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Therapists' relationships with their patients in the intake interview: an empirical comparison of psychodynamically and cognitive-behaviorally oriented psychotherapists. 治疗师与患者的关系:心理动力学和认知行为导向的心理治疗师的经验比较。
Pub Date : 2002-01-01 DOI: 10.1521/jaap.30.3.451.21973
Hermann Faller, Rudolph F Wagner, Heinz Weiss, Hermann Lang
This study was conducted in a real-life clinical practice setting and assessed the working alliances, countertransference feelings, diagnostic ratings, and prognostic judgments among psychotherapists at a university outpatient clinic. The study was based on the intake judgments of 9 psychodynamically and 4 cognitive-behaviorally oriented therapists, who had been assessed after having completed their diagnostic interviews with 144 and 89 patients, respectively. Cognitive-behaviorally oriented therapists perceived the quality of the working alliance to be better and their feelings of sympathy to be stronger than did psychodynamically oriented therapists. In addition, they perceived patients' motivation, the amount of shared understanding of the illness as well as several prognostical factors to be more favorable. The results may reflect different therapeutic philosophies and value systems inherent to the cognitive-behavioral and psychoanalytic orientations.
本研究在现实生活的临床实践环境中进行,评估了大学门诊心理治疗师的工作联盟、反移情感受、诊断评分和预后判断。这项研究基于9名心理动力学治疗师和4名认知行为治疗师的摄入判断,他们分别对144名和89名患者完成了诊断性访谈后进行了评估。认知行为导向的治疗师比心理动力导向的治疗师感知到工作联盟的质量更好,他们的同情心也更强。此外,他们认为患者的动机、对疾病的共同理解以及一些预后因素更有利。结果可能反映了认知行为取向和精神分析取向所固有的不同治疗哲学和价值体系。
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引用次数: 4
Afterword to Krazy: George Herriman's Krazy Kat cartoon and its appeal to E. E. Cummings. 《疯狂》后记:乔治·赫尔曼的《疯狂猫》卡通及其对e·e·卡明斯的吸引力。
Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.2.249.21948
D. Forrest
George Herriman's "Krazy Kat," a linguistically innovative and trenchant comic strip that appeared in newspapers from 1916-1944, attracted the attention of our major American poet, e. e. cummings, who wrote a foreword to a collection of the strips and admired it for its transcendent celebration of love over egoism in a triadic relationship, its scorn of politics, and its brick-throwing irreverence. Similarities between Cummings's and Herriman's work include language play, humorous voices, examinations of dimensions of empathy and theory of mind, musicality, and humanistic religiosity.
乔治·赫里曼(George Herriman)的《疯狂猫》(Krazy Kat)是一部在语言上具有创新精神的、犀利的连环漫画,在1916年至1944年期间出现在报纸上,引起了美国主要诗人e·e·卡明斯(e. e. cummings)的注意,他为这部连环漫画的合集写了一篇前言,并赞赏它在三权关系中对爱胜过利己主义的卓越庆祝,对政治的蔑视,以及对扔砖的不敬。卡明斯和赫里曼作品的相似之处包括语言游戏、幽默的声音、对共情和心理理论维度的考察、音乐性和人文主义宗教信仰。
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引用次数: 0
A Streetcar Named Desire--psychoanalytic perspectives. 《欲望号街车》——精神分析的视角。
Pub Date : 2002-01-01 DOI: 10.1521/JAAP.30.1.135.21985
J. Silvio
Tennessee Williams expressed in A Streetcar Named Desire aspects of his own psychic conflict that erupted after he reached sudden success with the play's predecessor The Glass Menagerie. Interpretations are suggested about those psychic conflicts and their emotional and behavioral manifestations through an analysis of both the play and the author's life history. In particular, the playwright's childhood experiences within a troubled family, his painful relationships with a rejecting, abusive father and an unhappy, controlling mother, and his helpless witnessing of the suffering inflicted upon his beloved sister are linked to the contrasting themes, characters, and action in both dramas.
田纳西·威廉姆斯在《欲望号街车》中表达了他自己的心理冲突,这种冲突是在他凭借该剧的前作《玻璃动物园》获得突然成功后爆发的。通过对剧作和作者生平的分析,对这些心理冲突及其情感和行为表现进行解读。特别是,剧作家在一个问题家庭中的童年经历,他与一个拒绝、虐待的父亲和一个不快乐、控制欲强的母亲的痛苦关系,以及他无助地目睹他心爱的妹妹遭受的痛苦,这些都与两部戏剧中截然不同的主题、人物和动作联系在一起。
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引用次数: 6
A Fond Farewell 深情的告别
Pub Date : 2001-12-01 DOI: 10.1521/jaap.29.4.531.21540
J. Bemporad
Dr Keng might not have been able to explain the benefit of frog flesh poultice, but I’ll give it a try. Indigenous peoples have long recognized the powers of skin secretions from reptiles and amphibians, especially frogs. The earliest scientific investigations of frog flesh secretions focused on some of their more exotic uses. So it was in the 1970s when J. W. Daly began analyzing the toxic alkaloid from the poison dart frog that the Embera Indians use to make their famously lethal blow darts. As scientists began to study other frog species, they found hundreds of skin secretions that had toxic, noxious, anesthetic, and antimicrobial activity. Though all of these substances had evolved to protect the frogs from predation, injuries, or infections, it did not take long for humans to explore their more anthropocentric benefits. Stoners praise the natural high from licking a Bufo frog (something I would definitely NOT recommend!). Macho Peruvians enhance their libido with some freshly blended live Titicaca frog juice. The pharmaceutical industry is most interested in antimicrobial peptides produced by frogs. Frogs of the Rana genus are particularly prolific at producing antimicrobial peptides. Indeed, in Dr Keng’s full report, he specified use of the common edible frog, Rana esculenta. Of the hundreds of amphibian antimicrobial peptides researchedso far, it is in fact esculentin-1b that shows themost promise. It has a broad range of activity against grampositiveandgram-negativeorganisms.Concentrations thatare bactericidal do not affect eukaryotic cells, and esculentin-1b retains its activity in the presence of human serum, somethingmany other antimicrobial peptides do not. Especially at a timeof increasinglymultidrug-resistant super bugs, the potential for this new class of substances to augment or even replace older antibiotics is generating a tremendous amount of research interest. We are not yet at the stage where you can powder your wound with purified frog flesh, but we’re probably a lot closer than Dr Keng could ever have imagined. Editor's Note
金医生可能无法解释青蛙肉膏药的好处,但我要试一试。土著居民很早就认识到爬行动物和两栖动物,尤其是青蛙皮肤分泌物的力量。对青蛙肉分泌物最早的科学研究集中在它们的一些更奇特的用途上。因此,在20世纪70年代,j·w·戴利开始分析安比拉印第安人用来制作他们著名的致命飞镖的毒镖蛙中的有毒生物碱。当科学家们开始研究其他种类的青蛙时,他们发现了数百种具有有毒、有毒、麻醉和抗菌活性的皮肤分泌物。虽然所有这些物质都是为了保护青蛙免受捕食、伤害或感染而进化出来的,但没过多久,人类就发现了它们更以人类为中心的好处。吸食大麻的人称赞舔蟾蜍蛙的自然快感(我绝对不推荐!)有男子气概的秘鲁人用新鲜混合的喀喀岛活青蛙汁来增强他们的性欲。制药行业对青蛙产生的抗菌肽最感兴趣。蛙属蛙类在生产抗菌肽方面尤其多产。事实上,在耿博士的完整报告中,他详细说明了普通食用蛙蛙的用途。在迄今为止研究的数百种两栖动物抗菌肽中,实际上鱼苗素-1b是最有前途的。它对革兰氏阳性和革兰氏阴性生物具有广泛的活性。具有杀菌作用的浓度不会影响真核细胞,并且esculentin-1b在人血清中保持其活性,这是许多其他抗菌肽所不能做到的。尤其是在超级耐多药细菌日益增多的时代,这种新型物质增强甚至取代旧抗生素的潜力正在引起巨大的研究兴趣。我们还没有达到可以用纯化的青蛙肉在伤口上撒粉的阶段,但我们可能比肯博士想象的要接近得多。编者按
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引用次数: 0
THE COMPLEXITY OF EVIL 邪恶的复杂性
Pub Date : 2001-03-01 DOI: 10.1521/JAAP.29.1.147.17183
J. Bemporad
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引用次数: 7
The currency of mythology. 神话的货币。
Pub Date : 2001-01-01 DOI: 10.1521/JAAP.29.4.649.21549
I. Mohacsy
*Assistant Clinical Professor of Psychiatry, Dept. of Child Psychiatry, Mount Sinai Medical School; and Adjunct Assistant Clinical Professor of Psychiatry, Cornell Medical Center. Versions of this paper were originally given at the William Alanson White Institute on January 19, 2000 and at the American Academy of Psychoanalysis conference in Chicago on May 14, 2000. I would like to express my gratitude to John Kirsch for sharing his knowledge of classics and to Heidi Lefer for help in preparation of this paper.
*西奈山医学院儿童精神病学系精神病学助理临床教授;康奈尔医学中心精神病学临床助理教授。这篇论文最初于2000年1月19日在威廉·阿伦森·怀特研究所和2000年5月14日在芝加哥举行的美国精神分析学会会议上发表。我要感谢John Kirsch分享他的经典知识,并感谢Heidi Lefer在准备本文时提供的帮助。
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引用次数: 0
Splitting and nostalgia in recent immigrants: psychodynamic considerations. 新近移民的分裂与怀旧:心理动力学的考量。
Pub Date : 2001-01-01 DOI: 10.1521/JAAP.29.3.427.17301
R. Lijtmaer
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引用次数: 42
Toward a neurobiology of the unconscious. 走向无意识的神经生物学。
Pub Date : 2001-01-01 DOI: 10.1521/JAAP.29.4.601.21544
Richard Brockman
*Associate Clinical Professor, Department of Psychiatry, Columbia University, College of Physicians and Surgeons Faculty, Columbia Psychoanalytic Institute. A version of this article was presented at the annual meeting of the American Psychiatric Association in New Orleans on May 7th, 2001, as part of a symposium sponsored jointly by the American Psychiatric Association and the American Academy of Psychoanalysis, chaired by Ann-Louise Silver, M.D. and Edward Nersessian, M.D. and entitled Thinking about Mind and Brain: Psychoanalysts and Neuroscientists Converse.
*哥伦比亚大学精神病学系临床副教授,哥伦比亚大学精神分析研究所内科和外科医学院。这篇文章的一个版本于2001年5月7日在新奥尔良举行的美国精神病学协会年会上发表,作为由美国精神病学协会和美国精神分析学会联合主办的研讨会的一部分,由Ann-Louise Silver医学博士和Edward Nersessian医学博士主持,题为“思考心灵和大脑:精神分析学家和神经科学家匡威”。
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引用次数: 7
Parents' perceptions of the effects of their child's therapy. 父母对孩子治疗效果的看法。
Pub Date : 2001-01-01 DOI: 10.1521/JAAP.29.2.319.17261
B. Farber, D. Nevas
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引用次数: 2
Dante's Divine Comedy revisited: what can modern psychoanalysts learn from a medieval "psychoanalysis"? 重新审视但丁的《神曲》:现代精神分析学家能从中世纪的“精神分析”中学到什么?
Pub Date : 2001-01-01 DOI: 10.1521/JAAP.29.2.281.17257
R. Chessick
I realize after having gone over this material that I have done a sort of deconstruction of Dante's Divine Comedy which putatively attempts to raise the human vision to transcendent heights and to focus love on the love of God, but which along the way indulges in the very human aspects of pity, compassion, music, poetry, and the other arts, as well as reason and puzzlement. In this sense the poem is also an exposition of the value of the higher human faculties, which contrasts at times rather vividly with the apparently harsh autocratic fates that are assigned to some characters--who do not seem quite deserving of what is inflicted upon them. Here we have a collision between absolute faith in the judgment of God and human reason and compassion which sometimes seems to be unable to justify these judgments. In spite of the fact that Dante is trying to adhere to orthodox theology throughout, it is clear that his poetic soul has great difficulty in avoiding the depiction of characters for whom he has a secret sympathy. The central point of this study of The Divine Comedy is to emphasize how Dante, almost in spite of himself, expressed empathy and understanding for a variety of unfortunates either in the Inferno or in the Purgatorio. Virgil even scolds him for his compassion, arguing that God's justice is always correct and if God is angry at someone and punishes him or her, Dante should also be angry and not compassionate. Dante tries, but he cannot quite manage to do it. Translated into modern terminology, we can learn from this report of a medieval "psychoanalysis" an important lesson in our clinical work. Rigid adherence to rules such as those Freud himself proclaimed (although he never followed them), for instance in his famous demand that one be always opaque to the patient, and/or rigid adherence to one or another psychoanalytic theory, must be understood as a form of countertransference, a character flaw in the analyst. Each case demands its own approach and its own form or forms or channels of understanding, just as Dante offers us in The Divine Comedy. It is because he offers such a perspective almost in spite of himself that his poem transcends the medieval mind and becomes relevant to all ages and cultures. As a rule of thumb, when one finds one's instinctual convictions about how to proceed in conflict with one's theories and set of rules, something is wrong. It is with the greatest trepidation that a well-analysed psychoanalyst should force him- or herself to ignore an instinctual or intuitive feeling of how to respond to a patient because it conflicts with some theoretical principles or official rules of procedure. Such a conflict is a call for further self-analysis, consultation with colleagues, and creative solutions.
在看完这些材料之后,我意识到我对但丁的《神曲》做了某种解构,它试图将人类的视野提升到超越的高度,并将爱集中在上帝的爱上,但它同时也沉迷于人类的怜悯、同情、音乐、诗歌和其他艺术,以及理性和困惑。从这个意义上说,这首诗也是对人类高级能力价值的阐述,这与赋予某些人物的明显严酷的专制命运形成鲜明对比——这些人物似乎不太应该受到施加在他们身上的东西。在这里,我们在对上帝的判断的绝对信仰与人类的理性和同情心之间发生了冲突,而人类的理性和同情心有时似乎无法为这些判断辩护。尽管但丁自始至终都在努力坚持正统神学,但很明显,他的诗性灵魂很难避免描写那些他暗藏同情的人物。研究《神曲》的中心观点是强调但丁是如何,几乎不顾自己的意愿,对各种不幸的人表达同情和理解的,无论是在地狱还是在炼狱。维吉尔甚至斥责但丁的同情心,认为上帝的正义永远是正确的,如果上帝对某人生气并惩罚他或她,但丁也应该生气而不是同情。但丁试过了,但他做不到。翻译成现代术语,我们可以从这篇中世纪“精神分析”的报告中学到我们临床工作的重要一课。严格遵守弗洛伊德自己宣称的规则(尽管他从未遵循这些规则),例如他著名的要求,一个人总是对病人不透明,和/或严格遵守一个或另一个精神分析理论,必须被理解为反移情的一种形式,分析师的性格缺陷。每一种情况都需要自己的方法,自己的理解方式,或形式,或渠道,就像但丁在《神曲》中告诉我们的那样。正是因为他几乎不顾自己的意愿提供了这样一个视角,他的诗才超越了中世纪的思想,与所有时代和文化相关。根据经验,当一个人发现自己对如何行事的本能信念与自己的理论和规则相冲突时,一定是出了问题。一个经过充分分析的精神分析学家强迫他或她自己忽视对病人的本能或直觉感觉,因为这与某些理论原则或官方程序规则相冲突,这是最令人恐惧的。这样的冲突需要进一步的自我分析,与同事协商,以及创造性的解决方案。
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引用次数: 8
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The Journal of the American Academy of Psychoanalysis
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