Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “PSYCHOANALYTIC INTERPRETATION”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 883 records · Page 49Linked to original sources

An investigation into some implications of a Vygotskian perspective on the origins of mind: psychoanalysis and Vygotskian psychology, Part I.

The Russian psychologist Lev Vygotsky proposed an analysis of language, thought, and internalization that has direct relevance to the current concerns of psychoanalysts. Striking methodological and conceptual similarities and useful complementarities with psychoanalysis are discovered when one peers beneath the surface of Vygotskian psychology. Our adaptation of Vygostsky's views expands upon Freud's assigned role to language in the topographic model. We suggest that the analysand's speech offers several windows into the history of the individual, through prosody, tropes, word meaning, and word sense. We particularly emphasize Vygotsky's views on the genesis and utilization of word meanings. The acquisition of word meanings will contain key elements of the internal climate present when the word meaning was forged. Bearing this in mind, crucial theoretical questions follow, such as how psychoanalysis is to understand the unconscious fantasies, identifications, anxieties, and defenses associated with the psychodynamics of language acquisition and later language usage. We propose that the clinical situation is an ideal place to test these hypotheses.

Freudian Theory↗

From analytic surface to analytic space.

Utilizing a clinical illustration, the concept of the surface of the patient's mind, which arose early in analytic history, is reexamined in relation to the analytic space, the unique affective and communicative dyadic context of the analytic process. The shift from analytic surface to analytic space reflects in clinical theory the metapsychological shift from early structural views to current appreciation of compromise formation. Also, this approach permits broadening of consideration of active unconscious forces in both the patient and the analyst.

Adult↗

A research-based reconsideration of the psychoanalytic theory of dreaming.

We present a brief review of sleep research which, when combined with psychoanalytic experience, has led to the hypothesis that REM sleep and dreaming serve the function of adaptation by the process of integration of information. We then report the results of a study of dreams, based on this hypothesis. We studied dreams and their relation to waking mental activity and found a correlation between problems in manifest dreams and those in pre- and postsleep waking life. Dreams can be understood on the basis of problems that appear in them. We also found evidence for a relation between the solution of problems in dreams and the fate of those problems the next day. We discuss these findings in relation to some of the controversies about dreaming, and then present suggestions for future research.

Dreams↗

Lewin's manifest dream exercise revisited.

In an institute research class, the validity of Lewin's methodology in his manifest dream exercise was tested by a different approach. Class members developed a questionnaire based on two actual manifest dreams. Responses from six analytic candidates and fifteen graduate analysts were analyzed by two classroom groups, working independently. The data were assessed by two methods and the conclusions were only partially synchronous with Lewin's method of collective free association in which members of the group influenced one another. Our subjects did not influence one another, and they and research class members were "blind" to the dreams' associations, context, and meanings derived years earlier, until after data were assessed and conclusions were reached. One conclusion suggests that intuition as to "correct" meanings may be independent of the number of years of analytic experience. This project is reported to stimulate similar research projects as a regular part of psychoanalytic education.

Curriculum↗

After the analysis: analyst as both old and new object.

In the course of followup study of satisfactorily analyzed former patients, there are observed two sets of phenomena: (1) recurrence of the analytic transference neurosis, and (2) rapid recovery from this transference neurosis. These phenomena are telescoped repetitions of the analysis and reflect the ongoing mental representation of the analyst as a displacement from the objects of the past, organized into the transference neurosis. The spontaneous and rapid recovery from the transference neurosis in followup study repeats the "cure" of the analysis and the new ongoing representation of the analyst as a nonconflicted object. This new image of the analyst is based on both the resolution of the transference neurosis and new displacements from positive experiences with significant figures from the past.

Adaptation, Psychological↗

The eclectic analyst, or the many roads to insight and change.

Common wisdom has it that psychoanalysis is composed of a number of discrete bodies of theoretical and technical thought, or "schools." I argue that psychoanalytic schools are not as different from one another as they are commonly supposed to be, particularly in matters of technique. In their daily practice, most analysts do not adhere strictly to the precepts of a specific school, even though they profess to be adherents of that school. Instead, they read widely and adopt those technical procedures and principles that fit their own personality and prove most efficacious with their patients, regardless of the school from which those ideas come. In short, they are eclectic. I present a case to illustrate this eclecticism in my own practice, discuss the widespread nature of such eclecticism among the professions in general, and briefly discuss the significance of eclecticism for psychoanalysis itself.

Anxiety Disorders↗

Shall drawing become part of free association?: Proposal for a modification in psychoanalytic technique.

Three psychoanalytic case vignettes are presented where drawing is used beneficially as part of the free-associative process. The history of the psychoanalytic use of drawing is briefly reviewed, together with a new technical proposal regarding the role of drawing in free association. Justification for testing this modification leads to a consideration of methodological issues and the nature of free association. Possible advantages of this modification, including enhanced clinical understanding through integration of pictorial and verbal modes, and greater potential for access to the period of life where experience is more visually dominated, are considered and also discussed in relation to dual hemispheric mental organization.

Adult↗

Paranoia: a part of most analyses.

Paranoid defenses appear during most analyses, sometimes with great intensity, but often subtly, and require specific analytic attention. Preoedipal conflicts, inner fears around passivity, narcissistic injury and rage, and subsequent masochistic and projective defenses lie at the core of these patients' pathology. In addition, specific cognitive, object-relational, and affective distortions reflecting multiple developmental levels emerge during analysis. A case vignette is provided to demonstrate the analysis of a neurotic patient without borderline features who showed prominent paranoid formation.

Adult↗

Useful aspects of acting out: repetition, enactment, and actualization.

In his seminal paper on acting out, Freud (1914) wrote: "We render the compulsion [to repeat] harmless, and indeed useful, by giving it the right to assert itself in a definite field. We admit it into the transference as a playground in which it is allowed to expand in almost complete freedom and in which it is expected to display to us everything in the way of pathogenic instincts that is hidden in the patient's mind" (p. 154). This paper reexamines the ambiguous concept of acting out as both a resistance to and a useful component of the analytic process. Current concepts of repetition in the transference, enactment, and actualization avoid the pejorative connotation of acting out and, therefore, allow for a more neutral, analytic attitude toward these inevitable and vital components of the analytic process.

Acting Out↗

Therapeutic process and developmental process in the restructuring of object and self constancy.

This paper holds that the analytic relationship embodies both therapeutic process and developmental process, that these processes are best viewed as different and separate, and that they function in a complementary way in the revision of pathologically impaired and underdeveloped psychic structure. The focus of the paper is on the developmental formation and clinical restructuring of object and self constancy. The illustrative case material is excerpted from the case of a man who returned for additional treatment five years after the completion of an apparently successful analysis of his neurotic conflicts.

Adult↗

Can analysts agree? The problems of consensus and the psychoanalytic mannequin: I. A proposed solution.

Psychoanalysis, plagued by lack of demonstrable consensus on clinical formulations, is as much endangered by overinflated agreement from stereotypical dynamic formulas: tests of psychoanalytic hypotheses derived from any such formulations may therefore rest on questionable foundations. The problems that give rise to artifactual overagreement or failure to reach agreement are here traced in earlier empirical psychoanalytic research. Review reveals that although new and inventive empirical strategies (applied in the last two decades) achieve adequate success in the area of agreement, they demonstrate little headway in ruling out that stereotypy may underlie such consensus. The present investigation offers a solution for testing agreement in complex clinical psychoanalytic propositions, in a way that sets up a "test of the mannequin": that is, whether stereotypical assumptions about the patient's dynamics are overridden (revised) by the specific character of a given patient's narrative. The mannequin concept introduces a new and epistemically crucial consideration in the making of psychodynamic formulations and is relevant to both empirically controlled and clinical contexts of observation and formulation. No psychoanalytic paradigm, whether classically ego-psychological, self-psychological, control-mastery, or object-relational, escapes this problem.

Humans↗

Can analysts agree? The problems of consensus and the psychoanalytic mannequin: II. Empirical tests.

The present investigation reports on the execution of an empirical strategy for testing agreement in complex clinical psychoanalytic propositions, and for testing whether stereotypical assumptions are overridden (revised) by the specific character of the patient's narrative. The findings reveal that, in general, for the several domains of psychoanalytic formulation, psychoanalyst judges reach superior levels of ordinal agreement, and modest to good levels for agreement on magnitude. Moreover, formulations based on verbatim psychoanalytic sessions pass the "test of the mannequin" in most domains, i.e., surpass stereotypical psychoanalytic assumptions about the patient's dynamics. The mannequin concept, here operationalized, introduces a new and epistemically crucial consideration for the making of psychodynamic formulations. Other novel contributions of these studies include the development of operationalized measures of (reconstructive) historical linkage, and the introduction of magnitudinal agreement in this empirical area.

Adult↗

Recovering a repressed memory, and representational shift in an adolescent.

This case report focuses on the disappearance of a fixed pictorial iconic representation and transformation to symbolic (word) representation following the recovery of a repressed memory in a twelve-and-a-half-year-old after the first eleven months of psychoanalysis. There is a substantial body of psychoanalytic literature on the importance of language, naming or articulation of experiences associated with transformation of psychic structure (Fenichel, 1941; Glover, 1955; Kris, 1956a, 1956b; Werner and Kaplan, 1963; Schafer, 1976, 1978a, 1978b, 1980; Shapiro, 1979; Spence, 1982; Stern, 1989) and a relatively autonomous literature on the communicative representational power of children's play or visual portrayals (Piaget, 1962; A. Freud, 1947; Klein, 1964; Axeline, 1947; Esman, 1983; Neubauer et al., 1987; Krall, 1989). To our knowledge, there is no report of the structural effect of the recovery of a repressed traumatic experience, in this case, with subsequent parental confirmation of the traumatic event.

Adolescent↗