Abstract:
:Aspects of unconscious processes in a group of seriously disturbed psychiatric patients are examined in an effort to predict near-lethal suicide attempts and explore psychoanalytic formulations of suicide. The Rorschach Inkblot Test, the most widely used projective measure in suicide research (Bongar 1991), was chosen for its potential to shed light on specific unconscious processes. Psychic states commonly associated with suicide were measured by psychoanalytic Rorschach analog scales and then subjected to a progression of statistical analyses in order to predict future occurrence and lethality of suicide attempts. On the basis of a priori hypotheses, the authors developed a suicide index comprising four psychoanalytic Rorschach signs that predicted, with considerable accuracy, which patients would later make near-lethal suicide attempts. The best predictors were unconscious processes indicative of penetrating affective overstimulation, disturbance in the capacity to maintain adequate ego boundaries, and depressive affective states characterized by a morbid preoccupation with death and inner decay. These findings provide empirical support for several well-known formulations of the unconscious motivations for suicide.
journal_name
J Am Psychoanal Assocjournal_title
Journal of the American Psychoanalytic Associationauthors
Fowler JC,Hilsenroth MJ,Piers Cdoi
10.1177/00030651010490010901subject
Has Abstractpub_date
2001-01-01 00:00:00pages
161-86issue
1eissn
0003-0651issn
1941-2460journal_volume
49pub_type
杂志文章abstract::Psychoanalysts have tended to view the diagnosis of AD/HD either with skepticism or as a contraindication to analytic treatment. The author reviews the history of this puzzling diagnostic entity, which is estimated to account for up to fifty percent of child referrals, and suggests that a psychoanalytic perspective on...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651000480040901
更新日期:2000-01-01 00:00:00
abstract::The choice of specific words during face-to-face conversations may be just as overdetermined as the choice of words during free association. To explore this hypothesis, we looked in detail at three words used by patients who were at risk for cervical cancer and who were interviewed during a hospital visit for cone bio...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518002800106
更新日期:1980-01-01 00:00:00
abstract::It is in the best interest of psychoanalysis that new schools of thought (earlier examples of which are the classical, Kleinian, and self psychological perspectives) evolve. Generating a new school of thought, however, is almost impossible in this postmodern era. The postmodern paradigm in psychoanalysis (intersubject...
journal_title:Journal of the American Psychoanalytic Association
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doi:10.1177/00030651060540020801
更新日期:2006-04-01 00:00:00
abstract::Mandated use of the couch-whether specifically stated or tacitly communicated by supervisors and colleagues-to fulfill requirements for graduation or certification is a significant disservice to candidates and their patients. In its training standards, it is argued, APsaA and its member institutes should state explici...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065116680079
更新日期:2016-12-01 00:00:00
abstract::Analysts use the concepts of subjectivity and intersubjectivity to support many different technical recommendations; this represents a misuse of theory. The dichotomy between subjectivity and objectivity is a false one. Arguing against the notion of objectivity, analysts conflate it with the idealized notion of pure o...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651990470022101
更新日期:1999-01-01 00:00:00
abstract::Separation-individuation and attachment theories are compared and assessed in the context of psychoanalytic developmental theory and their application to clinical work. As introduced by Margaret Mahler and John Bowlby, respectively, both theories were initially regarded as diverging from traditional views. Separation-...
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doi:10.1177/00030651040520020501
更新日期:2004-04-01 00:00:00
abstract::Sidney Blatt personified in many ways the striving toward an inclusive, broad-minded, nonsectarian, and nondogmatic psychoanalysis. Intrigued and inspired by many trends in psychoanalytic thought and neighboring disciplines, he believed deeply in the coexistence and mutual contributions of a psychoanalytic clinical pr...
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pub_type: 历史文章,杂志文章
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abstract::Tennessee Williams called his first great work, The Glass Menagerie, his "memory play." The situation in which Williams found himself when he began writing the play is explored, as are the ways in which he used the declarative memory of his protagonist, Tom Wingfield, to express and deal with his own painful conflicts...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/00030651020500040901
更新日期:2002-01-01 00:00:00
abstract::I have discussed an aspect of the problem of countertransference that has received little comment--the relation of the analyst to objects in his patient's world. Emotional reactions stimulated in the analyst by his perception of such objects can have a profound effect on the course and outcome of his analytic work. Su...
journal_title:Journal of the American Psychoanalytic Association
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doi:10.1177/000306518303100303
更新日期:1983-01-01 00:00:00
abstract::The effectiveness of analytic interpretation is conditioned by a number of factors within the patient, within the analyst, and within the analytic situation. I will focus on one of these factors, part of the technical activity of the analyst that I will call follow-up interpretation, one which omitted, or even slighte...
journal_title:Journal of the American Psychoanalytic Association
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doi:10.1177/000306519504300301
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abstract::Brown, G.R. (2017). On Psychic Determinism. Journal of the American Psychoanalytic Association 65:423-446. (Original DOI: 10.1177/0003065117712519) On page 442 (lines 6-7) of Robin Gordon Brown's "On Psychic Determinism" (JAPA 65/3, pp. 423-446), "In his review of Dale Boesky's Do You Hear What I Hear? A Review of Psy...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章,已发布勘误
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更新日期:2017-10-01 00:00:00
abstract::It is appropriate to conclude this study with a statement that characterizes Freud and his search for particular models, and this is: "A genius chooses his family from among heroes." His historical heroes were Cromwell, Napoleon, Masséna, Garibaldi, Bismarck, Adler, Lasalle, Lasker, and Wilson. Of course, toward many ...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/000306518303100106
更新日期:1983-01-01 00:00:00
abstract::A psychosomatic model of dissociation is proposed that addresses the ever adjusting mind-body relation-the constant titration of the quality and degree of the psyche's embeddedness in the sensorial and temporal life of the body. The model highlights the function of hypnoid mechanisms (autohypnosis, distraction, somati...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065120968422
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abstract::Freud was the first to apply psychoanalysis to art, choosing for his subject the life and work of Leonardo da Vinci. Observing Leonardo's partly fused image of the Virgin and St. Anne, he inferred that the artist had depicted his two mothers, his biological mother and his stepmother. This very early analytic discourse...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/00030651010490040501
更新日期:2001-10-01 00:00:00
abstract::Throughout childhood and adolescence, psychological growth proceeds in a sequence of progressive hierarchical organizations. Consequently, children are continuously consolidating existing positions or are in transition from one to another. When analytic treatment is proposed, analysts often find themselves in the posi...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519804600106
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abstract::The contrasting perspectives of historical (actual, material) truth as opposed to narrative (intrapsychic) truth in psychoanalytic reconstruction parallel the controversial shift in Freud's thinking from a traumatic theory of neurosogenesis to a greater emphasis on fantasy and psychic reality. Freud and analysts since...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519404200106
更新日期:1994-01-01 00:00:00
abstract::Freud's experience on the Acropolis is reviewed and reappraised. Also, the experience of Elie Wiesel at the Wall in Jerusalem and Patient X's reaction visiting an Egyptian temple are examined. Carl Jung's wish to go to Rome and his inability to do so are noted. The aim of the paper is to offer deeper understanding abo...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/000306518603400104
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abstract::In recent years there has been a growing interest in refining the technique of ego defense analysis. All of these approaches share in common an attempt to work closely with the patient's free associations, to interpret at a level that is accessible to the patient's consciously observing ego, and to avoid bypassing the...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651970450021201
更新日期:1997-01-01 00:00:00
abstract::Observations made in a nursery setting of 22 infants 9 to 12 months old suggest that girls become aware of psychological separateness earlier than do boys. The nature of the infant's means of coping, the relation to mother and to play objects, and maternal handling differences are also reported. Implications for gende...
journal_title:Journal of the American Psychoanalytic Association
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更新日期:1990-01-01 00:00:00
abstract::Freud's repression of Judaism and its cultural markers from the published "Rat Man" case history has been noted but never satisfactorily explained. This elision can be interpreted using Freud's suggestion that the paradigmatic "rat" represents (among other things) a circumcised penis marking an intergenerational, cove...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 历史文章,杂志文章
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abstract::Didactic education in psychoanalytic ethics is a relatively new phenomenon. Ethics courses were offered by few institutes before they were mandated and before publication of the first Ethics Case Book in 2001. As institutes have developed ethics training, the solutions they have arrived at-formats, length and placemen...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065110361250
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abstract::In recent years a number of analytic concepts have been subject to scrutiny, with the value of interpretations, the usefulness of abstinence, the possibility of neutrality, all questioned. One reason for the skepticism about interpretations, in particular, is that before a patient can use an interpretation for psychic...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519604400404
更新日期:1996-01-01 00:00:00
abstract::Après-coup, Freud's Nachträglichkeit, is an essential psychoanalytic concept structuring each of four concepts, four mental processes that lie at the foundation of Freud's thinking: psychic trauma, repression, the creation of the unconscious, and the creation of infantile sexuality. It is argued here that infantile se...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065117738762
更新日期:2017-10-01 00:00:00
abstract::The increasingly frequent clinical reports of the recovery of repressed memories of childhood sexual abuse have drawn both skepticism and support in the analytic community. Two contrasting paradigms are offered to account for the processes by which fully repressed memories are recovered. On the one hand, the analyst's...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::This paper examines some of the internal and external eventualities in the situation of illness in the analyst. The current emphasis on the use of the self as part of the analyzing instrument makes impairments in the analyst's physical well-being potentially disabling to the analytic work. A recommendation is made for...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519504300111
更新日期:1995-01-01 00:00:00
abstract::An English translation of a previously unknown manuscript by Freud is presented. The manuscript, originally prepared in 1931 for William Bullitt's psychobiography of Woodrow Wilson, provides a general theoretical introduction to psychoanalysis. It also includes an original interpretation of Christianity that postulate...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/00030651060540041401
更新日期:2006-10-01 00:00:00
abstract::In an institute research class, the validity of Lewin's methodology in his manifest dream exercise was tested by a different approach. Class members developed a questionnaire based on two actual manifest dreams. Responses from six analytic candidates and fifteen graduate analysts were analyzed by two classroom groups,...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
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更新日期:1993-01-01 00:00:00
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journal_title:Journal of the American Psychoanalytic Association
pub_type: 历史文章,杂志文章
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更新日期:2003-01-01 00:00:00
abstract::A case of phallic-narcissistic personality is presented to demonstrate the intermingling of oedipal and narcissistic transferences and to suggest a therapeutic rationale for the analytic treatment of similar cases. The therapeutic approach to dealing with the narcissistic configurations involves: Empathic and receptiv...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518503300207
更新日期:1985-01-01 00:00:00
abstract::There are always third elements intersecting the analytic pair. One such element is the analytic community. The analyst is therefore never in a dyadic relationship with the patient, but always in a triangle. In relation to the patient, the analyst will be concerned with useful practices. In relation to the analytic co...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651980460021201
更新日期:1998-01-01 00:00:00