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Alison E Lenet, Yael Holoshitz, Lauren K Havel, Deborah L Cabaniss
Psychodynamically oriented psychotherapists are faced with the question of what to say to new patients about the therapy they are beginning. This article reviews historical attitudes about early treatment discussions with patients in psychoanalysis with an emphasis on how these discussions have evolved as informed consent became a standard of care. Approaches to talking to patients about therapeutic action in psychodynamic psychotherapy are discussed, including the development and application of a psychoeducational document that is being used to facilitate these discussions in the outpatient residents' clinic of a large urban academic medical center...
October 1, 2018: American Journal of Psychotherapy
Jelena Epping, Martina de Zwaan, Siegfried Geyer
INTRODUCTION: In employed populations sickness absence can be used as a good indicator of health status. In the present study, it was examined how periods of sickness absence are developing within one year before and after psychotherapy under comparison of three types of psychotherapy (behavior therapy, psychodynamic psychotherapy, and psychoanalysis), all fully covered by statutory health insurance. METHODS AND DATA: The analyses were performed with pseudonymized claims data from the AOK Niedersachsen, a statutory health insurance (N=2,900,065 insured)...
August 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
Neil Raveen Jeyasingam
OBJECTIVES: This article discusses Lady Macbeth's famous sleepwalking scene from the Shakespearean tragedy, and how it became used as a template for the formulation of obsessive-compulsive disorder. CONCLUSIONS: Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions...
February 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Zelda Gillian Knight
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...
September 2017: Clinical Psychology & Psychotherapy
Saeed Shoja Shafti
Vital to the contemporary exercise of psychiatry is the biopsychosocial approach, with psychotherapy as its well-defined, and requisite, constituent. The key objectives of psychoanalysis and other related therapies are the amelioration of symptoms and modification of character by probing the unconscious. But the practice of psychoanalysis and similar insight-oriented techniques is in developing nations is different from developed countries due to cultural and educational reasons, along with a shortage of required facilities...
2016: American Journal of Psychotherapy
Marcia Kaplan
Regression is a ubiquitous phenomenon in psychodynamic psychotherapy and psychoanalysis, typically part of a reorganization that leads to progression, at least with respect to recruiting elements in the unconscious to consciousness. Regression in patients with conversion disorder (i.e., pseudo-neurological symptoms without an organic basis) is often itself somatic/physical rather than psychic in nature. Psychotherapists working with these patients must be prepared for confusing or frightening forms of regression that should be expected as part of the therapeutic process...
December 0: Psychodynamic Psychiatry
Claudia Subic-Wrana, Leslie S Greenberg, Richard D Lane, Matthias Michal, Jörg Wiltink, Manfred E Beutel
OBJECTIVES: Affective change has been considered the hallmark of therapeutic change in psychoanalysis. Psychoanalytic writers have begun to incorporate theoretically the advanced understanding of emotional processing and transformation of the affective neurosciences. We ask if this theoretical advancement is reflected in treatment techniques addressing the processing of emotion. METHODS: We review psychoanalytic models and treatment recommendations of maladaptive affect processing in the light of a neuroscientifically informed model of achieving psychotherapeutic change by activation and reconsolidation of emotional memory...
September 2016: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
Fernanda Barcellos Serralta, John Stuart Ablon
INTRODUCTION: The Psychotherapy Process Q-Set (PQS) prototype method is used to measure the extent to which ideal processes of different psychotherapies are present in real cases, allowing researchers to examine how adherence to these models relates to or predicts change. Results from studies of short-term psychotherapies suggest that the original psychodynamic prototype is more suitable for studying psychoanalysis and long-term psychodynamic psychotherapy than its time-limited counterparts...
June 27, 2016: Trends in Psychiatry and Psychotherapy
R Lindner, B Schneider
Psychotherapy is an important therapeutic option in the treatment of suicidality. Irrespective of the different treatment settings the psychotherapeutic attitudes, strategies and techniques are presented as they were developed on the basis of cognitive behavioral therapy and psychoanalysis. Starting from the common basic attitude of an active, approachable and for the patient recognizable therapist, the cognitive behavioral attitude is defined by the concept of a "team" involving patient and therapist, which fights against suicidality...
May 2016: Der Nervenarzt
Graeme J Taylor
Although Freud considered castration to be one of the two major anxieties of human life, the castration complex has been relatively neglected in contemporary psychoanalytic writing and is insufficiently discussed in presentations of clinical cases. This article discusses the relevance of the concept to contemporary psychoanalysis and psychodynamic psychotherapy, in particular the important contributing role of castration conflicts in the pathogenesis of a wide range of clinical symptoms. The author begins by briefly reviewing some classical and contemporary psychoanalytic ideas about castration to show how the concept has broadened and is currently used not only to signify fear of damage to or loss of the genital, but also metaphorically to indicate a threat to or loss of any valued human characteristic or function...
March 2016: Psychodynamic Psychiatry
Kaisa Jyrä, Paul Knekt, Olavi Lindfors
OBJECTIVE: The aim of this study was to investigate the influence of psychotherapy treatments of different lengths, number of sessions, and type on health behaviour. METHOD: A total of 367 patients were monitored for their health behaviour (alcohol consumption, body mass index), serum cholesterol (total and HDL), smoking and exercise) for five years from the start of the therapy. The effectiveness of solution-focused therapy, short-term psychodynamic psychotherapy, and long-term psychodynamic psychotherapy (LPP) was examined in a randomized clinical trial, while the LPP group and the non-randomized psychoanalysis (PA) group were compared in a naturalistic design...
July 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
Angela M Hegarty
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...
December 2015: Journal of the American Academy of Psychiatry and the Law
Norman A Clemens
Therapies based on psychoanalytic theory and practice are individualized to the unique needs of each patient. They are best viewed on a continuum, a spectrum of approaches that are modulated according to the difficulties and the character structure of each person as they manifest themselves at that moment in the person's history. As people change over the course of treatment, the treatment modality may evolve accordingly. The many elements of a psychoanalytically based therapy move along that continuum in a way better calibrated on an analogic curve than on a digital scale with discrete gradations...
November 2015: Journal of Psychiatric Practice
Otto F Kernberg
No abstract text is available yet for this article.
October 2015: Journal of the American Psychoanalytic Association
Fredric N Busch, Barbara L Milrod
Separation anxiety, long an area of interest for psychoanalysts, has been included in DSM-5 among general "anxiety disorders" that span across age groups. The syndrome of separation anxiety has been shown to correlate with nonresponse to treatments for anxiety and mood disorders (Milrod et al. 2014). It is therefore of public health importance to develop targeted treatments for this syndrome. Some psychoanalysts have suggested that brief psychoanalytic interventions may be of particular value in addressing separation anxiety...
October 2015: Journal of the American Psychoanalytic Association
Bhaskar Sripada
Freud stated that any line of investigation which recognizes transference and resistance, regardless of its results, was entitled to call itself psychoanalysis (Freud, 1914a, p. 16). Separately he wrote that psychoanalysis was the science of unconscious mental processes (Freud, 1925, p. 70). Combining these two ideas defines Essential Psychoanalysis: Any line of treatment, theory, or science which recognizes the facts of unconscious, transference, or resistance, and takes them as the starting point of its work, regardless of its results, is psychoanalysis...
September 2015: Psychodynamic Psychiatry
Mariano De Iceta Ibáñez De Gauna, M Angela Soler Roibal, José Antonio Méndez Ruiz, Joaquin Ingelmo Fernández, Hugo B Bleichmar
This article presents the concept of "moments of high receptiveness" (MoHR or "Momentos de Alta Receptividad"), which is derived from the concept of "experiential coupling" ("Acoplamiento de Experiencias") proposed by Bleichmar (2001). Experiential coupling recently received empirical support by the work of Schiller and colleagues (2010). We will also show the conceptual placing of moments of high receptiveness with respect to the developments of Stern and colleagues (Stern and et al...
2015: American Journal of Psychotherapy
Leon Hoffman
In this paper the lasting effect of the work of Berta Bornstein is described, particularly the technique of interpreting defenses against unpleasant emotions when beginning an analysis with a young child. This technique is illustrated in the analysis of the patient she called "Frankie" (1949). Although her work is rarely cited (perhaps because she did not publish widely as a result of the dominance of the oral tradition at the New York Psychoanalytic Society and Institute), her work remains centralfor child psychoanalysis and psychodynamic psychotherapy, with the evolution of the experience-near technique of interpreting defenses against unpleasant emotions...
2014: Psychoanalytic Study of the Child
Richard D Chessick
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...
December 2014: Psychodynamic Psychiatry
Tom Bschor, Michael Bauer, Mazda Adli
BACKGROUND: The 12-month prevalence of depression in Europe is approximately 7%; depression becomes chronic in 15-25% of sufferers. One-third to one-half do not respond to an initial trial of drug therapy lasting several weeks. METHODS: Selective literature review, including consideration of the German National Disease Management Guideline Unipolar Depression. RESULTS: At the end of an initial trial of treatment with an antidepressant drug, usually lasting four weeks, its efficacy should be evaluated systematically...
November 7, 2014: Deutsches Ärzteblatt International
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