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American Journal of Psychotherapy

  • Volume 43
  • Number 1
  • January 1989

Editorial

Articles

Publication date: 01 January 1989

Pages4–14

The author reflects on the long-assumed relationship between creativity and madness. He comes to the conclusion that, while not a prerequisite, a touch of madness could enhance creativity. He attempts to define creativity and breaks it down into the basic ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.4

Publication date: 01 January 1989

Pages15–24

A paleodigm is a formulation of ancient folk wisdom that encodes a causal explanation in a saying or story that penetrates the idiom of everyday language and influences behavior. Although paleodigms are not, per se, causative, they have diagnostic, ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.15

Publication date: 01 January 1989

Pages25–31

Persons with positive HIV appear to have the same right to confidentiality as other medical psychiatric patients. The ethical and legal duties of practitioners who learn that their HIV positive patients are endangering others is discussed. The essential ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.25

Publication date: 01 January 1989

Pages32–42

One hundred and one psychotherapists responded to a survey designed to obtain data concerning beliefs about various ethical issues encountered in psychotherapy. Opinions about ethical standards in many areas were quite varied for the entire sample. ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.32

Publication date: 01 January 1989

Pages43–53

Results obtained from a questionnaire regarding termination criteria in psychotherapy, revealed significant differences between the public and private sector. Additional differences were also found for: length of sessions, frequency of sessions, length of ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.43

Publication date: 01 January 1989

Pages54–67

The factionalized state of contemporary psychiatry is considered from clinical, historical, and philosophical points of view. Six schools of psychiatric thought and practice are described and six potential routes toward their future rapprochement are ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.54

Publication date: 01 January 1989

Pages68–76

Patient resistance presents many therapeutic challenges. Reframing has proven to be a potent method of circumventing such issues. The present article describes methods of constructing, cultivating, and delivering reframes. Several examples of this ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.68

Publication date: 01 January 1989

Pages77–86

The psychological impact of the assassination of Prime Minister Indira Gandhi on psychiatric inpatients was studied. A semistructured interview indicated faulty perception of, and inappropriate reaction to, the event and its implications in the patients, ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.77

Publication date: 01 January 1989

Pages87–91

“Koro” is a belief or delusion of retraction of the penis into the abdomen. Originally thought to be a Chinese and Indonesian culture-bound syndrome, it has recently been noted to occur in “Western” patients. Two Western patients with this syndrome are ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.87

Publication date: 01 January 1989

Pages108–117

A peculiarly effective intervention by the author’s psychoanalyst is explored and discussed in terms of its implicitly expressive properties. It is placed in the context of the classical concept of opacity and more flexible Sullivanian ideas, as expanded ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.108

Publication date: 01 January 1989

Pages118–131

The clinical implications of the “case-manager” system are explored through a detailed case presentation. It is demonstrated that the introduction of a third person into the therapeutic relationship compromises the therapeutic alliance and the ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.118

Case Report

Publication date: 01 January 1989

Pages92–107

Characteristics by which to classify a woman as authentically transsexual are offered from earlier investigations and supplemented by findings from recent work with this type of patient. Developmental issues are discussed and six psychodynamic ...

https://doi.org/10.1176/appi.psychotherapy.1989.43.1.92

Book Review

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