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American Journal of Psychotherapy

  • Volume 45
  • Number 4
  • October 1991

Editorial

Articles

Publication date: 01 October 1991

Pages467–482

Psychotherapy trainees often hold implicit models of pathogenesis and cure, which can distort their understanding of a supervisor’s suggestions. We identify two such models, the “passive-learning” model and the “cathartic” model. Recognizing such models ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.467

Publication date: 01 October 1991

Pages483–498

Self psychology helps to understand and treat family systems characterized by narcissistic deficits. In narcissistic systems, members function pathologically as selfobjects to each other. They have certain characteristics. Becoming a healthy selfobject to ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.483

Publication date: 01 October 1991

Pages499–510

Psychotherapy with adolescents can be imperiled when treatment challenges the family’s heretofore stable image and understanding of the patient. In parallel fashion, adult psychotherapy can fail when it undermines a dystonic but familiar self-image. ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.499

Publication date: 01 October 1991

Pages511–526

Supervision in psychotherapy is supposed to provoke strong feelings and to actualize old patterns of relating to authority figures. Dreams of supervised subjects contained more references to authority persons and were richer in emotional contents than ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.511

Publication date: 01 October 1991

Pages527–543

The dream of a child while undergoing psychotherapy is conceptualized in the manner of a posttraumatic event. Reasons for this conceptualization include the limited and varying cognitive capacities of a child to understand a dream and the heightened ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.527

Publication date: 01 October 1991

Pages544–553

This article presents the diagnosis of neurasthenia that emphasizes excessive irritability and outbursts of anger as the most salient features. Such a concept of neurasthenia has been popular in Yugoslavia because it provided an explanation for this form ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.544

Publication date: 01 October 1991

Pages554–565

Practical guidelines for working with strictly religious patients are presented: (1) cooperation with the patient’s spiritual mentor to reduce the patient’s resistance, (2) examination of the therapist’s own religious attitudes to modify ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.554

Publication date: 01 October 1991

Pages566–575

The use of drama therapy in the rehabilitation of schizophrenic patients may be considered a combination of psychotherapy and social-skills training that allows patients to obtain a greater understanding of their emotional selves in relation to others. ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.566

Publication date: 01 October 1991

Pages576–593

Solutions to the ontological question or Being-question from philosophy, literature, and psychopathology are compared and contrasted. The crucial problem that comes into focus from this study is that of validation. Even in clinical work it is sometimes ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.576

Case Report

Publication date: 01 October 1991

Pages594–603

The intrusion of political reality into the psychotherapy of an Arab patient by a Jewish therapist in Israel during the Intifada interferes with the dialogue, and the transferential and countertransferential processes. Keeping the therapy free of ...

https://doi.org/10.1176/appi.psychotherapy.1991.45.4.594

Book Review

Notes and Comments

Abstracts

Index

Past Issues

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