Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
PEP-Easy Tip: To save PEP-Easy to the home screen

PEP-Web Tip of the Day

To start PEP-Easy without first opening your browser–just as you would start a mobile app, you can save a shortcut to your home screen.

First, in Chrome or Safari, depending on your platform, open PEP-Easy from pepeasy.pep-web.org. You want to be on the default start screen, so you have a clean workspace.

Then, depending on your mobile device…follow the instructions below:

On IOS:

  1. Tap on the share icon Action navigation bar and tab bar icon
  2. In the bottom list, tap on ‘Add to home screen’
  3. In the “Add to Home” confirmation “bubble”, tap “Add”

On Android:

  1. Tap on the Chrome menu (Vertical Ellipses)
  2. Select “Add to Home Screen” from the menu

 

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Goldman, D.L. (2007). The Role of Clinical Psychiatry in the Psychoanalysis of Severely Disturbed Individuals. Canadian J. Psychoanal., 15(1):77-92.

(2007). Canadian Journal of Psychoanalysis, 15(1):77-92

The Role of Clinical Psychiatry in the Psychoanalysis of Severely Disturbed Individuals

David L. Goldman

Through vignettes, the author discusses three aspects of clinical psychiatry's potential involvement in the psychoanalytic treatment of individuals with severe and persistent problems with impulsivity, poor affect regulation, and impaired ego boundaries. First, the timely use of instrumental technologies such as rating scales and self-inventories may reveal Axis I diagnoses that require targeted psychiatric care. Second, the effect of combining neurobio-logical approaches such as psycho-pharmacotherapy with psychoanalysis may not necessarily be additive therapeutically. Freud's point of view, still relevant today, in these complex matters is discussed with a contemporary focus. Finally, the tendency of severely disturbed patients to express themselves self-destructively may burden the process of psychoanalytic listening with distractions from inside and outside of the analysis. Despite Freud's injunctions, psychoanalysts need to be ready to use psychiatric-style parameters, especially early in treatment, to address the demands of these turbulent patients and enhance their engagement in the psychoanalytic process. These clinical points reveal that the compromises psychoanalytic practitioners negotiate between psychoanalytic and psychiatric models in dealing with these severely disturbed individuals can lead to unforeseen treatment dilemmas.

A l'aide des cas cliniques, l'auteur décrit trois aspects de l'implication de la psychiatrie clinique dans le traitement psychanalytique des individus de psychopathologie sévère et persistante. D'abord, l'emploi de technologies instrumentales telles que des échelles et des inventaires a la possibilité de dépister une diagnostique qui exige un traitement psychiatrique spécifique.

Deuxièmement, on doit se rendre compte qu'ajouter une approche neurobiologique comme la psycho-pharmacothérapie à l'intérieure d'une psychanalyse pourrait avoir des suites imprévues. Enfin, des tendances autodestructrices de ces patients turbulents risquent d'accabler indûment le processus de l'Écoute psychanalytique. Pour en faire face, malgré l'interdiction de Freud qui prône une division de travail entre psychanalyste et psychiatre, les psychanalystes devraient considérer l'emploi de certaines approches psychiatriques, surtout au début de l'analyse, pour permettre le déroulement du processus psychanalytique. Ces points cliniques sont révélateurs de l'imprévu dans le rapprochement des connaissances psychanalytiques et celles de la psychiatrie.

[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 © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.