Abstract:
:The author surveys his work with gay and bisexual men and his evolving clinical understanding, spanning a thirty-five-year period from 1965 to 2000. Four cases are discussed briefly, one from each decade, to illustrate the changing clinical approach, and the following conclusions drawn: (1) sexual orientation and mental health should be approached as independent dimensions; (2) heterosexual orientation is not a required outcome for successful analysis; (3) an analytic process focused on uncovering a presumed "pathological etiology" inevitably distorts the process and obscures more relevant analytic needs; (4) unrecognized heterosexist assumptions and unfamiliarity with norms of gay men's lives pose special barriers to analytic work with gay men. Ongoing self-analysis and self-education are necessary to reduce interferences that keep analysts from listening to their gay patients with open and unbiased attention.
journal_name
J Am Psychoanal Assocjournal_title
Journal of the American Psychoanalytic Associationauthors
Roughton REdoi
10.1177/00030651010490042101subject
Has Abstractpub_date
2001-10-01 00:00:00pages
1187-217issue
4eissn
0003-0651issn
1941-2460journal_volume
49pub_type
杂志文章abstract::Destructiveness in primitive personalities is not restricted to a segment of the person as it is in the case of neurotics, but is global and pervasive. This destructiveness is meaningfully configured in a manner which cannot fully be accounted for by constitutional factors or be comprehended from the individual, intra...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518803600303
更新日期:1988-01-01 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
doi:10.1177/0003065117690513
更新日期:2017-04-01 00:00:00
abstract::Awkward moments often arise between patient and analyst involving the question, "What do we call each other?" The manner in which the dyad address each other contains material central to the patient's inner life. Names, like dreams, deserve a privileged status as providing a royal road into the paradoxical analytic re...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651060540030201
更新日期:2006-07-01 00:00:00
abstract::As a literary genre, science fiction has been largely ignored by psychoanalysis. Science fiction lends itself well to analytic interpretations since its structure embraces an attitude of "cognitive estrangement" (a term that defines the genre). Science fiction allows for the exploration of new and different permutatio...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518903700308
更新日期:1989-01-01 00:00:00
abstract::The nature of therapeutic action varies not only with each patient's psychological predilection for utilizing opportunities for change, but also with the manner in which the analyst or therapist presents opportunity for change. Ideally, the therapist bases the latter on personally identifiable theoretical concepts and...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519003800408
更新日期:1990-01-01 00:00:00
abstract::In this issue we begin an experiment. John Gedo has graciously given us permission to publish his plenary address with a series of brief commentaries, which are followed by a response ("Encore") from Dr. Gedo. You will note that some of the discussants take up an aspect of his point of view, while others elaborate on ...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 评论,杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::Psychoanalysis has seen a shift in emphasis regarding therapeutic action and technique. A predominant focus on the uncovering or reintegrating of repressed, disguised, or split-off contents has moved to include the intersubjective creation, development, and strengthening of psychic processes and capabilities. The anal...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065120906139
更新日期:2020-02-01 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
更新日期:2020-10-01 00:00:00
abstract::The concept of symbiosis is a powerful one expressing a significant emotional experience for many individuals. However, the concept needs to be differentiated from infant-stage symbiosis, Margaret Mahler's second stage of normal development. The latter idea, according to Pine (2004), was of "central" importance to Mah...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 评论,杂志文章
doi:10.1177/00030651050530012001
更新日期:2005-01-01 00:00:00
abstract::Recent studies have shown that the ventral tegmental pathway stimulates both dreaming and drug craving. To investigate a possible clinical link between these two psychic phenomena, psychotherapy notes from the first six months of an addicted patient's treatment were reviewed, together with verbatim notes from the four...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/00030651010490011101
更新日期:2001-01-01 00:00:00
abstract::Freud (1905, 1917, 1937) throughout his lifetime sought empirical scientific confirmation of the validity of his discoveries. In pursuit of this goal, he persistently emphasized the importance of establishing agreement between analytic reconstructions and the results of naturalistic child observation. The same objecti...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518903700206
更新日期:1989-01-01 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::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
pub_type: 杂志文章
doi:10.1177/000306518303100303
更新日期:1983-01-01 00:00:00
abstract::The current consensus among psychoanalysts holds that direct infant observations are one means for testing the developmental propositions of psychoanalytic theory; that the observations have already falsified some of the theory's basic propositions; and that they hold the key to a qualitatively different developmental...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519604400202
更新日期:1996-01-01 00:00:00
abstract::Clinical material is presented leading to a discussion of beating fantasies which varies from Freud's model. Analysis shows that the fantasied role girls assign to mother as the punisher in the oedipal drama is equivalent to the fantasied role boys ascribe to father as castrator. For both sexes, castration anxiety spu...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519204000207
更新日期:1992-01-01 00:00:00
abstract::Material is presented from three cases, where analysis of repetitive dreams of feeling embarrassment at being partially or totally naked was an important feature of the treatment. The indifference by the other people in the dream to the dreamer's nakedness was initially linked to perceived transference slights at the ...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518903700106
更新日期:1989-01-01 00:00:00
abstract::This study of Giorgio Morandi, the great twentieth-century Italian painter, departs from the model of Freud's essay on Leonardo, in which he creates a psychodynamic hypothesis by linking the art with facts and conjecture about the artist's life. Because personal information about Morandi is remarkably scarce, we can m...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/0003065111403144
更新日期:2011-02-01 00:00:00
abstract::From the widely diverse category of so-called mirror dreams, we have differentiated the most frequent, which we have designated the common mirror dream (CMD). It is one in which the dreamer at some point looks into a mirror and reports seeing himself, a part of himself or a distorted though recognizable version of him...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306518503300403
更新日期:1985-01-01 00:00:00
abstract::Received wisdom on the history of countertransference rests on two assumptions: Freud said little about countertransference, and what he did say focused on its role as an impediment to analytic work; the emergence in the 1950s of a conception of countertransference as a crucial beneficial component of psychoanalysis w...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 历史文章,杂志文章
doi:10.1177/0003065114546164
更新日期:2014-08-01 00:00:00
abstract::Psychoanalysis has paid scant attention to the role of grandparenthood, especially as it may appear in treatment. Clinical material is presented to illustrate the transference-countertransference phenomenon of what will be called the good grandparent; this is not an uncommon occurrence in the treatment of patients who...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065110375275
更新日期:2010-06-01 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-...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章,评审
doi:10.1177/00030651040520020501
更新日期:2004-04-01 00:00:00
abstract::Analysis of the unconscious ego resistances is one of those clinical concepts more honored in the breach than in the observance. This same point has been made periodically over the past fifty years. It has not been sufficiently realized that a true psychoanalytic understanding of resistance analysis could only begin w...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 历史文章,杂志文章,评审
doi:10.1177/000306519204000406
更新日期:1992-01-01 00:00:00
abstract::Freud's "Fragment of an Analysis of a Case of Hysteria" (1905a,b) is well recognized for making psychoanalytic history. In the Dora paper Freud first publicized a new theory of the etiology of neurosis that made fantasy and repression central. And yet the paper also refers to trauma and seduction. What role do they pl...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 传,历史文章,杂志文章
doi:10.1177/0003065109338600
更新日期:2009-06-01 00:00:00
abstract::Traditional psychoanalytic theories of development hold that the adult neurotic can regress, or has already regressed, to the childhood arrests and/or fixations in which his pathology originated. More recent critiques have called this possibility into question. It is unlikely that anyone can roll back the additions an...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 历史文章,杂志文章
doi:10.1177/0003065117742408
更新日期:2017-12-01 00:00:00
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::Is child analysis really analysis? The child patient does not free associate, communicates to the analyst in large measure nonverbally, and operates from a different psychic organization than the adult. Nevertheless, child and adult analysis share the same basic principles, despite different techniques. Using clinical...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:
更新日期:1996-01-01 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::The meaning of the "grist for the mill" metaphor has undergone a shift from "analyzing everything" to "everything is analyzable." This is used as a point of departure for exploring some of the multiple, complicated, and often unrecognized ways reality is used defensively by analyst and analysand. The point of view pre...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/000306519404200305
更新日期:1994-01-01 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::A case is made for community-based psychoanalysis as part of usual psychoanalytic practice. A safe community is first defined psychodynamically, after which three variations are presented on the community-based style and qualities and modes of practice compared with individual psychoanalytic therapy and psychoanalysis...
journal_title:Journal of the American Psychoanalytic Association
pub_type: 杂志文章
doi:10.1177/0003065113496271
更新日期:2013-08-01 00:00:00