title: Depressive rumination in an analysand after a traumatic treatment.
abstract: The author attempts to understand the underpinnings of a ruminative depression that occurred in a patient after a troubled first analysis. Negative therapeutic reaction is often assumed to be the result of a patient's unconscious guilt or masochism and thus an intrapsychic phenomenon, but the author asserts that iatrogenic phenomena in the form of persistent misunderstandings and enactments that remain unanalyzed contribute to a destructive treatment experience. The analysand may relive the failed treatment again and again in his or her mind in an attempt to resolve it. The author asserts that a traumatic treatment experience can foster depressive rumination.
authors.affiliation: Department of Psychiatry, Columbia College of Physicians and Surgeons, New York, USA. gcbarron@msn.com
authors.forename: Grace Caroline
authors.initials: GC
authors.lastname: Barron
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D009770:Obsessive Behavior / Q000209:etiology*; D011575:Psychoanalytic Therapy; D013811:Psychotherapeutic Processes; D017211:Treatment Failure