Psicoterapia

Trauma, process and representation

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Howard B. Levine
The concept of trauma in psychoanalysis has suffered from overuse and inconsistent use. A re-view of Freud’s writings beginning with the Project of 1895 indicates that from the perspective of the impact upon psychic processes, Freud held a more consistent view of the concept that, if recognized, can help avoid the often fruitless etiological debates of internal versus external cause, intrinsic (drive) versus extrinsic (reality) factors, etc. What is more helpful from a clinical per-spective is to view the challenges that trauma-inducing circumstances might pose for an individu-al, consider each individual’s subjective mode of experiencing and responding to those challenges and take into account the supports offered by the specific familial, social or cultural surround. Each set of experiences that will be qualified as "trauma" that any of us undergoes will to some extent be understood and integrated into our particular subjectivities according to our unique, sub-jective organizations of self, understandings of and position in the world.
Categorie: Psicoterapia

The originary trauma: A comment on Howard Levine’s paper

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Gabriele Cassullo
Why psychoanalysts came to conceive what Howard Levine (2021) calls a "problematic either-or extremity" between conflict theories and developmental trauma theories? It is hypothesized that at the roots of the polarity between these two different clinical attitudes there is an "originary trauma", a trauma that can never reach a full and effective figurability: a trauma that cannot be represented. Such a trauma constituted the caesura that on the one hand has produced a progress on the intellectual level (in the history of psychoanalysis, the birth of the psychoanalytic theory of unconscious fantasy), but, on the other hand, at the price of creating the lack of development of an affective capacity, not only of a cognitive capacity, of listening the traumaticity within the patient’s communications.
Categorie: Psicoterapia

Beyond representation? Some metapsychological remarks: A comment on Howard Levine’s paper

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Davide Cavagna
After an epistemological reflection on the necessity of a metapsychology for psychoanalysis, it is pointed out that Howard B. Levine’s (2021) representational hypothesis on the problem of trauma leads to rethinking its economic dimension in particular; this is especially true in the light of Freud’s last theoretical developments around the concept of trauma and of the technical difficulties of a treatment based only on historical reconstruction. To the extent that trauma is linked to processes of psychic unbinding, it is important to develop a technique apt to repair and reconstruct the symbolic capacities of the patient’s ego because of the severity of its structural impairment. Such a reflection implies fundamental questions on the validity of those approaches which, whether they emphasize the representational component or the affective one, are limited to pursuing only hermeneutic or cathartic purposes.
Categorie: Psicoterapia

The place for psychodynamic therapy and obstacles to its provision

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Susan G. Lazar
Psychodynamic therapy has been shown to provide specific benefits for patients with personality disorders, chronic depressive and anxiety disorders, and chronic complex disorders. The intensity (i.e., weekly frequency) and duration of psychodynamic therapy have independent positive ef-fects. Obstacles to the provision of psychodynamic therapy include a bias privileging brief treat-ments, especially cognitive-behavior therapy (CBT), seen as a gold standard of treatment despite difficulties with the design and validity of its supporting research and the ability to generalize from it. There are also difficulties with the diagnostic methods of the illnesses studied. Another obstacle to the provision of psychodynamic therapy lies in insurance company protocols, for ex-ample in the United States, that violate the Mental Health Parity Act and focus on conserving in-surers’ costs rather than the provision of optimum treatment to patients.
Categorie: Psicoterapia

Problems of prediction in psychiatry

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Andrea Angelozzi
Some problems related to prediction in psychiatry are examined. The available data show, in a similar way to the social sciences, wide limitations in predictive capacity, especially with regard to suicide, violence and other behaviors. The difficulties arising from the difficulty of deriving the future from aspects of the person’s history, the lack of coherence between personality dimensions and behavior, and the privilege given to psychopathological instruments focused on the individual case, compared to actuarial instruments with testistic and statistical evaluations, are examined. The numerous cognitive biases that distort predictions are also highlighted, in particular the fundamental attribution error, which prioritizes personality variables over situational variables. But other biases have an important distortive action, from representativeness to availability, from statistical errors to framing or priming. It emerges a psychiatry still very tied in practices to common sense and folk psychology, with the richness but also the many errors that characterize it. Finally, a small ability for prediction, as recognized by popular psychology and psychiatry, exists, but linked more to situational constraints than to models of personality and psychopathology, and, in any case, poorly reliable for clinical prediction in psychiatry.
Categorie: Psicoterapia

Traces. Preconscious and creativity

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Pier Francesco Galli, Alberto Merini
Pier Francesco Galli’s introduction to the book Preconscio e creatività [Preconscious and Creativity] (Turin: Einaudi, 1999) is reprinted. This book contains seven contributions written between 1939 and 1979, namely: a paper read by David Rapaport on June 10, 1942, at the Menninger Foundation (later included in The Collected Papers of David Rapaport, edited by Merton M. Gill in 1967 and translated into Italian in 1977 with an introduction by Enzo Codignola and Pier Francesco Galli), three papers by Ernst Kris (two of 1939 and 1949, respectively, later included in his 1952 book Psychoanalytic Explorations in Art, translated into Italian by Elvio Fachinelli in 1967 with a preface by Ernst H. Gombrich, and one of 1956, included in his Selected Papers of 1975, translated into Italian in 1977), and three papers by Peter B. Neubauer, Harold P. Blum e Pinchas Noy of 1978, 1979, and 1976, respectively. Among other things, the complexity of the concept of insight, that may have multiple meanings, is emphasized. This concept has been investigated by various authors, also outside psychoanalysis, who have contributed to the construction of psychoanalytic knowledge, that in itself is an interminable process.
Categorie: Psicoterapia

Clinical cases

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Adriana Grotta, Paola Morra
Categorie: Psicoterapia

Interventi sul caso Sandro

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Rudy Oldeschulte
Categorie: Psicoterapia

Interventi sul caso Sandro

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Simonetta Verdecchia
Categorie: Psicoterapia

Book reviews

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Antonella Mancini, Paolo Migone
Categorie: Psicoterapia

Journals

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
Jutta Beltz, Andrea Castiello d’Antonio, Giulio Fabri Poncemi, Mauro Fornaro, Silvano Massa, Paolo Migone, Paola Raja, Francesca Tondi
Categorie: Psicoterapia

Table of Contents of Year 2021, Volume 55

Psicoterapia e Scienze umane - Gio, 12/16/2021 - 09:00
A cura della Redazione
Categorie: Psicoterapia
Abbonamento a CEA - Centro di psicodiagnosi e terapia aggregatore - Psicoterapia