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Bulletin of the Menninger Clinic

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https://www.readbyqxmd.com/read/29120669/schizophrenia-as-a-psychosomatic-illness-an-interdisciplinary-approach-between-lacanian-psychoanalysis-and-the-neurosciences
#1
Yorgos Dimitriadis
According to Lacan's theory of schizophrenia (as well as other delirious forms of psychosis), under certain conditions the signifying function breaks down, thus turning the schizophrenic individual's world into one in which a number of events become enigmatic and signal him or her. The schizophrenic individual tries to deal with these signs that besiege him or her either by means of an interpretative attitude (a stable delusional mood) or by apathy. These two types of responses correspond with the stereotypical (and mood) processes by which the schizophrenic individual attempts to avoid the distress provoked by the enigmatic desire of the Other, while simultaneously corresponding with psychosomatic processes of the brain organ...
November 9, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/29120668/sexual-functioning-and-disordered-eating-a-new-perspective
#2
Annette S Kluck, Sheila Garos, Lucas Shaw
Fears about sexual maturity and intimacy were among early explanations for the etiology of eating disorders and related concerns, and research with clinical samples revealed a relationship between eating disorders and atypical sexual experiences. In contrast, feminist scholars offer explanations for both eating disorders and sexual dysfunction that emphasize societal pressures. As an alternative approach to understanding these difficulties, the authors empirically explored the relationship between the cognitive and affective aspects of sexuality and disordered eating among a nonclinical sample of 167 university women...
November 9, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/29120667/listening-to-a-patient-an-exploratory-experimental-investigation-into-the-effects-of-vocalization-and-therapist-gender-on-interpreting-clinical-material
#3
Barry Dauphin, Stacey Halverson, Sarah Pouliot, Linda Slowik
Carefully listening to the patient is of paramount importance for psychoanalysis and psychoanalytic psychotherapy. The present study explored whether patient vocalization as well as the gender of the analyst play significant roles in clinical listening. Fifty-one psychoanalysts and psychoanalytic therapists were randomly assigned to listen to one of two dramatized psychoanalytic sessions. The content of the sessions was the same for both versions, but the sessions were dramatized differently. Some differences emerged between the versions, especially on ratings of reality testing, impulse control, pressured speech, patient was confusing, and awareness of imagery...
November 9, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/29120666/like-grandparents-like-parents-empirical-evidence-and-psychoanalytic-thinking-on-the-transmission-of-parenting-styles
#4
Pietro De Carli, Angela Tagini, Diego Sarracino, Alessandra Santona, Valentina Bonalda, Paola Elena Cesari, Laura Parolin
The authors discuss the issue of intergenerational transmission of parenting from an empirical and psychoanalytic perspective. After presenting a framework to explain their conception of parenting, they describe intergenerational transmission of parenting as a key to interpreting and eventually changing parenting behaviors. Then they present (1) the empirical approach aimed at determining if there is actually a stability across generations that contributes to harsh parenting and eventually maltreatment and (2) the psychoanalytic thinking that seeks to explain the continuity in terms of representations and clinical phenomena...
November 9, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745949/short-term-psychodynamic-therapy-for-obsessive-compulsive-disorder-a-manual-guided-approach-to-treating-the-inhibited-rebel
#5
Falk Leichsenring, Christiane Steinert
Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745948/the-coconstruction-of-interpersonal-recognition-in-the-clinical-dialogue-of-the-diagnostic-process-a-multilevel-analysis-of-the-verbal-content-and-vocal-nonverbal-dimension
#6
Federica Biassoni, Lisa Boga, Maria Rita Ciceri, Margherita Lang, Laura Rivolta
The present study is an empirical evaluation of a clinical setting from a particular point of view, able to integrate the vocal dimension-used in different fields of psychology as an indicator of rational phenomena-with the linguistic dimension of contents. Starting from the "interpersonal recognition" extracted from the contents of the verbatim transcripts of some diagnostic processes using the Strumento di Valutazione del Riconoscimento Interpersonale (Evaluation Tool for Interpersonal Recognition), the variation of vocal parameters both in the clinician and in the patient were analyzed...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745947/identity-narrative-density-preliminary-findings-from-scoring-emotional-valence-of-autobiographical-events
#7
A Novac, R G Bota, B Blinder
Autobiographical Memory is a form of declarative episodic memory known to have a significant role in identity, self-regulation, and socialization. Conceivably, it may also influence outcome of psychopathology. This is a preliminary report in which the authors are proposing the notion of Identity Narrative (IdN), a set of implicit memories acquired throughout life and consolidated according to a gradient of emotional valence. IdN may constitute an implicit scaffolding for autobiographical memory. Identity Narrative Density (IND) is a score of emotional valence referring to life events that contribute to the construction of an IdN...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745946/mentalization-based-treatment-for-borderline-personality-disorder-in-adults-and-adolescents-for-whom-when-and-how
#8
Dine J Feenstra, Patrick Luyten, Dawn L Bales
Borderline personality disorder (BPD) is common in clinical practice. Psychotherapy is the treatment of choice, and mentalization-based treatment (MBT) is one of the empirically supported treatments that are currently available. For adults, two variants of MBT (MBT day hospital [MBT-DH] and MBT intensive outpatient [MBT-IOP]) have been developed and empirically evaluated. The authors review research on the development, efficacy, and implementation of MBT. In conclusion, the authors focus on the implementation of treatment programs for BPD patients...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745945/elena-a-case-of-dissociative-identity-disorder-from-the-1920s
#9
Adriano Schimmenti
In 1930, Italian psychiatrist Giovanni Enrico Morselli described the history, diagnosis, and treatment of his patient Elena. The case of Elena has been considered in literature as one of the most remarkable cases of multiple personality ever published. In fact, before treatment, Elena showed alternating French- and Italian-speaking personalities, with the Italian personality knowing nothing of her French counterparts. After a difficult treatment involving recovered memories of incestuous attacks by her father, which were proven to be true, Elena fully recovered from her symptoms...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745944/need-to-screen-for-clinical-levels-of-ocd-four-questions-are-the-key
#10
Judy H Hong, Eric B Lee, Chad T Wetterneck, John M Hart
The aim of this study was to investigate a new measure, the Wetterneck-Hart OCD Screener (WHOS), as a self-report screening tool for obsessive-compulsive disorder (OCD). The authors examined relationships between the WHOS and severity scores of OCD measures taken via three methods of data collection: online, at OCD consumer conferences, and from an intensive, residential OCD program. Severity measures included the Yale-Brown Obsessive-Compulsive Scale-Self Report (Y-BOCS-SR), the Dimensional Obsessive-Compulsive Scale (DOCS), and the Obsessive-Compulsive Inventory-Revised (OCI-R)...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745943/integrating-caring-into-patient-centered-care-through-interprofessional-education-and-ethics-the-caring-project
#11
Jane S Mahoney, Cynthia Mulder, Susan Hardesty, Alok Madan
In an era of health care that is driven by biological and technical advances, there is a need to safeguard the caring component of care, the humanistic part of care. With this in mind, the authors constructed a Patient-Centered Caring model consisting of three overlapping constructs: delivering customer service, understanding the illness experience, and providing trauma-informed care. These practices operate within an interprofessional competency context. The authors describe an interprofessional educational project focused on understanding the illness experience and providing trauma-informed care to faculty, staff, and administrators in an inpatient psychiatric setting...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745942/the-empirically-derived-violence-and-aggression-risk-index-from-the-personality-assessment-inventory-development-validation-and-application-in-general-psychiatric-settings
#12
Michael J Roche, Samuel Justin Sinclair, Christy Denckla, Wei-Jean Chung, Michelle Stein, Mark Blais
The current study developed a new index of violence risk from scales within the Personality Assessment Inventory (PAI). Clinical patients from inpatient and outpatient settings completed the PAI along with reports of violence history and arrest record. A forward-selection hierarchical logistic regression was employed (N = 388) to identify the PAI scales (AGG-P, AGG-A, NON, PAR-H, and ANT-A) that could effectively distinguish patients with and without a history of violence. These indicators were then aggregated into a single index, labeled the Violence and Aggression Risk Index (VARI)...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609149/react-a-paraprofessional-training-program-for-first-responders-a-pilot-study
#13
Madeline R Marks, Clint Bowers, Natasha S DePesa, Benjamin Trachik, Frances E Deavers, Nicholas T James
The purpose of this study was to evaluate a newly designed peer support training program for first responders titled Recognize, Evaluate, Advocate, Coordinate, and Track (REACT). REACT was developed in partnership with public safety agencies to address the need for promoting psychological health. This resulted in the development of a program that uses train-the-trainer methodology to address primary prevention of stress injuries. REACT was an all-day training that consisted of four modules, each featuring instruction and practice...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609148/an-intensive-outpatient-treatment-program-for-combat-related-ptsd-trauma-management-therapy
#14
Deborah C Beidel, Jeremy W Stout, Sandra M Neer, B Christopher Frueh, Carl Lejuez
An estimated 18.5% of veterans returning from Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn are suffering from posttraumatic stress or posttraumatic stress disorder (PTSD). The number of veterans and service duty personnel requesting VA health care services is increasing, and the VA's ability to handle requests is dwindling. Thus, both the content of interventions and the format by which these services are delivered need to be reconceptualized. The authors present a multicomponent intervention program known as Trauma Management Therapy (TMT), a comprehensive, empirically supported treatment that can be delivered in an intensive, 3-week outpatient format...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609147/transference-and-countertransference-a-review
#15
Karoline Parth, Felicitas Datz, Charles Seidman, Henriette Löffler-Stastka
Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609146/chronic-pain-management-group-psychotherapy-for-psychiatric-inpatients-a-pilot-study
#16
Patricia J Osborne, Gladys Janice Jimenez-Torres, Yulia Landa, Jane Mahoney, Alok Madan
Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In this report, the authors highlight (1) the theoretical underpinnings of and execution of the psychotherapy group, (2) the characteristics of participants in the pilot phase of the group, and (3) outcomes of group participants...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271906/recognizing-and-addressing-unique-vulnerabilities-of-suicidal-patients-suicide-research-at-the-menninger-clinic
#17
Thomas E Ellis
Suicide risk is an inescapable presence in the treatment of people with psychiatric disorders, a fact that applies especially in inpatient psychiatric settings. This article summarizes a several-year research initiative at The Menninger Clinic aimed at better understanding psychological contributors to suicidality and developing more effective clinical interventions. Two areas of research are described, an outcomes arm focused on assessing the feasibility and effectiveness of a suicide-specific intervention (The Collaborative Assessment and Management of Suicidality) and an exploratory arm whose objective is to learn about psychological vulnerabilities that distinguish suicidal from nonsuicidal patients, with an eye toward developing interventions that address such vulnerabilities...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271905/a-comprehensive-overview-of-the-neuropsychiatry-of-parkinson-s-disease-a-review
#18
REVIEW
Muhammad Adnan Khan, Syed A Quadri, Hassaan Tohid
Parkinson's disease is a widespread neurological illness. However, its psychiatric links have also been discussed lately by many authors, which has brought more depth to the specialized field of neuropsychiatry. Neuropsychiatric complications are commonly seen in Parkinson's patients, including major depression, anxiety, psychosis and hallucination, and cognitive abnormality. Almost all of these complications have a distinct pathophysiology and treatment. In this article we review the most recent studies about the association of these symptoms with Parkinson's disease and highlight the epidemiology, diagnosis, pathophysiology, and treatment of the neuropsychiatric complications, with more emphasis on the pathophysiology of these complications...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271904/discovering-the-impact-of-psychotherapeutic-hospital-treatment-for-adults-with-serious-mental-illness
#19
Jon G Allen, J Christopher Fowler, Alok Madan, Thomas E Ellis, John M Oldham, B Christopher Frueh
The authors summarize findings from a multiyear research project designed primarily to investigate outcomes of intensive, psychotherapeutic hospital treatment lasting several weeks. Patients are assessed with well-established measures at admission, and their progress is reassessed biweekly up to discharge. A follow-up component was added recently to track outcomes for 1 year after discharge. All inpatient assessments are integrated with clinical care by providing individual results for each time point to the patient and the treatment team...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936905/commentary-adverse-experiences-in-psychiatric-hospitals-might-be-the-cause-of-some-postdischarge-suicides
#20
Daniel Thomas Chung, Christopher James Ryan, Matthew Michael Large
In this article, the authors comment on "Postdischarge Suicide: A Psychodynamic Understanding of Subjective Experience and Its Importance in Suicide Prevention," by Schechter, Goldblatt, Ronningstam, Herbstman, and Maltsberger (Bulletin of the Menninger Clinic, 2016, volume 80, pp. 80-96). Suicide after discharge from psychiatric hospitals is an enduring and serious problem. Consideration needs to be given to the possibility that adverse experiences associated with hospitalization, experiences such as trauma, stigma, and loss of social support, might precipitate some suicides after discharge...
2016: Bulletin of the Menninger Clinic
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