PubMed HealthSearch

Biomedical subjects

D Boesky

Publications and source records attributed to D Boesky.

5 recordsLinked to original sources

The psychoanalytic process and its components.

Certain problems in defining the psychoanalytic process emerged during the five years in which a COPE study group was attempting to clarify the concept. There was agreement about the bed-rock criteria to be included in a definition: e.g., transference, resistance, a dynamic unconscious, intrapsychic conflict, defense, infantile sexuality, insight which causes change, and change which brings insight. The disagreements centered on the locus of the psychoanalytic process, the best way to conceptualize change, and the methodological problem of validating whether specific interventions cause specific claimed effects. Confusion about how to account for the interactional aspect of the psychoanalytic situation in a manner consistent with a one-person psychology emerged as an important source of the difficulty in arriving at a satisfactory definition of the psychoanalytic process.

Adaptation, Psychological

The questions and curiosity of the psychoanalyst.

Questions the analyst asks of the patient are a powerful but neglected aspect of the theory of psychoanalytic technique. Their importance resides in their dynamic impact on the psychic equilibrium of the patient because of their ability to destabilize existing compromise formations. A clinical vignette illustrates the view that the linguistic shift from other modes of discourse to the spoken question heralds a less visible parallel shift in the psychic equilibrium of either the psychoanalyst or patient. There is no more and no less complexity to questions than to any other communication by either analyst or patient. For that reason there can be no systematic classification of questions in the clinical psychoanalytic situation, just as there can be no definitive taxonomy of psychoanalytic discourse. It makes no sense to reduce the enormous diversity and range of all the questions the analyst asks to the simple dichotomy of good or bad for the analysis. Questions are the emblem of the analyst's mode of inquiry; they can further the development of self-observation, which is such an important concomitant, cause, and consequence of structural change.

Depressive Disorder

Comments on the structural theory of technique.

This paper advocates the clinical and theoretic superiority of structural theory in accounting for our therapeutic efforts to influence the phenomena of intrapsychic conflict. The fit between structural theory and technique is epitomized in the equidistant posture of interpretations vis à vis the id, ego, and the superego. The therapeutic effect of interpretations thus viewed is to alter pathologic compromise formations in a manner which will ultimately result in structural change that will be observable by the reduction of psychic pain, the increase in opportunities for realistic pleasure, and the diminished need for punishment. The paper reviews certain recent disagreements about the relation between interpretation, insight, and change on the one hand and the nature of transference and resistance on the other. Arguments are presented against the view that positive and negative transference can be simply contrasted as helping or hindering the progress of analytic treatment. Finally, the terms 'structure' and 'structural change' are defined.

Freudian Theory

Proverbs and psychoanalysis.

Proverbs have much to teach the psychoanalyst. The purpose of this paper is to illustrate the clinical usefulness of viewing certain proverbs as analogous to typical dreams, to discuss some implications of the affinities between proverbs, riddles, and typical dreams in the context of applied psychoanalysis, and to view the proverb as stemming from the same common matrix as dreams, myths, symptoms, and folklore.

Anxiety, Castration