Friday, December 21, 2012
Clive Crook has some interesting book recommendations including something called 'dreaming in Chinese'.
Sunday, December 16, 2012
Adam Lanza didn't have a good time at the school in Newton. Of all the people described in the article I bet he would have had on a typical day the least serious mental illness diagnosis. The Atlantic had an article the other day about upper class girls having a less stressful time in middle class schools than in upper class schools. The idyllic Newton wasn't idyllic for him. I wonder if he wasn't initially put down by peers in kindergarten. At some point too a teacher may have slyly cooperated with this; so his thought was 'even the teacher!' You know it was a day or two before that we had the shooting in Oregon. Do you recall a reporter breathlessly asking someone who left the mall, 'Did you see anyone being carried out?' In terms of banning things, I'm up for banning CNN. This case does suggest an association between suicide and the desire to murder. 'Knowing yourself' may be better than expressing yourself.
Saturday, December 15, 2012
When I read, regarding mother, that 'she needed to stay with him' I assumed that it was a family of modest means. After reading the linked article, it seems that it is not at all true that she 'needed to stay with him' except from her enmeshment. Now it may be that some placement was tried and he was able to object; so guardianship laws would need to be looked at. Regardless of what one thinks of psychiatry or psychology, one of the values of the professional playing a role is that we are independent of the family structure, and one of the developmental tasks of a child is to participate in relationships outside the home. One of the perhaps unfortunate effects of these murders is that kids may be withdrawn from schools for safety reasons.
From a preventive standpoint, I don't know that we want to go just 'voting people off the island,' perhaps like Palladin I like being on it. He was weird because he 'carried his books in a black briefcase rather than a backpack.' If there were indicators of outward violence they weren't cited in the article.
Tuesday, December 11, 2012
Exit, Voice and Loyalty recommended at the Atlantic. Other reflections on Albert Hirschman. And yet more. Also here by Fukuyama.
Tuesday, December 04, 2012
HuffPo has a good post mortem on the Romney campaign. This from a conference which included David Axelrod and senior Romney staffers.
Thursday, November 29, 2012
Wednesday, November 28, 2012
A recent post by Althouse led me to look up something. I went to PubMed and used the search term psychoanalysis and then chose the filter Clinical Trial which is in the left column (giving you at least pretty close to this article list).
The abstract of the third article in the list is: BACKGROUND: Psychotherapy is apparently an insufficient treatment for some patients with mood or anxiety disorder. In this study the effectiveness of short-term and long-term psychotherapies was compared with that of psychoanalysis. METHODS: A total of 326 psychiatric outpatients with mood or anxiety disorder were randomly assigned to solution-focused therapy, short-term psychodynamic and long-term psychodynamic psychotherapies. Additionally, 41 patients suitable for psychoanalysis were included in the study. The patients were followed from the start of the treatment and assessed 9 times during a 5-year follow-up. The primary outcome measures on symptoms were the Beck Depression Inventory, the Hamilton Depression and Anxiety Rating Scales, and the Symptom Check List, anxiety scale. Primary work ability and functional capacity measures were the Work Ability Index, the Work-subscale of the Social Adjustment Scale, and the Perceived Psychological Functioning Scale. RESULTS: A reduction in psychiatric symptoms and improvement in work ability and functional capacity was noted in all treatment groups during the 5-year follow-up. The short-term therapies were more effective than psychoanalysis during the first year, whereas the long-term therapy was more effective after 3years of follow-up. Psychoanalysis was most effective at the 5-year follow-up, which also marked the end of the psychoanalysis. CONCLUSIONS: Psychotherapy gives faster benefits than psychoanalysis, but in the long run psychoanalysis seems to be more effective. Results from trials, among patients suitable for psychoanalysis and with longer follow-up, are needed before firm conclusions about the relative effectiveness of psychoanalysis and psychotherapy in the treatment of mood and anxiety disorders can be drawn.
J Affect Disord. 2011 Jul;132(1-2):37-47. Epub 2011 Feb 12. Quasi-experimental study on the effectiveness of psychoanalysis, long-term and short-term psychotherapy on psychiatric symptoms, work ability and functional capacity during a 5-year follow-up. Knekt P, Lindfors O, Laaksonen MA, Renlund C, Haaramo P, Härkänen T, Virtala E; Helsinki Psychotherapy Study Group. Source Social Insurance Institution, Helsinki, Finland. paul.knekt@thl.fi
And the abstract of the second article in the list is: OBJECTIVE: Transference interpretation is considered as a core active ingredient in dynamic psychotherapy. In common clinical theory, it is maintained that more mature relationships, as well as a strong therapeutic alliance, may be prerequisites for successful transference work. In this study, the interaction between quality of object relations, transference interpretation, and alliance is estimated. METHOD: One hundred outpatients seeking psychotherapy for depression, anxiety, and personality disorders were randomly assigned to 1 year of weekly sessions of dynamic psychotherapy with transference interpretation or to the same type and duration of treatment, but without the use of transference interpretation. Quality of Object Relations (QOR)-lifelong pattern was evaluated before treatment (P. Høglend, 1994). The Working Alliance Inventory (A. O. Horvath & L. S. Greenberg, 1989; T. J. Tracey & A. M. Kokotovic, 1989) was rated in Session 7. The primary outcome variable was the Psychodynamic Functioning Scales (P. Høglend et al., 2000), measured at pretreatment, posttreatment, and 1 year after treatment termination. RESULTS: A significant Treatment Group × Quality of Object Relations × Alliance interaction was present, indicating that alliance had a significantly different impact on effects of transference interpretation, depending on the level of QOR. The impact of transference interpretation on psychodynamic functioning was more positive within the context of a weak therapeutic alliance for patients with low quality of object relations. For patients with more mature object relations and high alliance, the authors observed a negative effect of transference work. CONCLUSION: The specific effects of transference work was influenced by the interaction of object relations and alliance, but in the direct opposite direction of what is generally maintained in mainstream clinical theory.
J Consult Clin Psychol. 2011 Oct;79(5):697-706. Effects of transference work in the context of therapeutic alliance and quality of object relations. Høglend P, Hersoug AG, Bøgwald KP, Amlo S, Marble A, Sørbye Ø, Røssberg JI, Ulberg R, Gabbard GO, Crits-Christoph P. Source Department of Psychiatry, University of Oslo, Norway. p.a.hoglend@medisin.uio.no
The abstract of the third article in the list is: BACKGROUND: Psychotherapy is apparently an insufficient treatment for some patients with mood or anxiety disorder. In this study the effectiveness of short-term and long-term psychotherapies was compared with that of psychoanalysis. METHODS: A total of 326 psychiatric outpatients with mood or anxiety disorder were randomly assigned to solution-focused therapy, short-term psychodynamic and long-term psychodynamic psychotherapies. Additionally, 41 patients suitable for psychoanalysis were included in the study. The patients were followed from the start of the treatment and assessed 9 times during a 5-year follow-up. The primary outcome measures on symptoms were the Beck Depression Inventory, the Hamilton Depression and Anxiety Rating Scales, and the Symptom Check List, anxiety scale. Primary work ability and functional capacity measures were the Work Ability Index, the Work-subscale of the Social Adjustment Scale, and the Perceived Psychological Functioning Scale. RESULTS: A reduction in psychiatric symptoms and improvement in work ability and functional capacity was noted in all treatment groups during the 5-year follow-up. The short-term therapies were more effective than psychoanalysis during the first year, whereas the long-term therapy was more effective after 3years of follow-up. Psychoanalysis was most effective at the 5-year follow-up, which also marked the end of the psychoanalysis. CONCLUSIONS: Psychotherapy gives faster benefits than psychoanalysis, but in the long run psychoanalysis seems to be more effective. Results from trials, among patients suitable for psychoanalysis and with longer follow-up, are needed before firm conclusions about the relative effectiveness of psychoanalysis and psychotherapy in the treatment of mood and anxiety disorders can be drawn.
J Affect Disord. 2011 Jul;132(1-2):37-47. Epub 2011 Feb 12. Quasi-experimental study on the effectiveness of psychoanalysis, long-term and short-term psychotherapy on psychiatric symptoms, work ability and functional capacity during a 5-year follow-up. Knekt P, Lindfors O, Laaksonen MA, Renlund C, Haaramo P, Härkänen T, Virtala E; Helsinki Psychotherapy Study Group. Source Social Insurance Institution, Helsinki, Finland. paul.knekt@thl.fi
And the abstract of the second article in the list is: OBJECTIVE: Transference interpretation is considered as a core active ingredient in dynamic psychotherapy. In common clinical theory, it is maintained that more mature relationships, as well as a strong therapeutic alliance, may be prerequisites for successful transference work. In this study, the interaction between quality of object relations, transference interpretation, and alliance is estimated. METHOD: One hundred outpatients seeking psychotherapy for depression, anxiety, and personality disorders were randomly assigned to 1 year of weekly sessions of dynamic psychotherapy with transference interpretation or to the same type and duration of treatment, but without the use of transference interpretation. Quality of Object Relations (QOR)-lifelong pattern was evaluated before treatment (P. Høglend, 1994). The Working Alliance Inventory (A. O. Horvath & L. S. Greenberg, 1989; T. J. Tracey & A. M. Kokotovic, 1989) was rated in Session 7. The primary outcome variable was the Psychodynamic Functioning Scales (P. Høglend et al., 2000), measured at pretreatment, posttreatment, and 1 year after treatment termination. RESULTS: A significant Treatment Group × Quality of Object Relations × Alliance interaction was present, indicating that alliance had a significantly different impact on effects of transference interpretation, depending on the level of QOR. The impact of transference interpretation on psychodynamic functioning was more positive within the context of a weak therapeutic alliance for patients with low quality of object relations. For patients with more mature object relations and high alliance, the authors observed a negative effect of transference work. CONCLUSION: The specific effects of transference work was influenced by the interaction of object relations and alliance, but in the direct opposite direction of what is generally maintained in mainstream clinical theory.
J Consult Clin Psychol. 2011 Oct;79(5):697-706. Effects of transference work in the context of therapeutic alliance and quality of object relations. Høglend P, Hersoug AG, Bøgwald KP, Amlo S, Marble A, Sørbye Ø, Røssberg JI, Ulberg R, Gabbard GO, Crits-Christoph P. Source Department of Psychiatry, University of Oslo, Norway. p.a.hoglend@medisin.uio.no
Thursday, November 22, 2012
For a duffer in music How to Play Popular Piano in 10 Easy Lessons: The Fastest, Easiest Way to Learn to Play from Sheet Music or by Ear
is a great book, the octave, the postions on the keyboard, a begining in appreciation in the 'step up' in notes is even better on second reading of the first chapter. I bet his other books
are also good.
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