Therapist self-disclosure in teletherapy early in the COVID-19 pandemic: Associations with real relationship and traumatic distress.

The usefulness of therapists' self-disclosure (TSD) in psychotherapy remains controversial, and little is known regarding the potential risks and benefits of TSD in times of global crisis such as the COVID-19 pandemic and in teletherapy. We examined two independent samples of therapists (N = 1705; Study 1) and patients (N = 772; Study 2) on their perceptions of increases in TSD during the transition to teletherapy early in the COVID-19 pandemic (spring 2020). Approximately 20% of therapists and 14% of patients reported perceptions of definite increases in TSD.

Transference.

The article presents a view of transference from the early versions of transference by Classical/Structural analysts, through a variety of analytic positions that extend and implicitly question the concept of transference. After looking at Brenner and Bird's transference positions, we trace the beginning of relational analysis as articulated by Gill. The differences among several subsequent relational positions are then explicated.

Adjusting to a new reality: Consensual qualitative research on therapists' experiences with teletherapy.

Objective: In the wake of the COVID-19 pandemic, the use of teletherapy has become more pervasive than ever. Many therapists faced this move to a remote setting with little experience or training. We aimed to qualitatively examine therapists' subjective experience of providing teletherapy, including changes in technique, the therapeutic relationship, and the therapeutic process.

Psychotherapists' acceptance of telepsychotherapy during the COVID-19 pandemic: A machine learning approach.

Objective: This study aimed to develop predictive models of three aspects of psychotherapists' acceptance of telepsychotherapy (TPT) during the COVID-19 pandemic, attitudes towards TPT technology, concerns about using TPT technology and intention to use TPT technology in the future.

Method: Therapists (n = 795) responded to a survey about their TPT experiences during the pandemic, including quality of the therapeutic relationship, professional self-doubt, vicarious trauma and TPT acceptance. Regression decision tree machine learning analyses were used to build prediction models for each of three aspects of TPT acceptance in a training subset of the data and subsequently tested in the remaining subset of the total sample.

Sex, subtext, text: Freud, Dora and the suggestive text.

The intertextual analysis of illuminates an aspect of the cultural matrix that informed Freud's theory-building. Specifically, the trope of the suggestive text, a literal and symbolic agent of transgressive influence, signals an intertextual relationship between the case history and a vein of literary fiction that includes novels by some of Freud's favourite authors: Cervantes (), Flaubert () and Zola (). It is posited that the suggestive text in acts both as an literal agent of dangerous suggestion, and as a figurative symbol of the occult literary influence that intrudes upon the text, impacting Freud's formulation of his subject; his documentation of her case; and his ensuing conceptualization of the transference.

Mind as text: Freud's "typographical" model of the mind.

All publications in Freud's fin de siècle society were subject to strict governmental censorship specifically tasked with distinguishing "real" academic scholarship from subversive "fictions" masquerading as such. Cures that relied on suggestion also became a target of mistrust. This contextualization, alongside the examination of Freud's literary references and a variety of other literary texts, encourages the conjecture that realistic concerns over the risks of censorship and obscenity charges informed a proto-model of the topographical model, in which Freud conceptualized the mind as a subversive "manuscript" that must undergo "censorship" before it can be "published": a "typographical" model of the mind.

Embodying disillusionment: Poussin's blinded giants.

Extending the traditional view of the giant of ancient myth as the personification of the father, the giant also affords the metaphorical elaboration of infantile fantasies of grandiosity derived from identification with the omnipotent parent. Conversely, the fallen and typically blinded giant embodies : with the idealised parental imago, and also with one's own illusions of omnipotence. Nicolas Poussin's successive aesthetic interpretations of the giants of Greek legend highlight the symbolic dialectics of size, and offer a window onto the illusions and disillusionments that are intrinsic to generational succession, and accompany the confrontation of various realities-of dependency, vulnerability, maturation, achievement, aging, loss and death.

Trauma-Focused Psychodynamic Psychotherapy.

The authors describe a psychodynamic psychotherapeutic approach to posttraumatic stress disorder (PTSD), trauma-focused psychodynamic psychotherapy. This psychotherapy addresses disruptions in narrative coherence and affective dysregulation by exploring the psychological meanings of symptoms and their relation to traumatic events. The therapist works to identify intrapsychic conflicts, intense negative affects, and defense mechanisms related to the PTSD syndrome using a psychodynamic formulation that provides a framework for intervention.

THE ANALYST'S RELOCATION: ANALYSIS TERMINABLE, INTERMINABLE, AND DISLOCATED.

The analyst's relocation is relatively neglected in the literature. Yet relocation is profoundly unsettling, striking at the psychoanalytic contract in a way that illness or even severe countertransference disturbances do not, and this unsettling aspect of resettling can disturb analytic functioning. The few previous papers about relocation focus on how to best understand and manage "reality" intrusions in terms of the nature and status of the transference relationship.

The Growing Regulation of Conversion Therapy.

Conversion therapies are any treatments, including individual talk therapy, behavioral (e.g. aversive stimuli), group therapy or milieu (e.

THE PAST IS IN THE PRESENT: READING THE WORK OF EDNA O'SHAUGHNESSY.

Inquiries in Psychoanalysis: Collected Papers of Edna O'Shaughnessy. By Edna O'Shaughnessy; edited by Richard Rusbridger. London/New York: Routledge, 2014.

The blossoms of loss: Ovid's floral metamorphoses and Poussin's realm of flora.

Alluring and fertile, the flower connotes a locus of desire. The floral metamorphic myths narrated in Ovid's Metamorphoses (AD 8a) thematize the price of desire--the shame, grief, and rage of rejection and rivalrous defeat--and symbolize the generative transformation that frustrated desire and competitive loss can promote. In the deceptively beautiful painting Realm of Flora of 1631, Nicolas Poussin enlists these myths as allegories of his own great creative leap, an aesthetic metamorphosis that followed shattering defeats.

Aggression and impulse control in the analysis of a young boy.

The analysis of a young boy with aggressive, impulsive problems is reported with an emphasis on technique. The step-by-step analytic work is reported to highlight the gradual emergence of the underlying function, determinants, and developmental context for such difficulties, which helped guide the analytic work. An important focus is on the analyst as a developmental as well as transference object, the use of nonverbal communication until interpretation could be tolerated, and the ways to facilitate the development of reflective function.

Psychoanalytic lexicography: notes from two "harmless drudges".

The co-Editors in Chief of the American Psychoanalytic Association's new edition of Psychoanalytic Terms and Concepts (previously edited by Moore and Fine and last revised in 1990) recount their lexicographical adventures. Editing a dictionary at the turn of the twenty-first century is a daunting, some might say foolhardy, undertaking. The most obvious challenge faced by the editors was the growing pluralism within psychoanalysis.

Psychoanalytic reflections through the prism of September 11, 2001.

An important area for psychoanalytic study is the significance for intrapsychic life of important events taking place in the community of which analyst and analysand are a part. September 11, 2001 provides a vantage point for examination of questions that arise from looking at the interrelationship between current environment and intrapsychic life. Two cases are presented as a focus for discussing the interaction of the memorialized past and occurrences in present reality, the significance for an analysis of analyst and patient sharing the same experience, instigations to progress that a current event may provide and the ways in which communal experience influences intrapsychic life.

The story of Sam: continuities and discontinuities in development, transforming into and out of a perversion.

The aim of this paper is to suggest new ways of understanding development that offer new therapeutic possibilities. I use observational and interview data showing the development of one research subject over forty years to highlight that the concepts of continuity and discontinuity need to be considered together to grasp the full complexity of psychological development. In the subject an unanticipated transformation occurs at age 14, the emergence of a perversion, whichfades by age 28.

Freud, transference, and therapeutic action.

The author traces the development of Freud's conception of the nature and significance of transference in the psychoanalytic process. He notes that from 1910 onward, Freud was convinced that the analysis of the transference is the sole factor involved in the therapeutic action of psychoanalytic treatment, despite the fact that, late in his career, he observed and described the power of reconstruction to be effective as well. The author agrees with those analysts who contend that, while the analysis of the transference is essential to proper analytic technique, it is not the only agent of therapeutic impact.

Romantic fantasies of madness and objections to psychotropic medication.

Many patients object to, and often refuse, psychotropic medications. The exploration-a "defense analysis"-of their objections brings attention to ubiquitous fantasies of madness, which may be feared and concealed as a source of shame, destruction, and loss, and also cherished and revered as a source of power, inspiration, and mystery. They are commonly illuminated when the prospect of taking medication threatens to expose, confirm, and defuse the fantasized hidden or latent madness.