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Attachment psychoanalysis

Jessica Yakeley
Like any discipline, psychoanalysis has evolved considerably since its inception by Freud over a century ago, and a multitude of different psychoanalytic traditions and schools of theory and practice now exist. However, some of Freud's original ideas, such as the dynamic unconscious, a developmental approach, defence mechanisms, and transference and countertransference remain essential tenets of psychoanalytic thinking to this day. This Review outlines several areas within modern mental health practice in which contemporary adaptations and applications of these psychoanalytic concepts might offer helpful insights and improvements in patient care and management, and concludes with an overview of evidence-based psychoanalytically informed treatments and the links between psychoanalysis, attachment research, and neuroscience...
May 2018: Lancet Psychiatry
John S Auerbach, Diana Diamond
Mental representation was a central construct in Sidney Blatt's contributions to psychology and psychoanalysis. This brief review demonstrates that Blatt's understanding of representation was always informed by basic psychoanalytic concepts like the centrality of early caregiver-infant relationships and of unconscious mental processes. Although Blatt's earlier writings were informed by psychoanalytic ego psychology and Piagetian cognitive developmental psychology, they focused nonetheless on how an individual uses bodily and relational experiences to construct an object world; they also consistently presented object representations as having significant unconscious dimensions...
June 2017: Journal of the American Psychoanalytic Association
M Economou, L E Peppou, K Geroulanou, K Kontoangelos, A Prokopi, A Pantazi, A Zervakaki, C N Stefanis
Stigma and mental health literacy affect access to and quality of treatment of major depression. Though mental health professionals seem better able to recognize major depression than the general public, they often hold similarly stigmatizing attitudes towards people suffering from the disorder. These attitudes are shaped jointly by the public stigma attached to mental illnesses as well as by the content and delivery of mental health professionals' undergraduate training. In line with this, the present study aimed to explore psychology students' ability to recognize major depression, their attitudes towards the disorder, and their views surrounding helpfulness of various interventions...
January 2017: Psychiatrikē, Psychiatriki
Maria Saridi, Aikaterini Kordosi, Aikaterini Toska, Lily Evangelia Peppou, Marina Economou, Kyriakos Souliotis
INTRODUCTION: The stigma of mental illness and the ensuing social exclusion are due to the lack of knowledge on the causality of mental illness. AIM: The purpose of this study was to record the stigmatic attitudes of health professionals towards depression, patients suffering from it and the available therapeutic approaches. MATERIAL AND METHODS: The sample of the study included 609 health professionals working in the General Hospital of Corinth...
January 1, 2017: International Journal of Social Psychiatry
Mauricio Cortina
Although contemporary psychoanalysis is split into different schools and traditions, there is growing support for some of the main tenets of contemporary psychodynamic thinking from attachment theory, infant research, developmental psychopathology, new models of motivation, the neuroscience of emotions and emotional regulation, and the discovery of different implicit and explicit memory systems. These tenets, which psychodynamic clinicians of all stripes encounter in their daily work with clients, are the following: (1) that large footprints are left over from infancy and childhood which involved insensitive, intrusive, frightening, or shaming care; (2) the carryover of these relational experiences into adulthood are expressed as unconscious expectations and attributions we make of others (transference and countertransference; (3) defensive processes and emotional regulation and deregulatory patterns develop to cope with these unhealthy relations...
December 2016: Psychoanalytic Review
A Carson, L Ludwig, K Welch
In this chapter we review key psychologic theories that have been mooted as possible explanations for the etiology of functional neurologic symptoms, conversion disorder, and hysteria. We cover Freudian psychoanalysis and later object relations and attachment theories, social theories, illness behavior, classic and operant conditioning, social learning theory, self-regulation theory, cognitive-behavioral theories, and mindfulness. Dissociation and modern cognitive neuroscience theories are covered in other chapters in this series and, although of central importance, are omitted from this chapter...
2016: Handbook of Clinical Neurology
David P Celani
Fairbairn's unique structural theory with its three pairs of selves and objects has proven to be a highly usable and practical model of the human psyche, yet it has remained a minor player in the world of psychoanalysis. There are a number of factors that account for its lack of popularity, foremost among them the timing of the model's introduction to the analytic community. Fairbairn's four successive papers that described his metapsychology (1940, 1941, 1943, and 1944) were published just after Freud's death, when his theory was the dominant model of psychoanalysis...
June 2016: Psychoanalytic Review
Lydia Marinelli, Andreas Mayer
Argument Animals played an important role in the formation of psychoanalysis as a theoretical and therapeutic enterprise. They are at the core of texts such as Freud's famous case histories of Little Hans, the Rat Man, or the Wolf Man. The infantile anxiety triggered by animals provided the essential link between the psychology of individual neuroses and the ambivalent status of the "totem" animal in so-called primitive societies in Freud's attempt to construct an anthropological basis for the Oedipus complex in Totem and Taboo...
March 2016: Science in Context
Jochem Willemsen, Shana Cornelis, Filip M Geerardyn, Mattias Desmet, Reitske Meganck, Ruth Inslegers, Joachim M B D Cauwe
The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies ( to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%...
2015: Frontiers in Psychology
Charles R Swenson, Lois W Choi-Kain
Dialectical Behavior Therapy (DBT) and Mentalization-Based Treatment (MBT) are two approaches to the treatment of borderline personality disorder (BPD). While DBT has the most empirical support, MBT has a small but significant evidence base. Dialectical behavior therapy synthesizes behaviorism, mindfulness, and dialectics, while MBT is conceptually anchored in psychoanalysis, attachment theory, cognitive neuroscience, and developmental psychopathology. While coming from strikingly different orientations, DBT and MBT therapists share more interventions and stances than one might suppose...
2015: American Journal of Psychotherapy
John J Hartman
This article explores the period of Anna Freud's life after she was informed of the deaths of her aunts in Nazi concentration camps during World War II. Understanding of this period may be enhanced by consideration of the role of the Holocaust in her complicated mourning process. A series of her dreams is re-examined from the point of view of survivor guilt and the complicated mourning of her father in the context of the Holocaust. It is argued that unconscious reproaches against her father led to an identification with him that included his 'decision' to leave his sisters in Vienna...
December 2014: International Journal of Psycho-analysis
Björn Salomonsson
The theory of psychoanalysis has always relied on speculations about the infant's mind, but its clinical practice was slow in taking an interest in babies and their parents. The therapy methods that nevertheless have evolved during the last 50 years differ in their emphasis on support or insight, which roles they attribute to mother and baby in therapy, and to what extent they focus on the unconscious influences in mother and baby, respectively. They also differ to what extent their theories rely on classical psychoanalysis, attachment psychology, developmental psychology, and infant research...
June 2014: Psychodynamic Psychiatry
H Trosman
The adolescence of creative individuals appears retrospectively preparatory. It is a period of apprenticeship permitting ego integrations of new identifications and the amalgamation of attachments from the past with goals for the future. A period of moratorium during which there is seeming inactivity permits the consolidation of new skills and interests. In Sigmund Freud's case, the period of early adolescence (following the onset of puberty) may have provided an opportunity for psychological discoveries through experiments with free association...
September 1978: Journal of Youth and Adolescence
Louis Breger
The different conceptions of sexuality in classical and contemporary psychoanalysis are explored. Freud's misguided theories of sexual or libidinal drives and the Oedipus complex are shown to be defenses against his own traumatic attachment history. The evidence for this is found in a review of his childhood and self-analysis, and further illustrated with the cases reported in the Studies on Hysteria and elsewhere. Modern views of sex turn these old theories on their heads, demonstrating that sexual fantasies and actions are phenomena, unique to each individual, that are themselves in need of explanation...
February 2014: Journal of Clinical Psychology
Jonathan D Redmond
In contemporary Lacanian psychoanalysis, Verhaeghe's theory of actualpathology psychopathology in psychosis and the Millerian idea of "ordinary psychosis" provide diverging conceptual approaches to psychosis. In this paper, the two approaches to psychosis are examined with a particular emphasis on "mild psychosis" and compensatory mechanisms. Despite the shared focus on similar clinical phenomena, particularly body disturbances, these two theories provide different explanations of psychosis. Verhaeghe's theory of psychosis is a synthesis of Lacanian theory, Freud's idea of actual neurosis and psychoanalytic attachment concepts...
2013: Frontiers in Psychology
Sibylle Winter, Anna Jelen-Mauboussin, Klaus Lenz, Christine Pressel, Ulrike Lehmkuhl
32 clinical patients (5-15 years) were diagnosed with an OPD-CA interview-manual (Winter, 2004). To investigate practicability of OPD-CA for patients with migration background (N = 14) a comparison with patients without migration background (N = 18) was carried out. There were patients with different ethnical backgrounds. The OPD-CA covers the axes prerequisites for treatment, interpersonal relation, structure and conflicts. Both groups showed equal prerequisites for treatment, interpersonal relation and conflicts...
2013: Praxis der Kinderpsychologie und Kinderpsychiatrie
Carola Cropp, Simone Salzer, Leonard F Häusser, Annette Streeck-Fischer
The axis structure of the Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) has proven to be a reliable and valid diagnostic tool under research conditions. However, corresponding data regarding the integration of OPD-CA axis structure into clinical practice is still lacking. Hence, this aspect was examined as part of a randomized controlled clinical trial realized at Asklepios Fachklinikum Tiefenbrunn. Here, the OPD-CA axis structure has been applied to assess the structural level of 42 adolescent patients (15-19 years)...
2013: Praxis der Kinderpsychologie und Kinderpsychiatrie
Graeme J Taylor, R Michael Bagby
An extensive body of research on the alexithymia construct is reviewed to show how various empirical methodologies can be used to evaluate the validity and increase our understanding of theoretical and clinically derived psychoanalytic concepts. The historical background of alexithymia and the theoretical framework in which the construct was formulated are presented, after which measurement- and experiment-based approaches to construct validation are described. This is followed by a review of empirical investigations that have yielded evidence that alexithymia is a dimensional personality trait associated with several illnesses of interest to psychoanalysts...
February 2013: Journal of the American Psychoanalytic Association
Robbert Wille
Aspects of the analyst's person may facilitate or, conversely, inhibit the establishment of analytic contact. The author argues that the analyst's trust in psychoanalysis as a method, which is a component of analytic identity, is a crucial element in the analyst's functioning during the initial interviews. Trust is here distinguished from belief After a historical outline of the transition from indication to the initiation of psychoanalyses as an interactive process, trust as an analytic concept is discussed, both in general terms and with specific reference to the initial interviews...
October 2012: Psychoanalytic Quarterly
Cecilio Paniagua
This paper deals with what seems an insufficiently explored aspect of psychoanalytic practice: the ripple effect of a patient's evolution on the present and future of his or her significant others. Clinical vignettes are provided to illustrate patients' influence on relatives; patients acting as therapists; psychoanalysis by proxy; the ripple effect in psychotherapy; and some countertransference problems. The psychic lives of individuals not in treatment may be considerably affected by their interactions with our patients; seemingly, extraclinical character adjustments may ensue...
October 2012: Psychoanalytic Quarterly
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