Why do borderline patients often understand and make use of psychodynamic interpretations yet quickly "act out" once they become aware of the devastation they have brought about themselves and their objects? James Grotstein (1979) argued that there are actually two levels of

People say the DSM is psychiatrists “Bible” but the book that comes closest to this is Karl Jaspers “General Psychopathology”

A vitally important contention, especially given the proliferation of biological therapies for treatment-resistant #depression in recent years (#TMS, #ketamine, #psychedelics). During supervision this morning with the fourth-year #psychiatry resident I supervise, we discussed

When you've got a lot of stuff "out there" in the prepublication stage!

Davide The concept is Arieti's and refers to a form of prelogical thinking marked by the patient's searching post hoc for "clues" or "hints" to confirm a preconceived belief; importantly, all evidence to the contrary is ignored, and this is what distinguishes it from logical thinking.

I saw this ad pop up yesterday. While there is nothing inherently wrong with using drugs to "change personality" (what Peter D. Kramer famously called "cosmetic psychopharmacology"), we ought not pretend that this is treating pathology (in this case "adult ADHD").

Much of the modern cancel culture seems related to a psychological trait called vindictiveness. It can be summarized, in essence, as a desire to "get back" at someone, and in the current context, it manifests as, "I do not agree with you or something you have done, so I will

"If the person on the receiving end of [a] projection responds to the intense provocation with anger or dares to fight back in any way, this is now seen as further proof of how hateful and evil they are--and why attacking them is just and right. This is what is called 'projective

Watzlawick cites Searles's famous 1959 paper "The Effort to Drive the Other Person Crazy" in the former's book The Language of Change. I had made the association between the two scholars, but I wasn't certain they knew about each other's work. In fact, they did!

"To be imprisoned in ones illness is to be doomed; to be imprisoned in another's illness is to be damned." Masud Khan.

Liam Atwal There is an ongoing discussion about these issues, as we highlighted in a recent paper on psychiatric diagnosis in the Journal of Nervous and Mental Disease. journals.lww.com/jonmd/abstract…

I came to psychoanalysis in an unconventional way--through treating inpatients mainly with schizophrenia in long-term psychotherapy at a large university psychiatric hospital. Some patients had been transferred to our service line after the closure of the local state hospital.

Diagnosis matters deeply. It may not matter to those who see patients who are largely healthy.

Week 2 on the road. 🟡⚪️🟡 #H2P » #WeNotMe

Beautiful 2018 paper by Italian colleagues Rossi Monti and D'Agostino on the relavance of, and need for, diagnosis in psychoanalysis and psychodynamic psychotherapy, published in The Psychoanalytic Review. "In this sense, as Jaspers (1913) wrote, it is absolutely true (no matter