Andrew J. Gerber

Last updated
Andrew J. Gerber
Andrew Gerber October2015 WM.jpg
Nationality American
Alma mater Yale University (BS)
University College London (MSc, PhD)
Harvard Medical School (MD)
Scientific career
Fields Psychoanalysis
Institutions Silver Hill Hospital

Andrew J. Gerber is an American psychoanalyst and the current president and medical director of Silver Hill Hospital in New Canaan, Connecticut. His principal interests and research lie in studying the neurobiological bases of social cognition, particularly in relation to autism spectrum disorders and change in response to psychotherapy. [1] He is a member of the American Academy of Child and Adolescent Psychiatry, American Psychiatric Association, American Psychoanalytic Association and the Psychoanalytic Psychodynamic Research Society.

Contents

Career

Gerber completed his medical and psychiatric training at Harvard Medical School, Cambridge Hospital and Weill Cornell Medical College – Payne Whitney Clinic, where he served as chief resident; and his child psychiatry training at the combined Columbia-Cornell NewYork–Presbyterian Hospital program, where he was also chief resident.

He earned a PhD in psychology at University College London, where he studied with Peter Fonagy and Joseph J. Sandler investigating the process and outcome of psychotherapy in young adults. Their findings suggested that individuals rated as dismissing on the Adult Attachment Interview (AAI) were more likely to show improvements in psychotherapy. [2]

Gerber has also served as the director of the Magnetic Resonance Imaging Research Program at the New York State Psychiatric Institute, the director of research at the Columbia University Center for Psychoanalytic Training and Research and maintained a private psychoanalytic practice while in New York.[ citation needed ]

Evidence Base for Psychoanalysis

Gerber has researched and written on the intersection of neuroscience and psychoanalysis, arguing for a "both and" approach that leverages some of the empirical data from neuroscience to bolster our understanding of psychotherapeutic interventions for individuals struggling with psychiatric issues. [3] The New York Times article, Tell It About Your Mother: Can brain-scanning help save Freudian psychoanalysis? details some of his research on psychoanalysis as well as his studies combining psychoanalytic thinking and brain imaging. [4] Gerber has also worked to develop a model for an empirically-based psychoanalytic curriculum designed to make psychoanalytic education more inclusive and more responsive to practical and ethical demands for evidence-based treatments. [5]

Research

Gerber is the director of research at the Columbia Center for Psychoanalytic Training and Research and a research scientist at the New York State Psychiatric Institute. He has used neuroimaging to study measureable changes in brain function in children and adolescents after psychotherapy, [6] and has conducted research around numerous psychiatric disorders including depression, [7] anxiety [8] and panic disorder. [9]

Selected publications

Related Research Articles

Psychoanalysis Psychological theory and therapy established by Sigmund Freud

Psychoanalysis is a set of theories and therapeutic techniques that deal in part with the unconscious mind, and which together form a method of treatment for mental disorders. The discipline was established in the early 1890s by Austrian neurologist Sigmund Freud, who retained the term psychoanalysis for his own school of thought. Freud's work stems partly from the clinical work of Josef Breuer and others. Psychoanalysis was later developed in different directions, mostly by students of Freud, such as Alfred Adler and his collaborator, Carl Gustav Jung, as well as by neo-Freudian thinkers, such as Erich Fromm, Karen Horney, and Harry Stack Sullivan.

Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction with adults, to help a person change behavior and overcome problems in desired ways. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Aside from psychotherapy for adults, there are numerous types of psychotherapy designed for children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders, and other types have been criticized as pseudoscience.

Psychodynamic psychotherapy or psychoanalytic psychotherapy is a form of depth psychology, the primary focus of which is to reveal the unconscious content of a client's psyche in an effort to alleviate psychic tension.

Theodore Shapiro is a psychiatrist and psychoanalyst in New York, where he is a professor emeritus in psychiatry and pediatrics at Weill Cornell Medical College and the Payne Whitney Psychiatric Clinic. He is a faculty member of the Columbia University Center for Psychoanalytic Training and Research and a training and supervising psychoanalyst at the New York Psychoanalytic Institute.

Intensive short-term dynamic psychotherapy (ISTDP) is a form of short-term psychotherapy developed through empirical, video-recorded research by Habib Davanloo.

Peter A. Olsson is an American psychiatrist, psychoanalyst and author. He is author of the book, Malignant Pied Pipers of Our Time: A Psychological Study of Destructive Cult Leaders from Rev. Jim Jones to Osama bin Laden.

Child psychotherapy, or mental health interventions for children have developed varied approaches over the last century. Two distinct historic pathways can be identified for present-day provision in Western Europe and in the United States: one through the Child Guidance Movement, the other stemming from Adult psychiatry or Psychological Medicine, which evolved a separate Child psychiatry specialism.

In psychology, mentalization is the ability to understand the mental state – of oneself or others – that underlies overt behaviour. Mentalization can be seen as a form of imaginative mental activity that lets us perceive and interpret human behaviour in terms of intentional mental states. It is sometimes described as "understanding misunderstanding." Another term that David Wallin has used for mentalization is "Thinking about thinking". Mentalization can occur either automatically or consciously. Mentalization ability, or mentalizing, is weakened by intense emotion.

Child and adolescent psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of psychiatric disorders and treatment responses to various interventions. Child and adolescent psychiatrists primarily use psychotherapy and/or medication to treat mental disorders in the pediatric population.

Mentalization-based treatment (MBT) is an integrative form of psychotherapy, bringing together aspects of psychodynamic, cognitive-behavioral, systemic and ecological approaches. MBT was developed and manualised by Peter Fonagy and Anthony Bateman, designed for individuals with borderline personality disorder (BPD). Some of these individuals suffer from disorganized attachment and failed to develop a robust mentalization capacity. Fonagy and Bateman define mentalization as the process by which we implicitly and explicitly interpret the actions of oneself and others as meaningful on the basis of intentional mental states. The object of treatment is that patients with BPD increase their mentalization capacity, which should improve affect regulation, thereby reducing suicidality and self-harm, as well as strengthening interpersonal relationships.

Peter Fonagy

Peter Fonagy, is a Hungarian-born British psychoanalyst and clinical psychologist. He studied clinical psychology at University College London. He is Professor of Contemporary Psychoanalysis and Developmental Science and Head of the Division of Psychology and Language Sciences at University College London, Chief Executive of the Anna Freud Centre, a training and supervising analyst in the British Psycho-Analytical Society in child and adult analysis, a Fellow of the British Academy, the Faculty of Medical Sciences, the Academy of Social Sciences and a registrant of the BPC. His clinical interests centre on issues of borderline psychopathology, violence and early attachment relationships. His work attempts to integrate empirical research with psychoanalytic theory. He has published over 500 papers, 270 chapters and has authored 19 and edited 17 books.

The American Academy of Psychodynamic Psychiatry and Psychoanalysis (AAPDPP)is a scholarly society including psychiatrists interested in all aspects of psychodynamic psychiatry.

Richard C. Friedman was an academic psychiatrist, the Clinical Professor of Psychiatry at Weill Cornell Medical College, and a faculty member at Columbia University. He has conducted research in the endocrinology and the psychodynamics of homosexuality, especially within the context of psychoanalysis. Friedman was born in The Bronx, New York.

Supportive psychotherapy is a psychotherapeutic approach that integrates various therapeutic schools such as psychodynamic and cognitive-behavioral, as well as interpersonal conceptual models and techniques.

The mainstay of management of borderline personality disorder is various forms of psychotherapy with medications being found to be of little use.

Panic disorder Anxiety disorder characterized by reoccurring unexpected panic attacks

Panic disorder is a mental and behavioral disorder, specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There may be ongoing worries about having further attacks and avoidance of places where attacks have occurred in the past.

Allen J. Frances is an American psychiatrist. He is currently Professor and Chairman Emeritus of the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine. He is best known for serving as chair of the American Psychiatric Association task force overseeing the development and revision of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Frances is the founding editor of two well-known psychiatric journals: the Journal of Personality Disorders and the Journal of Psychiatric Practice.

Fredric Neal Busch is a Weill Cornell Medical College professor of clinical psychiatry based in New York City. He is also a faculty member at the Columbia University Center for Psychoanalytic Training and Research.

The Goethe Award for Psychoanalytic and Psychodynamic Scholarship is given annually by the Section on Psychoanalytic and Psychodynamic Psychology of the Canadian Psychological Association. The award is given for the best psychoanalytic book published within the past two years and is juried by a peer review process and awards committee.

Eric Plakun

Eric M. Plakun is an American psychiatrist, psychoanalyst, researcher and forensic psychiatrist. He is the current Medical Director/CEO at the Austen Riggs Center in Stockbridge, MA. Plakun's primary interests include the value of and evidence base for psychosocial treatments and the diagnosis, treatment, longitudinal course and outcome of patients with borderline personality disorder and treatment resistant disorders. Plakun has been widely published and quoted in the media on psychotherapy and psychiatry, including in The New York Times and The Globe and Mail. He has appeared in the media to discuss his psychiatric work on WAMC, the Albany, New York affiliate of NPR. and on CBS 60 Minutes. His psychiatric research has been widely cited.

References

  1. "Andrew J. Gerber, MD, PhD". Columbia University. 2017-02-09. Retrieved November 18, 2018.
  2. Fonagy, P.; Leigh, T.; Steele, M.; Steele, H.; Kennedy, R.; Mattoon, G.; Target, M.; Gerber, A. (1996). "The Relation of Attachment Status, Psychiatric Classification, and Response to Psychotherapy". Journal of Consulting and Clinical Psychology . 64 (1): 22–31. doi:10.1037/0022-006X.64.1.22. ISSN   0022-006X. OCLC   1063330108. PMID   8907081.
  3. Gerber, Andrew J.; Vinder, Jane; Roffman, Joshua. "Neuroscience and Psychoanalysis" in Handbook of Psychodynamic Approaches to Psychopathology edited by Patrick Luyten, Linda C. Mayes, Peter Fonagy, Mary Target, Sidney J. Blatt, 65-86. New York: Guilford Publications, 2015.
  4. Schwartz, Casey (June 24, 2015). "Tell It About Your Mother: Can brain-scanning help save Freudian psychoanalysis?". The New York Times . The New York Times Company . Retrieved November 18, 2018.
  5. Gerber, Andrew J.; Knopf, Lauren E. (2015). "An Empirically-Based Psychoanalytic Curriculum". Psychoanalytic Inquiry: A Topical Journal for Mental Health Professionals. 35: 115–123. doi:10.1080/07351690.2015.987597. S2CID   144694173.
  6. Protopopescu, Xenia; Gerber, Andrew J. (2013). "Bridging the Gap Between Neuroscientific and Psychodynamic Models in Child and Adolescent Psychiatry". Child Adolesc Psychiatric Clin N Am. 22 (1): 1–31. doi:10.1016/j.chc.2012.08.008. PMID   23164125.
  7. Thoma, NC; McKay, D; Gerber, AJ; Milrod, BL; Edwards, AR; Kocsis, JH (2012). "A quality-based review of randomized controlled trials of cognitive-behavioral therapy for depression: an assessment and metaregression". American Journal of Psychiatry. 169 (1): 22–30. doi:10.1176/appi.ajp.2011.11030433. PMID   22193528.
  8. Milrod, B.; Markowitz, J.C.; Gerber, A.J.; Cyranowski, J.; Altemus, M.; Shapiro, T.; Hofer, M.; Glatt, C. (2014). "Childhood separation anxiety and the pathogenesis and treatment of adult anxiety". American Journal of Psychiatry. 171 (1): 34–43. doi:10.1176/appi.ajp.2013.13060781. PMID   24129927.
  9. Sandberg, L.; Busch, F.; Schneier, F.; Gerber, A.; Caligor, E.; Milrod, B. (2012). "Panic-focused psychodynamic psychotherapy in a woman with panic disorder and generalized anxiety disorder". Harvard Review of Psychiatry. 20 (5): 268–76. doi:10.3109/10673229.2012.726527. PMC   4871148 . PMID   23030215.