Bulletin of the Menninger Clinic (B MENNINGER CLIN )

Publisher: Menninger Clinic; Menninger Foundation, Guilford Publications


The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, hospital treatment, education, and other areas of interest to mental health professionals. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic, a nonprofit international mental health center. Occasional topical issues focus on critical subjects, providing an in-depth look at complex treatment dilemmas. Recent topics issues have covered assessment and treatment of psychiatric disorders in the elderly, integrating outcome measurement with clinical practice, and treatment of anxiety disorders.

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    Bulletin of the Menninger Clinic website
  • Other titles
    Bulletin of the Menninger Clinic
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  • Material type
    Periodical, Internet resource
  • Document type
    Internet Resource, Journal / Magazine / Newspaper

Publisher details

Guilford Publications

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    • Author cannot archive a pre-print version
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    • Author cannot archive a post-print version
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    • Permission to reuse articles must be sought from the publisher
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    ‚Äč white

Publications in this journal

  • [show abstract] [hide abstract]
    ABSTRACT: Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premise is that postpsychotic depression stems from the loss of psychotic grandiosity, and that it is the psychological reaction to the loss of omnipotent identity whose role it is to provide an alternative reality. Through near-experience connectedness, clinicians and practitioners in the psychiatric rehabilitation field can facilitate an empathic milieu in which new mental constructs can be established and new behavioral skills can be learned.
    Bulletin of the Menninger Clinic 01/2014; 78(1):70-86.
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    ABSTRACT: The authors' clinical experience with young girls with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), who are facing the often hastily suggested, and accepted, surgical treatment of vaginal reconstruction brings new light to the question of female sexuality and its specific modes of access: its traumatic aspects, the mother-daughter conflict of ambivalence and the associated risk of depression, as well as the importance of the relational factor in the construction of bodily interiority.
    Bulletin of the Menninger Clinic 01/2014; 78(1):57-69.
  • [show abstract] [hide abstract]
    ABSTRACT: This article proposes an understanding of children with reactive attachment disorder (RAD) through psychoanalytic thought and mentalization theory. RAD is presented followed by a discussion on attachment and the need for a better understanding of this disorder. Theories from British psychoanalytic thinkers are used to describe what might be transpiring in the early relationship between mother and child. Particular attention is given to how children's internal objects are influenced by a compromised early mother-child relationship.
    Bulletin of the Menninger Clinic 01/2014; 78(1):34-56.
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    ABSTRACT: Spiritual awakening is inherent to development in the second decade, as reflected not only in millennia of religious faith traditions and indigenous culture but also in recent genetic-twin and epidemiological studies. Developmentally concomitant with spiritual awakening is the window of onset for the most prevalent forms of adolescent suffering in post-industrial societies: depression and related substance abuse and risk taking. Over the past fifteen years, spirituality-a lived relationship with a Higher Power-has been found to be the most robust protective factor against depression known to medical and social sciences. The magnitude of the protective effect and its timing in adolescence raises the question of a singular process or shared biological substrate underlying spiritual awakening and onset of depression. Evidence for such a shared physiology comes from a recent magnetic resonance imaging (MRI) study suggesting that depression and spirituality in youth reveal "two sides of the same coin."
    Bulletin of the Menninger Clinic 01/2013; 77(4):332-48.
  • [show abstract] [hide abstract]
    ABSTRACT: Although psychoanalysis and psychodynamic psychotherapy have flourished theoretically and in practice for an increasingly widespread population of patients, the mental health professions have in recent decades experienced a hegemony of managed care, a preoccupation with pharmacological approaches at the expense of psychological approaches, and a predilection for brief symptom-focused, more easily researchable manualized psychotherapies, in spite of literature demonstrating the effective contribution of psychoanalysis and psychodynamic thought to the practice of the mental health professions. In this article a psychiatric inpatient is considered from the point of view of what psychodynamic theory can offer practically to understanding and managing her. It is not suggested that this patient might necessarily benefit from formal psychodynamic psychotherapy, but rather that incorporation of a psychodynamic understanding of her can lead to a more effective management approach, especially regarding dealing with staff reactions to disturbing patients. Consideration of the patient's personality and recognition of the patient's having a comorbid personality disorder appeared important in her management, and have practical implications regarding staff members' understanding of the patient and the consequent identification and handling of transference and countertransference manifestations. Problems that are likely to occur as enactments on the inpatient unit can more readily be anticipated or identified earlier and a consistent staff approach prepared. A psychodynamically informed management approach on the inpatient unit can help to anticipate challenging interpersonal experiences such as enactments. Psychodynamic thought has developed in a manner so as to be applicable in an increasingly wide range of clinical situations, not only in terms of the varieties of patients who are deemed to be able to benefit from psychodynamic treatment per se, but also regarding the clinical venues in which psychodynamic concepts can be usefully applied.
    Bulletin of the Menninger Clinic 01/2013; 77(1):23-40.
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    ABSTRACT: Contemporary psychology and psychiatry have increasingly focused on hope as a human phenomenon relevant to physical and psychological well-being. Contemporary psychological research, however, often considers hope anthropocentrically and cannot speak directly of the particular cultural, religious and theological sustaining contexts of hope that, especially for persons of faith, give hope its shape and meaning. In this paper I focus on three articulations of hope within Jewish and Christian tradition-the Summa theologiae of Thomas Aquinas, the lament psalms of the Hebrew Bible, and the post-Holocaust writing of Emil Fackenheim-to argue that attention to these sustaining contexts is essential for understanding what religious traditions mean by hope. Religious traditions display insights and practices related to hope that both complement and challenge contemporary psychological approaches to hope. Close attention to these determinative traditions can therefore enrich and deepen the treatment of hope within contemporary psychotherapeutic practice.
    Bulletin of the Menninger Clinic 01/2013; 77(4):369-94.
  • [show abstract] [hide abstract]
    ABSTRACT: A growing body of research has highlighted the value of spiritual resources for patients and their families. However, spirituality has been largely overlooked as a source of hope and support for providers themselves. In this paper, the author draws on theory, research, and practical examples to suggest that spirituality could potentially assist providers struggling to generate and sustain their own hope in work with clients who are in the midst of despair. The paper focuses on three ways practitioners might access spiritual resources to facilitate hope in their work: (1) by illuminating the sacred character of mental health work; (2) by attending to the sacred dimension of clients' lives; and (3) by attending to the experience of sacred moments in the healing relationship. These resources may be of value not only to theistically-oriented practitioners but to nontheists as well.
    Bulletin of the Menninger Clinic 01/2013; 77(4):395-412.
  • [show abstract] [hide abstract]
    ABSTRACT: Hope in the context of individuals with dementia and their carers is defined in this paper in terms of an openness to surprises with regard to indicators of continuing self-identity in the individual with dementia, active agency with regard to carers and affected individuals to the extent possible, and the affirmation of a theory of personhood and related moral status that breaks through the limits and prejudices of hypercognitive values.
    Bulletin of the Menninger Clinic 01/2013; 77(4):349-68.
  • [show abstract] [hide abstract]
    ABSTRACT: The author proposes that psychotherapy is best grounded in scienceinformed humanism and, more specifically, that psychotherapists at least implicitly promote ethical, moral-and indeed, virtuous-behavior. In doing so, therapists are challenged continually to engage in making evaluative moral judgments without being judgmental. He contends that psychotherapists, and psychologists especially, are overly reliant on science and might benefit from being more explicit in their ethical endeavors by being better informed about the illuminating philosophical literature on ethics. He highlights the concept of mentalizing, that is, attentiveness to mental states in self and others, such as needs, feelings, and thoughts. He proposes that mentalizing in the context of attachment relationships is common to all psychotherapies, and that this common process is best understood conjointly from the perspectives of developmental psychology and ethics. The author defends the thesis that employing psychotherapy to promote ethical, moral, and virtuous functioning can be justified on scientific grounds insofar as this functioning is conducive to health.
    Bulletin of the Menninger Clinic 01/2013; 77(2):103-131.
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    ABSTRACT: Psychoanalytic theories suggest that color perception on the Rorschach relates to affective modulation. However, this idea has minimal empirical support. Using a clinical sample, the authors explored the cognitive and clinical correlates of Rorschach color determinants and differences among four affective modulation subtypes: Controlled, Balanced, Under-Controlled, and Flooded. Subtypes were differentiated by measures of affective regulation, reality testing/confusion, and personality traits. Initial support for the relationship of chromatic color response styles and affective modulation was found.
    Bulletin of the Menninger Clinic 01/2013; 77(1):70-93.
  • [show abstract] [hide abstract]
    ABSTRACT: Caregiver-child attachment results in a cognitive-emotional schema of self, other, and self-other relationships. Significantly disrupted attachments may lead to pathogenic internal working models, which may have deleterious consequences; this indicates the need for early attachment intervention. The authors consider the therapy of a 3-year-old boy with aggressive behaviors who had lacked consistent caregiving. Attachment theory can account for the child's psychotherapeutic gains, despite his insecure attachment style. The authors discuss discrepancies between treatment and current research trends.
    Bulletin of the Menninger Clinic 01/2013; 77(3):250-68.
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    ABSTRACT: The constructive employment of feelings (especially negative feelings)-termed neutralization-generated in us affords creative ways of dealing with upsetting events or people. The possible outcomes may benefit, not only ourselves, but also those who typically alienate other people. Ways of marshaling the power of feelings are described. The obvious benefits during psychotherapeutic sessions are available, also, in nontherapeutic encounters, and to nonprofessionals as well as to psychotherapists.
    Bulletin of the Menninger Clinic 01/2013; 77(2):178-184.
  • [show abstract] [hide abstract]
    ABSTRACT: Using Karl Menninger's and Paul Pruyser's seminal writings, the author reviews the tradition of thought about hope at The Menninger Clinic and discusses the application of this tradition to patient education. From the perspective of contemporary attachment theory and research, he expands on Paul Pruyser's view of hope as based on an experience of benevolent connection. Such connection can be found-and disrupted-in attachment to God and in spirituality more broadly. The article concludes with commentary on the challenges clinicians face in making use of religion and spirituality as a resource for fostering hope.
    Bulletin of the Menninger Clinic 01/2013; 77(4):302-31.
  • Bulletin of the Menninger Clinic 01/2013; 77(4):297-8.
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    ABSTRACT: The term ambivalence-meaning the coexistence of love and hate toward a person or object-is commonly used both in the vernacular and in psychiatry. However, how ambivalence contributes to understanding and treating some important psychiatric disorders has not been well defined. This article reviews Bleuler's original use of the concept, as well as contributions by Freud and other theorists, as background. The author proposes that mastery of ambivalence-depolarization of the primary drive expressions of love and hate so that a degree of ambivalence toward a loved object can be tolerated-is a fundamental developmental task. The significant role that ambivalence plays in some major psychiatric disorders-schizophrenia, borderline personality, and depression-is illustrated with case material and discussed.
    Bulletin of the Menninger Clinic 01/2013; 77(1):41-69.
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    ABSTRACT: The challenge of accurate diagnosis remains at the heart of good psychiatric treatment. In the current state of psychiatry, a confluence of forces has increased this challenge for the clinician. These include practical pressures-such as limited time for diagnostic evaluation, the question of what is reimbursed by insurance, and the issue of directing patients to acute treatments-and also trends in nosology, such as the descriptive focus on signs and symptoms in the current official diagnostic system. The authors offer observations that we hope will help clinicians who have to make difficult diagnostic differentiations often under pressured circumstances. The paper is motivated both by the high frequency of diagnostic errors observed under such conditions and also by the belief that considering symptoms in the context of the patient's sense of self, quality of interpersonal relations, and level of functioning over time will help guide the diagnostic process.
    Bulletin of the Menninger Clinic 01/2013; 77(1):1-22.
  • [show abstract] [hide abstract]
    ABSTRACT: The authors discuss the development of a track-based approach to working with disordered eating patients in an inpatient psychiatric facility. Because of the high mortality rate and complex presentation of patients with eating disorders, treatment is essential. However, treatment in a specialized eating disorder program is not always feasible. The authors present their rationale for creating an Eating Disorder Track imbedded in an inpatient facility that offers severalweek lengths of stay conducive to intensive psychotherapeutic and milieu treatment.
    Bulletin of the Menninger Clinic 01/2013; 77(3):222-32.

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