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E-raamat: Another Kind of Evidence: Studies on Internalization, Annihilation Anxiety, and Progressive Symbolization in the Psychoanalytic Process

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In the current professional climate, the calls for evidenced-based treatment and the prestige accorded to this emblem, mental health professionals are asking: for what purpose do we seek evidence? For our students? For the public at large? For an inner sense of feeling supported by science?

Most disciplines are concerned with cumulative knowledge, aimed toward self-affirmation and self-definition, that is, establishing a sense of legitimacy. The three parts of this volume are directed toward the goal of affirming a public and private sense of the legitimacy of psychoanalysis, thereby shaping professional identity. Each contribution adheres to the precepts of scientific inquiry, with a commitment to affirming or disconfirming clinical propositions, utilizing consensually agreed upon methods of observation, and arriving at inferences that are persuasive and have the potential to move the field forward. Beyond this, each part of this book describes distinct methodologies that generate evidence pertaining to public health policy, the persuasiveness and integrity of our psychoanalytic concepts, and phenomena encountered in daily clinical practice.

Arvustused

'Tragically few contributions to the analytic literature represent truly original work, even fewer are leaps forward in the empirical study of psychoanalytic process. Freedman and his colleagues provide us with a genuinely novel way of examining psychoanalytic concepts, rooted in clinical practice. It is a massive contribution that repays careful study and opens a new vista on psychoanalytic research, retaining the highest standards of empirical and clinical rigor.'- Professor Peter Fonagy, PhD FBA is Freud Memorial Professor of Psychoanalysis and Head of the Research Department of Clinical, Educational and Health Psychology at University College London'Another Kind of Evidence is an important statement of the best sort of psychoanalytic research. The authors combine clinical perspectives and clinical insights, supported by computer-generated empirical documentation. The research presented here is what, in the best of hands, we psychoanalysts can do, and must do in order to maintain ourselves in the world of clinical healing and scientific advance. This book is a strikingly accessible and lucid accounting of the theoretical and empirical psychoanalytical research by Norbert Freedman and his associates at the Institute for Psychoanalytic Training and Research (IPTAR), a New York IPA component society, that really lives up to the "R" in its name. What we discover in reading this work is a compelling description of a research methodology for psychoanalysis and its clinical application. Here is a combination of persuasive clinical observation and generalization (qualitative) and computer-generated documentation which advances knowledge and capability in our field. This book and the research elucidated will resonate helpfully with each of us, clinician and/or researcher.'- Robert S. Wallerstein, MD, Emeritus Professor and former Chair, Department of Psychiatry at the University of California, at San Francisco'Another Kind of Evidence is a most important, excellent contribution to contemporary psychoanalysis in the times of "evidence based medicine". The authors summarize their extensive and intensive research within the IPTAR Program of Research in Psychoanalysis. Their papers aim "toward the goal of affirming a public and private sense of the legitimacy of psychoanalysis, thereby shaping professional identity". The researchers present different and innovative research methods in order to study the outcome, the process, and the micro-world of the therapeutic interactions within psychoanalytic sessions. In each of the three sections of this book, the authors present a new instrument for studying the psychoanalytic process and its outcomes: the Representation of the Therapeutic Dialogue, the Propositional Method, and Sequential Specification. This book is a must for psychoanalysts, psychotherapists and clinical researchers.'- Prof Dr Marianne Leuzinger-Bohleber, Director of the Sigmund-Freud-Institut, Frankfurt A.M. and Professor for Psychoanalytical Psychology, University of Kassel, Germany

Acknowledgements ix
Series Editor's Preface xiii
About the Main Authors xvii
About the Contributing Authors xix
Preamble xxiii
Norbert Freedman
PART I HOW THERAPY LIVES ON
Foreword
3(2)
Joan Hoffenberg
Norbert Freedman
CHAPTER ONE The effectiveness of psychoanalytic psychotherapy: the role of treatment, duration, frequency of sessions, and the therapeutic relationship
5(12)
Norbert Freedman
Joan Hoffenberg
Neal Vorus
Allan Frosch
CHAPTER TWO Patients' representations of the therapeutic dialogue: a pathway towards the evaluation of psychotherapy process and outcome
17(12)
Jesse D. Geller
Donna S. Bender
Norbert Freedman
Joan Hoffenberg
Denise Kagan
Carrie Schaffer
Neal Vorus
CHAPTER THREE The RTD Coding System and its clinical application: a new approach to studying patients' representations of the Therapeutic Dialogue
29(26)
Jesse D. Geller
Donna S. Bender
Norbert Freedman
Joan Hoffenberg
Denise Kagan
Carrie Schaffer
Neal Vorus
CHAPTER FOUR Representations of the therapeutic dialogue and the post-termination phase of psychotherapy
55(12)
Jesse D. Geller
Norbert Freedman
CHAPTER FIVE Reminiscing and recollecting
67(22)
Jamieson Webster
Norbert Freedman
Commentary How therapy lives on
83(6)
Norbert Freedman
Joan Hoffenberg
PART II THREE PATHWAYS TOWARDS THE MODIFICATION OF ANNIHILATION ANXIETY
Foreword
89(2)
Marvin Hurvich
Norbert Freedman
CHAPTER SIX The Propositional Method for the study of psychoanalytic concepts
91(14)
Marvin Hurvich
Norbert Freedman
CHAPTER SEVEN Meet Mohamed and the method implemented
105(14)
Marvin Hurvich
Norbert Freedman
CHAPTER EIGHT Annihilation Anxiety and its transformation during early transference engagement: sessions 3 and 4
119(20)
Norbert Freedman
Marvin Hurvich
Alexandra Petrou
CHAPTER NINE Termination crisis and a panic attack: sessions 41 and 42
139(20)
Norbert Freedman
Marvin Hurvich
Alexandra Petrou
CHAPTER TEN Transformations in long-term psychoanalytic psychotherapy: the case of Ms K
159(8)
Rhonda Ward
Norbert Freedman
Marvin Hurvich
CHAPTER ELEVEN Severely traumatized patients' attempts at reorganizing their relations to others in psychotherapy: an enunciation analysis
167(24)
Sverre Varvin
Bent Rosenbaum
Commentary Three pathways towards the modification of Annihilation Anxiety
183(8)
Marvin Hurvich
Norbert Freedman
PART III A SPECIMEN OF WORKING THROUGH
CHAPTER TWELVE A very broad concept seen through a very narrow lens
191(12)
Norbert Freedman
Rhonda Ward
CHAPTER THIRTEEN Method and findings: the case of Ms Y: the patient and her analyst within the context of a recorded psychoanalysis
203(20)
Norbert Freedman
Richard Lasky
Rhonda Ward
CHAPTER FOURTEEN The induction of transference regression during the symbolizing phase: sessions 232 to 243
223(22)
Norbert Freedman
Rhonda Ward
CHAPTER FIFTEEN The emergence of nodal moments during the desymbolizing phase: sessions 245 to 249
245(22)
Norbert Freedman
Rhonda Ward
CHAPTER SIXTEEN The enactive phase: sessions 252 to 255
267(16)
Norbert Freedman
Rhonda Ward
CHAPTER SEVENTEEN The cycle and the spiral during the re-symbolizing phase: the erotic transference, the extraordinary countertransference, and the preservation of the analytic process: session 257
283(14)
Norbert Freedman
Rhonda Ward
CHAPTER EIGHTEEN Nodal moments and the essence of Progressive Symbolization
297(12)
Norbert Freedman
Rhonda Ward
Postscript Towards a psychoanalytic definition of symbolization and desymbolization 309(14)
Norbert Freedman
Rhonda Ward
Jamieson Webster
References 323(18)
Index 341
Norbert Freedman, Ph.D. (1922 - 2011) was a Training and Supervising Analyst and former President at the Institute for Psychoanalytic Training and Research (IPTAR). He was an Adjunct Clinical Professor and Supervising Analyst at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis, Professor Emeritus of Psychiatry and former Director of Clinical Psychology, SUNY Downstate Medical Center. He was the author of numerous publications on the clinical and empirical study of symbolization and transformations in the psychoanalytic process. Jesse D. Geller, Ph.D., is a Clinical Professor of Psychology at Columbia University, Teachers College, and Associate Clinical Professor at Yale University School of Medicine. He is a Fellow of the Division of Psychotherapy of the American Psychological Association, a member of the Society for Psychotherapy Research, and an honorary member of the Institute for Psychoanalytic Training and Research (IPTAR). He is the author of more than seventy clinical, theoretical, and empirical publications about psychotherapy, and has produced two films to educate prospective patients about how to use psychotherapy for personal benefit. He currently maintains a private practice in New Haven, Connecticut. Joan Hoffenberg, Ph.D., FIPA, is Training and Supervising Analyst and current President of the Institute for Psychoanalytic Training and Research (IPTAR) and past Director of the IPTAR Clinical Center (ICC). She has taught at several psychoanalytic institutes in New York. She is co-editor of the book Terrorism in the Psychoanalytic Space. Her research interests include the effectiveness of psychotherapy, and the distinction between grief and depression. She is in private practice in Brooklyn and Manhattan. Marvin Hurvich, Ph.D., DP, ABPP, FIPA, is a Training and Supervising Analyst at the Institute for Psychoanalytic Training and Research (IPTAR), The New York Freudian Society, and the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. He is Professor of Psychology at Long Island University, Brooklyn Center. He is co-author with L. Bellak and H. Gediman, of 'Ego Functions in Schizophrenics, Neurotics and Normals' and his current writings are on theoretical, clinical, and empirical aspects of annihilation anxieties. Rhonda Ward, LCSW, FIPA, is an Associate Adjunct Professor at the New York University School of Social Work. She is a member at the Institute for Psychoanalytic Training and Research (IPTAR) as well as the New York Freudian Society, where she is currently chair of progression. She is faculty member and research associate at the IPTAR Program of Research in Psychoanalysis, and is faculty member of IPTAR's Respecialization Program. She is the co-author of 'The Upward Slope: a Study of Psychoanalytic Transformations'. She is in private practice in New York City.