Abstract：
:Although psychoanalysis and psychodynamic psychotherapy have flourished theoretically and in practice for an increasingly widespread population of patients, the mental health professions have in recent decades experienced a hegemony of managed care, a preoccupation with pharmacological approaches at the expense of psychological approaches, and a predilection for brief symptom-focused, more easily researchable manualized psychotherapies, in spite of literature demonstrating the effective contribution of psychoanalysis and psychodynamic thought to the practice of the mental health professions. In this article a psychiatric inpatient is considered from the point of view of what psychodynamic theory can offer practically to understanding and managing her. It is not suggested that this patient might necessarily benefit from formal psychodynamic psychotherapy, but rather that incorporation of a psychodynamic understanding of her can lead to a more effective management approach, especially regarding dealing with staff reactions to disturbing patients. Consideration of the patient's personality and recognition of the patient's having a comorbid personality disorder appeared important in her management, and have practical implications regarding staff members' understanding of the patient and the consequent identification and handling of transference and countertransference manifestations. Problems that are likely to occur as enactments on the inpatient unit can more readily be anticipated or identified earlier and a consistent staff approach prepared. A psychodynamically informed management approach on the inpatient unit can help to anticipate challenging interpersonal experiences such as enactments. Psychodynamic thought has developed in a manner so as to be applicable in an increasingly wide range of clinical situations, not only in terms of the varieties of patients who are deemed to be able to benefit from psychodynamic treatment per se, but also regarding the clinical venues in which psychodynamic concepts can be usefully applied.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
Steinberg PI,Cochrane Ddoi
10.1521/bumc.2013.77.1.23subject
Has Abstractpub_date
2013-01-01 00:00:00pages
23-40issue
1eissn
0025-9284issn
1943-2828journal_volume
77pub_type
杂志文章abstract：:Sleep disorders are so common that approximately 38% of the general population complains about a current sleep problem and 52% complains about a current or past sleep problem. Psychiatric factors are prominent in virtually all sleep disorders, either as primary factors (insomnia and adult parasomnias) or as significan...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：
更新日期：1989-05-01 00:00:00
abstract：:The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a stru...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2016.80.3.213
更新日期：2016-07-01 00:00:00
abstract：:Self-mutilative behavior is common among patients with multiple personality and other dissociative disorders. Nursing staff members face particular challenges in managing these patients because one act of self-mutilation can disrupt the entire inpatient milieu. The authors present an approach to nursing care that focu...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：
更新日期：1993-07-01 00:00:00
abstract：:The author traces some of the literature related to such concepts as the development of the therapeutic alliance and collaboration in the inpatient and residential psychiatric treatment of disturbed adolescents. The more recently developed concept of "mentalization" is discussed, especially with its relevance to the p...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.67.2.150.23442
更新日期：2003-04-01 00:00:00
abstract：:Prayer is commonplace at times of illness. But what do people pray for? After reviewing recent work in the cognitive science of religion, the authors argue that pray-ers preferentially ask for psychological as opposed to physical outcomes because these are easier to accommodate God's intervention in the healing proces...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：10.1521/bumc.2012.76.3.235
更新日期：2012-07-01 00:00:00
abstract：:Of the physicians who took the American Board of Psychiatry and Neurology (ABPN) Examination, Part II, in 1995, 41% failed. The Accreditation Council for Graduate Medical Education (ACGME) requires that residency psychiatry programs conduct an organized evaluation of residents' clinical skills at least twice during th...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Psychotic mood disorders represent a complex group of syndromes in which depression and/or mania are accompanied by delusions, hallucinations, or both. The presence of psychotic features has a profound influence on the course and treatment response of mood disorders, and psychotic disorders in turn are influenced by c...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
abstract：:Existing research indicates that anxiety disorders are three times as common in women as in men. Yet true gender-based research is still in its infancy. The author discusses key areas affecting the occurrence of anxiety disorders in women, including medical conditions, epidemiological and diagnostic perspectives, work...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：
更新日期：1995-04-01 00:00:00
abstract：:This article explores the role of the primary clinician as an integral member of the modern inpatient psychiatric treatment team, as it is practiced on the Professionals in Crisis program at The Menninger Clinic. The modern inpatient team consists of individuals from multiple disciplines and acts as an embodiment of t...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.67.1.5.23448
更新日期：2003-01-01 00:00:00
abstract：:The multifaceted nature of grief and the enormous variation in individual clients' responses to losses make it necessary for therapists to have wide background knowledge and well-developed skills in counseling and/or psychotherapy. The author describes an innovative method of facilitating grief resolution using precom...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:Psychiatric residency training faces an uncertain future related both to ongoing changes in the health care delivery system and to the current state of knowledge within psychiatry itself. The author discusses issues concerned with financing, models of training, clinical settings, generalist versus subspecialist traini...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric manag...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.68.4.337.56640
更新日期：2004-10-01 00:00:00
abstract：:Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premis...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2014.78.1.70
更新日期：2014-01-01 00:00:00
abstract：:Obsessive-compulsive disorder (OCD) is a debilitating condition that does not always respond well to treatment. People with OCD often require a great deal of assistance from caregivers or family members, which is referred to as family accommodations. Caregivers may experience a great deal of stress, depression, and ot...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2015.79.1.1
更新日期：2015-01-01 00:00:00
abstract：:Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outc...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2019.83.2.128
更新日期：2019-04-01 00:00:00
abstract：:In therapy, suicidal borderline patients often use the therapist as a "selfobject," an object that regulates the patient's narcissistic equilibrium. To demonstrate this concept, the author presents the case history of a young woman who created a "selfobject transference" by means of attacks on the therapist similar to...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：:Dualistic thinking continues to pervade psychoanalytic views of psychopathology. The author points out the shortcomings of this perspective as represented in Mark Swoiskin's article, "Psychoanalysis and Medication: Is Real Integration Possible?" She contends instead that the latest scientific evidence does not support...
journal_title：Bulletin of the Menninger Clinic
pub_type： 评论,杂志文章
doi：10.1521/bumc.65.2.160.19397
更新日期：2001-04-01 00:00:00
abstract：:Infants' early self-knowledge is acquired most readily in social interactions, because others respond to infants in contingent ways. Recent findings are described, which indicate that infants are sensitive not only to social contingency early in life but also to particular levels of social contingency found in their p...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：10.1521/bumc.65.3.335.19852
更新日期：2001-07-01 00:00:00
abstract：:Many patients referred to an OB/GYN psychological consultation clinic were found to be suffering from the emotional effects of early traumatization. Obstetrical and gynecological conditions possess a unique power to reactivate psychological damage originally engendered by trauma. A contemporary psychodynamic model of ...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:Children with borderline personality disorder are known to have a variety of school problems, including low achievement. Clinicians working with these youngsters have estimated that one third or more may be learning disabled; however, no empirical studies have confirmed these estimates. The author reports the results ...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author ...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：:Establishing a working therapeutic relationship with psychiatrically hospitalized adolescents presents special challenges to the hospital treatment team. Many adolescent patients deny their problems or any responsibility for them, and defy efforts to engage them in active collaboration. However, once the treatment tea...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:The authors discuss the countertransference reactions that arise in staff who work in a hospital outpatient clinic with children with HIV and AIDS. Countertransference feelings such as guilt, anger, and helplessness can be easily aroused when working with a young, impoverished, dying population. Factors that precipita...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cau...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc_2019_83_06
更新日期：2020-01-01 00:00:00
abstract：:The universality of anxiety-producing situations for professionals who conduct psychotherapy is evident from a survey of 88 practicing psychotherapists whose responses are summarized by the author. The therapist's anxieties are viewed in terms of threatened loss of control, loss of relationship, injury to or loss of c...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：:Social phobia is a very frequent mental disorder characterized by an early onset, a chronic unremitting course, severe psychosocial impairments and high socioeconomic costs. To date, no manual for the psychodynamic treatment of social phobia exists. After a brief description of the disorder, a manual for a short-term ...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2007.71.1.56
更新日期：2007-01-01 00:00:00
abstract：:Psychodynamic clinicians cite psychic structure and structural changes observed in treatment as sources of important information about unconscious psychological processes and configurations. Empirical studies have had difficulty demonstrating that psychic structure measures something different from psychiatric symptom...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for ...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2018.82.4.375
更新日期：2018-10-01 00:00:00
abstract：:Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despit...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2016.80.4.348
更新日期：2016-10-01 00:00:00
abstract：:Based on an unusual clinical experience of a teenage boy in child psychotherapy, two conclusions are proposed: (1) that the extremely unhappy, early love affairs that occur in most men's lives serve a valuable function in helping them separate from their mothers sufficiently to be able to realistically relate to appro...
journal_title：Bulletin of the Menninger Clinic
pub_type： 杂志文章
doi：10.1521/bumc.2011.75.4.344
更新日期：2011-12-01 00:00:00
