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At least 505 records · Page 28Linked to original sources
PubMed1995

Has sexuality anything to do with psychoanalysis?

This paper, prepared as a Sigmund Freud birthday lecture for the Anna Freud Centre, takes the opportunity to clarify and to debate some of the misunderstandings surrounding the meaning and significance of sexuality in psychoanalysis. The author departs from twin observations he has made in the last ten years: direct discussion of sexuality seems to have become marginalised and restricted to specialised papers in psychoanalytic journals. Attempting to question and understand this trend the author recalls that Freud placed sexuality at the centre of psychic development, psychoanalytic theory and clinical work. The contemporary and fashionable focus on object relations, pregenital fixations, borderline pathology and theories and techniques drawn from observations of child development have obscured, the author argues, the meaning and importance of sexuality in psychoanalytic theory and practice. A condensed review of Freud's ideas about sexuality and a re-evaluation of them is aimed at restoring the importance of genital sexuality and the Oedipus complex to their central place. For this author today's sexuality is not Freud's sexuality.

Adult↗
PubMed1997

The unbearable agony of being: interpreting tormented states of mind in the psychoanalysis of sexually traumatized patients.

This article focuses on the clinical importance of the disturbing transference-countertransference matrix in the psychoanalysis of patients whose ego development was decisively influenced by early, traumatic sexual abuse. Dissociative defensive operations and "automatic" identifications are emphasized in accounting for the sadomasochistic and other characteristic features of the "traumatic" transference-countertransference ambiance. Two clinical vignettes depict the analyst's need to take his or her own disturbing experience as an object of analytic examination, while illustrating how "here-and-now" transference cues are used to interpret the patient's efforts to cope with overwhelming, traumatized states of mind.

Adult↗
PubMedDate not supplied

[Self-recognition in the mirror of another? On the significance of cognitive neuroscience for psychoanalysis].

Current concepts in cognitive neuroscience are presented: neuroimaging, connectionism, models for visual perception and memory. Encountering a convergence of certain concepts like the one for memory between cognitive neuroscience and psychoanalysis makes it necessary to compare the framework assumptions underlying these concepts in each discipline. As it turns out, only a change away from the traditional functionalist framework to a modern, externalist form of non-reductionism makes it possible to use the theoretical convergences in a coherent manner. Conceptual consequences of this change in framework assumptions are discussed, particularly for the role of (neuronal) causes versus reasons in the explanation of behaviour within a broadly psychoanalytic context.

Brain↗
PubMedDate not supplied

[Psychotherapy and psychoanalysis in patient management: results of the Heidelberg Catamnesis Project].

In the "Heidelberg Long Term Psychotherapy Follow-up Project", a naturalistic study design, all types of treatment were included that had been performed at the Psychosomatic Clinic of the University of Heidelberg for a certain period (combined inpatient and outpatient individual and group therapy, as well as outpatient dynamic psychotherapies and psychoanalyses). The specific value of this project is due to the fact that--apart from many other, for instance psychological, assessment evaluations--three to five individual therapy goals had been predetermined for each patient before starting the treatment (goal attainment scaling). After the end of therapy and at the time of follow-up (3.5 years later on the average), attainment of these goals was assessed by an independent rater. A total of 208 patients were examined who were evaluated according to their diagnosis (neurotic, functional or psychosomatic disorders) and the kind of treatment. With regard to symptomatology, individual therapy goals, psychological assessment and patient satisfaction, the overall results were good, partly very good, and were almost invariably stable during the long follow-up period. Two particular results are discussed separately: 1. As far as symptomatology was concerned, the group of psychoanalysis patients could not maintain the good outcome at the end of therapy during the long follow-up period. 2. Patients with "psychosomatic disorders" attained remarkably good results, particularly if the treatment had initially been an inpatient setting.

Adolescent↗
PubMedDate not supplied

[Dealing with time in psychoanalysis].

Psychoanalysis offers two alternatives: Timelessness as well as the division of time into individual sessions. Experience of analytical time by the patient is being demonstrated by examples from analytical practice in such a manner that from it the phase of development of anal-narcissistic problems can be deferred as the dominating one. The discussion of analytical literature arrives at the same result. In digesting the considerations of H. Kobut on narcissism the problem of the limit, in particular of the asolute limit of death is being described as basic threat to narcissism. The attempt is made to defer the evolutionary conditions of some mechanisms of defense against the conception of death from the anal-narcissistic context.

Adult↗
PubMed1998

Contributions of psychoanalysis to the understanding and treatment of depression.

Psychoanalysis continues to make important contributions to basic clinical understanding of adaptive and maladaptive psychological development, and particularly to the understanding of depression and its treatment. This paper demonstrates that a basic theoretical conceptualization, central to many of Freud's fundamental contributions, has provided the basis for a wide range of contemporary psychoanalytic and nonpsychoanalytic formulations of personality development and organization; for understanding various forms of psychopathology in adults as deriving from disruptions of normal developmental processes, especially personality disorders and depression; and for conducting research on psychotherapeutic process and outcome in both brief and long-term intensive treatment.

Adult↗
PubMed1976

Proverbs and psychoanalysis.

Proverbs have much to teach the psychoanalyst. The purpose of this paper is to illustrate the clinical usefulness of viewing certain proverbs as analogous to typical dreams, to discuss some implications of the affinities between proverbs, riddles, and typical dreams in the context of applied psychoanalysis, and to view the proverb as stemming from the same common matrix as dreams, myths, symptoms, and folklore.

Anxiety, Castration↗