Jan 232013
 

In his paper on Alfred Lorenzer [1], Tobias Vollstedt uses the expression “scenical comprehension” to translate the German “szenisches Verstehen“. I feel that this translation might lead to misunderstandings, for two reasons:

1) The word “scenical” in English is closely connected with associations of pittoresque landscapes etc. The German association of “putting on stage” is only vaguely addressed by the word “scenical”, the meaning “drawing attention to sth.” not at all. (The same applies to “scenic understanding”, a term which has also been used to translate “szenisches Verstehen“.)

2) The word “comprehension” appears awkward, in that it is hardly ever used in connection with psychoanalytic practise – we do not “comprehend” our patients but we understand them.

As Vollstedt states, Lorenzer’s term “szenisches Verstehen” has a lot in common with Betty Joseph’s “total situation”, although her theoretical interest is strictly restrained to technique while Lorenzer is developing a meta-psychoanalytical framework. Nevertheless a term hinting at this connection could be useful.

Hopefully native speakers will eventually find an appropriate solution to this problem of translation.

Notes    (↑ returns to text)

  1. Tobias Vollstedt: The Work of Alfred LorenzerThe Other Scene, N°1, 2013.

Jan 052012
 
In 2008, Falk Leichsenring, DSc, and Sven Rabung, PhD, published a meta-analysis on the “Effectiveness of Long-term Psychodynamic Psychotherapy” in the Journal of the American Medical Association (JAMA, 2008; 300(13): 1551-1565, doi:10.1001/jama.300.13.1551).
The authors start their enquiry by questioning the controversial status of psychoanalysis and psychodynamic treatment in mainstream psychiatry. Although proof for efficiency of short-term psychodynamic therapy has already been acquired for specific disorders, long-term therapy seemed unable to provide anything better than disputed proof.
Leichsenring and Rabung claim to provide this lacking evidence for outcome effectiveness of long term psychodynamic psychotherapy. Their meta-anlaysis of outcome studies published between January 1960 and May 2008 shows that “comparative analyses of controlled trials, LTPP showed significantly higher outcomes in overall effectiveness, target problems, and personality functioning than shorter forms of psychotherapy. With regard to overall effectiveness, a between-group effect size of 1.8 […] indicated that after treatment with LTPP patients with complex mental disorders on average were better off than 96% of the patients in the comparison groups (P=.002). According to subgroup analyses, LTPP yielded significant, large, and stable within-group effect sizes across various and particularly complex mental disorders (range, 0.78-1.98).”

Free access to the paper can be found here: http://jama.ama-assn.org/content/300/13/1551.full