The mechanism of action of psychoanalytic treatment.
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Biomedical subjects
Publications and source records attributed to J P Ellman.
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Increasingly it seems that analysts and their patients are in the midlife period. If analyst and patient are both going through a midlife crisis involving similar issues, this may have repercussions in the analysis. Turning to the literature for guidance reveals a paucity of papers concerning the clinical application of midlife developmental theory. This article explores such an application by describing the effect of two midlife changes-time urgency and role reversal with respect to aging parents-on the transference-countertransference in the analyses of two middle-aged patients.
A treatment concept is described based on phase of life developmental theory for certain middle-aged patients encountered in a general hospital setting that--of a midlife crisis unit. Theoretical considerations on the rationale for setting up a midlife crisis unit, a brief description of a pilot unit of this nature during its first year of operation and several clinical vignettes illustrating typical presenting situations are discussed.
The literature regarding the association of psychosis and/or neuroleptic medication with sudden, unexpected, "autopsy negative" death is surveyed. Richardson's work is reviewed; in particular his conclusion that acid mucopolysaccharide deposition in the cardiovascular systems of his patients was of etiologic significance in their deaths. A case report follows which supports the association of psychosis and neuroleptic intake with abnormal mucopolysaccharide deposition and sudden death.