Login
Gann, E. (1992). Panic. The Course of a Psychoanalysis: By Thorkil Vanggaard. New York/London: W. W. Norton & Co., Inc., 1989. 144 pp.. Psychoanal Q., 61:495-497.

Welcome to PEP Web!

Viewing the full text of this document requires a subscription to PEP Web.

If you are coming in from a university from a registered IP address or secure referral page you should not need to log in. Contact your university librarian in the event of problems.

If you have a personal subscription on your own account or through a Society or Institute please put your username and password in the box below. Any difficulties should be reported to your group administrator.

Username:
Password:

Can't remember your username and/or password? If you have forgotten your username and/or password please click here and log in to the PaDS database. Once there you need to fill in your email address (this must be the email address that PEP has on record for you) and click "Send." Your username and password will be sent to this email address within a few minutes. If this does not work for you please contact your group organizer.

Athens or federation user? Login here.

Not already a subscriber? Order a subscription today.

(1992). Psychoanalytic Quarterly, 61:495-497

Panic. The Course of a Psychoanalysis: By Thorkil Vanggaard. New York/London: W. W. Norton & Co., Inc., 1989. 144 pp.

Erik Gann Author Information

Thorkil Vanggaard is not likely to be a name familiar to most American psychoanalysts, even though he is a foremost senior psychiatrist in Copenhagen; he spent part of his long career in this country while doing psychoanalytic training at the New York Psychoanalytic Institute. In this slim volume, he presents the clinical record of an old case and proffers an argument for the psychotherapeutic approach to a clinical entity which is now regarded in this country in general psychiatric circles as an almost purely biological phenomenon, the treatment of which requires primarily pharmacological intervention—so-called "panic disorder."

It is not clear whether Vanggaard intended this report more for a psychoanalytic or for a psychiatric audience. The former group will likely find this effort to be an enjoyable, though not profound, clinical account, which raises indirectly some fascinating questions, albeit without really tackling the theoretical issues involved. They are not trivial matters at all; for instance, Vanggaard's insistence that this five-and-a-half-month, three-times-a-week treatment should be regarded as an "analysis." (Most analytic readers will probably conclude that this case represents a very successful psychoanalytically oriented psychotherapy, and a brief psychotherapy at that.) However, the most enduring value of this case report, one which may, in fact, make it one of the most important psychoanalytic publications in recent years, concerns issues of diagnosis and treatment which Vanggaard addresses to psychiatrists as a whole in a direct, accessible, and convincing manner. Of particular relevance to American psychiatry is the implicit critique of DSM-III and DSM-III-R regarding the politically determined expunging of the term and concept of "neurosis" from the official nosological lexicon.

Even this evaluation of the book does not diminish its potential interest for the psychoanalytic clinician. In spite of the recent trend toward more complete reporting and publishing of clinical process, it is all too rare that we have the opportunity to gain access to the relatively unexpurgated, daily material of a treatment from beginning to end. Add to that the even rarer inclusion of a seventeen-year follow-up on a case, with statements by both patient and therapist,

- 495 -

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2014, Psychoanalytic Electronic Publishing. Help | About | Download PEP Bibliography | Report a Problem

WARNING! This text is printed for the personal use of the subscriber to PEP Web and is copyright to the Journal in which it originally appeared. It is illegal to copy, distribute or circulate it in any form whatsoever.