The Flexible Function of the Modern Kleinian Psychoanalytic Approach: Interpreting Through the Unbearable Security of Paranoid and Depressive Phantasies.

The Flexible Function of the Modern Kleinian Psychoanalytic Approach: Interpreting Through the Unbearable Security of Paranoid and Depressive Phantasies. Am J Psychoanal. 2016 Jun 28; Authors: Waska R Abstract Working to establish analytic contact (Waska, 2007) with a patient involves the verbal act of interpretation. But, how one interprets and what we try to hold in words is not the same with each patient. Each patient requires, invites, provokes and responds to a unique mixture of interpretive elements or approaches. The projective identification process that is so often the bedrock of the transference, and therefore the catalyst of the counter-transference, forms the psychological climate between patient and analyst. Case material is used to explore a Modern Kleinian interpretive approach with both a very entrenched depressive position (Klein, 1935, 1940) patient and a very primitive paranoid-schizoid (Klein, 1946) patient. Both these individuals desired relief from their symptoms of anxiety, anger, emptiness, and guilt. But, their unbearable unconscious phantasies offered pathological security that they were familiar with and therefore they preferred the known internal trauma and chaos to facing the unknown and undefined reality of self and other that change, grief, and growth would bring. PMID: 27352626 [PubMed - as supplied by publisher]
Source: American Journal of Psychoanalysis - Category: Psychiatry & Psychology Authors: Tags: Am J Psychoanal Source Type: research

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PMID: 30649039 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
The therapy was effective for 16 of the 20 patients in the study. → Enjoying these psych studies? Support PsyBlog for just $4 per month (includes ad-free experience and more articles). → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean: NEW: Accept Yourself: How to feel a profound sense of warmth and self-compassion The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything Activate: How To Find Joy Again By Changing What You Do
Source: PsyBlog | Psychology Blog - Category: Psychiatry & Psychology Authors: Tags: Depression subscribers-only Source Type: blogs
We’ve entered the “dark ages” as the midshipmen at the Naval Academy say — the weeks between Christmas break and Spring break when everyone turns a pasty white and the sidewalks are full of ugly slush. The lack of sunlight and the shorter days don’t help the pursuit of sanity. However, if you approach this time of year with a dose of creativity and enthusiasm, you need not fall down the rabbit hole of depression. Here are some ideas to keep your mood sunny when the weather is anything but. 1. Go to the light. I start using my light lamp in October. However, in January, this fixture become...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Creativity Depression General Mental Health and Wellness Motivation and Inspiration Source Type: blogs
Publication date: Available online 17 January 2019Source: Mental Health &PreventionAuthor(s): John W. Lace, Taylor R. Greif, Andrew McGrath, Alex F. Grant, Zachary C. Merz, Carson L. Teague, Paul J. HandalAbstractWhile widely used in epidemiological research, studies of the Kessler Psychological Distress Scale (K10) have supported profoundly mixed results regarding its latent factor structure and optimal cutoff scores to identify clinically significant psychological distress. The present study sought to investigate the K10 and identify cutoff scores denoting clinically significant nonspecific psychological distress and...
Source: Mental Health and Prevention - Category: Psychiatry Source Type: research
CONCLUSIONS: The current study shows that members of the general population with mental disorders are at increased risk of future victimisation. However, the associations with violent and psychological victimisation vary considerably across specific disorders. Clinicians should be aware of the increased risk of violent and psychological victimisation in individuals with these mental disorders - especially those with alcohol dependence - and individuals with a history of childhood trauma. Violence prevention programmes should be developed for people at risk. These programmes should not only address violent victimisation, bu...
Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
The objective of this study was to explore the effects of treatment compliance in a guided individually tailored internet-based treatment (TAIL) in relation to depression and comorbid symptoms. Compliance with the homework in the different treatment components in TAIL, each aimed at a specific condition, were rated for 207 participants by independent assessors. Six subgroups (n = 34-131) were constructed consisting of participants with co-occurring symptoms of worry, panic, social anxiety, stress, insomnia or pain. For each group, hierarchical regression was used to investigate whether the total sum of compliance points, O...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
This study examined associations of immigrant generation, acculturation, and sources of stress and resilience with four outcomes —depression symptoms, anxiety symptoms, alcohol susceptibility, and smoking susceptibility. We used data from 1466 youth (ages 8–16) enrolled in the Hispanic Community Health Study of Latino Youth (SOL Youth), a probability sample of Hispanic/Latino youth living in Chicago (IL), Miami (FL), Bron x (NY), and San Diego (CA). We found no evidence of an immigrant paradox. Greater children’s acculturative stress was associated with depression/anxiety symptoms; greater parent’s ...
Source: Journal of Immigrant and Minority Health - Category: International Medicine & Public Health Source Type: research
Various types of adaptive behavior during the prepubertal period were analyzed in the offspring of rats receiving chronic injections of serotonin (5-HT) reuptake inhibitor fluoxetine, 5-HT1A receptor agonist buspirone, or their combination starting from gestation day 9 and subjected to immobilization stress from the 15th day of pregnancy until delivery. Prenatal stress increased pain sensitivity, prolonged inflammatory pain response, and increased the levels of anxiety and depression. Chronic administration of drugs acting through 5-HT1A receptors to pregnant rats improved the studied behavioral parameters in their offspri...
Source: Bulletin of Experimental Biology and Medicine - Category: Biology Source Type: research
ConclusionIn our study, an increase in psychiatric comorbid disorders such as depression and anxiety was observed and the quality of life was adversely affected in all areas in patients. In the spouses of the patients, the rates of psychiatric comorbid disorders such as depression and anxiety were found to be increased when compared to healthy subjects while vitality, mental health, and general health perception were found to be negatively affected.Patients showed improvements in anxiety level, disease activity, and overall quality of life scales after BTX treatment.
Source: Neurological Sciences - Category: Neurology Source Type: research
AbstractBackgroundThe role of avoidance and endurance behaviour is well established in chronic musculoskeletal pain, but less is known about its significance in migraine.MethodsThe Avoidance-Endurance Questionnaire behavioural subscales, the Pain Disability Index (PDI), the Migraine Disability Assessment Scale (MIDAS) and the Hospital Anxiety and Depression Scale (HADS) were obtained from 128 migraine patients (90 episodic, 38 chronic). Sixty nine of them were re-evaluated after 3 –6 months.ResultsAt baseline, there were positive relations between avoidance (especially social avoidance behaviour) and pain-rela...
Source: The Journal of Headache and Pain - Category: Neurology Source Type: research
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