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Biomedical subjects

Salman Akhtar

Publications and source records attributed to Salman Akhtar.

7 recordsLinked to original sources
PubMed2006

Technical challenges faced by the immigrant psychoanalyst.

This paper delineates the technical challenges faced by immigrant analysts. These include (i) maintaining cultural neutrality toward "native" patients, (ii) wondering about the patient's motivations for choosing an ethnoculturally different analyst, (iii) scanning the patient's associations for interethnic clues to deeper transferences, (iv) negotiating the dilemmas posed by conducting analysis in a language other than one's mother tongue, and (v) avoiding shared projections, acculturation gaps, and nostalgic collusion in working with homoethnic immigrant analysands. While by no means irrelevant to the clinical work of non-immigrant analysts, these tasks seem to have a greater importance for the immigrant analyst. Brief clinical vignettes are offered to illustrate these propositions and to highlight the tension between the universality of fundamental intrapsychic and relational configurations, on the one hand, and the nuances of cultural and linguistic context, on the other.

Communication Barriers↗
PubMed2005

Immigrant sex: the transport of affection and sensuality across cultures.

This paper outlines the ways in which an individual's notions of sexuality are challenged by immigration. It describes four basic facets of sexuality and the ways in which each are rooted in culture. These include (1) the relative importance of sexuality in daily life; (2) potential or overt homosexuality; (3) marriage-whether based on arrangement or love; and (4) cross-cultural romantic and marital relationships. Immigration can stir up conflicts in each of these realms and lead to defensive retreat into familiar customs or a counter-phasic plunge into new cultural avenues. Ideally, it would lead to a working-through of these conflicts and subsequent growth in the immigrant's understanding of his or her sexual self.

Affect↗
PubMed2004

When evening falls: the immigrant's encounter with middle and old age.

This article elucidates the immigrant's encounter with the developmental tasks of middle and old age. It describes the vicissitudes of five psychosocial challenges characteristic of this phase of life and underscores the difficulties faced by the immigrant in each of these realms. These challenges include (1) letting go of the children, (2) retirement, (3) grandparenthood, (4) loss of siblings and peers through death, and (5) declining physical health and anticipation of death. It is suggested that preexisting capacity for mourning alongside a satisfactory marriage, support from homoethnic community, non-job-related sublimations, economic security, and absence of undue physical ailments help sustain a positive attitude as one faces these phase-specific dilemmas of late adult life.

Aged↗
PubMed2002

Forgiveness: origins, dynamics, psychopathology, and technical relevance.

This paper integrates a diverse and scattered literature to describe the psychodynamic underpinnings of granting and seeking forgiveness. The evolutionary foundations and the developmental substrate of these capacities are elucidated. An individual who fails to make certain intrapsychic achievements may be vulnerable to psychopathological development, as is evident in those who cannot forgive or forgive too readily, constantly or never seek others' forgiveness, cannot accept forgiveness, or show an imbalance between their capacities to forgive themselves and to forgive others. The relevance of various developmental and phenomenological concepts to psychoanalytic technique, including the patient's need to forgive and to be forgiven, is also discussed.

Anger↗
PubMed2002

Why no sex?

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Humans↗