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Psychoanalytic Psychotherapy最新文献

英文 中文
Editorial 社论
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-04-03 DOI: 10.1080/02668734.2022.2101730
P. Cundy
There have been several changes at the journal recently. I am sad to report that our editor, Jessica Yakeley, left her post at the end of 2021. Jessica took up the role of editor in 2012, writing her first editorial in 26–04 which was published in December that year. Over the ensuing period she has published three books based on special issues of the journal: ‘Forensic Psychotherapy’ (Yakeley & McGauley, 2018), ‘Psychoanalytic Perspectives on Fundamentalism, Radicalisation and Terrorism’ (Yakeley & Cundy, 2019) and ‘The Social and Interpersonal Origins of Depression Today’ (Clarke et al., 2020). Jessica has been an inspirational leader for the journal, overseeing its ongoing development for a decade. On a personal note Jessica has been a positive and supportive colleague, initially helping me to settle into my role as assistant editor, and then encouraging me to expand and develop the tasks for which I have been responsible. Jessica will be greatly missed, and all involved in the journal are immensely grateful for her work here. Also leaving us is Arabella Kurtz, Book Reviews Editor, who has recently taken up a role in Northamptonshire as lead of a new NHS Staff Health and Wellbeing Service. The book reviews section has flourished under Arabella’s guidance. A particularly significant development was the ‘book review essay’, a new category that enables authors to reflect on their own personal and clinical experiences in the context of two or more books on a specific subject. I am pleased that this issue includes a review of Arabella’s recently published book ‘How to run reflective practice groups’ (Kurtz, 2020). I am delighted to welcome Rachel Hodgins into the role of Book Reviews Editor. Rachel is a Clinical Psychologist in Psychoanalytic Psychotherapy currently working at the Tavistock & Portman NHS Foundation Trust. Like Arabella, Rachel’s first degree was in English. She has previously peer reviewed articles for the journal, and also contributed a book review essay. Rachel has already begun commissioning reviews, and hopes to implement some exciting developments in our relatively new social media profiles. Rachel is a friend and former colleague and I look forward to a fruitful working relationship here at the journal. This very full issue begins with a focus on the psychosomatic. In the first of our articles Elias Seidl, Dirk Schwerthoffer and Otmar Seidl report on a study conducted in Munich which explored the role of psychodynamic factors in tinnitus aurium. Tinnitus is the conscious perception of an acoustic sensation in the absence of a corresponding external stimulus. It is experienced relatively commonly (10–15% of the population) but causes significant distress to 1–2%. In this study 99 outpatients at an ENT clinic completed a psychodynamic Psychoanalytic Psychotherapy, 2022 Vol. 36, No. 2, 59–63, https://doi.org/10.1080/02668734.2022.2101730
这家杂志最近发生了一些变化。我很遗憾地告诉大家,我们的编辑杰西卡·雅克利(Jessica Yakeley)于2021年底离职。杰西卡在2012年开始担任编辑,在26-04年撰写了她的第一篇社论,并于当年12月发表。在随后的一段时间里,她根据该杂志的特刊出版了三本书:《法医心理治疗》(Yakeley & McGauley, 2018),《原教旨主义、激进化和恐怖主义的精神分析视角》(Yakeley & Cundy, 2019)和《当今抑郁症的社会和人际起源》(Clarke等人,2020)。杰西卡一直是该杂志的鼓舞人心的领导者,监督其持续发展了十年。就我个人而言,杰西卡一直是一个积极和支持我的同事,最初帮助我适应助理编辑的角色,然后鼓励我扩大和发展我所负责的任务。我们将深深地怀念杰西卡,所有杂志社的工作人员都非常感谢她在这里的工作。离开我们的还有书评编辑阿拉贝拉·库尔茨,她最近在北安普顿郡担任了新的NHS员工健康和福利服务的负责人。在阿拉贝拉的指导下,书评板块蓬勃发展。一个特别重要的发展是“书评文章”,这是一个新的类别,使作者能够在两本或两本以上关于特定主题的书的背景下反思自己的个人和临床经验。我很高兴这一期包括对Arabella最近出版的书“如何运行反思实践小组”(Kurtz, 2020)的回顾。我很高兴欢迎蕾切尔·哈金斯担任书评编辑。雷切尔是精神分析心理治疗的临床心理学家,目前在塔维斯托克和波特曼NHS基金会信托基金工作。和阿拉贝拉一样,瑞秋的第一个学位是英语。她曾为该杂志做过同行评议,还写过一篇书评文章。Rachel已经开始委托审查,并希望在我们相对较新的社交媒体档案中实现一些令人兴奋的发展。蕾切尔是我的朋友和前同事,我期待在《华尔街日报》与她建立富有成效的工作关系。这个完整的问题从关注心身疾病开始。在我们的第一篇文章中,Elias Seidl, Dirk Schwerthoffer和Otmar Seidl报道了在慕尼黑进行的一项研究,该研究探讨了精神动力因素在耳鸣中的作用。耳鸣是在没有相应的外部刺激的情况下对声音感觉的有意识感知。这种经历相对普遍(占人口的10-15%),但对1-2%的人造成严重困扰。在这项研究中,在一家耳鼻喉科诊所的99名门诊患者完成了心理动力学精神分析心理治疗,2022年第36卷,第2期,59-63,https://doi.org/10.1080/02668734.2022.2101730
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引用次数: 0
How to run Reflective Practice Groups: a guide for healthcare professionals - 1st ed 如何运营反思实践小组:医疗保健专业人员指南-第1版
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-04-01 DOI: 10.1080/02668734.2022.2058073
Chris Dawber
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引用次数: 6
The interchange in art-psychotherapy 艺术心理治疗中的交流
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-03-28 DOI: 10.1080/02668734.2022.2048057
Liam Bierschenk
This paper addresses theories pertaining to what could be said of the state of mind of the creator in the art-making phase of art therapy, by reference to the interchange with the looking/talking phase. I pursue this exploration of the interchange within the concept of the triangular relationship: creator-artwork-viewer, as well as the three ‘waves’ of art therapy theory and practice. I conclude by making use of mathematical abstraction to describe the recursive sequence of art-making and looking/talking about the art, to pose questions about what might be occurring during these processes and which it is hoped could serve as a framework for further investigations from various theoretical standpoints.
本文通过与观看/交谈阶段的交流,阐述了在艺术治疗的艺术制作阶段,创作者的精神状态的相关理论。我在三角关系的概念中探索这种交流:创作者-艺术品-观众,以及艺术治疗理论和实践的三个“浪潮”。最后,我利用数学抽象来描述艺术创作和观看/谈论艺术的递归序列,提出关于这些过程中可能发生的事情的问题,并希望这些问题可以作为从各种理论角度进行进一步研究的框架。
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引用次数: 0
Contemporary situation of psychoanalysis and psychoanalytical therapies in France 精神分析与精神分析疗法在法国的当代状况
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-03-14 DOI: 10.1080/02668734.2022.2040047
C. Clesse, Th. Rabeyron, M. Botbol
Even if psychoanalysis no longer prevails with the extraordinary enthusiasm it inspired after World War II, it still retains an important place for many in the mental health field. This paper’s objective is to describe the current situation of psychoanalysis and psychoanalytic therapies in the French health system, showing how, in our country, it has developed to this unique position. So far, influenced by the evolution of psychoanalysis in France, historical, cultural, and societal factors added with a strong lobby from psychodynamic scholars and strong support offered by clinical psychology, psychoanalysis and psychoanalytic psychotherapies have maintained a significant practice framework in France. Despite being challenged by the dominant global position of DSM psychiatry and cognitive psychology, psychoanalysis’ influence remains strong as it does not affect only psychology and psychiatry but also extends to the humanities and social sciences. New practice types and future directions for psychoanalysis and psychoanalytic therapies are then discussed.
即使精神分析不再像第二次世界大战后那样以其激发的非凡热情而盛行,但它在心理健康领域仍然占有重要地位。本文的目的是描述法国卫生系统中精神分析和精神分析疗法的现状,展示它在我国是如何发展到这一独特地位的。到目前为止,受法国精神分析演变的影响,历史、文化和社会因素加上心理动力学学者的强大游说和临床心理学、精神分析和精神分析心理治疗师的大力支持,在法国保持了重要的实践框架。尽管受到DSM精神病学和认知心理学全球主导地位的挑战,但精神分析的影响力仍然很强,因为它不仅影响心理学和精神病学,而且还延伸到人文科学和社会科学。然后讨论了精神分析和精神分析疗法的新实践类型和未来方向。
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引用次数: 1
Eliciting emotional expressions in psychodynamic psychotherapies using telehealth: a clinical review and single case study using emotional awareness and expression therapy. 利用远程医疗在心理动力心理疗法中引出情绪表达:使用情绪意识和表达疗法的临床回顾和单例研究。
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-03-10 DOI: 10.1080/02668734.2022.2037691
Lauren R Ahlquist, Brandon C Yarns

The COVID-19 pandemic and ensuing social distancing requirements resulted in an abrupt transition in the provision of most mental healthcare to telehealth; yet it was, at first, unclear whether patients' emotional expressions - of great import to the success of many psychodynamic therapies - could be facilitated using teletherapy. This article first presents a targeted literature review focused on emotional expressions in psychotherapy and implementing psychodynamic therapy over telehealth and then describes our clinical experience transitioning a psychodynamically-informed, evidence-based, and experiential group treatment for chronic pain, emotional awareness and expression therapy (EAET), to video telehealth at VA Greater Los Angeles Healthcare System. We discuss barriers we encountered in our implementation of EAET over video telehealth but also illustrate the ultimate success of the approach using verbatim excerpts from our therapeutic work, which aim to demonstrate the potential to facilitate powerful emotional expressions over video telehealth when conducting a psychodynamically-informed treatment. We examine the possible applications for video telehealth to maintain emotionally focused, psychodynamic psychotherapy administration and enhance its teaching and training. Although we describe limitations of our specific approach, ultimately, our experience supports the potential efficacy of experiential, emotion-focused psychodynamic therapies in a telehealth setting.

COVID-19大流行和随之而来的社交距离需求导致大多数精神卫生保健的提供突然转向远程医疗;然而,一开始,人们并不清楚患者的情绪表达——这对许多心理动力疗法的成功至关重要——是否可以通过远程治疗来促进。本文首先对心理治疗中的情绪表达和远程医疗中实施的心理动力治疗进行了有针对性的文献综述,然后描述了我们在VA大洛杉矶医疗保健系统中将慢性疼痛、情绪意识和表达治疗(EAET)的心理动力知情、循证和经验团体治疗转变为视频远程医疗的临床经验。我们讨论了我们在通过视频远程医疗实施EAET时遇到的障碍,但也用我们治疗工作的逐字摘录说明了该方法的最终成功,其目的是展示在进行心理动力学信息治疗时,通过视频远程医疗促进强大情感表达的潜力。我们研究了视频远程医疗在维持情感集中、心理动力心理治疗管理和加强其教学和培训方面的可能应用。尽管我们描述了我们具体方法的局限性,但最终,我们的经验支持了远程医疗环境中以体验为中心的情感心理动力疗法的潜在功效。
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引用次数: 7
Understanding avoidant attachment in a patient with terminal cancer: a psychoanalytic perspective 从精神分析的角度理解癌症晚期患者的回避型依恋
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-02-16 DOI: 10.1080/02668734.2021.2022744
Rebecca Philipp, Alexander Krüger, R. Lindner, A. Mehnert‐Theuerkauf, S. Vehling
Describing the course of a short-term supportive-expressive psychotherapy of a male patient with terminal cancer, this study aimed to illustrate the clinical presentation of avoidant attachment behavior and to identify potential challenges in treating these patients from a psychoanalytic perspective. We analyzed eight therapy sessions, recorded and transcribed as part of a randomized controlled trial, following the explication technique of qualitative content analysis. We analyzed a patient with high attachment avoidance as assessed by the Experiences in Close Relationships Scale measuring adult attachment. We found that ‘attachment avoidance’ subsumed different defense mechanisms, which helped the patient to reduce his fear associated with (1) feelings of dependency: denial, (2) overwhelming distress: isolation of affect, displacement, (3) feelings of guilt and shame: repression, (4) regulating his interpersonal relationships: projective identification. Adding psychoanalytic interpretations to the existing material helped to identify rigid defense mechanisms interfering with sharing his fears about death and dying. Still, the low intensity setting offered him a reliable and tolerable therapeutic relationship. Contributing to the understanding of the specific challenges in treating avoidant patients, our findings underline the importance and feasibility of establishing a holding environment and fostering a positive transference relationship to engage in a joint mourning process.
本研究描述了一名癌症晚期男性患者的短期支持-抑制心理治疗过程,旨在说明逃避型依恋行为的临床表现,并从精神分析的角度确定治疗这些患者的潜在挑战。我们分析了八次治疗,作为随机对照试验的一部分,按照定性内容分析的解释技术进行记录和转录。我们分析了一名通过测量成人依恋的亲密关系体验量表评估的高度依恋回避患者。我们发现,“依恋回避”包含了不同的防御机制,这有助于患者减少与以下方面相关的恐惧:(1)依赖感:否认,(2)压倒性的痛苦:情感的孤立,流离失所,(3)内疚和羞耻感:压抑,(4)调节人际关系:投射认同。在现有材料中添加精神分析解释,有助于确定干扰他分享对死亡和死亡恐惧的刚性防御机制。尽管如此,低强度的环境为他提供了一种可靠且可以忍受的治疗关系。我们的研究结果有助于理解治疗回避型患者的具体挑战,强调了建立一个拥抱环境和培养积极的移情关系以参与共同哀悼过程的重要性和可行性。
{"title":"Understanding avoidant attachment in a patient with terminal cancer: a psychoanalytic perspective","authors":"Rebecca Philipp, Alexander Krüger, R. Lindner, A. Mehnert‐Theuerkauf, S. Vehling","doi":"10.1080/02668734.2021.2022744","DOIUrl":"https://doi.org/10.1080/02668734.2021.2022744","url":null,"abstract":"Describing the course of a short-term supportive-expressive psychotherapy of a male patient with terminal cancer, this study aimed to illustrate the clinical presentation of avoidant attachment behavior and to identify potential challenges in treating these patients from a psychoanalytic perspective. We analyzed eight therapy sessions, recorded and transcribed as part of a randomized controlled trial, following the explication technique of qualitative content analysis. We analyzed a patient with high attachment avoidance as assessed by the Experiences in Close Relationships Scale measuring adult attachment. We found that ‘attachment avoidance’ subsumed different defense mechanisms, which helped the patient to reduce his fear associated with (1) feelings of dependency: denial, (2) overwhelming distress: isolation of affect, displacement, (3) feelings of guilt and shame: repression, (4) regulating his interpersonal relationships: projective identification. Adding psychoanalytic interpretations to the existing material helped to identify rigid defense mechanisms interfering with sharing his fears about death and dying. Still, the low intensity setting offered him a reliable and tolerable therapeutic relationship. Contributing to the understanding of the specific challenges in treating avoidant patients, our findings underline the importance and feasibility of establishing a holding environment and fostering a positive transference relationship to engage in a joint mourning process.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"105 - 123"},"PeriodicalIF":0.8,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43566795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study 解离性癫痫患者三次强化短期动态心理治疗(ISTDP)的初步研究
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-02-10 DOI: 10.1080/02668734.2021.2018623
Javier Malda Castillo, E. Beton, Conor Coman, Beth Howell, C. Burness, J. Martlew, L. Russell, Joel Town, A. Abbass, G. Perez Algorta, Sophie Valavanis
Intensive Short-Term Psychodynamic Therapy (ISTDP) has demonstrated promising evidence for the treatment of several Functional Neurological Disorders (FND) including dissociative seizures. However, its implementation in secondary mental health and specialist services within the English National Health Service (NHS) is scarce. The aim of this pilot study was to explore the estimates of the therapeutic effects of a 3-session course of this treatment as well as establish safety and acceptability for a complex patient group. The study followed a mixed methods case series design and recruited 18 patients from secondary adult mental health care and specialist neurology services. Participants completed self-report outcome measures at the start, at the end and 1 month following the completion of therapy. Three open-ended questions examined their therapy experiences qualitatively and these were analysed through thematic analysis. All participants who started the treatment (N = 17) completed the intervention and attendance rates were very high (95%). No serious adverse effects were observed and the CORE-OM and BSI showed improvements both at the end of the treatment and at follow-up. Healthcare utilisation was also reduced, including acute medications, A&E attendances and crisis-line usage. The results provide preliminary support for the safe use of ISTDP in this complex group of participants, but further evidence from controlled and randomized studies is warranted.
短期强化精神动力疗法(ISTDP)已被证明是治疗包括解离性癫痫在内的几种功能性神经疾病(FND)的有希望的证据。然而,它在英国国家医疗服务体系(NHS)的二级心理健康和专家服务中的实施很少。这项试点研究的目的是探索这种治疗的三个疗程的治疗效果的估计,并确定复杂患者群体的安全性和可接受性。这项研究采用了混合方法的病例系列设计,从二级成人心理健康护理和神经专科服务中招募了18名患者。参与者在治疗开始、结束和完成治疗后1个月完成了自我报告结果测量。三个开放式问题定性地考察了他们的治疗经历,并通过主题分析进行了分析。所有开始治疗的参与者(N=17)都完成了干预,出勤率非常高(95%)。没有观察到严重的不良反应,CORE-OM和BSI在治疗结束和随访时都有所改善。医疗保健的使用率也有所下降,包括急性药物、急诊就诊和危机热线的使用。该结果为ISTDP在这一复杂的参与者群体中的安全使用提供了初步支持,但有必要从对照和随机研究中获得进一步的证据。
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引用次数: 3
The Fitzjohn’s Unit 菲茨约翰单位
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-01-02 DOI: 10.1080/02668734.2022.2025888
David L. Bell, Birgit Kleeberg
This article provides a description of the development and work of The Fitzjohn’s Unit a specialist service, housed within the Adult Department of the Tavistock and Portman NHS Foundation Trust, providing psychoanalytic psychotherapy for patients suffering from the more complex/serious disorders many of them having been unwell for many decades. The paper describes the patients treated, the model of care and also aims to show how this work can illuminate more general consideration such as the nature of the psychoanalytic attitude and the relation of psychiatry to psychoanalysis
这篇文章描述了菲茨约翰单元的发展和工作,这是一项专业服务,位于塔维斯托克和波特曼NHS基金会信托的成人部,为患有更复杂/严重疾病的患者提供精神分析心理治疗,其中许多人已经不适了几十年。本文描述了治疗的病人、护理模式,并旨在展示这项工作如何能够阐明更普遍的考虑,如精神分析态度的本质以及精神病学与精神分析的关系
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引用次数: 0
‘When I nod my head, hit it’: leadership and followership in the orchestral environment “当我点头时,就开始”:管弦乐环境中的领导力和追随力
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-01-02 DOI: 10.1080/02668734.2022.2028887
L. Hartland-Rowe
Expanding on an interdisciplinary event that was part of the Tavistock Centenary celebrations, this paper explores experiences of leadership and followership in the orchestral context. Drawing on a sample of literature from a range of sources exploring organisational life in the orchestra including organisational psychology, music education, social semiotics and sociology, and with reference to psychoanalytic and systems psychodynamics frameworks, the paper makes links between experiences of leadership and followership in the orchestra and work in the NHS.
本文在塔维斯托克百年庆典的跨学科活动的基础上,探讨了管弦乐背景下的领导力和追随者体验。本文引用了一系列探索管弦乐队组织生活的文献样本,包括组织心理学、音乐教育、社会符号学和社会学,并参考了精神分析和系统心理动力学框架,将管弦乐队的领导和追随者经验与NHS的工作联系起来。
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引用次数: 0
Pandemic: challenges in care and recovery 大流行:护理和康复方面的挑战
IF 0.8 Q1 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2022-01-02 DOI: 10.1080/02668734.2021.2022743
D. Sinha
Our experiences through the pandemic have to be viewed by reflecting on the year and a half that has been, but also what we have learnt through this experience, with a view to taking forward. The article intends to approach this topic, from a health and social care perspective coming from the author working in The Tavistock and Portman NHS Foundation Trust, a healthcare organisation, but also importantly, from a relational perspective in how we interact organisationally, as a health & social care system that is part of a wider society in this city, across the UK and the wider world. The article not only comments on systemic inequalities that have become stark in the pandemic, but also identifies corrosive and deliberate counter narratives to the themes of care and courage in this period. It concludes that the pre-existing silos of separation between the privileged and dispossessed have prevented survival and wellbeing in the wider society. The process of recovering from the pandemic is not just about the restoration of physical wellbeing but also the creation of healthier conditions in society that actively vitiate against the scourge of everyday sadism.
我们必须通过反思过去的一年半来看待我们在大流行病方面的经验,而且还要反思我们从这一经验中学到的东西,以便继续前进。这篇文章打算从健康和社会护理的角度来探讨这个话题,从作者在塔维斯托克和波特曼NHS基金会信托工作的角度来看,这是一个医疗保健组织,但更重要的是,从关系的角度来看,我们如何在组织上互动,作为一个健康和社会护理系统,是这个城市更广泛社会的一部分,在英国和更广阔的世界。这篇文章不仅评论了在大流行病中变得明显的系统性不平等,而且还指出了对这一时期的关怀和勇气主题的腐蚀性和故意的反叙述。它的结论是,先前存在的特权阶层和被剥夺者之间的隔离阻碍了更广泛社会的生存和福祉。从大流行病中恢复的过程不仅是恢复身体健康,而且是在社会中创造更健康的条件,积极消除日常虐待狂的祸害。
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引用次数: 0
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Psychoanalytic Psychotherapy
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