Field Theory in Psychoanalysis,Part I: Harry Stack Sullivan and Madeleine and Willy Baranger

This is the first of two articles comparing conceptions of the field in interpersonal/relational psychoanalysis (IRP) and Bionian field theory (BFT). This article compares the thinking of the originators of IRP and BFT, Harry Stack Sullivan and Madeleine and Willy Baranger.     

"The full story by no means all told": Harry Stack Sullivan at Sheppard-Pratt, 1922-1930

Harry Stack Sullivan (1892-1949) is well known for his interpersonal theory of mental illness, but little is known about how he actually worked as a clinician with patients. This article examines a pivotal time in Sullivan's career at Sheppard and Enoch Pratt Hospital in Baltimore from 1922 to 1930. Using clinical records as well as published writings, the article focuses on 2 crucial issues that are not fully addressed either in Sullivan's published writings or in past studies of him: first, his treatment as a gay psychiatrist of patients who he believed had homosexual orientations; second, the intellectual and institutional paradigm in psychiatry that influenced his practice. Finally, this article addresses the circumstances surrounding Sullivan's departure from Sheppard-Pratt, suggesting psychiatry's limited confrontation with the social stigmatization of homosexuality.     

Clinical,Studies in Psychiatry by H. S. Sullivan

A structured group therapy approach for psychiatric inpatients is presented. After reviewing the literature indicating that insight-oriented approaches are not effective with severely disturbed patients, the data supporting an interpersonal, cognitive, problem-solving approach with such patients is reviewed. A rationale for combining this cognitive problem-solving approach and Yalom's interpersonal approach with psychiatric inpatients is then presented. This structured group therapy approach, called the problem-solving support group (PSSG) is discussed, defining the nature and composition, screening procedures, methods, and techniques of the PSSG. Its use with psychiatric patients is illustrated by therapy protocols depicting the nature of the therapeutic interactions during the group, while also demonstrating what the group appears to be accomplishing for its members.     

Psychiatry and Postmodern Theory

Psychiatry, as a subspecialty of medicine, is a quintessentially modernist project. Yet across the main campus, throughout the humanities and social sciences, there is increasing postmodern consensus that modernism is a deeply flawed project. Psychiatry, the closest of the medical specialties to the humanities and social sciences, will be the first to encounter postmodern theory. From my reading, psychiatry, though likely defensive at first, will eventually emerge from a postmodern critique, not only intact, but rejuvenated. Postmodern theory, at its best, provides a liberating effect on modernist practices, freeing them from an enslavement to Method and Objectivity in order to allow the more human (all charges of antihumanism not withstanding) to emerge as valued and respected. The net result could be the evolution of a new postmodern psychiatry and a new model of medicine which would be much more enjoyable to practice and much more connected to the concerns of patients.     

Psychiatry,psychoanalysis and sociology in the work of H.S. Sullivan

Abstract

Conci, M. Psychiatry, Psychoanalysis and Sociology in the Work of H.S. Sullivan. Int Forum Psychoanal 1997;6: 127–135. Stockholm, ISSN 0803-706X.

The author tries to illuminate H.S. Sullivan's complex professional identity. With E. Fromm he shared a basic humanistic orientation, and also the project of creating an interdisciplinary new science of man. This is the perspective he inherited from W.A. White, who tried to make psychoanalysis a major ingredient of psychiatry and social science. Sullivan's pioneer work with schizophrenic patients changed the prognosis of these patients, represented the basis of his interpersonal theory of psychiatry and of his collaboration with Chicago social science. Not only is the epistemological sophistication of his definition of psychiatrywhich includes the biological, intra- psychic, cultural and social dimensions-very relevant today, but so is the work he conducted, through the Washington School of Psychiatry (1936) and the journal Psychiatry (1938), with the aim of creating what he called a “psychiatry of peoples”, leading to world peace and greater social justice. In his view, psychoanalysis was more than a profession: it was a fundamental instrument of personal, cultural and social change.     

The Interpersonal Theory of Suicide Applied to Male Prisoners

The interpersonal theory of suicide proposes that severe suicide ideation is caused by the combination of thwarted belongingness (TB) and perceived burdensomeness (PB), yet few studies have actually examined their interaction. Further, no studies have examined this proposal in male prisoners, a particularly at‐risk group. To address this gap, the current study surveyed 399 male prisoners. TB and PB interacted to predict suicide ideation while controlling for depression and hopelessness. High levels of both TB and PB were associated with more severe suicide ideation. The interpersonal theory may aid in the detection, prevention, and treatment of suicide risk in prisoners.     

主我分享:人际吸引研究的新发展

在James的"主体自我"和"客体自我"的基础上,Pinel和Long等人提出了人际吸引和人际联结的主我分享新机制.文章回顾了人际吸引的影响因素,以相似性对喜爱的影响为基础,探讨了客体相似和主我分享对人际吸引的影响;从自我与环境两个维度介绍了主我分享在自我完善、排除孤独感以及群际接触中的作用;最后对主我分享研究进行了评价和展望.     

The Theory and Practice of Psychiatry by Frederick C. Redlich and Daniel X. Freedman

Abstract

The noted humorist Dave Barry, in looking back over his life and thinking of things he had learned, said one of the things he learned was that “There is a very fine line between ‘hobby’ and ‘mental illness’” (1998, p. 182).

Following in Dave Barry’s path, I would like to look back over the 45+ years I’ve been practicing group therapy and see if there is anything to be learned by what I have learned over those years.     

Organic Unity Theory: An Integrative Mind-Body Theory for Psychiatry

The potential of psychiatry as an integrative science has been impeded by an internal schism that derives from the duality of mental and physical. Organic unity theory is proposed as a conceptual framework that brings together the terms of the mind-body duality in one coherent perspective. Organic unity theory is braided of three strands: identity, which describes the relationship between mentally described events and corresponding physically described events; continuity, which describes the linguistic-conceptual system that contains both mental and physical terms; and dialectic, which describes the relationship between the empirical way of knowing that is associated with the physical domain of the linguistic-conceptual system and the hermeneutic way of knowing that is associated with the mental domain. Each strand represents an integrative formulation that resolves an aspect of mental-physical dualism into an underlying unity. After the theory is presented, its implications for psychiatry are briefly considered.     

Pragma-dialectical Theory and Interpersonal Interaction Outcomes: Unproductive Interpersonal Behavior as Violations of Rules for Critical Discussion

The purpose of this research review is to examine the usefulness of reconstructing problematic interpersonal conflict behavior as violations of rules for critical discussions. Dialectical reconstruction of interpersonal conflict behavior sheds light on the ways in which dialectical fallacies influence not only the course of a critical discussion, but also the personal and relationship outcomes experienced by arguers. Conflict sequences such as cross complaining and demand/withdraw are shown to be problematic, in part, because they prevent parties from resolving their difference through rational dialogue. The paper concludes by presenting some implications of the pragma-dialectical reconstruction of interpersonal conflict behavior.