Psychoanalytic Psychotherapy

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Emma Tilbury - One of the best experts on this subject based on the ideXlab platform.

Matti Keinänen - One of the best experts on this subject based on the ideXlab platform.

  • Psychoanalytic Psychotherapy in Finland
    Psychoanalytic Psychotherapy, 2020
    Co-Authors: Olavi Lindfors, Matti Keinänen
    Abstract:

    Psychoanalytic Psychotherapy is one of the most commonly practiced Psychotherapy orientations in Finland. It has secured continuity in the recently renewed university-based educational programs for...

  • The transformation of the internal dead mother into the internal living mother in the Psychoanalytic Psychotherapy of anorexia nervosa.
    The Israel journal of psychiatry and related sciences, 2003
    Co-Authors: Matti Keinänen
    Abstract:

    The aim of this study is to show the central role of the concept of the dead mother in the psychic process of anorexia nervosa, and the dead mother's transformation into the living mother by means of the use of the therapist in a successful Psychoanalytic Psychotherapy process. This Psychoanalytic Psychotherapy approach to anorexia nervosa is especially useful when patients are young, because even though they are often unstable and not yet mature, they are at the same time open to positive psychic changes in their personality structure--as the clinical case shows. The resurrection of the internal dead mother into the internal living mother, by means of the object usage of the therapist in the described therapy process, brought about the anorectic patient's recovery from a "dead swan" to a young "living swan."

  • On symbolic function and its role in Psychoanalytic Psychotherapy
    Psychoanalytic Psychotherapy, 2001
    Co-Authors: Matti Keinänen
    Abstract:

    SUMMARY One of the curative factors of Psychotherapy is that the patient internalises, on the one hand, the therapist's attitude towards himself; and, on the other hand, he/she creates channels and the means to elaborate unmet needs in his/her internal experiential world. I consider the internalisation process in this study in the framework of a gradual symbolisation-reflectiveness process, using the tripartite model of Charles Peirce to conceptualise symbolisation and apply it to an understanding of the evolving psychic process. My aim is to analyse the organisation of symbolisation-reflectiveness in the Psychoanalytic Psychotherapy of my patient Thomas, illustrating this with material from the sessions. Thomas's central conflict was connected with early unprocessed separation experiences in the mother-child relationship. These separation experiences manifested themselves as inexplicable panic attacks during the therapy. In the potential space created by basic trust, Thomas was able to integrate feelings...

Andrzej Werbart - One of the best experts on this subject based on the ideXlab platform.

  • changes in the anaclitic introjective personality configurations following Psychoanalytic Psychotherapy with young adults
    Research in Psychotherapy: Psychopathology Process and Outcome, 2017
    Co-Authors: Andrzej Werbart, Siri Alden, Anders Diedrichs
    Abstract:

    Treatment goals in Psychoanalytic Psychotherapy often include changes in underlying psychological structures, rather than only symptom reduction. This study examines changes in the anaclitic-introjective personality configurations following Psychoanalytic Psychotherapy with young adults in relation to outcomes. Thirty-three patients were interviewed pretreatment and at termination using the Object Relations Inventory (ORI). Prototype Matching of Anaclitic-Introjective Personality Configuration (PMAI) was applied to the ORI material by two independent judges (intraclass correlation coefficient=0.73). The patients were classified pretreatment as predominately anaclitic (n=13) or introjective (n=20). Outcome measures included the Symptom Checklist-90-R (SCL-90) and Differentiation-Relatedness scale (D-R) pretreatment, at termination, at the 1.5-year and three-year follow-up. Both groups improved post-treatment in terms of symptoms and developmental levels of representations of self, mother, and father. No significant differences between the anaclitic and the introjective group were found in this respect, and could not be expected due to the low power (0.27). The anaclitic group showed better balance between relatedness and self-definition post-treatment, while this improvement was not significant in the introjective group. Further and larger studies are needed to draw more farreaching conclusions about the relations between changes in personality configurations over the course of treatment and the treatment efficacy. The clinical implications of this approach to underlying dynamic psychological structures are discussed.

  • Patient and therapist perspective on therapeutic action in psychoanalysis and Psychoanalytic Psychotherapy : helpful and hindering factors
    2015
    Co-Authors: Andrzej Werbart
    Abstract:

    This research program aims to explore patient and therapist views of helpful and hindering factors in psychoanalysis and Psychoanalytic Psychotherapy, applying rigorous qualitative methods. A serie ...

  • long term outcome and post treatment effects of Psychoanalytic Psychotherapy with young adults
    Psychology and Psychotherapy-theory Research and Practice, 2010
    Co-Authors: Andrzej Werbart, Bjorn Philips, Annika Lindgren
    Abstract:

    Objectives. The short- and long-term effects of open-ended, long-term Psychoanalytic Psychotherapy for young adults were investigated. Possible changes during the year and a half follow-up, as well as predictors of change, were explored. Design. Patients aged 18–25 years who accepted the offered Psychoanalytic individual or group Psychotherapy were included. Patients filled out questionnaires and were interviewed at intake, termination, and follow-up. Alliance data were collected after the second session of Psychotherapy proper. Methods. The primary outcome measures were the Symptom Checklist-90 and the Inventory of Interpersonal Problems. The Helping Alliance Questionnaire-II was used to measure alliance. Mixed model ANOVAs were used to analyse changeover time and prediction of change in relation to gender, treatment format, treatment duration, and in individual Psychotherapy, therapist- and patient-rated alliance. Results. All outcome measures changed significantly from intake to follow-up. None changed significantly during the follow-up period, but there was a tendency towards recurring symptoms and an improvement in one of the object relational measures during the follow-up. The latter was the only outcome measure that did not change significantly during treatment. Lower therapist-rated alliance was predictive of greater change in psychiatric symptoms for patients with high levels of symptoms at intake. Conclusions. The long-term effectiveness of Psychoanalytic Psychotherapy for young adults was supported. Low therapist-rated alliance implies that the therapists have identified problematic interactions, which might have mobilized their effort to solve the problems. Further research on cases reporting no gain or even deterioration is needed.

  • young adults ideas of cure prior to Psychoanalytic Psychotherapy
    Journal of Clinical Psychology, 2007
    Co-Authors: Bjorn Philips, Andrzej Werbart, Peter Wennberg, Johan Schubert
    Abstract:

    The study aims to explore systematically the ideas of cure among young adults prior to Psychoanalytic Psychotherapy. Forty-six individuals aged 18 to 25 years who applied for Psychotherapy underwent the Private Theories Interview (PTI). Twenty distinct categories of ideas of cure were identified. Based on these categories, a theoretical model was constructed with the dimensions, Approaching-Distancing and Doing-Receiving. Individuals were classified into types using "ideal type analysis." Seven ideal types were formed: Processing and Understanding, Mastering Through Own Will and Action, Talking, Discordant Ideas, Incoherent Ideas, Getting It Out, and Avoiding or Placing the Solution onto Others. New hypotheses emerged concerning ideas of cure as an important factor for Psychotherapy matching, thus potentially predicting premature termination, alliance, and outcome.

  • A Model of Therapeutic Action Grounded in the Patients' View of Curative and Hindering Factors in Psychoanalytic Psychotherapy.
    Psychotherapy: Theory Research Practice Training, 2005
    Co-Authors: Peter Lilliengren, Andrzej Werbart
    Abstract:

    The patients’ view of curative and hindering factors in Psychoanalytic Psychotherapy was explored, starting from conducting the Private Theories Interview with 22 young adult patients at terminatio ...

M Keinanen - One of the best experts on this subject based on the ideXlab platform.

  • The meaning of the symbolic function in Psychoanalytic Psychotherapy: clinical theory and psychotherapeutic applications.
    The British journal of medical psychology, 1997
    Co-Authors: M Keinanen
    Abstract:

    This study presents the clinical theory and psychotherapeutic applications of symbolic function in Psychoanalytic Psychotherapy. The three modes of symbolic function (indexical, iconic and conventional symbolic) form the representations of the self and the object and further the unconscious fantasy, which includes the affective bond between these representations. During his/her development the child absorbs from the mother a new ego capacity (by means of identification), which I call the reflective-integration capacity. Then, the ego of the child has two crucial functions: the fantasy world adopted through the symbolic function and the reflective-integrative capacity. In Psychoanalytic Psychotherapy our aim is to study the fantasy world of the patient by means of the reflective-integrative capacity, or if this capacity is missing or weak, to promote its development. During Psychoanalytic Psychotherapy a shared area of reflection-integration is formed, in which the healing changes occur. These healing changes include mainly the formation, consolidation and enrichment of the symbolic function of the patient. The consolidation of symbolic function and the capacity to move within the different modes of symbolic function occur in the area of psychology in which there are incapabilities and/or conflicts (e.g. separation anxiety) in the patient. Clinical case material is presented to illustrate these phenomena.

Bjorn Philips - One of the best experts on this subject based on the ideXlab platform.

  • long term outcome and post treatment effects of Psychoanalytic Psychotherapy with young adults
    Psychology and Psychotherapy-theory Research and Practice, 2010
    Co-Authors: Andrzej Werbart, Bjorn Philips, Annika Lindgren
    Abstract:

    Objectives. The short- and long-term effects of open-ended, long-term Psychoanalytic Psychotherapy for young adults were investigated. Possible changes during the year and a half follow-up, as well as predictors of change, were explored. Design. Patients aged 18–25 years who accepted the offered Psychoanalytic individual or group Psychotherapy were included. Patients filled out questionnaires and were interviewed at intake, termination, and follow-up. Alliance data were collected after the second session of Psychotherapy proper. Methods. The primary outcome measures were the Symptom Checklist-90 and the Inventory of Interpersonal Problems. The Helping Alliance Questionnaire-II was used to measure alliance. Mixed model ANOVAs were used to analyse changeover time and prediction of change in relation to gender, treatment format, treatment duration, and in individual Psychotherapy, therapist- and patient-rated alliance. Results. All outcome measures changed significantly from intake to follow-up. None changed significantly during the follow-up period, but there was a tendency towards recurring symptoms and an improvement in one of the object relational measures during the follow-up. The latter was the only outcome measure that did not change significantly during treatment. Lower therapist-rated alliance was predictive of greater change in psychiatric symptoms for patients with high levels of symptoms at intake. Conclusions. The long-term effectiveness of Psychoanalytic Psychotherapy for young adults was supported. Low therapist-rated alliance implies that the therapists have identified problematic interactions, which might have mobilized their effort to solve the problems. Further research on cases reporting no gain or even deterioration is needed.

  • young adults ideas of cure prior to Psychoanalytic Psychotherapy
    Journal of Clinical Psychology, 2007
    Co-Authors: Bjorn Philips, Andrzej Werbart, Peter Wennberg, Johan Schubert
    Abstract:

    The study aims to explore systematically the ideas of cure among young adults prior to Psychoanalytic Psychotherapy. Forty-six individuals aged 18 to 25 years who applied for Psychotherapy underwent the Private Theories Interview (PTI). Twenty distinct categories of ideas of cure were identified. Based on these categories, a theoretical model was constructed with the dimensions, Approaching-Distancing and Doing-Receiving. Individuals were classified into types using "ideal type analysis." Seven ideal types were formed: Processing and Understanding, Mastering Through Own Will and Action, Talking, Discordant Ideas, Incoherent Ideas, Getting It Out, and Avoiding or Placing the Solution onto Others. New hypotheses emerged concerning ideas of cure as an important factor for Psychotherapy matching, thus potentially predicting premature termination, alliance, and outcome.