Intrapsychic Conflicts Arising While Meeting Ultraorthodox Patients

2020 ◽  
Author(s):  
Vardit Zerem Ullman ◽  
Noga Levine Keini
Keyword(s):  
Intrapsychic Conflicts

Subliminal Activation of Intrapsychic Conflicts: Subconscious Realms of Mind vs Subconscious Processes of Mentation

1990 ◽  
Vol 10 (2) ◽  
pp. 117-128 ◽  
Author(s):  
Robert G. Kunzendorf ◽  
Michael Jesses ◽  
Leonard Dupille ◽  
William Butler
Keyword(s):  
Intrapsychic Conflicts

Phase 2

2021 ◽  
pp. 89-104
Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer
Keyword(s):  
Therapeutic Process ◽  
Phase 2 ◽  
Ptsd Symptoms ◽  
Middle Phase ◽  
Identification With The Aggressor ◽  
Working Through ◽  
Case Vignettes ◽  
Intrapsychic Conflicts

This chapter provides an overview of the central psychodynamic techniques of the middle phase of TFPP. Core intrapsychic conflicts that contribute to PTSD symptoms are identified and actively addressed. Interpretation of defenses aids in the elucidation of conflicts. A prominent defense in PTSD, identification with the aggressor, is described in more depth. Exploration of the transference is discussed with attention to the ways in which core conflicts emerge with the therapist. Patients with PTSD trigger particularly intense countertransference reactions, knowledge of which furthers the therapeutic process. The technique of working through is articulated, in which the therapist and patient elucidate how various conflicts and defenses emerge across a range of symptoms, contexts, and relationships. Case vignettes are used to illustrate these approaches.

From an intrapsychic to an interpersonal symptom: Relations Training in Action

2020 ◽  
Vol 53 (4) ◽  
pp. 515-529
Author(s):  
Racheli Assaf Bitan
Keyword(s):  
Mental Health ◽  
Group Therapy ◽  
Interpersonal Communication ◽  
Significant Relationship ◽  
Treatment Process ◽  
Interpersonal Relations ◽  
Group Analysis ◽  
The Other ◽  
Intrapsychic Conflicts ◽  
Psychoanalytic Theories

This article proposes a conceptualization of symptoms from an interpersonal perspective and advocates group analysis as an appropriate medium for treatment. Psychoanalytic theory has traditionally conceptualized symptoms using the language of intrapsychic conflicts in the individual’s mind. In this article, drawing on ideas from group analysis and contemporary psychoanalytic theories, I propose an interpersonal conceptualization of symptomatic phenomenology. In addition, I introduce a concept that describes a treatment process based on this perspective: Relations Training in Action1. I will argue that a symptom occurring in one person symbolizes an inadequate interpersonal relations pattern, and that recognition of the pathological relations pattern in therapy enables a process which paddles the creation of healthier communication. Furthermore, I suggest group therapy as a space which offers a rich set of opportunities for the repetition and reparation of relations disorder (Friedman, 2007), and that the transition from the language of intrapsychic symptoms to the language of relationships plays a significant role in broadening the areas of interpersonal communication (Foulkes, 1964). Therapy based on an interpersonal perspective regarding symptoms will facilitate participation in a meaningful and significant relationship with the other, improve the mental health of patients and decrease their need to cling to the symptom.

Potential Psychodynamic Factors in Physician-Assisted Suicide

2000 ◽  
Vol 40 (1) ◽  
pp. 101-108 ◽  
Author(s):  
Stephen H. Dinwiddie
Keyword(s):  
Significant Role ◽  
Assisted Suicide ◽  
Physician Assisted Suicide ◽  
Widespread Acceptance ◽  
Intrapsychic Conflicts

A number of assumptions underlying the debate over physician-assisted suicide (PAS) deserve closer scrutiny. It is often implicitly assumed that decisions as to the competency of the patient to request PAS can be accurately made, and that the treating physician's values and intrapsychic conflicts can be successfully separated from the decision to accede to or reject the patient's request. This article argues that in such an emotionally-laden decision, such factors may play a significant role, and that even were PAS to gain widespread acceptance, ignoring them may lead to errors in classifying patients either as appropriate or inappropriate for PAS.

Psychic Trauma and Traumatic Neurosis

1977 ◽  
Vol 22 (2) ◽  
pp. 71-76 ◽  
Author(s):  
G. Maclean
Keyword(s):  
Normal Development ◽  
Separation Anxiety ◽  
Traumatic Event ◽  
Psychic Trauma ◽  
Traumatic Neurosis ◽  
Protective Shield ◽  
Assessment And Treatment ◽  
Initial Description ◽  
Fear Of Retaliation ◽  
Intrapsychic Conflicts

In the introduction to a clinical example of a young boy with a traumatic neurosis, this paper reviews the phenomena of psychic trauma. Freud's contribution to the initial description of the phenomena is discussed with consideration of such factors as the “stimulus barrier”, breaks in this “protective shield” and the development of a “traumatic neurosis”. The elaboration of these concepts is followed in their later development in the literature. The clinical example presented by the author is a description of the assessment and treatment of a four-year-old boy who had been mauled by a leopard in a suburban pet store. The presenting complaints at the time of assessment were numerous and of precise onset to the time of the mauling. The boy exhibited disturbance in sleep, clinging, fearful, apprehensive behaviour and marked separation anxiety. All such symptoms appeared as a marked regression in the boy's formerly normal development. The child's course in play therapy is detailed. This highlighted the existence of a number of intrapsychic conflicts involving anger, guilt and the fear of retaliation. The fact that such conflicts predated the traumatic event is postulated to be a determinant of the traumatic process.

The So-Called “Inappropriate” Psychiatric Consultation Request on a Medical or Surgical Ward

1977 ◽  
Vol 7 (3) ◽  
pp. 209-220 ◽  
Author(s):  
Anastasia Kucharski ◽  
James E. Groves
Keyword(s):  
Sexual Behaviors ◽  
Common Sense ◽  
Psychiatric Consultation ◽  
Coping Behaviors ◽  
Dying Patients ◽  
Cognitive Operations ◽  
Surgical Ward ◽  
Consultation Request ◽  
And Coping ◽  
Intrapsychic Conflicts

Seven cases of psychiatric consultations on medical and surgical wards are reviewed to show how intrapsychic conflicts in the staff may make the consultation request appear inappropriate. On deeper examination, such requests may signify staff dysfunction caused by arousal of conflictual feelings about the behavior or illness of the patient. Mutilated, mute patients appear to arouse fear of aggression in their caregivers, who in turn reject such patients, see them as alien and violent, and become illogical in their management. Patients who publicly display sexual behaviors appear to arouse shame over exhibitionism, voyeurism, and masturbation; their caregivers become too passive to effect common-sense measures appropriate to the situation. Very sick and dying patients and ungrateful, demanding patients can arouse anger and despair. Their caregivers may become depressed about failure, feeling helpless and out of control; using projection, they can see such patients as evil or suicidal, and may eventually turn against themselves. The psychiatric consultant, recognizing the conflicts that make the requests seem inappropriate, seeks to substitute higher-level cognitive operations and coping behaviors in the staff (distancing, rationalization, intellectualization, undoing, and altruism) for distortion, projection, over-identification, reaction formation, and turning against the self.

scholarly journals Somatoform and conversion disorders as psychological defences

2021 ◽  
Vol 11 (73) (1) ◽  
pp. 217-225
Author(s):  
Elena Andreea Mut ◽  
Cristina Pălădoiu ◽  
Monica Stănescu
Keyword(s):  
Defense Mechanism ◽  
Conversion Disorder ◽  
Clinical Situation ◽  
Sensory Function ◽  
Conversion Disorders ◽  
Psychological Conflict ◽  
Organic Condition ◽  
Substance Consumption ◽  
Intrapsychic Conflicts

Conversion disorder is the clinical situation in which one or more symptoms can present deficits that affect motor or sensory function and suggest a neurological or organic condition. Psychological factors are decisive, and they usually include a major anxiety generated by intrapsychic conflicts, which are converted by unconscious defense mechanism into symptoms. The symptoms are not intentionally provoked or simulated nor are explained by organic suffering or substance consumption. They affect the quality of life of the person who presents significant deficits such as motor, sensory, convulsive or mixed. It may also occur a lack of coordination, ataxia, paralysis, tremor, aphonia, difficulties at swallowing, loss of sensitivity, anesthesia that does not follow anatomical nervous trajectories, blindness or mental deafness. Consciousness is not altered, but a condition of "la belle indifference" appears which is rather associated with histrionic personality disorders and what the patients imagine about their own illness or suffering. This condition is unstable and changing. The primary gain is the expression of an unconscious psychological conflict through a somatic symptom by reducing anxiety and keeping conflict out of consciousness. The secondary gain is external and includes attention and care from caregivers or others.

scholarly journals PSYCHOANALYTIC VIEW ON THE UNCONSCIOUS MEANINGS OF ASSISTED REPRODUCTIVE TECHNOLOGIES

2021 ◽  
pp. 395-404
Author(s):  
Vsevolod A. Agarkov ◽  
◽  
Keyword(s):  
Global Economy ◽  
Assisted Reproductive Technologies ◽  
Psychoanalytic Theory ◽  
Reproductive Technologies ◽  
Modern World ◽  
The Unconscious ◽  
Unconscious Fantasy ◽  
The Individual ◽  
Learning Through Experience ◽  
Intrapsychic Conflicts

The article analyzes the internal mental dynamics of people involved in the processes of assisted reproductive technologies (ART). According to psychoanalytic theory, unconscious fantasies and meanings play an important role in these dynamics. The sources of these fantasies could be traced down to both intrapsychic conflicts and deficits of the individual and pressure of society. When working with patients in a psychodynamic way, it is important to take into account the socio-economic context, which in the modern world is largely set by the global economy of neoliberalism. Ignoring this context, as well as ignoring the significance of important events in the patient’s life history, usually leads to the collusion between the analyst and the patient in a «perverse» pact. Biomedicine of fertility has become a constitutive part of the neoliberal ethos. Within the framework of the global economy, conditions have been created for the commodification and fragmentation of the female and male reproductive bodies. However, despite the inclusion of gametes in the free exchange of goods, they are not stripped from personal meaning or affectively neutral. Tissue exchanges during ART procedures, in addition to the fact that they act as an element of technological chains, carry relational and social meanings. Gamete donation, even with the conscious acceptance of new social structures of reproduction and parenthood in adulthood, can activate the unconscious fantasy of an illegal «triple alliance» and the unconscious conflicts associated with it. Egg donation, in addition to an ethical dilemma, is fraught with confusion of parental identity and a sense of belonging to a social group. Myths rank high in the psychoanalytic theory of development among its other core constructs. They are considered as an important element of learning through experience. The article discusses the plots of myths about childbirth in the context of ART practices.

Core Psychodynamic Factors in PTSD

2021 ◽  
pp. 17-36
Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer
Keyword(s):  
Attachment Style ◽  
Traumatic Experience ◽  
Mental Life ◽  
Narrative Coherence ◽  
Specific Nature ◽  
The Unconscious ◽  
Negative Affects ◽  
Associated Symptoms ◽  
Intrapsychic Conflicts ◽  
The Impact

After briefly reviewing the psychoanalytic view of mental life, including the influence of the unconscious on mental life and symptoms, this chapter describes the impact of trauma from the psychodynamic viewpoint. Disruptions in narrative coherence, repetition and re-experiencing, intrapsychic conflicts, dissociation, defenses, intense negative affects, and disruptions in trust that result from trauma are described. Clinical examples are presented to illuminate these factors. In addition, the relevance of the patient’s pretrauma history, their attachment style and mentalization skills, and the specific nature of traumatic experience on the impact of trauma and associated symptoms is elaborated.

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