Journal of the American Psychoanalytic Association

Gardner, M. Robert

doi: 10.1177/000306519103900401pmid: 1800552

Bachrach, Henry M.; Galatzer-Levy, Robert; Skolnikoff, Alan; Waldron, Sherwood

doi: 10.1177/000306519103900402pmid: 1800553

In this study we critically review the formal research literature pertinent to the outcomes of psychoanalysis and the factors influencing these outcomes. Our inquiry was conducted from a psychoanalytic perspective. We found the research yield consistent with the accumulated body of clinically derived psychoanalytic knowledge, e.g., patients suitable for psychoanalysis derive substantial therapeutic benefit; analyzability and therapeutic benefit are relatively separate dimensions and their extent is relatively unpredictable from the perspective of initial evaluation among seemingly suitable cases. The studies all contain clinical and methodological limitations which are no more substantial than in other forms of psychotherapy research, but they have not substantially advanced psychoanalytic knowledge. This raises challenges for the further development of formal research strategies native to psychoanalysis.

Baudry, Francis

doi: 10.1177/000306519103900403pmid: 1800554

This paper is intended to sensitize analysts to the role of their character in analytic technique. The relation of character to countertransference, its role in analytic style, in the introduction of parameters, and in transference neurosis, will be elaborated. The problem of matching and of accounting for our failures will illustrate the complex meshing of character with more traditional factors.

Seelig, Beth J.; Person, Ethel S.

doi: 10.1177/000306519103900404pmid: 1800555

The development of a rageful sadomasochistic transference early in an analysis is presented. We describe key interventions that foster its resolution and offer a reconstruction of the patient's early life, focusing on difficulty in the rapprochement phase. We believe that the intense and difficult to manage sadomasochistic transference was linked to a repudiation of both preoedipal and oedipal triangulation, resulting in the perpetuation of a hostile dependent mother-child dyad and in the patient's unconscious belief that sadomasochistic interactions were the only means of establishing and maintaining a close relationship.

Lipton, Edgar L.

doi: 10.1177/000306519103900405pmid: 1800556

In addition to reviewing and expanding on issues involved on the subject of confidentiality, this paper focuses on the vicissitudes of asking a patient's permission to use clinical material in public and other reports.

Settlage, Calvin F.; Bemesderfer, Sandra; Rosenthal, Judith; Afterman, Joseph; Spielman, Philip M.

doi: 10.1177/000306519103900406pmid: 1800557

The appeal cycle was observed and delineated through research on mother-child interaction during the second year of life. As a repeated, circumscribed unit of developmental interaction, it is conceived to be an agent of developmental process and psychic structure formation. The appeal cycle has four phases: the adaptational phase, the distress phase, the appeal phase, and the interactional phase. The progression from the adaptational into the distress and appeal phases evidences the child's separation anxiety and failure of self-regulation in response to the experimentally induced attenuation of the mother-child relationship. A successful interactional phase reestablishes the relationship, regulates and restores the child's emotional equilibrium, and enables a return to self-regulation and adaptation. Because the interaction reinforces the functions and structures being developed through identification with the mother, the interactional phase is conceived to be an instrumental event in the mediation of psychic structure formation. The appeal cycle is discussed in comparison with similar phenomena in earlier phases of development and with other studies addressing development during the first two years of life. Directions for future research are noted.

Marans, Steven; Mayes, Linda; Cicchetti, Domenic; Dahl, Kirsten; Marans, Wendy; Cohen, Donald J.

doi: 10.1177/000306519103900407pmid: 1800550

Child psychoanalysts have long viewed play as a reflection of children's inner lives and have used the themes children represent in play for diagnostic and therapeutic work. Given the central role children's play has for clinical work, few studies have addressed play empirically. This paper presents a technique for studying the thematic content of children's play as it emerges during a play session with a child analyst. We report the steps involved in developing this investigative technique and describe the interobserver agreement among four raters using the technique with videotaped play sessions. Implications for future research using such an approach are discussed.

Frosch, John

doi: 10.1177/000306519103900408pmid: 1800551

The goal of this contribution is to give an overall survey of the analytic schisms in the New York area from 1934 on. The general background, laying the groundwork for potential schisms, is described. There were several major schisms in the New York area. The first related to Horney's departure from the New York Psychoanalytic Society and Institute. There were multiple splits in this group which eventuated in a psychoanalytic facility at the New York Medical College, as well as the establishment of the William Alanson White Institute. Then there was the establishment of a psychoanalytic training facility at Columbia University, one at the Downstate Medical Center, and another at the New York University School of Medicine. The various factors that played a role in the splits are discussed. Finally, there is a discussion of why psychoanalytic schisms take place.

Stoller, Robert J.

doi: 10.1177/000306519103900409pmid: N/A

Moral issues relating to erotic desire are examined from the viewpoints of four philosophies: moral philosophy, Marxism, feminism, and psychoanalysis.

doi: 10.1177/000306519103900410pmid: N/A