Mentalization, insightfulness, and therapeutic action: The importance of mental organization

Sugarman, Alan

doi:10.1516/6dgh-0kjt-pa40-rex9

Cited by 64 publications

(75 citation statements)

References 50 publications

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“…En los TCA, este cuadro surgiría en la infancia a modo de protesta, desesperanza y aislamiento ante la privación de la fi gura materna, o como una defensa contra una madre no disponible durante la fase de separación-individuación. De este modo, las pacientes poseen una mayor vulnerabilidad, por un lado a experiencias de separación, depresión, pérdida y desamparo, y por otro, a la difusión de los límites del self, todos ellos aspectos predisponentes a TCA 18 .…”

Section: Teoría Del Apego Y Trastornos De La Conducta Alimentariaunclassified

Perspectiva evolucionista de los trastornos de la conducta alimentaria

A¹

2012

Rev. méd. Chile

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Evolutionary theory has contributed with physiological, psychological and behavioral explanations to the comprehension and treatment of eating disorders (ED). The aim of this review is to analyze the relationship between ED and the attachment theory and natural selection based hypotheses (famine fl ight, reproductive suppression and intrasexual competition. Entre las diversas aproximaciones que han contribuido a la comprensión de estas patologías, la teoría evolucionista aporta una síntesis de explicaciones fi siológicas, psicológicas y conductuales que han permitido enriquecer su abordaje fenomenológico-clínico y terapéutico 2 , distinguiendo entre la causalidad próxima -suma de todos los procesos biológicos (bioquímicos, fi siológicos, etc.) y psicológicos que directamente producen el fenómeno-; y remota -el alcance de la participación de un rasgo o sistema de la aptitud reproductiva de un organismo en su medio ambiente natural (ancestral) 3 . El objetivo de este trabajo es describir los postulados evolucionaríos que se han aplicado a los TCA, desde la precursora teoría del apego planteada por Bowlby, reforzada por las experiencias de Harlow y Sptiz, hasta las clásicas hipótesis darwinianas basadas en el fenómeno de la selección natural: de la huída de la hambruna, relacionada principalmente con aspectos fi siopatológicos; de la supresión reproductiva referida a la dinámica familiar y de la competencia intrasexual concerniente a la perspectiva psicosocial de estas patologías. Con esta fi nalidad, se efectuó una búsqueda de evidencia sobre el tema en publicaciones, tanto en idioma inglés como español, de artículos originales, de revisión y de presentación de casuística, entre 1859 y 2010, en textos especializados y en las bases de datos Medline/PubMed, utilizando palabras claves como eating disorders, anorexia nervosa, bulimia nervosa, evolutionary, darwinian, attachment.

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Section: Teoría Del Apego Y Trastornos De La Conducta Alimentariaunclassified

Perspectiva evolucionista de los trastornos de la conducta alimentaria

A¹

2012

Rev. méd. Chile

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“…When the patient experiences the analyst as a new object who does not set off the old automatic emotional control procedures, the old emotional procedures can be replaced by a new set of more adaptive emotional procedures (Stern et al 1998). Change (Sugarman 2006) may thus occur without insight, yet, subsequent comprehension of the relational procedures could consolidate the change "top-down" by consciously processed information. Thus, the therapeutic process involves transforming implicit into explicit emotion representations.…”

Section: Models Of Emotions In Psychodynamic Theory: Implicit Explicmentioning

confidence: 99%

Affective Change in Psychodynamic Psychotherapy: Theoretical Models and Clinical Approaches to Changing Emotions

Subič-Wrana

Greenberg

Lane

et al. 2016

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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“…The chief mechanism of change in this model is insight into the historical circumstances and the current manifestations of those events that have led the patient to repress, distort, project, or act out drive-related wishes and ideas. The patient identifies with and internalizes the analyst's reflective and interpretive attitude, allowing the patient to respond to conflict and difficulty through self-understanding that lessens the impact of early, drive related experiences (Strachey, 1926;Loewald, 1960;Sugarman, 2006).…”

Section: Guiding Conception With Research and Clinical Experience Supmentioning

confidence: 99%

Getting into the ACT with Psychoanalytic Therapy: The Case of "Daniel"

Cohen¹

2016

PCSP

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Daniel is a 44-year-old Caucasian male who has struggled with chronic depression and extreme sensitivity to feeling judged and criticized. I have seen him for more than ten years in psychoanalytic therapy. While he made significant progress in understanding the childhood determinants of his difficulties and achieved some symptom improvement, Daniel continued to struggle with observing and tolerating his feelings. This case study demonstrates how my decision to integrate techniques from Acceptance and Commitment Therapy (ACT; Hayes, 2005), a contemporary form of cognitive behavioral therapy, broke an impasse in the treatment, allowed the patient to resolve outstanding difficulties, and helped him move towards termination. The case report discusses the challenges of integrating ACT into psychoanalytic work, as well as ways that a psychoanalytic understanding of Daniel's resistance to ACT techniques made that treatment effective.

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Mentalization, insightfulness, and therapeutic action: The importance of mental organization

Cited by 64 publications

References 50 publications

Perspectiva evolucionista de los trastornos de la conducta alimentaria

Perspectiva evolucionista de los trastornos de la conducta alimentaria

Affective Change in Psychodynamic Psychotherapy: Theoretical Models and Clinical Approaches to Changing Emotions

Getting into the ACT with Psychoanalytic Therapy: The Case of "Daniel"

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