G O Gabbard

..quot; The author examines these dichotomies as they apply to personality disorders...

..For all of these reasons, the current position of the APA on an absolute prohibition against sex with former patients is a sound and sensible one...

..A greater number of controlled studies are necessary to confirm these impressions. A multisite process and outcome study is proposed...

..The authors suggest that pharmacotherapy and psychotherapy, the major treatment modalities in psychiatry, have become fragmented from one another, creating an artificial separation of the psychosocial and biological domains in psychiatry...

..They propose that, in all forms of psychoanalytic treatment, we would be more accurate to speak of the therapeutic actions, rather than action...

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..Moreover, as greater insights are gained into the brain mechanisms responsible for therapeutic changes, more specifically targeted psychotherapies can be developed...

..Self-disclosure of countertransference may be useful in some situations, but the sharing of some feelings will overwhelm patients and burden them in a way that may be destructive to the therapeutic process...

..In this article, the authors confine their discussion to situations in which E-mail communication is used as an adjunct to ongoing face-to-face meetings...

..Finally, suggestions are made for managing, through existing mechanisms, instances of boundary violations by training analysts...

..A number of different endings to psychoanalysis may, in the long run, lead to productive outcomes; these models are examined, as are various approaches to the dilemmas presented at the time of termination...

..The unique features of e-mail communication are explored and contrasted with verbal discourse in the analytic dyad...

..With the use of clinical examples to illustrate these principles, we hope that readers can apply them to their own clinical experiences...

..The author considers the implications for technique, and provides case material to illustrate some of the challenges inherent in approaching psychoanalytic work as a complex phenomenon...

..The author emphasizes the unique vulnerabilities that accompany analytic treatment of such patients...

..The authors, all senior editors in the Books Division of American Psychiatric Publishing, Inc., provide practical advice to authors who may be considering writing or editing a medical book...

..These include the nature of representations, the interaction of cognition and affect, and the mechanisms by which the mind unconsciously forges compromise solutions that best fit multiple cognitive and affective-motivational constraints...

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..Licensing and regulatory agencies can take proactive steps to identify professionals with social and emotional vulnerabilities who may be at greater risk for unethical and negligent behavior...

..The temptation to deny this universal vulnerability is viewed as effectively replicating the kind of vertical splitting or compartmentalization that makes one vulnerable to sexual misconduct in the first place...