, underlined.

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).

Sure It Works in Practice, but Does It Work in Theory? Appreciating Fred Pine.

Fred Pine is a major contributor to contemporary Freudian analytic work. He expanded the of clinical psychoanalysis by showing how the analyst could integrate ever expanding perspectives in analysis, and he expanded its through greater insight into how development affects psychic structure and, thereby, the context within which unconscious conflict and compromise is experienced and processed. Both of these-his expansion of potential variables implicated in the process of dynamic conflict and his developmental focus on structural deficit-have led to a way of Freudian thinking that is highly assimilative and integrative.

The Efficacy of Two Group Interventions on Mental Representations, Attachment Security, and Trauma Symptoms in Ethnically and Socioeconomically Minoritized Young Adolescents in an Urban Middle School.

Symptoms resulting from childhood trauma can negatively impact socioemotional well-being and school performance during early adolescence unless positive changes in attachment security and mental representations of significant relationships occur. A sample of 109 eighth grade urban students were randomly assigned to one of two weekly, one-hour, school-based group interventions-Storytelling/Story-Acting for Adolescents (STSA-A) or Mentalization-Based Treatment Group Intervention (MBT-G). The Object Relations Inventory (ORI), Adolescent Attachment Questionnaire (AAQ) and Child PSTD Stress Scale (CPSS) were administered to students and their primary group leaders at the beginning (October) and end (May) of the intervention protocol as outcome variables.

Maternal envy as legacy: Search for the unknown lost maternal object.

The impact of intergenerational transmissions of trauma and the dissociative states of mind that cross from parents to their children has become an important expansion of psychoanalytic theory. Clinical material will be discussed showing how an early death of a mother haunted the lives of many generations of mothers and daughters. Considerations of attachment rupture, trauma, envy, deadly and deadening aggression and shame are discussed as part of transgenerational transmission phenomena and how they are worked on in the analytic relationship.

Managing Countertransference in the Treatment of Personality Disorders.

The clinical and technical difficulties presented by patients with personality disorders are well documented. This article focuses on the challenges faced by therapists when managing their emotional reactions, that is, their countertransferences, to patients with personality disorders. While leaving room for therapists' unique and idiosyncratic countertransferences to the patient with personality pathology, Kernberg emphasized the role of a more general form of countertransference, one reflective largely of the patient's conflicts and defenses, in the treatments of personality disordered individuals.

The analyst's listening: for, to, with.

Analytic approaches to listening have favored something that is more akin to vision, consequently shaping the technique, aims and understandings of psychoanalysis in terms of the production of understandings and meanings. The aural aspects of listening have mostly been subsumed under this emphasis on the visual. Two models of analytic listening based in the visual are initially presented, listening-for, and listening-to.

Creative repetition.

Freud understood repetition, on the one hand, as something 'daemonic' and conservative that could compulsively drive us back, as in the cases of traumatic neurosis or what we would today call post-traumatic stress disorder. Yet, on the other hand, he also grasped the pleasure of repetition such as that found in children's jokes, rhymes, and stories or in his grandson's invented game of Fort/Da through which the child achieves mastery of his experience of his mother's leaving and grows as an individual. Using a process-oriented approach, this paper explores this latter form of repetition and the possibility of different outcomes for the resolution of repetition other than symbolic thought.

Psychotropic medication in children and adolescents in the United States in the year 2004 vs 2014.

Background: There is a global perception that psychotropic utilization in children and adolescents is increasing in the US.

Methods: We present prevalent estimates for all psychotropics prescribed in the US (using commercial claims from Medicare and Medicaid) to children and adolescents in 2004 (total population N = 6,808,453) and in 2014 (total population N = 11,082.260).

Combination of Triple Therapy and Chronic PPI Use May Decrease Risk of Colonic Adenomatous Polyps in Helicobacter pylori Infection.

Aim. The aim of the paper is to determine association between H. pylori and colonic adenomatous polyps and to explore whether treatment or chronic PPI use can mitigate this risk.

Repressed ghosts and dissociated vampires in the enacted dimension of psychoanalytic treatment.

One of the most evocative uses of the metaphor of a ghost in psychoanalytic writing was crafted by Hans Loewald in "On the Therapeutic Action of Psycho-Analysis" (1960). In this seminal work, Loewald likened the process of psychoanalytic change to that of transforming psychic ghosts into ancestors. In the present paper, the author supplements the metaphor of ghosts that haunt with the metaphor of vampires that menace, and links these two alien experiences to two psychological processes: repression and dissociation.

Introduction: clinicians respond to their clients' technology.

The contributors to this special issue of The Journal of Clinical Psychology: In Session have given us a wide range of ideas about technology use among children and adolescents, illustrated with rich clinical material. Of the many interesting issues they raise, I briefly discuss four that are particularly salient: the interaction of technology with personality and development; the concept of Internet addiction; the importance of adult guidance and limit setting; and technology and clinical creativity. Taken as a whole, these papers suggest that while technology can certainly contribute to and help create pathology, it can also contribute to growth, and that in either case technology interacts with fundamental human needs and developmental processes.

Narcissism and sadomasochistic relationships.

People with narcissistic vulnerabilities often relate to others sadomasochistically-either exerting power, or submitting to others, or both-in order to manage their vulnerabilities and protect themselves from feelings of abandonment. Sadomasochistic experience often involves concrete thinking and limited playfulness or ability to use metaphor. In therapy, these difficulties are often actualized in the patient-therapist relationship so that usual verbal interpretations may be of limited value, and the therapist needs to work to maintain a mutually respectful relationship even as the patient tries to draw him/her into sadomasochistic interactions.

Review of Margaret Mahler: A biography of the psychoanalyst.

Reviews the book, Margaret Mahler: A biography of the psychoanalyst by Alma Halbert Bond (see record 2008-07778-000). This psychobiography tells an evocative tale of the late Margaret Mahler's embattled, difficult, yet highly productive life. Mahler was a developmental researcher and a psychoanalyst.

The upward slope: a study of psychoanalytic transformations.

In an examination of twelve audiotaped psychoanalytic sessions, the authors, using both quantitative and qualitative methods, observed a stepwise progression in mental organization, which they term the upward slope. Its constituents include a phase of regression (desymbolization and the agony of equivalence), a phase of transition (disruptive enactment leading to transitional space), and a phase of reorganization (triangulation leading to symbolic synthesis). The hypothesis of a phase-specific progression is advanced, wherein different forms of mental functioning evoke distinct dynamic processes of psychic repair The authors present detailed clinical summaries of the sessions they examined, as well as their own observational comments, to illustrate these ideas.

Theorizing about theorizing: an examination of the contributions of William I. Grossman to psychoanalysis.

William Grossman's contributions to psychoanalysis are studied in the light of an interest that suffuses his papers: the remarkably complex ways an analyst develops his or her mind in order to become an effective analyst. Grossman sought to detail the many subtle factors infusing Freudian theory, from its initial sources to its consolidation as a system, to its embrace in the mind of an analyst who will use it, and on to the many iterations of its progress on the way to being applied in the clinical situation. This progression assumes a recognition of the analyst's need to be at once both experiencer and observer.

Becoming really old: the indignities.

This essay deals with an unpopular topic: the indignities that increasingly plague people as they grow older and eventually become really old. Individual differences and the causes for same are indicated, as well as the variety of individual reactions. A brief clinical vignette is presented, in addition to a more extended one describing a woman who was in analysis for six years during her fifties and sixties, and who returned to treatment twenty years later at the age of eighty-three.