapia Psicanalítica/tendências , Psicoterapia Breve/métodos , Psicoterapia Breve/tendências , Psicoterapia Psicodinâmica/tendências , Autoimagem , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
Prax Kinderpsychol Kinderpsychiatr ; 68(3): 209-218, 2019 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-30838947


Effectiveness of Psychoanalytic Psychotherapy for Children and Adolescents with Severe Anxiety Psychopathology in a Naturalistic Treatment Setting The aim of the study was to evaluate naturalistic out-patient psychoanalytic youth psychotherapy in Germany. The study was a partly controlled effectiveness trial. While the first treatment interval (25 sessions, 6.13 months) was compared with a wait-list control group (5 supportive sessions, 2.94 months), the effects of long-term psychoanalytical treatment were analyzed using a time-series design. 86 children and adolescents (aged 4 to 21 years) and their parents who entered psychoanalytic therapy in private practices participated in this study. The wait-list control group comprised 35 patients. Questionnaires were administered at the beginning and the end of treatment, as well as 6 and 12 month follow-up (FU). Patients received on average 94.04 therapy sessions (range 8 to 300) over 25.70 months. Data analyses were carried out with multilevel mixed linear models on the intention-to-treat (ITT) sample. The patients in the intervention group reported moderate symptom improvements at the end of therapy (d = .57), these effects are stable at the 1-year follow-up and increase from the patient perspective (d = .80). When comparing the first therapy interval with the (minimal treatment) wait-list control group, both groups improved significantly with small effect sizes and no significant group differences. The results suggest that long-term psychoanalytic therapy is successful in alleviating anxiety pathology and improving quality of life for youth with anxiety disorders, and that improvements remain stable across a 1-year follow-up period.

Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Terapia Psicanalítica , Psicopatologia , Adolescente , Ansiedade/psicologia , Ansiedade/terapia , Criança , Pré-Escolar , Seguimentos , Alemanha , Humanos , Qualidade de Vida , Listas de Espera , Adulto Jovem
Am J Psychoanal ; 79(1): 69-93, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760816


Identity development depends on the ability to say 'no.' Setting limits enables a relationship between two separate individuals to develop. Early trauma can leave the individual so vigilant to others' demands that internal prohibitions against intrusion remain silenced, which we conceptualize as a 'no' that could not be sufficiently articulated to keep the person safe. For those who have not been able to assert this fundamental limit, the consulting room provides a potential anchoring point to formulate and work through unconscious meanings. Being able to articulate and register the legitimacy of one's own no becomes an important challenge, as tensions regarding power and powerlessness, trust and distrust, are acted out within the consulting room. Case material illustrates how psychoanalytic ideas regarding transference, countertransference, and enactment help the clinician tolerate the intrusion of past into present, inviting the type of mentalization that moves towards repair rather than merely reenacting the trauma.

Agressão/psicologia , Relações Interpessoais , Desenvolvimento da Personalidade , Terapia Psicanalítica/métodos , Trauma Psicológico/terapia , Sobreviventes/psicologia , Violência/psicologia , Adulto , Feminino , Humanos , Masculino
Am J Psychoanal ; 79(1): 94-102, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760817


This case report sketches the psychoanalytically-informed supportive psychotherapeutic treatment of a single man through his life challenges over a twenty-year period. The decades-long challenges arise from obsessive compulsive disorder, pathologic self-effacement with insatiable and unusual erotic components, and severe visual impairment leading to blindness. Sadistically-tinged impulses arising in the countertransference are described.

Contratransferência (Psicologia) , Transtorno Obsessivo-Compulsivo/terapia , Terapia Psicanalítica/métodos , Sadismo/psicologia , Humanos , Masculino , Pessoa de Meia-Idade
Am J Psychoanal ; 79(1): 103-113, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760818


The author contends that psychoanalytic theory has generally presented religious beliefs as developmentally immature or pathological. This viewpoint has resulted in a neglect of religion on the part of psychoanalysts and an avoidance of their religious life by patients. Even though there has been an evolution from the traditional Freudian foundational approach to religion as an "illusion" to the inclusion of psychoanalytical training within some Christian institutes and attributions that psychoanalysis, itself, is a religion, religious beliefs should be included in psychotherapy because they can become involved in transference and countertransference issues in ways that are ignored if religious issues are not discussed in therapy. The author presents clinical material to illustrate this problem.

Terapia Psicanalítica/métodos , Religião e Psicologia , Transferência (Psicologia) , Adulto , Contratransferência (Psicologia) , Feminino , Humanos
J Anal Psychol ; 64(1): 43-52, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30618139


This paper begins with an explanation of the four Chinese characters that represent the project of the Garden of the Heart and Soul. This project was founded to help the psychological development of orphans, as well as to provide psychological relief for the victims of ecological disasters such as earthquakes through the use of Jungian psychology, sandplay therapy, and the psychology of the Heart. Eleven years after its founding, there are 83 work-stations on mainland China. The authors discuss how the Chinese characters influenced the way they set up their project and the values that guide them. In addition to helping the individuation of the people they work with, their work provides a container for the collective psyche and a connection with the cultural archetypal roots.

Teoria Junguiana , Linguagem , Desenvolvimento de Programas , Terapia Psicanalítica , Psicoterapia , Adulto , Criança , Crianças Órfãs , China , Terremotos , Humanos , Orfanatos
Psychotherapy (Chic) ; 56(1): 55-61, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30676047


Functional analytic psychotherapy (FAP), with its emphasis on the creation of a safe, evocative, attuned, authentic, and mutually vulnerable therapeutic relationship, offers strategies that are especially relevant for therapeutic beginnings that yield an engaging and potent treatment. The 5 rules of FAP provide behavioral specificity in the early tasks of therapy that can build a powerful alliance with clients: creating trust and safety, moving the conversation from content to in-the-moment process, evoking and naturally reinforcing client target behaviors related to authentic expression, instilling hope, being aware of clinical impact, and promoting generalization of in-session gains to daily life. It is hoped that FAP offers a conceptually clear and inspiring transtheoretical framework that sets the stage for a deeply meaningful and unforgettable therapy. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Transtornos Mentais/terapia , Relações Profissional-Paciente , Terapia Psicanalítica/métodos , Humanos
Rev. Asoc. Esp. Neuropsiquiatr ; 38(134): 451-471, jul.-dic. 2018.
Artigo em Espanhol | IBECS | ID: ibc-176429


Existen multitud de propuestas psicoterapéuticas que plantean Intervenciones corporales para abordar el sufrimiento psíquico, algunas de ellas faltas de un cimiento teórico sólido. Por otro lado, diferentes autores aceptan la presencia de experiencias arcaicas que mantienen su influencia a lo largo de la vida y que resultan inaccesibles a la palabra. Cuando la intervención verbal es insuficiente, se hace necesaria una reflexión sobre los límites de la acción terapéutica: la atención sobre el diálogo somático, el cuestionamiento del tabú de tocar o la integración de técnicas corporales que evoquen experiencias sensoriales y emocionales primigenias. Se revisará el significado del cuerpo para diferentes autores dentro del ámbito del psicoanálisis, tales como Freud, Reich, Bion, Winnicott, Anzieu o los teóricos del psicoanálisis relacional, en busca de un fundamento conceptual para las técnicas corporales

There are many psychotherapeutic proposals that offer corporal interventions to deal with psychic suffering, some of them lacking a solid theoretical foundation. On the other hand, different authors accept the presence of archaic experiences that maintain their influence throughout life and are inaccessible to the word. When verbal intervention is insufficient, it is necessary to reflect on the limits of therapeutic action: attention to somatic dialogue, questioning of the touch taboo or the integration of body techniques that evoke sensory and primordial emotional experiences. The meaning of the body within the psychoanalysis field, according to a range of authors such as Freud, Reich, Bion, Winnicott, Anzieu or relational psychoanalysis theorists, will be reviewed in search of a conceptual foundation for body techniques

Humanos , Cinésica , Comunicação não Verbal , Interpretação Psicanalítica , Terapia Psicanalítica/métodos , Impulso (Psicologia) , Acontecimentos que Mudam a Vida , Trauma Psicológico/psicologia , Terapias Mente-Corpo/métodos , Relações Metafísicas Mente-Corpo , Teoria Freudiana , Relações Profissional-Paciente
aSEPHallus ; 13(26): 90-112, mai.-out. 2018.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1015727


O objetivo do artigo é apontar para as possibilidades (e limites) do uso do método psicanalítico em um contexto não clínico, especificando as aproximações e os distanciamentos entre a situação clínica e a situação de pesquisa empírica. Pressupomos que o psicanalista que ocupa o lugar de entrevistador fala de um lugar de poder e de saber que produz efeitos no entrevistado. Com o cuidado de não adotar um estilo "protocolar", mas buscando apresentar sistematicamente as condições mínimas da prática da psicanálise, destacamos algumas dessas condições. Assim como na clínica, na situação de pesquisa empírica existem dois fenômenos indissociáveis: o que ocorre do lado pesquisado ou analisando; e o que ocorre do lado do pesquisador; ou analista

Le but de l'article est de mettre en évidence les possibilités (et les limites) de l'utilisation de la méthode psychanalytique dans un contexte non clinique, en précisant les approximations et les différences entre la situation clinique et la situation de la recherche empirique. Nous supposons que le psychanalyste qui occupe la place de l'intervieweur parle d'un lieu de pouvoir et de savoir qui produit des effets chez l'interviewé. En prenant soin de ne pas adopter un style "protocolaire", mais en cherchant à présenter systématiquement les conditions minimales de la pratique de la psychanalyse, nous soulignons certaines de ces conditions. Ainsi que dans la clinique, dans la situation de la recherche empirique, il existe deux phénomènes indissociables: ce qui se passe du côté de la recherche ou de l'analyse; et ce qui se passe du côté du chercheur; ou analyste

The aim of the article is to point out the possibilities (and limits) of the use of the psychoanalytic method in a non-clinical context, specifying the approximations and distances between the clinical situation and the empirical research situation. We assume that the psychoanalyst who occupies the place of interviewer speaks of a place of power and of knowing that produces effects in the interviewee. With the care of not adopting a "protocolar" style, but seeking to presentsystematically the minimum conditions of the practice of psychoanalysis, we highlight some of these conditions. As in the clinic, in the empirical research situation there are two inseparable phenomena: what happens on the researched or analyzing side; and what happens on the side of the researcher; or analyst

Humanos , Psicanálise , Terapia Psicanalítica/métodos , Pesquisa
aSEPHallus ; 13(26): 126-133, mai.-out. 2018.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1015858


Este artigo visa interrogar a direção do tratamento em um caso clínico apresentado pela psicanalista francesa Ruth Lebovici. O caso foi publicado originalmente em 1956 e intitula-se "Perversão sexual transitória no decorrer de um tratamento psicanalítico". Esse estudo evidencia os efeitos das interpretações selvagens da analista. As proposições de Freud e de Lacan sobre a interpretação e, mais especificamente, os comentários de Lacan sobre o caso, elucidam os deslizamentos sofridos na técnica psicanalítica

Cet article vise à remettre en question la direction du traitement dans un cas clinique présenté par la psychanalyste française Ruth Lebovici. L'affaire a été publiée en 1956 et s'intitule "Perversion sexuelle transitoire au cours d'un traitement psychanalytique". Cette étude met en évidence les effets des interprétations sauvages de l'analyste. Les propositions de Freud et de Lacan sur l'interprétation et, plus précisément, les commentaires de Lacan sur l'affaire, élucident les glissements subis parla technique psychanalytique

This article aims at the question of the direction of treatment in a clinical case presented by the French psychoanalyst Ruth Lebovici. The case was originally published in 1956 and is entitled "Transient Sexual Perversion in the course of a psychoanalytic treatment." This study highlightsthe effects of the analyst's wild interpretations. The propositions of Freud and Lacan on the interpretation and, more specifically, the comments of Lacan on the case, elucidate the slides suffered in the psychoanalytical technique

Humanos , Psicanálise , Interpretação Psicanalítica , Terapia Psicanalítica/métodos