Psychopathology I: Neurotic Psychopathology

Fourth Year Adult Psychoanalytic Training (APT)
2020-21, 3rd Trimester — Fridays, 1:45-3:15pm
Charlotte Malkmus, MA LMHC
Michael Pauly, MD

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April 16, 2021 — Panic

[39 pages]

Mid-term evaluations should be conducted in the closing minutes of your classes today. This is a discussion that should be allowed at least 10 minutes, but no more than 30 minutes. No written records are necessary.

Midterm Class Evaluation Discussion Questions

37 pages

Busch, in the first of two articles, proposes that dyadic conflicts intensify the danger of navigating triadic situations which threaten to disrupt one’s insecurely held dyadic attachment, thereby triggering panic.

In the second of these articles Busch & Sandberg attend to the unmentalized / unrepresented somatic and emotional experiences associated with panic. They review multiple models (energetic, object relational, intersubjective and relational) for conceptualizing the etiological factors (misattunement, trauma) leading to representational deficits and propose a way of working whereby somatic and emotional experiences are first symbolized, thereby allowing the conflictual electments and compromise formation functions of panic to be interpreted.

Busch, F.; et al (1999). “Oedipal Dynamics in Panic Disorder.” JAPA, 47:773-790.

Busch; Sandberg (2014). “Unmentalized Aspects of Panic and Anxiety Disorders.” Psychodynamic Psychiatry, 42(2):175-195.