David L. Raphling

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Psychiatric emergency treatment units traditionally care for patients with acute psychosocial crises and are not ordinarily concerned with providing long term follow-up treatment. Nevertheless, a significant percentage of patients continues to utilize emergency treatment services repeatedly rather than become involved in other more definitive and durable(More)
The analyst's mistakes are an inevitable aspect of his conduct of psychoanalysis. They result from the inherent uncertainties and ambiguities of the analytic process itself, and from the continuing effect upon analytic technique of the analyst's unresolved conflicts, as manifested in countertransference attitudes and enactments. Variables of clinical(More)
Interpretations go beyond assigning unconscious meaning to analytic material. They inevitably communicate the analyst's assessments of the patient's present and past conflicts, and his expectations for their future resolution. The analyst's estimation of a patient's potential, as well as his personal investment in helping the patient realize that potential,(More)
Fetishism is generally considered to be a perversion occurring only in males. In this paper a clinical illustration of an adult woman with a fetishistic perversion is offered and considered within the context of the classic concept of fetishism originally described by Freud. Similarities and differences between male and female fetishism are discussed, with(More)
Aggression continues to be a problematic, ill-defined concept for most contemporary analysts. Questions about the nature and origin of aggression remain unanswered. On the one hand, aggression is conceived of as an instinctual drive; on the other, it is thought to originate as an instrument of reaction to external sources of frustration and environmental(More)
Analytic subjectivity may not be the problem it seems. What is crucial for patients is not that analysts possess the objective truth, but that patients see a truth for themselves. How they accomplish this may depend on the analyst's showing them a view of themselves that differs from their own and can be compared to it. Each aspect of experience is defined(More)
Four clinical examples of oedipal-based transference across gender lines are presented with the aim of illustrating (1) its existence, (2) the defenses against its emergence, and (3) the use of the analyst's gender as both an organizer of and resistance to certain transference manifestations. Factors that contribute to the availability for analysis of(More)