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Knowledge Is Invented: Addressing Invention and the Art of Saying in the Psychoanalytic Field

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Philosophy Study 2024年第3期14卷 97-105页

作者： Ana Lúcia Mandelli de Marsillac Universidade Federal de Santa Catarina FlorianópolisBrasil

In the Freudian-Lacanian field,there is an important distinction between knowledge and truth.The truth,of an unconscious nature,is something that inhabits us,directs us,but that escapes us.Knowledge,in turn,is something to be invented,from the hole of the Real,the Unconscious truth,and the subjective experience.The relationships between playing,creating,and fantasizing;the dimension of the uncanny,fiction,and imagination in subjectivity;the invention of knowledge of oneself,derived from the pains and flavors of being who one is,are creative dimensions that inhabit the subject,permeate the analytical act,and transversalize psychoanalysis.In the practice,we listen to and witness processes of analysis that awaken an invention/reinvention of oneself,in the process of remembering,repeating,and elaborating,but also in what the transference relationship summons.Knowledge of oneself,does not guarantee a life without mishaps,sadness,and illusions,but allows the invention and recognition of knowledge and a style.The concept of Sinthome(2007),coined by Jacques Lacan,comes in the wake of the processes of self-invention and is a knowing-doing with the symptom,with the paradoxes of joyful suffering,producing,as a result,an art of saying.Therefore,in this communication,I will articulate elements of theory,practice,and psychoanalytic experience that allow us to expand knowledge of the themes of invention and imagination articulated with the concept of sinthome,their relationships with subjectivity,and the direction of psychoanalytic treatment.

关键词： psychoanalysis invention imagination knowledge sinthome

Affect regulation in psychoanalytic treatments of patients with a borderline personality disorder–psychoanalysis and psychodynamic psychotherapy–a comparison

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World Journal of Psychiatry 2021年第12期11卷 1328-1345页

作者： Dagmar Steinmair Guoruey Wong Sophie Frantal Christine Rohm Henriette Löffler-Stastka Department of psychoanalysis and Psychotherapy Medical University of ViennaWien 1090Austria Karl Landsteiner University of Health Sciences Dr.Karl-Dorrek-Straße 30Krems 3500Austria Department of Ophtalmology University Hospital St.PöltenSt.Pölten 3100Austria Facultéde Médecine Universitéde MontréalMontréal H3C 3J7QuébecCanada

BACKGROUND A recent meta-analysis has confirmed that the effects of psychotherapy on patients with borderline personality disorders(BPD)are still insufficiently understood.Evidence of differences between different types of therapies has been questioned.AIM To study repetitive interaction patterns in patients with BPD undergoing either psychoanalysis or psychodynamic therapy.METHODS psychoanalysis(PSA)or psychodynamic psychotherapy(PDT)was administered to 10 patients each,the two groups were matched.Therapy regimens were applied according to care as usual/manualized including quality control and supervision as usual.Randomization to one of the groups was done after baseline assessment.During classical PSA(n=10)and PDT(n=10),semiannually,recordings(audio or video)of five consecutive therapy sessions were taken over three years for an ex-post analysis.The patients'characteristics,such as affect parameters[Affect regulation and experience Q-sort(AREQ)],quality of object relations(quality of object relations scale)and personality traits[Shedler-Westen Assessment Procedure(SWAP-200)]were analyzed retrospectively by independent raters.Therapeutic action(psychotherapy process Q-sort)and affective(re)actions of the patients(AREQ)were then analyzed in relation to changes found in the patients'characteristics.RESULTS During the first year of therapy(PSA:n=10;PDT:n=9),the therapeutic method PSA was associated with significant improvements in the variable"SWAP Borderline",while in PDT change was not significantly different to baseline(PSA:P=0.04;PDT:P=0.33).Long-term results and follow up was available for seven participants in PSA and for five in PDT after three years;change in SWAP borderline for the whole sample was not significant at this time point when confronting to baseline(P=0.545).However,differences between PSA and PDT were significant when analyzing the“mean change”in the SWAP Borderline variable after one year of therapy(P=0.024):PSA led to slightly increased BPD symptoms,while PDT to a decrease;for the long run,

关键词： psychoanalysis Psychodynamic psychotherapy Borderline personality disorder Affect regulation Affect regulation and experience Q-sort Transference

Traumatic Insistence:Reflections on the Concept of Negative in psychoanalysis

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Journal of Philosophy Study 2023年第6期13卷 252-259页

作者： Ana Lúcia Mandelli de Marsillac Anelise Hauschild Mondardo Universidade Federal de Santa Catarina FlorianópolisBrasil Universidade Nova de Lisboa LisboaPortugal

The so-called non-neurotic pathologies have been widely studied,as they require clinical intervention different from the analytic process for cases of neurosis.This proposal focuses on the neurotic and psychotic structures with the concept of negative as an operator for metapsychological and clinical debate.The negative may be associated with the neurotic structure with respect to the establishment of repression,the action of defenses in distinguishing psychic systems,and the overbearing presence of word-presentations.In this structural dimension,free association and analytic interpretation operate by means of the cut,the negative and the excess libido found in symptomatic and traumatic insistence.Regarding the psychotic structure,the foreclosure of the paternal function does not inscribe a negative,causing the subject to be adrift in language,their unconscious out in the open air.In this sense,analytic intervention acts on the traumatic insistence of language,playing the role of secretary to the psychotic(Lacan,1955-56),helping them to weave ties and produce negatives before the invasive Other.Much research has focused on investigating the reverberation of trauma on psychic life as well as the unconscious content bordering on the drive-more specifically,the death drive and the idea of an excess.This communication proposal seeks in the concept of negative theoretical and technical elements to problematize these issues.For such,it analyzes the contributions of Freud,Lacan,and Green to the proposition that this concept can be considered an operator of metapsychological and technical reflection in traumatic insistence.

关键词： the negative traumatic insistence psychoanalysis metapsychology

The Imago of Revolution psychoanalysis and Class Consciousness An Introduction to psychoanalysis and Class Consciousness （...and Some Extracts from the Dialectics Money/Death Drive）

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Fudan Journal of the Humanities and Social Sciences 2017年第4期10卷 485-508页

作者： Alessia J. Magliacane Centre Georg Simmel Ecole des Hautes Etudes en Sciences Sociales de Paris Paris France

For the purpose of the investigations, we propose in the present paper that we have been carrying out for some years into new perspectives for a Marxist psychoanalysis; we try the consistence of Marxist psychoanalysis with the pre-Leninist idea of Class consciousness as developed in Economic and Philosophic Manuscripts of 1844 and in the unpublished books of Das Kapital (notably the law of the tendency of the rate of profit to fall). The roots of Freudian Marxists (Reich and Fenichel above all, but Sabina Spielrein too) are put into a comparative analysis with Marxian psychiatry arising from the de-colonization process (Fanon) and with the teaching of Jacques Lacan about Marxist concepts such as plus value and reification, and eventually with the proposal on the political Unconscious developed by Fredric Jameson. Finally, it comes the hypothesis that psychoanalysis could correspond to Class consciousness.

关键词： Class consciousness psychoanalysis Political Unconscious Fantasy of destruction Drive to amass wealth Surplus-enjoyment Revolution Marx and Lacan

psychoanalysis and Symbolism——on Nathaniel Hawthorne’s Young Goodman Brown

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郧阳师范高等专科学校学报 1997年第4期17卷 71-76,3页

作者：陈梅

Nathaniel Hawthorne,a 19th-century American writer of novels and short stories,is considered an important representative of Puritanism;symbolism and romanticismin American literature.He was imbued with an inquiring imagination,a meditativemind,and an unceasing interest in the ambiguity of man’s being.He was interestedin the lonely and dark side of man,and in the man’s need to look into his own soul.Throughout his 1ife,he wrote many works which espoused the complexities and senseof guilt of the human being.On first perusal of his tales and romances,one

关键词： Nathaniel Hawthorne psychoanalysis symbolism original sin despair abyss

Personalized treatment-which interaction ingredients should be focused to capture the unconscious

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World Journal of Clinical Cases 2022年第7期10卷 2053-2062页

作者： Dagmar Steinmair Henriette Löffler-Stastka Department of psychoanalysis and Psychotherapy Medical University ViennaWien 1090ÖsterreichAustria

A recent meta-analysis revealed that mental health and baseline psychological impairment affect the quality of life and outcomes in different chronic conditions.Implementing mental health care in physical care services is still insufficient.Thus,interdisciplinary communication across treatment providers is essential.The standardized language provided by the diagnostic statistical manual favors a clear conceptualization.However,this approach might not focus on the individual,as thinking in categories might impede recognizing the continuum from healthy to diseased.Psychoanalytic theory is concerned with an individual’s unconscious conflictual wishes and motivations,manifested through enactments like psychic symptoms or(maladaptive)behavior with long-term consequences if not considered.Such modifiable internal and external factors often are inadequately treated.However,together with the physical chronic condition constraints,these factors determine degrees of freedom for a self-determined existence.The effect of therapeutic interventions,and especially therapy adherence,relies on a solid therapeutic relationship.Outcome and process research still investigates the mechanism of change in psychotherapeutic treatments with psychanalysis’s focus on attachment problems.This article examines existing knowledge about the mechanism of change in psychoanalysis under the consideration of current trends emerging from psychotherapy research.A clinical example is discussed.Additionally,further directions for research are given.The theoretical frame in psychoanalytic therapies is the affect-cognitive interface.Subliminal affect-perception is enabled via awareness of subjective meanings in oneself and the other;shaping this awareness is the main intervention point.The interactional ingredients,the patient’s inherent bioenvironmental history meeting the clinician,are relevant variables.Several intrinsic,subliminal parameters relevant for changing behavior are observed.Therapeutic interventions aim at supporting the internalization o

关键词： Chronic disease Psychological impairment psychoanalysis Facial microexpressions Memory reconsolidation Reflection Relationship Resilience

Psychotherapy in Hospitals in Brazil and Some Contributions from psychoanalysis: A Historical Study

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Open Journal of Medical Psychology 2016年第3期5卷 43-56页

作者： Sonia Alberti Roseane Freitas Nicolau Maria Lívia Tourinho Moretto Instituto de Psicologia of the Universidade do Estado do Rio de Janeiro CNPq Pedro Ernesto University Hospital Rio de Janeiro Brazil Faculdade de Psicologia of the Universidade Federal do Pará Belém Brazil. Instituto de Psicologia of the Universidade de Sao Paulo Journal of the Brazilian Society of Hospital Psychology Sao Paulo Brazil

Psychotherapeutic practice in hospitals in Brazil started in the 1950s even before the profession of psychologist in the country was formalized, and has been building a fairly rich history because it is differentiated according to the development of the practice over the decades as a function of the various clinical methods associated with it, as a consequence of the policies and/or different theoretical orientations that have underpinned it. Twenty years after this practice began, during the 1970s, the field of mental health was configured as a major center of absorption of psychologists in an attempt to change the prevailing medical model. It is at that time that we can first see the formation of multidisciplinary teams linked to psychotherapy treatments. When we examine the relationship between the advancement of the practice and its theoretical foundations, in a field where political orientations toward the practice carried no less weight, we realize that this entire movement has led to important developments in the history of psychology in general. In order to specify what clinical practice in hospitals has contributed to psychology in general, it is necessary to follow its guidelines over the decades, where we can confirm that a certain prevalence of psychoanalysis has been and is being established. To the extent that it is characterized as a discourse directed at the subject, it is fundamental that it allows for situating the work in the hospital in an exchange with the medical field in such a way that each field may sustain its own particularities, respect their differences, and contribute, each in their own way, toward the advancement of clinical work. From the 1950s through today, clinical practice highlights a concern with asserting subjectivity in hospitals where the contributions of some psychoanalytical developments to different forms of psychotherapy have not been lacking.

关键词： Clinical Psychology Psychotherapy Hospital psychoanalysis

Freudian psychoanalysis——Kitty's Self-awakening in The Painted Veil

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海外英语 2019年第4期 210-212页

作者：吴佳佳上海海事大学

The Painted Veil written by William Somerset Maugham was a marvellous novel discussing love, life and spiritual salva-tion. The process of the fallen heroin Kitty's awakening and maturity was profound in the theme of this novel. Kitty was a compli-cated character. Without personal financial independence, she married to someone she did not love. Before long, she had a love af-fair stealthily with another man. After her husband found out the truth and Kitty was abandoned by her lover, she was taken to a de-pressed countryside by her husband, in which Kitty witnessed countless life and death. After all these experiences, she changed alot and achieved self-awakening. The mental world of Kitty was worth discussing. Kitty's id, ego and superego will be analyzedfrom the perspective of Freudian consciousness theory in this thesis, so as to study how she changed herself and had such a hugespiritual awakening.

关键词： William Somerset Maugham The Painted Veil Kitty Freudian psychoanalysis Self-awakening

On Causes of Teddy's Tragedy in Shutter Island by psychoanalysis

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海外英语 2013年第3X期 197-198,222页

作者：吴彦凤四川外语学院研究生部

Shutter Island is a movie directed by Martin Scorsese.It tells a story about a psychotic,Teddy,who committed a serious crime and lived in fantasy from then on.A group of psychologists tried to help him by exposing the reality and forcing him to face it.At last,Teddy's memory was recovered.Yet he chose to receive lobotomy to end his pain.From Freud's psychoanalytic point of view,Teddy's tragedy is caused by the conflict between his id,ego and superego,and his fantasy world is a result of self-defense mechanism.

关键词： Freud psychoanalysis self-defense mechanism