From Provocation and Combustibility Toward Mutuality: Once More with Less Rage, Please
Bibliographic record
Abstract
This paper presents a summary and excerpts taken from the psychoanalytic treatment, spanning over 16 years, of a highly disturbed and provocative male patient. Prior to referral, the man had been unsuccessfully treated psychopharmacologically for a depressive illness with severe somatic and affective symptoms and behavioral disturbances. A highlight of the case is the emergence of a therapeutic impasse that developed around the patient's attempt to connect intensely with the analyst; the patient attempted to repair his own damaged phallic narcissism by demanding that the analyst participate in a ritualized sexual enactment, which threatened the destruction of the treatment process. The resolution of the impasse was accomplished through the analyst's reaffirming the frame and recovering his own disrupted composure and ref lectiveness, while maintaining a compassionate and caring attitude toward the patient.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.005 | 0.013 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.002 | 0.005 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".