Courage requires us to persist and persevere despite fear. We make choices everyday-some are courageous, and some are not courageous at all. This dimension of psychoanalytic work is significant, yet relatively neglected in the psychoanalytic literature. Maintaining a courageous stance as an analyst can be challenging and threatening. Often, the therapist faces deeply rooted fears about abandonment, envy, competition, anger, or other forms of intense emotional arousal. This requires us to confront ourselves but also, at times, confront our patient's behaviors. It is crucial to think and act independently, and deal with their disapproval and opposition, despite the risks challenging patients present. Ultimately, we need to manage our vulnerable feelings while remaining authentic, rather than hiding behind an overly clinical stance. The author presents two patients who required and inspired the courage to face her own anxieties, ultimately contributing to the treatments' progress.
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http://dx.doi.org/10.1057/s11231-023-09392-z | DOI Listing |
Am J Psychoanal
March 2023
, Sea Cliff, USA.
Courage requires us to persist and persevere despite fear. We make choices everyday-some are courageous, and some are not courageous at all. This dimension of psychoanalytic work is significant, yet relatively neglected in the psychoanalytic literature.
View Article and Find Full Text PDFJ Am Board Fam Med
December 2022
From Chair Emeritus, Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA; Professor of Family Medicine, University of South Florida Morsani School of Medicine, Tampa, FL (WLM).
For 2 years, the Larry A. Green Center conducted weekly to monthly surveys among a national sample of primary medical care practices on how they were faring during the on-going COVID-19 pandemic in the United States. As both a family physician and as one of the analysts of these surveys and the thousands of detailed comments accompanying them, I witnessed a courageous, professional, and deeply distressing saga.
View Article and Find Full Text PDFIn addressing the central challenges of developing and maintaining the analyst's psychoanalytic mindedness, this paper focuses on two particularly challenging core components of clinical effectiveness not so easily developed despite the rigors of the tripartite training model. The first is the analyst's receptivity to unconscious communication, which entails the analyst's curiosity, acceptance of human nature, doubt, restraint, narcissistic balance, and integrity. A brief clinical vignette illustrates this.
View Article and Find Full Text PDFAcad Med
September 2015
J.P. Gold is chancellor, University of Nebraska Medical Center, vice president, University of Nebraska System, and chair, Board of Directors of Nebraska Medicine, Omaha, Nebraska. J.P. Stimpson is associate professor, Department of Health Services Research and Administration, College of Public Health, director, University of Nebraska Medical Center (UNMC) Center for Health Policy, and senior policy analyst, Government Affairs, Office of the Vice-Chancellor for External Affairs, UNMC, Omaha, Nebraska. K.J. Caverzagie is associate professor, Department of Internal Medicine, and associate dean for educational strategy, College of Medicine, University of Nebraska Medical Center, and vice president for education of Nebraska Medicine, Omaha, Nebraska.
Funding for graduate medical education (GME) and undergraduate medical education (UME) in the United States is being debated and challenged at the national and state levels as policy makers and educators question whether the multibillion dollar investment in medical education is succeeding in meeting the nation's health care needs. To address these concerns, the authors propose a novel all-payer system for GME and UME funding that equitably distributes medical education costs among all stakeholders, including those who benefit most from medical education. Through a "Medical Education Workforce (MEW) trust fund," indirect and direct GME dollars would be replaced with a funds-flow mechanism using fees paid for services by all payers (Medicaid, Medicare, private insurers, others) while providing direct compensation to physicians and institutions that actively engage medical learners in providing clinical care.
View Article and Find Full Text PDFPart I of this paper combined an introduction to Norman Reider's original 1955 paper with a republication of the paper itself. Part II is a discussion of the complexities of a comparison of past and present psychoanalytic literature. The concept of enactment is proposed as one of many possible alternative views in considering Reider's notion of spontaneous "cures.
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