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Mentalizing the Clinical High-Risk for Psychosis Model: A Staged Intervention Framework.
Psychodyn Psychiatry
December 2024
Division of Child and Adolescent Psychiatry, Department of Psychiatry, University Hospital of Lausanne and University of Lausanne, Lausanne, Switzerland.
This article seeks to further specify how the mentalization-based approach may inform clinical intervention before the onset of psychosis, that is, during the stage of clinical high-risk for psychosis (CHR-P). We first review the concept of CHR-P, as well as the research evidence of the impact of early intervention. Next, we present evidence for the centrality of mentalizing as a process that may mitigate the risk for psychosis.
View Article and Find Full Text PDFThe Clinical Utility of the Level of Personality Functioning Scale: A Treatment Perspective.
J Psychiatr Pract
November 2024
Computer Science and Engineering Division, University of Michigan, Ann Arbor, MI.
Article Synopsis
- The Level of Personality Functioning Scale (LPFS) in DSM-5 assesses personalities along a continuum from optimal to severely impaired functioning, focusing on self- and interpersonal capacities.
- The LPFS serves as a clinical tool to guide treatment across various methods and orientations, helping to set goals and inform interventions.
- The article encourages clinicians to utilize the LPFS in practice, highlighting its potential to enhance understanding of patients' needs and tailor effective treatment approaches.
Psychoanalytic object relations theory revised: Affect systems and the notion of drives.
Int J Psychoanal
October 2024
Department of Psychiatry, Weill Cornell Medical College, New York, USA.
This paper explores the concept of drives as basic motivational neurobiological structures determining the organization of psychic life. I express my agreement with Mark Solms' radical reformulation of the general principles organizing human behaviour at the neurobiological and psychodynamic levels, his combination of Friston's computational information theory and Panksepp's affect systems. I agree with him that the affect systems described by Panksepp constitute the primary drives and that the conflicts between affect systems are the origin of unconscious intrapsychic conflict.
View Article and Find Full Text PDF, underlined.
Int J Psychoanal
October 2024
Training Analyst and Faculty, Institute for Psychoanalytic Training and Research (IPTAR), New York, USA.
This essay takes its point of departure from Mark Solms' contention that Freud's neurological thinking informs his work throughout, and that the RSE renders this more thoroughly than the SE. Starting from this contention I examine and compare the RSE and the SE on the question Freud's theorization of difference from his neurological writings onward. I pay special attention to the subtle distinction in the original German of Freud's uses of (difference between) and Differenz (difference).
View Article and Find Full Text PDFObjective: The evolving life story is integral to personality, and motivational themes are central features of the life story. Personality implies individual differences that are relatively stable over time, but still allow for developmental processes. This study explored both long-term stability and developmental change in thematic content of the life story.
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