Ego Boundary Deficits and the Negative Therapeutic Inter-Action: A Tale of a Whale, a Whale of a Tale.

Defined variously and unsatisfactorily as a worsening of the patient's condition following a correct interpretation, the negative therapeutic reaction is typically blamed on the patient: "the operation was a success but the patient died." For most neurotic patients unconscious guilt objects to progress and activates the need to suffer. For most character-disturbed patients envy cannot bear the analyst's cleverness.

SONGS IN THE COUNTERTRANSFERENCE OR "GILDING THE PHILOSOPHIC PILL".

Songs that interrupt the psychoanalytic psychotherapist's countertransference reverie are invariably relevant and potentially useful. Like any other countertransference "presence," songs accompanying the narrative may contribute to understanding both patient and analytic process. Taking their intrusive, fecund, pesky presence one step further, song lyrics may be used as metaphor-saturated interventions, helping reach the well-defended patient.

Short-term psychoanalytic psychotherapy: "a construction zone".

Therapists will discover gaps in the personal narratives of their patients. The first five years of life are generally lost to the veil of infantile amnesia, and utterly unlikely to be recovered even in the deepest and longest psychoanalytic treatments. Subsequent history will be lost to semiotic incompetence and may be lost to conflict-based misunderstanding.

Pronouns and progress: a psychoanalytic primer.

Psychoanalytic psychotherapists have the role responsibility to hover evenly over everything that is said--and not said--in the analytic situation. Pronouns may be worthy of special attention. Just as children demonstrate a predictable course in the acquisition and mastery of pronouns, it may be that the analytic patient also shows a predictable sequence in the deployment of pronouns over the course of a successful treatment.

Locked inferior fracture dislocation after total hip arthroplasty.

Acetabular fracture in conjunction with dislocation after total hip arthroplasty is a rarely reported event. We describe such a case with a unique fracture dislocation pattern, whereby the prosthetic femoral component dislocated inferiorly, fracturing the pelvis, and was locked in this position. The patient was treated with closed reduction under anesthesia and the fracture healed without further surgical intervention.