Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry

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  1. FRONTLINE--Not your grandparents' psychoanalysis.

    Journal of the American Academy of Psychoanalys... 37(2):241 (2009) PMID 19634254

  2. Implications of the current insolubility of the mind-brain problem for the contemporary practice of psychodynamic psychiatry.

    Journal of the American Academy of Psychoanalys... 37(2):315 (2009) PMID 19591564

    Abstract Even in this so-called era of the brain, there has been no consensual agreement on understanding the genesis of the mind by the brain, the problem that also baffled Freud, the neurologist at the start of his great discoveries. Especially, there has been no progress in solving what is kn...
  3. What women want: psychodynamics of women's sexuality in 2008.

    Journal of the American Academy of Psychoanalys... 37(2):253 (2009) PMID 19591560

    Sexual differentiation of the brain and behavior occurs as the result of prenatal hormonal influences. The fact that the brain is gendered from before birth means that psychodynamic paradigms of women's development must be modernized. This article discusses extra-analytic observations that we ne...
  4. The dynamic psychiatrist: internist of the mind.

    Journal of the American Academy of Psychoanalys... 37(2):287 (2009) PMID 19591562

    Abstract As dynamic psychiatrists our main clinical focus is to understand patients' symptoms and character structure through the exploration of their past and present experiences. This occurs within the context of their biopsychosocial environment. We work with tools such as free association, i...
  5. Combined psychotherapies: searching for an order of operations in a disordered world.

    Journal of the American Academy of Psychoanalys... 37(2):299 (2009) PMID 19591563

    Abstract Recent studies of psychotherapy demonstrate that therapists of different orientations-psychodynamic, cognitive-behavioral, interpersonal, and dialectical behavioral-provide beneficial treatment. Despite the stated adherence of clinicans to one orientation or another, review of session t...
  6. A view from Riggs: treatment resistance and patient authority--X: from acting out to enactment in treatment resistant disorders.

    Journal of the American Academy of Psychoanalys... 37(2):365 (2009) PMID 19591566

    Abstract Patients with treatment resistant disorders pose a major problem to clinicians of all theoretical perspectives, including psychodynamic therapists. Treatment of such patients often results in stalemates and impasses, and acting out is a frequent phenomenon. This paper addresses the valu...
  7. Delineating prototypes of training psychotherapy.

    Journal of the American Academy of Psychoanalys... 37(2):353 (2009) PMID 19591565

    Abstract There is no reported research comparing psychotherapy for trainees to psychotherapy for clinical patients. This preliminary study examines similarities and differences between the Training Psychotherapy Experience (TPE), an elective offered to residents in a large psychiatry training pr...
  8. Dynamic psychopharmacology and treatment adherence.

    Journal of the American Academy of Psychoanalys... 37(2):269 (2009) PMID 19591561

    Abstract The practice patterns of US psychiatrists have changed over the last two decades, favoring brief clinical encounters and a primary emphasis on pharmacologic care. The main focus of this paper is to illustrate the relevance of psychodynamic principles to prescribing practices. Psychodyna...
  9. The patient who believes and the analyst who does not (1).

    Journal of the American Academy of Psychoanalys... 37(1):99 (2009) PMID 19364262

    A patient's religious beliefs and practices challenge the clinical experience and self-knowledge of the analyst owing to a great complexity of factors, and often take the form of the analyst's resistances and countertransference reactions to spiritual and religious issues. The analyst's feelings...
  10. Self-reparation in religious experience and countertransference.

    Journal of the American Academy of Psychoanalys... 37(1):45 (2009) PMID 19364258

    This work examines the regressive nature of religious experience and suggests that some people's experience repairs the underlying wounds that in part motivated the regression while others remained fixated in the blissful absence of those wounds. It also investigates what takes place in those ex...
  11. Psychoanalysis and spirituality-catastrophic change and becoming "o".

    Journal of the American Academy of Psychoanalys... 37(1):137 (2009) PMID 19364265

    This article considers the relationship between post-Kleinian psychoanalysis and spiritual experience in the healing process of a physically ill man undergoing medical care for an unknown disorder. He entered psychoanalytic psychotherapy after two years of being ill and after numerous medical in...
  12. The clash of Gods: changes in a patient's use of God representations.

    Journal of the American Academy of Psychoanalys... 37(1):73 (2009) PMID 19364260

    In this article, I argue that manifest and latent intrapsychic and interpersonal clashes of god representations, which are inextricably yoked to transference and countertransference communications, signify the patient's and therapist's personal realities and histories. More specifically, the the...
  13. Working with a patient claiming a direct relationship with god: encountering otherness.

    Journal of the American Academy of Psychoanalys... 37(1):21 (2009) PMID 19364256

    Although we expect to encounter otherness in the consulting room, some types of otherness are more difficult to encounter than others. Differing ethnicities, religions, lifestyles, or other aspects of worldview can bring us into uneasy alliance with the other, as we also encounter disowned or un...
  14. Why bother with god?

    Journal of the American Academy of Psychoanalys... 37(1):59 (2009) PMID 19364259

    An account is offered of a longterm psychotherapy with a patient for whom religious experience, especially her image of God, was central in the work of the therapy. The patient's image of God is explored psychodynamically in order to discern the impact this image had on the therapeutic relations...
  15. When the light shed by God is dimmer than the light shed upon God: countertransference illumination of latent religious object representations of a Jewish patient in psychoanalysis.

    Journal of the American Academy of Psychoanalys... 37(1):189 (2009) PMID 19364269

    A report is offered of the psychoanalysis of an emotionally constricted, religiously devout ko'hen, a member of the Jewish priestly class, undertaken with the author, himself a religiously committed Jew. While the analysand brought a great deal of material to his hours and was deeply committed t...
  16. Sacred space, analytic space, the self, and god.

    Journal of the American Academy of Psychoanalys... 37(1):175 (2009) PMID 19364268

    Parental figures influence the type of religious experiences a person may have. Clinical material from the analysis of a young woman documents the importance of having an actual sacred space in which one can be oneself in religious life and a psychoanalytic space during treatment to progressivel...
  17. The mutual redemption of divine and human being.

    Journal of the American Academy of Psychoanalys... 37(1):111 (2009) PMID 19364263

    A clinical experience with a religiously-minded patient is presented, in which an unthinking observation made by the analyst-based on the mistaken belief that he and his patient had evolved a shared God language-proved nearly catastrophic for the work. Subsequent analysis revealed the complicate...
  18. Struggles with god: transference and religious countertransference in the treatment of a trauma survivor.

    Journal of the American Academy of Psychoanalys... 37(1):165 (2009) PMID 19364267

    Transference and countertransference in treatment situations where the patient and the therapist share religious faith can be complex. This article discusses the course of therapy of a Christian woman with a history of trauma and depression by a therapist who shared her religious orientation. Co...
  19. The role of religious imagery in adaptive psychotherapy.

    Journal of the American Academy of Psychoanalys... 37(1):85 (2009) PMID 19364261

    This paper presents the viewpoint of the adaptive approach in respect to manifest allusions to God and other religious themes from patients in psychotherapy and psychoanalysis. Such imagery is understood and interpreted on a par with secular imagery, as reflections of encoded deep unconscious ex...
  20. Man is born broken. He lives by mending. the grace of God is glue. How religion can Enrich an analysis.

    Journal of the American Academy of Psychoanalys... 37(1):153 (2009) PMID 19364266

    The patient, a 59-year-old Caucasian male, was self-referred for analysis. The analysis lasted a period of four years on a thrice-weekly basis. The patient introduced the topic of religion directly in the analysis, and the analyst initially treated it as a psychological construct. The importance...