scholarly journals Envy: How to Interpret a Mortal Sin?

2020 ◽  
Vol 13 (2) ◽  
pp. 93-116
Author(s):  
Eike Hinze
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Emotional State ◽  
Central Element ◽  
Melanie Klein ◽  
Therapeutic Action ◽  
Death Instinct ◽  
The Unconscious ◽  
Psychoanalytic Concept ◽  
Penis Envy

Abstract Envy has always been a frequent topic in religious scriptures and literature. Freud formulated penis envy as a central element in female psychology. Nowadays this theory has been largely abandoned. Envy, however, continues to keep its position as a central psychoanalytic concept in the form of oral envy. Melanie Klein conceptualized it as a direct derivative of the death instinct. This paper starts with demonstrating examples of envy in literature. The author continues with searching his own life for traces of envy. He then draws on his own clinical practice and on case studies of other analysts. He concludes that a theory, describing envy as directly deriving from the death drive does not do justice to the multiple aspects of the complex emotional state of envy. Anne-Marie and Joseph Sandler’s work on the present and past unconscious as well as Mark Solms’ neuropsychoanalytic research on the unconscious and the therapeutic action of psychoanalysis corroborate this conclusion.

scholarly journals Case Studies in Clinical Practice Development

2005 ◽  
Vol 22 (01) ◽  
pp. 56-60
Author(s):  
Romi Chopra ◽  
John Lipman ◽  
Timothy P Murphy
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Practice Development

scholarly journals Assessing competence in cognitive-behavioural therapy

2008 ◽  
Vol 193 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Andrew J. A. Keen ◽  
Mark H. Freeston
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Cognitive Behavioural Therapy ◽  
Clinical Work ◽  
Behavioural Therapy ◽  
High Stakes ◽  
Cognitive Behavioural ◽  
Reliable Assessment

BackgroundPostgraduate courses on cognitive-behavioural therapy (CBT) assess various competencies using essays, case studies and audiotapes or videotapes of clinical workAimsTo evaluate how reliably a well-established postgraduate course assesses CBT competenciesMethodData were collected on two cohorts of trainees (n=52). Two examiners marked trainees on: (a) two videotapes of clinical practice; (b) two case studies; and (c) three essaysResultsEssay examinations were more reliable than case studies, which in turn were more reliable than videotaped assessments. The reliability of the latter two assessments was considerably lower than that commonly expected of high-stakes examinations. To assess reliably standard CBT competencies, postgraduate courses would need to examine about 5 essays, 12 case studies and 19 videotapesConclusionsReliable assessment of standard competencies is complex and resource intensive. There would need to be a marked increase in the number of samples of clinical work assessed to be able to make reliable judgements about proficiency

scholarly journals Case Studies in Social Medicine — Attending to Structural Forces in Clinical Practice

2018 ◽  
Vol 379 (20) ◽  
pp. 1958-1961 ◽  
Author(s):  
Scott D. Stonington ◽  
Seth M. Holmes ◽  
Helena Hansen ◽  
Jeremy A. Greene ◽  
Keith A. Wailoo ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Social Medicine ◽  
Structural Forces

scholarly journals Working on dreams, from neuroscience to psychotherapy

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Giorgio Caviglia
Keyword(s):  
Clinical Practice ◽  
Recent Literature ◽  
Clinical Work ◽  
The Self ◽  
Current Clinical Practice ◽  
The Unconscious ◽  
Psychoanalytic Approach ◽  
The Relationship ◽  
Aggressive Drive ◽  
Cultural Openness

Within the current clinical practice, the debate on the use of dream is still very topical. In this article, the author suggests to address this question with a notable scientific and cultural openness that embraces either the psychoanalytic approach (classical, modern and intersubjective), and the neurophysiological assumptions and both clinical research and cognitive hypotheses. The utility of dream - in the clinical work with patients - is supported by the author with extensive bibliographic references and personal clinical insights, drawn from his experience as a psychotherapist. Results: From an analysis of recent literature on this topic, the dream assumes a very different function and position in the clinical practice: from ‘via regia to the unconscious’ of Freudian theories - an expression of repressed infantile wishes of libidinal or aggressive drive nature - it becomes the very fulcrum of the analysis, a fundamental capacity to be developed, a necessary and decisive element for the patient’s transformation. The dream can also be use with the function of thinking and mentalization, of problem solving, of adaptation, as well as an indicator of the relationship with the therapist in the analytic dialogue or of dissociated aspects of the self. Finally, the author proposes a challenging reading of the clinical relevance of dream: through listening to the dream, the clinician can help the patient to stand in the spaces of his own self in a more open and fluid way and therefore to know himself better, to regulate his affects, to think and to integrate oneself.

G. C. Lichtenberg: Dreams, Jokes, and the Unconscious in Eighteenth-Century Germany

1992 ◽  
Vol 40 (3) ◽  
pp. 761-799 ◽  
Author(s):  
Craig Tomlinson
Keyword(s):  
Nineteenth Century ◽  
Eighteenth Century ◽  
Clinical Practice ◽  
Cultural Background ◽  
Practical Application ◽  
Functional Link ◽  
The Unconscious ◽  
Dream Analysis ◽  
German Physicist

The German physicist and writer Lichtenberg (1742–1799) was well known during the nineteenth century as a humorist, thinker, and psychologist. He was also a favorite author of Freud, who read him beginning in his teens, quoted him frequently, and called him a “remarkable psychologist.” Despite this, he has been ignored by psychoanalysts and historians of psychiatry alike, and most of his writing is still unavailable in English. An introduction to Lichtenberg as a psychologist is provided, stressing material dealing with dream analysis, association theory, and drives. Relevant excerpts are translated into English. Lichtenberg is shown to have insisted upon the need for a systematic and rationalistic study of dreams, to have analyzed individual dreams (describing them as dramatized representations of thoughts, associations, and even conflicts from his own waking life), and to have emphasized the functional link between dreams and daydreams. His remarks on drives and commentary on eighteenth-century association theory represent a significant practical application, and thus refinement, of Enlightenment rationalistic psychology. These achievements are assessed in light of Freud's early fascination with him; it is argued that Lichtenberg is an example of the relevance of the historical and cultural background of psychoanalysis to clinical practice.

‘A Ritual of Discourse’: Conceptualizing and Reconceptualizing the Analytic Relationship

2018 ◽  
pp. 240-254
Author(s):  
Judith Hughes
Keyword(s):  
Clinical Practice ◽  
Projective Identification ◽  
Good Time ◽  
Melanie Klein ◽  
Analytic Relationship ◽  
The Relationship

Freud embarked on his exploration of an unconscious domain hand in hand with his clinical practice. He was thus forced to think deeply about the relationship between doctor and patient. He could not afford—quite literally—to do otherwise. In the postscript to ‘Fragment of an Analysis of a Case of Hysteria’ (1905), he pondered Dora’s abrupt decision to end treatment and spelled out what he had failed to appreciate in good time: transferences. Subsequent generations of psychoanalysts, particularly Melanie Klein, Bion, and Betty Joseph, pressed on along two separate—but certainly not parallel—tracks: first, stretching the concept of transference; second, introducing the concept of projective identification and rethinking countertransference. The first took off from the expansion of psychoanalytic practice to include children; the second from its expansion to include the seriously disturbed. Taken together these advances, in theory and in practice, led to reconceptualizing the analytic relationship.

Contingent Efficacies in Buryat Tibetan Medicine

2015 ◽  
Vol 10 (1-2) ◽  
pp. 249-272 ◽  
Author(s):  
Tatiana Chudakova
Keyword(s):  
Case Studies ◽  
Social Relations ◽  
Tibetan Medicine ◽  
Medical Pluralism ◽  
Therapeutic Action ◽  
Eastern Siberia ◽  
Clinical Protocols ◽  
Inner Asia ◽  
Regulatory Frameworks ◽  
Multiple Regimes

Focusing on sites of encounter between post-socialist biomedicine and Tibetan medicine in Eastern Siberia, this article explores overlapping ideologies of efficacy at work. In the absence of a single framework for determining its potencies, Tibetan medicine is caught between multiple regimes of legitimacy necessitated by scientific research, clinical protocols, and state regulatory frameworks. Through an exploration of three ethnographic case studies, this article tracks how those working with Tibetan medicine highlight instead the conditional nature of its therapeutic action. By adopting the frame ofcontingent efficacies, the article explores how practitioners of Tibetan medicine in Russia conceive of the medicines and techniques they deploy as always already situated extensions of specific social relations, political formations, forms of practice, and epistemological commitments. By pointing to the failures at commensuration with different regimes of abstraction these accounts offer a lens into the cultural politics of medical pluralism in Inner Asia.

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