When the Analytic Patient has Attention Deficit Hyperactivity Disorder
Bibliographic Data
| ID | 8334103 |
|---|---|
| Authors | Stephen B Bernstein (0000-0001-6960-4177, corresponding author) |
| Year | 2015 |
| Volume | 63 |
| Issue | 2 |
| Pages | 213-245 |
| Publication date | 2015-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of the American Psychoanalytic Association (JOURNAL) |
| Journal identifiers | ISSN: 0003-0651 • E-ISSN: 1941-2460 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/0003065115581371 |
| PMID | 25922374 |
| OpenAlex | W1984243774 |
| Language | EN |
| References cited | 61 |
Most analysts are now treating or can expect to treat adult patients with cognitive deficits such as attention deficit hyperactivity disorder (ADHD), based on the prevalence of this syndrome in children and its continuation into adulthood. ADHD is a cognitive disorder considered by nonanalytic and analytic writers to be a dysfunction of affect regulation and behavioral inhibition. Analysis deals with these issues, and most analytic theories address affect regulation. Manifestations of ADHD can mimic the clinical expression of intrapsychic conflict, in which the cognitive deficits are embedded. If these symptoms are interpreted primarily as transference resistances without acknowledging the cognitive contribution, the patient may experience a resurgence of feeling misunderstood and shamed, helpless and defective. Confusion in the countertransference is a hallmark of analyses in which cognitive deficits are intertwined with psychic conflict, sometimes leading the analyst to compartmentalize the cognitive and the conflictual and to miss aspects of the patient and the process. Appropriate action within the analytic frame may be needed to help the patient seek information, specialists, or coaches to deal with limitations in executive functioning. A variety of technical considerations and confusions in the countertransference are illustrated
Affect (linguistics) · Cognition · Cognitive deficit · Cognitive impairment · Cognitive psychology · Countertransference · Executive functions · Feeling · Psychiatry · Psychotherapist · Attention Deficit Hyperactivity Disorder · Bipolar Disorder and Treatment · Clinical Psychology · Neurological disorders and treatments · Psychology · Social Psychology
Psychoanalytic Terms and Concepts
Experiences in Groups
The Recovery of Childhood Memories in Psychoanalysis
The Prevalence and Correlates of Adult ADHD in the United States
Learning disabilities and psychic conflict
Presumed Synergy or Antagonism in Combined Treatment
Co-constructing inner and relational processes
Representation and internalization in infancy
Conflict and Deficit
Cognitive Difficulties in Psychoanalysis
Neuropsychological Dysfunction and Psychological Conflict
The Principle of Multiple Function
The impact of words on children with ADHD and Damp Consequences for psychoanalytic technique
Attention deficit hyperactivity disorder (ADHD)
Attention de?cit hyperactivity disorder and trauma
On holding and containing, being and dreaming
The foundational level of psychodynamic meaning
José Bleger’s dialectical thinking
The Overstimulated State of Dyslexia
Treatment Preparatory To Psychoanalysis
Therapeutic Strategy and Psychoanalytic Technique
Treatment Preparatory To Psychoanalysis
A Psychoanalytic Perspective On Attention-Deficit/Hyperactivity Disorder
Talking about Medication
"The Holding Environment" And The Therapeutic Action Of Psychoanalysis
On the Sense of Defect
A Psychoanalytic Hypothesis Concerning the Therapeutic Action of SSRI Medications
Psychoanalysis and Schizophrenia
The Uses of Medications in Psychoanalysis
Helping Patients by Analyzing Self-Criticism
Beginning a Psychoanalytic Treatment
Nonverbal Communication in Analytic Work
Mind, Madness, and Medications
Reply to Jeinifer Downey
Thoughts On Medication and Psychoanalysis
Active Perception and the Search for Sensory Symbiosis
Psychoanalysis in Conjunction With Medication
The Sense of Defect
Standing in the Spaces
Behavioral inhibition, sustained attention, and executive functions
| Citation velocity | historical |
|---|---|
| Highly cited | No |