Unconscious Phantasy and Its Conceptualizations: an Attempt at Conceptual Integration
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Psychoanalysis: the Impossible Profession
Psychoanalysis: The Impossible Profession PSYCHOANALYSIS: THE IMPOSSIBLE PROFESSION by Janet Malcollll A JASON ARONSON BOOK ROWMAN & LITTLEFIELD PUBLISHERS, INC. Lanham • Boulder • New York • Toronto • Plymouth, UK A JASON ARONSON BOOK ROWMAN & LITILEFIELD PUBLISHERS, INC. Published in the United States of America by Rowman & Littlefield Publishers, Inc. A wholly owned subsidiary of The Rowman & Littlefield Publishing Group, Inc. 4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706 www.rowmanlittlefield.com Estover Road Plymouth PL6 7PY United Kingdom THE MASTER WORK SERIES CopyriJht o 1980, 1981 by Janet Malcolm Published by arranaement with Alfred A. Knopf, Inc. Most of this book was fust published in The New Yorker. All riahts reserved. Printed in the United States of America. No part of this book may be used or reproduced in any manner whatsoever without written permission from Jason Aronson Inc. except in the case of brief quotations in reviews for inclusion in a magazine, newspaper, or broadcast. ISBN: 1-56821-342-S ISBN 978-1-5682-1342-2 Library of CODJI'CSS Cataloa Card Number: 94-72518 Manufactured in the United States of America. Jason Aronson Inc. offers books and cassettes. For information and cataloa write to Jason Aronson Inc., 230 Livinpton Street, Northvale, New Jersey 07647. To my father It almost looks as if analysis were the third of those "im possible" professions in which one can be sure beforehand of achieving unsatisfying results. Tho other two, which have been known much longer, are education and government. -SIGMUND FREUD, "Analysis Terminable and Interminable" (1937) As psychoanalysts, we are only too aware that our profession is not only impossible but also extremely difllcult. -
Treating Somatization
TREATING SOMATIZATION TREATING SOMATIZATION A Cognitive-Behavioral Approach Robert L. Woolfolk Lesley A. Allen THE GUILFORD PRESS New York London © 2007 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved Except as indicated, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number:987654321 LIMITED PHOTOCOPY LICENSE These materials are intended for use only by qualified mental health profes- sionals. The Publisher grants to individual purchasers of this book nonassignable permission to reproduce all materials for which photocopying permission is specifically granted in a footnote. This license is limited to you, the individ- ual purchaser, for use with your own clients and patients. It does not extend to additional clinicians or practice settings, nor does purchase by an institu- tion constitute a site license. This license does not grant the right to reproduce these materials for resale, redistribution, or any other purposes (including but not limited to books, pamphlets, articles, video- or audiotapes, and hand- outs or slides for lectures or workshops). Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions Department of Guilford Publications. Library of Congress Cataloging-in-Publication Data Woolfolk, Robert L. Treating somatization : a cognitive-behavioral approach / by Robert L. -
Investigating Correlations Between Defence Mechanisms and Pathological Personality Characteristics
rev colomb psiquiat. 2019;48(4):232–243 www.elsevier.es/rcp Artículo original Investigating Correlations Between Defence Mechanisms and Pathological Personality Characteristics Lucas de Francisco Carvalho ∗, Ana Maria Reis, Giselle Pianowski Department of Psicology, Universidade São Francisco, Campinas, São Paulo, Brazil article info abstract Article history: Introduction: The purpose of this study was to investigate the relationship between defence Received 4 October 2017 mechanisms and pathological personality traits. Accepted 10 January 2018 Material and methods: We analysed 320 participants aged from 18 to 64 years (70.6% women, Available online 10 February 2018 87.5% university students) who completed the Dimensional Clinical Personality Inventory (IDCP) and the Defence Style Questionnaire (DSQ-40). We conducted comparisons and cor- Keywords: relations and a regression analysis. Personality disorders Results: The results showed expressive differences (d>1.0) between mature, neurotic and Defence mechanisms immature defence mechanism groups, and it was observed that pathological personality Self-assessment traits are more typical in people who use less mature defence mechanisms (i.e., neurotic and immature), which comprises marked personality profiles for each group, according to the IDCP. We also found correlations between some of the 40 specific mechanisms of the DSQ-40 and the 12 dimensions of pathological personality traits from the IDCP (r ≥ 0.30 to r ≤ 0.43), partially supported by the literature. In addition, we used regression analysis to verify the potential of the IDCP dimension clusters (related to personality disorders) to predict defence mechanisms, revealing some minimally expressive predictive values (between 20% and 35%). Discussion: The results indicate that those who tend to use immature defence mechanisms are also those most likely to present pathological personality traits. -
Defense Mechanisms.Pdf
Defense Mechanisms According to Sigmund Freud, who originated the Defense Mechanism theory, Defense Mechanisms occur when our ego cannot meet the demands of reality. They are psychological strategies brought into play by the unconscious mind to manipulate, deny or distort reality so as to maintain a socially acceptable self-image. Healthy people normally use these mechanisms throughout life. it becomes pathological only when its persistent use leads to maladaptive behavior such that the physical and/or mental health of the individual is adversely affected. The purpose of ego defense mechanisms is to protect the mind/self/ego from anxiety and/or social sanctions and/or to provide a refuge from a situation with which one cannot currently cope. Defense mechanisms are unconscious coping mechanisms that reduce anxiety generated by threats from unacceptable impulses In 1977, psychologist George Vaillant took Freud’s theory and built upon it by categorizing them, placing Freud’s mechanisms on a continuum related to their psychoanalytical developmental level. Level 1: Pathological Defenses The mechanisms on this level, when predominating, almost always are severely pathological. These six defense’s, in conjunction, permit one to effectively rearrange external experiences to eliminate the need to cope with reality. The pathological users of these mechanisms frequently appear irrational or insane to others. These are the "psychotic" defense’s, common in overt psychosis. However, they are found in dreams and throughout childhood as well. They include: Delusional Projection: Delusions about external reality, usually of a persecutory nature. Conversion: the expression of an intra-psychic conflict as a physical symptom; some examples include blindness, deafness, paralysis, or numbness. -
CPS-QE New Catalogue 2019
Canadian Psychoanalytic Society Quebec English Branch 7000, Côte-des-Neiges Montréal (Qc), H3S 2C1 Tél. (514) 342-7444 Email: [email protected] CPS-QE LIBRARY BOOK CATALOGUE February 10, 2019 TO SEARCH THE CATALOGUE: 1. open HOME and choose Find 2. in the search window, type the word(s) you are looking for N.B. When using author’s name for the search, check the references listed below the name you are searching for since the author’s name will appear only once and thereafter is replaced by a dash. The author’s name may also appear in the Notes if the article you want is in an edited book. CATALOGUE 2019 LIST OF MONOGRAPHS IN ALPHABETICAL ORDER 1. Adolescence: Report of the 20th Child Guidance Inter-Clinical Conference, April 10 and 11th 1964. London: National Association for Mental Health; [1964]. Notes: RARE BOOK COLLECTION 40 page booklet in very good condition apart from holes from a binder Uncommon; not found on Bookfinder, Abebooks, Amicus Held in the British Library Contents: Hall, S. Growing up absurd? / Winnicott, D. W. Deductions drawn froma psychotherapeutic interview with an adolescent / Shields, R. Mutative confusion at adolescence 2. Abadi, Mauricio 1 2 19. Renacimiento de edipo: al vida del hombre en la dialectica del adentro y del ofuera. Buenos Aires: Asociacion Psicoanalitica Argentina; 1960. 3. Abbasi, Aisha. The rupture of serenity: External intrusions and psychoanalytic technique. London: Karnac; 2014. 4. Abend, Sander Ed. Arlow Jacob Ed. Boesky Dale Ed. Renik Owen Ed. The place of reality in psychoanalytic theory and technique. Northvale, NJ: Jason Aronson; 1996. -
Hypochondriasis and Somatization Disorder
Ch14.qxd 28/6/07 1:36 PM Page 152 14 Hypochondriasis and Somatization Disorder Don R. Lipsitt CONTENTS 14.1 The Concept of Somatization . 153 14.2 Classification . 154 14.2.1 From DSM-I to DSM-III . 154 14.2.2 Case History (Part 1). 155 14.3 Diagnosis . 156 14.3.1 Hypochondriasis . 156 14.3.2 Somatization Disorder . 160 14.3.3 Case History (Part 2). 163 14.4 The Consultation-Liaison Psychiatrist’s Role in Somatization . 163 14.5 Conclusion . 164 On a busy day in a general physician’s office, perhaps 50% or more of the patients with physical complaints will have no definitive explanation for their ailment (Kroenke and Mangelsdorff, 1989). The patients present with distress from fatigue, chest pain, cough, back pain, shortness of breath, and a host of other painful or worrisome bodily concerns. For most, the physician’s expressing interest, taking a thorough history, doing a physical examination, and offering reassurance, a mod- est intervention, or a pharmacologic prescription suffices to assuage the patient’s pain, anxiety, and physical distress. But for some, these simple measures fall short of their expected result, marking the beginning of what may become a chronic search for relief, including frequent anxiety-filled visits to more than one physician, and in extreme cases even multiple hospitalizations and possibly surgery. The longer and more persistently this pattern appears, the more likely it will generate referrals to specialists for expert consultation, greater frustration in both the primary physician and the patient, and ultimately dysfunctional patient–physician relationships with inappropriate labeling of the patient as a “problem” or “difficult” patient, and perhaps even worse (Lipsitt, 1970). -
O-P 28 Fares Srouji
psychological factors in noncompliance among hemodialysis patients Srouji Fares Department of Nephrology, The Nazareth Hospital EMMS, Nazareth, Israel Noncompliance among HD patients • None-adherence is universally recognized as one of the major clinical issues in the management of ESRD among Hemodialysis patient. None Adherence Country Fluid Nutrition Medication ↓ intake Germany & U.S.A 72.3% 80.4% (N=456)1 Iran (N=237)2 45.2% 41.1% Turkey (N=154)3 95% 98.3% Italy (N=1238)4 52% India (N=150)5 37% The psychological impact of HD • Hemodialysis heavily violates the bio-psychosocial balance of the patient. • HD patient tend to use neurotic and immature defense mechanisms (i.e. reversal reaction, denial, dissociation, projection, somatization and Splitting)6-8 • Anxiety & Depression are the most common psychological issues among HD patient9 + Change in body image10,11 Low self-esteem12,13 10,14-15 + Dependence on the machine & clinical team Loss Hopelessness10,16 + Numerous restrictions 17-19 + Anxiety & Depression Ineffective psychological6-8 Defense/coping mechanisms Noncompliance20,21 Vaillant’s Levels of Defense Immature defenses Passive aggression, Acting out, Dissociation, Projection Autistic fantasy: Devaluation, Idealization, Splitting Neurotic (intermediate) defenses Intellectualization, Isolation, Repression, Reaction formation, Displacement, Somatization, Undoing, Rationalization Mature defenses Suppression, Altruism, Humor, Sublimation 4 The psychological impact of HD • Hemodialysis heavily violates the bio-psychosocial balance -
Psychopathic Personality Traits and Somatization: Sex Differences and the Mediating Role of Negative Emotionality
P1: MRM/SPH P2: MRM/RKP QC: MRM Journal of Psychopathology and Behavioral Assessment (JOBA) PP099-298982-03 March 13, 2001 10:23 Style file version Nov. 07, 2000 Journal of Psychopathology and Behavioral Assessment, Vol. 23, No. 1, 2001 Psychopathic Personality Traits and Somatization: Sex Differences and the Mediating Role of Negative Emotionality Scott O. Lilienfeld1,2 and Tanya H. Hess1 Although a number of investigations have provided evidence for an association between antisocial per- sonality disorder and somatization disorder, the variables underlying this association remain unknown. We examined the relations among measures of primary and secondary psychopathy, somatization, and negative emotionality (NE) in 150 undergraduates. Somatization was positively and significantly cor- related with measures of secondary, but not primary, psychopathy, and the relations between secondary psychopathy indices and somatization tended to be significantly stronger in females than in males. Some support was found for the hypothesis that the association between secondary psychopathy and somatization is mediated by NE, but not for the hypothesis that low levels of behavioral inhibition lead to somatization. Although the present findings are consistent with the possibility that somatization is a sex-differentiated manifestation of secondary psychopathic traits, replication of these findings in clinical samples will be necessary. KEY WORDS: psychopathy; antisocial personality disorder; somatization disorder; sex differences; negative emotionality. The phenomenon of “comorbidity,” or diagnostic mer syndrome is characterized by a chronic history of covariation, represents one of the foremost challenges antisocial and criminal behavior, whereas the latter is to contemporary psychopathology researchers (Caron & characterized by a chronic history of unexplained physi- Rutter, 1991; Frances et al., 1992). -
Symptomatology and Comorbidity of Somatization Disorder Amongst General Outpatients Attending a Family Medicine Clinic in South West Nigeria
Ann Ibd. Pg. Med 2014. Vol.12, No.2 96-102 SYMPTOMATOLOGY AND COMORBIDITY OF SOMATIZATION DISORDER AMONGST GENERAL OUTPATIENTS ATTENDING A FAMILY MEDICINE CLINIC IN SOUTH WEST NIGERIA. A.M. Obimakinde1, M.M. Ladipo2 and A.E. Irabor3 1. General Outpatients Department, Ekiti State University Teaching Hospital, Ekiti State, Nigeria. 2. General Outpatients Department, University College Hospital, Ibadan. 3. Family Physician Department, University College Hospital, Ibadan, Oyo State, Nigeria. Correspondence: ABSTRACT Dr. Abimbola M. Obimakinde Background: Individuals with somatization may be the most difficult to Family Medicine Department. manage because of the diverse and frequent complaints across many organ Ekiti State University Teaching Hospital, systems. They often use impressionistic language to describe circumstantial Ekiti State. symptoms which though bizarre, may resemble genuine diseases. The E-mail: [email protected]. disorder is best understood in the context “illness” behaviour, masking Phone No.: 08028406568. underlying mental disorder, manifesting solely as somatic symptoms or with comorbidity. Objective: To evaluate somatization symptoms and explore its comorbidity in order to improve the management of these patients. Methods: A cross-sectional survey of 60 somatizing patients who were part of a case-control study, selected by consecutive sampling of 2668 patients who presented at the Family Medicine Clinic of University College Hospital Ibadan, Nigeria between May-August 2009. Data was collected using the ICPC-2, WHO- Screener and Diagnostic Schedule and analysed with SPSS 16. Results: There were at least 5 symptoms of somatization in 93.3% of the patients who were mostly females. Majority had crawling sensation, “headache”, unexplained limb ache, pounding heart, lump in the throat and insomnia. -
Altruism in Psychotherapy: Altruistic Acts As an Adjunct to Psychotherapy
Pepperdine University Pepperdine Digital Commons Theses and Dissertations 2018 Altruism in psychotherapy: altruistic acts as an adjunct to psychotherapy Erin Santos Follow this and additional works at: https://digitalcommons.pepperdine.edu/etd Recommended Citation Santos, Erin, "Altruism in psychotherapy: altruistic acts as an adjunct to psychotherapy" (2018). Theses and Dissertations. 982. https://digitalcommons.pepperdine.edu/etd/982 This Dissertation is brought to you for free and open access by Pepperdine Digital Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Pepperdine Digital Commons. For more information, please contact [email protected], [email protected], [email protected]. Pepperdine University Graduate School of Education and Psychology ALTRUISM IN PSYCHOTHERAPY: ALTRUISTIC ACTS AS AN ADJUNCT TO PSYCHOTHERAPY A clinical dissertation submitted in partial satisfaction of the requirements for the degree of Doctor of Psychology by Erin Santos August, 2018 Lou Cozolino, Ph.D. – Dissertation Chairperson This clinical dissertation, written by Erin Santos under the guidance of a Faculty Committee and approved by its members, has been submitted to and accepted by the Graduate Faculty in partial fulfillment of the requirements for the degree of DOCTOR OF PSYCHOLOGY Doctoral Committee: Lou Cozolino, PhD, Chairperson Aaron Aviera, PhD, Elizabeth Laugeson, PsyD, Copyright by Erin Santos 2018 All Rights Reserved TABLE OF CONTENTS Page LIST OF TABLES -
Do Spinal Cord-Injured Individuals with Stronger Sense of Coherence Use Different Psychological Defense Styles?
Spinal Cord (2016) 54, 843–848 & 2016 International Spinal Cord Society All rights reserved 1362-4393/16 www.nature.com/sc ORIGINAL ARTICLE Do spinal cord-injured individuals with stronger sense of coherence use different psychological defense styles? J Shakeri1, M Yazdanshenas Ghazwin2, E Rakizadeh3, A Moshari4, H Sharbatdaralaei5, S Latifi2 and SAH Tavakoli6 Objectives: Although the importance of sense of coherence (SOC) and psychological defense mechanisms (PDMs) in the process of coping has been demonstrated, it has not yet been clarified whether individuals with stronger SOC use specificPDMs. Study design: Cross-sectional. Setting: Iran. Methods: Demographic and injury-related variables including injury level, time since injury, American Spinal Cord Association (ASIA) Scale and Spinal cord independence measure-III were collected among individuals with spinal cord injury (SCI). SOC was assessed by the Short-form Sense of Coherence Scale. PDMs were identified using 40-version of the Defense Style Questionnaire. Results: Neurotic defense style was the most commonly used style especially. The overall most commonly used PDM was ‘rationalization’, which was used by 95%. Individuals with stronger SOC used more mature style (P = 0.001, r = 0.52), particularly ‘humor’ and ‘suppression’ mechanisms (Po0.0001 and 0.024, respectively). There was a negative correlation between stronger SOC and the use of immature defenses including passive aggression (P = 0.001, r = − 0.51), acting out (P = 0.001, r = − 0.48), isolation (P = 0.009, r = − 0.50), autistic fantasy (P = 0.010, r = − 0.30) and somatization (Po0.0001, r = − 0.62). Married individuals had significantly stronger SOC (P = 0.01). -
Cognitive Aspects of Hypochondriasis and the Somatization Syndrome
Journal of Abnormal Psychology Copyright 1998 by the American Psychological Association, Inc. 1998, Vol. 107, No. 4, 587-595 0021-843X/98/$3.00 Cognitive Aspects of Hypochondriasis and the Somatization Syndrome W i n f r i e d R i e f and W o l f g a n g Hiller Juergen M a r g r a f Roseneck Center for Behavioral Medicine University of Dresden The aim of this study was to evaluate whether specific cognitive aspects are present in patients suffering from somatoform disorders. With a sample of 493 patients from a center for behavioral medicine, the authors evaluated a questionnaire assessing typical cognitions concerning body percep- tion, illness behavior, and health. The authors further examined 225 participants, including patients with a somatization syndrome, patients with somatization syndrome and additional hypochondriasis, patients with hypochondriasis, patients with other mental disorders (clinical control group), and nonclinical controls. The results showed that not only patients with hypochondriasisbut also patients with somatization syndrome had cognitive concerns and assumptions that were specific for the disorder. These patients had a self-conceptof being weak and unable to tolerate stress. A catastrophiz- ing interpretation of minor bodily complaints found in hypochondriacal patients in earlier studies was also found for patients with multiple somatization symptoms. Somatization and somatoform disorders are one of the most somatoform symptoms out of the list of 35 symptoms proposed common problems in primary care. Following the results of for DSM-III-R somatization disorder. In the present article, Escobar, Rubio-Stipec, Canino, and Karno (1989), 4% of the we use the term somatization syndrome for these patients with participants in that study suffered from a somatization syndrome multiple somatic symptoms not due to a physical condition.