American Journal of Psychotherapy
- Volume 44
- Number 2
- April 1990
Editorial
Articles
Publication date: 01 April 1990
Pages160–171Managing suicidal behavior of individuals with borderline personality disorder presents both therapeutic and ethical/legal dilemmas. Approaches to managing “acute” suicidal situations may be inappropriate for the “chronic” suicidal states of many ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.160Publication date: 01 April 1990
Pages172–179In many violent crimes a cofactor precipitates or elicits the event. This cofactor is usually a person or persons influencing the perpetrator, who most often is an individual with borderline or narcissistic pathology. The framework of self psychology can ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.172Publication date: 01 April 1990
Pages180–188This paper explores the clinical implications for mental health treatment of the victims of two differing types of sexual assault: blitz rape, a sudden surprise attack by an unknown assailant, and confidence rape, an assault following an apparently benign ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.180Publication date: 01 April 1990
Pages189–203In this article the author systematyzes the existing data and presents some new findings regarding the uniquely narcissistic “way of life” i.e., the functional dynamics of narcissistic personality structure. More precisely, patterns through which ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.189Publication date: 01 April 1990
Pages204–217This paper discusses the successful use of lithium carbonate combined with psychotherapy in two cases of skoptic syndrome, an unusual form of intense obsession and annoyance with body image, especially with primary and secondary sex characteristics. These ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.204Publication date: 01 April 1990
Pages218–231Therapeutic interventions have impact if they succeed in overcoming patients' tendencies to overlook, neglect or forget them. Factors that promote impact in psychotherapy are similar to those that enhance attention and recall in all areas of mental ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.218Publication date: 01 April 1990
Pages232–246Malpractice law as it relates to individual psychotherapy is briefly reviewed. Examples of cases in specific areas of liability are given, and available solutions are discussed. It is suggested that there is a need for consultation plus educational ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.232Publication date: 01 April 1990
Pages247–255This article describes a model for the outpatient treatment of adults at risk for major mental illness who live with parents or a spouse. In this model the clinician establishes a clearly delineated framework for treatment that primarily focuses upon the ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.247Publication date: 01 April 1990
Pages256–273The meaning and development of modern hermeneutics are explained and traced, and current controversies regarding the application of hermeneutics in psychiatry to conceptions of psychopathology, and to the practice of psychotherapy are delineated. In ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.256Publication date: 01 April 1990
Pages274–282This article develops the idea that the utilization and mastery of affect is central to all individual psychodynamically oriented psychotherapy. Problems in measuring affect and its vicissitudes over the course of therapy are highlighted. There is a ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.274Case Report
Publication date: 01 April 1990
Pages283–289This case study deals with an 11-year-old girl who is genetically a boy (chromosome 46XY). It examines some of the contributing factors that are causing her conflicts around her identity and the psychological difficulties she is experiencing. The paper ...
https://doi.org/10.1176/appi.psychotherapy.1990.44.2.283Book Review
Publication date: 01 April 1990
Pages294–295https://doi.org/10.1176/appi.psychotherapy.1990.44.2.294aPublication date: 01 April 1990
Pages302–303https://doi.org/10.1176/appi.psychotherapy.1990.44.2.302aPublication date: 01 April 1990
Pages306–308https://doi.org/10.1176/appi.psychotherapy.1990.44.2.306aNotes and Comments
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