Structural Change and its Assessment
Article Type: Research Article | First Published: July 03, 2019
The concepts of structure and structural change and their use in psychoanalytic discourse are explored. It is argued that, when these concepts are not used merely as rhetorical devices, the concept of structure essentially refers to stable, unobservable mental organisations and that these may only manifest themselves as consistency across time in their behavioural derivatives. The concept of structural change may refer to three different forms of change in structures so defined. It is argued tha...
Personalized Medicine and Psychoanalysis: How Pharmacogenomic Testing Facilitates Depression Treatment
Article Type: Review Article | First Published: June 14, 2019
Pharmacogenomic testing offers enormous potential to manage mental disorders like depression. But many psychoanalysts aren't aware of its value and biotechnical power. This article explains how this form of personalized medicine can be used to aid in the treatment of patients with depression. With over 20 medications approved by the FDA to treat depression, and many others recommended for off-label use, treatment failure with antidepressants commonly occurs in clinical practice. Inviting genetic...
Personality Organization Traits and Expected Countertransference and Treatment Interventions
Robert M Gordon, ValeriyaSpektor and Linh Luu
Article Type: RESEARCH ARTICLE | First Published: March 01, 2019
There is little empirical research on patients at the severe level of personality organization who generally need more clarifications of roles, tasks, boundaries, and supportive interventions, and often create increased problems with countertransference. The purpose of this study was to investigate the relationship between clinicians' ratings of their new patients' level of personality organization traits (i.e.: Defensiveness, identity integration, object relations, and reality testing) and degr...
Explaining the Minority Status Hypothesis: Development of the Cultural Resilience Life Stress Paradigm
Article Type: Review Article | First Published: July 19, 2018
This paper reviews recent empirical studies (N = 13) that focused on two cultural resources (spirituality and racial identity) utilized by African-Americans to cope with stress in an attempt to: 1) Provide some explanations why the minority status hypothesis is unfounded in most epidemiologic community surveys; and 2) Develop a theoretical framework that explicates this phenomenon. The review shows that both spirituality and racial identity reduced the negative impact of life stressors while pro...