The Impact of a Junior Faculty Fellowship Award on Academic Advancement and Retention.

Purpose: Academic faculty experience barriers to career development and promotion. In 1996, Harvard Medical School (HMS) initiated an intramural junior faculty fellowship to address these obstacles. The authors sought to understand whether receiving a fellowship was associated with more rapid academic promotion and retention.

Medically Unexplained Symptoms: Barriers to Effective Treatment When Nothing Is the Matter.

Patients with symptoms that elude medical explanation are a perennial challenge to practicing physicians of all disciplines. Articles appear virtually monthly advising physicians how to care for them. Efforts at postgraduate education have attempted to ameliorate the situation but have shown limited or disappointing results at best.

Is There a War on Women in Psychoanalysis? The Disappearance of a Group of Women Leaders.

Some older members of the Boston Psychoanalytic Society remarked that in the 1950s and 1960s there was a group of prominent women analytic leaders at BPSI. They were training analysts, writers, and teachers active in the society and in the community. They were succeeded primarily by men.

Reflections on widowhood and its effects on the self.

Widowhood has not been written about extensively. Recent books in the mainstream press have focused on the experience of the acute loss. This paper describes the experience of widowhood of the author and of several other women after long marriages.

Transfer of care of psychotherapy patients: implications for psychiatry training.

Transfers of care occur routinely in medical training, but the transfer of psychotherapy patients has received relatively little attention. This article discusses important issues concerning these transfers, using case examples and findings from a survey of the experience of psychiatry residents transitioning psychotherapy patients. Residents have difficulty telling patients they are leaving and often delay doing so.

Psychotherapy and psychoanalysts in psychiatric residency training.

There is a renewed interest in teaching psychotherapy in psychiatry training programs in the context of the current accreditation standards for developing competency in psychotherapy. However, meeting the standards requires adequate faculty, expertise, motivation, and patient population to support a substantive didactic and experiential base for residents to develop phase-appropriate competence. Psychoanalysts are in a position to provide capable instruction and supervision in psychodynamic as well as supportive psychotherapy, but they are not evenly distributed in the United States.

Psychodynamic psychotherapy: adults and children.

Psychodynamic psychotherapy is a major therapeutic modality for adults and children. It covers a number of related therapies based on psychoanalytic concepts and models. In this paper, we address new developments in thinking and practice, recent changes relating to teaching, and new findings from research and developmental science.

Gender in the consulting room.

Gender influences psychoanalysis and psychotherapy in a variety of ways. This article discusses these with reference to the woman therapist and analyst. Choice of therapist is influenced by realistic, transferential, and stereotyped ideas such as (1), wishes for a role model, (2) unconscious fantasies for a better mother, and (3) ideas that women are more nuturent.

On supervising the pregnant psychoanalytic candidate.

The role of the psychoanalytic supervisor is complicated when the psychoanalytic candidate is pregnant. Pregnancy is a special event that brings a unique set of opportunities, as well as problems, into the analysis, though in the past, it was usually regarded only as an impediment. The goal of this paper is to help the supervisor of the pregnant candidate to seize the opportunities and mitigate the problems.

Boundaries in the doctor-patient relationship.

Boundaries in the doctor-patient relationship is an important concept to help health professionals navigate the complex and sometimes difficult experience between patient and doctor where intimacy and power must be balanced in the direction of benefiting patients. This paper reviews the concept of boundary violations and boundary crossings in the doctor-patient relationship, cautions about certain kinds of boundary dilemmas involving dual relationships, gift giving practices, physical contact with patients, and self-disclosure. The paper closes with some recommendations for preventing boundary violations.