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Biomedical subjects

F Pine

Publications and source records attributed to F Pine.

17 recordsLinked to original sources

Listening and speaking psychoanalytically--with what in mind?

In this paper, the proposition is developed that multi-model thinking with respect both to theories of mind and to theories of technique has always been implicitly present in psychoanalytic practice as a response to the demands of the clinical moment. But this has gone unnoticed and untheorized, in part because it is hidden in general considerations regarding tact, timing and (less discussed) variations in voice tone and also because our psychoanalytic practices, without our awareness but as adaptations to the clinical moment, do not always match our theories. The author offers reasons from the broad culture of psychoanalysis why this is so. He also offers a conceptualization and a strategy for raising the implicit and untheorized to heightened levels of awareness; he does this by highlighting the place of patient characteristics as the underpinning of theory variation and the place of a vast array of clinical possibilities as the backdrop of analytic listening. Clinical examples are used throughout.

Attention↗

Some impressions regarding conflict, defect, and deficit.

A distinction is drawn between "deficits" and "defects." A variety of clinical and theoretical issues is discussed with regard to each, including their involvement in conflict. The central thrust of the paper is "diagnostic" in the general sense of attempting to delineate varying elements of mental life. But inevitably such a delineation has technical implications, and these, too, are discussed. The question of how analytic change takes place is necessarily related to our concept of what there is to be changed.

Adult↗

A contribution to the analysis of the psychoanalytic process.

The place of analyst-patient interactions in the psychoanalytic change process is much debated. This paper reflects an attempt to identify quite specific relational impacts that flow from the requirements of the psychoanalytic situation itself and are (a) essential to the psychoanalytic process, (b) inseparably tied to interpretation, and (c) of quite broad significance. Relationship factors that are idiosyncratic, iatrogenic, or that involve a nonspecific benign tone are all discussed by way of contrast to features seen as essential to the interpretive process. The published literature is heavily used to develop these points.

Humans↗

Some refinements of the separation-individuation concept in light of research on infants.

The separation-individuation concept, though clinically useful, has been called into question in a critique based on systematic infant research. While an effective rejoinder to the critique can be offered, the critique plus the rejoinder nonetheless require some modifications of the initial separation-individuation concept. Following a summary of the argument, I offer those modifications here.

Autistic Disorder↗

Motivation, personality organization, and the four psychologies of psychoanalysis.

Four psychologies currently significant in psychoanalytic thinking are described. An attempt is made to (a) advance developmental proposals describing how the phenomena of each of the four achieve motivational status in the intrapsychic life of the individual and (b) develop a model for the understanding of personality organization across the four psychologies, based on the development of personal hierarchies that establish which issues are superordinate and which subordinate. Taken together, these two points are used to suggest that the four psychologies may not simply represent differing perspectives on intrapsychic phenomena (though they do that, in part) but that they also, simultaneously, represent relatively independent ways in which intrapsychic life is organized.

Drive↗

The four psychologies of psychoanalysis and their place in clinical work.

Clinical psychoanalysis has led to the development of four conceptually separable perspectives on the functioning of the human mind. These are referred to herein as the psychologies of drive, ego, object relations, and self. Their clinical relevance is explored by applying them to issues regarding evenly hovering attention and the mutative factors in psychoanalysis. Those two areas, in turn, are seen to undergo an expansion when viewed from the perspective of each of the four psychologies.

Attention↗

On the pathology of the separation-individuation process as manifested in later clinical work: an attempt at delineation.

In this paper, through clinical example, I have attempted to illustrate and to delineate aspects of the pathology of the separation-individuation process as they are manifested in later clinical work. I have distinguished between pathology of the relation to the differentiated other and the undifferentiated other, the latter being the primary phenomena with roots in the separation-individuation process; and I have attempted to show that the confusion between these two rests on a focus on surface presentations rather than in-depth understanding. A further distinction was drawn within the pathology of the relation to the differentiated other; some clinical phenomena there can be seen as tied to the differentiation process itself, and are thus also linked to separation-individuation. Finally, the relevance of the concepts of separation-individuation to depersonalization/derealization, to 'as if' character, and to folie à deux was discussed.

Adolescent↗