Psychoanalytic observations on the pathology of depressive illness: selected spheres of ambiguity or disagreement

This paper has two general sources: my own clinical psychoanalytic work extending over about four and one half decades; and consideration of certain outstandingly influential ideas in our literature: first, those of the pioneer contributors, and then those of certain more recent writers, whose views have sometimes exhibited important differences from those widely held in the past. I try to evaluate the two groups--in their occasional overlapping and important divergences, in relation to my own clinical experience. A certain general position of my own emerges from such process inevitably; but it is far from "revolutionary." Indeed, the contrary is more largely true. In extreme anticipatory condensation--what I do propose, from my own reflections, is the preeminent importance of an archaic characterological core in depressive illness.     

Individual Marital Therapy: A Critical Reappraisal

The belief that individual marital therapy (IMT) is an ineffective form of treatment for marriage problems and markedly inferior to the conjoint approaches has become almost an article of faith in family therapy circles. This position was originally advanced in the influential reviews of the research literature conducted by Gurman and Kniskern, and their conclusions have been cited in numerous other articles. This paper re-reviews the research studies purportedly supporting this conclusion and finds almost all of them to be invalidated by gross flaws in design and implementation. It is argued that from the highly inadequate evidence available, no conclusions can be reached concerning either the absolute or relative effectiveness of IMT.