1. MONEY: Salman Akhtar Professor of Psychiatry
PURPOSES, PATHOLOGY, AND THERAPEUTIC IMPLICATIONS
Salman Akhtar
Professor of Psychiatry
Sidney Kimmel Medical College of the
Thomas Jefferson University,
Training and Supervising Analyst
Psychoanalytic Center of Philadelphia

2. MONEY
“Money matters are treated by civilized people in the same way as sexual matters – with the same inconsistency, prudishness, and hypocrisy”
Sigmund Freud
“It is better to have a permanent income than to be fascinating”
Oscar Wilde

3. MONEY
HEALTHY PURPOSES
Security
Acquisition
Experience

4. MONEY UNHEALTHY PURPOSES Narcissism & exhibitionism Competitiveness
Revenge

5. MONEY PSYCHOPATHOLOGICAL SYNDROMES Chronic miserliness
Characterological overspending
Inordinate generosity

6. MONEY PSYCHOPATHOLOGICAL SYNDROMES ( cont) Monetary masochism
Malignant bargain-hunting
Pathological gambling

7. MONEY THERAPEUTIC IMPLICATIONS
Setting fees, billing, and third-party involvement
Charging/not charging for missed sessions
Treating indigent patients

8. MONEY THERAPEUTIC IMPLICATIONS Treating wealthy patients
Refusing to take money
Working gratis