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Review of Special issue: Guidelines for treating dissociative identity disorder in adults (3rd revision); Rebuilding shattered lives: Treating complex PTSD and dissociative disorders; and Understanding and treating dissociative identity disorder: A relational approach.

Reviews the books Special Issue: Guidelines for Treating Dissociative Identity Disorder in Adults (3rd Revision) by International Society for the Study of Trauma and Dissociation (see record 2011-05073-002); Rebuilding Shattered Lives: Treating Complex…

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Race as an adaptive challenge: Working with diversity in the clinical consulting room.

In this paper I extend the conceptual space in which analytic clinicians may think about racialized experience in order to enhance our capacity to work with racialized subjectivity in the consulting room. I suggest that race in America may be usefully understood to be an “adaptive challenge” (Heifetz, 1998), indicating that a meaningful gap exists between aspirations and the realities of everyday experience. This means when race gets enacted in the psychoanalytic consulting room, the problem or opportunity that is actualized will always look different to the patient and the analyst, as a function of their different loyalties, values, and habits. Using an extended clinical vignette, I suggest that psychoanalytic clinical formulations can be enhanced by a consideration of frameworks from…

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Empirical evidence for Freud’s theory of primary process mentation in acute psychosis.

Freud (1895/1966; 1900/1953; 1915/1957) has proposed that primary process functioning is typical for acute psychosis. A nonverbal method, the ‘Geocat’ (Brakel, Kleinsorge, Snodgrass, & Shevrin, 2000), measures primary processes operationalized as attributional categorization, which considers exemplars as similar if particular features match, even if these components are arranged in a quite different configuration. With the use of GeoCat we explored primary process mentation in 127 psychiatric patients. Results show that (1) there are substantially higher levels of attributional choices in our sample of psychiatric patients, independently of diagnosis, than in a non-patient population; (2) psychotic patients tend to have more attributional choices than non-psychotic patient; patients with a…

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Race/ethnicity in short-term and long-term psychodynamic psychotherapy treatment research: How “White” are the data?

Over the last few decades, the importance of clinically and conceptually appreciating and being sensitive to racial and cultural diversity in psychodynamic psychotherapy has been increasingly recognized and accentuated. But how has that practical recognition and appreciation been translated into empirical reality? How have race/ethnicity been incorporated into or impacted short-term and long-term psychodynamic treatment research? To consider those questions, I (a) obtained and examined 104 studies (including over 9,000 subjects), January 1960–April 2010, drawn from 8 separate reviews/meta-analyses of psychodynamic treatment conducted over the last decade, and (b) reviewed each investigation to determine the race/ethnicity of research participants across studies. Each investigation was al…

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Review of Toward mutual recognition: Relational psychoanalysis and the Christian narrative.

Reviews the book,
Toward Mutual Recognition: Relational Psychoanalysis and the Christian Narrative
by Marie T. Hoffman (see record
2011-00208-000
). Marie Hoffman has attempted a scholarly, important, and elegantly designed interdisciplinary study. This book wants to shake up our thinking about the origins of relational psychoanalysis. Its author, steeped in conservative and evangelical, though not fundamentalist, Christian theology, recasts the usual secular histories of contemporary psychoanalysis. These accounts tell the story of Freud’s wholesale rejection of religion as illusion, and seriously neglect, in Hoffman’s view, religious influences that have impelled contemporary psychoanalysis toward relationality. Her massive use of sources—in psychoanalysis, theology, philosophy,…

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