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alessandra lemma

Alessandra Lemma
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June 2015: International Journal of Psycho-analysis
Alessandra Lemma
The analyst's consulting room toilet lends itself to myriad uses in the context of the analytic relationship. It is a place where "dirty" secrets may be excitedly deposited and where perverse fantasies can be fueled and acted out, as illustrated in the analysis of Mr. D. This perverse use of the analyst's toilet is contrasted with the case of Ms. C., whose anxieties about the destructiveness of her aggression led initially to a phobic avoidance of the toilet and then evolved toward its use as a container for parts of herself she felt were bad and unacceptable, thereby protecting the relationship with the analyst, who could not yet be trusted to receive and survive her projections...
February 2014: Journal of the American Psychoanalytic Association
Alessandra Lemma
In this paper the author questions whether the body of the analyst may be helpfully conceptualized as an embodied feature of the setting and suggests that this may be especially helpful for understanding patients who develop a symbiotic transference and for whom any variance in the analyst's body is felt to be profoundly destabilizing. In such cases the patient needs to relate to the body of the analyst concretely and exclusively as a setting 'constant' and its meaning for the patient may thus remain inaccessible to analysis for a long time...
April 2014: International Journal of Psycho-analysis
Alessandra Lemma
The transsexual individual confronts the analyst with a disturbing otherness. How this otherness is understood, that is, how the analyst 'looks' at the patient through her distinctive theoretical lens impacts, in turn, on the patient's experience and what transpires between them. In this paper the author outlines a developmental model rooted in attachment and object relations theory to provide one alternative way of 'looking' at some of these patients' experiences in the clinical setting. It is suggested that in some cases of transsexuality the primary object(s) did not mirror and contain an early experience of incongruity between the given body and the subjective experience of gender: it remains unmentalized and disrupts self-coherence leading to the pursuit of surgery that is anticipated to 'guarantee' relief from the incongruity...
April 2013: International Journal of Psycho-analysis
Alessandra Lemma
No abstract text is available yet for this article.
October 2012: International Journal of Psycho-analysis
Antonio S Guillén Suárez, Alessandra Stefan, Silvia Lemma, Emanuele Conte, Alejandro Hochkoeppler
A coupled enzyme assay able to monitor the kinetics of reactions catalyzed by phosphate- or pyrophosphate-releasing enzymes is presented here. The assay is based on the concerted action of inorganic pyrophosphatase (PPase), purine nucleoside phosphorylase (PNPase), and xanthine oxidase (XOD). In the presence of phosphate, PNPase catalyzes the phosphorolysis of inosine, generating hypoxanthine, which is oxidized to uric acid by XOD. The uric acid accordingly formed can be spectrophotometrically monitored at 293 nm, taking advantage of a molar extinction coefficient which is independent of pH between 6 and 9...
August 2012: BioTechniques
Peter Fonagy, Alessandra Lemma
No abstract text is available yet for this article.
2012: BMJ: British Medical Journal
Alessandra Lemma, Mary Target, Peter Fonagy
This paper describes a protocol for a brief psychodynamic intervention (Dynamic Interpersonal Therapy; DIT) for use with depressed patients and a pilot study set out to test its acceptability and compatibility with session-by-session monitoring as a prelude to a future randomized controlled trial. Sixteen consecutively referred, depressed patients (aged 20-53) were offered 16 sessions of DIT. Patient outcomes were collected pre-post, and on a session-by-session basis, using the PHQ-9 and GAD-7. Therapist and supervision feedback indicates that this structured psychodynamic treatment could be effectively taught, and that the key competences involved were acquired and demonstrated in the clinical work supervised...
2011: Psychiatry
Alessandra Lemma
Technological advances and the dominant values of contemporary culture make it possible and acceptable to alter, extend, or altogether bypass the body and its functions in actuality and in virtual space. This has contributed to a split between the body and the self, leading to a disembodied subjectivity that may encourage a neglect of the body's unconscious meaning for the individual. Due to the psychic requirement during adolescence to accommodate the reality of the changing body, some vulnerable adolescents are especially primed for the seductions of virtual space--a "space" that is nowadays not only culturally sanctioned, but also idealized...
August 2010: Journal of the American Psychoanalytic Association
Armando Tripodi, Massimo Primignani, Laura Lemma, Veena Chantarangkul, Alessandra Dell'Era, Francesca Iannuzzi, Alessio Aghemo, Pier Mannuccio Mannucci
UNLABELLED: Patients with cirrhosis possess an imbalance in procoagulant versus anticoagulant activity due to increased factor VIII and decreased protein C. This imbalance can be detected by thrombin-generation assays performed in the presence/absence of thrombomodulin (predicate assay) that are not readily available in clinical laboratories. We sought to assess this hypercoagulability with a simpler thrombin-generation assay performed in the presence/absence of Protac, a snake venom that activates protein C in a manner similar to thrombomodulin (new assay)...
July 2010: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Alessandra Lemma
The use of cosmetic surgery and procedures has sharply increased in recent years. This paper outlines an object-relational framework for understanding the unconscious fantasies that may drive the pursuit of body modification and proposes three categories of such fantasies. For some individuals, the pursuit of "beauty" through cosmetic surgery provides a psychic retreat from the reality of dependency as the self retreats into believing that it can create itself (the self-made fantasy). For others, it is a means for creating a felt-to-be ideal self, thereby averting the pain of the loss of an object that would love and desire the self (the perfect-match fantasy)...
January 2010: Psychoanalytic Quarterly
Alessandra Lemma
The focus of this paper is on individuals who present as excessively preoccupied with their body, perceiving some aspect(s) to be 'ugly' such that they feel compelled to alter and/or conceal this 'ugly' body part. These difficulties are understood as symptoms of an underlying narcissistic disturbance. The author suggests that the relative pervasiveness of an identification with a 'super'-ego accounts for the degree of severity of the disturbance (increasing the compulsion to alter and/or conceal the hated body part) and that it has implications for the patient's accessibility in analytic treatment...
August 2009: International Journal of Psycho-analysis
Manuela Cervelli, Marzia Bianchi, Alessandra Cona, Cristina Crosatti, Michele Stanca, Riccardo Angelini, Rodolfo Federico, Paolo Mariottini
Polyamine oxidases (PAOs, EC are key enzymes responsible for the terminal catabolism of polyamines in plants, bacteria and protozoa. In barley, two PAO isoforms (HvPAO1 and HvPAO2) have been previously analyzed as regards their tissue expression and subcellular localization. Only the major isoform HvPAO2 has been biochemically characterized up to now. In order to study the ear-specific expression of the HvPAO1 isoform in detail, RT-PCR analysis was performed in barley on the whole ear and on various ear tissues...
September 2006: FEBS Journal
Alessandra Lemma
In this paper the author explores the psychic functions of lying and draws on Glasser's (1979) notions of self-preservative and sadistic violence to identify three selfobject configurations. Each of these is associated with specific anxieties to which the lie offers an apparent solution. The first configuration is sadistic lying. Here the intent is to attack and triumph over the duped other. The lie allows the object to be controlled and humiliated. This gratifies the self by reversing an earlier humiliation...
June 2005: International Journal of Psycho-analysis
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