Advertisement

Engaging the Impulsive Patient in Psychotherapy

  • Henry J. Friedman

Abstract

Although the scope of analytic psychotherapy has broadened over the past twenty years to include patients with impulsive disorders, this enlarged treatment focus has occurred without a technical or theoretical framework to guide innovative techniques. The concept of impulsivity as a character trait and/or symptom is broad and includes a range of disorders. While it is important to make distinctions among the different types of clinical disorders, I shall use in this paper a more general definition of impulsivity, namely: those behaviors which occur under emotional stress and result in a negative impact upon the individual or those around him. In chronically impulsive individuals, however, certain behavioral patterns can become autonomous, distinct from the emotional pressures that were their point of origin. In such patients, impulsive behavior may continue to occupy their lives to such an extent that both the development and consequent substitution of sublimating activities is obviated.

Keywords

Therapeutic Alliance Impulsive Behavior Psychotherapeutic Intervention Impulsive Trait Delinquent Youth 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aichhorn, A. 1935. Wayward Youth. New York: Viking Press. Brown, C. 1965. Manchild in the Promised Land. New York: Macmillan.Google Scholar
  2. Brown, C. 1965. Manchild in the Promised Land. New York: International Universities Press.Google Scholar
  3. Eissler, K. 1948. Searchlight on Delinquency. New York: International Universities Press.Google Scholar
  4. Friedlander, K. 1960. The Psychoanalytical Approach to Juvenile Delinquency Theory, Case Studies, Treatment. New York: International Universities Press Inc.Google Scholar
  5. Greenson, R. 1967. The Technique and Practice of Psychoanalysis. Vol. 1. New York: International Universities Press.Google Scholar
  6. Modell, A. 1977. Presentation at Winter Meeting of the American Psychoanalytic Association. Panel on the Nature of Change in Psychoanalysis.Google Scholar
  7. Zetzel, E. 1971. The Capacity for Emotional Growth. New York: International Universities Press.Google Scholar

Copyright information

© Plenum Press, New York 1979

Authors and Affiliations

  • Henry J. Friedman
    • 1
  1. 1.Outpatient PsychiatryNew England Medical Center HospitalBostonUSA

Personalised recommendations