The role of self-esteem in the experience of envy

It is the thesis of this paper that although analysts have always recognized that narcissistic injury may trigger envious feelings, the significance of self-esteem as both a motivator and response to envious feelings has not yet been sufficiently explored. Traditional drive-defense or object instinctual explanations tend to diminish awareness of the importance of self-esteem in the experience of envy. The focus on drives or repetition of early patterns of object relations does not always take into account the significance of the cycle in which damaged self-esteem leads to envy, the component parts of which may cause further damage to self-esteem, leading to more envy, and so on. I am suggesting that it is often an attempt to avoid painful injury to one's self-esteem, as well as the related attempt to maintain a positively colored sense of self, and not a repression of drives or a repetition of some aspect of early object relationships which must be understood in order to fully comprehend both feelings of envy and the need to keep such feelings out of conscious awareness.     

Eating disorders in a nonclinical adolescent population: implications for treatment

The present study investigates the prevalence of adolescent eating disorders across gender, cultural groupings, and socioeconomic status. The Eating Attitudes Test, the Binge-Eating Questionnaire, and a demographic questionnaire were administered to students at two high schools. The results indicate a high rate of eating disorders in a nonclinical adolescent population. The rates for binge eating are comparable to those found in studies of college students--found at a younger age. With regard to SES, cross-cultural and gender findings, it is clear that eating disorders cross socioeconomic class and ethnic groups, and have a higher rate of occurrence in males than previously reported. Given such high rates of eating problems in a nonclinical population, the issue of prevention and early detection must be addressed. Additionally, more specific information on male eating disorders is needed.     

A time-limited dynamic approach to adolescent inpatient group psychotherapy

In response to sharply curtailed lengths of stay of adolescents in an inpatient psychiatric program, new therapeutic modalities need to be implemented. A time-limited dynamic approach to adolescent inpatient group psychotherapy is presented. The model integrates psychoanalytic and crisis theory into a group format. The primary focus in this model is upon resolution of problematic interpersonal interactions as they are related to the current crisis state. The group process, as related to the adolescent, involves three phases. These include an initial intake phase, which incorporates an ego-functioning assessment; a second or middle phase which focuses on making actions ego-alien; and the termination phase, which incorporates the learning experience and how it relates to the resolution of precipitators of the admission.