The dissociative turn in psychoanalysis.
Discussions on what is effective in psychoanalytic psychotherapy, the author focuses on the renewed interest in the concept of dissociation that began to emerge toward the end of the 20th century. A contemporary psychoanalytic position informed by the impact of developmental trauma has led to an understanding of and interest in the dissociative mind. The actuality of trauma during infancy and early childhood is recognized as a key factor leading to the emergence of dissociative processes, the potential dissociative structuring of the mind, and mind being characterized by multiple, discontinuous, centers of consciousness. The therapeutic goal in the psychoanalytic work with fragmented patients is to establish communication and understanding between the dissociated self-states. The author offers two brief clinical examples of working with dissociated self-states. PMID: 26177756 [PubMed - in process]
Besides classical approaches for treating depression, physical activity has been demonstrated to be an effective option. Bouldering psychotherapy (BPT) combines psychotherapeutic interventions with action-orie...
Conclusions: Only a minority of depressed patients seen in clinical practice are likely to be eligible for most AETs. The generalizability of AETs has decreased over time. It is unclear how generalizable the results of AETs are to patients treated in real-world clinical practice.Psychother Psychosom
We present first results of ketamine augmentation of intensive 7-day-PE (KPE) for PTSD patients.
Trauma-focused psychotherapy is a first-line treatment for post-traumatic stress disorder (PTSD). Treatment mechanisms are poorly understood, and heterogeneity in treatment response is vast. Brain phenotyping is a promising method to assess treatment suitability and identify treatment mechanisms, but an understanding of the neural processes underlying therapeutic benefit and facilitating favorable treatment response is nascent. Here, we assay intrinsic patterns of brain connectivity across multiple units of analysis (whole brain connectome, network-level interactions, and seeded connectivity of PTSD-relevant structures) to...
Cognitive Behavioral Therapy (CBT) is first-line psychotherapy for internalizing psychopathologies (IPs) such as anxiety and depression. IPs are characterized by atypical activation during attentional control. However, mechanisms of change during attentional control have yet to be established.
Long-term AIDS Survivors (LTAS) are people with HIV diagnosed prior to the advent of antiretroviral therapy. LTAS suffer high rates of multiple psychiatric illnesses; demoralization is a syndrome common in LTAS and is characterized by a sense of helplessness, hopelessness, and a loss of meaning and purpose in life. Psilocybin is a 5HT2A agonist and classic psychedelic that can improve depression and anxiety in cancer patients when combined with individual psychotherapy, possibly by decreasing demoralization.
Major Depressive Disorder (MDD) affects an estimated 11% of North American youth. Current treatments (medication and psychotherapy) are limited in efficacy and accessibility and are associated with significant side effects (i.e. suicidal ideation). They often fail to improve associated cognitive impairment.
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