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American Journal of Psychotherapy

Volume 44, Issue 2

April 1990

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Editorial

April 1990

Stanley Lesse, M.D.

Pages:157–159
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.157

First Page
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Articles

April 1990

Dilemmas in the Management of Suicidal Behavior in Individuals with Borderline Personality Disorder

Mark A. Fine, Ph.D.,
Randy A. Sansone, M.D.

Pages:160–171
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.160

Abstract
PDF/EPUB

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Managing suicidal behavior of individuals with borderline personality disorder presents both therapeutic and ethical/legal dilemmas. Approaches to managing “acute” suicidal situations may be inappropriate for the “chronic” suicidal states of many ...

April 1990

Cofactors in the Commission of Violent Crimes: A Self-Psychology Examination

Theodore B. Feldmann, M.D.,
Phillip W. Johnson, Ph.D.,
Roger A. Bell, Ed.D.

Pages:172–179
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.172

Abstract
PDF/EPUB

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In many violent crimes a cofactor precipitates or elicits the event. This cofactor is usually a person or persons influencing the perpetrator, who most often is an individual with borderline or narcissistic pathology. The framework of self psychology can ...

April 1990

Blitz Rape and Confidence Rape: Implications for Clinical Intervention

Sally I. Bowie, A.C.S.W.,
Daniel C Silverman, M.D.,
S. Michael Kalick, Ph.D.,
Susan D. Edbril, Ed.M.

Pages:180–188
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.180

Abstract
PDF/EPUB

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This paper explores the clinical implications for mental health treatment of the victims of two differing types of sexual assault: blitz rape, a sudden surprise attack by an unknown assailant, and confidence rape, an assault following an apparently benign ...

April 1990

The Functional Dynamics of the Narcissistic Personality

Dragan M. Švrakić, M.D., Ph.D.

Pages:189–203
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.189

Abstract
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In this article the author systematyzes the existing data and presents some new findings regarding the uniquely narcissistic “way of life” i.e., the functional dynamics of narcissistic personality structure. More precisely, patterns through which ...

April 1990

Skoptic Syndrome: The Treatment of an Obsessional Gender Dysphoria with Lithium Carbonate and Psychotherapy

Eli Coleman, Ph.D.,
John Cesnik, M.D.

Pages:204–217
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.204

Abstract
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This paper discusses the successful use of lithium carbonate combined with psychotherapy in two cases of skoptic syndrome, an unusual form of intense obsession and annoyance with body image, especially with primary and secondary sex characteristics. These ...

April 1990

Enhancing the Impact of Therapeutic Interventions

Haim Omer, Ph.D.

Pages:218–231
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.218

Abstract
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Therapeutic interventions have impact if they succeed in overcoming patients' tendencies to overlook, neglect or forget them. Factors that promote impact in psychotherapy are similar to those that enhance attention and recall in all areas of mental ...

April 1990

Malpractice in Psychotherapy: An Overview

Hope R. Conte, Ph.D.,
Toksoz B. Karasu, M.D.

Pages:232–246
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.232

Abstract
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Malpractice law as it relates to individual psychotherapy is briefly reviewed. Examples of cases in specific areas of liability are given, and available solutions are discussed. It is suggested that there is a need for consultation plus educational ...

April 1990

Integrating Individual and Family Treatment for Outpatients Vulnerable to Psychosis

Nancy Atwood, Ph.D.

Pages:247–255
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.247

Abstract
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This article describes a model for the outpatient treatment of adults at risk for major mental illness who live with parents or a spouse. In this model the clinician establishes a clearly delineated framework for treatment that primarily focuses upon the ...

April 1990

Hermeneutics for Psychotherapists

Richard D. Chessick, M.D., Ph.D.

Pages:256–273
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.256

Abstract
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The meaning and development of modern hermeneutics are explained and traced, and current controversies regarding the application of hermeneutics in psychiatry to conceptions of psychopathology, and to the practice of psychotherapy are delineated. In ...

April 1990

Affect in Psychodynamic Psychotherapy

Donald J. Carek, M.D.

Pages:274–282
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.274

Abstract
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This article develops the idea that the utilization and mastery of affect is central to all individual psychodynamically oriented psychotherapy. Problems in measuring affect and its vicissitudes over the course of therapy are highlighted. There is a ...

Case Report

April 1990

Psychosocial Development in a Genetic Male Surgically Reassigned as a Female at Birth

Swapna Gupta, Ed.D.

Pages:283–289
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.283

Abstract
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This case study deals with an 11-year-old girl who is genetically a boy (chromosome 46XY). It examines some of the contributing factors that are causing her conflicts around her identity and the psychological difficulties she is experiencing. The paper ...

Book Review

April 1990

The Purpose Is Tomorrow: Twenty-five Years of Editorial Opinion about the Healthcare System

Arnold M. Ludwig, M.D.

Page:290
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.290

PDF/EPUB

April 1990

Treatment of Patients in the Borderline Spectrum

Richard D. Chessick, M.D., Ph.D.

Pages:291–292
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.291

PDF/EPUB

April 1990

Current and Historical Perspectives on the Borderline Patient

John F. Borriello, Ph.D.

Pages:292–293
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.292

PDF/EPUB

April 1990

Nuances of Techniques in Dynamic Psychotherapy

Myron F. Weiner, M.D.

Pages:293–294
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.293

PDF/EPUB

April 1990

Problem Solving Therapy for Depression: Theory, Research, and Clinical Guidelines

T. L. Brink, Ph.D.

Page:294
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.294

PDF/EPUB

April 1990

Modern Perspectives in the Psychiatry of the Neuroses

Bernard Zuger, M.D.

Pages:294–295
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.294a

PDF/EPUB

April 1990

Schizophrenia: An Integrated Approach to Research and Treatment

Edward E. Seelye, M.D.

Pages:295–296
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.295

PDF/EPUB

April 1990

Cognitive Therapy with Schizophrenic Patients

Peter A. Magaro, Ph.D.

Pages:296–297
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.296

PDF/EPUB

April 1990

Emotional Problems of Aging

Mohsain Essa, M.D.

Pages:297–298
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.297

PDF/EPUB

April 1990

Treating Couples: The Intersystem Model of the Marriage Council of Philadelphia

Edwin L. Rabiner, M.D.

Pages:298–299
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.298

PDF/EPUB

April 1990

Arnold Gesell: Themes of His Work

Gene L. Cary, M.D.

Pages:299–300
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.299

PDF/EPUB

April 1990

Violence in Dating Relationships: Emerging Social Issues

Arnold P. Goldstein, M.D.

Pages:300–301
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.300

PDF/EPUB

April 1990

Willpower’s Not Enough: Understanding and Recovering from Addictions of Every Kind

Herbert Waltzer, M.D.

Page:302
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.302

PDF/EPUB

April 1990

Trauma and Rebirth: Intergenerational Effects of the Holocaust

Robert Krell, M.D.

Pages:302–303
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.302a

PDF/EPUB

April 1990

Psychoanalytic Perspectives on Migration and Exile

Nathan Roth, M.D.

Pages:303–304
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.303

PDF/EPUB

April 1990

Oedipus in the Stone Age: A Psychoanalytic Study of Masculinization in Papua, New Guinea

J. David Kinzie, M.D.

Pages:304–305
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.304

PDF/EPUB

April 1990

Developmental Breakdown and Psychoanalytic Treatment in Adolescence: Clinical Studies

Lawrence Claman, M.D.

Page:306
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.306

PDF/EPUB

April 1990

A Guided Tour of the Collected Works of C. G. Jung

P. Richard Gunter, M.D.

Pages:306–308
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.306a

First Page
PDF/EPUB

April 1990

DTREE: The Electronic DSM-III-R

Michael L. Zarr, M.D.

Pages:308–309
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.308

PDF/EPUB

April 1990

Gianetti On-Line Psychosocial History

Michael L. Zarr, M.D.

Pages:309–310
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.309

PDF/EPUB

Notes and Comments

April 1990

Notes and Comments

Pages:311–315
Published Online:30 April 2018

https://doi.org/10.1176/appi.psychotherapy.1990.44.2.311

First Page
PDF/EPUB

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