Women and trauma: a contemporary psychodynamic approach to traumatization for patients in the OB/GYN psychological consultation clinic.

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 trauma and its sequelae proved useful in intervening psychologically and in helping these patients and their physicians to improve the management of their medical conditions. This model represents an effort to integrate: (1) Herman's (1992) conception of complex posttraumatic stress disorder, (2) character development in individuals with early traumatic experiences, and (3) Weiss and Sampson's (1986) formulations regarding "unconscious pathogenic beliefs"-the dread that one's worst unconscious fears will be confirmed. Two clinical cases-a pregnant teenager and a woman with hyperemesis gravidarum (excessive and persistent vomiting in pregnancy)-illustrate the frequent emergence of transference-countertransference dynamics centered around "blaming the victim" in work with these patients. Suggestions for therapeutic interventions in short-term consultation with these patients are articulated.

journal_name

Bull Menninger Clin

authors

Josephs L

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

22-38

issue

1

eissn

0025-9284

issn

1943-2828

journal_volume

60

pub_type

杂志文章
  • Proverb familiarity and the mental status examination.

    abstract::Asking patients to interpret proverbs is a traditional method of assessing abstract thinking ability. Familiarity with a proverb increases the likelihood of interpreting it correctly. Differences in proverb familiarity among patients could lead clinicians to incorrectly conclude that a patient is thinking concretely, ...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Haynes RM,Resnick PJ,Dougherty KC,Althof SE

    更新日期:1993-10-01 00:00:00

  • Beyond dualism: psychoanalysis and medication in the 21st century.

    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

    authors: Cabaniss DL

    更新日期:2001-04-01 00:00:00

  • The Computerized Implicit Representation Test: Construct and incremental validity.

    abstract::Discrepancies in mental representations between self-aspects and significant others are associated with depression, personality disorders, emotional reactivity, and interpersonal distress. The Computerized Implicit Representation Test (CIRT) is a novel measure developed to assess discrepancies in mental representation...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2015.79.4.335

    authors: Piers C,Piers RJ,Fowler JC,Perry JC

    更新日期:2015-10-01 00:00:00

  • Conceptualizing and managing risk in pediatric OCD: Case examples.

    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

    authors: Lewis A,Stokes C,Heyman I,Turner C,Krebs G

    更新日期:2020-01-01 00:00:00

  • Postdischarge suicide: A psychodynamic understanding of subjective experience and its importance in suicide prevention.

    abstract::Recent discharge from a psychiatric inpatient facility is associated with a high risk of suicide. There are multiple factors that may contribute to this increase in risk. Psychodynamic considerations about the patient's subjective experience of suicidality, hospitalization, and discharge are often overlooked but are c...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:10.1521/bumc.2016.80.1.80

    authors: Schechter M,Goldblatt MJ,Ronningstam E,Herbstman B,Maltsberger JT

    更新日期:2016-01-01 00:00:00

  • A developmental approach to mentalizing communities: II. The Peaceful Schools experiment.

    abstract::This paper summarizes a theoretical argument for the use of a mentalization-based approach to the systemic problem of school bullying. The Peaceful Schools Project of the Menninger Department of Psychiatry, Baylor College of Medicine, is an experimental test of this model. Data is presented from a randomized controlle...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1521/bumc.2005.69.4.282

    authors: Twemlow SW,Fonagy P,Sacco FC

    更新日期:2005-10-01 00:00:00

  • Learning disabilities in children with borderline personality disorder.

    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:

    authors: Berg M

    更新日期:1992-07-01 00:00:00

  • On not praying for the return of an amputated limb: conserving a relationship with God as the primary function of prayer.

    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

    authors: Dein S,Pargament K

    更新日期:2012-07-01 00:00:00

  • The artist in the hospital: the van Gogh case.

    abstract::As a result of psychotic crises, Vincent van Gogh was hospitalized several times during a period of about a year and a half from December 1888 to May 1890. The author focuses on van Gogh's intense intrapsychic struggle during this relatively brief but critical time. He discusses how van Gogh's painting not only reflec...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Meissner WW

    更新日期:1994-07-01 00:00:00

  • A self-report measure to screen for trauma history and its application to women in inpatient treatment for trauma-related disorders.

    abstract::The authors developed the Trauma History Screen to screen for potentially traumatic events in women admitted for specialized treatment of trauma-related disorders. The questionnaire contains 14 items assessing commonly occurring traumas, and respondents indicate the frequency with which they have experienced the traum...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Allen JG,Huntoon J,Evans RB

    更新日期:1999-07-01 00:00:00

  • Challenges in conceptualizing psychotic mood disorders.

    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:

    authors: Dubovsky SL

    更新日期:1994-04-01 00:00:00

  • Caregiving: an emerging risk factor for emotional and physical pathology.

    abstract::Caregiving is the act of attending to someone or of providing services to an individual in need. It is a complex activity, with ethical, psychosocial, and demographic dimensions, as well as clinical, technical, and community service components. The author describes the complexities of caregiving and the burdens on the...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Eisdorfer C

    更新日期:1991-04-01 00:00:00

  • Anxiety disorders in women.

    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:

    authors: Zerbe KJ

    更新日期:1995-04-01 00:00:00

  • Evaluation and management of the treatment-resistant anxiety disorder patient.

    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:

    authors: Rosenbaum JF

    更新日期:1992-04-01 00:00:00

  • Detecting cancer in dream content.

    abstract::A woman was 3 years postmastectomy when she presented a dream whose manifest content suggested a new malignancy. A Pap smear showed carcinoma-in-situ. She lived another 8 years, during which time she had a number of new dreams that correctly raised the likelihood of an active cancer despite normal physical exams and n...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Horton PC

    更新日期:1998-07-01 00:00:00

  • Self psychology conceptualization of postpsychotic depression and recovery among paranoid schizophrenic patients.

    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

    authors: Potik D

    更新日期:2014-01-01 00:00:00

  • Post-Tarasoff legal developments and the mental health literature.

    abstract::Since Tarasoff first established the duty of psychotherapists to warn or otherwise protect third parties when a patient is considered dangerous, the mental health literature has continued to address the two most controversial issues in that case: the questionable ability of clinicians to predict violent behavior, and ...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Kaufman M

    更新日期:1991-07-01 00:00:00

  • The relation between attachment, personality, internalizing, and externalizing dimensions in adolescents with borderline personality disorder.

    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

    authors: Ramos V,Canta G,de Castro F,Leal I

    更新日期:2016-07-01 00:00:00

  • Psychoanalytic practice and the religious patient: a current perspective.

    abstract::Via a national survey and in-depth interviews, the author investigated training psychoanalysts' views on religion and spirituality and the impact of such views on their treatment practices. The training analysts surveyed described being appreciative of a patient's religious or spiritual worldview when it allowed for f...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.67.4.347.26984

    authors: Bartoli E

    更新日期:2003-10-01 00:00:00

  • Preliminary evidence of biased attentional mechanisms and reward processing in adults with obsessive-compulsive disorder.

    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

    authors: O'Brien JL,Jacob ML,King M

    更新日期:2019-04-01 00:00:00

  • Integration of psychoanalytic concepts in the formulation and management of hospitalized psychiatric patients.

    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 psy...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2013.77.1.23

    authors: Steinberg PI,Cochrane D

    更新日期:2013-01-01 00:00:00

  • The role of the primary clinician in the multidisciplinary team.

    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

    authors: Haslam-Hopwood GT

    更新日期:2003-01-01 00:00:00

  • Examining the effects of accommodation and caregiver burden on relationship satisfaction in caregivers of individuals with OCD.

    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

    authors: Lee E,Steinberg D,Phillips L,Hart J,Smith A,Wetterneck C

    更新日期:2015-01-01 00:00:00

  • Psychodynamic and cognitive mechanisms of change in adult therapy: a pilot study.

    abstract::To examine the effects of the patient-level mechanisms of change postulated by cognitive-behavioral theory and psychodynamic theory, thirty-three patients in eclectic therapy completed questionnaires at two time points. Decreases in automatic thoughts and immature defenses were each associated with lower symptoms, and...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2005.69.3.206

    authors: Coleman D

    更新日期:2005-07-01 00:00:00

  • Psychodynamic psychotherapy for social phobia: a treatment manual based on supportive-expressive therapy.

    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

    authors: Leichsenring F,Beutel M,Leibing E

    更新日期:2007-01-01 00:00:00

  • Mentalizing in the psychotherapy of a disturbed adolescent girl.

    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

    authors: O'Malley F

    更新日期:2003-04-01 00:00:00

  • Reflections on Don Juan and on the utility of the unhappy love affair.

    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

    authors: Bergel E

    更新日期:2011-12-01 00:00:00

  • Psychotherapists who transgress sexual boundaries with patients.

    abstract::The causes of therapist-patient sex are complex and multidetermined. Efforts to understand why psychotherapists transgress sexual boundaries are hampered by the lure of reductionism and oversimplification. Most of those who examine this issue would prefer to categorize all such therapists as "bad" and "corrupt" as a w...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Gabbard GO

    更新日期:1994-01-01 00:00:00

  • Intensive psychiatric treatment with emerging adults: Addressing the problem of establishing collaboration.

    abstract::The Compass Program at The Menninger Clinic was designed to assess and treat emerging adult psychiatric patients with severe disorders. Establishing a collaborative therapeutic relationship with these challenging patients is an essential step in facilitating effective assessment and treatment for them. The author pres...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2018.82.3.173

    authors: O'Malley F

    更新日期:2018-07-01 00:00:00

  • Metacognitive therapy for obsessive-compulsive disorder: A case report.

    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

    authors: Melchior K,Franken IHA,van der Heiden C

    更新日期:2018-10-01 00:00:00