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The domestication of the Internet has invigorated debate about the harms of pornography. The difference between pre-Internet and online pornography is not in any straightforward sense only one of degree. Compared to pre-Internet pornography, speed, and ease of access to an extensive range of pornographic content, along with the consumption of pornography in a virtual context, have introduced new prudential risks. In this Brief Report I restrict my focus to the impact on sexual health and on personal relationships and summarise the relevant research. Drawing on a psychoanalytically informed conceptual framework, I argue that the online medium changes, in prudentially significant ways, the consumer's relationship to the sexual materials by providing a virtual space within which sexual desire is gratified quickly and non-reflectively, undermining the consumer's capacity a) to mentalise their sexual desire and that of the other and b) to evaluate the prudential risks associated with the consumption of online pornography. The risks are especially significant for the digital generation whose sexual development is now more likely to be shaped by online pornography. I conclude by outlining one key practice implication arising from the research. [ABSTRACT FROM AUTHOR]

The paper describes the development of Dynamic Interpersonal Therapy for use with complex depression (DITCC), and a pilot study testing DITCC's effectiveness. The pilot found large pre-post improvements in well-being and distress; moderate rates of reliable improvement and clinically significant change; and curvilinear declines in depression and anxiety. Treatment completers and near-completers (N= 19) showed a significant curvilinear decline in symptoms of depression (PHQ-9) and anxiety (GAD-7). The results provide preliminary evidence that DITCC can be used as an effective treatment approach for complex depression. However, further research is needed to test its effectiveness in different settings with a larger sample size, using appropriate comparison groups under controlled conditions to further elaborate the short-term and long-term effects. [ABSTRACT FROM AUTHOR]

The current article focuses on client’s perspectives of the mechanisms of change in Dynamic Interpersonal Therapy (DIT), a brief psychodynamic therapy developed for the treatment of depression. Five participants were interviewed and the transcripts were analysed using Interpretative Phenomenological Analysis (IPA). The results point out four subthemes, capturing different active ingredients of DIT: therapy shedding light on previously sealed aspects of self; the relational exchange with the therapist challenging intimate fears; moving towards an interpersonal understanding of their difficulties; and putting the pieces of their lives together into a coherent narrative. Overall participants described an interplay between relational and insight-oriented mechanisms taking place. As part of the former mechanisms, participants reported the development of a secure attachment to their therapist and the provision of a new relational experience, partly via mechanisms corresponding to the concept of transference. Participants reported an increase in insight to have been achieved via an understanding of an interpersonal and emotional pattern as well as via the restoration of a coherent life-story. Processes that theoretically map onto the concept of mentalisation were also reported. The findings are discussed in relation to the DIT and psychodynamic theory about change and to relevant research literature. [ABSTRACT FROM AUTHOR]

This article outlines the development of a manualized, brief (16 session) psychodynamic intervention—Dynamic Interpersonal Therapy (DIT)1—for the treatment of depression. DIT is based on a distillation of the evidence-based brief psychoanalytic/psychodynamic treatments pooled together from manualized approaches that were reviewed as part of the competence framework for psychological therapies first commissioned in the United Kingdom by the Department of Health. This article begins with a description of the methodology underpinning the competence framework, followed by an overview of the model, its relevance to depression, and, finally, its strategies and techniques, which are illustrated through a case study.1DIT is easily confused with Interpersonal Therapy (IPT), because both therapies are interpersonal in their focus. However, IPT is not a psychodynamic therapy and this is reflected in the competences required to deliver it (Lemma, Roth, and Pilling, 2010), which are quite different to the psychoanalytic competences required to deliver DIT. [ABSTRACT FROM PUBLISHER]

abstract In this paper the author argues that psychoanalytic education is enhanced when (a) it attends seriously to the affective, relational and social processes that frame the experience of teaching and of learning, fostering a critical engagement with both, and (b) it engages candidates in exploring what they do (technique) in the context of the articulation of their model of working (theory). The features of the 'teaching attitude' that are relevant to psychoanalytic education are illustrated though a 'teaching case study' detailing the rationale, process and content for a curriculum on the concept of transference. [ABSTRACT FROM AUTHOR]

The article discusses various reports published within the issue, including one by Carrington et al. on the psychoanalytic principles underpinning an innovative service in primary care working with general practitioners, one by Chalder et al. on developments in the understanding of chronic fatigue syndrome and one by Taylor on working with patients with medically unexplained symptoms.

This paper outlines the development of a manualized, brief (16-session) psychodynamic intervention - Dynamic Interpersonal Therapy (DIT)1 - for the treatment of depression. DIT is based on a distillation of the evidence-based brief psychoanalytic/psychodynamic treatments pooled together from manualized approaches that were reviewed as part of the competence framework for psychological therapies first commissioned by Skills for Health. DIT has now been selected as the brief psychodynamic protocol that will be provided nationally in the UK as part of the IAPT programme. This paper will first describe the methodology underpinning the competence framework followed by an overview of the model, its relevance to depression, and finally its strategies and techniques. [ABSTRACT FROM AUTHOR]

The article discusses various reports that are published within the issue including one by Stan Rusczynski on psychoanalysis, one by Jeremy Holmes on psychotherapy and one by Heather Wood on psychoanalytic research.

The focus of this paper is on individuals who present as excessively preoccupied with their body, perceiving some aspect(s) to be ‘ugly’ such that they feel compelled to alter and/or conceal this ‘ugly’ body part. These difficulties are understood as symptoms of an underlying narcissistic disturbance. The author suggests that the relative pervasiveness of an identification with a ‘super’-ego accounts for the degree of severity of the disturbance (increasing the compulsion to alter and/or conceal the hated body part) and that it has implications for the patient’s accessibility in analytic treatment. Understanding the vicissitudes of the development of the body–self in the context of the earliest relationship with the ‘object of desire’ is core to helping these patients because of the quality of the identifications that ensue and that are then enacted the transference. [ABSTRACT FROM AUTHOR]