Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Psychoanalytic Concepts and the Structural Theory.

Louis L. Lunsky, MD
Arch Intern Med. 1965;115(3):369-370. doi:10.1001/archinte.1965.03860150113033.
Text Size: A A A
Published online


This is the third monograph to be published by the Journal of the American Psychoanalytic Association. This slim, provocative volume compares the topographical and structural models of the psyche in a clear and coherent style. The authors cogently demonstrate that these two models are contradictory dichotomies which are incompatable with each other.

The topographical theory was first presented in Chapter VII of Freud's Interpretation of Dreams. According to the theory, there are three systems of the mind, each of which is characterized by its relationship to consciousness. The system Unconscious (Ucs) comprises those elements which are not accessible to consciousness. The system Preconsciousness (Pcs) includes those elements which are readily accessible to consciousness. Finally, the system Consciousness (Cs) includes whatever is conscious at any given moment. It becomes very apparent that this heuristic model cannot explain the clinically observable data concerning intrapsychic conflict.

The structural theory divides the mind into


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.