Who Owns Psychoanalysis?


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The essays are organized into four categories--academic, historical, political, and scientific--and they deal with such subjects as the public and private in psychoanalytic practice and inquiry; the genealogy of the word 'psychotherapy'; the history of the New York State psychoanalytic license; and the distinction between the brain and the mind. This important set of essays will prove mandatory for practitioners, candidates, and academics, ant there is much here to invite the lay reader as well. Contemporary Jungian and Psychoanalytic Perspectives Routledge Would you like to tell us about a lower price?

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View or edit your browsing history. The detailed inquiry involves noting where the analysand is leaving out important elements of an account and noting when the story is obfuscated, and asking careful questions to open up the dialogue. Although single-client sessions remain the norm, psychoanalytic theory has been used to develop other types of psychological treatment. Slavson , Harry Stack Sullivan , and Wolfe. Child-centered counseling for parents was instituted early in analytic history by Freud, and was later further developed by Irwin Marcus, Edith Schulhofer, and Gilbert Kliman.

Psychoanalytically based couples therapy has been promulgated and explicated by Fred Sander, MD. Techniques and tools developed in the first decade of the 21st century have made psychoanalysis available to patients who were not treatable by earlier techniques. This meant that the analytic situation was modified so that it would be more suitable and more likely to be helpful for these patients. Eagle believes that psychoanalysis cannot be a self-contained discipline but instead must be open to influence from and integration with findings and theory from other disciplines. Psychoanalytic constructs have been adapted for use with children with treatments such as play therapy , art therapy , and storytelling.

Throughout her career, from the s through the s, Anna Freud adapted psychoanalysis for children through play. Using toys and games, children are able to demonstrate, symbolically, their fears, fantasies, and defenses; although not identical, this technique, in children, is analogous to the aim of free association in adults. Psychoanalytic play therapy allows the child and analyst to understand children's conflicts, particularly defenses such as disobedience and withdrawal, that have been guarding against various unpleasant feelings and hostile wishes.

In art therapy, the counselor may have a child draw a portrait and then tell a story about the portrait. The counselor watches for recurring themes—regardless of whether it is with art or toys. Psychoanalysis can be adapted to different cultures , as long as the therapist or counselor understands the client's culture. For example, Tori and Blimes found that defense mechanisms were valid in a normative sample of 2, Thais.

The use of certain defense mechanisms was related to cultural values. For example, Thais value calmness and collectiveness because of Buddhist beliefs , so they were low on regressive emotionality. Psychoanalysis also applies because Freud used techniques that allowed him to get the subjective perceptions of his patients. He takes an objective approach by not facing his clients during his talk therapy sessions. He met with his patients wherever they were, such as when he used free association — where clients would say whatever came to mind without self-censorship.

His treatments had little to no structure for most cultures, especially Asian cultures. Therefore, it is more likely that Freudian constructs will be used in structured therapy Thompson, et al. In addition, Corey postulates that it will be necessary for a therapist to help clients develop a cultural identity as well as an ego identity. The cost to the patient of psychoanalytic treatment ranges widely from place to place and between practitioners. Low-fee analysis is often available in a psychoanalytic training clinic and graduate schools.

Otherwise, the fee set by each analyst varies with the analyst's training and experience. Since, in most locations in the United States, unlike in Ontario and Germany, classical analysis which usually requires sessions three to five times per week is not covered by health insurance, many analysts may negotiate their fees with patients whom they feel they can help, but who have financial difficulties.

The modifications of analysis, which include psychodynamic therapy, brief therapies, and certain types of group therapy cf. As a result of the defense mechanisms and the lack of access to the unfathomable elements of the unconscious, psychoanalysis can be an expansive process that involves 2 to 5 sessions per week for several years. This type of therapy relies on the belief that reducing the symptoms will not actually help with the root causes or irrational drives.

The analyst typically is a 'blank screen', disclosing very little about themselves in order that the client can use the space in the relationship to work on their unconscious without interference from outside. The psychoanalyst uses various methods to help the patient to become more self-aware and to develop insights into their behavior and into the meanings of symptoms. First and foremost, the psychoanalyst attempts to develop a confidential atmosphere in which the patient can feel safe reporting his feelings, thoughts and fantasies.

Analysands as people in analysis are called are asked to report whatever comes to mind without fear of reprisal. Freud called this the "fundamental rule". Analysands are asked to talk about their lives, including their early life, current life and hopes and aspirations for the future. They are encouraged to report their fantasies, "flash thoughts" and dreams. In fact, Freud believed that dreams were, "the royal road to the unconscious"; he devoted an entire volume to the interpretation of dreams.

Also, psychoanalysts encourage their patients to recline on a couch. Typically, the psychoanalyst sits, out of sight, behind the patient. The psychoanalyst's task, in collaboration with the analysand, is to help deepen the analysand's understanding of those factors, outside of his awareness, that drive his behaviors. In the safe environment of the psychoanalytic setting, the analysand becomes attached to the analyst and pretty soon he begins to experience the same conflicts with his analyst that he experiences with key figures in his life such as his parents, his boss, his significant other, etc.

It is the psychoanalyst's role to point out these conflicts and to interpret them. The transferring of these internal conflicts onto the analyst is called "transference". Many studies have also been done on briefer "dynamic" treatments; these are more expedient to measure, and shed light on the therapeutic process to some extent.

On average, classical analysis may last 5. Psychoanalytic training in the United States involves a personal psychoanalysis for the trainee, approximately hours of class instruction, with a standard curriculum, over a four or five-year period. Typically, this psychoanalysis must be conducted by a Supervising and Training Analyst.

Most institutes but not all within the American Psychoanalytic Association, require that Supervising and Training Analysts become certified by the American Board of Psychoanalysts. Certification entails a blind review in which the psychoanalysts work is vetted by psychoanalysts outside of their local community. After earning certification, these psychoanalysts undergo another hurdle in which they are specially vetted by senior members of their own institute. Supervising and Training analysts are held to the highest clinical and ethical standards. Moreover, they are required to have extensive experience conducting psychoanalyses.

Similarly, class instruction for psychoanalytic candidates is rigorous. Typically classes meet several hours a week, or for a full day or two every other weekend during the academic year; this varies with the institute. Candidates generally have an hour of supervision each week, with a Supervising and Training Analyst, on each psychoanalytic case. The minimum number of cases varies between institutes, often two to four cases. Male and female cases are required. Supervision must go on for at least a few years on one or more cases.

Supervision is done in the supervisor's office, where the trainee presents material from the psychoanalytic work that week. In supervision, the patient's unconscious conflicts are explored, also, transference-countertransference constellations are examined.

Also, clinical technique is taught. Because of theoretical differences, there are independent institutes, usually founded by psychologists, who until were not permitted access to psychoanalytic training institutes of the APsaA. Currently there are between 75 and independent institutes in the United States. As well, other institutes are affiliated to other organizations such as the American Academy of Psychoanalysis and Dynamic Psychiatry , and the National Association for the Advancement of Psychoanalysis. At most psychoanalytic institutes in the United States, qualifications for entry include a terminal degree in a mental health field, such as Ph.

A few institutes restrict applicants to those already holding an M. It was founded by the analyst Theodor Reik. Some psychoanalytic training has been set up as a post-doctoral fellowship in university settings, such as at Duke University, Yale University, New York University, Adelphi University and Columbia University. Other psychoanalytic institutes may not be directly associated with universities, but the faculty at those institutes usually hold contemporaneous faculty positions with psychology Ph. The IPA is the world's primary accrediting and regulatory body for psychoanalysis.

Their mission is to assure the continued vigor and development of psychoanalysis for the benefit of psychoanalytic patients. It works in partnership with its 70 constituent organizations in 33 countries to support 11, members. In the US, there are 77 psychoanalytical organizations, institutes associations in the United States, which are spread across the states of America. APSaA has 38 affiliated societies which have 10 or more active members who practice in a given geographical area. The aims of APSaA and other psychoanalytical organizations are: There are eight affiliated study groups in the United States.

A study group is the first level of integration of a psychoanalytical body within the IPA, followed by a provisional society and finally a member society. Until the establishment of the Division of Psychoanalysis, psychologists who had trained in independent institutes had no national organization. The Division of Psychoanalysis now has approximately 4, members and approximately 30 local chapters in the United States. The Division of Psychoanalysis holds two annual meetings or conferences and offers continuing education in theory, research and clinical technique, as do their affiliated local chapters.

This organization is affiliated with the IPA. In there were approximately 3, individual members in 22 countries, speaking 18 different languages. There are also 25 psychoanalytic societies. Until it was known as the National Membership Committee on Psychoanalysis. The organization was founded because although social workers represented the larger number of people who were training to be psychoanalysts, they were underrepresented as supervisors and teachers at the institutes they attended.

It holds a bi-annual national conference and numerous annual local conferences. Experiences of psychoanalysts and psychoanalytic psychotherapists and research into infant and child development have led to new insights.

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Theories have been further developed and the results of empirical research are now more integrated in the psychoanalytic theory. With the expansion of psychoanalysis in the United Kingdom the Society was renamed the British Psychoanalytical Society in The Institute of Psychoanalysis also publishes The International Journal of Psychoanalysis , maintains a library, furthers research, and holds public lectures. The society has a Code of Ethics and an Ethical Committee. The society, the institute and the clinic are all located at Byron House.

The society is a component of the IPA, a body with members on all five continents that safeguards professional and ethical practice. All members of the British Psychoanalytical Society are required to undertake continuing professional development. Sandler , and Donald Winnicott.

The Institute of Psychoanalysis is the foremost publisher of psychoanalytic literature. The Society, in conjunction with Random House , will soon publish a new, revised and expanded Standard Edition. With the New Library of Psychoanalysis the Institute continues to publish the books of leading theorists and practitioners. Now in its 84th year, it has one of the largest circulations of any psychoanalytic journal. Over a hundred years of case reports and studies in the journal Modern Psychoanalysis , the Psychoanalytic Quarterly , the International Journal of Psychoanalysis and the Journal of the American Psychoanalytic Association have analyzed the efficacy of analysis in cases of neurosis and character or personality problems.

Psychoanalysis modified by object relations techniques has been shown to be effective in many cases of ingrained problems of intimacy and relationship cf. Psychoanalytic treatment, in other situations, may run from about a year to many years, depending on the severity and complexity of the pathology. Psychoanalytic theory has, from its inception, been the subject of criticism and controversy.

Freud remarked on this early in his career, when other physicians in Vienna ostracized him for his findings that hysterical conversion symptoms were not limited to women. Challenges to analytic theory began with Otto Rank and Alfred Adler turn of the 20th century , continued with behaviorists e. Wolpe into the s and '50s, and have persisted e. Criticisms come from those who object to the notion that there are mechanisms, thoughts or feelings in the mind that could be unconscious.

Criticisms also have been leveled against the idea of "infantile sexuality" the recognition that children between ages two and six imagine things about procreation. Criticisms of theory have led to variations in analytic theories, such as the work of Ronald Fairbairn , Michael Balint , and John Bowlby.

In the past 30 years or so, the criticisms have centered on the issue of empirical verification. Psychoanalysis has been used as a research tool into childhood development cf.

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Most recently, psychoanalytic researchers who have integrated attachment theory into their work, including Alicia Lieberman, Susan Coates , and Daniel Schechter have explored the role of parental traumatization in the development of young children's mental representations of self and others. There are different forms of psychoanalysis and psychotherapies in which psychoanalytic thinking is practiced. Besides classical psychoanalysis there is for example psychoanalytic psychotherapy , a therapeutic approach which widens "the accessibility of psychoanalytic theory and clinical practices that had evolved over plus years to a larger number of individuals.

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Finally, if a prospective patient is severely suicidal a longer preliminary stage may be employed, sometimes with sessions which have a twenty-minute break in the middle. Psychoanalytic treatment, in other situations, may run from about a year to many years, depending on the severity and complexity of the pathology. Eventually, the developing child's concessions to reality that they will neither marry one parent nor eliminate the other lead to identifications with parental values. In , in Inhibitions, Symptoms and Anxiety, Freud characterised how intrapsychic conflict among drive and superego wishes and guilt caused anxiety , and how that anxiety could lead to an inhibition of mental functions, such as intellect and speech. Meta-analyses in and come to the conclusion that there is support or evidence for the efficacy of psychoanalytic therapy, thus further research is needed. For example, if a patient feels guilty, the analyst might explore what the patient has been doing or thinking that causes the guilt, but not reassure the patient not to feel guilty. The organization was founded because although social workers represented the larger number of people who were training to be psychoanalysts, they were underrepresented as supervisors and teachers at the institutes they attended.

The effectiveness of strict psychoanalysis is difficult to gauge; therapy as Freud intended it relies too much on the interpretation of the therapist which cannot be proven. Meta-analyses in and come to the conclusion that there is support or evidence for the efficacy of psychoanalytic therapy, thus further research is needed. In , the American Psychological Association made comparisons between psychodynamic treatment and a non-dynamic competitor and found that 6 were superior, 5 were inferior, 28 had no difference and 63 were adequate.

The study found that this could be used as a basis "to make psychodynamic psychotherapy an 'empirically validated' treatment. A system review of Long Term Psychodynamic Psychotherapy in found an overall effect size of. According to a French review conducted by INSERM , psychoanalysis was presumed or proven effective at treating panic disorder , post-traumatic stress and personality disorders. The world's largest randomized controlled trial on therapy with anorexia nervosa outpatients, the ANTOP-Study, published in The Lancet , found evidence that modified psychodynamic therapy is effective in increasing body mass index after a month treatment and that the effect is persistent until at least a year after concluding the treatment.

Relative to other treatments assigned, it was found to be as effective in increasing body mass index as cognitive behavioral therapy and as a standard treatment protocol which consisted of referral to a list of psychotherapists with experience in treating eating-disorders in addition to close monitoring and treatment by a family doctor. Furthermore, considering the outcome to be the recovery rate one year after the treatment, measured by the proportion of patients who no longer met the diagnostic criteria for anorexia nervosa, modified psychodynamic therapy was found to be more effective than the standard treatment protocol and as effective as cognitive behavioral therapy.

A systematic review of the medical literature by the Cochrane Collaboration concluded that no data exist demonstrating that psychodynamic psychotherapy is effective in treating schizophrenia and severe mental illness, and cautioned that medication should always be used alongside any type of talk therapy in schizophrenia cases. Both Freud and psychoanalysis have been criticized in very extreme terms. Early critics of psychoanalysis believed that its theories were based too little on quantitative and experimental research , and too much on the clinical case study method.

Some have accused Freud of fabrication, most famously in the case of Anna O. Karl Popper argued that psychoanalysis is a pseudoscience because its claims are not testable and cannot be refuted; that is, they are not falsifiable. Indeed, they have refused to specify experimental conditions under which they would give up their basic assumptions.

Scruton nevertheless concluded that psychoanalysis is not genuinely scientific, on the grounds that it involves an unacceptable dependence on metaphor. Cognitive scientists , in particular, have also weighed in. Martin Seligman , a prominent academic in positive psychology wrote, "Thirty years ago, the cognitive revolution in psychology overthrew both Freud and the behaviorists, at least in academia. Psychologists Hans Eysenck [] and John F.

Kihlstrom [] have also criticized the field as pseudoscience. Richard Feynman wrote off psychoanalysts as mere "witch doctors":. If you look at all of the complicated ideas that they have developed in an infinitesimal amount of time, if you compare to any other of the sciences how long it takes to get one idea after the other, if you consider all the structures and inventions and complicated things, the ids and the egos, the tensions and the forces, and the pushes and the pulls, I tell you they can't all be there.

It's too much for one brain or a few brains to have cooked up in such a short time. Fuller Torrey , in Witchdoctors and Psychiatrists , agreed that psychoanalytic theories have no more scientific basis than the theories of traditional native healers, "witchdoctors" or modern "cult" alternatives such as est. She scrutinized and rejected the validity of Freud's drive theory , including the Oedipus complex, which, according to her and Jeffrey Masson , blames the child for the abusive sexual behavior of adults.

He concluded that there is little evidence to support the existence of the Oedipus complex. Michel Foucault and Gilles Deleuze claimed that the institution of psychoanalysis has become a center of power and that its confessional techniques resemble the Christian tradition. Psychoanalysis continues to be practiced by psychiatrists, social workers, and other mental health professionals; however, its practice is less common today than in years past. Although numerous studies have shown that the efficacy of therapy is primarily related to the quality of the therapist [] , rather than the school or technique or training, a French report from INSERM concluded that psychoanalytic therapy is less effective than other psychotherapies including cognitive behavioral therapy for certain diseases.

This report used a meta-analysis of numerous other studies to find whether the treatment was "proven" or "presumed" to be effective on different diseases. An increasing amount of empirical research from academic psychologists and psychiatrists has begun to address this criticism.

However, these stages should not be viewed as crucial to modern psychoanalysis. What is crucial to modern psychoanalytic theory and practice is the power of the unconscious and the transference phenomenon. The idea of "unconscious" is contested because human behavior can be observed while human mental activity has to be inferred. However, the unconscious is now a popular topic of study in the fields of experimental and social psychology e. Recent developments in neuroscience have resulted in one side arguing that it has provided a biological basis for unconscious emotional processing in line with psychoanalytic theory i.

Shlomo Kalo explains that the scientific materialism that flourished in the 19th century severely harmed religion and rejected whatever called spiritual. The institution of the confession priest in particular was badly damaged.

The empty void that this institution left behind was swiftly occupied by the newborn psychoanalysis. In his writings Kalo claims that psychoanalysis basic approach is erroneous. It represents the mainline wrong assumptions that happiness is unreachable and that the natural desire of a human being is to exploit his fellow men for his own pleasure and benefit.

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Jacques Derrida incorporated aspects of psychoanalytic theory into his theory of deconstruction in order to question what he called the ' metaphysics of presence '. Derrida also turns some of these ideas against Freud, to reveal tensions and contradictions in his work. For example, although Freud defines religion and metaphysics as displacements of the identification with the father in the resolution of the Oedipal complex, Derrida insists in The Postcard: From Socrates to Freud and Beyond that the prominence of the father in Freud's own analysis is itself indebted to the prominence given to the father in Western metaphysics and theology since Plato.

For session frequency, Hinshelwood, Robert D. Hinshelwood, and Jean-Marie Gauthier eds. The Controversies and the Future , Karnac Books, , From Wikipedia, the free encyclopedia.

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The idea for the book, "Who Owns Psychoanalysis," was sparked by the controversy that erupted two to three years ago while the editor, Ann Casement, was. So who does own psychoanalysis? Equally pertinent, what is psychoanalysis? Even before the death of Sigmund Freud, psychoanalysis was splintering into.

Part of a series of articles on Psychoanalysis Concepts. Boston Graduate School of Psychoanalysis. The strongest reason for considering Freud a pseudo-scientist is that he claimed to have tested — and thus to have provided the most cogent grounds for accepting — theories which are either untestable or even if testable had not been tested. It is spurious claims to have tested an untestable or untested theory which are the most pertinent grounds for deeming Freud and his followers pseudoscientists Many aspects of Freudian theory are indeed out of date, and they should be: Freud died in , and he has been slow to undertake further revisions.

His critics, however, are equally behind the times, attacking Freudian views of the s as if they continue to have some currency in their original form. Psychodynamic theory and therapy have evolved considerably since when Freud's bearded countenance was last sighted in earnest.

Contemporary psychoanalysts and psychodynamic therapists no longer write much about ids and egos, nor do they conceive of treatment for psychological disorders as an archaeological expedition in search of lost memories. The science of psychoanalysis is the bedrock of psychodynamic understanding and forms the fundamental theoretical frame of reference for a variety of forms of therapeutic intervention, embracing not only psychoanalysis itself but also various forms of psychoanalytically oriented psychotherapy and related forms of therapy using psychodynamic concepts.

Psychoanalysis

However, its limitations are more widely recognized and it is assumed that many important advances in the future will come from other areas, particularly biologic psychiatry. As yet unresolved is the appropriate role of psychoanalytic thinking in organizing the treatment of patients and the training of psychiatrists after that biologic revolution has born fruit.

Will treatments aimed at biologic defects or abnormalities become technical steps in a program organized in a psychoanalytic framework? Will psychoanalysis serve to explain and guide supportive intervention for individuals whose lives are deformed by biologic defect and therapeutic interventions, much as it now does for patients with chronic physical illness, with the psychoanalyst on the psychiatric dialysis program? Or will we look back on the role of psychoanalysis in the treatment of the seriously mentally ill as the last and most scientifically enlightened phase of the humanistic tradition in psychiatry, a tradition that became extinct when advances in biology allowed us to cure those we had so long only comforted?

Gill, American Mental Health Foundation: Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be considered an unfortunately abbreviated description, Freud said that anyone who recognizes transference and resistance is a psychoanalyst, even if he comes to conclusions other than his own. I prefer to think of the analytic situation more broadly, as one in which someone seeking help tries to speak as freely as he can to someone who listens as carefully as he can with the aim of articulating what is going on between them and why.

David Rapaport a once defined the analytic situation as carrying the method of interpersonal relationship to its last consequences. A Short Introduction to Psychoanalysis.

A Life for Our Time. Norton, , 3—4, A Radical Reassessment of Freudian Psychoanalysis. Penguin Books, , The Revision of Psychoanalysis , New York: Open Road, , 12— For point 7, Chessick, Richard D. The Future of Psychoanalysis , New York: State University of New York Press, , The Ethic of Honesty: The Fundamental Rule of Psychoanalysis , Rodopi, , Introductions [ edit ] Brenner, Charles An Elementary Textbook of Psychoanalysis.

An introduction that explains psychoanalytic theory with interpretations of major theorists. The History of Psychoanalysis. An Outline of Psychoanalysis. Hypothesis and Evidence in Psychoanalysis. Chicago University Press, Chicago. The Cunning of Unreason ,. A critical view of Freudian theory. Psychoanalysis as Critical Theory", Lexington Books, Basic Books, New York. Griselda Pollock , "Beyond Oedipus. Edited by Vanda Zajko and Miriam Leonard.

Oxford University Press, Interweaving Philosophical and Clinical Dimensions in Psychoanalysis. Mind and Its Treatment: International Universities Press, State University of New York Press. The Absolute Master , Stanford: A century of mystification London: Freud's Legacy in Dispute , New York: New York Review of Books.

Doubters Confront a Legend , New York: Tales From the Freudian Crypt: Critics Talk Back , Stanford: An Exploration of the Work of Sigmund Freud. Fisher, Seymour, Greenberg Roger P. Testing the Theories and Therapy. Gellner, Ernest, The Psychoanalytic Movement: The Cunning of Unreason. The Foundations of Psychoanalysis: Discipleship From Freud to Lacan, Baltimore: Johns Hopkins University Press. Basic Books, Harper Collins.

A Collection of Critical Essays. Zur wissenschaftlichen Fundierung von Psychoanalyse-Kritik. Metapsychology and the Suggestion Argument: Commentationes Scientiarum Socialium , Finnish Academy of Science and Letters. Freud and his Critics. University of California Press.