Psychoanalytic Couple Therapy: Classical Style

In this essay, the core concepts of psychoanalysis are set forth as the context for the application of classical psychoanalytic theory to the practice of couple therapy. Infantile sexuality and aggression are shown to have a powerful role in the interpersonal lives of family members. The repetition compulsion structures marital interaction and intergenerational dynamics. The intrapsychic emphasis of classical ego-psychology is viewed in the interpersonal arena, and the author suggests adding to the Oedipus and Narcissus myths a myth that resonates with this shift in emphasis. In introducing the “Pygmalion–Galatea process,” the author captures the universal attempt to change the psychic dynamics of the other or others. This ultimately mutual process begins with the infant's mirroring of its caretakers—which includes language acquisition. Much of human interaction is fueled by subsequent attempts to create others in our own images of them and by their reactive compliance or resistance to that dynamic. Three case illustrations are presented to show how these phenomena manifest themselves in marital interaction and in dreams.     

Group Processes in Family Therapy: a Psychoanalytic Approach

This paper describes a model of family therapy that draws on experiences and theories of psychoanalysis as applied to individuals and groups. It suggests concepts that help to understand and work with the family as a system. A brief example is given to illustrate the effort to engage with the patients' immediate feelings in the session in relation to each other and the therapist.     

The Dream and the Image: Creative Transformations in Psychoanalytic Space

The American Journal of Psychoanalysis - Psychoanalysis is a transformational process through which meanings become visible and foreclosed identity may be further constituted. Winnicott (1971)...     

ARTICLE WITHDRAWN: The Social Determinants of Psychoanalytic Therapy

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Psychoanalytic Theory and the Rorschach (Book)

The purpose of this study was to explore how Mexican American adolescents (N = 120) would perform on the MMPI-A given that Hispanic adolescents were seriously underrepresented in the national norming sample during the development of the MMPI-A. The participants completed the MMPI-A, a short demographic questionnaire, and a 5-item version of the Acculturation Rating Scale for Mexican Americans. Results indicated that the present sample of Mexican American adolescents' performance on the Validity, Clinical, and Content scales differed minimally from the national norming group's performance, and their performance varied as a function of their levels of acculturation and socioeconomic status. Implications of these data are discussed.     

Medicating Patients in Psychoanalytic Therapy: Implications for Introjection,Transference, and Countertransference

If a patient comes for psychotherapy or psychoanalysis, why medicate him with psychotropic drugs? The answers to this question are explored and addressed from several points of view. The central hypothesis of this paper suggests that most of the reasons for medicating patients have to do with therapist's unresolved countertransference issues. Furthermore, medicating a patient may have deleterious effects on his introjected sense of self, and impacts the transference relationship in a significant way. The issues surrounding medication as adjunctive therapy are elucidated and clarified in terms of rationale, efficacy, and the impact on the psychotherapeutic relationship. Psychoanalytic solutions are offered and discussed.     

IMAG(IN)ING THE BUDDHIST BRAIN: EDITORIAL INTRODUCTION

Buddhism has captured the imagination of many in the modern (Western) world. Recently, scientists have seemed eager to discover whether claims about Buddhist meditation can be verified experimentally. Brain research is beginning to produce concrete evidence that mental discipline and meditative practice can change the workings of the brain and allow practitioners to achieve different levels of awareness, as measurable for instance in reaction times to stimuli. The goal of this section of articles in Zygon is to address recent developments in this area. The contributions address a wide array of questions, although they certainly do not cover the whole ground of what one may consider “problems” of meditation. Yet, we believe that the issues addressed here have widespread implications and that they constitute a strong argument for the richness of the meditation domain.     

Chronic Eating Disorders in Therapy: Clinical Stories Using Family Systems and Psychoanalytic Approaches

This paper presents three pieces of work, all focused around a person presenting with a long history of disordered eating patterns. One treatment was a couple therapy, one a family plus individual therapy and the third a purely individual therapy. The three different psychotherapies demonstrate an approach which uses psychoanalytic as well as family therapy thinking and techniques. The material is offered to show examples of the clinical practice within which individual and couple or family therapy constitute a range of psychotherapeutic responses to people and, in particular, to people with eating disorders. The context of the therapy is described in some detail as it accounts for many features of the treatments, for example, that they are justified within the institution by having been subject to empirical investigation. A metaphor, that of the medieval castle, is offered as an evocation of the experience of the person that is relevant in the practice of both individual and family therapy.     

Low-Income Families With Potential Adolescent Gang Involvement: A Structural Community Family Therapy Integration Model

The purpose of this article is to propose a community structural intervention for low-income families who present to therapy with the concern of an adolescent at risk for gang involvement. Families are affected by multiple interacting systems. In congruence with systems theory, changing a part of the system will essentially affect the interrelated parts of the system. The proposed intervention utilizes structural family therapy and community family therapy as a model to impact change at the family system, its interrelated systems, and the system at which the family is embedded.     

Treating Insecure Attachment in Group Therapy: Attachment Theory Meets Modern Psychoanalytic Technique

Attachment theory is a comprehensive, empirically supported theory of emotional, relational, and neurophysiological development. Modern psychoanalysis is a theory of technique that addresses early psychological deficits and conflicts considered beyond the reach of traditional psychoanalysis. Both orientations have influenced the theory and practice of group psychotherapy and emphasize personality maturation as a treatment goal. This paper explores their potential synergies when treating preoedipal, insecurely attached emotional states, disrupted emotional self-regulation, and impaired mentalization. Theoretical and technical applications are suggested that may enhance the treatment of disordered attachment in group psychotherapy. By addressing insecure attachment as resistance, modern psychoanalytic techniques may engage the emotional substrates of the attachment process to facilitate the expansion of relational capacities, mentalization, self-regulation, the differentiation of self/other representations, and epistemic trust.     

Psychoanalytic Models of the Mind for Couple and Family Therapy

This paper describes an object relations theory of mind that highlights the interactive origin of psychic function and the beginnings of mental structure in the infant's relationships within the family group. Based on this model, psychoanalytic family and couple therapy employs the interactions between family and therapist to detect and work with developmental failures in holding and containment, skewed family projective identification, and attacks on linking, which characterize pathological and traumatized families. The coming together of transference generated by the family as a group and the therapist's countertransference are the fulcrum on which such therapy turns. An extended vignette of a session is used to illustrate the application of object relations theory to the therapeutic process of family therapy.     

Function(s) of Religion in the Contemporary World: Psychoanalytic Perspectives

With respect to our psychoanalytic frame of reference allowing us to study the extent of the hypotheses concerning the religious phenomenon as formulated by Sigmund Freud and Jacques Lacan, in the context of a cross approach between the accuracy of the concept of conversion and of psychic mechanisms or phenomena at stake within conversions, and based on the testimonials of subjects acknowledging themselves in the experiment of conversion, we try to understand if and how religion is anchored in our cultural era through subversive effects it may have on the subject.     

Recent Developments in Psychoanalytic Child Therapy Edited by Joseph Weinreb

This article provides an annotated summary of 26 different procedures potentially useful in analyzing group therapy process, and includes an overview of therapeutic themes, research issues and clinical implications. The goal is to familiarize clinicians and researchers with the range of standardized and semistandardized procedures available for studying group interactions that have appeared in the literature during the past several decades. The authors concentrate on observer rating systems and do not systematically review self-report instruments. It is argued that the application of objective rating systems may foster greater understanding of group therapeutic interactions than is generally possible through normal clinical observations.