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The Effects of the Introduction of Medication On the Psychoanalytic Process

A Case Study

Bibliographic Data

ID8333575
AuthorsMarshall A Greene (Faculty, San Francisco Psychoanalytic Institute, corresponding author)
Year2001
Volume49
Issue2
Pages607-627
Publication date2001-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of the American Psychoanalytic Association (JOURNAL)
Journal identifiersISSN: 0003-0651 • E-ISSN: 1941-2460
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00030651010490020901
PMID11508379
OpenAlexW2162924889
LanguageEN
Citations received7
References cited10

The past fifteen years have seen a marked change in the attitude of psychoanalysts toward the use of medication in psychoanalysis, yet few detailed case studies have appeared in which the effects of the introduction of a medication on the psychoanalytic process have been studied. A plea for fluoxetine (Prozac) as a weight-loss aid, from a female patient whose analysis had progressed satisfactorily, set in motion a remarkable series of events. Her mood brightened, she rapidly lost weight, and she ultimately realized that she had the fantasy of being impregnated, all of which represented the reenactment of crucial childhood experiences. The most significant change in the psychoanalytic process was a newfound ability to experience critical thoughts and feelings, which previously had been prohibited by her harsh superego. At first both patient and analyst believed that the medication had “softened” her superego, but reexamination of the data revealed that most, if not all, of the changes could be attributed to the transference meaning of the collaboration rather than to the effects of the drug

Art · Fantasy · Feeling · Id, ego and super-ego · Literature · Meaning (existential) · Mood · Plea · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Law · Psychology · Psychology and Mental Health · Psychotherapy Techniques and Applications · Schizophrenia research and treatment · Social Psychology

  • Presumed Synergy or Antagonism in Combined Treatment

    Open Access•Fredric N Busch, Larry S Sandberg•Journal of the American…•2008

  • Message in a Bottle

    Michelle Kwintner•Smith College Studies in Social…•2005

  • On the Prescribing Analyst

    Open Access•Larry S Sandberg•The Psychoanalytic Quarterly•2014

  • Romantic Fantasies of Madness and Objections to Psychotropic Medication

    Open Access•Adele Tutter•Journal of the American…•2009

  • Medication as Object

    Open Access•Adele Tutter•Journal of the American…•2006

  • Thoughts On Medication and Psychoanalysis

    Open Access•Wendy Olesker•Journal of the American…•2006

  • Psychoanalysis in Conjunction With Medication

    Open Access•Josephine L Wright•Journal of the American…•2006

  • Some Observations on the Psychoanalytic Process

    Edward M Weinshel•The Psychoanalytic Quarterly•1984

  • Medication Use in Training Cases A

    Open Access•Steven P Roose, Robin Horwitz Stern•Journal of the American…•1995

  • The Journal of the American Psychoanalytic Association

    Open Access•Robert P Knight•Journal of the American…•1953

  • The Effect of the Structure of the Ego on Psychoanalytic Technique

    Open Access•K R Eissler•Journal of the American…•1953

Unique citing works7
Citations per year0,33
Citation span2005 - 2014 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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