Physician-patient racial concordance and newborn mortality.

The racial gap in infant mortality is a pressing public-health concern, and [B. N. Greenwood et al.

Clinical Life in the Context of the Pandemic.

In this article, six analysts describe theory and practice in the time of COVID-19, examining the quality of après-coup in the way that the pandemic and its attendant crises trigger early memory and early experiences of helplessness. In the clinical events we see that the age of the patient, the circumstances and approach of the analyst, the novelty of the frame are all crucial determinants of clinical outcomes.

Bound Together: How Psychoanalysis Diminishes Inter-generational DNA Trauma.

The concept of intergenerational transmission of trauma plays a fundamental role in psychoanalysis. While it is known that intergenerational trauma can be transmitted through attachment relationships, a new branch of genetics (epigenetics) has emerged to study the interaction between human behavior and changes in DNA expression. Therefore, psychoanalysis, which has proven to reduce the intergenerational transmission of trauma from a behavioral perspective, can play a positive role in regulating DNA changes caused by environmental stress.

Biased Competition Favoring Physical Over Emotional Pain: A Possible Explanation for the Link Between Early Adversity and Chronic Pain.

Background: Early adversity predisposes to chronic pain, but a mechanistic explanation is lacking. Survivors of early adversity with chronic pain often seem impaired in their ability to be aware of, understand, and express distressing emotions such as anger and fear in social contexts. In this context, it has been proposed that pain may at times serve as a "psychic regulator" by preventing awareness of more intolerable emotions.

The obesity epidemic and the rise and fall of public health.

"They don't understand how this could happen. I tell them that they have crushed their knees under their own weight."

Wrestling with matter: origins of intersubjectivity.

Recent theories of intersubjectivity attach primacy to the creation of meaning between subjects, obscuring the role of the material world to which both Freud and Winnicott attached significance. Yet, as this article argues, intersubjectivity itself is predicated upon a transitional space between subjective creation and material life. After considering Winnicott's conceptions of psychesoma and transitionality, the author examines the developmental literature for precursors in the encounter with matter that set the stage for the emergence both of symbolic life and of an embodied "transitional subject" to come into being.

Interpersonal psychoanalysis' radical façade.

The participant-observation model initiated the relational turn, as well as the shift from modernism to postmodernism in psychoanalysis. This two-person, coparticipant conceptualization of the psychoanalytic situation moved psychoanalysis from the realm of alleged objective science toward intersubjectivity and hermeneutics. From this perspective, the analyst as subjective other is constantly engaged affectively with the patient in ways that are very often out of awareness.

A witness breaks his silence: the meaning of a therapist's response to an adolescent's self-destruction.

I describe the case of a self-mutilating adolescent girl and my dilemma, as her therapist, about telling her parents about her self-abuse. I use two complementary, mutually enhancing relational theories of trauma--Ferenczi's (1933) and Davies and Frawley's (1994)--to help understand the minefield I was in. Davies and Frawley describe certain relational configurations that are typical of trauma victims.

Injury litigation and liability insurance dynamics.

Prices for some lines of liability insurance have increased sharply in recent years, even while the real amount of coverage provided has declined. What accounts for these changes? The large financial inertia inherent in the insurance business, forecasting errors repeated across the industry, and herd-like reactions among many insurers have made the market adjustments exceptionally abrupt. But the most likely underlying cause for the current crisis in liability insurance is the inexorable expansion in liability law.