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American Journal of Psychotherapy

  • Volume 46
  • Number 4
  • October 1992

Editorial

Articles

Publication date: 01 October 1992

Pages506–514

The evolution of psychiatry has included a reduction in the conceptualization the doctor-patient relationship as a therapeutic dyad, a concept in which therapist and patient are seen as two dynamically interactive parties. In addition, there has been a ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.506

Publication date: 01 October 1992

Pages515–525

Sexual misconduct is a topic of great affective intensity and capacity for stirring up conflict; the issue consequently appears to evoke resistances to dynamic understanding of this complex phenomenon. The authors describe how these resistances manifest ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.515

Publication date: 01 October 1992

Pages526–531

From four different standpoints—philosophical, clinical, legal, and empirical—the authors examine issues inherent in the controversy over criminalization therapist-patient sex. From within each standpoint they raise questions that, argue, need to be ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.526

Publication date: 01 October 1992

Pages532–543

Behavior therapy is a psychotherapy method with unique qualities from risk-management standpoint. The authors discuss some of these aspects, including directiveness, replicability, use of lay cotherapists, exposure treatments, boundary issues. Attention ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.532

Publication date: 01 October 1992

Pages544–555

Sexual contact between psychotherapists and patients is unethical, exploitative, and harmful. It commonly begins through breaches of appropriate therapeutic boundaries. A preventive approach involves training clinicians, educating public, and establishing ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.544

Publication date: 01 October 1992

Pages556–570

The authors present a typology of false allegations of sexual abuse against children that is derived from the literature and their clinical experience. The specific subtypes described are false allegations (1) arising out of custody disputes, (2) stemming ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.556

Publication date: 01 October 1992

Pages571–580

Decisions about institutionalized patients’ sexual activity were not influenced by professional norms of: (1) competence of a patient to engage in sexual activity, (2) degree of consent, but were influenced by conventional norms of (3) nature of sexual ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.571

Publication date: 01 October 1992

Pages581–582

We created numerical data from recorded conversations between patient and therapist, during therapeutic sessions. These were transformed into plots using computer graphics according to the algorithms of dynamical systems theory called attractor ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.581

Publication date: 01 October 1992

Pages592–610

This paper comments on the important immediate practical clinical significance of the investigative work of Badalamenti and Langs, which approaches individual sessions of psychoanalysis and psychotherapy as a dynamical system in action capable of being ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.592

Publication date: 01 October 1992

Pages611–619

The paper presents some clinical implications of recent findings stemmingfrom the mathematical analyses of quantified measures of the therapeutic dialogue. Of note is the lawful aspects of how we communicate and the relationship between communicative ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.611

Publication date: 01 October 1992

Pages620–639

Psychotherapy can be meaningfully undertaken with the neuropsychologically impaired patient, but modifications should be employed to deal with the impact of neuropsychological deficits on treatment. Neuropsychological evaluation is needed along with ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.620

Case Report

Publication date: 01 October 1992

Pages640–662

This case illustrates the emergence of a transference relationship and the working-through of conflict in a black preschool boy referred because of disruptive behavior. The child’s preoccupation with violence was manifested through aggressive and self ...

https://doi.org/10.1176/appi.psychotherapy.1992.46.4.640

Book Review

Abstracts

Index

Past Issues

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No.4
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