The Experts below are selected from a list of 282 Experts worldwide ranked by ideXlab platform
William S Pollack - One of the best experts on this subject based on the ideXlab platform.
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relational Psychoanalytic Treatment for young adult males
Journal of Clinical Psychology, 2003Co-Authors: William S PollackAbstract:The clinical Treatment of an adolescent young adult male is presented to both illustrate and operationalize the author's hypothesis that a new model of relational Psychoanalytic Treatment is likely to have beneficial effects, particularly among this population. The contention that males as young boys undergo a normative trauma of premature separation in our society, which is likely to give rise to underdiagnosed abandonment depressive syndromes in teenage boys, is argued. It is represented that psychotherapists attempting to diagnose and treat a wide rage of disorders in young males would do well to rethink their approach from this new perspective. © 2003 Wiley Periodicals, Inc. J Clin Psychol/In Session.
Jeremy D. Safran - One of the best experts on this subject based on the ideXlab platform.
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Commentary: Research on Short- and Long-Term Psychoanalytic Treatment – The Current State of the Art
Psychodynamic Psychotherapy Research, 2011Co-Authors: Jeremy D. Safran, Alexandra ShakerAbstract:It is a great pleasure to have the opportunity to read and comment on the chapters in this section. Some of the chapters provide superb summaries and updates on innovative Psychoanalytic research programs. Others provide comprehensive reviews of the research on the Psychoanalytic Treatment of specific disorders. Together, they constitute an immensely satisfying summary of state-of-the-art research findings on Psychoanalytic process and outcome.
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Brief relational Psychoanalytic Treatment
Psychoanalytic Dialogues, 2002Co-Authors: Jeremy D. SafranAbstract:In this article I describe an approach to brief Psychoanalytic Treatment that is consistent with many of the key principles of the relational tradition. In this approach the Treatment process is conceptualized as an ongoing cycle of therapeutic enactment, disembedding, and understanding, enactment and disembedding. Particular emphasis is placed on the use of countertransference disclosure for purposes of facilitating the collaborative exploration of relational scenarios that are being unwittingly enacted between patient and therapist. The influence of the brief time frame on the Treatment process is explored and differences between the current approach and other approaches to brief Psychoanalytic Treatment are examined. A case is presented to illustrate the approach, and a number of questions are explored regarding the nature of change in short- versus long-term Treatments.
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Reply to commentaries
Psychoanalytic Dialogues, 2002Co-Authors: Jeremy D. SafranAbstract:In this article I reply to commentaries on my paper, {"}Brief Relational Psychoanalytic Treatment.{"} The discussants have raised a number of thoughtful and discerning questions that provide me with an opportunity to clarify some of the major points in my original article and to elaborate on certain issues in greater depth. Some of the key questions addressed in my reply are; (1) How is the tension between the emphasis on openness and receptivity and the time-limited nature of Treatment negotiated in Brief Relational Psychoanalytic Treatment? (2) To what extent does an emphasis on openness and receptivity interfere with the process of establishing a productive focus? (3) How does one resolve the tension between the desire for change and the need for acceptance? (4) What are the therapeutic implications of regarding the mind as embodied and what roles do emotion and bodily felt experience play in the change process? In addition, I take up the question of whether or not adhering to a constructivist epistemology is incompatible with conducting and valuing psychotherapy research.
Joseph Schachter - One of the best experts on this subject based on the ideXlab platform.
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psychotherapeutic Psychoanalytic Treatment of the elderly
Psychodynamic psychiatry, 2014Co-Authors: Horst Kachele, Joseph SchachterAbstract:Abstract Elderly patients who may have been able to deal satisfactorily with earlier periods of stress may find that in later life they are impacted by an array of devastating losses and crises subverting their abilities to adapt satisfactorily. Psychotherapeutic/Psychoanalytic Treatment has been demonstrated to be helpful to many elderly patients, especially if the psychotherapist/psychoanalyst chooses to relax a traditional analytic stance and actively engage the patient with the exploration of new relationships and activities that may relieve any residual loneliness. We also propose that an alternative concept of termination be considered, one that includes the possibility of post-termination follow-up contacts between patient and analyst. We detail the advantages for both patient and analyst of this concept, which may be particularly useful for elderly patients.
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Psychotherapeutic/Psychoanalytic Treatment of the Elderly
Psychodynamic psychiatry, 2014Co-Authors: Horst Kachele, Joseph SchachterAbstract:Abstract Elderly patients who may have been able to deal satisfactorily with earlier periods of stress may find that in later life they are impacted by an array of devastating losses and crises subverting their abilities to adapt satisfactorily. Psychotherapeutic/Psychoanalytic Treatment has been demonstrated to be helpful to many elderly patients, especially if the psychotherapist/psychoanalyst chooses to relax a traditional analytic stance and actively engage the patient with the exploration of new relationships and activities that may relieve any residual loneliness. We also propose that an alternative concept of termination be considered, one that includes the possibility of post-termination follow-up contacts between patient and analyst. We detail the advantages for both patient and analyst of this concept, which may be particularly useful for elderly patients.
Otto F. Kernberg - One of the best experts on this subject based on the ideXlab platform.
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A severe sexual inhibition in the course of the Psychoanalytic Treatment of a patient with a narcissistic personality disorder.
The International Journal of Psychoanalysis, 1999Co-Authors: Otto F. KernbergAbstract:This case report illustrates how an analysis ofoedi pal conflicis gradually resolved a severe and extended inhibition of sexual desire that devel oped as a new symptom in the termina-tion phase of Psychoanalytic Treatment. The enactment in the countertransference of castration anxieiy, againsi which thepatient was successfully defending himself by projec-tive identification, produced an extended stalemate, whi ch was resolved once the countertransference was transformed into transference inte rpretations. This Treatment also illustrates the intimate connection between pre-oed ipal and oedipal conflicts in the advanced stages of the Treatment of narcissistic pers onalities, and the needfor very careful assessment ofthepatient's sexualfunctioning before deciding on terminating the psychoanalysis ofa patient with a successfully resolved n arcissistic personality structure. While the emergence of oedipal conflicts may characterise any phase of the resolution of the pathological grandiose self of narcissistic personalities in Psychoanalytic Treatment, it is particularly in the advanced stages of resolution of narcissistic transferences that the intimate connection between oedipal and pre-oedipal conflicts, with a growing dominance of oedipal conflicts, tends to become noticeable in the sessions (Kernberg, 1984; Rosenfeld, 1987; Grunberger, 1989). The following case report illustrates how the analysis of oedipal conflicts gradually resolved a severe and extended inhibition of sexual desire that developed in the course of analytic Treatment. The enactment in the countertransference of castration anxiety against which the patient was successfully defending himself by projective identification
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A severe sexual inhibition in the course of the Psychoanalytic Treatment of a patient with a narcissistic personality disorder.
The International journal of psycho-analysis, 1999Co-Authors: Otto F. KernbergAbstract:This case report illustrates how an analysis of oedipal conflicts gradually resolved a severe and extended inhibition of sexual desire that developed as a new symptom in the termination phase of Psychoanalytic Treatment. The enactment in the countertransference of castration anxiety, against which the patient was successfully defending himself by projective identification, produced an extended stalemate, which was resolved once the countertransference was transformed into transference interpretations. This Treatment also illustrates the intimate connection between pre-oedipal and oedipal conflicts in the advanced stages of the Treatment of narcissistic personalities, and the need for very careful assessment of the patient's sexual functioning before deciding on terminating the psychoanalysis of a patient with a successfully resolved narcissistic personality structure.
Jolien Zevalkink - One of the best experts on this subject based on the ideXlab platform.
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Expanding the evidence base for the cost-effectiveness of long-term Psychoanalytic Treatment.
Journal of the American Psychoanalytic Association, 2020Co-Authors: Jolien Zevalkink, Caspar C BerghoutAbstract:A study into the effectiveness of Psychoanalytic Treatment has to make choices about the theoretical framework, instruments and a research design. The current poster aims to explain these choices. The theoretical framework is attachment theory including theoretical extensions regarding mental functioning. The choice of instruments includes theoretically based instruments to assess interpersonal and intrapsychic change as well as a-theoretical instruments assessing symptomatic functioning and therapeutic process. Furthermore, we have chosen a quasi-experimental longitudinal cohort design with repeated (overlapping) measurements. This multicenter project will provide relevant information about the (cost)effectiveness of long-term ambulatory Psychoanalytic Treatments and can increase the transparency of Treatment selection criteria . The systematic monitoring of patients will also be of great importance to the patients themselves, because it will provide a detailed evaluation of their Treatment progress. The use of a coherent theoretical framework, appropriate instruments, and a quasi-experimental design in a large naturalistic sample might provide some answers to several questions regarding the effectiveness of psychoanalysis versus Psychoanalytic psychotherapy versus no-Treatment.
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the effects of long term Psychoanalytic Treatment on healthcare utilization and work impairment and their associated costs
Journal of Psychiatric Practice, 2010Co-Authors: Casper Berghout, Jolien Zevalkink, Leona Van Hakkaartvan RoijenAbstract:Long-term Psychoanalytic Treatment is perceived as an expensive ambulatory Treatment for mental illnesses. However, there are indications that Psychoanalytic Treatment can result in cost savings in the long term. In this study, we investigated the effects of long-term Psychoanalytic Treatment on healthcare utilization and work impairment and calculated the associated societal costs. We assessed healthcare utilization and work impairment of patients before, during, and after long-term Psychoanalytic Treatment (N = 231). Our results show that the difference in total costs associated with healthcare utilization and work impairment between pre-and post-Treatment was (sic)2,444 (U.S.$3,070 using average exchange rates for 2006, the year for which these data were calculated) per person per year. Two years after Treatment termination, these cost savings had increased to (sic)3,632 ($4,563) per person per year. This indicates that we can expect decreased consumption of medical care and higher work productivity right after Psychoanalytic Treatment, but also that long-term Psychoanalytic Treatment can generate economical benefits in the long run. However, we cannot conclude that all invested costs will be earned back eventually. More research is needed on the cost-effectiveness of Psychoanalytic Treatment.
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clinical significance of long term Psychoanalytic Treatment
Bulletin of The Menninger Clinic, 2009Co-Authors: Caspar C Berghout, Jolien ZevalkinkAbstract:The present study evaluated the clinical significance of long-term Psychoanalytic Treatment in four groups of about 60 patients in different phases of Treatment (before, during, after, follow-up) with normative comparisons on four symptom questionnaires (SCL-90, BDI-II, STAI, IIP-64) and two personality assessment instruments (MMPI-2, Rorschach-CS). In each group, the proportion of patients with clinically elevated scores was calculated by comparing their scores with clinical and nonclinical reference groups for each instrument. The authors also calculated a combined percentage of clinically elevated scores based on the six instruments as a conservative estimate of improvement to nonclinical levels after long-term Psychoanalytic Treatment. Compared to preTreatment levels, the authors found a significant decrease in the percentage of clinical cases after Treatment. For the personality assessment, these results became even more evident at follow-up. It appears that long-term Psychoanalytic Treatment was clinically significant for patients with chronic mental disorders. In the discussion, the authors point out that the evaluation of clinical significance at group level should be followed by an examination of individual changes over a longer period of time. (Bulletin of the Menninger Clinic, 73[1], 7–33)
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identifying clinical cases among patients assigned to Psychoanalytic Treatment
Bulletin of The Menninger Clinic, 2008Co-Authors: Caspar C Berghout, Jolien ZevalkinkAbstract:The present study compared 89 patients assigned to long-term Psychoanalytic psychotherapy or psychoanalysis in the Netherlands with psychiatric and nonclinical norm groups with regard to symptoms and personality pathology as assessed with six instruments. Patients filled in four self-report questionnaires (Symptom Checklist-90-Revised [SCL-90-R], Beck Depression Inventory-II [BDI-II], State-Trait Anxiety Inventory [STAI]) and underwent a personality assessment (Minnesota Multiphasic Personality Inventory-2 [MMPI-2], Rorschach-CS). The authors used statistically defined cutoff values for each measure. For each instrument separately, about 50% of the patients reported clinical levels of psychopathology, some patients being more depressed and others reporting other symptoms. By combining the test scores of the different instruments, the authors found that 91% of the patients were identified as clinical cases. Compared to psychiatric norm groups, these patients appeared to report lower levels of symptom distress, but similar levels of personality pathology. The next step will be to investigate the level of improvement after long-term Psychoanalytic Treatment. (Bulletin of the Menninger Clinic 72[4], 163-178)
