Mark Solms

Marianne Leuzinger-Bohleber

Tamara Fischmann

Gilles Ambresin

This book brings together cutting-edge expertise from psychoanalysis, psychiatry, neuroscience and social science to shed light on the dark side of chronic depression. Considering different forms of depression on a continuum, the book develops new diagnostical considerations on depression. It includes detailed case studies from clinical psychoanalytical practice, conceptual considerations and historical analyses to current empirical and neurobiological studies on depression. The book is unique in bridging a gap between Anglo-Saxon/German psychoanalysis and French traditions in relation to clinical treatment techniques and conceptualizations of depression and trauma. Chapters present new research on the social, biographical, genetic and neurobiological determinants of severe depressive disorder and explore how these can be differentiated and expanded in the face of new cultural realities as well of new findings particularly in modern neurosciences. The book explores new understanding and discussion of treatment options for depression and will be essential reading for researchers and students in the field of depression and mental health research. It will also enrich the conceptual and clinical knowledge of psychoanalysts and psychotherapy researchers and students.

Psychoanalytic, Social-cultural and Research Approaches

On the Dark Side of Chronic Depression

Manfred E. Beutel

An einer chronischen Depression erkrankte Patientinnen und Patienten gelten oft als schwer behandelbar. Häufig hängt die chronische Depression mit schweren traumatischen Erfahrungen zusammen. Das in diesem Band vorgestellte Behandlungsmanual berücksichtigt diese Gegebenheit und legt den Fokus auf traumatisierte, chronisch depressive Patientinnen und Patienten. Der Band beschreibt einleitend das Störungsbild und das diagnostische Vorgehen und erläutert die Grundannahmen des psychoanalytischen Verständnisses von Depression. Anschließend geht es um grundsätzlichere behandlungstechnische Aufgaben sowie um spezifische Herausforderungen in psychoanalytischen Langzeitbehandlungen mit chronisch depressiven, früh traumatisierten Patientinnen und Patienten, wie z.B. Suizidalität, Aggression und Schuld. Die ausgeführten therapeutischen Grundhaltungen und Behandlungsprinzipien werden jeweils anhand von konkreten Fallbeispielen veranschaulicht. Die Wirksamkeit des vorliegenden Manuals konnte in einer Studie zu Langzeittherapien bei chronischer Depression (sog. LAC-Depressionsstudie) gezeigt werden.

Analytische Langzeitpsychotherapie

Chronische Depression

Elisabeth Hildt

Technological developments in the life sciences confront us with new facets of a Faustian seduction. Are we „playing God“ more and more, as claimed by critical authors of modernity? Achievements in genetic research produce ethical dilemmas which need to be the subject of reflection and debate in modern societies. Denial of ambivalences that ethical dilemmas arouse constitutes a threat to societies as well as to individuals. The book presents a compilation of some of the results of the interdisciplinary European study “Ethical Dilemmas Due to Prenatal and Genetic Diagnostics” (EDIG), which investigated some of these dilemmas in detail in a field which is particularly challenging: prenatal diagnosis. When results from prenatal diagnosis show fetal abnormalities, women and their partners are confronted with ethical dilemmas regarding: the right to know and the right not to know; decision-making about the remainder of the pregnancy and the desire for a healthy child; responsibility for the unborn child, for its well-being and possible suffering; life and death. This book provides answers from an ethical, psychoanalytical and medical viewpoint.

Tamara Fischmann

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