With the increasing use of psychotropic medication concomitant with psychoanalysis, attention must be given to the challenges created by complaints of medication side effects. When confronted with these side effects, analysts may experience specific, uniquely actualized countertransference anxieties that can prompt the abandonment of transference analysis. Particular countertransference fantasies that arise in combined treatments are examined, as are the reasons for the analyst's suspension of curiosity and openness and its clinical consequences. In these situations, effective analysis requires the analyst to be “bilingual,” to hold in mind both the analytic and the pharmacological model.
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References
1.
BreuerJ., and FreudS. (1895). Studies on hysteria.Standard Edition 2.
2.
CaligorE., HamiltonM., SchneierH., DonovanJ., and RooseS. (2003). Converted versus clinical patients in the psychoanalytic training clinic: Implications for training.Journal of the American Psychoanalytic Association51: 201–220.
3.
ConstantinoE.A., RooseS.P., and WoodringS. (1993). Tricyclic-induced orthostatic hypotension: Significant difference in depressed and non-depressed states.Pharmacopsychiatry26: 125–127.
4.
DonovanS., and RooseS.P. (1995). Medication use during psychoanalysis: A survey.Journal of Clinical Psychiatry56: 177–179.
5.
FriedmanL. (1997). Ferrum, ignis, and medicina: Return to the crucible.Journal of the American Psychoanalytic Association45: 20–36.
6.
GlickR.A. (2003). Idealization and psychoanalytic learning.Psychoanalytic Quarterly73: 377–401.
7.
JacobsT. (1999). Countertransference: Past and present.International Journal of Psychoanalysis80: 575–594.
8.
NormandW., and BluestoneH. (1986). The use of pharmacotherapy in psychoanalytic treatment.Contemporary Psychoanalysis22: 218–234.
9.
RooseS.P. (1990). The use of medication in combination with psychoanalytic psychotherapy or psychoanalysis. In Psychiatry, ed. MichelsR.. Philadelphia: Lippincott, pp. 1–8.
10.
RooseS.P., & SternR. (1995). Medication use in training cases: A survey.Journal of the American Psychoanalytic Association43: 163–170.
11.
SandlerJ. (1983). Reflections on some relations between psychoanalytic concepts and psychoanalytic practice.International Journal of Psychoanalysis64: 35–45.
12.
Sarwer-FonerG.J. (1960). The Dynamics of Psychiatric Drug Therapy.Springfield, IL: Charles C Thomas.
13.
VaughanS.C., MarshallR.D., MacKinnonR.A., VaughanR., MellmanL, & RooseS.P. (2000). Can we do psychoanalytic outcome research? A feasibility study.International Journal of Psychoanalysis81: 513–528.
14.
YangS., CaligorE., CabanissD., LuberB., DonovanJ., RosenP., ForandN.R., and RooseS.P. (2004). Poster abstract: Post-termination contact: A survey of prevalence, characteristics, and analyst's attitudes.Journal of the American Psychoanalytic Association52: 455–457.
