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In this paper, King Artaxerxes’ action against Queen Vashti (Esther 1:1-2:1-18) is examined, and moral and ethical lessons for contemporary Christian morality are drawn. One can describe the decision of the King as contemptible, despicable, barbaric, and a violation of Queen Vashti’s self-value and dignity. A further challenge can be thrown to the popular notion, which seems to suggest that Queen Vashti was disobedient, arrogant, and not submissive. Contrary to the traditional popular derogatory assessment of Queen Vashti’s rejection of the King’s demand, it is argued that she is a contemporary model for Christian Morality. Rhetorical criticism and historical narrative criticism were used for the study. An analysis of the moral and ethical factors that underpinned Queen Vashti’s rejection of the King’s demand and found that she demonstrated high moral and ethical values worth emulating was conducted in the study. It is, therefore, recommended that Christian women emulate Queen Vashti and maintain high moral and ethical values in society. Keywords: King Artaxerxes, Esther, Vashti, Gender.

This essay follows the social life of testosterone during a presentation at a USA Powerlifting national governing board meeting. While feminist and queer sports analyses focus on the implication of hormone levels for intersex athletes, much less scholarship analyzes how the hang-up on testosterone itself—whether endogenously produced or pharmaceutically regulated—unjustly targets transgender athletes. Paying attention to how testosterone delineates the boundary between “fair” and “unfair advantage” that consolidates antitrans contours of “female athlete,” this essay seeks to model a closer collaboration between transgender studies and feminist sports studies to forge what the author calls transfeminist sports studies.

Call Her Ganda (dir. PJ Raval, 2018) chronicles the murder of transpinay Jennifer Laude by a US marine, and the subsequent court case. This essay draws from theories of necropolitics and hauntology, as well as the author's experience as a documentary producer of Call Her Ganda to raise critical questions about the representation of trans death, and to reflect on the possibilities and limitations of documentary as a trans activist tool. In doing so, the author lays out a looping logic as a parallel proposition to the vortical violences of colonization and transmisogny. This loop begins with the film's apparitional aesthetics, which rouse contemplation of the trans activisms that survive in the wake of trans death, and it continues with the film's activating address and impact campaign. I posit that such efforts can feed back into the communities from which a documentary has been extricated, working through/against the othering and exploitation endemic to documentary practice.

This paper presents a comparison between a clinical evaluation and a computerized linguistic analysis of the treatment notes of the first two years of an analysis conducted four sessions a week with the patient lying on a couch. Clinical notes had been written as part of the analyst’s standard practice after every session, some years prior to the planning of this study. The notes describe the analytic interchange and the analyst’s internal thoughts. The linguistic analysis focuses on two analytically relevant linguistic variables: Referential Activity (RA), a measure of the degree of connection between emotional processing and language, and Reflection, the use of words referring to thoughts. The examination of the linguistic measures point to overlooked parts of sessions which may be clinically significant. In particular, the examination of the clinical material during the nodal points of the first summer break, where significant changes in the linguistic measures were seen, provided clinical understanding of the analytic work that was not explicitly noted at the time of treatment. This method has the potential to be utilized in ongoing treatments and to improve the supervisory process.

The early modern fairy is a long ignored transgender figure. This article presents a transhistoricist analysis of how a range of “transgender” concepts manifest in the early modern literary imagination—instabilities, transformations, ambiguities, or indeterminacies in sex and gender—through the representation of fairies and the supernatural. It focuses on Ariel in Shakespeare's Tempest, Duessa in Spenser's Faerie Queene, and Jocastus in Randolph's Amyntas. Breaking from the threatening fairies of the medieval tradition, early modern writers reshaped how fairies were conceptualized in popular imagination, which inform our ideas of the supernatural and gender instability to this day. While transgender approaches to the medieval period have recently come to prominence, transgender approaches to the early modern remain marginal. This article seeks to establish what early modern fairies offer transgender theory and what transgender theory can offer early modern historicism. Through transgender readings of fairies and supernatural figures, this article demonstrates how such figures provided a space in which early modern culture could fantastically conceptualize transgender concepts and identities.

This study aims to discuss the reflexivity of female children victims of sexual violence during a psychosocial intervention with a psychodramatic orientation, seeking out to understand the meanings present in the dialogues and plays. The research participants were 13 girls victims of sexual violence perpetrated by an adolescent close relative. Two group sessions records were used to focus on the interpretation of reflexivity on the theme of protection. The results describe the sessions in the organization: warm-up, dramatization and sharing. The discussion focuses on the earnings that play and dramatic plays bring to reflexivity about a topic such as arduous as sexual violence. The creation of a playful environment favors a dialogue between victims and adolescent offenders. RESUMO O objetivo do estudo é discutir a reflexividade de crianças do sexo feminino vítimas de violência sexual durante uma intervenção psicossocial de orientação psicodramática, buscando apreender a perspectiva dos significados presentes nos diálogos e brincadeiras. As participantes da pesquisa foram 13 meninas vítimas de violência sexual perpetrada por adolescente parente próximo. Utilizou-se o registro de duas sessões grupais com foco na interpretação da reflexividade sobre o tema da proteção. Os resultados descrevem as sessões segundo organização de aquecimento, dramatização e compartilhamento. A discussão foca os ganhos que a brincadeira e o jogo dramático trazem para a reflexividade, sobre tema tão árduo como o da violência sexual. A criação de ambiente lúdico favorece o diálogo entre vítimas e adolescentes ofensores. RESUMEN El objetivo del estudo es discutir la reflexividad de las niñas víctimas de violencia sexual durante una intervención psicosocial con orientación psicodramática, buscando aprehender la perspectiva de los significados presentes en los diálogos y juegos. Los participantes de la investigación fueron 13 niñas víctimas de violencia sexual perpetrada por un familiar cercano adolescente. Se utilizaron dos sesiones grupales para centrarse en la interpretación de la reflexividad sobre el tema de la protección. Los resultados describen las dos sesiones en su organización de calentamiento, dramatización y compartilhamento. La discusión se centra en las ganancias que el juego y el juego dramático aportan a la reflexividad, sobre un tema tan arduo como la violencia sexual. La creación de un ambiente lúdico favorece el diálogo entre víctimas y adolescentes infractores.

One of the most important concepts developed by D. W. Winnicott was his idea of the false self. In the course of his work, he was often preoccupied with the need to maintain a sense of psychological vitality, which could be threatened in various ways. Threats occur throughout the life cycle as parents, siblings, friends, teachers, and other people impact the individual and contribute to the creation of the inner world of fantasy, which is also self-generated. These elements can work together or separately to undermine one’s sense of vitality by the pressure to comply with a variety of demands, which can give rise to a false self. Winnicott’s principal method of exploring this issue was through his clinical work, which was informed by personal struggles instrumental in shaping his thinking about the concept.

Das Sprechen uber die und mit der Homosexualitat in der psychoanalytischen Behandlung impliziert die ubergeordnete Frage, wie mit der psychischen Bisexualitat in der Ubertragung umgegangen werden kann: Wie horen wir auf das homosexuelle Ubertragungsangebot als eine Spur zur psychischen Bisexualitat in der Ubertragungskonstellation? Mithilfe des Konzepts des inneren Rahmens des Analytikers (Green) mochte ich die Besonderheiten im Umgang mit der psychischen Bisexualitat im Behandlungsverlauf herausstellen. Des Weiteren versuche ich, den Differenzbegriff in der Beschreibung der psychischen Bisexualitat durch den Begriff des sexuellen Abstands als neue Denkfigur zu ersetzen. Der Begriff des Abstands (Jullien) ermoglicht es, sich von den bisherigen Diskussionen um die Hierarchisierung von Geschlecht und den klassischen Dualismen zu losen als auch ein Denken in der binaren Spannung im Geschlecht neu zu formulieren, und geht damit uber das binare Denken im Sexuellen hinaus, ohne es zu verlassen. Zum Abschluss beschaftige ich mich mit dem Auftauchen des Wortes homosexuell in einer Behandlung (in der Ubertragungskonstellation heterosexueller Analysand – homosexueller Analytiker) und der Frage an mich, ob ich homosexuell sei. Die Frage taucht nach einer korperlichen Veranderung meinerseits auf, und die Fallvignette nennt sich „Die Fledermause und der Pornoschnauzer“.

Healthcare workers are facing ever-increasing challenges. Moreover, in many areas, there is a shortage of skilled personnel, so endoscopy staff are also increasingly exposed to the risk of developing burnout symptoms. Little is known about job satisfaction and burnout prevalence among endoscopy staff. The present study investigates the risk of burnout as well as job satisfaction among skilled personnel in German endoscopy units and practices. An online survey was conducted among endoscopy staff, a significant proportion of whom are members of Deutsche Gesellschaft für Endoskopiefachberufe e. V. (DEGEA). In addition to general demographic variables, job satisfaction was determined by using the Short Questionnaire for the Assessment of General and Facet-Specific Job Satisfaction (KAFA), and the risk of burnout was determined by using the Maslach Burnout Inventory (MBI-D). Both were associated with structural characteristics. A representative sample took part in the survey (n = 674). The overall level of job satisfaction was high, with a rather elevated risk of burnout, although staff in executive positions performed better overall. Collegiality and mostly flat hierarchies are cited by the majority of those surveyed as positive aspects of their work. Nevertheless, 65 % describe their development opportunities as not performance-oriented, 20 % as virtually non-existent. Over 30 % of those surveyed consider their remuneration to be inadequate. Representative data for the situation in German endoscopy units could be collected. Despite the fact that on average job satisfaction values are high, with a low risk of burnout, especially in comparison with other occupational groups, often mentioned critical aspects regarding the lack of development opportunities and non-performance-related payment should be taken seriously, and measures should be developed to avoid endangering endoscopy care in the long term. Arbeitskräfte im medizinischen Bereich sind mit immer größer werdenden Herausforderungen konfrontiert. Zudem besteht vielerorts ein Fachkräftemangel, so dass immer mehr auch das Endoskopiefachpersonal dem Risiko ausgesetzt ist, Burnout-Symptome zu entwickeln. Über die Arbeitszufriedenheit und Burnout-Prävalenz bei Endoskopiefachpersonal ist bislang wenig bekannt. Die vorliegende Studie untersucht das Burnout-Risiko, sowie die Arbeitszufriedenheit unter Fachpersonal in deutschen Endoskopie-Abteilungen und gastroenterologischen Facharztpraxen. Es wurde ein Online-Survey unter Endoskopiefachpersonal durchgeführt, das zu einem nennenswerten Anteil in der DEGEA (Deutsche Gesellschaft für Endoskopiefachberufe e. V.) organisiert ist. Neben allgemeinen demografischen Variablen wurde die Arbeitszufriedenheit mit Hilfe des Kurzfragebogens zur Erfassung von Allgemeiner und Facettenspezifischer Arbeitszufriedenheit (KAFA), und das Burnout-Risiko mit Hilfe des Maslach Burnout Inventory (MBI-D) ermittelt und mit Strukturmerkmalen in Zusammenhang gebracht. Es nahm eine repräsentative Stichprobe an der Befragung teil (n = 674). Es zeigte sich insgesamt ein hohes Maß an Arbeitszufriedenheit bei eher höheren Burnout-Risiken, wobei Personal in leitenden Funktionen insgesamt besser abschnitt. Kollegialität und zumeist flache Hierarchien wurden von dem überwiegenden Teil der Befragten als positive Aspekte ihrer Tätigkeit angeführt. Dennoch bezeichneten 65 % ihre Entwicklungsmöglichkeiten als nicht leistungsgerecht, 20 % als quasi nicht vorhanden. Über 30 % der Befragten empfanden ihre Vergütung als nicht adäquat. Es konnten repräsentative Daten für die Situation in deutschen Endoskopieabteilungen erhoben werden. Trotz der Tatsache, dass im Mittel die Arbeitszufriedenheitswerte hoch sind bei geringem Burnout-Risiko, v. a. im Vergleich zu anderen Berufsgruppen, sollten gerade die oft benannten Kritikpunkte bzgl. fehlender Entwicklungsmöglichkeiten und einer nicht-leistungsgerechten Bezahlung ernst genommen und Maßnahmen dagegen entwickelt werden, um langfristig nicht die Versorgung im Bereich der Endoskopie zu gefährden.

Freud’s fascination with the ruins of ancient Rome was an element in the formation and development of psychology. This article concerns the intersection of psychoanalysis with archaeology and history in the study of that city. Its substantive content is an analysis of the life and career of Andrea Carandini, the best-known Roman archaeologist of the past 40 years. He has said and written much about his changing views of himself and about what he is trying to do in his approach to the recuperation of the Roman past. His scholarly publications and autobiographical testimonies are at the core of this article. After an early commitment to Marxism that ended in disenchantment and a crisis in his personal life, Carandini spent a decade undergoing psychoanalysis with the Chilean-born expatriate Ignacio Matte-Blanco. The latter gained a following as a theorist who built upon Freud’s ideas about the unconscious by producing a set of mathematically inspired concepts concerning the workings of temporality in human history in which emotional intuition took priority over the rational(izing) logic of empiricism. Much influenced by his psychoanalyst, Carandini developed a highly personal approach to the writing of archaeology and history. These writings are explored here in terms of Roman historiography, and in the wider arena of formulations of how the past is to be addressed and written about.

Hypo-arousal – or collapsed immobility – has been identified as a natural human survival reaction. In traumatic situations, hypo-arousal can be a functional solution to extreme impact; it can help ...

Long before the term “evidence-based” became the politicized and scientistic buzzword that pervades the field of psychotherapy today, before the randomized control trial became the only game in tow...

Individuals struggling with eating disorder diagnoses purse higher levels of care to treat the medical, behavioral, and psychiatric aspects of their disorders. The criteria for coverage at a higher...

This article provides an African American-Native American analyst-in-training's first-hand reflections on Jung's firm depiction of Blacks of African descent and America's First Nations People (the Red man) as inferior, through a theory of primitivity that unveils Jung's belief in and support of White supremacy. With no intended disrespect or neglect intended toward America's First Nations, this article focuses primarily on Jung's apparent disdain for Blacks (the Negro). Utilizing writings from Frederick Douglass, W.E.B. Du Bois and Na'im Akbar, this article highlights ways in which Jung's biases align with the White supremacist perspective of the Negro as a problem, detrimental to social order. The paper concludes with an Appendix which outlines a call to the International Association for Analytical Psychology (IAAP) to take corrective action and to publicly denounce those facets of Jung's writings that diverge from the core of his theory and that promote toxic attitudes of bigotry, perhaps discouraging many people of colour from enrolling in analytic training.Cet article fournit les réflexions personnelles d’un analyste en formation et d’origine afro-américaine et amérindienne sur les représentations inflexibles de Jung concernant les non-blancs d’origine Africaine et les Peuples des Premières Nations d’Amérique (l’homme Rouge) comme inférieurs, au travers d’une théorie de ce qui est primitif, théorie qui dévoile la croyance et le soutien de Jung en la suprématie blanche. Sans vouloir manquer de respect ou d’intérêt envers les Premières Nations d’Amérique, cet article se concentre principalement sur le mépris manifeste de Jung pour les Noirs (le Nègre). Utilisant les écrits de Frederick Douglass, W.E.B. Du Bois et Na’im Akbar, cet article souligne les façons dont la partialité de Jung concorde avec la perspective de la suprématie de la race blanche qui considère le Nègre en tant que problème, préjudiciable à l’ordre social. L’article se termine par une Annexe qui présente une demande à l’AIPA de se positionner et de dénoncer publiquement ces facettes des écrits de Jung qui divergent du cœur de sa théorie et qui nourrissent des attitudes toxiques de sectarisme, décourageant peut-être un nombre important de personnes non-blanches à s’inscrire dans une formation analytique.Dieser Artikel bietet aus erster Hand die Überlegungen eines in der Ausbildung befindlichen afroamerikanischen Analytikers zu Jungs harscher Darstellung von Nichtweißen afrikanischer Abstammung und Amerikas Menschen Erster Nationen (dem Roten Mann) als minderwertig, die in eine Theorie der Primitivität gebettet ist, die Jungs Glaube an und seine Stützung der weißen Überlegenheit enthüllt. Ohne beabsichtigte Respektlosigkeit oder Vernachlässigung gegenüber Amerikas Ersten Nationen konzentriert sich dieser Artikel in erster Linie auf Jungs offensichtliche Verachtung für Schwarze (den ‘Neger’). Unter Verwendung von Schriften von Frederick Douglass, W.E.B. Du Bois und Na'im Akbar zeigt dieser Artikel auf, wie Jungs Vorurteile mit der weißen suprematistischen Perspektive auf den ‘Neger’ als Problem in Einklang stehen, welches sich schädlich auf die soziale Ordnung auswirkt. Der Text schließt mit einem Anhang, in dem eine Aufforderung an die IAAP skizziert wird, Korrekturmaßnahmen zu ergreifen und die Facetten von Jungs Schriften öffentlich anzuprangern, die vom Kern seiner Theorie abweichen und die toxische Haltung der Bigotterie fördern und möglicherweise viele Nichtweiße von der Aufnahme einer analytischen Ausbildung abhalten.Questo articolo fornisce le riflessioni di prima mano di un analista in formazione afroamericano-nativo americano sulla rappresentazione di Jung dei non bianchi di discendenza africana e del popolo delle Prime Nazioni d’America (l' Uomo Rosso) come inferiori, attraverso una teoria della primitività che svela la credenza e il sostegno di Jung alla supremazia bianca. Senza una intenzione irrispettosa o negligente verso le Prime Nazioni americane, questo articolo si concentra principalmente sull'apparente disprezzo di Jung per i neri (il Negro). Utilizzando scritti di Frederick Douglass, W.E.B. Du Bois e Na'im Akbar, questo articolo evidenzia i modi in cui i pregiudizi di Jung si allineano con la prospettiva suprematista bianca del Negro come un problema, dannoso per l'ordine sociale. L'articolo si conclude con un'appendice che delinea un appello alla IAAP affinchè intraprenda azioni correttive e denunci pubblicamente quegli aspetti degli scritti di Jung che divergono dal fulcro della sua teoria e che promuovo atteggiamenti tossici di intolleranza, scoraggiando forse molti non-bianchi dall'iscriversi alla formazione analitica.В этой статье представлены размышления из первых рук американского аналитика афро-индейского происхождения, проходящего аналитический тренинг, о непреклонных убеждениях Юнга о народах не белого африканского происхождения и коренных жителей Америки (Краснокожий человек) как людях низшего уровня. Эти убеждения представлены в теории примитивности, которая раскрывает взгляды Юнга и его веру в превосходство белых. Основное внимание в статье уделено явному пренебрежению Юнга к чернокожим (неграм). Однако такой фокус не означает неуважение или пренебрежение по отношению к коренным народам Америки. Используя записи Фредерика Дуглача, У. Э. Б. Дю Буа и Наима Акбара, автор обозначает направления, в которых предубеждения Юнга совпадают с точкой зрения белого превосходства над неграми, и составляют проблему, наносящую урон социальному порядку. Статья завершается Приложением, в котором излагается призыв IAAP принять корректирующие меры и публично осудить те аспекты работ Юнга, которые отходят от сути его теории и способствуют токсичному фанатизму, тем самым отталкивая небелых людей от аналитического тренинга.Este artículo ofrece reflexiones de primera-mano de un analista en formación Africano-Americano y Nativo-Americano sobre la descripción de Jung, de las personas de descendencia Africana y de los Pueblos Originarios Americanos (el hombre rojo), como inferior, a partir de una teoría sobre el primitivismo que encubre su creencia y apoyo a la supremacía del blanco. Sin ninguna falta de respeto o atención intencionada hacia los Pueblos Originarios de América, el presente artículo se focaliza principalmente en la aparente desconsideración hacia los Negros. Utilizando escritos de Frederic Douglass, W.E.B. Du Bois y Na’im Akbar, el artículo da cuenta de los modos en los cuales los prejuicios de Jung se alinean con la perspectiva de la supremacía del Blanco que considera al Negro como un problema perjudicial al orden social. El trabajo concluye con un Apéndice que esboza un llamado a la IAAP a tomar una acción correctiva y a denunciar públicamente estos aspectos de los escritos de Jung, que se apartan del centro de su teoría y promueve actitudes tóxicas de intolerancia, quizás desalentando a muchas personas no-blancas, a inscribirse en una formación analítica.是时候在桌子上腾出空间了:一位非裔美国人-美国原著民受训分析师的第一手反思 这篇文章提供了一位非裔美国人-美国原住民受训分析师的第一手反思, 反思的内容是关于荣格对于非白人, 关于非洲血统及美国最早的公民 (红色人种)是卑微的那种坚定描绘, 荣格通过一系列关于原始的理论来进行描述, 这揭示出荣格对于白人至上的信念及支持。并非出于不敬, 或是对美国原住民的忽视, 这篇文章主要关注的是荣格对于黑人的明显蔑视。文章借用弗雷德里克·道格拉斯、度波依斯, Na’im Akbar的论述, 强调了荣格的偏见, 其中包含了白人至上的一个层面, 即黑人本身是个问题, 他们是有害于社会秩序的。文章以一个附录作为结束, 其中列出了给IAAP的提示, 建议其作出调整并公开谴责那些在荣格作品中偏离了其核心理论的, 促进盲从的毒性态度的那些方面, 或许这些方面也让许多非白人不愿意加入荣格训练。.

Zusammenfassung Hintergrund Die medizinische Versorgung von Asylsuchenden wird durch rechtliche Regelungen – v. a. das Asylbewerberleistungsgesetz (AsylbLG) – erschwert, die die Abrechnung von Leistungen für diese Patientengruppe betreffen. Ärztinnen und Ärzte sollten daher mit dem AsylbLG vertraut sein, um Versorgungsdefizite in der Behandlung dieser vulnerablen Patientengruppe zu vermeiden. Diese Arbeit untersucht, wie das AsylbLG in der deutschsprachigen medizinischen Literatur beschrieben wird und inwiefern diese Darstellungen die aus der Literatur bekannten Informationsbedarfe der Ärzteschaft treffen. Methoden Scoping Review der zwischen 01.01.2015 und 14.04.2020 veröffentlichten deutschsprachigen Literatur zur medizinischen Versorgung von Asylsuchenden in Deutschland. Ergebnisse In die Analyse wurden 55 Artikel eingeschlossen. Der Großteil der Artikel (80%, n=44) verwies auf das AsylbLG als wichtigen Kontextfaktor medizinischer Versorgung. Während die Gruppe der Leistungsberechtigten und der Zeitraum des Leistungsbezugs überwiegend korrekt beschrieben wurden, war die Darstellung des im AsylbLG vorgesehenen Leistungsumfangs nur bei 16% (n=9) der Artikel korrekt und vollständig. Auf den administrativen Kontext des Gesetzes und seines Regelungsgegenstandes wurde nur selten eingegangen. Zudem wurde das AsylbLG häufig (23%, n=10) – unzutreffender Weise – als normativer Maßstab für ärztliches Handeln präsentiert. Schlussfolgerungen Die Darstellung des AsylbLG in der Fachliteratur scheint häufig nicht geeignet, Ärztinnen und Ärzten bei den praktischen Problemen in der Versorgung von Asylsuchenden zu helfen. Dafür wäre eine differenziertere Darstellung nötig, die auch die juristische Literatur zum Thema rezipiert.

L’articolo analizza il fenomeno voyeuristico in due testi di Italo Calvino tratti da Se una notte d’inverno un viaggiatore. L’analisi, preceduta da una necessaria introduzione al tema della visualità calviniana, propone una lettura dei testi in questione incentrata sulla relazione tra sguardo ed erotismo, di cui il voyeurismo si sostanzia. Tale indagine ha fatto emergere le correlazioni tra il voyeurismo e la formazione, in senso lacaniano, dell’io. Dei protagonisti-voyeur si sono riscontrati, in maniera differente, gli sviluppi delle dinamiche di pulsione e desiderio dell’io, e si è tentato di mostrare come in questi testi tali aspetti possano rappresentare la manifestazione di un preciso metodo conoscitivo: di un singolare modo di stare al mondo e di definire i confini dell’io nella relazione con gli altri.

Zusammenfassung Ziel der Studie Depressive Erkrankungen zählen zu den häufigsten psychischen Symptombildern. Bei insgesamt bestätigter Wirksamkeit stationärer und ambulanter Psychotherapie werden in der Literatur verschiedene Verlaufsmuster in der Behandlung depressionstypischer Symptome beschrieben. Ziel der vorliegenden Studie war es, typische Langzeitverläufe stationärer, tiefenpsychologisch fundierter Psychotherapie depressiver Erkrankungen zu identifizieren. Ferner sollten Prädiktoren für unterschiedliche Verläufe ermittelt werden, um möglichst früh Non-Responder zu erkennen und Behandlungsangebote differenziert modifizieren zu können. Methode Die Daten der naturalistischen Multizenterstudie STOP-D wurden in 15 bundesdeutschen Psychosomatischen Klinikabteilungen mit primär tiefenpsychologisch fundiertem Behandlungskonzept erhoben. Die Stichprobe umfasste N=432 Patientinnen (Frauen, Alter 25–45 Jahren) mit depressionstypischer Beeinträchtigung. Die Langzeitverläufe wurden mittels Latent State Modell und einer Latent Class Analysis identifiziert, potentielle Verlaufsprädiktoren wurden regressionsanalytisch modelliert. Ergebnisse Es wurde 3 Langzeitverläufe identifiziert: Patientinnen, welche in bedeutendem Maße von der Behandlung profitierten und deren Symptomrückgang sich auch in einer 6-Monats-Katamnese stabil zeigte (Responder, 76,9%), Patientinnen ohne bedeutsamen Symptomrückgang während der Behandlung und in der Katamnese (Non-Responder, 18,8%) sowie Patientinnen mit signifikantem Symptomrückgang und Anstieg der Symptomatik im Katamnesezeitraum (Rückfällige, 4,4%). Prädiktor für den Langzeitverlauf der Rückfälligen war die Ausprägung depressiver Symptome zu Behandlungsbeginn. Non-Responder unterschieden sich gegenüber Respondern durch häufigere psychosomatische Vorbehandlungen. Diskussion Zukünftige Untersuchungen sollten u. a. bei Rückfälligen prüfen, ob Rückfälle durch die Symptomatik, die Behandlung oder das soziale Umfeld des Patienten erklärt werden können. Bei Non-Respondern stellt sich vor dem Hintergrund häufigerer, bereits wenig erfolgreicher Vorbehandlungen die Frage, ob für diese Patienten ein anderes oder modifiziertes Therapieangebot erwogen werden sollte. Schlussfolgerung In der Literatur berichtete Langzeitverläufe lassen sich teilweise bestätigen. Auch festigen sich Hinweise auf einen Einfluss der initialen Belastungsschwere depressionstypischer Symptomlast auf das Behandlungsergebnis im Verlauf. Zu untersuchen wäre, wie Behandlungssettings entsprechend modifiziert werden können.

ZusammenfassungBei der weiblichen Genitalverstümmelung (englisch female genital mutilation, FGM) werden die äußeren Genitalien ohne medizinischen Grund und ohne Mitspracherecht der betroffenen Mädchen beschädigt oder entfernt. Häufig geht diese Prozedur mit erheblichen Konsequenzen für die physische und psychische Gesundheit einher. Rekonstruktive chirurgische Maßnahmen können die Beschwerden der Betroffenen lindern. Anhand einer explorativen Untersuchung von N=97 Frauen, die an einem medizinischen Beratungsgespräch zur rekonstruktiven Operation teilnahmen, wurden die besonderen Charakteristika dieser Stichprobe deskriptiv analysiert, Gründe der Inanspruchnahme einer rekonstruktiven Operation erfragt, sowie das Wissen der Patientinnen über ihren Beschneidungstyp mit der medizinischen Diagnose verglichen. Bei 56,7% (n=55) der Untersuchten lag der Verdacht einer PTBS vor. Keine Schmerzen mehr zu haben war der am häufigsten genannte Grund für eine Operation (45,4%; n=44). Die Übereinstimmung zwischen dem Wissen der Patientinnen über den Beschneidungstyp und dem ärztlichen Urteil fiel gering aus (κ=0,09). Bei physischer und psychischer Belastung sollten Frauen nach FGM neben chirurgischen Maßnahmen auch psychotherapeutisch betreut werden. Psychotherapeutische Interventionen im Kontext von FGM müssen evaluiert werden. Längsschnittstudien sind hierfür unabdingbar.

The learning of fractional concepts is one of primary school students’ first experiences with a mathematics concept beyond the fundamental four basic operators. However, research has shown that students faced great difficulty in learning fractions which, to a large extent, inhibits their intuitive knowledge of it. The learning of fractions is foundational to the understanding of many more advanced areas of mathematics and science. Examining why they face problems making sense of fractions and what can be done about it is the main aim of this study. Utilizing a mixed method approach, a total of 173 students aged 13-14 were administered a paper and pencil test and then twelve students were selected for the interviews in probing their thought process in assessing their intuitive knowledge on fraction learning. The outcome of the paper and pencil test depicts a lack of intuitive knowledge in making sense of fractions with a low-level attainment of 38.67%. The findings from the interviews showed a growing concern of an overreliance on calculators, algorithm and procedures that inadvertently undermines the learner’s intuitive knowledge of learning fractions. We are of the view that the preconceived notion of 'practice makes perfect’ practices in current classrooms inhibits students’ development of intuitive knowledge in making sense of fractions learning.

Lennox Thomas (1952–2020) was born in Grenada and moved to the UK aged six, living firstly in Stavely, Derbyshire and, later, in Nottingham. Having trained as a social worker, he worked initially w...

In this paper, the author responds to discussions by Adrienne Harris and Steven Cooper (this issue) with an emphasis on the sensory surround of the waiting room and the nuisance factor drawn from t...

Freud's 1911 and Niederland's 1959 problematic interpretations of Schreber's Memoirs set off a flood of secondary literature. In both selected facts were paired with a plethora of fictions. The nar...

Vertical and lateral functions shape one’s sense of self and help one understand their place in the world. Yet, there are significant gaps in self psychology regarding the subjective aspects of sel...

This paper describes the psychic toll the migratory, humanitarian crisis is exacting on the self (and its sacred core) of displaced people worldwide, specifically young children and adolescents, wh...

The authors consider the importance of working with sociopolitical issues in the therapy room with reference to gender identity, transgender identity, and gender politics. They describe the theoret...

In the 1990s, the author—now a transactional analyst, trainer, and supervisor in psychotherapy—became involved in a Christian organization that offered community membership to support sexuality reo...

This article explores situations of interpersonal catastrophe during psychoanalytic psychotherapy with survivors of prolonged childhood abuse; situations of unbearable psychic pain focused on the t...

This clinical paper explores aspects of unconscious communication and dissociation during the authors first year in psychoanalytic training, as an early career clinician. The author explores dissoc...

Internet pornography use is an extremely widespread human engagement. A minority of viewers finds it compelling and experience distress and/or functional impairment due to their use. There is a ten...

This article explores links between normativity, marginality, and deviance via the experiences of the author, a trainee psychotherapist on a psychiatric placement in an American mental health emerg...

Using a clinical example, I explore the dynamics and the analyst’s response to suicidal fantasies, particularly when the patient’s grief and loss resonate with her own. This paper pushes beyond the...

Research supports anecdotal evidence that eating disorders often initially develop in conjunction with adolescent transitions, but evidence is growing that other transitions, including menopause, c...

In this article we will explore concepts drawn from Kestenberg Movement Profile (KMP) theory and methodology that are relevant to working with young children and caregivers in a community setting. ...

This paper explores into racial presence in psychotherapy when a White therapist works with a White patient, focusing on countertransference responses. I consider ways the sociocultural and politic...

The author builds on Bonovitz’s fascinating study of the waiting room (this issue). He elaborates the complex function of waiting in analysis particularly with patients who are quite dissociated. W...

Since Freud, analysts often assume that the consultation room stages a drama between two personages: the patient and the therapist. Recently, some critics contend that race, class, age, etc. always...

This essay argues that the feminine principles of imagination, desire, and excess are necessary for the vitality of clinical work and society. Although longing is precisely the source of any new su...

The knowledge culture of psychoanalysis relies heavily on the practical wisdom of competent psychoanalytic clinicians. In order to become competent analysts, analysts in training should not content...

COVID shelter-in-place directives have increased stress families of kids who are alternative learners–those with ADHD, ASD and LD. Already struggling to manage emotions, to begin and finish home an...

Since its beginnings, Psychoanalysis has grown and extended its knowledge but not its reach; it has been less successful working for all people than it has working for a select group of people. In ...

Otto Will was one of the most creative psychotherapists of the twentieth century, yet his work is relatively unknown today. This paper strives to transmit his legacy. During his career at Chestnut ...

In this discussion of Skoufalos’ “Couples Therapy: A Painful Hour, a Pained History,” I consider aspects of mutuality, mutual recognition, mutual vulnerability and the nature of unconscious relatio...

We present our work as psychoanalysts in the interdisciplinary psychosomatic unit of a paediatric hospital. As the starting point for our work we use Winnicott's understanding of the psychosomatic dilemma delineated in his paper on psychosomatic illness in its positive and negative aspects. The central hypothesis is that splitting the medical field into many highly specialized fields can be understood as a display of the psychosomatic patients' inner need for splitting and their defence against integration. Based on four case examples from different developmental periods, we demonstrate the interconnectedness of the relational environment, developmental processes, and psychic and biological conditions, and show how early experiences of threat and deprivation can cause the soma-psyche unit to fragment. Drawing on several psychoanalytic psychosomatic schools, we delineate treatment principles of the psychoanalytic contribution to the interdisciplinary work and of the individual psychoanalytic treatment.

Objectives: This article investigates whether or not the abolishment of the expertise procedure for an outpatient psychotherapy is a reliable quality feature; and whether or not the elimination of this procedure results in a reduction of quality in outpatient psychotherapy. Methods: We conducted a literature research that considered articles written between the years 2000 and 2020 dealing with the expertise procedure as a quality standard of outpatient psychotherapy. In order to discuss the different views of the cited authors, we also refer to further literature. Results: The expertise procedure is not a reliable quality feature of outpatient psychotherapy. The idea that abolishing the expertise procedure results in a reduction of quality in outpatient psychotherapy is not confirmed by the studies summarized. Zielsetzung: Der vorliegende Artikel befasst sich mit der Fragestellung, inwiefern das Gutachterverfahren in der Vertragspsychotherapie ein zuverlässiges Qualitätsinstrument darstellt und ob sich aus der geplanten Abschaffung des Gutachterverfahrens das Risiko einer Qualitätsminderung in der ambulanten Psychotherapie ergibt. Methodik: Es wurde eine Literaturrecherche durchgeführt. Arbeiten von den Jahren 2000 bis 2020 wurden berücksichtigt, welche sich mit dem Gutachterverfahren als Qualitätsmerkmal der ambulanten Psychotherapie befassen. Um die unterschiedlichen Standpunkte der zitierten Autor_innen zu diskutieren, wurde auch Bezug auf weiterführende Literatur genommen. Ergebnisse: Das Gutachterverfahren scheint empirisch nicht sicher als zuverlässiges Qualitätsmerkmal der ambulanten Psychotherapie herangezogen werden zu können. Die Annahme, dass sich durch eine gutachterbefreite Vertragspsychotherapie eine Qualitätsminderung der Psychotherapie ergibt, wird durch die hier zusammengefassten Arbeiten insgesamt nicht gestützt.

Steve Kroger, president and COO of Hockey Canada, is contemplating how to attract and retain more young people who are Black, Indigenous, and People of Color in minor hockey (ages 4–18 years). Hockey Canada the governing association for amateur hockey in the country has created programs that make the sport accessible for more people to try, yet Steve recognizes there is still a lot of work that needs to be done to increase participation rates among Black, Indigenous, and People of Color athletes. Drawing on a policy paper for anti-racism in Canadian hockey, Steve tasks his team with developing strategies aimed at making the sport more inclusive and boosting participation.

Nella letteratura psicoanalitica e nell'uso corrente, il concetto di Super-Io ha conquistato uno spazio teorico e clinico molto più ampio di quello riservato invece al concetto di Ideale dell'Io. Si tratta, come è noto, di istanze che si configurano nel quadro dell'elaborazione della seconda topica dell'apparato psichico, che delinea l'organizzarsi e il consolidarsi della struttura. Il lavoro non si addentra tuttavia nelle disquisizioni metapsicologiche, alle quali tanti grandi maestri hanno già dato il loro importante contributo. Si concentra invece sulle riflessioni clinica nei confronti di pazienti, pur tra loro diversissimi sul piano psicopatologico, che patiscono intense sofferenze a causa di un ingombrante ed irrealistico ideale di se stessi al quale sentono di non riuscire ad aderire. Un conflitto, difficilissimo da maneggiare nel rapporto di transfert-controtransfert, nel quale l'Io è al tempo stesso la vittima e l'agente. Talora, il processo della cura inciampa in questi aspetti apparentemente marginali dell'ideale di se stessi, che si configurano come una delle più tenaci resistenze al processo psicoanalitico.

Online access to the Internet by minors is an increasingly widespread phenomenon, which offers a hitherto-unknown interactivity to children giving them easy access to pornographic images. These ima...

This article is dedicated to examination of the specificity of assessment of the individuals with different type of life scenario. Having compared the patterns of worldview and manifestations of life scenario of the individual, the author considers the latter as a component of in-depth structures of worldview, reflected on the level of semantic structures associated with the implementation of scenario in form of the specificity of assessment of respondents. One of the manifestations of life scenario of the individual in semantic structures is the specificity of assessment of their lifestyle. Since lifestyle represents a system of activities the person is engaged in, and life scenario by definition is related with saturation of subjective time with different ways of pastime, the process of realization of life scenario depends on the specifics of the content of lifestyle as a system of activities. The empirical research is conducted on the basis of specifically developed questionnaire; the three groups of respondents with different type of life scenario were formed. The respondents were offered to assess their lifestyle using a specialized semantic differential. The obtained data was processed via the method of semantic universals. The acquired results indicate that the descriptors included in the semantic universals of the assessment of lifestyle correspond to the type of life scenario of the individual. The groups of respondents with different type of life scenario demonstrate a various degree of in-group similarity in assessments of their lifestyle. Therefore, the specificity of lifestyle assessment is one of the manifestations of life scenario of the individual.

Il lavoro affronta il tema della distruttività umana come modalità di difesa dai sentimenti di colpa. Come già evidenziato da Freud e dalla Klein, sia a livello individuale che collettivo, la distruttività può essere proiettata negli altri, oppure può essere attribuita a un trauma del passa-to che determina una reazione distruttiva, in modo da evitare l'assunzione della responsabilità. Ogni riconoscimento della responsabilità per la propria distruttività produce un senso di colpa doloroso che, di conseguenza, può essere negato o proiettato. Inoltre, il senso di colpa si inten-sifica quando c'è la consapevolezza che il danno è stato inflitto a qualcosa sentito come buono e prezioso. Attraverso l'analisi di alcuni casi clinici, l'autore ci mostra la difficoltà presente nel lavoro analitico con pazienti suicidi o violenti. L'analista deve confrontare il paziente con il proprio desiderio di utilizzare la violenza per sterminare ciò che è danneggiato e vulnerabile dentro se stesso, o attaccare un'immagine persecutoria per neutralizzarla. Allo stesso tempo, viene mes-so nel transfert nella posizione di essere un oggetto che può essere incolpato, e poi attaccato e ucciso nella fantasia. Il trattamento psicoanalitico, infatti, rappresenta una speranza di cambia-mento e di sviluppo e può facilmente provocare una ritorsione violenta per aver disturbato l'equilibrio psichico e aver offerto una via d'uscita da una relazione interna vincolata. La paura di questo cambiamento psichico può provocare una pericolosa reazione terapeutica negativa.

Entre traumatisme et masochisme, les liaisons sont nombreuses, particulièrement au moment de l’adolescence. L’auteure invite à considérer les actes d’attaque du corps comme la recherche d’une prise en charge d’expériences traumatiques antérieures. Leur réactualisation au moment de l’adolescence, attestant d’une intrication pulsionnelle insuffisante, autoriserait une reprise élaborative de leur genèse sollicitant particulièrement le « travail du masochisme ». Est ainsi proposée l’idée d’une voie masochiste « gardienne de la vie », le sujet ressentant dans les moments d’impasse le besoin d’une souffrance masochistement investie. Cette souffrance opère aux différents niveaux du masochisme : la douleur œuvre à héroïser la souffrance, la position active tempère les vécus d’intrusion en autorisant une forme de passivité dans la réceptivité corporelle de la douleur, et l’autosacrifice satisfait le besoin de punition réclamé avec force par le moi.