December 14, 1994

Psychoanalysis: Waning or Waxing?-Reply

Author Affiliations

Los Angeles, Calif

JAMA. 1994;272(22):1721. doi:10.1001/jama.1994.03520220015009

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In Reply.  —I wish that Drs Clemens and Mosher had considered the whole review instead of reacting to the first half sentence. In the latter, I meant only that orthodox psychoanalysis is losing its influence on etiologic surmises for major psychoses.The statistics quoted by Clemens and Mosher speak for themselves. Indeed, with the evolving and spreading newer forms of analysis, there are now three psychoanalytic institutes in southern California.On the other hand, my colleagues and I have observed that the number of psychoanalytic articles is greatly reduced in major psychiatric journals. This trend is also evident in the titles of the sessions at the last American Psychiatric Association convention. Also, it seems that not only have psychiatric residency programs reduced emphasis on psychoanalytic theories, but many residents now complain about the lack of psychodynamic teaching.

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