The Inner World in the Outer World Psychoanalytic Perspectives pdf free download. the media, the frantic pace of international competition, and the pressures of massive economic interdependency are robbing us of emotional space for internal reflection. Even the previously accepted settings for internal reflection—the ritual of religion, the stability of family structure, the discipline of rigorous education—are in disarray. The cacophony of
stimulation and the lack of familiar structures interfere with time to focus on and develop our internal worlds. In psychiatry, attention to patients’ internal lives is disappearing, as emphasis is given to management of external symptoms through biological and behavioral interventions. Psychiatric diagnosis is no longer a dynamic formulation of internal conflict and tension, but a categorization of external behaviors and symptoms. In the health care
system, fiscal crisis is leading to efforts to control costs through managedcare proposals for quick solutions to complex problems. Clinical staff no longer have time to attend to patients’ fantasies and conflicts. The number of persons in full-time psychoanalytic practice is diminishing. Outer-world changes are pressuring us all.
The Inner World in the Outer World Psychoanalytic Perspectives pdf free download
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