WorldWideScience

Sample records for psychoanalytic treatment works

  1. The patient's experience of validation in psychoanalytic treatment.

    Science.gov (United States)

    Schechter, Mark

    2007-01-01

    The importance of the patient's experience of validation is not a new one in psychoanalytic thinking, and can be traced throughout the literature. However, its role as an essential aspect of the psychoanalytic process, particularly in working with intrapsychic conflict, has traditionally been underappreciated. It is argued that validating interventions have an important role in psychoanalytic treatment, and that they often serve to open up, rather than foreclose, the analysis of transference. Marsha Linehan's conceptualization of the role of validation in Dialectical Behavioral Therapy provides a unifying framework for a more extensive psychoanalytic consideration of validation. After a review of the psychoanalytic literature, a number of conceptual issues are discussed that have complicated thinking about validation from a psychoanalytic perspective. Two clinical examples are presented, one from the author's psychoanalytic practice and one from his own analysis. Both illustrate how active validation by the analyst can play an essential facilitating role in the psychoanalytic process.

  2. Psychoanalytic treatment of psychosis in institutions.

    OpenAIRE

    Mackie, Belinda S.

    2017-01-01

    Psychoanalysis can provide a conceptual foundation for the treatment of psychosis and for understanding how institutions that care for patients with psychosis function. The research of this thesis aims to examine theoretic, therapeutic and institutional approaches to psychosis. What is of significance is the priority that psychoanalysis places on the individual patient's treatment, how it is conceived psychoanalytically and incorporated in the overall organisation of an institution. Psychoan...

  3. Promoting Behavioral Change in Psychoanalytic Treatments.

    Science.gov (United States)

    Busch, Fredric N

    2017-01-01

    One of the shibboleths of psychoanalysis is that treatment should not target behavioral change, focusing instead on gaining insight and the therapeutic relationship (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). Such an approach is believed to be accompanied by disruptions of exploration or problematic distortions of the transference (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). However, ignoring behavioral change can put patients at increased risk for stalemates in treatment and persistent problematic behaviors that interfere with improvement and impair relationships. This article suggests that rather than being at odds or disruptive, efforts at behavioral change can be part of the development and employment of a psychodynamic formulation, and can be used to enhance self-understanding and exploration of the transference. Psychoanalytic approaches provide strategies for behavioral change not included in other psychotherapeutic treatments. This article describes a variety of ways in which efforts at behavioral change can be integrated with and enhanced by psychodynamic exploration.

  4. Transferences in parent-infant psychoanalytic treatments.

    Science.gov (United States)

    Salomonsson, Bjorn

    2013-08-01

    In parent-infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term "indirect infant transference" refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. "Direct transference" refers to when a baby reacts in a non-mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent-infant clinicians. Copyright © 2013 Institute of Psychoanalysis.

  5. A psychoanalytically oriented combined treatment approach for severely disturbed borderline patients: the Athens project.

    Science.gov (United States)

    Vaslamatzis, Grigoris; Coccossis, Maria; Zervis, Christos; Panagiotopoulou, Victoria; Chatziandreou, Maria

    2004-01-01

    A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric management. It is important to take into account that during inpatient treatment, projective identifications and splitting mechanisms are activated, involving different members of the therapeutic personnel or other patients. The mental health team--the psychiatrist, the nurses, the assigned psychotherapist, and other members of the therapeutic personnel--should work together in the context of teamwork in order to explore transference and countertransference manifestations. This function promotes empathy and understanding of the patient's inner difficulties. A combined treatment approach can help the patient stabilize his or her condition and develop awareness and motivation for undertaking long-term treatment and individual psychoanalytic psychotherapy, with the prospect that therapy will be maintained after the patient's discharge.

  6. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient.

    Science.gov (United States)

    Moore, Paul A; Salas, Christian E; Dockree, Suvi; Turnbull, Oliver H

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature - a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL's impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space - where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general - and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  7. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Science.gov (United States)

    Moore, Paul A.; Salas, Christian E.; Dockree, Suvi; Turnbull, Oliver H.

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change. PMID:28890703

  8. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Directory of Open Access Journals (Sweden)

    Paul A. Moore

    2017-08-01

    Full Text Available Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions with an individual (JL who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i rejecting; (ii starting to take in; and (iii full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  9. Psychoanalytic Treatment of Psychological Addiction to Alcohol (Alcohol Abuse)

    Science.gov (United States)

    Johnson, Brian

    2011-01-01

    The DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (dsm5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson, 2003). In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery. Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9-year followup. This case illustrates that Alcohol Abuse is a purely psychological illness, that it does not have the brain changes typical of Alcohol Dependence. Combining epidemiological, neurobiological, longitudinal, and psychoanalytic observations would allow multiple sources of information to be used in creating diagnostic categories. Losing details of human behavior by relying only on epidemiological studies is likely to cause errors in categorization of disorders. In turn, having faulty categories as the basis of further research is likely to impair identification of specific effective treatments. PMID:22144975

  10. Psychoanalytic treatment of psychological addiction to alcohol (alcohol abuse).

    Science.gov (United States)

    Johnson, Brian

    2011-01-01

    The DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (dsm5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson, 2003). In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery. Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9-year followup. This case illustrates that Alcohol Abuse is a purely psychological illness, that it does not have the brain changes typical of Alcohol Dependence. Combining epidemiological, neurobiological, longitudinal, and psychoanalytic observations would allow multiple sources of information to be used in creating diagnostic categories. Losing details of human behavior by relying only on epidemiological studies is likely to cause errors in categorization of disorders. In turn, having faulty categories as the basis of further research is likely to impair identification of specific effective treatments.

  11. Inner and Outer Life at Work. The Roots and Horizon of Psychoanalytically Informed Work Life Research

    Directory of Open Access Journals (Sweden)

    Linda Lundgaard Andersen

    2012-09-01

    Full Text Available The modern labour market has increasingly put the inner working life on the agenda. This stems from a number of societal changes: the knowledge society and its need of personalised competences and work investments in welfare services, the transformation from subject-object relationships to subject-subject relationships and the emergence of the "learning organisations" and reflexive leadership. All of this has been the subject of critical analyses tracing modern work life identities, conflicts, organisational and societal structuration. Against this background the accounts and conceptualisations of work life involving people to people interactions offered by psychodynamic theories and methods take up a pivotal position. Psychoanalytic organisational and work life research explores how work, organisations and individuals are affected by psychic dynamics, the influence of the unconscious in the forms of human development and interaction situated in a societal context. Based on this substantial work I draw upon two influential psychoanalytical positions—the British Tavistock position and German psychoanalytic social psychology in order to situate and identify how to understand the inner and outer life at work—in a generic display of concepts, methods and epistemology. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1203232

  12. Clinical Case Studies in Psychoanalytic and Psychodynamic Treatment

    Science.gov (United States)

    Willemsen, Jochem; Della Rosa, Elena; Kegerreis, Sue

    2017-01-01

    This manuscript provides a review of the clinical case study within the field of psychoanalytic and psychodynamic treatment. The method has been contested for methodological reasons and because it would contribute to theoretical pluralism in the field. We summarize how the case study method is being applied in different schools of psychoanalysis, and we clarify the unique strengths of this method and areas for improvement. Finally, based on the literature and on our own experience with case study research, we come to formulate nine guidelines for future case study authors: (1) basic information to include, (2) clarification of the motivation to select a particular patient, (3) information about informed consent and disguise, (4) patient background and context of referral or self-referral, (5) patient's narrative, therapist's observations and interpretations, (6) interpretative heuristics, (7) reflexivity and counter-transference, (8) leaving room for interpretation, and (9) answering the research question, and comparison with other cases. PMID:28210235

  13. Inner and Outer Life at Work. The Roots and Horizon of Psychoanalytically Informed Work Life Research

    DEFF Research Database (Denmark)

    Lundgaard Andersen, Linda

    2013-01-01

    »‚Innen‘ – und ‚Außenleben‘ in der Arbeitswelt. Ursprünge und Potenziale einer psychoanalytisch informierten Arbeitsweltforschung«. The modern labour market has increasingly put the inner working life on the agenda. This stems from a number of societal changes: the knowledge society and its need...... identities, conflicts, organisational and societal structuration. Against this background the accounts and conceptualisations of work life involving people to people interactions offered by psychodynamic theories and methods take up a pivotal position. Psychoanalytic organisational and work life research...

  14. Psychoanalytic treatment of psychological addiction toalcohol (alcohol abuse

    Directory of Open Access Journals (Sweden)

    Brian eJohnson

    2011-12-01

    Full Text Available AbstractThe DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (DSM5.org. The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson 2003. In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery.Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9 year followup.

  15. The relationship between formal operations cognition and suitability for psychoanalytic treatment.

    Science.gov (United States)

    Fielder, J F

    1993-01-01

    Psychoanalytic practice can benefit from a coherent theory of cognition that is more comprehensive than, but which includes the related concepts of primary/secondary processes. For reasons not yet understood, cognition has not received the continuing attention it deserves in psychoanalytic theory. As demonstrated, Piaget's empirical studies of cognition can potentially help the practicing psychoanalyst to clinically differentiate those patients suitable for psychoanalytic treatment. It appears that Piaget's theory may hold greater utility for psychoanalysis than has been evidenced to date and analysts may be able to eventually describe defensive operations as well as other ego functions in terms of the cognitive functions delineated by Piaget.

  16. On psychoanalytic supervision as signature pedagogy.

    Science.gov (United States)

    Watkins, C Edward

    2014-04-01

    What is signature pedagogy in psychoanalytic education? This paper examines that question, considering why psychoanalytic supervision best deserves that designation. In focusing on supervision as signature pedagogy, I accentuate its role in building psychoanalytic habits of mind, habits of hand, and habits of heart, and transforming theory and self-knowledge into practical product. Other facets of supervision as signature pedagogy addressed in this paper include its features of engagement, uncertainty, formation, and pervasiveness, as well as levels of surface, deep, and implicit structure. Epistemological, ontological, and axiological in nature, psychoanalytic supervision engages trainees in learning to do, think, and value what psychoanalytic practitioners in the field do, think, and value: It is, most fundamentally, professional preparation for competent, "good work." In this paper, effort is made to shine a light on and celebrate the pivotal role of supervision in "making" or developing budding psychoanalysts and psychoanalytic psychotherapists. Now over a century old, psychoanalytic supervision remains unparalleled in (1) connecting and integrating conceptualization and practice, (2) transforming psychoanalytic theory and self-knowledge into an informed analyzing instrument, and (3) teaching, transmitting, and perpetuating the traditions, practice, and culture of psychoanalytic treatment.

  17. Therapeutic Communications and the Process of Change in a Psychoanalytic Treatment

    Science.gov (United States)

    Vegas, Monica

    2013-01-01

    This study looked at the interplay of the analyst verbal speech acts and the process of change in a psychoanalytic treatment. Using a single case design on the session transcripts of the well studied case of Mrs. C., following Halfon and Weinstein's (2013) methodology the study tracked linguistic patterns as represented by the interaction of…

  18. ["The most ill go into psychoanalytic treatment"? Critical comments on an article in Report Psychologie].

    Science.gov (United States)

    Richter, R; Hartmann, A; Meyer, A E; Rüger, U

    1994-01-01

    Thomas and Schmitz claim that they "deliver a proof for the effectiveness of humanistic methods" (p. 25) with their study. However, they did not or were not able to verify their claim due to several reasons: The authors did not say if and if so to what extent the treatments carried out within the framework of the TK-regulation were treatments using humanistic methods. The validity of the only criterium used by the authors, the average duration of the inability to work, must be questioned. The inferential statistical treatment of the data is insufficient; a non-parametrical evaluation is necessary. Especially missing are personal details concerning the treatment groups (age, sex, occupation, method, duration and frequency of therapy), which are indispensable for a differentiated interpretation. In addition there are numerous formal faults (wrong quotations, mistakes in tables, unclear terms etc.). In view of this criticism we come to the conclusion that the results are to a large degree worthless, at least until several of our objections have been refuted by further information and adequate inferential statistical methods. This study is especially unsuitable to prove a however defined "effectiveness of out-patient psychotherapies", therefore also not suitable to prove the effectiveness of those treatments conducted within the framework of the TK-regulation and especially not suitable to prove the superiority of humanistic methods in comparison with psychoanalytic methods and behavioural therapy.

  19. Reality testing in place of interpretation: a phase in psychoanalytic work with descendants of Holocaust survivors.

    Science.gov (United States)

    Grubrich-Simitis, Ilse

    2010-01-01

    Repetition of experience endured by the first generation has frequently been observed in descendants of Holocaust survivors. Such repetitions are associated with an erosion of the ability, in the area of the trauma, to distinguish more or less reliably between external and internal reality. This in turn results from the defensive need, in the affected families, to dissociate from such extreme traumatic experiences. Clinical material is presented to show that, at a certain phase in psychoanalytic work with patients belonging to subsequent generations, interpretive activity may need to be temporarily suspended in order to facilitate reality testing and the recognition of the Shoah as an objective historical fact.

  20. Theoretical pluralism in psychoanalytic case studies

    Science.gov (United States)

    Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M.; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M. B. D.

    2015-01-01

    The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or “Classical psychoanalysis” dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals. PMID:26483725

  1. Theoretical pluralism in psychoanalytic case studies.

    Science.gov (United States)

    Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M B D

    2015-01-01

    The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or "Classical psychoanalysis" dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals.

  2. [The bell tolls for Ernest Hemingway. Somatic, psychiatric and psychoanalytical aspects of his life and work].

    Science.gov (United States)

    Bramness, J G

    1999-06-30

    This year, the centennial of Ernest Miller Hemingway's (1899-1961) birth is being celebrated. He committed suicide on July 2 1961, thus ending a crowded and turbulent life. He published seven novels and a number of short stories during his lifetime; four novels were published after his death. Millions of copies of his works have been sold and he is still one of the world most read authors. His simple, matter-of-fact and compressed style has had great influence on other authors. There has been enormous interest in the life and works of Hemingway. This paper addresses this interest and various aspects of Hemingway's life and tries to offer some explanations by looking at Hemingway's medical history, using some psychoanalytical approaches to his life and work.

  3. The seventh penis: towards effective psychoanalytic work with pre-surgical transsexuals.

    Science.gov (United States)

    Withers, Robert

    2015-06-01

    The author reflects on his contrasting analytic work with two transsexual patients. He uses three previous psychoanalytic studies (Stoller, Morel and Lemma) to explore whether effective analytic work with the issues driving a person's determined wish for sex reassignment surgery (SRS) is possible. Particular consideration is given to how such work might navigate a path between traumatizing and pathologizing the patient on the one hand and avoiding important analytic material out of fear of so doing on the other. The author proceeds to ask whether it is possible to tell in advance, with any degree of reliability, who is and who is not likely to benefit from surgery. He considers certain diagnostic issues in relation to these questions. Illustrations are given of how, in practice, countertransference anxieties about psychopathologizing transsexual patients can contribute to significant difficulties in working clinically with them. It is argued that the understanding and containment of such anxieties could eventually lead to more effective analytic work, and that such work might be further facilitated by considering the contribution of mind-body dissociation to transsexualism. © 2015, The Society of Analytical Psychology.

  4. The interaction of existential concerns and psychoanalytic insights in the treatment of contemporary patients.

    Science.gov (United States)

    Chessick, Richard D

    2009-01-01

    Middle-aged and elderly patients have been shown to respond to psychoanalytic treatment, but they present certain characteristic problems not typical of young patients. I discuss these and offer a brief case presentation followed by a general discussion of the role of existential concerns and of their intertwining with psychoanalytic insights and interpretations in the treatment of older patients from our contemporary culture. The particular case of a relatively mild narcissistic personality disorder is used as an example of the kinds of difficulties contemporary psychoanalysts and psychodynamic psychiatrists run into in the current treatment of the aging patient population. The analyst's beliefs and personality are seen as more important than in classical Freudian psychoanalysis, and deliberate attention to the patient's existential concerns and cultural milieu cannot be avoided. A great deal of correction of what Gedo called "apraxias" is necessary, but I argue that in this situation each person must develop one's self in one's own way and without education and intrusion by the analyst. This self development in the face of one's inevitable future is seen as a vital aspect of contemporary psychoanalytic treatment of aging patients, regardless of which of the five orientation channels (that I have discussed elsewhere) are employed. The patient is seen as dealing both with his or her own infantile neurosis that is interfering with adult functioning and at the same time with universal existential human problems that become increasingly pressing as one ages. I contend that the current biological orientation of psychiatry is insufficient to address these difficulties, regardless of what advances we make in psychopharmacology and neurobiology. An exclusive neurobiological orientation can represent what existentialists label an "inauthentic choice" and a retreat from the spirit of humanism.

  5. Development of Cultural Competence among Social Work Students: A Psychoanalytic Perspective.

    Science.gov (United States)

    Levin-Keini, Noga; Ben Shlomo, Shirley

    2017-10-01

    This article addresses the development of attitudes toward the other and otherness in light of the classical psychoanalytical approach of Freud. Through this approach, the authors attempt to surmount the criticism that was raised in the literature in connection with the difficulty faced by students and professionals in the field of social work in achieving cultural competence. Based on this approach the authors suggest that cultural competence can develop provided two conditions exist: (1) interpersonal contact between lecturer and student, and (2) using the bond to help the student connect with the inner stranger within himself or herself, or as Freud put it, connecting with the "unconscious parts of the mind." With the help of two examples presented, the authors demonstrate how every meeting with strangeness is first and foremost a meeting with a concrete stranger-in the first case the meeting of Jewish students with an Arab student, and in the second case the meeting of a secular student with an ultra-Orthodox boy. Implications for social work practice and education are discussed. © 2017 National Association of Social Workers.

  6. Inner and Outer Life at Work. The Roots and Horizon of Psychoanalytically Informed Work Life Research

    National Research Council Canada - National Science Library

    Linda Lundgard Andersen

    2012-01-01

    ... and the emergence of the "learning organisations" and reflexive leadership. All of this has been the subject of critical analyses tracing modern work life identities, conflicts, organisational and societal structuration...

  7. [The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning].

    Science.gov (United States)

    Cropp, Carola

    2017-07-01

    The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning The psychoanalytic-interactional method (PIM) was developed as a psychodynamic treatment for adult patients with severe disorders of personality functioning (Streeck u. Leichsenring, 2015). However, it is also well suited for the treatment of adolescent patients because its techniques fit with specific conditions of adolescence. A modified version of the PIM for adolescents (Streeck-Fischer, Cropp, Streeck, Salzer, 2016) has proven to be efficacious. The paper describes the basic principles of the PIM and names aspects that have to be taken into account in the treatment of adolescents with severe disorders of personality functioning. Finally, previous empirical results regarding the PIM treatment in adolescence are presented.

  8. Review Essay: Our Rules Leave a Backdoor Open—At the Heart of the Radically Incomplete Psychoanalytic Process

    Directory of Open Access Journals (Sweden)

    Michael Langenbach

    2008-10-01

    Full Text Available Practical work in psychoanalytic practice is a core component of the enhancement of psychoanalytic knowledge. Despite its importance it is a rather dark chapter in the research history of psychoanalysis and empirical research into what actually happens in practice has been rare. The book by Andreas STRATKÖTTER reviewed here takes psychoanalytic practice as the empirical basis of an extensive qualitative study. The psychoanalysts interviewed by STRATKÖTTER describe the criteria they take to indicate the need for psychoanalytic treatment, the practical relevance of central psychoanalytic notions, and their professional development after psychoanalytic training. STRATKÖTTER's study can be taken as a reference for demands for improvements in the culture of psychoanalytic training and for further development of qualitative research approaches in psychoanalysis. URN: urn:nbn:de:0114-fqs0901173

  9. Tavistock Adult Depression Study (TADS): a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression

    OpenAIRE

    Taylor, D.; Carlyle, J. A.; McPherson, S.; Rost, F.; Thomas, R.; Fonagy, P.

    2012-01-01

    ABSTRACT: BACKGROUND: Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. METHODS: INDEX GROUP: Patients with treatment resistant/treatment refractory depression. DEFINITION & INC...

  10. Cognitive development, memory, trauma, treatment: An integration of psychoanalytic and behavioral concepts in light of current neuroscience research.

    Science.gov (United States)

    Hutterer, Jeffrey; Liss, Miriam

    2006-01-01

    The goal of Freud's Project was to place all psychological functioning on a neurological foundation; however, the resources of his time were inadequate for the task. This article attempts to link basic psychoanalytic and behavioral constructs to current neuroscience, specifically the memory paradigm of multiple trace theory. We propose that Freud's theory of early cognitive development, in which primary process is succeeded by secondary process, corresponds to the progression from a noncontextual taxon-based memory system to a locale system (mediated by hippocampal and cortical structures) in which memories are formed within space/time contexts. The effects of trauma within these models is then examined by noting how Freud's views of repression and regression parallel neuropsychological hypotheses about the ways in which traumatic experience impacts specific brain areas. Finally, the treatment implications of this theoretical synthesis are explored. We posit that transference resembles the learning theory construct of generalization, and the non-contextualized coding of the taxon system. In conclusion, we suggest that orthodox psychoanalytic approaches may have overestimated the efficacy of words and intellectual vectors in effecting therapeutic change. Nonverbal strategies may be required to reach material that is stored in early developing brain areas that may be inaccessible to words.

  11. The myth and history of some psychoanalytic concepts. Thoughts inspired by a reading of Orange et al., Working intersubjectively.

    Science.gov (United States)

    Goretti, G R

    2001-12-01

    In this paper the author gives her reactions to a book on the intersubjective approach that deals with major issues such as the analyst's role in the psychoanalytic process, neutrality, technique and self-disclosure. Noting that the book often adopts an antagonistic and innovative stance towards Freud, she draws attention to aspects of his theories that deal with concepts deemed by the intersubjective school to be of fundamental importance. Chief among these is the influence of the analyst on the analytic process, in terms both of his 'defects' and of his individuality in general. In opposition to the 'myth of the isolated mind' attributed by the book to Freud, the author presents some selected passages from his works that emphasise the structuring function of the object and the influence of various groups on the individual. The aim of the paper is not only to counter the oversimplified view of Freud that emerges from the book but also to put forward a theoretical position with respect to a school that is exerting an increasingly powerful attraction on both sides of the Atlantic. The author's argument is based mainly on a discussion of the detailed clinical sequences featuring in the book. She also considers some possible cultural and social determinants of the development of the intersubjective trend.

  12. Neuroscience and imagination: the relevance of Susanne Langer's work to psychoanalytic theory.

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    Browning, Margaret M

    2006-10-01

    This paper presents the work of philosopher Susanne Langer and argues that her conceptualization of the human mind can provide psychoanalysts with a unique framework with which to theoretically combine interpretive and biological approaches to their work. Langer's earlier work in the philosophy of symbols directs her investigation into the biological sciences along the lines of sentience and imagination, which in turn become the cornerstones of her theory of mind. Langer's understanding of the continuing transformation of affect into language is a decisive contribution yet to be built upon by others.

  13. Mourning and psychosis: a psychoanalytic perspective.

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    Tizón, Jorge L

    2010-12-01

    The author attempts to develop some of the basic models and concepts relating to mourning processes in psychotic patients on the assumption that situations of loss and mourning are key moments for psychoanalysis, psychotherapy, and therapeutic approaches in general. Secondly, he reminds us that 'mourning processes in psychotics' are not always 'psychotic mourning processes', that is to say, that they do not necessarily occur within, or give rise to, a psychotic clinical picture. These ideas are illustrated by a number of sessions and vignettes concerning two psychotic patients in psychotherapeutic and psychoanalytic treatment. In theoretical terms, it seems vitally important in this context to combine a relationship-based approach within a framework of special psychoanalytic psychopathology with an updated view of processes of mourning and affective loss. A fundamental requirement at clinical level is to determine the role to be played by psychoanalytically based treatments in combined, integrated or global therapies when working with psychotic patients. For this purpose, the paper ends by outlining a set of principles and objectives for such treatments. Copyright © 2010 Institute of Psychoanalysis.

  14. Tavistock Adult Depression Study (TADS): a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression.

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    Taylor, David; Carlyle, Jo-anne; McPherson, Susan; Rost, Felicitas; Thomas, Rachel; Fonagy, Peter

    2012-06-11

    Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. Patients with treatment resistant/treatment refractory depression. Current major depressive disorder, 2 years history of depression, a minimum of two failed treatment attempts, ≥14 on the HRSD or ≥21 on the BDI-II, plus complex personality and/or psycho-social difficulties. Moderate or severe learning disability, psychotic illness, bipolar disorder, substance dependency or receipt of test intervention in the previous two years. Pragmatic, randomised controlled trial with qualitative and clinical components. 18 months of weekly psychoanalytic psychotherapy, manualised and fidelity-assessed using the Psychotherapy Process Q-Sort. Treatment as usual, managed by the referring practitioner. GP referrals from primary care. HRSD (with ≤14 as remission). depression severity (BDI-II), degree of co-morbid disorders Axis-I and Axis-II (SCID-I and SCID-II-PQ), quality of life and functioning (GAF, CORE, Q-les-Q), object relations (PROQ2a), Cost-effectiveness analysis (CSRI and GP medical records). 2 years. Plus: a). Qualitative study of participants' and therapists' problem formulation, experience of treatment and of participation in trial. (b) Narrative data from semi-structured pre/post psychodynamic interviews to produce prototypes of responders and non-responders. (c) Clinical case-studies of sub-types of TRD and of change. TRD needs complex, long-term intervention and extended research follow-up for the proper evaluation of treatment outcome. This pushes at the limits of the design of randomised therapeutic trials. We discuss some of the consequent problems and suggest how they may be mitigated. Current

  15. Horneyan developmental psychoanalytic theory and its application to the treatment of the young.

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    Paul, H A

    1984-01-01

    The early work of Dr. Karen Horney has been reviewed, including her ideas concerning neurotogenesis, the formation of basic anxiety, basic conflict as a result of disordered attachment, and various conflict solutions. In addition, her pioneering ideas regarding the real self and self-realization have been mentioned. It has been shown that the application of her ideas in clinical work with the young results in a rational approach to suffering children and their families.

  16. Tavistock Adult Depression Study (TADS: a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression

    Directory of Open Access Journals (Sweden)

    Taylor David

    2012-07-01

    Full Text Available Abstract Background Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. Methods/Design INDEX GROUP: Patients with treatment resistant/treatment refractory depression. DEFINITION & INCLUSION CRITERIA: Current major depressive disorder, 2 years history of depression, a minimum of two failed treatment attempts, ≥14 on the HRSD or ≥21 on the BDI-II, plus complex personality and/or psycho-social difficulties. EXCLUSION CRITERIA: Moderate or severe learning disability, psychotic illness, bipolar disorder, substance dependency or receipt of test intervention in the previous two years. DESIGN: Pragmatic, randomised controlled trial with qualitative and clinical components. TEST INTERVENTION: 18 months of weekly psychoanalytic psychotherapy, manualised and fidelity-assessed using the Psychotherapy Process Q-Sort. CONTROL CONDITION: Treatment as usual, managed by the referring practitioner. RECRUITMENT: GP referrals from primary care. RCT MAIN OUTCOME: HRSD (with ≤14 as remission. SECONDARY OUTCOMES: depression severity (BDI-II, degree of co-morbid disorders Axis-I and Axis-II (SCID-I and SCID-II-PQ, quality of life and functioning (GAF, CORE, Q-les-Q, object relations (PROQ2a, Cost-effectiveness analysis (CSRI and GP medical records. FOLLOW-UP: 2 years. Plus: a. Qualitative study of participants’ and therapists’ problem formulation, experience of treatment and of participation in trial. (b Narrative data from semi-structured pre/post psychodynamic interviews to produce prototypes of responders and non-responders. (c Clinical case-studies of sub-types of TRD and of change. Discussion TRD needs complex, long-term intervention and

  17. MOTHERS' EXPERIENCES OF MOTHER-INFANT PSYCHOANALYTIC TREATMENT-A QUALITATIVE STUDY.

    Science.gov (United States)

    Winberg Salomonsson, Majlis; Barimani, Mia

    2017-07-01

    As part of a larger research project in Sweden, a qualitative study investigated mother-infant psychoanalysis (MIP). Earlier, a randomized controlled trial compared two mother-infant groups. One received MIP, and the other received standard child health center care. Previous articles have reported long-term effects: MIP-group mothers were less depressed throughout a 3-year posttreatment period, and their children demonstrated better global functioning and psychological well-being (Winberg Salomonsson, Sorjonen, & Salomonsson, ). The present study's objectives were to describe the mothers' experiences of MIP and deepen the understanding of the MIP process. Six months after treatment started, all mothers were interviewed. Transcribed interviews of 10 (of 33) MIP-group participants were randomly selected and analyzed in detail. Thematic analysis was used on the interview data. Two main themes emerged: (a) transition to motherhood and (b) relationships with the infant and family. MIP facilitated mother-infant relationship development and familial relationship development and clarified mothers' views of how their personal histories were connected with their motherhood experiences. Mothers reported that the analysts had succeeded in balancing the mothers' own needs and those of the infant. Their accounts of therapy matched the published descriptions of MIP. © 2017 Michigan Association for Infant Mental Health.

  18. Predictors of discharge in child psychoanalytic psychotherapy

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    Izabel Cristina Paez

    2015-06-01

    Full Text Available Introduction: This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.Method: This quantitative, descriptive and retrospective study analyzed the clinical records of 600 children treated in three institutions that offer graduate courses in psychoanalytic psychotherapy in Porto Alegre, Brazil.Results: The analysis of clinical records revealed that 24.2% of the child patients were discharged from treatment. Neurological assessment and treatment duration were predictors of discharge in child psychoanalytic psychotherapy.Conclusion: The predictors of discharge and dropout may coincide, but they are not the same. In this sample, the construction of the therapeutic alliance and the understanding of the reasons why children need psychotherapy by their parents or guardians may explain our findings.

  19. Improving mood with psychoanalytic and cognitive therapies (IMPACT: a pragmatic effectiveness superiority trial to investigate whether specialised psychological treatment reduces the risk for relapse in adolescents with moderate to severe unipolar depression: study protocol for a randomised controlled trial

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    Suckling John

    2011-07-01

    Full Text Available Abstract Background Up to 70% of adolescents with moderate to severe unipolar major depression respond to psychological treatment plus Fluoxetine (20-50 mg with symptom reduction and improved social function reported by 24 weeks after beginning treatment. Around 20% of non responders appear treatment resistant and 30% of responders relapse within 2 years. The specific efficacy of different psychological therapies and the moderators and mediators that influence risk for relapse are unclear. The cost-effectiveness and safety of psychological treatments remain poorly evaluated. Methods/Design Improving Mood with Psychoanalytic and Cognitive Therapies, the IMPACT Study, will determine whether Cognitive Behavioural Therapy or Short Term Psychoanalytic Therapy is superior in reducing relapse compared with Specialist Clinical Care. The study is a multicentre pragmatic effectiveness superiority randomised clinical trial: Cognitive Behavioural Therapy consists of 20 sessions over 30 weeks, Short Term Psychoanalytic Psychotherapy 30 sessions over 30 weeks and Specialist Clinical Care 12 sessions over 20 weeks. We will recruit 540 patients with 180 randomised to each arm. Patients will be reassessed at 6, 12, 36, 52 and 86 weeks. Methodological aspects of the study are systematic recruitment, explicit inclusion criteria, reliability checks of assessments with control for rater shift, research assessors independent of treatment team and blind to randomization, analysis by intention to treat, data management using remote data entry, measures of quality assurance, advanced statistical analysis, manualised treatment protocols, checks of adherence and competence of therapists and assessment of cost-effectiveness. We will also determine whether time to recovery and/or relapse are moderated by variations in brain structure and function and selected genetic and hormone biomarkers taken at entry. Discussion The objective of this clinical trial is to determine

  20. A obra poética de Pablo Neruda: um estudo psicanalítico The Pablo Neruda’s poetic work: a psychoanalytical study

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    Ismael Pereira de Siqueira

    2002-12-01

    Full Text Available Neste trabalho realizou-se uma leitura da obra poética de Pablo Neruda, conforme os pressupostos teóricos de Freud e Lacan. A preocupação inicial foi a de elaborar um esquema teórico que fornecesse subsídios ao estudo. Num segundo momento foi realizada uma leitura das principais obras que marcam os três períodos literários de Pablo Neruda, tentando-se interpretar psicanaliticamente a rede simbólica encontrada nessas obras. Com base nas análises realizadas, pôde-se observar que a poesia de Pablo Neruda parece possuir um papel de figura objetal, possibilitando ao autor religar-se às suas figuras parentais, nas quais projeta os seus desejos e frustrações.In this work a reading of Pablo Neruda’s poetic work was done, according to a Freud’s and Lacan’s theoretical presuppositions. The first concern was to elaborate a theoretical schema to supply subsidies to this study. After, a reading of the most important works of Pablo Neruda’s three literary periods was done, trying to interpret psychoanalytically the symbolic net of these works. Based on the these analysis, it was observed that Pablo Neruda’s poetry seems to have an object figure role, causing the author to link again to his parents figures on whom he projects his desires and frustrations.

  1. A LONG-TERM FOLLOW-UP STUDY OF A RANDOMIZED CONTROLLED TRIAL OF MOTHER-INFANT PSYCHOANALYTIC TREATMENT: OUTCOMES ON MOTHERS AND INTERACTIONS.

    Science.gov (United States)

    Salomonsson, Majlis Winberg; Sorjonen, Kimmo; Salomonsson, Björn

    2015-01-01

    An earlier randomized controlled trial (RCT) compared 80 mother-infant dyads in a Stockholm sample. One had received mother-infant psychoanalytic treatment [mother-infant psychoanalytic therapies (MIP) group], and the other received Child Health Center care (CHCC group). Effects were found on mother-reported depression and expert-rated mother-infant relationship qualities and maternal sensitivity. When the children were 412 years, the dyads were followed up with assessments of the children's attachment representations, social and emotional development, and global functioning, and the mothers' psychological well-being and representations of the child as well as the mother-child interactions. We gathered data from 66 cases approximately 312 years' posttreatment. All scores involving the mothers had now approached community levels. We found effects on maternal depression in favor of MIP, but no other between-group differences. The MIP treatments seemed to have helped the mothers to recover more quickly on personal well-being, to become more sensitive to their babies' suffering, and to better support and appreciate their children throughout infancy and toddlerhood. If so, this would explain why the MIP children had a better global functioning and were more often "OK" and less often "Troubled" at 412 years. © 2015 Michigan Association for Infant Mental Health.

  2. Psychoanalytic interpretation and cognitive transformation.

    Science.gov (United States)

    Basch, M F

    1981-01-01

    Psychoanalytic metapsychology should be recognized for what it is, namely a theory of cognition and affect that is not derived directly from clinical data but is advanced in order to provide the development background that will let us deal with the clinical findings of psychoanalysis as aberrations of and deviations from the normal and expected evolution of the thinking process. Its cornerstone is Freud's belief that thought depends on the forging of links between the sensory perception of objects and their appropriate verbal descriptions. He made no secret of his dissatisfaction with his metapsychology and repeatedly revised it in an attempt to encompass those clinical discoveries of psychoanalysis that outstripped the explanatory power of that metapsychology and demonstrated its shortcomings. Using what we now know about normal development in infancy and childhood through the work of Piaget, Vygotsky and other investigators, it is possible to formulate an explanatory theory that does justice to the varied and complex findings uncovered by the application of the psychoanalytic method. For example, the significance of Freud's postulated second censorship between the preconscious and consciousness, as well as the importance of the defence of disavowal that Freud emphasized in his writings after 1927, can now be accounted for with a theory of thought formation that was not available to the founder of psychoanalysis. The implications of this proposed reformulation for psychoanalytic interpretation and for the application of psychoanalysis to an increasingly wide range of psychopathology is discussed in some detail.

  3. Working during cancer treatment

    Science.gov (United States)

    ... weekend to recover. Talk to your manager about working at home some days, if possible. You can spend less time commuting and rest when you need to. Let your boss know your treatment schedule ... out if you have to be out of the office. Consider talking first to one or two people ...

  4. Psychoanalytic peregrinations I: Transference and transference neurosis revisited.

    Science.gov (United States)

    Chessick, Richard D

    2002-01-01

    The various meanings of transference and transference neurosis are reviewed with special attention to the various roles transference plays in the psychoanalytic process. A study of the provenance of transference is offered with some remarks on the crucial emphasis on understanding and interpreting the transference in psychoanalytic treatment. The danger of using other types of interventions as being manifestations of countertransference is suggested.

  5. Two systems of self-regulation and the differential application of psychoanalytic technique.

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    Novick, Kerry Kelly; Novick, Jack

    2003-03-01

    Out of our work over the years on child development, clinical technique, and sadomasochism, we have begun to formulate a model of development that describes two possible ways of responding to feelings of helplessness in the face of the challenges of internal and external experience. Any psychoanalytic model has implications for how we think about technique and can be tested on the basis of its utility in generating technical ideas and enhancing our therapeutic repertoire. At this juncture in the history of our field, it is crucial for us to demonstrate that psychoanalytic techniques are effective in helping people enter treatment, change, and finish in a way that consolidates their gains. In this paper we explore the utility of our two-systems model for expanding the discourse about psychoanalytic technique.

  6. A PSYCHOANALYTIC APPROACH TO AFANASY FET’S WORK, “A DREAM” - AFANASİY FET’İN “RÜYA” ADLI ESERİNE PSİKANALİTİK YAKLAŞIM

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    Leyla KERİM

    2015-04-01

    Full Text Available The idea that literature and psychology which are based on human and the issues related to human in all their historical process should be scientifically explored from each other’s perspective was first suggested by Sigmund Freud. Freud used the literary works as materials to examine their writers and protagonists better; consequently, his approach is known as the psychoanalytic criticism since he examined writers’ and protagonists’ earlier lives, dreams and psychologies through these literary works. In this respect, Afanasy Fet’s work ,“A Dream” could be considered as a very interesting study theme. Fet, who is not as well-known as L. N. Tolstoy and F. M. Dostoyevsky in Turkey, is one of the poets that belong to the literary approach known as the “Clean Art” in 19.th century Russian literature. The poem named “A Dream” has a special place among A. Fet’s works because of its subject matter and its being one of the “clean art” works. The work is about Lieutenant Losev’s vision he dreamt. The reason for us to choose this work which provided a basis for our study is that dreams have big importance regarding psychology, and they are directly connected to sub conscience. Due to the psychoanalytic approach, the works examined can be understood better, and the hidden factors can emerge. We recognize two different sub consciences in this work that is analyzed with psychoanalytic approach: first, a protagonist who is narrating his dream and feelings (Lieutenant Losev and then Afanasy Fet whose feelings and psychology are reflected on the work. As a result of our analysis, we could say that Afanasy Fet reflected on Lieutenant Losev with regard to the deductions we get through the methods of psychoanalytic criticism. Since the methods of psychoanalytic criticism have not been given enough place in the studies on Russian Literature in Turkey, we believe that our study will be useful in this field.

  7. Psychoanalytic reality of prose

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    Todorović Milorad V.

    2015-01-01

    Full Text Available Scientific methods of a particular field of knowledge can not be freely applied to a different field without any adjustments or reservations. Openness to a different approach is detrimental here. According to Nothrop Frye, psychonalysis in literature tends to 'blur the lines between methods' (Frye 1979: 383 thus increasing openness. Therefore, the anxiety that exists between the theory of psychonalysis and the practice of psychoanalytic therapy will follow the application of psychoanalysis to other scientific fields. Solid grasp of the theory of psychoanalysis is incomplete without understanding its practical implementation in the domain of pain as its priviledged source of truth. Even Jacques Lacan emphasized this by distinguishing between understanding and knowing Jacques Derrida's psychoanalysis. The interdisciplinary activity, valued today as an important aspect of research, cannot be accomplished by simple confrontations between various specialized branches of knowledge. According to Roland Barthes, interdisciplinary work is not a peaceful operation: it begins effectively when the solidarity of the old disciplines breaks down to the benefit of a new object and a new language, neither of which is in the domain of those branches of knowledge that one calmly sought to confront (Barthes 1986b:181. Mirjana Lončar Vujnović proposes, following Barthes logic, to substitute the term psychoanalysis with the term 'experimental mysticism' (Lončar Vujnović 2014: 46. Her proposition has no semantic justification (and not only for its failed attempt at oxymoron let alone scientific. The exploration of the unconscious psyche which is unknown and irrational - designated under certain circumstances as the exploration of the mystical as a hidden, secret part of a man's soul - was scrutinized in psychoanalysis by employing a rigorous scientific method in reverence to the methods of the natural sciences. Furthermore, due to the nomothetic-ideographic and

  8. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy.

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    Berghout, Caspar C; Zevalkink, Jolien; Hakkaart-van Roijen, Leona

    2010-01-01

    Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility study, we examined the incremental cost-effectiveness ratio (ICER) of psychoanalysis versus psychoanalytic psychotherapy. Incremental costs and effects were estimated by means of cross-sectional measurements in a cohort design (psychoanalysis, n = 78; psychoanalytic psychotherapy, n = 104). Quality-adjusted life-years (QALYs) were estimated for each treatment strategy using the SF-6D. Total costs were calculated from a societal perspective (treatment costs plus other societal costs) and discounted at 4 percent. Psychoanalysis was more costly than psychoanalytic psychotherapy, but also more effective from a health-related quality of life perspective. The ICER--that is, the extra costs to gain one additional QALY by delivering psychoanalysis instead of psychoanalytic psychotherapy--was estimated at 52,384 euros per QALY gained. Our findings show that the cost-utility ratio of psychoanalysis relative to psychoanalytic psychotherapy is within an acceptable range. More research is needed to find out whether cost-utility ratios vary with different types of patients. We also encourage cost-utility analyses comparing psychoanalytic treatment to other forms of (long-term) treatment.

  9. Hamlet and psychoanalytic experience.

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    Schwaber, Paul

    2007-01-01

    Hamlet draws us into its rendered world, enabling us to experience it with depth, awareness, and resonance, in a mode we recognize as aesthetic. By way of Shakespeare's play--primarily the first act--and a detailed case study, aesthetic and psychoanalytic experience are compared, to suggest that, for our own analytic discourse, we revalue Freud's unease that his case studies read like short stories.

  10. Abandono de tratamento na psicoterapia psicanalítica: em busca de definição Treatment dropout in psychoanalytical psychotherapy: searching for definition

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    Marina Bento Gastaud

    2010-01-01

    Full Text Available OBJETIVOS: Este artigo tem por objetivo revisar as definições de abandono de tratamento encontradas na literatura sobre psicoterapia, problematizar a dificuldade de definir abandono nas diversas abordagens psicoterapêuticas, refletir sobre os critérios utilizados nas diferentes definições e propor uma definição de abandono para a psicoterapia psicanalítica. MÉTODO: Realizou-se revisão de artigos sobre abandono de tratamento envolvendo diferentes modalidades psicoterapêuticas, encontrados nas seguintes bases de dados: SciELO, Lilacs, Medline e PsycINFO. RESULTADOS E DISCUSSÃO: Definições de abandono de tratamento são apresentadas em três quadros, divididos pelo referencial teórico do processo psicoterapêutico. Os critérios utilizados nas definições são discutidos. CONCLUSÃO: A fim de construir uma definição padronizada de abandono para psicoterapia psicanalítica, propõe-se três categorias de definição para término de psicoterapia, com base na discussão crítica da literatura revisada.OBJECTIVES: This article aims to review the definitions of treatment dropout in psychotherapy literature, discuss the difficulty of defining dropout in various psychotherapeutic approaches, reflect on the criteria used in different definitions and propose a dropout definition for psychoanalytical psychotherapy. METHOD: A review of articles on treatment dropout involving different psychotherapeutic modalities was conducted in the following databases: SciELO, Lilacs, Medline and PsycINFO. RESULTS AND DISCUSS: Definitions of treatment dropout are presented in three figures and divided by the theoretical framework of the psychotherapeutic process. Criteria used in definitions are discussed. CONCLUSION: In order to build a standardized definition of psychoanalytical psychotherapy dropout, three definition categories for termination of psychotherapy are proposed, based on the critical discussion of the reviewed literature.

  11. Perversion and pathology: a critique of psychoanalytic criticism in art

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    Lucille Holmes

    2012-10-01

    Full Text Available For over three decades, Jacques Lacan denounced ego psychology for its emphasis on a strong and well-adapted ego. This article recruits the principle of that critique to examine the use of psychoanalytic theories in contemporary art criticism, with specific focus on the subject of perversion, Freudo-Lacanian psychoanalysis, and the work of art critic Donald Kuspit. The discussion examines the main influences and concepts in Kuspit's psychoanalytic criticism, analyses specific differences between this psychoanalytic model and a Lacanian theory of perversion and desire, and considers the effect of these differences in the interpretation of art.

  12. TIGA-CUB - manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5-11 years with treatment-resistant conduct disorders and their primary carers: study protocol for a randomised controlled feasibility trial.

    Science.gov (United States)

    Edginton, Elizabeth; Walwyn, Rebecca; Burton, Kayleigh; Cicero, Robert; Graham, Liz; Reed, Sadie; Tubeuf, Sandy; Twiddy, Maureen; Wright-Hughes, Alex; Ellis, Lynda; Evans, Dot; Hughes, Tom; Midgley, Nick; Wallis, Paul; Cottrell, David

    2017-09-15

    The National Institute for Health and Care Excellence (NICE) recommends evidence-based parenting programmes as a first-line intervention for conduct disorders (CD) in children aged 5-11 years. As these are not effective in 25-33% of cases, NICE has requested research into second-line interventions. Child and Adolescent Psychotherapists (CAPTs) address highly complex problems where first-line treatments have failed and there have been small-scale studies of Psychoanalytic Child Psychotherapy (PCP) for CD. A feasibility trial is needed to determine whether a confirmatory trial of manualised PCP (mPCP) versus Treatment as Usual (TaU) for CD is practicable or needs refinement. The aim of this paper is to publish the abridged protocol of this feasibility trial. TIGA-CUB (Trial on improving Inter-Generational Attachment for Children Undergoing Behaviour problems) is a two-arm, pragmatic, parallel-group, multicentre, individually randomised (1:1) controlled feasibility trial (target n = 60) with blinded outcome assessment (at 4 and 8 months), which aims to develop an optimum practicable protocol for a confirmatory, pragmatic, randomised controlled trial (RCT) (primary outcome: child's behaviour; secondary outcomes: parental reflective functioning and mental health, child and parent quality of life), comparing mPCP and TaU as second-line treatments for children aged 5-11 years with treatment-resistant CD and inter-generational attachment difficulties, and for their primary carers. Child-primary carer dyads will be recruited following a referral to, or re-referral within, National Health Service (NHS) Child and Adolescent Mental Health Services (CAMHS) after an unsuccessful first-line parenting intervention. PCP will be delivered by qualified CAPTs working in routine NHS clinical practice, using a trial-specific PCP manual (a brief version of established PCP clinical practice). Outcomes are: (1) feasibility of recruitment methods, (2) uptake and follow-up rates, (3

  13. Pragmatic randomized controlled trial of long-term psychoanalytic psychotherapy for treatment-resistant depression: the Tavistock Adult Depression Study (TADS).

    Science.gov (United States)

    Fonagy, Peter; Rost, Felicitas; Carlyle, Jo-Anne; McPherson, Susan; Thomas, Rachel; Pasco Fearon, R M; Goldberg, David; Taylor, David

    2015-10-01

    This pragmatic randomized controlled trial tested the effectiveness of long-term psychoanalytic psychotherapy (LTPP) as an adjunct to treatment-as-usual according to UK national guidelines (TAU), compared to TAU alone, in patients with long-standing major depression who had failed at least two different treatments and were considered to have treatment-resistant depression. Patients (N=129) were recruited from primary care and randomly allocated to the two treatment conditions. They were assessed at 6-monthly intervals during the 18 months of treatment and at 24, 30 and 42 months during follow-up. The primary outcome measure was the 17-item version of the Hamilton Depression Rating Scale (HDRS-17), with complete remission defined as a HDRS-17 score ≤8, and partial remission defined as a HDRS-17 score ≤12. Secondary outcome measures included self-reported depression as assessed by the Beck Depression Inventory - II, social functioning as evaluated by the Global Assessment of Functioning, subjective wellbeing as rated by the Clinical Outcomes in Routine Evaluation - Outcome Measure, and satisfaction with general activities as assessed by the Quality of Life Enjoyment and Satisfaction Questionnaire. Complete remission was infrequent in both groups at the end of treatment (9.4% in the LTPP group vs. 6.5% in the control group) as well as at 42-month follow-up (14.9% vs. 4.4%). Partial remission was not significantly more likely in the LTPP than in the control group at the end of treatment (32.1% vs. 23.9%, p=0.37), but significant differences emerged during follow-up (24 months: 38.8% vs. 19.2%, p=0.03; 30 months: 34.7% vs. 12.2%, p=0.008; 42 months: 30.0% vs. 4.4%, p=0.001). Both observer-based and self-reported depression scores showed steeper declines in the LTPP group, alongside greater improvements on measures of social adjustment. These data suggest that LTPP can be useful in improving the long-term outcome of treatment-resistant depression. End-of-treatment

  14. Prisoners of liberation: a psychoanalytic perspective on disenchantment and burnout among career women lawyers.

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    Berger, B

    2000-05-01

    Using a psychoanalytic perspective, this article addresses the roots and treatment of disillusionment and incipient burnout in female corporate lawyers. It suggests that one of the primary issues that needs to be addressed in therapy with this group is the tendency to be self-punishing, a characteristic that often may be traced back to insensitive parenting. This formulation, combined with the penchant of law firms to regard as "good and expected" the inclination of their workers (especially women) to work without respite and with little regard for their own needs, places individuals at high risk for burnout. A case example is used to illustrate this phenomenon. It is concluded that whereas psychoanalytic treatment greatly may help overstressed professionals, society at large must address the values that foster the attitude of high career achievement at any cost.

  15. Writing about clinical theory and psychoanalytic process.

    Science.gov (United States)

    Glick, Robert Alan; Stern, Gloria Jean

    2008-12-01

    In the Senior Candidate Case Writing Seminar, the final component of the Writing as Pedagogy Program at the Columbia Center for Psychoanalytic Training and Research, candidates write about one of their longer training cases, with attention to the ways they use clinical theory, particularly transference and countertransference, to deepen their understanding of psychoanalytic process and therapeutic action. Building on the previous four years of the writing program, this seminar teaches advanced candidates to recognize and integrate the lived experience of conducting an analysis, the micro- and macroprocesses, and the theories most relevant to an understanding of the analytic work. The seminar emphasizes the challenge of dealing with the power of the transference, unrecognized or unacknowledged countertransference, and the nature of therapeutic action. Pedagogical emphasis is placed on peer group discussions and group learning, and common problems in integrating theory and practice are described and illustrated.

  16. Psychoanalytic Schools in Historical Perspective

    OpenAIRE

    Suzuki, Yuzuru

    2002-01-01

    This paper summarizes the historical evolution of major psychoanalytic schools. Because Sigmund Freud founded psychoanalysis, we start with the description of the Freudian model. Freud proposed his libido theory as an answer to the fundamental question in psychology, i.e. "What drives the human mind?" Many of the psychoanalytic schools came into existence from criticism of Freud's libido theory. Although they all disagree with the libido theory in one way or another, each school formulated a ...

  17. [Changes in vocabulary in a psychoanalytic process].

    Science.gov (United States)

    Kächele, H; Thomä, H; Schaumburg, C

    1975-01-01

    This paper at first deals with some aspects of the relationship between psychoanalysis and linguistics. Freuds theory of parapraxis is interpreted in terms of Bühlers model of speech, whereby the entire verbal output of a speaker can be understood as an act of symptomatic behavior. The investigation of the vocabulary of nouns of a patient suffering from anxiety neurosis illustrates the fertility of this model. The frequency dispersion of all nouns taken from a specific sample of the patient's and analyst's speaking shows the stability of statistical properties of speech behavior. Following, the role of content-analytic techniques for the specific demands of research in pstchotherapy is discussed. A large part of content-analytic measures is rather far removed from the clinical description of the psychotherapeutic process, thus diminishing the validating relevance of these studies for psychoanalytic concepts. The final chapter describes the process of a psychoanalytic treatment by means of the content-analytic technique. The changes of the patient's verbal content show highly specific correlation to the clinical ratings of psychoanalytic concepts like transference and anxiety. As an initial study, these results are qualified to stimulate the development of content-analytic categories for research in psychotherapy.

  18. [Psychoanalysis and psychoanalytic oriented psychotherapy: differences and similarities].

    Science.gov (United States)

    Rössler-Schülein, Hemma; Löffler-Stastka, Henriette

    2013-01-01

    Psychoanalysis as well as Psychoanalytic Psychotherapy derived from Psychoanalysis are efficient methods offered by the Austrian health care system in the treatment for anxiety, depression, personality disorders, neurotic and somatoform disorders. In both methods similar basic treatment techniques are applied. Therefore differentiation between both treatment options often is made pragmatically by the frequency of sessions or the use of the couch and seems to be vague in the light of empirical studies. This overview focuses a potential differentiation-the objective and subjective dimensions of the indication process. Concerning the latter it is to investigate, if reflective functioning and ego-integration can be enhanced in the patient during the interaction process between patient and psychoanalyst. Empirical data underline the necessity to investigate to which extent externalizing defence processes are used and to integrate such factors into the decision and indication process. Differing treatment aims display another possibility to differentiate psychoanalysis and psychoanalytic psychotherapy. Psychoanalytic psychotherapy aims for example more at circumscribed problem-foci, the capability for self-reflexion is one of the most prominent treatment effects in psychoanalysis that results in on-going symptom reduction and resilience. The most prominent differentiation lies in the utilization of technical neutrality. Within Psychoanalytic Psychotherapy neutrality has sometimes to be suspended in order to stop severe acting out. Empirical evidence is given concerning the differentiation between psychoanalysis and psychoanalytic psychotherapy, that treatment efficacy is not correlated with the duration of the treatment, but with the frequency of sessions. Results give support to the assumption that the dosage of specific and appropriate psychoanalytic techniques facilitates sustained therapeutic change.

  19. Aprendizagem e método psicanalítico Learning and the psychoanalytical method

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    Marta Regina de Leão D'Agord

    2010-01-01

    Full Text Available Este trabalho tem por objetivo contribuir para a docência universitária e como origem a seguinte questão: se o método psicanalítico estabelece princípios para uma direção de tratamento, qual seria a contribuição do mesmo para os princípios de uma direção psicanalítica de aprendizagens (ou aprendizagem? na universidade? Trabalha-se com uma transposição do método psicanalítico, elaborado por Freud e Lacan, para o campo da aprendizagem, reconhecendo-se que o primeiro opera sobre o saber inconsciente, enquanto o segundo tem por objeto o conhecimento. As questões abordadas para a formulação de uma direção psicanalítica de aprendizagem são as seguintes: a relação entre saber e conhecimento; a relação entre o saber e o só-depois (Nachträglichkeit e a experiência dos cartéis nas instituições de formação psicanalítica.This work presents a contribution to university teaching. This study originates from the following question: if the psychoanalytical method establishes principles for a treatment direction, which would be the contribution of this method to the principles of a direction of learning in the university? This research works with a transposition of the psychoanalytical method to the field of learning, recognizing itself that the first one operates on unconscious knowing, as the second has for object knowledge. The relation between knowing and knowledge; the relation between knowing and the retroactivity (Nachträglichkeit, the experience of the institutions of psychoanalytical formation with the group called cartel are questions to a proposal of psychoanalytical direction of learning.

  20. On psychoanalytic approaches to autism.

    Science.gov (United States)

    Hobson, R P

    1990-07-01

    An analysis of the strengths and limitations of psychoanalytic approaches to autism serves to highlight the need for a theoretical scheme adequate to encompass social as well as cognitive development in autistic individuals. It is proposed that such a scheme will entail an account of normal development in which children's "object relations" feature prominently.

  1. A Psychoanalytic Approach to Fieldwork

    Science.gov (United States)

    Ramvi, Ellen

    2012-01-01

    This article focuses on what both psychoanalysis and anthropology have in common: the emphasis on the researcher's own experience. An ethnographic fieldwork will be used to illustrate how a psychoanalytical approach unfolds the material when studying conditions for learning from experience among teachers in two Norwegian junior high schools, and…

  2. Towards psychoanalytic contribution to linguistic metaphor theory.

    Science.gov (United States)

    Caspi, Tair

    2017-07-05

    This paper lays out a formulation of the psychoanalytical contribution to linguistic metaphor theory. The author's main argument is that psychoanalysis can help enrich and shed light on linguistic metaphor theories, since these have focused on the cognitive aspect, to the exclusion of the role played by affect. Based on the tight link between metaphor and symbol - both configurations of figurative language - the author shall apply ideas sourced from some of the key psychoanalytic symbolization theories, focusing in particular on Klein, Winnicott, and Ogden. The course of exploration will serve to trace the unconscious emotional aspects that participate in the metaphor's mechanism, just as they participate in the symbol's workings. The study leads to the main conclusion that the intersubjective transitional space is of substantial importance to metaphor's constitution, particularly in regard to novel metaphors. Expanding the understanding of metaphor's modus operandi has important implications in conceptual clarification and for an in-depth analytical work, and is of immense significance when it comes to analytical work with patients who suffer impairment of their metaphoric ability. Copyright © 2017 Institute of Psychoanalysis.

  3. The didactics of psychoanalytic education.

    Science.gov (United States)

    Körner, Jürgen

    2002-12-01

    The author first discusses general didactic considerations regarding psychoanalytic education and the teacher-pupil relationship. He then demonstrates that psychoanalytic education is greatly influenced by the ideal of a liberal education, of which in Germany there is a strong tradition under the name 'Bildung'. The main characteristics of 'Bildung'--as opposed to professional training--are that the objectives remain undefined and there is no attempt to achieve defined and operationalisable professional qualifications. The relationship between teacher and pupil is characterised by authority and trust. A psychoanalytic education by means of a 'liberal education' is based upon the assumption that the student should be motivated and supported in achieving competence through a passionate study of the world of psychic reality. Today, however, psychoanalytic education must be seen within a contemporary context that forces us to abandon the ideals of a liberal education, to operationalise the subjects studied and to control the education itself with regard to efficiency and results. These modern demands are the result of a professionalisation which has reached all social professions and from which psychoanalysis also cannot escape. Because of this, it is especially important to reflect on our educational methods and objectives. The author makes several suggestions on this subject. It is to be hoped that psychoanalysis will find its own way, without, on the one hand, losing sight of the special nature of psychoanalytic competence through an over-hasty adaptation to the process of professionalisation and, on the other hand, without reverting to unquestioned and outdated ideas on education.

  4. The beginnings of psychoanalytic supervision: the crucial role of Max Eitingon.

    Science.gov (United States)

    Watkins, C Edward

    2013-09-01

    Psychoanalytic supervision is moving well into its 2nd century of theory, practice, and (to a limited extent) research. In this paper, I take a look at the pioneering first efforts to define psychoanalytic supervision and its importance to the psychoanalytic education process. Max Eitingon, the "almost forgotten man" of psychoanalysis, looms large in any such consideration. His writings or organizational reports were seemingly the first psychoanalytic published material to address the following supervision issues: rationale, screening, notes, responsibility, supervisee learning/personality issues, and the extent and length of supervision itself. Although Eitingon never wrote formally on supervision, his pioneering work in the area has continued to echo across the decades and can still be seen reflected in contemporary supervision practice. I also recognize the role of Karen Horney-one of the founders of the Berlin Institute and Poliklinik, friend of Eitingon, and active, vital participant in Eitingon's efforts-in contributing to and shaping the beginnings of psychoanalytic education.

  5. The Psychoanalytic Study of the Child. Volume XXIII.

    Science.gov (United States)

    Eissler, Ruth S., Ed.; And Others

    Twenty-seven papers treat aspects of the psychoanalytic study of the child. Problems of psychopathology and therapy considered are the fantasy of the phallic woman, the use of child analysis, the background of perversions, variables in the production of neurotic disturbances, treatment of narcissistic personality disorders, and problems of the…

  6. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

    NARCIS (Netherlands)

    Berghout, C.C.; Zevalkink, D.J.; Hakkaart-van Roijen, L.

    2010-01-01

    Objectives: Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility

  7. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

    NARCIS (Netherlands)

    Berghout, Caspar C; Zevalkink, D.J.; Hakkaart-Van Roijen, Leona

    OBJECTIVES: Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility

  8. A STUDY DEMONSTRATING EFFICACY OF A PSYCHOANALYTIC PSYCHOTHERAPY FOR PANIC DISORDER: IMPLICATIONS FOR PSYCHOANALYTIC RESEARCH, THEORY, AND PRACTICE

    Science.gov (United States)

    Busch, Fredric N.; Milrod, Barbara L.; Sandberg, Larry S.

    2013-01-01

    Systematic research on psychoanalytic treatments has been limited by several factors, including a belief that clinical experience can demonstrate the effectiveness of psychoanalysis, rendering systematic research unnecessary, the view that psychoanalytic research would be difficult or impossible to accomplish, and a concern that research would distort the treatment being delivered. In recent years, however, many psychoanalysts have recognized the necessity of research in order to obtain a more balanced assessment of the role of psychodynamic psychotherapy and psychoanalysis in a contemporary treatment armamentarium, as well as to allow appropriate evaluation and potentially greater acceptance by the broader mental health and medical communities. In this context, studies were conducted of a psychodynamic treatment, Panic-Focused Psycho-dynamic Psychotherapy (PFPP), initially in an open trial and then in a randomized controlled trial (RCT) in comparison with a less active treatment, Applied Relaxation Training (ART; Cerny et al. 1984), for adults with primary DSM-IV panic disorder. The results of the RCT demonstrated the efficacy of PFPP in treating panic disorder, and also demonstrated that a psychoanalytic treatment can be systematically evaluated in a mode consistent with the principles of evidence-based medicine. Two specific features of the methodology, the development of the treatment manual and the operationalization of the adherence instrument, both core building blocks of contemporary psychotherapy outcome research, and their implications for psychoanalytic research are discussed in greater depth. The theoretical, clinical, and educational implications of the PFPP studies are elaborated, and suggestions are made for pursuing further outcome research of psychoanalytic treatments. PMID:19270248

  9. Repression and splitting in the psychoanalytic process.

    Science.gov (United States)

    Savvopoulos, Savvas; Manolopoulos, Sotiris; Beratis, Stavroula

    2011-02-01

    The authors examine the concepts of repression and splitting and their interplay during the psychoanalytic process. Initially, repression was introduced by the clinical phenomenon of resistance, leading to the formulation of the association between intrapsychic conflicts and neurotic symptoms. Later, repression was linked to normal development and to personality organization. Splitting, on the other hand, has been defined in quite diverse ways. The two main definitions are of splitting within the ego, and splitting of representations of the self, and of internal and external objects. Repression and splitting are compared developmentally, dynamically, and with respect to their relationship to psychic functioning and energic conditions. Clinical material is presented from the analysis of a patient who presented with borderline personality organization and narcissistic features. During the initial phase of analysis, splitting associated with projection, projective identification and idealization were the main defence mechanisms. As the analysis progressed and the themes of omnipotence and mourning were explored with the simultaneous working through of drive derivatives expressed in the transference, repression gained ground over the more primitive defence mechanisms. The evolution of the case showed a gradual shift from splitting to repression and the association of repression with a more advanced psychic organization. This development reflected the dynamic movement from borderline to hysterical organization in psychoanalytic nosology. Copyright © 2010 Institute of Psychoanalysis.

  10. Psychoanalytical Culture in the American Film Noir

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    Jose Luis Sánchez Noriega

    2008-10-01

    Full Text Available In the American Film Noir from the classic period (1930-1960, it is possible to perceive the influence of psychoanalytical culture and of Freud’s most widely read works. The theory of drives involves the consideration of the perpetrator of criminal activity as a sick person. This is reflected in the films, where morals are relegated to a secondary plane. The importance of sexuality is reflected in the figure of the “femme fatale” and in behaviours in which the principle of pleasure overarches that of reality. The conscious/unconscious duality and the place of dreams in psychoanalysis are the cornerstones of films addressing the split personality and nightmares that plague essentially decent people. The solution to certain criminal conflicts is not found through police work but through medicine: in such situations the therapist manages to solve the problem of the delinquent behaviour born of sick minds.

  11. Minding the gap between positivism and hermeneutics in psychoanalytic research.

    Science.gov (United States)

    Luyten, Patrick; Blatt, Sidney J; Corveleyn, Jozef

    2006-01-01

    Two quite different cultures are to be found within psychoanalysis, one more clinical in orientation, more focused on meaning and interpretation, and relying primarily on the traditional case study method, the other more research-oriented, focused on cause-and-effect relationships, and relying primarily on methods borrowed from the natural and social sciences. The history of this divide is reviewed and arguments, pro and con, about the potential contributions of specific types of empirical investigation are discussed. Increasingly, it seems, criticisms concerning the scientific status of psychoanalysis are being responded to by empirical research. This has contributed to a growing recognition within the scientific community of the credibility of aspects of psychoanalytic theories and of the effectiveness of psychodynamic treatment. However, some segments of the psychoanalytic community are concerned that this increase in the quantity and quality of empirical research on psychoanalytic concepts risks creating an empirical one-sidedness, while other segments are concerned that not engaging in systematic empirical research can lead to intellectual isolation, fragmentation, stagnation, and orthodoxy. To counter this polarizing tendency, a recommendation is made for methodological pluralism. Adopting this stance could contribute to an enriched understanding of the clinical process and to the development of new research methodologies to investigate complex psychodynamic hypotheses, thus bridging the gap between the two psychoanalytic cultures, as well as the gap between research and clinical practice.

  12. Observation of agoraphobic syndrome through the prism of psychoanalytic epistemology

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    Sandić Aneta

    2014-01-01

    Full Text Available Focus of the text is on psychoanalytic epistemology of agoraphobic syndrome which is still not sufficiently clarified in psychodynamic parameters. Detailed theorethic study starts from the very origins, theoretical and practical suggestions of Sigmund Freud. Early psychoanalytic formulations include psychodynamic models of Karl Abraham, Helene Deutsch and Edoardo Weiss, as well as a number of other significant analysts who gave significant insight to the metapsychological formulations of agoraphobia in the beginning of XX century. After portraying crucial theoretic frames of dynamics of agoraphobia originating from French psychoanalysis, illustrated through the work of Maurice Bouvet and Jannine Chasseguet - Smirgle, author moves towards psychoanalytic models presented to the psychoanalytic community during the first and second decade of XXI century. This segment incorporates autistic objects of agoraphobic neurotic according to Donald Cartwright and synthesis of crucial traits of representations of self and representations of object according to Barbara Milrod. Leading us towards the conclusion author makes a resume of the actual psychoanalytic epistemology of the agoraphoic syndrome pointing out at the centrality of non adequately solved separation - individuation stage, as well as ego defects associated to he agoraphobic syndrome. Specificity of object relations of agoraphobic neurotic she illustrates pointing out at the nature of his relationship with the follower, that psychic fusion which provides the feeling of certainty outside the safety of ones own home. This detailed overview of severely insufficient published literature devoted to agoraphobia is resumed accenting the necessity for its further research, as well as clear notion that although neurotic disorder, agoraphobic syndrome by at least one of its pole gravitates towards nozologycal unit marking personality disorders.

  13. The Berlin Poliklinik: psychoanalytic innovation in Weimar Germany.

    Science.gov (United States)

    Danto, E A

    1999-01-01

    After Freud proposed in 1918 the creation of "institutions or out-patient clinics [where] treatment will be free," Max Eitingon, Ernst Simmel, and other progressive psychoanalysts founded the Berlin Poliklinik, a free outpatient clinic. Guided by Weimar Republic principles of "radical functionalism," the Poliklinik and its companion inpatient service, the Schloss Tegel Sanatorium, pioneered treatment and training methodologies still used--and still debated--today. Their funding strategies, statistics, and approaches to clinical problems like length of treatment tell the history of an innovative psychoanalytic institute where men and women were generally treated in equal numbers and patients (ranging in occupational status from unemployed to professional) of all ages were treated free. Franz Alexander, Karl Abraham, Theresa Benedek, Paul Federn, Otto Fenichel, Edith Jacobson, Karen Horney, Erich Fromm, Helene Deutsch, Hanns Sachs, Sándor Radó, Hermine von Hug-Hellmuth, Wilhelm Reich, Annie Reich, and Melanie Klein all worked at the Poliklinik, and from there initiated decades of original clinical theory, practice, and education.

  14. Developing Derrida’s Psychoanalytic Graphology: Diametric and Concentric Spatial Movements

    OpenAIRE

    Downes, Paul

    2013-01-01

    Derrida’s work encompasses dynamic spatial dimensions to understanding as a pervasive theme, including the search for a ‘new psychoanalytic graphology’ in Writing and Difference. This preoccupation with a spatial text for repression also occurs later in Archive Fever. Building on Derrida, this paper seeks to develop key aspects of a new dynamic psychoanalytic graphology through diametric and concentric interactive spatial relation. These spatial movements emerge from a radical reconstruction ...

  15. [The ethics of psychoanalytic technique].

    Science.gov (United States)

    Treurniet, N

    1996-01-01

    The ethic of psychoanalytic technique which goes back to Freud and emphasizes the importance of anonymity, abstinence, neutrality and the central role of interpretation is subjected to a critical examination. The author traces the changes that have taken place since Freud and proposes a new ethic of psychoanalytic technique. Proceeding from the theory of object relations, Treurniet stresses the symmetrical relationship between analyst and analysand permitting both to assume a "meta-position" in order to reflect on the analysis material. The author further suggests that, beyond the projections of the analysand, the analyst should be open to his own subjectivity, as this openness is the key to the essential feature of analytic procedure, the enactment of countertransference. Finally, Treurniet reformulates his advocacy of a non-intrusive, affirmative attitude on the part of the analyst, a spontaneous willingness to "fall into the analysand's trap", an ability to oscillate between acting-out and introspection, to live out countertransference involuntarily and finally to incorporate the non-ideal into his conscience. These rules of technique must be controlled not only by the conscience and the countertransference of the analyst, but also--apart from intervision and consultation with collegues--by the analysand himself, whose opinion of the analytic situation the analyst should ask for.

  16. Use of extratransference interpretation in psychoanalytic psychotherapy

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    Jojić Boris R.

    2005-01-01

    Full Text Available Background. In psychoanalytic psychotherapy, the transference analysis takes the central position of the work. The work in the extratransference sphere and experience in a professional practice with extratransference interventions have not been reported much in the literature. Extratransference sphere includes less transferring relation to a psychotherapist, transference to other objects, or may refer to the external reality rather than the psychic reality or fantasy. Case report. We pointed out extratransference interventions. We demonstrated an application of a genetic interpretation and reconstruction, too, which could restore and establish the connections between the past and the present, in order to understand the influences of the current reality and the past, and helping us, further, to resolve the infantile conflicts. Conclusion. Interpretation of extratransference situations takes an important part of an analytical work and it is an essential category of the interpretation. Analytic understanding should include transference and extratransference spheres, fantasy and reality, past and present. Working with neurotic patterns and character resistance needs an optimal choice of intervention in the given moment of the analytic process. Extratransference interventions are an essential category of intervention, irreplaceable for its effectiveness in the analytic process.

  17. Psychoanalytic lexicography: notes from two "harmless drudges".

    Science.gov (United States)

    Samberg, Eslee; Auchincloss, Elizabeth L

    2010-12-01

    The co-Editors in Chief of the American Psychoanalytic Association's new edition of Psychoanalytic Terms and Concepts (previously edited by Moore and Fine and last revised in 1990) recount their lexicographical adventures. Editing a dictionary at the turn of the twenty-first century is a daunting, some might say foolhardy, undertaking. The most obvious challenge faced by the editors was the growing pluralism within psychoanalysis. However, a more fundamental challenge was that the object of psychoanalytic study, the mind and its processes, can be known only by putting words to our observations, inferences, and interpretations. Psychoanalytic thinkers, starting with Freud, have wrestled with this challenge in ways that define the history of psychoanalysis itself. Long gone are the days when Freud could commend the "correctness" of Sterba's lexicographical efforts. Today postmodern critics, at the opposite extreme, argue that terms and concepts are best understood as "verbal gestures" in the "language-game" of psychoanalysis. Some go so far as to assert that dictionary-writing is obsolete. The co-Editors in Chief of Psychoanalytic Terms and Concepts have not succumbed to such nihilistic views, but have instead struggled to establish a reasonable stance within contemporary debates over the nature of psychoanalytic language.

  18. THE PSYCHOANALYTIC STUDY OF THE CHILD. PSYCHOANALYTIC STUDY OF THE CHILD SERIES, VOLUME 22.

    Science.gov (United States)

    EISSLER, RUTH S., ED.; AND OTHERS

    TWENTY ARTICLES ARE INCLUDED IN THIS VOLUME, THE 22ND IN THE PSYCHOLOGICAL STUDY OF THE CHILD SERIES. PAPERS ON PSYCHOPATHOLOGY AND THERAPY INTERPRET LOSING AND BEING LOST, OBSTACLES TO PSYCHOANALYTIC CURE, AND AFFECT CONTROL. ASPECTS OF PSYCHOANALYTIC THEORY CONSIDERED ARE FREUD'S CONCEPT OF PRIMAL REPRESSION, CONCEPTS OF STRUCTURE AND…

  19. [Psychoanalytically based and psychoanalysis in children and adolescents from the viewpoint of a child and adolescent psychotherapist].

    Science.gov (United States)

    Berns, Inge

    2002-01-01

    The author, practitioner of psychoanalytic psychotherapy with children and adolescents, explains her point of view regarding psychotherapy versus psychoanalysis. Verbatim process notes illustrate the work and are used to plan the therapeutic method.

  20. Psychoanalytic attitudes towards homosexuality: an empirical research.

    Science.gov (United States)

    Lingiardi, Vittorio; Capozzi, Paola

    2004-02-01

    Homosexuality is a challenging subject for the psychoanalytic community, which is now rethinking some of its basic theoretical and institutional assumptions. In recent decades psychoanalytic theory has changed, and the classical psychosexual model has been challenged. After a short review of major psychoanalytical theories of homosexuality, the authors focus on the existence of contrasting attitudes towards homosexuality. This plurality of theories and their clinical and institutional consequences stimulated the authors to investigate the relationship between the individual analyst's theoretical model and his/her clinical practice. The authors present the results of empirical research conducted in the Italian psychoanalytic community on the attitude of psychoanalysts towards homosexuality and the implications for cultural, theoretical and institutional issues. A questionnaire was sent to 600 psychoanalysts (206 of which responded), members of the five main Italian psychoanalytic institutions. First, analysts' personal characteristics and preferred theoretical models were investigated. Second, the respondents responded to statements eliciting their theoretical and clinical approach towards homosexuality. Results indicate that: a) cultural and theoretical background influences the analysts' attitudes towards homosexuality more than gender; b) there is a discrepancy between analysts' theoretical position and their clinical practice; and c) IPA institutes are more discriminatory towards homosexual colleagues than are Jungian ones.

  1. Agressores sexuais: é possível um tratamento psicanalítico sob prescrição judicial? Sexual aggressors: is a psychoanalytic treatment possible under judicial prescription?

    Directory of Open Access Journals (Sweden)

    Amal Hachet

    2005-01-01

    Full Text Available Com base numa prática psicoterápica individual, de inspiração psicanalítica, conduzida junto a agressores sexuais presos em uma casa de detenção para homens, este estudo interpela, por um lado, os limites da inscrição de uma lógica terapêutica em um quadro repressivo, o da prisão, cujas modalidades encontram-se regidas por um enquadre legal - o da lei relativa à obrigação de tratamento - e, por outro, o paradoxo de uma terapia imposta, sustentada por uma lógica de normalização, de efeitos enganadores e à qual os agressores sexuais, sob o efeito de seu funcionamento dominado por processos de clivagem e de recusa, se submetem "de bom grado".As base in an individual psychotherapeutic practice, of psychoanalytic inspiration, conduct alongside the sexual aggressor inmates in a male jail house, this study interpellates, in one hand, the limits of a subscription of a therapeutic logic in a repressive picture-case, that of the prison, which modalities are found to be ruled by a legal approach - that of the law relative to the obligation of treatment - and, on the other hand, the paradox of an imposed therapy, sustained by a normalization logic, of devious effects and to which the sexual aggressors, under the effect of its dominated functioning by process of cleavage and refusal, are submitted as in "good intentions".

  2. El lugar del objeto (a en la dirección de la cura psicoanalítica // The place of object a in the directon of psychoanalytical treatment

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    Norman Marín Calderón

    2012-12-01

    Full Text Available El objeto (a ocupa un lugar lógico y topológico en la dirección de la cura. Para que aparezca haciendo sus efectos, el psicoanalista debe aceptar hacer semblante de él. El analista puede encarnar al objeto (a no solamente por medio de su presencia, sino a través de su interpretación, su docta ignorancia, su silencio y la escansión que puntúa en cada sesión de análisis. Gracias a la transferencia que se instaura, el analista "inventará" maneras lógicas de hacer advenir a (a con el fin de que el goce del sujeto sea interpelado en la escala invertida del deseo. De esta manera, el presente ensayo propone rastrear, desde las mismas fuentes lacanianas, y concentrándonos en lo que el mismo Lacan creó y elaboró al respecto, este concepto fundamental para la teoría y la técnica psicoanalíticas. // Objet a occupies a logical and topological place in the direction of the psychoanalytic treatment. In order to ponder its effects, the psychoanalyst must accept making a semblance of it. The analyst could embody objet a not only by means of her/his presence, but also through her/his interpretation, her/his learned ignorance, her/his silence as well as through the scansion she/he points out in each analytic session. Thanks to the transference that has been installed, the analyst could be capable of "inventing" logical ways to make a appear so that the subject's jouissance can be questioned in the inverted scale of desire. In this way, this essay pretends to track, from the Lacanian foundations proper and concentrating in what he created and developed, the conceptualization of this fundamental concept in the analytic theory and technique.

  3. RELIGIOUS AND PHILOSOPHICAL CRITICISM OF THE PSYCHOANALYTIC APPROACH TO EKZEGETICS OF DREAMS

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    Viyacheslav Alekseevich Ermakov

    2015-08-01

    Full Text Available n this article the author reconstructed and generalized the religious and philosophical aspects of Christian criticism of psychoanalytic methodology of dreams interpretation. The research opens an occult specifics of a psychoanalytic oneurocritics. There is a consideration of a concept how such factors as «cocaine promotion» affects Freudian theory of dreams, a freemasonry and cabalism. The article reveals that Christian ekzegetics of dreams is essentially opposite to psychoanalytic interpretation of dreaming experience. The author makes a hypothesis of before-Freud unity of psychiatric and Christian approaches to interpretation of dreams and an orientation of psychoanalysis on destruction of this unity. The assumption of spiritual and psychological danger of application of psychoanalytic approach of dreams interpretation in psychological work is reasonable. The author comes to a conclusion that the Freudian methodology of dreams interpretation has been developed with the purposes of introduction of anti-Christian occult psychology in the theory and practice of medical and psychiatric activity and elimination of Christian vicarial psychotherapy.Purpose. The research objective consists of retrospective reconstruction of the main critical aspects of the psychoanalytic concept of dreams presented in Christian approach to ekzegetics of dreams.Methodology. Method of this research is a comparative analysis of Christian and psychoanalytic approaches of understanding the nature and essence of dreaming process and its interpretation.Results. Results of research can be used as in the scientific purposes of critical genera-lization and studying of the theoretical model of a dream developed by psychoanalysis and in educational activity where students can compare Christian and psychoanalytic approaches.Practical implementation: psychology, philosophy history, sociology, theological researches.

  4. On the origins of psychoanalytic psychohistory.

    Science.gov (United States)

    Pietikainen, Petteri; Ihanus, Juhani

    2003-05-01

    This article examines the origins and early development of psychoanalytically inspired psychohistory from the late 1950s to the early 1970s. It focuses on Erik H. Erikson, Bruce Mazlish, and Robert Jay Lifton and illustrates their contributions to psychoanalytic psychohistory. Erikson, Mazlish, and Lifton were core members of the Wellfleet group, a research project originally funded by the American Academy of Arts and Sciences in 1965 to conceptualize the foundation of psychohistory. The article gives an account of the early history of the Wellfleet group and argues for specific historical reasons to explain why psychoanalytic psychohistory emerged on the East Coast of the United States in the late 1950s and early 1960s. A critique of the Wellfleet group in unpublished correspondence of Erich Fromm and David Riesman is also discussed.

  5. Shifting sexual cultures, the potential space of online relations, and the promise of psychoanalytic listening.

    Science.gov (United States)

    Corbett, Ken

    2013-02-01

    How we listen to the potential space of online relations is rapidly becoming part of our daily work. Two treatments are examined where themes of sexual shame, repression, and relational difficulties were found and refound through online relating and hooking-up. Consideration is given to the ways in which online exploration opens a potential space that affords sexual practice and the reach of relationality. Moving with these patients into this potential space opened onto an intriguing and productive relational field. These cases help illuminate a shift in our modern social order, and how that shift has followed on a reconsideration of our psychoanalytic ideals about sexual well-being. We are now positioned to reflect not only on the evolution and revolution of our shifting sexual cultures, including the increasing role of technology in our modern relational world, but on how this new world finds its way into our consulting rooms.

  6. Civilisation on the Couch: Theorising Multi-Levelled Psychoanalytical Arts Practice

    Science.gov (United States)

    Benjamin, Garfield

    2014-01-01

    This paper combines two psychological approaches to art to theorise a both subjective and cultural methodology for practice-based arts research. The first psychoanalytical approach will follow the work of Deleuze and Guattari's Schizoanalysis, considering the role of the artist in order to assess their work in relation to society from an…

  7. Transference regression and psychoanalytic technique with infantile personalities.

    Science.gov (United States)

    Kernberg, O F

    1991-01-01

    This paper describes a particular form of 'silent' regression during the psychoanalytic treatment of infantile personalities (a type of character pathology related to the hysterical personality). This regression is characterized by the development of rapid interchange in the roles enacted in the transference and projected on to the analyst, an apparent 'disconnexion' of the transference material from that dominant when the patient is in non-regressed states, and the intensification of the analyst's counter-transference reactions. The diagnosis and management of these regressive transferences requires a particular interpretive style and strategy outlined in this paper and illustrated with two case vignettes.

  8. Uterine/Endometrial Cancer: Working with Your Treatment Team

    Science.gov (United States)

    ... Uterine/Endometrial Cancer Working with Your Treatment Team Working with Your Treatment Team During your treatment, you will come in contact ... Factors Symptoms Medical Evaluation Your Cervical Cancer Diagnosis Working with your Treatment ... Staging Radiation Therapy Chemotherapy Cancer ...

  9. Encountering a cartwheeling princess: relational psychoanalytic ...

    African Journals Online (AJOL)

    Objective: This study was conducted to demonstrate the use and process of contemporary relational psychoanalytic child therapy to address the interpersonal implications of attention deficit hyperactivity disorder and interlinked insecure attachment processes. Method: This therapy case study explicates the seven-month ...

  10. A psychoanalytic study of Sophocles' Antigone.

    Science.gov (United States)

    Almansi, R J

    1991-01-01

    This paper examines, in a detailed and comprehensive fashion, the unconscious motivations of the main protagonists of Sophocles' Antigone and the play's general structure as a psychoanalytically coherent whole. This examination helps to foster an understanding of the conceptual place of Antigone within the Oedipus Trilogy, its relationship to Oedipus Rex, and the complementary character of these two tragedies.

  11. Phantasm of Freud: Nandor Fodor and the psychoanalytic approach to the supernatural in interwar Britain.

    Science.gov (United States)

    Timms, Joanna

    2012-01-01

    The paper examines the appearance of "psychoanalytic psychical research" in interwar Britain, notably in the work of Nandor Fodor, Harry Price and others, including R. W. Pickford and Sylvia Payne. The varying responses of Sigmund Freud and Ernest Jones to the area of research are discussed. These researches are placed in the context of the increasingly widespread use of psychoanalytic and psychological interpretations of psychical events in the period, which in turn reflects the penetration of psychoanalysis into popular culture. The saturation of psychical research activity with gender and sexuality and the general fascination with, and embarrassment about, psychical activity is explored.

  12. The depressed masochistic patient: diagnostic and management considerations--a contemporary psychoanalytic perspective.

    Science.gov (United States)

    Friedman, R C

    1991-01-01

    This article considers the relationship between depression and characterological masochism from a contemporary psychoanalytic perspective. Nosology is discussed historically from Krafft-Ebing to the DSM-III-R category, self-defeating personality disorder. Masochistic character traits are conceptualized as attempts to cope with depressed helpless and hostile feelings that have become part of the core self-concept. Psychotherapeutic strategy for treatment of masochistic patients at different levels of characterological integration is discussed. Many questions about self-defeating personality disorder remain open at present. The need for psychoanalytically informed clinical research on characterological masochism and particularly the relationship between masochism and depression is stressed.

  13. Understanding Suicidal Behaviour in Young People Referred to Specialist CAMHS: A Qualitative Psychoanalytic Clinical Research Project

    Science.gov (United States)

    Anderson, Jan; Hurst, Margaret; Marques, Ana; Millar, David; Moya, Sue; Pover, Lesley; Stewart, Sue

    2012-01-01

    A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted…

  14. Neuroscience in the residency curriculum: the psychoanalytic psychotherapy perspective.

    Science.gov (United States)

    Watson, Brendon O; Michels, Robert

    2014-04-01

    Educators of future psychiatrists tend to teach an array of approaches to the mind and brain, including among them the neurobiologic perspective and the psychoanalytic perspective. These may be considered at opposite ends of many spectra, including the fact that psychoanalysis takes a large-scale and treatment-oriented perspective and has helped countless patients over the years, while neuroscience has tended to be reductionistic, focused on understanding, and has helped very few people. A tension, therefore, exists for the educator in teaching neuroscience: is it wise to spend valuable time and energy teaching this interesting but, thus far, impractical field to future practitioners? Here, we argue that neuroscience is re-orienting itself towards more psychoanalytically relevant questions and is likely, in future years, to give new insights into the nature of basic drives and social relations. We additionally argue for balance on the part of providers in both acknowledging biologic underpinnings for clinical phenomena and yet continuing to take a stance oriented towards appropriate change. Given the burgeoning new focus within neuroscience on topics directly relating to the human internal experience and the novel challenges in both understanding those advances and appropriately using them, we encourage educators to continue to give future psychiatrists the educational foundation they need to follow neuroscientific discoveries into the future.

  15. The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy.

    Science.gov (United States)

    Pestalozzi, Julia

    2003-06-01

    Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients.

  16. Counselling University Students: A Psychoanalytic Approach

    Directory of Open Access Journals (Sweden)

    Massimiliano Sommantico

    2017-05-01

    Full Text Available The authors describe a psychoanalytic approach to the counselling with university students, as it is proposed at the University of Naples Federico II. On one hand, the focus is on the specific evolution phase of counselling students, which is late adolescence; on the other hand, it is on the specific aspects of the approach at issue. The authors particularly carry out a description of three characteristics of psychoanalytic counselling with university students: the specific space-time of the setting, the functioning through the free association/freely floating attention, the transference/countertransference dynamic. The authors support their theses, by presenting the clinical case of a student, who consulted the Psychological Counselling Centre for University Students (CCPSU. Clinical excerpts of four counselling sessions are then briefly commented on the basis of the theoretical-clinical paradigm of reference.

  17. The verbal portrait: Erik H. Erikson's contribution to psychoanalytic discourse.

    Science.gov (United States)

    Capps, Donald

    2011-12-01

    This article makes the case that Erik H. Erikson developed a form of psychoanalytic discourse-the verbal portrait-which, although not unprecedented, became a focal feature of his work, and the testing ground for the cogency of his major contribution to psychoanalysis (the concept of identity). It suggests that Erikson was inspired to develop the verbal portrait because he came to psychoanalysis from art and was, in fact, a portrait artist. Drawing especially on the work of Richard Brilliant, it presents the view that a portrait is a portrayal of the subject's identity and goes on to show how Erikson's memorial to the cultural anthropologist Ruth Benedict is representative of the verbal portrait.

  18. Self-disclosure in psychoanalytic-existential therapy.

    Science.gov (United States)

    Geller, Jesse D

    2003-05-01

    This article is an effort to integrate contemporary psychoanalytic and existential perspectives on intentional therapist self-disclosure. It offers a two-stage decision-making model that considers self-disclosure from the vantage points of style and internalization. Clinical and research findings are presented to support the notion that the meanings a patient attributes to a particular self-disclosure, and its power to move him or her towards greater health, is the product of a fluctuating matrix of interpersonal and intrapsychic variables. Special consideration is given to the challenges that arise during the early and termination stages of treatment and to the psychotherapy of therapists. Copyright 2003 Wiley Periodicals, Inc.

  19. Special problems for the elderly psychoanalyst in the psychoanalytic process.

    Science.gov (United States)

    Chessick, Richard D

    2013-02-01

    The psychoanalytic process takes on a special ambience when the analyst is clearly elderly. The effects of this ambience on the the aging analyst's patients are discussed, and the sparse literature on the subject is reviewed. Clinical vignettes illustrate a number of these effects on the analytic process. Dealing with these special problems requires not only the analyst's awareness of their existence but a continual monitoring of the transference-countertransference in order to avoid a silent collusion of patient and analyst to pretend these problems do not exist. The dangerous consequences of being unaware of the situation, for both patient and analyst, are discussed. If the influence of the patient's perception of the analyst's aging is ignored, it may lead to destruction of the treatment either through massive acting out or by a hopeless stalemate with or without the development of an endless psychoanalysis.

  20. Home, bitter sweet home. A psychoanalytic reading.

    Science.gov (United States)

    Tylim, Isaac

    2014-06-01

    The paper offers a psychoanalytic reading of the popular TV series "Homeland." The series' manifest content centers on terrorism and counterterrorism. From a dynamic perspective, the viewer is invited to mistrust what is represented, and focus on the tension between what is projected on the screen and what remains hidden in the narrative's intriguing subtexts. These are: the choreography of internal and external reality, a recurrent theme of longing for the absent, idealized pre-Oedipal father, and attempts to transform memories of horror.

  1. A psychoanalytic consideration of Pasolini's Salo.

    Science.gov (United States)

    Salvage, David

    2005-01-01

    Salo represented the culmination of Pier Paolo Pasolini's career as a filmmaker and engages several questions concerning the nature of perversion and the excitement with the negative. Through exploration of Pasolini's motives and techniques for creating this film, an analysis is offered of the creative process that does not seek to create an aesthetically pleasing compromise formation of psychic conflict, nor a form of erotizing sadomasochism. Rather, this film is explored as an example of a lucid and psychoanalytically informed artwork that speaks to the psychic fascination with what is purely negative--thanatos--which is not mediated by libido.

  2. Finding Educational Insights in Psychoanalytic Theory with Marcuse and Adorno

    Science.gov (United States)

    Huhtala, Hanna-Maija

    2016-01-01

    This article seeks to clarify the potential that Herbert Marcuse's and Theodor W. Adorno's psychoanalytic accounts may have with respect to the philosophy of education today. Marcuse and Adorno both share the view that psychoanalytic theory enables a deeper understanding of the social and biological dynamics of consciousness. For both thinkers,…

  3. Essentials of psychoanalytic process and change: how can we investigate the neural effects of psychodynamic psychotherapy in individualized neuro-imaging?

    OpenAIRE

    Heinz eBoeker; André eRichter; Holger eHimmighoffen; Jutta eErnst; Laura eBohleber; Elena eHofmann; Johannes eVetter; Georg eNorthoff

    2013-01-01

    The paper focuses on the essentials of psychoanalytic process and change and the question of how the neural correlates and mechanisms of psychodynamic psychotherapy can be investigated. The psychoanalytic approach aims at enabling the patient to “remember, repeat, and work through” concerning explicit memory. Moreover, the relationship between analyst and patient establishes a new affective configuration which enables a reconstruction of the implicit memory. If psychic change can be achieved ...

  4. Psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused.

    Science.gov (United States)

    Parker, Ben; Turner, William

    2013-07-31

    The sexual abuse of children and adolescents is a significant worldwide problem. It is associated with a wide variety of negative psychological, social and physical consequences for the victims. These effects can often be seen immediately following sexual abuse, but they may manifest later on and sometimes only in adult life. There are a number of different interventions aimed at helping children and adolescents who have been sexually abused, and psychoanalytic/psychodynamic psychotherapy has a long-established tradition of being used for such victims. In this review, we set out to find the evidence for its effectiveness specifically in children and adolescents who have been sexually abused. To assess the effectiveness of psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused. We searched the following databases in May 2013: CENTRAL, Ovid MEDLINE, Embase, PsycINFO, CINAHL, Sociological Abstracts, Social Science Citation Index, Conference Proceedings Citation Index - Social Science and Humanities, LILACS and WorldCat. We also searched three trials registers, checked the reference lists of relevant studies and contacted known experts. Randomised and quasi-randomised trials comparing psychoanalytic/psychodynamic psychotherapy with treatment as usual or no treatment/waiting list control for children and adolescents up to age of 18 who had experienced sexual abuse at any time prior to the intervention. The review authors (BP and WT) independently screened search results to identify studies that met eligibility criteria. No studies were identified that met the inclusion criteria for this review. There are no randomised and quasi-randomised trials that compare psychoanalytic/psychodynamic therapy with treatment as usual, no treatment or waiting list control for children and adolescents who have been sexually abused. As a result, we cannot draw any conclusions as to the effectiveness of psychoanalytic

  5. Alienating identifications and the psychoanalytic process.

    Science.gov (United States)

    Scariati, Giuseppe

    2009-10-01

    The transmission of psychic life from one generation to the next can result in unconscious, alienating identifications when the parents have not been able to elaborate a process of mourning for their own childhoods. In this article, the author describes the nature of these identifications, constructed around insufficiently symbolized experiences, as revealed during the psychoanalytic process. These unconscious, alienating identifications raise some arduous technical problems for the psychoanalyst as they lead the patient to carry out complex enactments that erase the normal transference markers. The psychoanalyst may then be tempted to resort to pejorative theoretical concepts, such as the death drive. And yet, unknown to the analysand, the insufficiently symbolized psychic elements contain a potential for transformation that may lead to reconstructions and dis-alienating interpretations. The author distinguishes between alienating identifications and fantasies of identification when the latter transiently appear during the psychoanalytic process. These identification fantasies symbolically register the emotional experience undergone during the analytic sessions and contribute to the integration of insufficiently symbolized psychic elements. These theoretical considerations are fully illustrated by the clinical report of some analytic sessions.

  6. Ethics education in psychoanalytic training: a survey.

    Science.gov (United States)

    Ransohoff, Paul M

    2010-02-01

    Didactic education in psychoanalytic ethics is a relatively new phenomenon. Ethics courses were offered by few institutes before they were mandated and before publication of the first Ethics Case Book in 2001. As institutes have developed ethics training, the solutions they have arrived at-formats, length and placement of courses, and preferred readings- remain unknown to other educators and analysts. This survey was undertaken to gain an overview of the current state of ethics education. Twenty-nine of the thirty-one training institutes of the American Psychoanalytic Association (93%) responded to inquiries. Most institutes (79%) offered one course, and the average number of class sessions was 6.3. Of 258 different readings used, 61 (23.6%) were used by more than one institute and 37 (14.3%) by more than two. The most frequent topics were boundaries, confidentiality, and illness, and Dewald and Clark's Case Book (2008) and Gabbard and Lester (1995) were the most common readings. These findings should be useful to instructors, curriculum committees, and ethics committees in their ethics education planning, as well as to practicing analysts in their ethical self-education. This study may also serve as a model for analogous investigations into other areas of analytic education and as an impetus to further research and educational innovation.

  7. AN ARTISTIC AND PSYCHOANALYTIC APPROACH OF LEONARDO DA VINCI’S PAINTINGS

    Directory of Open Access Journals (Sweden)

    Irina-Andreea STOLERIU

    2015-06-01

    Full Text Available The starting point of the present paper is the work 'The Virgin and Child with Saint Anne', made by Leonardo da Vinci. The paper is based both on an artistic and psychoanalytic approach which opens new ways of interpretation due to the research of Sigmund Freud - 'Leonardo da Vinci and a Memory of His Childhood'. Freud claims that Leonardo had found the lost image of his mother in his works 'The Virgin and Child with Saint Anne' and 'Mona Lisa', thus justifying the artist’s direct attachment to these creations. Along with specific interpretations of the creative process, the psychoanalytic approach intends to explain and enrich the content of ideas of the present paper regarding one of the most valuable creations of Leonardo and also an artistic testament created towards the end of his life. Freud’s psychoanalytic approach brings specific interpretative content for the mentioned work of art. It is different from the artistic method, not contradicting various artistic studies, but complementing them in a harmonious way.

  8. The "black hole" as the basic psychotic experience: some newer psychoanalytic and neuroscience perspectives on psychosis.

    Science.gov (United States)

    Grotstein, J S

    1990-01-01

    The psychoanalytic treatment of psychotic disorders has had a long and complicated history because of the historic preference of psychoanalysis for neurotics. Nevertheless, it has survived the prejudice of psychoanalysts and empirical psychiatrists and now enters an interdisciplinary phase in which psychotic psychopathology is understood as primarily an emotional disorder, but one that must also be considered from the point of view of neurobiology and neuropsychology as well as sociology. In this contribution, I offer the idea that perhaps the most important subtext in the psyche of the psychotic is what has been called the black hole. This massive deficit is ultimately attributable to a precocious abruption of the mother's physical and psychical presence from the infant, a phenomenon that has hereditary, congenital, perinatal, and continuing developmental reinterpretive elaborations. The psychoanalytic treatment of the psychotic consists of reversing the direction of his or her cataclysmic descent into the black hole and, at the same time, empathically loosening the control that the protective psychotic alterego has on the surviving self. Further, the psychoanalytic treatment of schizophrenia, in particular (as well as many of the other primitive mental disorders), now frequently involves both an interdisciplinary orientation and perspective and choices of interdisciplinary modalities extending across the whole biopsychosocial spectrum.

  9. When your child's treatment stops working

    Science.gov (United States)

    ... make some decisions about the end of your child's life. It is incredibly hard to even think about, ... making the best of the rest of your child's life. Things to consider include: What kinds of treatment ...

  10. Ear Infection Treatment: Do Alternative Therapies Work?

    Science.gov (United States)

    ... t monitored and are subject to limited regulatory oversight by the Food and Drug Administration. Chiropractic treatment. ... costs. Alternative therapies may not be covered by medical insurance. Assess the credentials of anyone who advocates ...

  11. A psychoanalytical perspective on nowadays depression

    Directory of Open Access Journals (Sweden)

    Érico Bruno Viana Campos

    2016-10-01

    Full Text Available The paper analyzes the phenomenon of epidemic depression nowadays as a symptom of the socio-cultural setting of contemporary subjectivity, through a critique to the framework of psychiatric psychopathology from psychoanalysis. It shows the importance of taking depression as an expression of collusion in the removal of the subject in contemporary times, as the result of a movement of social medicalization. It also presents an overview of the understanding of depression in psychoanalytic psychopathology, highlighting its structural unspecificity and pointing out different trends about their fundamental position in the Lacanian and object relations traditions. It argues that the depressive problems must be taken in their different structural arrangements, as an expression of failure and fixings along the narcissistic-melancholy axis of subjectivity constitution as a relevant and comprising model for understanding the problem of depression in psychoanalysis.

  12. 20/20 Hindsight: A 25-year programme at the Anna Freud Centre of efficacy and effectiveness research on child psychoanalytic psychotherapy.

    Science.gov (United States)

    Target, Mary

    2018-01-01

    This paper describes the evolution of methods of enquiry-through 25 years of work, with Professor Peter Fonagy and many other colleagues-of research and theorizing about child and adolescent therapy outcomes. The work has focused on measuring psychoanalytic outcomes, but with an increasing interest in discovering therapeutic elements across treatment modalities. Headline findings are described, with lessons from the ups and downs of developing (a) retrospective, follow-up, and prospective outcome studies, and (b) measures of child and family functioning. Issues of manualizing and measuring treatment process are discussed, together with the fruitfulness of mixed-method (quantitative and qualitative) process and outcome research with young people and families. Using the dilemmas, experiences, and findings ‌‌of our group as examples, growing points and well as growing pains for the field are suggested.

  13. The language of empathy: an analysis of its constitution, development, and role in psychoanalytic listening.

    Science.gov (United States)

    Aragno, Anna

    2008-09-01

    Viewed from an epistemological perspective, empathy in psychoanalytic practice is described as that aspect of a specialized attentional stance that opens channels of interaction facilitating the formation of a trusting bond and enabling one to gain access to the emotional qualities of another's experience. A literature overview traces the origins of the concept in Freud and its role in psychoanalytic listening (including its controversial, divisive evolution in our field). Empathy is then examined from a semiotic-developmental framework. Its constitutional origins, differentiated forms, and distinctive purpose in clinical discourse are discussed. A developmental line is proposed, and clear distinctions are drawn between empathy in everyday life and its specialized technical application in clinical work.

  14. [Lou Andreas-Salome (1861-1937)--psychoanalytical and feministic contribution to understanding her biography].

    Science.gov (United States)

    Bramness, J G

    2001-06-30

    Lou (Louise) Andreas-Salomé's life and work has preoccupied many biographers. The interest may have be sparked by her liaisons with many of the greatest men of her time. She had an intimate relationship with Friedrich Nietzsche in a period of great change for him. She was Rainer Marie Rilke's mistress for several years. And she pursued a close friendship and working relationship with Sigmund Freud in the latter part of her life. But her significance goes beyond these associations. She was a celebrated novelist and essayist in her own right, with ten novels and more than 50 essays, also on psychoanalytical subjects. She has been viewed as femme fatale, opportunist, feminist, radical, liberal, but also as a significant contributor to psychoanalytical thought. There have been two biographical approaches: a psychoanalytical approach focusing on her loss of father-figures and later difficult relationships with famous men, and a feministic approach accusing psychoanalysts of not contributing to insight, but belittling Salomé's legitimate position. A fuller understanding may be obtained by integrating these two views.

  15. Psychosexual Pursuit: Enhancing Learning of Theoretical Psychoanalytic Constructs.

    Science.gov (United States)

    Carlson, Janet F.

    1989-01-01

    Describes a board game used to facilitate the learning of theoretical principles associated with the psychoanalytic perspective on personality. Covers rules governing play and special advantages of this learning experience. Game board is reproduced. (Author/LS)

  16. Hamlet in Freud's Thoughts: Reinterpretations in the Psychoanalytic Literature.

    Science.gov (United States)

    Diaz de Chumaceiro, Cora L.

    1998-01-01

    Presents a selection of interpretations in the psychoanalytic literature of "Hamlet," by William Shakespeare, beginning with an extensive look at the role this literature played in Sigmund Freud's mind at the origins of psychoanalysis. Also examines later interpretations. (SR)

  17. Nonpharmacologic treatment of hypertension: does it work?

    Science.gov (United States)

    Horan, M J; Roccella, E J

    1987-05-01

    Abundant clinical and epidemiological data suggest that hypertension, or high blood pressure is a disease of high prevalence in industrialized societies, with cardiovascular morbidity and mortality directly related to the level of blood pressure. Although efficacious pharmacologic approaches to the control of high blood pressure are available, concern about risk versus benefit in the use of antihypertensive drug therapy for patients with mild hypertension has led to renewed interest in nonpharmacologic interventions. In the U.S.A. the National High Blood Pressure Education Program, an organization comprised of research scientists and a variety of other professionals concerned with the control of high blood pressure, has through a consensus process, recommended some nonpharmacologic approaches to the treatment of hypertension. The pros and cons of nutritional interventions, exercise and biobehavioral treatments are discussed. Nonpharmacologic recommendations in the treatment of hypertension for which there appear to be sufficient requisite data include weight reduction for the obese, moderate sodium restriction (although this is controversial) and restriction of alcohol consumption to less than 57 g of ethanol daily.

  18. Bingham Dai, Adolf Storfer, and the tentative beginnings of psychoanalytic culture in China, 1935-1941.

    Science.gov (United States)

    Blowers, Geoffrey

    2004-01-01

    This paper looks at the work of two figures who, while marginal to theoretical developments within the history of psychoanalysis, each briefly played an important role in the dissemination of analytical ideas in China, contributing to an early psychoanalytic culture there. Bingham Dai, a native of China, while studying for a PhD in sociology at Chicago, received instruction from Harry Stack Sullivan and a psychoanalytic training under Karen Horney's supervision. However, the neo-Freudian outlook with which this experience imbued him had its roots in an earlier encounter with his experiments in personality education first conducted on students in a Tientsin high school, and later in Shantung under the direction of the conservative Confucian scholar and reformer, Liang Shu Ming. These experiences convinced him that a less orthodox psychoanalytic perspective was what Chinese patients with psychological problems required. He returned in 1935 to teach medical psychology to doctors at Peking Union Medical College, taking a few into analysis and treating some patients. However, the Sino-Japanese war brought these activities to a close and he left in 1939, just a few months after the former Freud publisher and Viennese émigré, Adolf Storfer, arrived. Storfer set about publishing "Gelbe Post," a German language periodical replete with articles on psychoanalysis, linguistics and Chinese culture. But limited finances, severe competition from a rival publisher, plus his own ill health, forced him to abandon this in spite of the support offered him through the many contributors in the international psychoanalytic community whose articles he published. The paper concludes by considering the relative historiographic fate of the men upon whom subsequent scholarship has been very unevenly focused.

  19. The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought.

    Science.gov (United States)

    Fonagy, Peter; Target, Mary

    2007-01-01

    The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.

  20. Converging Paradigms: A Reflection on Parallel Theoretical Developments in Psychoanalytic Metapsychology and Empirical Dream Research.

    Science.gov (United States)

    Schmelowszky, Ágoston

    2016-08-01

    In the last decades one can perceive a striking parallelism between the shifting perspective of leading representatives of empirical dream research concerning their conceptualization of dreaming and the paradigm shift within clinically based psychoanalytic metapsychology with respect to its theory on the significance of dreaming. In metapsychology, dreaming becomes more and more a central metaphor of mental functioning in general. The theories of Klein, Bion, and Matte-Blanco can be considered as milestones of this paradigm shift. In empirical dream research, the competing theories of Hobson and of Solms respectively argued for and against the meaningfulness of the dream-work in the functioning of the mind. In the meantime, empirical data coming from various sources seemed to prove the significance of dream consciousness for the development and maintenance of adaptive waking consciousness. Metapsychological speculations and hypotheses based on empirical research data seem to point in the same direction, promising for contemporary psychoanalytic practice a more secure theoretical base. In this paper the author brings together these diverse theoretical developments and presents conclusions regarding psychoanalytic theory and technique, as well as proposing an outline of an empirical research plan for testing the specificity of psychoanalysis in developing dream formation.

  1. Recrimination in the analytic situation. A hypothesis about its influence on psychoanalytical groups.

    Science.gov (United States)

    Gálvez, Manuel José; Maldonado, Jorge Luis

    2002-10-01

    This paper deals with certain distortions in communication generated by mutual recrimination that is the result of disturbances in the ideal agencies of both parties. Although the ideal ego, superego and ego ideal participate equally in reproach, it is the latter which is the most decisive. In clinical experience, recrimination may easily colour the analytic dialogue. In such cases, interpretation loses its sense of clarification and another type of dialogue replaces it. There, words are used to take possession of the other, for its autonomy is a threat to the static character of the pathology of mourning. The problem of recrimination has also tainted the development of psychoanalysis, to the point of disrupting the process of discovery itself. This paper deals with repercussions in the psychoanalytic movement and also in the elements that constitute its structure. Finally, different variations and disturbances in the psychoanalytic ideal are considered, as well as the involvement of the psychoanalytic institution in preserving or transforming the ideal. Here the importance of institutions and institutional ideals is emphasised. Finally, we suggest that ideals either encourage or hinder the working through of individual and collective mourning.

  2. The sense of solitude in the psychoanalytic encounter.

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    Quinodoz, J M

    1996-06-01

    The author emphasises the importance of the sense of solitude for the integration of psychic life in both analysand and analyst. This complex affect is stated to accompany different levels of anxiety that can be worked through in the transference. While the normal sense of solitude is a manifestation of relative maturity, the author shows that it is not readily tolerated by some analysands when, in the form of a painful sense of loneliness, it signals the approach of the depressive position and of psychic integration. A discussion of the concept in the work of Freud, Klein and Winnicott is followed by a clinical sequence showing how a female patient uses projective identification to transfer intolerable transference separation feelings on to the analyst, who then experiences them as his own. When the analyst succeeds in distinguishing between the pathological aspect (depression) and the healthy side (psychic pain due to the prospect of integration) of these affects, he is able to interpret. The author draws attention to the dangers of acting out by both partners in the analysis if this is not possible. The author deems it important for the psychoanalyst to have acquired a well-developed sense of solitude and insists that particular consideration be devoted to its presence in prospective candidates for psychoanalytic training.

  3. Psychoanalytic Interpretation of Blueberries by Susan Gibb

    Directory of Open Access Journals (Sweden)

    Maya Zalbidea Paniagua

    2014-06-01

    Full Text Available Blueberries (2009 by Susan Gibb, published in the ELO (Electronic Literature Organization, invites the reader to travel inside the protagonist’s mind to discover real and imaginary experiences examining notions of gender, sex, body and identity of a traumatised woman. This article explores the verbal and visual modes in this digital short fiction following semiotic patterns as well as interpreting the psychological states that are expressed through poetical and technological components. A comparative study of the consequences of trauma in the protagonist will be developed including psychoanalytic theories by Sigmund Freud, Jacques Lacan and the feminist psychoanalysts: Melanie Klein and Bracha Ettinger. The reactions of the protagonist will be studied: loss of reality, hallucinations and Electra Complex, as well as the rise of defence mechanisms and her use of the artistic creativity as a healing therapy. The interactivity of the hypermedia, multiple paths and endings will be analyzed as a literary strategy that increases the reader’s capacity of empathizing with the speaker.

  4. [Asomatognosia and oral drive: a psychoanalytical perspective].

    Science.gov (United States)

    Morin, C; Durand, E; Marchal, F; Timsit, S; Manai, R; Pradat-Diehl, P; Rancurel, G

    2003-02-01

    The psychoanalytic concept of specular image refers to the complex construction that associates the body image with the language coordinates of the individual, thus making him/her a human subject. The acquisition of this specular image implies the loss of corporeal exchanges between mother and child, i.e., the "neutralization" of those body parts or extensions where these exchanges take place. These conceptions of body image and subjectivity lead to the hypothesis that neurological disturbances of body schema may alter the patients' subjectivity and their relation to the lost "object" insofar as they alter body image. In the present paper, we present two patients aged under 50, with a unique first ever stroke due to ischemia in the right middle cerebral artery territory and asomatognosia. On one hand, Bisiach's protocol was used to assess hemiplegia, sensory troubles, visual troubles, hemineglect and anosognosia, and adapted to assess asomatognosia. On the other hand, subjective data were gathered during a semistructured interview and a self-portrait test. This showed that asomatognosia was accompanied by a destructuration of body image and aberrant oral manifestations involving the paralyzed hand. The psychological positive phenomena accompanying asomatognosia might correspond to the intrusion of the lost object in the patients' psychic reality, due to the alteration of body schema and body image.

  5. Theory and practice in psychoanalysis: psychoanalytic praxis. 1969.

    Science.gov (United States)

    Bleger, José

    2012-08-01

    The author systematises and examines the relation between theory and practice in psychoanalysis in three directions: one, eminently epistemological, which is only mentioned because it pertains not only to psychoanalysis but to all the sciences; another, the relation between theory and technique; and the third, the relation between theory and the institutional organisation of psychoanalysis and psychoanalysts. All the problems described, especially the second and third points, together define psychoanalytic praxis. With regard to contradictions between theory and technique, the author points out that psychoanalytic theory is constructed fundamentally on the basis of an approach that is historico-genetic, dynamic and consistent with formal logic, whereas psychoanalytic practice occurs within a transference–countertransference relation, in a situation configured as an analytic field, a ‘here and now’, within a dramatic explanation and in a dialectic process. This triple diagnosis involves naturalistic and phenomenological approaches, the problem of objectivity and the role given to sexuality as a privileged parameter in psychoanalytic theory. In relation to the third direction mentioned above,the author refers briefly to the problem of psychoanalytic organisations, in the sense that they come into conflict with the development of psychoanalytic theory and the deepening of investigation. In reference to the latter, the author emphasises the need to widen the perspective of what constitutes psychoanalytic praxis. He points out that praxis is always replete with contradictions and that it is not a question of ignoring,denying or impeding these contradictions themselves (which would in any case be totally ineffective), but that by taking them into account, scientific development could be managed in a more planned way, less blindly; that is to say, less abandoned to spontaneity.

  6. Work-related barriers, facilitators, and strategies of breast cancer survivors working during curative treatment

    Science.gov (United States)

    Sun, Wenjun; Chen, Karen; Terhaar, Abigail; Wiegmann, Douglas A.; Heidrich, Susan M.; Tevaarwerk, Amye J.; Sesto, Mary E.

    2017-01-01

    BACKGROUND Research has identified barriers and facilitators affecting cancer survivors’ return to work (RTW) following the end of active treatment (surgery, chemotherapy and/or radiation therapy). However, few studies have focused on barriers and facilitators that cancer survivors experience while working during active treatment. Strategies used by cancer survivors to solve work-related problems during active treatment are underexplored. OBJECTIVE The aim of this study was to describe factors that impact, either positively or negatively, breast cancer survivors’ work activities during active treatment. METHODS Semi-structured, recorded interviews were conducted with 35 breast cancer survivors who worked during active treatment. Transcripts of interviews were analyzed using inductive content analysis to identify themes regarding work-related barriers, facilitators and strategies. RESULTS Barriers identified included symptoms, emotional distress, appearance change, time constraints, work characteristics, unsupportive supervisors and coworkers, family issues and other illness. Facilitators included positive aspects of work, support outside of work, and coworker and supervisor support. Strategies included activities to improve health-related issues and changes to working conditions and tasks. CONCLUSIONS Breast cancer survivors encounter various barriers during active treatment. Several facilitators and strategies can help survivors maintain productive work activities. PMID:28059814

  7. A bissexualidade no eixo da escuta psicanalítica: considerações teóricas acerca da clínica Bisexuality in the axis of psychoanalytical listening: theoretical consideration on the clinical work

    Directory of Open Access Journals (Sweden)

    Daniel Delouya

    2003-12-01

    Full Text Available Para onde olhamos e o que escutamos na clínica? As diversas respostas refletem as dificuldades de comunicação entre os analistas. A de Freud sempre foi o complexo de Édipo (e a castração, elevado, entre 1923 e 1925, ao estatuto de estrutura. Esta se impõe ao sujeito como trama e roteiro a serem dissolvidos. No entanto, o que se processa é o substrato originário da bissexualidade. São, portanto, as peculiares transmutações nesta última que importam na análise. A exploração desta via coloca em relevo os elementos estruturais, quantitativos, afetivos e míticos, tornando-os passíveis de interlocução com outras concepções sobre a análise.What is that we look at or aim at during analytical work? The different answers given reflect the difficulties of communication among psychoanalysts. Oedipus complex (and castration was Freud's response, postulating it, between 1923 and 1925, as an inherited structure which, when triggered by its environmental counterpart, imposes a drama script to be subsequently dissolved. This, however, implies processing the original substrata of human bisexuality. Conducting an analysis means keeping the eye on the process and destiny of psychic bisexuality, which implies structural, affective, quantitative and mythical elements that can serve as a basis for communication among psychoanalysts.

  8. On the problem of the id in psychoanalytic theory.

    Science.gov (United States)

    Shulman, M E

    1987-01-01

    The id per se has ceased being a topic for explicit speculation for some time in psychoanalysis. This paper first examines certain problems posed by the concept "id' via a close reading of a passage from Freud in which the complex and paradoxical interrelationship of ego and id is reviewed. Several aspects of the concept "id' are differentiated from each other. The implications of a dialectical relationship of ego and id are explored, as are the consequences for the understanding of the id of the anxieties imposed on the infant by its life situation and its "sensing' impulses and fleeing them before it can know them. The relationship of id impulse and infantile need to the concepts of intention and avowal is considered, and fundamental differences between the infant and adult human subject via-à-vis knowing and intending are clarified. These examinations pave the way for a critique of the recent work of Gill, Eagle, and especially, of Schafer, concerning metapsychology and the nature of psychoanalysis as a science. It is shown that some concept of id as a pre-intentional force operating in human lives and linking these lives to a nature beyond individual intending is necessarily implied in any adequate psychoanalytic science.

  9. The impact of sociodemographic, treatment, and work support on missed work after breast cancer diagnosis.

    Science.gov (United States)

    Mujahid, Mahasin S; Janz, Nancy K; Hawley, Sarah T; Griggs, Jennifer J; Hamilton, Ann S; Katz, Steven J

    2010-01-01

    Work loss is a potential adverse consequence of cancer. There is limited research on patterns and correlates of paid work after diagnosis of breast cancer, especially among ethnic minorities. Women with non-metastatic breast cancer diagnosed from June 2005 to May 2006 who reported to the Los Angeles County SEER registry were identified and asked to complete the survey after initial treatment (median time from diagnosis = 8.9 months). Latina and African American women were over-sampled. Analyses were restricted to women working at the time of diagnosis, work (1 month, stopped all together). Approximately 44, 24, and 32% of women missed 1 month, or stopped working, respectively. African Americans and Latinas were more likely to stop working when compared with Whites [OR for stop working vs. missed working, independent of sociodemographic and treatment factors [ORs for stopped working vs. missed work schedule available through work was detrimental to working [ORs for stopped working 18.9, P working altogether after a diagnosis of breast cancer, particularly if they are racial/ethnic minorities, receive chemotherapy, or those who are employed in an unsupportive work settings. Health care providers need to be aware of these adverse consequences of breast cancer diagnosis and initial treatment.

  10. Effects of LMX and differential treatment on work unit commitment.

    Science.gov (United States)

    van Breukelen, Wim; Konst, Dorien; van der Vlist, René

    2002-08-01

    The Leader-Member exchange (LMX) theory of leadership states that leaders do behave differently towards the various members in their work unit. Relatively little attention has been devoted to the question of whether members' perceptions of differential treatment on the part of the leader affects their commitment to the work unit. Perceptions of the amount of differential treatment within their work unit did not explain additional variance in members' work unit commitment after the effects of LMX quality were accounted for. There was, however, a significant interaction effect of LMX quality and differential treatment on work unit commitment. The perception of a large number of differential treatment incidents seems to act as a neutralizer with respect to the positive effects LMX quality may have.

  11. ON THE BIRTH AND DEVELOPMENT OF PSYCHOANALYTIC FIELD THEORY, PART 2.

    Science.gov (United States)

    Silverman, Martin A

    2017-10-01

    Advances in Contemporary Psychoanalytic Field Theory: Concept and Further Development. Edited by S. Montana Katz, Roosevelt Cassorla, and Giuseppe Civitarese. London/New York: Routledge, 2017. 212 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  12. Effects of a brief psychoanalytic intervention for perinatal depression.

    Science.gov (United States)

    Nanzer, Nathalie; Sancho Rossignol, Ana; Righetti-Veltema, Marion; Knauer, Dora; Manzano, Juan; Palacio Espasa, Francisco

    2012-08-01

    This pilot study explores the effects of a brief individual psychoanalytic therapy on perinatal depressive symptoms. This intervention is based on the Geneva's mother-infant intervention model. A sample of 129 pregnant women was recruited in Geneva (Switzerland) and screened for depressive symptoms with two instruments: the 'Edinburgh postnatal depression scale' (EPDS) and the 'Dépistage anténatal de la dépression postnatale'. A group of 40 women presenting depressive symptoms (treatment group) participated in a four-session intervention called 'Psychotherapy centred on parenthood (PCP)'. It consists in two antenatal and two postnatal sessions and is focussed on changing problematic representations of parenthood. This treatment group was compared to a control group of 88 women without depressive symptoms and following the usual obstetrical care. The main outcome measure was EPDS at 3 and 6 months after delivery. The 'Global assessment functioning scale' was administered at the end of each therapeutic session. The 'Parent-infant relationship global assessment scale' was administered at the two postnatal sessions in order to explore if PCP was also effective in preventing the potential negative effects of depression on mother-infant relationship. Results show that in the treatment group (N = 31), EPDS scores dropped from 12.8 to 4.8; none of these women met the EPDS cut-off score of 12 at 3 and 6 months postpartum. Mother-infant relationship was well adapted for all 31 dyads at the end of the intervention. These results suggest that PCP is a promising intervention for treating perinatal depression and helping mothers engaging in parenting.

  13. Psychoanalytic peregrinations. II: Psychoanalysis as science and art.

    Science.gov (United States)

    Chessick, Richard D

    2002-01-01

    The foundations of psychoanalytic clinical practice involve the role of fantasy, creativity, and imagination as well as the natural science aspects of psychoanalysis. There is a common ground for psychoanalytic technique and we should not in a "politically correct" manner, as is so popular today, abandon the philosophical or Platonic foundationalism that lies at the basis of Freud's psychoanalytic practices. Although it is a "politically incorrect" view, a reasonable degree of objectivity and scientific validity is attainable by the relatively neutral psychoanalyst, using both natural science observations as well as introspection and hermeneutics. Furthermore, since psychoanalysis is fundamentally a creative activity, the roots of creativity require exploration and careful study. Subjective and first person methodologies such as Freud's psychoanalysis and phenomenology cannot be ignored in our search for the core of the self of each of our patients.

  14. The ambiguity of confidentiality in a psychoanalytic institute.

    Science.gov (United States)

    Dulchin, J; Segal, A J

    1982-02-01

    Traditionally, psychoanalytic training institutes have used the knowledge which faculty gained in the psychoanalyses of their student patients to evaluate the progress of those students. The training institute that we shall call Eastern Institute regarded such a practice as unacceptable, and organized its program with the intention that analysis would exercise no power over their student patients' careers. The institute's commitment to the confidentiality of psychoanalytic relationships led to an ambiguous definition of confidentiality. This ambiguity meant that some faculty members violated the confidentiality of the analytic relationship even though they believed thye were sustaining it. This paper examines the ways in which confidential information was managed, the conditions under which it was compromised, and the significance of this paradoxical situation in the life of the Institute and in the wider psychoanalytic world.

  15. Dialectical thinking and therapeutic action in the psychoanalytic process.

    Science.gov (United States)

    Hoffman, I Z

    1994-04-01

    The therapeutic action of the psychoanalytic process depends upon a special kind of power with which the analyst is invested by the patient and by society, a power that is enhanced by adherence to psychoanalytic rituals, including the asymmetrical aspects of the arrangement. It is important, however, that the analyst also engage with the patient in a way that is sufficiently self-expressive and spontaneous so that a bond of mutual identification can develop between the participants. At the core of the generic "good object" is an element of uncertainty as the analyst struggles to find an optimal position relative to this dialetic between formal psychoanalytic authority and personal responsivity and self-expression. At the core of the generic "bad object" is an uncritical commitment to one side of the dialetic at the expense of the other. An extended clinical vignette illustrates how the analyst's struggle with this dialetic has great therapeutic potential.

  16. Aportes del proceso diagnóstico psicoanalítico al tratamiento de las adicciones en ámbitos hospitalarios Contributions of the process diagnose psychoanalytic to the treatment of the addictions in hospitable scopes

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    Alicia Donghi

    2007-12-01

    Full Text Available El presente trabajo es una articulación entre el Proyecto de investigación: Alcance de la aplicación del modelo de reducción de daños al campo asistencial en el tratamiento de las adicciones. Directora: Alicia Donghi (Pro. In.Psi de la facultad de Psicología U.B.A (2004-2007 que esta investigando la correspondencia entre la emergencia de diversos efectos, trastornos o lesiones corporales y la abstinencia del consumo de sustancias, en el tratamiento de las adicciones según el modelo abstencionista en ámbitos hospitalarios del GCBA y el proyecto de investigación de UBACyT: La causalidad subjetiva en una situación de urgencia social. El proceso diagnóstico y los efectos terapéuticos específicos del psicoanálisis. Director: Gabriel Lombardi que estudia la factibilidad y las dificultades del proceso diagnostico psicoanalítico en pacientes que consultan en una situación de urgencia socioeconómica en la sede Avellaneda de la UBA. Este trabajo es una articulación entre ambos proyectos alrededor del concepto de responsabilidad subjetiva.This work is the articulation between the investigation project: Significance the reduction harm' s application at attendance camp in addictions treatment. Director: Alicia Donghi ( ProInPsi 2004 - 2007 who is investigating the correspondence between the emergence corporal's disorders or injuries and the abstinence consume substances in the treatment's addictions according to abstentions model and the another investigation project UBACyT: Subjective causality in a social emergency situation. The Diagnostic process and the therapeutic effects of psychoanalysis that studies the feasibility and the difficulties of the diagnosis process in patients who consult in a situation of socioeconomic urgency in the Avellaneda seat of the University of Bs As. The present work is the articulation of sends projects almost the subjective responsibility.

  17. Psychoanalytic Thoughts on the European Refugee Crisis and the Other.

    Science.gov (United States)

    Volkan, Vamık D

    2017-12-01

    There are many aspects-political, economic, legal, medical, cultural, religious-of the present refugee crisis in Europe. Difficulties at border crossings, settlement programs, life-saving issues, and security measures come to mind immediately, but the refugee crisis also needs to be examined from a psychological angle. This paper outlines psychoanalytic findings on voluntary and forced immigration and human responses to the Other. Change in the twenty-first century is occurring at an unprecedented pace and scale. Globalization, incredible advances in communication technology, fast travel, recourse limitations, terrorist activities, and now the refugee crisis in Europe make psychoanalytic investigation of the Other a necessity.

  18. Through the storm: psychoanalytic theory in the psychotherapy of the anxiety disorders.

    Science.gov (United States)

    Zerbe, K J

    1990-01-01

    Anxiety is one of the most ubiquitous problems facing human beings. The author summarizes the views of the major psychodynamic theorists who have contributed to a psychoanalytic understanding of anxiety: Freud's toxic and signal theories; the interpersonal schools of Harry Stack Sullivan, Karen Horney, and Frieda Fromm-Reichmann; the object relations theorists; and the self-psychological perspective of Heinz Kohut. The author then describes how each of these schools provides a different way to appreciate and work with anxiety. She emphasizes the containing and soothing functions of therapy, which have their roots in several of the theories.

  19. Working memory capacity and addiction treatment outcomes in adolescents.

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    Houck, Jon M; Feldstein Ewing, Sarah W

    2017-07-20

    Brief addiction treatments including motivational interviewing (MI) have shown promise with adolescents, but the factors that influence treatment efficacy in this population remain unknown. One candidate is working memory, the ability to hold a fact or thought in mind. This is relevant, as in therapy, a client must maintain and manipulate ideas while working with a clinician. Working memory depends upon brain structures and functions that change markedly during neurodevelopment and that can be negatively impacted by substance use. In a secondary analysis of data from a clinical trial for adolescent substance use comparing alcohol/marijuana education and MI, we evaluated the relationship between working memory and three-month treatment-outcomes with the hypothesis that the relationship between intervention conditions and outcome would be moderated by working memory. With a diverse sample of adolescents currently using alcohol and/or marijuana (N = 153, 64.7% male, 70.6% Hispanic), we examined the relationship between baseline measures of working memory and alcohol and cannabis-related problem scores measured at the three-month follow-up. The results showed that lower working memory scores were associated with poorer treatment response only for alcohol use, and only within the education group. No relationship was found between working memory and treatment outcomes in the MI group. The results suggest that issues with working memory capacity may interfere with adolescents' ability to process and implement didactic alcohol and marijuana content in standard education interventions. These results also suggest that MI can be implemented equally effectively across the range of working memory functioning in youth.

  20. Beyond Death’s Dream Kingdom: modernity and the psychoanalytic Social Imaginary

    Directory of Open Access Journals (Sweden)

    Neil Turnbull

    2016-02-01

    Full Text Available The appearance on the historical stage of Western modernity is often understood as an “epochal event” that overturned an earlier pre-modern cultural condition that was premised on the dialectic of life and death and the attempt to forge a suitable balance or harmony between them. As such Western modernity is often viewed as the emergence as a new liberal political order based upon individualism, radical immanence and the emergence of a new calculating subjectivities and governmentalities in ways that led to the rejection of the transcendent, the metaphysical and the theological dimensions of human life. In this paper, using Hans Holbein’s famous painting The Ambassadors as a point of reference and adopting the oblique position in relation to the modern taken up by the artist in this painting, I suggest that in the 20th Century, largely as a result of an awareness of the metaphysical significance of the catastrophe of the First World War, that modern liberalism was thrown into crisis and the old pre-modern metaphysical problematic returned as new focus of social and political concern. With specific reference to the work of Sigmund Freud and later psychoanalytic thinkers who took Freud’s idea of the death drive as their theoretical point of departure, I show how in the 20th century psychoanalytically-informed practitioners attempted to resolve the ancient conflict between the forces of life and death through the creation of an enchanted phantasmagoria of mass consumable objects that were often specifically designed and marketed in order to eroticise the nascent thanatic dimensions of modern life, thereby rendering the latter manageable and ultimately liveable. Drawing on the work of social theorists of the imaginary such as Glibert Durand as well as famous propagandisers of Freud such as Edward Bernays and Ernst Dichter (who saw in Freud’s work the possibility of developing a political technology I will suggest that in the 20th century

  1. Pichon Rivière's psychoanalytic contributions: Some comparisons with object relations and modern developments in psychoanalysis.

    Science.gov (United States)

    Scharff, David E; Losso, Roberto; Setton, Lea

    2017-02-01

    Enrique Pichon Rivière's work, fundamental to Latin American and European psychoanalytic development, is largely unknown in English-language psychoanalysis. Pichon's central contribution, the link (el vinculo), describes relational bonds in all dimensions. People are born into, live in, and relate through links. Psychic structure is built of links that then influence external interaction. Links, expressed in mind, body and external action, continuously join internal and external worlds. Links have two axes: vertical axis links connect generations through unconscious transgenerational transmission; horizontal axis links connect persons to life partners, family, community and society. For Pichon, treatment constitutes a spiral process through which interpretation disrupts existent structures, promoting new emergent organizations at successively deeper levels. Psychic and link structures evolve over time unless repetitive cycles stunt growth. For Pichon, transference is constituted in the here-and-now-with-me because of the analytic link. Pichon also undertook family and group psychoanalysis where individuals become spokespersons for unconscious links and family secrets. He developed operative groups that apply psychoanalysis to both analytic and non-analytic tasks. After describing Pichon's major contributions, the paper compares Pichon Rivière's ideas with those of Klein, Fairbairn, Bion, Winnicott and Bowlby, and contemporary writers including Ogden, Kaës, and Ferro whose works echo Pichon Rivière's thought. Copyright © 2016 Institute of Psychoanalysis.

  2. Psychoanalytical Theories about Dance and Art | Akunna | Journal ...

    African Journals Online (AJOL)

    With the recent trend of crossing academic boundaries and integrating the humanities with social and abstract sciences in contemporary times, this article focuses on the role of art in the school of psychoanalytical thought and by extension, modern medicine. In the process, it explores the relationship between Aristotle's ...

  3. The development of psychoanalytic parent–infant/child ...

    African Journals Online (AJOL)

    Interviewees also described adaptive responses to these contextual challenges. These responses are discussed as evidence of the usefulness of theoretical and technical eclecticism, when applied with psychoanalytic mindfulness, in developing the South African parent–infant/child psychotherapy field. Journal of Child ...

  4. Effectiveness of Child Psychoanalytic Psychotherapy in a Clinical Outpatient Setting

    Science.gov (United States)

    Deakin, Elisabeth Kuhn; Tiellet Nunes, Maria Lucia

    2009-01-01

    The objective of this study was to evaluate the outcome of child psychoanalytic psychotherapy in a clinical outpatient setting in a city in southern Brazil. Three psychological tests (Rorschach, Bender and WISC III) were administered to 23 children, aged 6-11 years old, and the Child Behaviour Check List (CBCL) was completed by the parents. All…

  5. What Is the Use of Theory? A Psychoanalytic Discussion

    Science.gov (United States)

    Britzman, Deborah P.

    2012-01-01

    Freud asking whether psychoanalysis could be taught in the university, and then whether it could be learned, provides an occasion for asking about the emotional uses of theory. The paper draws from literature, clinical writing and pedagogy to build a psychoanalytic discussion of teaching and learning that takes seriously phantasies of knowledge…

  6. Methodological problems in the psychoanalytic interpretation of literature: a review of studies on Sophocles' Antigone.

    Science.gov (United States)

    Werman, D

    1979-01-01

    Through a critical review of several studies dealing with Sophocles' drama, the Antigone, I have explored some of the prominent methodological problems encountered in the psychoanalytic interpretation of literature. Foremost among these is the inherent difficulty that the interpretation of literature is unable to benefit from the process of the analytic situation. Divorced from the realities of the therapeutic process, the drama itself is often used to corroborate an author's theoretical bias or to advance some special interest, with consequent distortion or blurring of the text. Although data about the artist's life and sociocultural environment may be of crucial significance, it is the text itself that must be the ultimate object of study. Through a re-examination of the Antigone as an aesthetic totality I have sketched out what appears to be an alternative manner of approaching the drama, and suggested that works of art reach us on both unconscious and conscious levels. I have stressed the need to analyze our emotional response to a work as affording a valuable source of insight into the work itself. Throughout, I have drawn attention to the need for greater scholarly rigor and the value of interdisciplinary collaboration. An open recognition of the problems in the psychoanalytic study of literature should serve to minimize dilettantism and raise the level of scholarship.

  7. The splitting of the New York Psychoanalytic Society and the construction of psychoanalytic authority.

    Science.gov (United States)

    Eisold, K

    1998-10-01

    The splitting apart of the New York Psychoanalytic Society, which began in 1941 with the expulsion of Karen Horney, is seen in the context of a concerted effort to establish the professional authority of psychoanalysis on unimpeachable foundations. On the one hand, a core group of young psychiatrists trained abroad, led by Kubie, sought to establish strict standards of training along orthodox lines; following in the footsteps of medical reformers who had established the professional authority of medicine with strict standards for training and credentialling, they opposed their more 'lax' elders as well as revisionists such as Horney and Rado. On the other hand, the refugee analysts fleeing Hitler sought to establish the security and conditions of orthodoxy they had enjoyed abroad, though they were forced to compromise on the issue of lay analysis. Together they expelled the deviants and sought to establish the professional authority of psychoanalysis on the twin foundations of medical standards and Freudian orthodoxy. Anxieties following the death of Freud contributed to this dynamic process. But contradictions between the conflicting demands of these two sources of authority undermined the stability of this alliance and, eventually, contributed to its collapse.

  8. Foraging at wastewater treatment works increases the potential for ...

    African Journals Online (AJOL)

    Wastewater treatment works (WWTWs) are known to provide profitable foraging areas for insectivorous bats in Europe and the New World because of their association with high abundance of pollution-tolerant midges (Diptera). However, bats that feed on these insects may also accumulate metal pollutants such as cadmium ...

  9. Return-to-work intervention during cancer treatment

    DEFF Research Database (Denmark)

    Petersen, Kirsten Schultz; Momsen, A H; Stapelfeldt, C M

    2018-01-01

    To explore in-depth understanding of providers' experiences when involved in a return-to-work (RTW) intervention offered during cancer treatment. Semi-structured individual interviews and participant observations at a hospital department and two municipal job centers were carried out, including ten...... providers (physicians, nurses and social workers). A phenomenological-hermeneutic approach was applied, involving coding, identification of themes and interpretation of findings. Three major themes were identified: Treatment first, Work as an integrated component in cancer rehabilitation, and Challenges...... in bringing up work issues. Differences in providers' experiences of the RTW intervention offered to cancer patients were found: in the hospital setting RTW was a second priority, whereas in the municipality job centers it was an integrated component. Further studies are needed to investigate how and when...

  10. Questions of technique following the psychoanalytic perspective of Erich Fromm.

    Science.gov (United States)

    Biancoli, Romano

    2006-01-01

    To avoid dogma and ritual Erich Fromm chose not to write a book on psychoanalytic technique, leaving his teachings to the oral tradition of his pupils which advises us to treat each patient and each session as unique. The rules of technique are neither revoked nor denied but rather discussed and criticized. In the author's opinion the "question of technique" takes the place of technique, making the Frommian approach wholly current and in dialogue with interpersonal and relational orientations in psychoanalysis. On this dialectical line and assuming the analyst's awareness as point of view, the theme of the relationship between the here-and-now of the session and the there-and-then of the analysand's life is developed. A dialectical context is also offered between operations of objectivization and operations of alienation in the psychoanalytic process.

  11. Deepening psychoanalytic listening: the marriage of Buddha and Freud.

    Science.gov (United States)

    Rubin, Jeffrey B

    2009-06-01

    Freud (1912) delineated the ideal state of mind for therapists to listen, what he called "evenly hovering" or "evenly suspended attention." No one has ever offered positive recommendations for how to cultivate this elusive yet eminently trainable state of mind. This leaves an important gap in training and technique. What Buddhism terms meditation-non-judgmental attention to what is happening moment-to-moment-cultivates exactly the extraordinary, yet accessible, state of mind Freud was depicting. But genuine analytic listening requires one other quality: the capacity to decode or translate what we hear on the latent and metaphoric level-which meditation does not do. This is a crucial weakness of meditation. In this chapter I will draw on the best of the Western psychoanalytic and Eastern meditative traditions to illuminate how therapists could use meditation to cultivate "evenly hovering attention" and how a psychoanalytic understanding of the language and logic of the unconscious complements and enriches meditative attention.

  12. PSYCHOANALYTIC CLINIC IMPLICATED: CONNECTIONS WITH CULTURE, SOCIETY AND POLITICS

    Directory of Open Access Journals (Sweden)

    Miriam Debieux Rosa

    2017-09-01

    Full Text Available This article addresses the dilemmas of the advancement of psychoanalysis when taking into account certain problems, such as social exclusion, racism and others. These issues emerge when the psychoanalyst offers his or her listening in the pólis: in health care, assistance or education institutions, in communities. Such clinical-political psychoanalytic practices find the limits of its field and encourage the necessary dialogue with other fields of knowledge. On the other hand, they encourage the deepening of concepts and the creation of clinical devices compatible with the sociopolitical dimension of suffering. In the first part of the article, we discuss present the way that Freud articulates clinical practice, theory and social issues. Since then, however, the theoretical advance of psychoanalysis in its interface with culture has privileged artistic and religious facts, at the expense of the political, economic and social dimension. In the second part, we present our conception of clinical-political psychoanalytic or implicated psychoanalysis.

  13. The reception of classical psychoanalysis in the Russian religious thought and the modern psychoanalytic theories of religion

    Directory of Open Access Journals (Sweden)

    Konstantin Antonov

    2014-10-01

    Full Text Available The author considers the principal moments of the understanding of religion in psychoanalysis as perceived by Russian thinkers of the first half and the middle of the 20th century. The author indicates the conditions and context of the perception of psychoanalysis in Russia in the late 19th and early 20th centuries, the main contiguity points shared by the psychoanalytic understanding of religion and its treatment by the Russian symbolists, mainly by Vyacheslav Ivanov. He proceeds to consider the perception and criticism of psychoanalysis off ered by Russian thinkers of the fi rst half and the middle of the 20th century: Father P. Florensky, N. A. Berdyayev, S. L. Frank, B. P. Vysheslavtsev and S. A. Levitsky. The final part of the article contains conclusions bearing on the general meaning of this perception and its potential signifi cance for the Russian psychology of religion. Beyond any doubt, Russian philosophers have managed to enrich their understanding of religion by making use of the attainments of psychoanalysis. They have productively used even such ideas as had been conceived by the founder of psychoanalysis as instrumental in criticizing religion. Alongside repetition of the ideas common in the criticism of psychoanalysis, they have put forward a number of original arguments proceeding from an immanent analysis of psychoanalytical ideas indicative of the internal problems that exist in the psychoanalytical approach to religion. They have also outlined ways of overcoming them within the framework of Christian thought. In a number of cases they have evidently foreshadowed the interpretation of psychoanalytical doctrines in Western Christian thought.

  14. Psyche--the meeting of mind and soul: current psychoanalytic views on the mental representation of god.

    Science.gov (United States)

    Clemens, Norman A

    2013-11-01

    The author presents an overview of two contemporary, related psychoanalytic perspectives on religious phenomena. Based on data from systematic interviews, Ana-Maria Rizzuto explores the way the human mind forms the idea of God as it evolves through the various stages of childhood and adult development. The object-representation of God is greatly influenced by the mental representations of mother, father, and other important adults in the child's life. Object relations theory and the writings of Winnicott play an important role in these concepts. William Meissner, a Jesuit priest as well as a psychoanalyst, addresses Freud's views of religious belief as an illusion, or when accepted with certainty as real, as a delusion. Instead, Meissner sees religious belief as a developmental process that resides in the mental realm of transitional phenomena where spirituality, creativity, appreciation of beauty, transcendental states, play, and the psychoanalytic process itself also take place. In psychoanalytic treatment, religious phenomena are not exempt from exploration and understanding, perhaps resulting in more mature development of object representations, ego functions, and the superego functions of conscience and ego ideal as well as more mature religious life.

  15. Working Memory in Aphasia: Considering Discourse Processing and Treatment Implications.

    Science.gov (United States)

    Henderson, Amy; Kim, Hana; Kintz, Stephen; Frisco, Nicole; Wright, Heather Harris

    2017-02-01

    Evidence suggests that persons with aphasia (PWAs) present with working memory impairments that affect a variety of language tasks. Most of these studies have focused on the phonological loop component of working memory and little attention has been paid to the episodic buffer component. The episodic buffer, as a limited capacity, multimodal system that binds and integrates information from the phonological loop, visuospatial sketchpad, and long-term memory would likely be involved in discourse processing. The purposes of this article were to (1) review discourse level deficits associated with aphasia, (2) describe how a deficit at the level of the episodic buffer could cause such deficits, (3) to review discourse treatment approaches for PWAs, and (4) present preliminary results from a novel discourse treatment study for PWAs. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  16. Psychoanalytic and musical ambiguity: the tritone in gee, officer krupke.

    Science.gov (United States)

    Jaffee Nagel, Julie

    2010-02-01

    The poignant and timeless Broadway musical West Side Story is viewed from the standpoint of taking musical forms as psychoanalytic data. The musical configuration of notes called the tritone (or diabolus in musica) is taken as a sonic metaphor expressing ambiguity both in musical vocabulary and in mental life. The tritone, which historically and harmonically represents instability, is heard throughout the score and emphasizes the intrapsychic, interpersonal, and social dramas that unfold within and between the two gangs in West Side Story. Particular emphasis is given to the comic but exceedingly sober song Gee, Officer Krupke. Bernstein's sensitivity to the ambiguity and tension inherent in the tritone in West Side Story is conceptualized as an intersection of music theory and theories of mind; this perspective holds implications for clinical practice and transports psychoanalytic concepts from the couch to the Broadway stage and into the community to address the complexities of love, hate, aggression, prejudice, and violence. Ultimately, West Side Story cross-pollinates music and theater, as well as music and psychoanalytic concepts.

  17. Domestic source of phosphorus to sewage treatment works.

    Science.gov (United States)

    Comber, Sean; Gardner, Michael; Georges, Karyn; Blackwood, David; Gilmour, Daniel

    2013-01-01

    Phosphorus is an element essential for life. Concerns regarding long-term security of supply and issues related to eutrophication of surface waters once released into the aquatic environment have led governments to consider and apply measures for reducing the use and discharge of phosphorus. Examples of source control include legislation to reduce phosphorus use in domestic detergents. This research shows that other domestic sources of phosphorus also contribute significantly to the domestic load to sewer and that overall, domestic sources dominate loads to sewage treatment works. Estimates provided here show that although the natural diet contributes 40% of the domestic phosphorus load, other potentially preventable sources contribute significantly to the estimated 44,000 tonnes of phosphorus entering UK sewage treatment works each year. In the UK, food additives are estimated to contribute 29% of the domestic load; automatic dishwashing detergents contribute 9% and potentially increasing; domestic laundry 14%, including contributions from phosphonates, but decreasing; phosphorus dosing to reduce lead levels in tap water 6%; food waste disposed of down the drain 1%; and personal care products 1%. Although UK data is presented here, it is anticipated that similar impacts would be expected for other developed economies. Consideration of alternatives to all preventable sources of phosphorus from these sources would therefore offer potentially significant reductions in phosphorus loads to sewage treatment works and hence to the aquatic environment. Combining all source control measures and applying them to their maximum extent could potentially lead to the prevention of over 22,000 tonnes-P/year entering sewage treatment works.

  18. Breast cancer treatment and work disability: patient perspectives.

    Science.gov (United States)

    Tiedtke, Corine; Dierckx de Casterlé, Bernadette; de Rijk, Angelique; Christiaens, Marie-Rose; Donceel, Peter

    2011-12-01

    Most female breast cancer patients are forced to interrupt their professional activities during treatment. Qualitative research was carried out to assess women's experiences of being work disabled because of breast cancer. In-depth interviews were analyzed to understand patient's experiences and to gain more insight in their perspectives on living with breast cancer. We identified a 'three-experience model': (1) disruption, with the feeling of irreparable loss, despair and no hope for the future; (2) episode, an unpleasant and inconvenient period, after which life continues as before; and/or (3) meaningful period, during which new life priorities' are set. The different experiences will require different types of support, especially concerning communication around disability and returning to work. Our findings highlight the need of an individual approach of the management of work disability for breast cancer patients. Copyright © 2011 Elsevier Ltd. All rights reserved.

  19. Shift work disorder: clinical assessment and treatment strategies.

    Science.gov (United States)

    Simon, Richard D

    2012-06-01

    Shift work disorder (SWD) occurs when individuals are unable to successfully synchronize their internal clocks with a work schedule that requires them to stay awake when it is dark and sleep when it is light. When assessing for SWD, clinicians should take a thorough sleep history and have the patient maintain a sleep diary. Clinicians should also be aware of conditions that commonly occur in conjunction with this illness, including sleep apnea, restless legs syndrome, depressive and anxiety disorders, and chronic fatigue. The primary goal of treatment for SWD is to reduce the rate of circadian misalignment by fostering better sleep when it is desired and improved alertness and functioning when appropriate. Nonpharmacologic strategies (eg, melatonin and light therapy) should be tried before considering medications to promote sleep and/or alertness. © Copyright 2012 Physicians Postgraduate Press, Inc.

  20. [Medically unexplained persistent pain syndrome: psychoanalytic approach].

    Science.gov (United States)

    Davoine, Georges-André; Godinat, Gilles; Petite, Dominique; Saurer, Andreas

    2013-06-26

    Chronic persistant pain is very challenging as the patient and his/her therapist are confronted with a lack of explanation about the origin of pain. The relationship has also to face many obstacles such as psychological strain or psychosocial tensions such as disagreements about the patients working capacity. Nevertheless continuing attention from a solid and secure therapist may progressively lead to changes in pain experience, the emergence of emotions and improved therapist patient interactions.

  1. Psychoanalytic treatment of psychological addiction toalcohol (alcohol abuse)

    OpenAIRE

    Brian eJohnson; Brian eJohnson

    2011-01-01

    AbstractThe DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (DSM5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson 2003). In psychological addiction the brain can be assumed to function normally, and ordinary ...

  2. Psychoanalytic Treatment of Psychological Addiction to Alcohol (Alcohol Abuse)

    OpenAIRE

    Johnson, Brian

    2011-01-01

    The DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (dsm5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson, 2003). In psychological addiction the brain can be assumed to function normally, and ordinary psychoanal...

  3. DREAM DIAGNOSTICS: FRITZ MORGENTHALER'S WORK ON DREAMS.

    Science.gov (United States)

    Binswanger, Ralf

    2016-07-01

    The unique approach to dreams of Swiss psychoanalyst Fritz Morgenthaler (1919-1984) is presented and discussed. Although rarely discussed in the English-speaking psychoanalytic world, this approach is very alive in German-speaking countries. Focusing on the distinction between the remembered hallucinatory experience of dreamers and the event of telling dreams within psychoanalytic sessions, Morgenthaler made two major innovations: first, he proposed a new understanding and handling of associations to dreams, and second, he offered what he called dream diagnostics as an instrument with which to integrate both resistance and transference into clinical work with dreams. © 2016 The Psychoanalytic Quarterly, Inc.

  4. Eroticism in group psychotherapy: psychoanalytic reflections on desire, agony, and ecstasy.

    Science.gov (United States)

    Tylim, Isaac

    2003-10-01

    To fully understand the complexities of eroticism in groups, it may be necessary to review a conceptual differentiation of desire and its allies: agony and ecstasy. This article suggests that psychoanalytic group psychotherapy is made for neither agony nor ecstasy. Sexual excitement maybe; eroticism and desire, yes; agony and ecstasy, no. While agony or ecstasy imply a threat to the survival of the group, eroticism and desire reaffirm its existence. In this manner the group may be converted into a theater where desire may be celebrated, while the threat of being dissolved in the depths or exaltation of agony and ecstasy is elaborated and worked through: "Desire is desire only if it succeeds in postponing something".

  5. Termination of psychotherapy: the journey of 10 psychoanalytic and psychodynamic therapists.

    Science.gov (United States)

    Fragkiadaki, Evangelia; Strauss, Susan M

    2012-09-01

    Literature on termination originates mainly from clinical and theoretical accounts as well as practitioners' autobiographical reports. There is, however, a paucity of psychological research on termination. The purpose of this study is to examine the process of termination of therapy based on therapists' narratives of experiences of endings with patients. Grounded Theory methodology has been applied in this study in order to conceptualize the process of termination from the therapist's perspective. Ten psychoanalytic and psychodynamic therapists were interviewed for this study. Grounded Theory analysis of the data revealed five central categories: therapist as a person, therapist's awareness of termination, development of therapeutic relationship, working through termination, and the aftermath (post-termination phase). The results offer a Grounded Theory model of the therapist's journey through termination of therapy with patients. Subcategories and their relationships will be explored. Implications for clinical practice, limitations and suggestions for further research will be discussed. © 2011 The British Psychological Society.

  6. On hating in the first person plural: thinking psychoanalytically about racism, homophobia, and misogyny.

    Science.gov (United States)

    Moss, D

    2001-01-01

    On the basis of personal, cultural, and clinical references, misogyny, homophobia, and racism are conceptualized as structured forms of hatred grounded in a defensive use of the first person plural voice. This use of hatred defends against dangers associated with desires linked to the first person singular. In these hatreds, "I want" is defensively transformed into "we hate." Disidentification from and hatred of the object appear where identification and yearning had been. Along with this defensive move into plurality, with these forms of hatred comes the use of what is conceptualized as the "hermeneutics of transparency." Here the hated qualities of the objects in question are sensed to be transparently obvious, a matter not of thought but of perception. The underlying premises of these hatreds are then contrasted with the underlying premises of psychoanalysis. Effective psychoanalytic work with these hatreds entails resisting the moral pressure to disidentify from them, while bearing the often profound discomfort linked with identifying with them.

  7. Analytic change: Assessing ways of being in a psychoanalytic follow-up interview.

    Science.gov (United States)

    Stänicke, Erik; Strømme, Hanne; Killingmo, Bjørn; Gullestad, Siri Erika

    2015-06-01

    The article argues that the concepts of relational scenario, structuralized affect and actualized affect are proposed candidates for observation of changes in relational ways of being as it is expressed in transference. A psychoanalytic follow-up interview of a former analytic patient is presented in order to illustrate how change in relational ways of being may be registered and studied. By triangulating the patient's verbal report of change with nonverbal information and transference-countertransference dynamics, one may grasp qualitative changes in relational ways of being. The case presented illustrates a former patient's on-going process of working towards representing aggression in a more direct manner and how this process is made observable with the aid of the proposed concepts in the interview situation. The proposed concepts of relational scenario, structuralized and actualized affect discussed are compared to the concept of transference used in studies of core conflictual relationship theme (CCRT). Copyright © 2014 Institute of Psychoanalysis.

  8. Encountering Ehrenberg: tracing the development of psychoanalytic therapy at the intimate edge.

    Science.gov (United States)

    Laidlaw, Christine; Heusser, Shelley

    2014-01-01

    This article illustrates the thinking-through processes and clinical applications of D.B. Ehrenberg's ideas within the therapeutic situation. During the last four decades, Ehrenberg has articulated that the psychoanalytic relationship is at its most compelling when it evolves at "the intimate edge" of the therapist's self and that of the patient. She invites us to explore and process the relational dynamics of the therapeutic dyad within the consulting room. In tribute to Ehrenberg's work, we reflect on two individuals closed up in their self-reliance, who start to break open to their desires for intimacy when their therapist opens up his own self within the uniquely meaningful space co-created in the analytic therapy.

  9. The interpretive process in the psychoanalytic psychotherapy of borderline personality pathology.

    Science.gov (United States)

    Caligor, Eve; Diamond, Diana; Yeomans, Frank E; Kernberg, Otto F

    2009-04-01

    While all patients become more concrete in their psychological functioning in areas of conflict, especially in the setting of transference regression, in the treatment of patients with severe personality pathology this process poses a particular clinical challenge. In the psychoanalytic psychotherapy of patients with severe personality pathology in general, and borderline personality disorder in particular, the interpretive process serves multiple functions. This process comprises a series of steps or phases that can be viewed as moving the patient further away from a single, poorly elaborated, and concrete experience in the transference, which dominates and floods subjectivity, and toward more fully elaborated, complex, stable, and integrated representations of the analyst and of what he or she evokes in the patient's internal world.

  10. Do treatments and other interventions work? Some critical issues.

    Science.gov (United States)

    Adrian, M

    2001-12-01

    A variety of interventions, both therapeutic and preventive, have been used to control, reduce or eliminate substance use and misuse and their attendant problems. Yet, despite years of ever more sophisticated and expensive ways of responding to the use and misuse of a variety of legal and illegal substances, addiction continues to be experienced as a major social problem that plagues users, their families and communities, therapists and clinicians, policymakers, and the public. In view of a recidivist treatment population and finite resources, this paper considers whether and to what extent treatments and other interventions used for planned interventions with alcohol- and drug-use related problems work. It examines both clinical treatment outcomes and broad-based population prevention interventions, and reviews their underlying rationales. Finally, it identifies a number of areas that must be addressed if we are to improve the situation. These areas include a lack of agreement on what is meant by the problem of "addictions," how successful interventions are to be defined and measured so that better interventions can be applied in the future, as well as integrating the processes of quality and appropriateness into the planning, implementation and assessment of effective, needed substance use intervention.

  11. A Psychoanalytic Study of Sylvia Plath.

    Science.gov (United States)

    Feirstein, Frederick

    2016-02-01

    Sylvia Plath's rage at her abandoning husband and at her late beloved father was partly a displacement of anger toward her loving but smothering mother. Her schizoid pathology resulting from the symbiosis (along with her bipolarity) helped prompt her suicide. At the same time her rage at the men represented a struggle to prevent it. The focus of this paper is to explore in the context of her life how the style as well as the content of her last book, Ariel, made for one long suicide note-albeit a beautifully written work of art. In the most accessible of her poems, such as "Daddy," "Lady Lazarus," and "Edge," her health overcomes her pathology. In others her pathology dominates. In Ariel Plath attempted and succeeded in turning herself into a tragic, mythic heroine, eventually drowning herself in a gas oven as she would have in the ocean-a key metaphor for her mother.

  12. Healing after Columbine: reflections of psychoanalytic responders to community trauma.

    Science.gov (United States)

    Levy, Mary Ann; Haglund, Pamela; Plaut, Linda; Emde, Robert; Stewart, Marguerite; Shaw, Ronnie; Ilvonen, Carol; Buirski, Cathy Krown; Singer, Mel; Hea, Rebecca; Edwards, William

    2004-01-01

    Following the shootings at Columbine High School on April 20, 1999, the Denver Psychoanalytic Society provided both immediate and long-term interventions to those closely impacted by the tragedy. In this effort, analytically trained volunteers faced many personal challenges and role adjustments. To address these issues a reflective study group was formed twenty months after the traumatic event. Group discussions revealed a surprising number of residual symptoms from secondary trauma, as well as opportunities for shared coping among analysts. Little has been written about the very human and subjective responses of analysts in such circumstances. These experiences may be helpful to others in today's world of terrorism and unexpected violent events.

  13. Sanctioned social violence: A psychoanalytic view--part I.

    Science.gov (United States)

    Kernberg, Otto F

    2003-06-01

    This paper is the first of a series of two that present an effort to systematize the application of psychoanalytic theory of group processes to the outbreak of massive violence. It explores the origins and social amplification of primitive aggression by means of group psychology and mass psychology, and the combined influences of the regressive pull of ideologies, the personality features of social and political leadership, and the triggering impact of historical trauma and social crises. The paper describes a spectrum of narcissistic-paranoid mechanisms that provide a common matrix for the analysis of those aspects of social psychology that co-determine socially sanctioned violence.

  14. Human foibles and psychoanalytic technique: Freud, Ferenczi, and Gizella Palos.

    Science.gov (United States)

    Kilborne, Benjamin

    2008-03-01

    This paper explores relations between human conundrums and psychoanalytic technique and theory through the relationship between Freud and Ferenczi. Rather than vilify (or lionize) either figure, the paper seeks to see into their struggles and conflicts, and to draw from correspondence and writings a portrait of a relationship. The paper describes not two dusty figures drawn from the closet of history but rather two live, flawed, and struggling human beings whose rational ideas about what they were doing could never keep step with their emotions. There is therefore much to be learned from their relationship: about transference and countertransference, about boundaries and friendship, about rivalry and despair, and about shame.

  15. The Psychoanalytic Interpretation of the Organizational Environment as a Management Tool for Sustainable Development

    Directory of Open Access Journals (Sweden)

    Khripko Elena

    2016-01-01

    Full Text Available The article exposes contemporary materials and structures for sustainable development of organizational environment. Psychoanalytic modeling of organizational behavior makes it possible to identify out reflection, unconscious tendencies in individual, group and corporate behavior. This enables to significantly increase the effectiveness of measures for personnel management. Organizational Environment Researches base on psychoanalytic theory of object relations.

  16. James Baldwin's Go Tell it on the Mountain and the Psychoanalytic ...

    African Journals Online (AJOL)

    But how the psychoanalytic poetics features in the novel and the reason for its employment appears to be largely ignored. In this essay, I utilize some psychoanalytic concepts in the reading of the novel, and argue that Baldwin's characters' internal (psychological) and external (sociological) conflicts are inseparable since ...

  17. Work-related limitations and return-to-work experiences in prolonged fatigue: workers' perspectives before and after vocational treatment.

    Science.gov (United States)

    Joosen, Margot C W; Frings-Dresen, Monique H W; Sluiter, Judith K

    2011-01-01

    To gain insight into fatigued workers' perspectives regarding work experience before and after receiving vocational rehabilitation (VR) treatments. A qualitative survey was conducted using semi-structured interviews with 21 fatigued workers who attended an outpatient multi-component VR treatment. Six months after treatment, work-related limitations and employed VR strategies at work before treatment were explored. Next, VR treatment experiences regarding return-to-work (RTW) were explored. Two researchers performed partially independent, qualitative analyses that revealed topics, discussed by the project team, and organised into domains, categories and sub-categories. Work-related limitations were: symptoms of prolonged fatigue, personal limitations (e.g. lack of self-reflection on individual capacity and limitations), interpersonal factors, activities and conditions at work and life/work imbalance. Before the treatment, VR strategies such as work adaptations, well-intentioned advice and support, and/or referral to psychological or physical care were employed. VR treatment experiences on RTW were: personal challenges (e.g. gained awareness and coping skills), improved activities during work, work adaptations and unresolved problems (e.g. remaining fatigue symptoms and sickness absence). New information about work experiences before and after multi-component VR treatments in workers with prolonged fatigue may help employers, occupational physicians and other caregivers to develop VR strategies that better meet individuals' needs.

  18. The current status of the psychoanalytic theory of instinctual drives. I: Drive concept, classification, and development.

    Science.gov (United States)

    Compton, A

    1983-07-01

    forty years than other aspects of drive theory, although careful observational work has led to alterations of our views of the age of onset of genital awareness, of female sexual development and function, and of the latency period. This is the conclusion of the first of two papers examining the post-Freud development of the theory of instinctual drives in psychoanalysis. The companion paper follows on p. 402 of this issue of The Psychoanalytic Quarterly.

  19. Work function modifications of graphite surface via oxygen plasma treatment

    Science.gov (United States)

    Duch, J.; Kubisiak, P.; Adolfsson, K. H.; Hakkarainen, M.; Golda-Cepa, M.; Kotarba, A.

    2017-10-01

    The surface modification of graphite by oxygen plasma was investigated experimentally (X-ray diffraction, nanoparticle tracking analysis, laser desorption ionization mass spectrometry, thermogravimetry, water contact angle) and by molecular modelling (Density Functional Theory). Generation of surface functional groups (mainly sbnd OHsurf) leads to substantial changes in electrodonor properties and wettability gauged by work function and water contact angle, respectively. The invoked modifications were analyzed in terms of Helmholtz model taking into account the theoretically determined surface dipole moment of graphite-OHsurf system (μ = 2.71 D) and experimentally measured work function increase (from 0.75 to 1.02 eV) to determine the sbnd OH surface coverage (from 0.70 to 1.03 × 1014 groups cm-2). Since the plasma treatment was confined to the surface, the high thermal stability of the graphite material was preserved as revealed by the thermogravimetric analysis. The obtained results provide a suitable quantitative background for tuning the key operating parameters of carbon electrodes: electronic properties, interaction with water and thermal stability.

  20. Implicit Working Memory: Implications for Assessment and Treatment.

    Science.gov (United States)

    Joyce, Arthur W

    2016-01-01

    Working memory (WM) impacts a gamut of cognitive abilities, but implicit WM is typically not considered in assessment or treatment, which may explain the variability of results in reviews of WM training. The role of implicit WM in adaptive behavior is reviewed. All we do is action based. Explicit WM plays a major role when we are required to "think"; that is, when we apply previously learned perception-action linkages in new ways to unique situations. Implicit WM is involved in the automation of behavior, which occurs through interaction with cortical and subcortical systems that guide sensory-motor anticipation and the prediction of reward. This article reviews evidence that implicit WM interacts with cortical-cerebellar and cortical-basal ganglia connections to form perception-action linkages. The cerebellum forms an internal model of cortical WM, corrects the content of this internal model, and then projects the improved representation back to the cortex, where it is retained for future use. The basal ganglia also form an anticipatory system, controlling cortical access to WM by allowing or restricting the information that is released based on the probability of reward. This framework is applied to the assessment and treatment of individuals with WM deficits. The ability to automate behavior can be assessed through repeated trials of existing testing instruments, such as the Trails B and Stroop tasks. Application of skill learning emphasizing automation as an end goal offers a model for the development of new types of WM training.

  1. Evaluating psychoanalytic papers. Towards the development of common editorial standards.

    Science.gov (United States)

    Tuckett, D

    1998-06-01

    Psychoanalysis has insecure foundations. Many of its core theories and therapeutic principles are contested from both within and without the discipline. While it often has little difficulty embracing new ideas it has terrible trouble rejecting old ones. Typically those within the discipline have dealt with this situation by destructive rationalisation, denial, splitting and idealization. Foremost is the tendency to multiply schools and paradigms and to rely on rhetoric and argument by authority. It is argued that to counter such inevitably destructive processes we need to find a way of improving constructive engagement with each other and to achieve a discipline that can grow on the secure foundations of gradually accumulating knowledge. Giving examples, the author describes the ongoing development of a methodology for evaluating psychoanalytic papers according to a common standard. It is proposed that it is possible to conduct reasoned international and cross-cultural peer review. This means that we can in principle evaluate and reach agreement as to the merit of psychoanalytic papers even though their authors may have backgrounds in profoundly different local style and local traditions of argument. Moreover, it is suggested, this can be done without creating the monster of an internationally homogenised style that would numb creativity and original thought.

  2. Between paranoia and creativity: candidates' experience of psychoanalytic training.

    Science.gov (United States)

    Ward, Anne; Gibson, Walter; Miqueu-Baz, Christine

    2010-10-01

    There is widespread concern regarding various aspects of psychoanalytic education. A recent paper by Patrick Casement, drawn widely from his long experience as a supervisor both in the U.K. and abroad, implied that the British Psychoanalytical Society is not exempt from these concerns. To investigate this, a semistructured, anonymous questionnaire was devised and sent to all candidates and all recently qualified analysts at the society. Overall there was a 58% response rate, with 77% of candidates and 39% of recently qualified analysts responding. Concerns were expressed about aspects of the training, but on the whole these were balanced by appreciation. Although strong criticism was expressed by a minority, it seems that when something goes wrong for a candidate, this experience is felt keenly by the peer group as well. The results are discussed in the context of the current training and ethos of the British Society, as well as in relation to a more widespread move toward "competency-based" education. The maturational tasks facing both candidates and trainers are also addressed.

  3. Work-related barriers, facilitators, and strategies of breast cancer survivors working during curative treatment.

    Science.gov (United States)

    Sun, Wenjun; Chen, Karen; Terhaar, Abigail; Wiegmann, Douglas A; Heidrich, Susan M; Tevaarwerk, Amye J; Sesto, Mary E

    2016-01-01

    Research has identified barriers and facilitators affecting cancer survivors' return to work (RTW) following the end of active treatment (surgery, chemotherapy and/or radiation therapy). However, few studies have focused on barriers and facilitators that cancer survivors experience while working during active treatment. Strategies used by cancer survivors to solve work-related problems during active treatment are underexplored. The aim of this study was to describe factors that impact, either positively or negatively, breast cancer survivors' work activities during active treatment. Semi-structured, recorded interviews were conducted with 35 breast cancer survivors who worked during active treatment. Transcripts of interviews were analyzed using inductive content analysis to identify themes regarding work-related barriers, facilitators and strategies. Barriers identified included symptoms, emotional distress, appearance change, time constraints, work characteristics, unsupportive supervisors and coworkers, family issues and other illness. Facilitators included positive aspects of work, support outside of work, and coworker and supervisor support. Strategies included activities to improve health-related issues and changes to working conditions and tasks. Breast cancer survivors encounter various barriers during active treatment. Several facilitators and strategies can help survivors maintain productive work activities.

  4. Work-Related Health Effects among Wastewater Treatment Plants Workers

    Directory of Open Access Journals (Sweden)

    MA Albatanony

    2011-09-01

    Full Text Available Background: Raw sewage contains various pathogenic organisms including bacteria, viruses, fungus, worms and protozoa. Workers at wastewater treatment plants (WWTPs are exposed to these organisms as well as to H2S gas causing many health hazards. Objectives: To assess some work-related health effects among WWTPs workers with special emphasis on the most common infections as well as cardiopulmonary disorders. Methods: 43 workers at Berket Al-Sabih WWTPs were studied. An equal number of non-exposed comparison group were also studied. All participants were asked about their personal demographic data, symptoms suggesting infection, respiratory tract impairment and cardiovascular manifestations. Spirometric measurements were made at the end of the work shift. A resting standard 12-lead ECG was also taken for each participant. For those with a positive ECG finding, echocardiography was also performed. Serum examination for antibodies against hepatitis A virus (HAV and hepatitis E virus (HEV was also done. A heparinized blood sample to measure sulf-hemoglobin, as an indicator of H2S exposure, was taken. Stool was analyzed by polymerase chain reaction (PCR for Leptospira spirochete. Results: WWTPs workers suffered from body ache, abdominal pain, wheeze, asthma and dyspnea more frequently than the comparison group (p<0.05. An obstructive pattern of pulmonary function impairment and a higher mean sulf-hemoglobin% were significantly more common among WWTPs workers than the comparison group. Antibody levels against HAV and HEV as well as frequency of positive stool PCR test results for L. spirochete were significantly higher among WWTPs workers than the comparison group. The prevalence of left ventricular hypertrophy (LVH according to ECG and mean ejection fraction (EF as measured by echocardiography were significantly more frequent in WWTPs workers than in the comparison group. Conclusion: WWTPs workers are high risk of developing various infections and

  5. Cognitive, psychosocial, somatic and treatment factors predicting return to work after breast cancer treatment.

    Science.gov (United States)

    Hedayati, Elham; Johnsson, Aina; Alinaghizadeh, Hassan; Schedin, Anna; Nyman, Håkan; Albertsson, Maria

    2013-06-01

    Breast cancer (BC) may affect the ability to work. In this study, we want to identify any associations between cognitive, psychosocial, somatic and treatment factors with time to return to work (RTW) among women treated for BC. At eight (baseline) and 11(follow-up) months after BC diagnosis, women who had received adjuvant treatment for early BC at Stockholm South General Hospital completed the Headminder neuropsychological tests to obtain the Cognitive Stability Index (CSI), the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module. At both time points, we compared the scores from women who had returned to work with those who had not. We also reviewed the medical certificates of women still on sick leave at 8, 11 and 18 months after diagnosis to determine why they had not returned to work. At baseline, 29 of 45 enroled women were working and 15 were not (one dropped out after baseline testing). The 14 women still not working 11 months after BC diagnosis had more advanced BC (OR = 3.64, 95% CI 2.01-7.31), lymph-node involvement (OR = 18.80, 95% CI 5.32-90.69) and Her 2-positive tumours (OR = 10.42,95% CI 2.19-65.32) than did working women. None of the scores for the four cognitive domains changed significantly at follow-up in either group. Comments on the medical certificates generally supported these findings. Independently of any adjuvant cancer therapy, overall quality of life improved and most women did RTW 18 months after BC diagnosis. Chemotherapy is associated with longer periods of sick leave. Cognitive functions do not predict RTW. Independently of any adjuvant therapy, most women eventually RTW in a few months. The ability to predict RTW after BC treatment should help prepare higher-risk patients for delayed RTW and allow earlier interventions to restore their social relations and quality of life. © 2012 Nordic College of Caring Science.

  6. German students' current choice of profession in the field of psychotherapy: Reasons for or against engaging in psychoanalytic training.

    Science.gov (United States)

    Lebiger-Vogel, Judith

    2016-04-01

    The psychoanalytic societies in Germany as in many other countries are concerned by a decline in the number of candidates for full psychoanalytic training. While this situation is partly attributable to changes both in society and in educational and healthcare systems, it is questionable whether psychoanalytic training institutions have yet found adequate responses to it. Under the banner of 'evidence-based treatment', behaviour therapy has come to be widely disseminated, with major implications for the teaching of different psychotherapy paradigms at universities. To investigate the determinants of this trend in the specific German situation, a large-scale, multi-method exploratory study supported by IPA's DPPT programme was undertaken, focusing on the reasons given by a population (N = 679) of German psychology, medical, and education students for embarking on training in psychoanalysis or behaviour therapy. The results suggest that behaviour therapy is more compatible with the prevailing scientific understanding and with current societal and cultural trends, owing in part to inadequacies or bias in university teaching of the various paradigms of psychotherapy. While most of the psychology students expressed a preference for behavioural training, the psychotherapy option proved less attractive for their counterparts in the fields of medicine and education. Semi-standardized qualitative interviews were used to gain a deeper understanding of the students' decisions for or against training in a specific paradigm, and led to the identification of seven decision-making prototypes. Possible reasons for the students' decisions are discussed, and concrete proposals and recommendations are presented. Copyright © 2016 Institute of Psychoanalysis.

  7. Qualitative methodology in a psychoanalytic single case study

    DEFF Research Database (Denmark)

    Grünbaum, Liselotte

    This study concerns the systematic integration of qualitative research strategies in a psychoanalytic single case study of a child who had suffered early abuse and neglect. A systematic exploration of core features of the therapeutic relationship was carried out, possible links between such core...... with Interpretational Phenomenological Analysis were applied on recorded session notes and other case-file material from a concluded child psychotherapy case as well as on transcripts from follow-up interviews with the child’s birth and foster parents. The case material analyzed in three steps; principles...... for transparent selection developed: 1) Inductive exploration highlighting core object relationship themes in the first 24 therapy sessions. 2) Predefined manifestations of these themes systematically studied in case file reports from various informants about the child’s infancy, daily life, at end of therapy...

  8. The usual intolerance and present one: a psychoanalytic view

    Directory of Open Access Journals (Sweden)

    Pedro Luiz Ribeiro de Santi

    2017-06-01

    Full Text Available In this article, I analyze the roots of intolerance from a psychoanalytic perspective, as well as the ways it has been taken in our politic life in the last years. At first, I expose a relation between intolerance and the Ego origin; in order to understand what changes in the measure of what is or isn’t tolerable in distinct contexts. After that, I analyze the psychosocial conditions for the tolerance of the Other, sustaining that a failure in the symbolic intermediation is an important issue in the contemporary forms of intolerance. From that failure, the relation with ideas and persons remains on an imaginary level, and the reflection ability in inhibited, as it is in a fetish. My conclusion is that a symbolic intermediation between the Ego and the other is a condition to a tolerant coexistence.

  9. Training and disillusion in counselling psychology: a psychoanalytic perspective.

    Science.gov (United States)

    Rizq, Rosemary

    2006-12-01

    In this paper, I argue that Counselling Psychology's professional identification with pluralism poses significant emotional problems for trainees. An important factor in such problems may be the trainee's sense of disappointment and disillusion that the route to professional and personal self-transformation will not be achieved via a set of universal theoretical principles and established clinical 'rules'. I draw on recent psychoanalytic theory to suggest that the task facing trainees involves balancing pluralism, characterized as an 'external' third position, with an 'internal' third space indexing an awareness of subjectivity and intersubjectivity. Maintaining a dialogical-dialectical perspective on these two positions allows for a creative space in which the trainee may be transformed from lay helper into professional counselling psychologist via a personal engagement with theoretical, clinical and academic material presented during training.

  10. [Nationalism, hatred of foreigners and antisemitism. Psychoanalytic considerations].

    Science.gov (United States)

    Bohleber, W

    1992-08-01

    Widespread social crisis phenomena such as unemployment, shortage of housing or lack of prospects are not sufficient to explain aggressive nationalism and the revival of xenophobia in present-day Germany. While from a psychoanalytic viewpoint xenophobia and anti-Semitism have been extensively examined, the same can by no means be said of the phantasm of the "nation". With reference to a case study, the author demonstrates that the adoption of nationalist ideologies (which in Germany specifically are very much bound up with the traditional notion of the nation as a biological organism) can serve both to prevent the outbreak of neurosis at the individual level and to effect what Freud called the "spurious" healing of existing neuroses. Psychologically speaking, the phantasm of the "nation" provides scope for the realization of the desire for pre-ambivalent fusion with an object that has rid itself of everything heterogeneous, alien and autonomous.

  11. Being an adult: Psychoanalytic model and social model

    Directory of Open Access Journals (Sweden)

    Luigi Cappelli

    2013-06-01

    Full Text Available The author uses two psychoanalytic models, namely Kernberg’s and Kohut’s conceptualizations, to delineate a possible prototype of adult from the point of view of psychoanalysis. The author believes that this process of modulation of narcissism primitive, both in an evolutionary context and therapeutic, is crucial to achieving an adult level of integration.The author traces also, with the help of two political philosophers, a model of a democratic society, in which you can complete evolution of the mind. The concepts of negative freedom and pluralism of values of Berlin and that of Rawls' justice as fairness are used to identify some key aspects of a modern liberal society.

  12. The predictive power of Horney's psychoanalytic approach: an empirical study.

    Science.gov (United States)

    Coolidge, Frederick L; Segal, Daniel L; Benight, Charles C; Danielian, Jack

    2004-12-01

    This study investigated the construct validity of a measure of Karen Horney's (1945) psychoanalytic theory that postulated three neurotic trends: compliant, aggressive, and detached. Her theory was operationalized by the Horney-Coolidge Type Indicator (HCTI). One hundred seventy-two adults completed the HCTI and the short form of the Coolidge Axis II Inventory, a measure of the three DSM-IV personality disorder clusters. Multiple regression and canonical correlation analyses revealed significant and differential patterns of the three HCTI dimensions with the three clusters. Because Paris (1994) has noted that Horney's neurotic trends may today be conceived of as personality disorders, one implication of the present findings is that Horney's dynamic theory can be valid and useful in the general understanding of personality disorders from a cluster perspective.

  13. [Bipolar disorder and psychoanalytical concepts of depression and mania].

    Science.gov (United States)

    Solimano, Alberto; Manfredi, Clelia

    2006-01-01

    The categorical diagnostic model of bipolar disorders (DSM IV) has brought about increasing questioning, since its use gains troubles related not only to clinical experience, but to epidemiological studies as well. Regarding this, other models have emerged, such as the bipolar spectrum by Akiskal that covers the classic bipolar disorder on one side to unipolar disorder on the other, including soft bipolar disorders as well. The authors start from this notion of bipolar spectrum to set out the relationship between bipolar disease and psychoanalytical concepts of depression and mania. They develop Freud's basic theories and those of the British School that constitute a strong and coherent theoretical structure. Psychoanalysis proposes a unitary psychopathological model that manifests itself as depression or maniac reaction as secondary defense, to account for both the clinical expression and the psychodynamic comprehension of mood disorders.

  14. Opening to the otherwise: The discipline of listening and the necessity of free-association for psychoanalytic praxis.

    Science.gov (United States)

    Barratt, Barnaby B

    2017-02-01

    It is argued that only free-association methodically opens the discourse of self-consciousness (the representations available to reflective awareness) to the voicing of the repressed. The method is key to Freud's originality and the sine qua non of any genuinely psychoanalytic process. Clinical procedures which do not prioritize a steadfast and ongoing commitment to this method (instead emphasizing either interpretative formulations, as decisive acts that appear to fix and finalize the meaning of a particular lived experience, or the vicissitudes of transference-countertransference in the immediate treatment situation) all too readily entrap the treatment, limiting its capacity to divulge the power of unconscious processes. Influenced by Laplanche, Freud's 1920 principles of lifefulness and deathfulness (the binding and unbinding of psychic energy in representations) facilitate an understanding of the unique significance of free-associative discourse in opening the representational textuality of self-consciousness to the voicing of that which is otherwise than representationality and reason. The 'otherwise' is intimated as the returning force of the repressed, as the 'unfathomable navel' of 'thing-presentations,' experienced and expressed within the text of awareness, yet not translatable into the law and order of its logical and rhetorical reflections. Free-associative discourse thus affects self-consciousness in a way that is radically different from other creative procedures ('psychosynthetic' or integratively interpretive). In this respect, the status of free-associative praxis as necessary for a genuinely psychoanalytic process is justified. Copyright © 2016 Institute of Psychoanalysis.

  15. In the Intimacy of My "Enactlon": Modeling Kohut's "Bipolar Self" as an Autopoietic System: A Dialectic Approach to Phenomenological Research in Contemporary Psychoanalytic Self Psychology.

    Science.gov (United States)

    Prendergast, Claire Nicole

    2016-06-01

    This paper demonstrates that Kohut's definitional system of the "bipolar self" within psychoanalytic self psychology can be modeled as a biological autopoietic system, both in terms of its structure and dynamics, in a way that accounts for the phenomenological aspects of experiential living. Based on this finding, the author argues that a nonreductionist definitional system of this type is an integral component of any pragmatic methodology, such as Kohut's "empathic-introspective" method of treatment, which aims to enable the analyst, as observer, to gain access to the phenomenological world of the analysand within the analytic setting. The dialectic approach undertaken in this preliminary exploration of the "bipolar self" as an autopoietic system has proven fruitful in excavating some of the theoretical features of psychoanalytic self psychology, the weighted importance of which can now be reevaluated in contemporary practice.

  16. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

    National Research Council Canada - National Science Library

    Sheila L. Cavanagh

    2017-01-01

    ...) in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger...

  17. Postfire rehabilitation treatments: are we learning what works?

    Science.gov (United States)

    P. R. Robichaud; R. E. Brown

    2005-01-01

    Major concerns after wildfires are the increased erosion and flooding potential due to loss of the protective forest floor layer, loss of water storage, and the creation of water repellent soil conditions. Treatments to mitigate postfire erosion and runoff are commonly applied on highly erodible areas; however the effectiveness of these treatments has had limited...

  18. The roots of violence: converging psychoanalytic explanatory models for power struggles and violence in schools.

    Science.gov (United States)

    Twemlow, S W

    2000-10-01

    This paper demonstrates that several psychoanalytic models taken together converge to collectively explain school violence and power struggles better than each does alone. Using my own experience in doing psychoanalytically informed community intervention, I approach the problem of school violence from a combination of Adlerian, Stollerian, dialectical social systems, and Klein-Bion perspectives. This integrated model is then applied to the Columbine High School massacre in Littleton, Colorado.

  19. TRANSCENDING FAMILY/UNIVERSALITY: A PSYCHOANALYTIC STUDY OF ROHINTON MISTRY'S SUCH A LONG JOURNEY

    OpenAIRE

    Dr. Ram Lalit

    2017-01-01

    Tracing the origin of psychoanalytical interpretation of the literary texts M.A.R. Habib writes: Critics, rhetoricians, and philosophers since Aristotle have examined the psychological dimensions of literature, ranging from an author’s motivation and intentions to the effect of texts and performances on an audience. The application of psychoanalytic principles to the study of literature, however, is a relatively recent phenomenon, initiated primarily by Freud and in other directions by Alfred...

  20. Tools, works of art, psychoanalysis.

    Science.gov (United States)

    Palombo, Stanley R

    2005-01-01

    The roots of psychoanalysis lie deep within the evolutionary history of human life and intelligence. In this article I will explore a set of evolving relationships between human beings and the artifacts they have created. The psychoanalytic treatment method is one such artifact, despite the apparent reluctance of many psychoanalysts to describe what they do in terms that might be interpreted to minimize the personal element in their work with their patients. But the personal element can be effectively understood only through the study of individual human beings interacting with their surroundings. Psychoanalysis is a lineal descendent of simpler and earlier interactions with a special group of artifacts, those that incorporate human meanings in a way that provides a continuous source of feedback information.

  1. [Correspondence from Julio Porto-Carrero to Arthur Ramos: the Brazilian Psychoanalytic Society and concern over the translation of psychoanalytic terms in the 1920s and 1930s].

    Science.gov (United States)

    Castro, Rafael Dias de

    2015-12-01

    The article presents the correspondence that psychiatrist Julio Porto-Carrero sent to psychiatrist Arthur Ramos in 1932 to inform him about the activities of the Brazilian Psychoanalytic Society and about a concern over systematizing the translation of certain psychoanalytic concepts into Portuguese. This correspondence is used in conjunction with the analysis of other sources to suggest that psychiatrists and psychoanalysts in Rio de Janeiro were then endeavoring to make a place for psychoanalysis in the day's medical and scientific circles and encourage ever more specialists in Brazil to take an interest in Freud's theory.

  2. Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

    Directory of Open Access Journals (Sweden)

    Reitske Meganck

    2017-10-01

    Full Text Available Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation.

  3. Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

    Science.gov (United States)

    Meganck, Reitske; Inslegers, Ruth; Krivzov, Juri; Notaerts, Liza

    2017-01-01

    Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization) over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation. PMID:29046660

  4. Phantastic objects and the financial market's sense of reality: a psychoanalytic contribution to the understanding of stock market instability.

    Science.gov (United States)

    Tuckett, David; Taffler, Richard

    2008-04-01

    This paper sets out to explore if standard psychoanalytic thinking based on clinical experience can illuminate instability in financial markets and its widespread human consequences. Buying, holding or selling financial assets in conditions of inherent uncertainty and ambiguity, it is argued, necessarily implies an ambivalent emotional and phantasy relationship to them. Based on the evidence of historical accounts, supplemented by some interviewing, the authors suggest a psychoanalytic approach focusing on unconscious phantasy relationships, states of mind, and unconscious group functioning can explain some outstanding questions about financial bubbles which cannot be explained with mainstream economic theories. The authors also suggest some institutional features of financial markets which may ordinarily increase or decrease the likelihood that financial decisions result from splitting off those thoughts which give rise to painful emotions. Splitting would increase the future risk of financial instability and in this respect the theory with which economic agents in such markets approach their work is important. An interdisciplinary theory recognizing and making possible the integration of emotional experience may be more useful to economic agents than the present mainstream theories which contrast rational and irrational decision-making and model them as making consistent decisions on the basis of reasoning alone.

  5. Psychoanalytic and cognitive-behavior therapy of chronic depression: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Beutel Manfred E

    2012-07-01

    Full Text Available Abstract Background Despite limited effectiveness of short-term psychotherapy for chronic depression, there is a lack of trials of long-term psychotherapy. Our study is the first to determine the effectiveness of controlled long-term psychodynamic and cognitive-behavioral (CBT treatments and to assess the effects of preferential vs. randomized assessment. Methods/design Patients are assigned to treatment according to their preference or randomized (if they have no clear preference. Up to 80 sessions of psychodynamic or psychoanalytically oriented treatments (PAT or up to 60 sessions of CBT are offered during the first year in the study. After the first year, PAT can be continued according to the ‘naturalistic’ usual method of treating such patients within the system of German health care (normally from 240 up to 300 sessions over two to three years. CBT therapists may extend their treatment up to 80 sessions, but focus mainly maintenance and relapse prevention. We plan to recruit a total of 240 patients (60 per arm. A total of 11 assessments are conducted throughout treatment and up to three years after initiation of treatment. The primary outcome measures are the Quick Inventory of Depressive Symptoms (QIDS, independent clinician rating and the Beck Depression Inventory (BDI after the first year. Discussion We combine a naturalistic approach with randomized controlled trials(RCTsto investigate how effectively chronic depression can be treated on an outpatient basis by the two forms of treatment reimbursed in the German healthcare system and we will determine the effects of treatment preference vs. randomization. Trial registration http://www.controlled-trials.com/ISRCTN91956346

  6. Helicobacter pylori treatment: Still a work in progress.

    Science.gov (United States)

    Senatore, Frank J; Wilmot, Jonathan; Birk, John W

    2016-01-01

    Helicobacter pylori is a common worldwide bacterium, possessing adaptability that has created difficulty achieving eradication. While the standard treatment was thought to be triple therapy with a proton pump inhibitor, amoxicillin, and clarithromycin, growing rates of treatment failure and antibiotic resistance have stimulated research into novel regimens. Quadruple therapy with bismuth has been compared for both first- and second-line treatments, but eradication still has not reached expected goals. Innovative regimens including sequential and concomitant therapy, as well as the introduction of new antibiotics into previous treatment schedules, have shown promising improvements in eradication rates. We discuss and compare these unique regimens, reviewing the current literature to deduce those which are most likely to provide the highest success in curing H. pylori infection.

  7. Treatment for congenital toxoplasmosis: finding out what works

    Directory of Open Access Journals (Sweden)

    Ruth Gilbert

    2009-03-01

    Full Text Available Evidence for the effectiveness of prenatal or postnatal treatment for congenital toxoplasmosis will be critical to guide policy about prenatal and neonatal screening over the next 10 years, let alone the next 100. Randomised controlled trials are needed to address questions about treatment effectiveness, although cohort studies are also needed to provide information on prognosis, especially disability. Nowhere are such studies needed more than in South America where congenital toxoplasmosis is a major public health problem.

  8. A Clinical Case Presentation: Understanding and Interpreting Dreams while Working Through Developmental Trauma.

    Science.gov (United States)

    Levy, Joshua; Finnegan, Paul

    2016-02-01

    The purpose of this paper is to demonstrate the unique place of understanding and interpreting dreams in the psychoanalytic process while working through developmental trauma. This psychoanalytic process extended over six years and is presented in four phases: establishing the therapeutic alliance, a crisis, working through, and termination. Dreams from each of these four phases of the analysis are presented, and the collaborative work of understanding and interpreting these dreams is highlighted. Evidence is presented that from this analytic work there ensued an amelioration of the impact of developmental trauma and a furtherance of the development of internal psychic structure. © 2016 by the American Psychoanalytic Association.

  9. The Dose That Works: Low Level Laser Treatment of Tendinopathy

    Science.gov (United States)

    Tumilty, Steve; Munn, Joanne; McDonough, Suzanne; Hurley, Deirdre A.; Basford, Jeffrey R.; David Baxter, G.

    2010-05-01

    Background: Low Level Laser Therapy (LLLT) is used in the treatment of tendon injuries. However, the clinical effectiveness of this modality remains controversial with limited agreement on the most efficacious dosage and parameter choices. Purpose: To assess the clinical effectiveness of LLLT in the treatment of tendinopathy and the validity of current dosage recommendations for treatment. Method: Medical databases were searched from inception to 1st August 2008. Controlled clinical trials evaluating LLLT as a primary intervention for any tendinopathy were included in the review. Methodological quality was classified using the PEDro scale. Appropriateness of treatment parameters were assessed using established guidelines. Results: Twenty five trials met the inclusion criteria. There was conflicting findings from multiple trials: 12 showed positive effects and 13 were inconclusive or showed no effect. Dosages used in the 12 positive studies support the existence of an effective dosage window that closely resembled current guidelines. Where pooling of data was possible, LLLT showed a positive effect size; in high quality studies of lateral epicondylitis, participants' grip strength was 9.59 Kg higher than the control group; for participants with Achilles tendinopathy, the effect was 13.6 mm less pain on a 100 mm visual analogue scale. Conclusion: This study found conflicting evidence as to the effectiveness of LLLT in the treatment of tendinopathy. However, an effective dosage window emerged showing benefit in the treatment of tendinopathy. Strong evidence exists from the 12 positive studies that positive outcomes are associated with the use of current dosage recommendations for the treatment of tendinopathy.

  10. The reassembly of the body from parts: psychoanalytic reflections on death, resurrection, and cannibalism.

    Science.gov (United States)

    Gottlieb, Richard M

    2007-01-01

    Terror of the dismemberment, disintegration, and decay of the body after death has been represented in ritual, myth, legend, art, and religious belief throughout the ages. So too has the wished-for triumph over these inevitable processes. Commonly, bodily experience after death is represented mentally in cannibalistic ideas of eating and being eaten, which are then countered by the wishful undoing of cannibalistic destruction through its reversal: swallowing as regurgitation, dismemberment as rememberment, disintegration as reassembly. Luca Signorelli's fresco The Resurrection of the Flesh is part of his celebrated group of decorations (1499-1504) of the Cappella Nuova in the cathedral at Orvieto. The doctrinal, iconographic, social, and political contexts of this admired and influential work are explored in order to illustrate how and why this painting represents our greatest fears, along with our triumph over them, as well as our most destructive urges and their reparative counterparts. The photographer Sally Mann has explored these same themes. In What Remains (2003), a series of pictures with accompanying text, Mann documents her exhumation and reassembly of the body of her beloved pet greyhound. Two clinical examples illustrate some ways these concerns (cannibalism and reassembly) may make their appearance in psychoanalytic work.

  11. Inside and outside the window: some fundamental elements in the theory of psychoanalytic technique.

    Science.gov (United States)

    Tuckett, David

    2011-12-01

    The underlying concern of this paper is that psychoanalysis as practised today is in danger of losing its specificity and so losing its way. The author suggests this is possible for three reasons: the problem analysts face in responding to the strong emotional demands the great majority of patients necessarily place on them, the unintended consequences of the apparent success of 'here and now technique' and the absence of good clinical theory. The paper mainly discusses the author's ideas about some core elements of the clinical theory that all psychoanalysts must use when they are working and proposes (at the risk of being facile) some relatively simple heuristics related to them which are meant to be helpful. Recalling Kurt Lewin's maxim that 'there is nothing so practical as a good theory', he will suggest that continuous reflection on how one is using theory in daily practice is highly practical, if the theory is good enough. Theory in fact is a necessary 'third' in psychoanalytic practice which, if kept in sufficient working order close enough to clinical experience, provides an ongoing and very necessary check on our sense of reality. But, of course, as a third it can, like reality itself, be the focus of both love and hate with equally problematic consequences. The paper starts with a clinical example of a difficult but apparently successful analysis reaching its end, which will be used throughout the paper to illustrate and elaborate the theoretical ideas set out. Copyright © 2011 Institute of Psychoanalysis.

  12. Using Work Breakdown Structure Models to Develop Unit Treatment Costs

    Science.gov (United States)

    This article presents a new cost modeling approach called work breakdown structure (WBS), designed to develop unit costs for drinking water technologies. WBS involves breaking the technology into its discrete components for the purposes of estimating unit costs. The article dem...

  13. Freedom and the psychoanalytic ontology of quantum physics.

    Science.gov (United States)

    Gullatz, Stefan; Gildersleeve, Matthew

    2018-02-01

    Jung's paper 'Synchronicity - an acausal connecting principle', defining the phenomenon as a 'meaningful' coincidence depending on archetypal activation, was published in 1952, together with a conceptually related piece by physicist and Nobel Laureate Wolfgang Pauli entitled, 'The influence of archetypal ideas on the scientific theories of Kepler'. Slavoj Žižek, in The Indivisible Remainder: On Schelling and Related Matters, suggests that, in contrast to any notion of a 'pre-modern Jungian harmony', the main lesson of quantum physics was that not only was the psychoanalytic, empty subject of the signifier constitutively out-of-joint with respect to the world, but that the Real in itself was already incomplete, out-of-joint, 'not-all'. Yet while Žižek frequently tries to separate Jung from his own ontology, this paper shows that his ontology is not as different as he suggests. Consistent with our earlier publications on Jung and Zizek, a closer investigation reveals an underlying congruence of both of their approaches. In this paper we show that this affinity lies in the rejection by both Jung and Žižek of the ideology of reductive materialism, a rejection that demonstrably draws on quantum physics in similar ways. While Jung posits an inherently meaningful universe, Žižek attempts to salvage the freedom of human subjectivity by opposing his Lacanian 'dialectical materialism' to reductive materialism. © 2018, The Society of Analytical Psychology.

  14. Interaction, Transference, and Subjectivity: A Psychoanalytic Approach to Fieldwork

    Directory of Open Access Journals (Sweden)

    Linda Lundgaard Andersen

    2012-12-01

    Full Text Available Fieldwork is one of the important methods in educational, social, and organisational research. In fieldwork, the researcher takes residence for a shorter or longer period amongst the subjects and settings to be studied. The aim of this is to study the culture of people: how people seem to make sense of their lives and which moral, professional, and ethical values seem to guide their behaviour and attitudes. In fieldwork, the researcher has to balance participation and observation in her attempts at representation. Consequently, the researcher’s academic and life-historical subjectivity are important filters for fieldwork. In general, fieldwork can be understood as processes where field reports and field analysis are determined by how the researcher interacts with and experiences the field, the events and informants in it, and how she subsequently develops an ethnography. However, fieldwork is also subjected to psychodynamic processes. In this article, I draw upon a number of research inquiries to illustrate how psychodynamic processes influence research processes: data production, research questions and methodology, relations to informants, as well as interpretation and analysis. I further investigate through a case study how the psychoanalytical concepts of “transference” and “institutional transference” can provide insight into the dynamics of efficiency and democracy at a number of Danish human service organisations.

  15. A PSYCHOANALYTIC UNDERSTANDING OF THE GRIEVING PROCESS IN LOVING SEPARATION

    Directory of Open Access Journals (Sweden)

    Ohara de Souza Coca

    2017-03-01

    Full Text Available The loving separation is lived as an experience of death in life in which the individual needs to go through the grieving process so the loss can make sense. This study aimed to understand and analyze the grieving process towards the loving separation under a psychoanalytic perspective, and as specific objectives, identify the type of object-choice(anaclitic/ narcissistic of individuals; check if there was some kind of support during the process and analyze existing feelings after loving separation. For this, six participants were submitted a semi-structured interview, with data analyzed using content analysis. As a result, we identified the presence of both object-choices, especially the narcissistic choice in younger; the grieving process made possible changes and transformations; we found family support, friends, spiritual and psychological; and participants had greater individuality after the breakup. We hypothesized that the suffering caused by the relationship generates a defense as a detachment of another that could become a new object of love. In the grief process it’s possible to internalize the good parts of the beloved object, which are integrated into the Ego. Therefore, the good aspects become part of the subject, which can accept the loss. We pointed out that more studies are needed on the specific theme.

  16. Cultural function and psychological transformation in psychoanalysis and psychoanalytic psychotherapy.

    Science.gov (United States)

    Ronningstam, Elsa

    2006-10-01

    Cultural experience of silence and individual vicissitudes between talking and being silent influence the way individuals form an alliance and pursue the analytic process. This is of relevance both for the patient and for the psychoanalyst/therapist. The author describes a patient, whose silent phase occurred in the fifth and sixth year of intensive psychoanalytic psychotherapy. She suggests that a) the silence functioned as a protection of a space for the core self and promoted inner transformation and psychological development; b) the silence involved a transference-countertransference matrix with projective identifications of the patient's internalized mother- and father-related objects that caused a tenuous balance between maintaining and erasing the relationship between the patient and the author; c) the silence phase was highly influenced by the author's own cultural background and what she brought into the relationship of tolerance of being silent in the presence of another, and understanding of the many complex functions of silence. During the silent phase the patient moved from simply describing and naming her affects and inner experiences or expressing them as somatic processes, to being able to internally access and verbally convey her own affects and experiences in the therapeutic alliance. This process involved both affect desomatization, affect differentiation, and affect verbalization.

  17. Return to work following breast cancer treatment: the employers' side.

    Science.gov (United States)

    Tiedtke, Corine; Donceel, Peter; de Rijk, Angelique; Dierckx de Casterlé, Bernadette

    2014-09-01

    Research on employers' experiences with return to work (RTW) of employees with breast cancer is lacking. Employers seem to be the key people to create good working conditions. Our aim is to explore how Belgian employers experience their role and responsibility in RTW of employees with breast cancer. Using a qualitative design (Grounded Theory) 17 employers from the public (7), private (5) and non-profit (5) sector, directly involved in the RTW process, were interviewed. The analysis was based on the Qualitative Analysis Guide of Leuven (QUAGOL) with constant data comparison and interactive team dialogue as important guiding characteristics. RTW of employees with breast cancer is experienced by employers as an intangible process that is difficult to manage. This was expressed in (1) concern, referring to the employer's personal and emotional involvement, (2) uncertainty about the course of illness and the guidance needed by the employee and (3) specific dilemmas in the RTW process (when does one infringe on employee privacy; employee vs. organization interest; employers' personal vs. professional role). The degree to which this was experienced related to variety in organizational, employer, and employee factors. The findings of this study confirm the importance of the employer's involvement in RTW of employees with breast cancer and contribute to a better understanding of its complexity. The employers did their best to grasp the intangibility of the RTW process. Further research is needed to refine these findings and to discover the specific needs of employers regarding supporting RTW of breast cancer patients.

  18. On emergence: a neo-psychoanalytic essay on change and science.

    Science.gov (United States)

    Whitehead, Clay C

    2011-01-01

    The neo-psychoanalytic paradigm re-establishes the connection between psychodynamics and evolution. This allows us to transcend the limitations of dualistic metapsychology, and to make seminal contributions to traditional science. The new paradigm employs the concept of emergence, the potential for change in the evolutionary and clinical process. Emergence is described as originating with the Big Bang, but also is reflected at much higher levels, for example, biochemistry, or the capacity of the evolved mind to produce insights in psychotherapy. The constraints of dualistic theories are examined. A neuron-based view of change illustrates the evolution of traditional science as well as the neuron, itself. The new mind paradigm recognizes individual, familial, communitarian, and global reciprocal influences mediated by culture and illustrated by the extended mind and the democratic spirit. Thus both traditional and psychodynamic sciences are undergoing revolutionary changes in their common efforts to better understand the mechanisms of knowledge, relationship and consciousness. The boundaries of the self and the consultation suite are also expanded in this view. Following a survey of invagination, the work is concluded by an application of emergence theory to the creationist controversy and Freud's views of religion.

  19. Lost objects: from the laboratories of hypnosis to the psychoanalytic setting.

    Science.gov (United States)

    Mayer, Andreas

    2006-03-01

    The psychoanalytic setting counts today as one of the familiar therapeutic rituals of the Western world. Taking up some of the insights of the anthropology of science will allow us to account for both the social and the material arrangements from which Freud's invention emerged at the end of the nineteenth century out of the clinical laboratories and private consulting rooms of practitioners of hypnosis. The peculiar way of neglecting or forgetting the object world and the institution of the psychoanalyst as a "transference object" will be traced back to multiple reconfigurations in the history of hypnotism in France and in Germany. In this process, different practitioners tried to achieve a synthesis of clinical work and experimental psychology, with the aim of objectifying knowledge about human subjectivity. While Freud retained the claim of psychoanalysis performing an experimental situation, he set apart his own setting from the objectifying practices which were characteristic of this experimental psychology located in the clinic and the private consulting room.

  20. Mourning, Memorials, and Religion: A Psychoanalytic Perspective on the Park51 Controversy

    Directory of Open Access Journals (Sweden)

    Nathan Carlin

    2011-06-01

    Full Text Available This article summarizes a version of the “mourning religion” thesis—derived from the work of Peter Homans and further developed and advanced by William Parsons, Diane Jonte-Pace, and Susan Henking—and then demonstrates how this thesis can shed light on the Park51 controversy. We argue that the Park51 controversy represents a case of incomplete cultural mourning of an aspect of American civil religion that manifests itself in melancholic rage by means of protests, threats to burn the Qur’an (as well as actual burnings of the Qur’an, and vandalism of mosques around the United States. We explore various losses—military, economic, and symbolic—and note that these losses remain ambiguous, therefore preventing closure and productive mourning. The fact that a permanent memorial still has not been built at Ground Zero reflects, and perhaps exacerbates, this incomplete cultural mourning. Also, the fact that Freedom Tower, the building to replace the Twin Towers, is to be 1776 feet tall reflects that the losses related to 9/11 are connected to American civil religion, as 1776 is a sacred year in American history. Setting aside the ethics and the politics related to this controversy, we attempt here to understand this controversy from a psychoanalytic perspective.

  1. The psychoanalytic approach to the mass communication process modelling

    OpenAIRE

    Косюк, Оксана Михайлівна; Kosiuk, O.M.

    2011-01-01

    У статті розглядається можливість введення додаткового (психоаналітичного) критерію для підтвердження функціонування чотирьох універсальних моделей у царині масової комунікації. The article considers the possibility of additional (psychoanalytic) criterion introduction for four universal models functioning confirmation in mass communication. В статье рассматривается возможность введения дополнительного (психоаналитического) критерия для подтверждения функционирования четырех уни...

  2. The Association between Shift Work and Treatment-seeking Migraine in Denmark

    DEFF Research Database (Denmark)

    Jakobsen, Gitte Sofie; Timm, Anne Matilde; Hansen, Åse Marie

    2017-01-01

    In Europe, the one-year prevalence of migraine is 14.9% and migraine is on the top-ten list of leading causes of years lost to disability. Sleep disturbances and irregular daily routines are considered triggers of migraine and these factors are well-known consequences of shift work. We studied...... the association between treatment-seeking migraine and shift work, categorised as fixed evening work, fixed night work and variable working hours with and without night work in a Danish working population of 5,872 participants. When compared with fixed day workers, only participants with fixed evening work were...

  3. What does "brief" mean? A theoretical critique of the concept of brief therapy from a psychoanalytic viewpoint.

    Science.gov (United States)

    Migone, Paolo

    2014-08-01

    The concept of "brief therapy" contains internal contradictions. The techniques suggested by brief therapists are the same techniques that have been discussed historically in debates on theory of technique, both within and without psychoanalysis (e.g., the experiential factor at the center of the Freud-Ferenczi confrontation is also an important aspect of Gestalt therapy). A time limit is the only operational criterion that allows a rigorous definition of brief therapy; without this criterion it is impossible to discriminate between "brief" and simply "good" therapies (i.e., those in which patients are successfully treated in a short time). An important question is why, with a given patient, a therapist should decide, a priori, to terminate a treatment within a set time. Two clinical examples are presented, illustrating the usefulness of Eissler's concept of parameters as a heuristic framework to identify the potentially defensive nature of both "brief" and "long-term" therapy. © 2014 by the American Psychoanalytic Association.

  4. Studium and Punctum in Psychoanalytic Writing: Reading Case Studies Through Roland Barthes.

    Science.gov (United States)

    Amir, Dana

    2018-02-01

    This paper focuses on the link between Roland Barthes's reflection on photography and the essential characteristics of psychoanalytic case studies. The case study, like the photograph, seeks to take hold of something nearly intangible. It attempts to capture in time, space, and language something whose dynamic presence remains elusive. The attempt to capture this object often strips it of its essence. Case studies may be accurate on their face while giving us the unpleasant sense that they have "deadened" their object in the process. This paper attempts to clarify what is dropped from the picture that the psychoanalytic writing is trying to take. The relation between the "cultural context" (the Studium) and the freedom to puncture and undermine this context in psychoanalytic writing is discussed through a fresh reading of Georges Perec's "W, or the Memory of Childhood" and through clinical vignettes by Ronald Britton and Michael Eigen.

  5. THE QUEST FOR TRUTH AS THE FOUNDATION OF PSYCHOANALYTIC PRACTICE: A TRADITIONAL FREUDIAN-KLEINIAN PERSPECTIVE.

    Science.gov (United States)

    Blass, Rachel B

    2016-04-01

    In responding to the question of whether truth in psychoanalysis is relevant today, the author presents what she refers to as a traditional Freudian-Kleinian perspective. According to this perspective, truth is not only relevant, but rather the quest for it is the alpha and omega of psychoanalytic practice. The author reviews Freud's approach to truth and then discusses Klein's essential contribution to its understanding, grounding, and enrichment, highlighting Klein's thinking about phantasy and the life and death instincts. Finally, the author contends with the opposing view that the quest for truth is no longer relevant to contemporary analytic practice. © 2016 The Psychoanalytic Quarterly, Inc.

  6. [Heidelberger study on psychoanalytic therapy of children and adolescents: methodology].

    Science.gov (United States)

    Fahrig, H

    1999-11-01

    In the representative studies published so far on the outcome of analytic child psychotherapy (Dührssen 1964; Fonagy and Target 1996) no techniques of treatment were mentioned. The following paper describes in detail the technique of treatment on which the Heidelberg Study "On the Therapeutic Outcome in Child and Adolescent Psychotherapy" is based, as it developed from 1975 to 1993 at the Heidelberg Institute for Child and Adolescent Psychotherapy. Starting from Piaget's findings that the cognitive faculties of a child up to the age of 11 completely differ from those of an adult and taking into consideration the cerebral information processing and "the intellect pervadet sensory" (Schopenhauer) it is demonstrated that children take their intrapsychic and interpersonal conflicts into analytic play therapy or into role play on analogous levels. Protected by a safe distance from being aware of their conflicts they will on the analogous levels understand, work through, partially solve their conflicts and make use of it in reality without conscious recognition. The term "analogous level" is defined and the manifold possibilities of therapeutic intervention on this level are demonstrated. The efficacy of therapeutic treatment on analogous levels is discussed.

  7. Work-related treatment for major depressive disorder and incapacity to work: preliminary findings of a controlled, matched study.

    Science.gov (United States)

    Kröger, Christoph; Bode, Katharina; Wunsch, Eva-Maria; Kliem, Sören; Grocholewski, Anja; Finger, Friederike

    2015-04-01

    The aim of this study was to compare the effectiveness of work-related cognitive-behavioral treatment (W-CBT) with that of cognitive-behavioral treatment as usual (CBT-AU) for employees on sick leave as a result of a major depressive disorder (MDD). We collected data for 26 matched outpatients at pre- and posttreatment, as well as at 1-year follow-up. Outcome measures were the days of incapacity to work (DIW) as well as self-report measures (Beck Depression Inventory [BDI], Symptom Checklist 90-R [GSI], Life Satisfaction Questionnaire [FLZ]). We analyzed data with hierarchical linear modeling in a 2-level model. Therapy effects were defined in 3 ways: effect size (ES), response (based on the reliable change index), and remission compared with the general population's symptom level. The DIW were reduced significantly after both types of treatment, but employees showed even fewer DIW after W-CBT. At follow-up, significantly more employees were working as a result of W-CBT than with CBT-AU. Significant improvements on scores of self-rating measures corresponded with moderate-to-large effect sizes for both treatment types. Approximately 2 thirds of the treated employees were categorized as unimpaired on BDI scores at posttreatment and at follow-up. At least 1 half of the employees were classified as unimpaired on GSI scores at both assessment points. In future research, a randomized controlled trial should be conducted using a larger sample size to investigate the impact of moderators (e.g., employees at different branches of the company). Findings provided support for using common CBT techniques to enhance return to work without losing expected improvements at the symptom level. (c) 2015 APA, all rights reserved).

  8. [Work-Anxieties and their Treatment in Medical Rehabilitation - Hand Tools for Capacity Training and Psychotherapy].

    Science.gov (United States)

    Muschalla, B

    2017-02-01

    Work-anxieties are often going along with workplace problems and long-term sick leave. Psychopathologically, different qualities of work anxiety can be distinguished: worrying, phobic anxiety, health-related anxiety, anxiety of insufficiency. An evaluation of a work-anxiety treatment showed that confronting patients with the topic work during medical rehabilitation leads to a better course. In work-oriented capacity trainings or behavior therapy groups, coping with everyday phenomena at work may be trained (self-presentation, social rules, work organization and problem solving, coping with chronic illness and impairment conditions). Active coping and communication (explaining impairment to the supervisor and occupational physician for making problem solving possible) are helpful. In some cases, correction of expectations must be done, and normalizing everyday work problems (conflicts and achievement requirements are normal at work, work does not make happy all the time). © Georg Thieme Verlag KG Stuttgart · New York.

  9. Hot flashes, fatigue, treatment exposures and work productivity in breast cancer survivors.

    Science.gov (United States)

    Lavigne, Jill E; Griggs, Jennifer J; Tu, Xin M; Lerner, Debra J

    2008-12-01

    While fatigue has been associated with work limitations the combined influence of specific diagnosis and treatment exposures based on medical records on work limitations in breast cancer survivors is currently unknown. Since symptom burden and perceived health can interfere with work, the present study investigated the relationship among these variables and work outcomes. Medical chart abstraction, demographic measures, SF 36, the Work Limitations Questionnaire (WLQ) and measures of symptom burden, including hot flushes were obtained in 83 breast cancer survivors a mean of three years post treatment. OLS and poisson regression were used to determine the relationship of these factors to work productivity and work absences. Breast cancer survivors reported a mean reduction in productivity of 3.1% below the healthy worker norm. This amounts to a loss of 2.48 hours of work over two weeks of full time employment. Stages 1 and 2 were related to work limitations. After controlling for stage, fatigue and hot flashes were each associated with work performance losses of 1.6% (p = 0.05) and 2.2% (p work productivity in breast cancer survivors even at three years post treatment. IMPLICATIONS FOR SURVIVORS: Therapy for hot flashes should be given serious consideration in breast cancer survivors who are experiencing work limitations.

  10. Chestnut Lodge and the psychoanalytic approach to psychosis.

    Science.gov (United States)

    Kafka, John S

    2011-02-01

    The study of psychosis has a long history in psychoanalysis, as does the debate over the suitability of psychoanalysis for treating schizophrenia. For decades, Chestnut Lodge was not only a hospital but also a clinical research and educational institution. A unique patient-staff ratio--about twenty analytic therapists for a hundred patients--made possible prolonged and intense clinical work with schizophrenic and other severely disturbed patients. Interstaff discussions were encouraged and facilitated. This quasi-academic approach to in-depth individual case studies led to clinical findings and theoretical formulations that had a significant impact on developments in psychoanalysis, both here and abroad. Many of these findings and theoretical formulations are relevant to current studies and treatments of psychotic and nonpsychotic patients.

  11. On Whether to Convert from a Rhetorical to a Psychoanalytic Pedagogy

    Science.gov (United States)

    Kraemer, Don J.

    2010-01-01

    Like psychoanalysis, psychoanalytic pedagogy is a particular way of paying attention, a way of paying attention that deflects attention away from other pedagogies' means and goals. Looking for what psychoanalysis deems the "root cause" of writing problems--intrapsychic conflict--foregrounds that kind of conflict, relegating to the background other…

  12. Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker's "Regeneration"

    Science.gov (United States)

    Sadjadi, Bakhtiar; Esmkhani, Farnaz

    2016-01-01

    The present paper seeks to critically read Pat Barker's "Regeneration" in terms of Cathy Caruth's psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker's novel in order to explore how trauma and history are interrelated in the…

  13. Psychoanalytic/Psychodynamic Psychotherapy for Sexually Abused Children and Adolescents: A Systematic Review

    Science.gov (United States)

    Parker, Ben; Turner, William

    2014-01-01

    Objective: To assess the effectiveness of psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused. Method: The Cochrane Collaboration's criteria for data synthesis and study quality assessment were used. Electronic bibliographic databases and web searches were used to identify randomized and…

  14. Beyond Freud in psychoanalytic psychology of religion? On the discussion of religion as projection

    NARCIS (Netherlands)

    Belzen, J.A.

    2010-01-01

    In 1907, Sigmund Freud initiated the psychoanalytic psychology of religion, until the present day the most important contributor to the psychology of religion literature in general, and the branch of psychological critique of religion best known outside of psychology circles (having drawn attention

  15. PSYCHOANALYTIC INTERPRETATION OF JUSTICE IN CONTEXT OF PROBLEMS OF TECHNO-GENESIS (Part II

    Directory of Open Access Journals (Sweden)

    N. I. Mushinskij

    2009-01-01

    Full Text Available Carl Gustav Jung, Erich Fromm, Karen Horney, Jacques Lacan, Gilles Deleuze, Felix Guattari continue to develop a psychoanalytic theory of Freud under modern conditions. They investigate archetypes of unconscious which are linked with up-to-date conception of Justice. Ethics of psychoanalysis interprets the category of Justice from humanistic positions in the context of the techno-genesis processes.

  16. The "Matchbox School" (1927-1932): Anna Freud and the Idea of a "Psychoanalytically Informed Education"

    Science.gov (United States)

    Midgley, Nick

    2008-01-01

    Of all the applications of psychoanalysis to various fields, perhaps none has been as important--or as fraught--as the application of psychoanalytic insights to education. This paper re-constructs some of the early debates around psychoanalysis and pedagogy that Anna Freud engaged with during the 1920s in Vienna, when the whole question of what…

  17. Miss Freud Returns to the Classroom: Toward Psychoanalytic Literacy among Educators

    Science.gov (United States)

    Tieman, John Samuel

    2013-01-01

    This essay is a call for a more psychoanalytically informed approach to educational psychology and teacher formation. To this end, the author gives an overview of a course in psychology that he recommends for inclusion in teacher education. This course is in two parts. The first part is an introduction to some important elements of psychoanalytic…

  18. PSYCHOANALYTIC INTERPRETATION OF JUSTICE IN CONTEXT OF PROBLEMS OF TECHNO-GENESIS (Part II)

    OpenAIRE

    N. I. Mushinskij

    2009-01-01

    Carl Gustav Jung, Erich Fromm, Karen Horney, Jacques Lacan, Gilles Deleuze, Felix Guattari continue to develop a psychoanalytic theory of Freud under modern conditions. They investigate archetypes of unconscious which are linked with up-to-date conception of Justice. Ethics of psychoanalysis interprets the category of Justice from humanistic positions in the context of the techno-genesis processes.

  19. Between Trauma and Perpetration: Psychoanalytical and Social Psychological Perspectives on Difficult Histories in the Israeli Context

    Science.gov (United States)

    Goldberg, Tsafrir

    2017-01-01

    This study explores the applicability of psychoanalytic trauma-centered perspectives and social psychological intergroup comparison perspectives to difficult histories of the Israeli context. The study describes 2 test cases of difficult histories in the Jewish-Israeli context at the levels of curriculum policy, teachers, and learners. The first…

  20. Spinsters, Schoolmarms, and Queers: Female Teacher Gender and Sexuality in Medicine and Psychoanalytic Theory and History

    Science.gov (United States)

    Cavanagh, Sheila L.

    2006-01-01

    This paper examines the social construction of white, female, spinster teacher personality profiles in the first half of the 20th century. Focusing on the psychological, medical, and psychoanalytic literature, I provide an overview of how white unmarried female teacher personalities were understood in order to provide a historical context for…

  1. Does the quality of the working alliance predict treatment outcome in online psychotherapy for traumatized patients?

    National Research Council Canada - National Science Library

    Knaevelsrud, Christine; Maercker, Andreas

    2006-01-01

    .... Yet, little is known about how the therapeutic relationship (or working alliance) evolves over the Internet and whether it influences treatment outcome as it does in traditional face-to-face therapy...

  2. Anaerobic ammonium oxidation in the old trickling filters at Daspooort wastewater treatment works

    CSIR Research Space (South Africa)

    Wilsenach, J

    2014-01-01

    Full Text Available The century-old trickling filters at the Daspoort Wastewater Treatment Works in Pretoria (Gauteng, South Africa) are known for their remarkable removal of nitrogen from municipal wastewater. Our study was conducted to identify the microbiological...

  3. Adolescence and the reorganization of infant development: a neuro-psychoanalytic model.

    Science.gov (United States)

    Stortelder, Frans; Ploegmakers-Burg, Marian

    2010-01-01

    The psychoanalytic view of adolescence as a phase of turbulence and reorganization occupied a central position in child and adolescent psychiatry until about 1980. The view of adolescence as a silent-transition phase then prevailed and diverged from the psychoanalytic perspective. This article reviews infant and adolescent development using an interdisciplinary, neuro-psychoanalytic model in which psychoanalytic, neurobiological, and developmental perspectives converge and complement each other. Recent empirical research focuses attention on adolescence as a phase in which a far-reaching neurobiological and psychological reorganization takes place. According to the ontogenetic principle of psychoanalysis, the development and organization of the basic psychic functions occur in the first five years of life, while a reorganization takes place in adolescence. Neurobiological research confirms that the basic growth and maturation of the brain occurs in the first five years of life, and that a substantial reorganization in brain development transpires in adolescence. Research also verifies the clinical psychoanalytic concept that neurobiological and psychological maturation in adolescence remain unfinished till approximately age 23. The long-term and late biopsychosocial maturation in adolescence implies that adequate monitoring by parents and school remains necessary. The view that adolescents need to separate, and discover their individuality and independence alone, is unsupported by recent findings. The adolescent must acquire his independence, personal identity, and self-agency ("scaffolding") step by step. It is important that the adolescent knows that his parents are in the background monitoring and intervening as necessary; that he is not entirely alone, adrift and at risk for potential fragmentation. The long-term plasticity of the brain in adolescence implies greater vulnerability for the development of psychopathology, but offers opportunity for

  4. Early Working Alliance in Outpatient Substance Abuse Treatment: Predicting Substance Use Frequency and Client Satisfaction

    Science.gov (United States)

    Knuuttila, Vesa; Kuusisto, Katja; Saarnio, Pekka; Nummi, Tapio

    2012-01-01

    Background: The study examined the effect of the early working alliance on outcome in outpatient substance abuse treatment. Methods: A total of 327 clients and 33 therapists participated in the study. Data were collected in southern and western Finland in outpatient treatment units (N = 7). The dependent variables were percentage of days abstinent…

  5. E-mailed standardized cognitive behavioural treatment of work-related stress : a randomized controlled trial

    NARCIS (Netherlands)

    Ruwaard, Jeroen; Lange, Alfred; Bouwman, Manon; Broeksteeg, Janneke; Schrieken, Bart

    2007-01-01

    The aim of this study was to assess the effects of a 7-week standardized cognitive behavioural treatment of work-related stress conducted via e-mail. A total of 342 people applied for treatment in reaction to a newspaper article. Initial screening reduced the sample to a heterogeneous (sub)clinical

  6. Recovery to Preinterventional Functioning, Return-to-Work, and Life Satisfaction After Treatment of Unruptured Aneurysms

    NARCIS (Netherlands)

    Backes, D.; Rinkel, G.J.; Van der Schaaf, I.C.; Bijvank, J.A.; Verweij, B.H.; Visser-Meily, J.M.A.; Post, Marcel W.M.; Algra, A.; Vergouwen, M.D.

    Background and Purpose—The eventual goal of preventive treatment of unruptured intracranial aneurysms is to increase the number of life years with high life satisfaction. Insight in the time with reduced functioning, working capacity, and life satisfaction after aneurysm treatment is pivotal to

  7. Strategies used by breast cancer survivors to address work-related limitations during and after treatment.

    Science.gov (United States)

    Sandberg, Joanne C; Strom, Carla; Arcury, Thomas A

    2014-01-01

    The primary objective of this exploratory study was to delineate the broad range of adjustments women breast cancer survivors draw upon to minimize cancer-related limitations at the workplace. The study also analyzed whether survivors used strategies to address work-related limitations in isolation or in combination with other strategies, and whether they used formal or informal strategies. Semi-structured, in-depth interviews were conducted with 14 women who were employed at the time of diagnosis of breast cancer and who continued to work during treatment or returned to work. Interviews were conducted 3 to 24 months after diagnosis. An iterative process was used to systematically analyze the data (the transcripts) using qualitative methods. Participants who worked during or after treatment adjusted their work schedule, performed fewer or other tasks, modified or changed their work environment, reduced non-work activities at the workplace, used cognitive prompts, and acted preemptively to make work tasks manageable after their return to work. Survivors used multiple adjustments and drew upon both formal and informal tactics to minimize or prevent cancer- or treatment-related effects from negatively affecting job performance. Knowledge about the broad range of both formal and informal strategies identified in this study may enable health care and social services providers, as well as cancer survivors and employers, to identify a wide range of specific strategies that may reduce the negative effects of work-related limitations in specific work settings. Insights gained from this analysis should inform future research on work and cancer survivorship. Copyright © 2014 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  8. Prioritizing treatment outcomes: How people with acne vulgaris decide if their treatment is working.

    Science.gov (United States)

    Layton, Alison M; Whitehouse, Heather; Eady, E Anne; Cowdell, Fiona; Warburton, Katharine L; Fenton, Mark

    2017-08-01

    To collect information about how people with acne make day-to-day decisions concerning the effectiveness of their treatment. Between May and August 2013, an optional question was embedded in the James Lind Alliance Acne Priority Setting Partnership's online survey to collect treatment uncertainties. The question asked people with acne to "Tell us in your own words how you decide if your treatment has been effective." A total of 742 respondents specified at least one outcome or means of assessing change (outcome measure). Fewer spots were the most commonly cited outcome, identified by 272 respondents (36.7%). Other frequently mentioned outcomes were in descending order: less redness (19.4%), reduction in spot size (12.1%), and less pain/discomfort (11.4%). Signs were much more commonly used than symptoms and surrogate outcomes such as changes in aspects of life quality were infrequently mentioned. Visual inspection of the skin was the most widely adopted outcome measure (16.3%). Although the most frequently used methods map well onto the outcome measures adopted in the majority of acne trials, namely physician-assessed changes in lesion counts and global acne severity, people with acne often take into account several factors that cannot be assessed by a third party at a single point in time. The minimal use of changes in psychosocial wellbeing and mood may reflect that these are regarded as secondary consequences of improvements in appearance. The robustness of these findings now requires independent evaluation. If confirmed, they could form the basis of a new patient-reported outcome measure. © 2017 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

  9. Labour law treatment of health, work ability and personal integrity of the employees

    Directory of Open Access Journals (Sweden)

    Jovanović Predrag

    2014-01-01

    Full Text Available Health and working ability are assumptions of entering into and the existence of labour relations. The purpose of entering into and the existence of labour relations is in the organised and meaningful work, in the interest of the employer and the employee. The main obligation of the employee is to do their work personally in accordance with their health and work abilities. With regards to the said abilities, the employee is accepted to the work, and protection and maintaining of these abilities is the assumption of the survival and long lasting of the employment. This makes legitimate the need that the health and work ability be protected by law in a suitable way. To that effect, we can talk about protection of health of the employees and safety at work. Since health does not only mean the absence of illness, but also the overall social security of the employees at work and in connection with work, this and issue of insurance of different risks that follow work of the employee fall into measures of health protection. Finally, not only manpower, as an organic unity of health and work abilities, takes part in labour relations, but also the entire personality of the employee with the overall personal (moral and ethical integrity, which also on its part requires appropriate labour law treatment and protection (ban on discrimination, harassment, abuse, protection of personal data, etc..

  10. Apollonius of Citium (first century BC) and his work on the treatment of joint dislocations.

    Science.gov (United States)

    Markatos, Konstantinos; Korres, Demetrios; Chytas, Demetrios; Karamanou, Marianna; Sourlas, Ioannis; Androutsos, Georgios; Mavrogenis, Andreas

    2018-01-08

    The purpose of this study was to summarise the life and work of the Cypriot physician Apollonius of Citium (first century BC). His overall work on medicine is presented, and special emphasis is given to his work on the treatment of joint dislocations. The most famous work of Apollonius is Treatise On Joints, which was preserved on the whole in a manuscript of the tenth century AD. In that manuscript, Apollonius is obviously influenced by the Hippocratic Corpus of Medicine. His description, diagnostic methods and reduction techniques are all based on those described by Hippocrates in his work "On Joints". Apollonius' contribution to this subject concerns accurate depiction in images of the reduction techniques he proposes. His simplifications describe the techniques of Hippocrates in a way they can be understood and used by athletes and nonphysicians in the Greek gymnasia. Perhaps his treatise is one of the earliest works of popularised medicine and surgery in the history of human civilisation.

  11. Job Burnout, Work Engagement and Self-reported Treatment for Health Conditions in South Africa.

    Science.gov (United States)

    de Beer, Leon T; Pienaar, Jaco; Rothmann, Sebastiaan

    2016-02-01

    The purpose of the study being reported here was to investigate the relationship of job burnout and work engagement with self-reported received treatment for health conditions (cardiovascular condition, high cholesterol, depression, diabetes, hypertension and irritable bowel syndrome), while controlling for age, gender, smoking and alcohol use. The sample comprised 7895 employees from a broad range of economic sectors in the South African working population. A cross-sectional survey design was used for the study. Structural equation modelling methods were implemented with a weighted least squares approach. The results showed that job burnout had a positive relationship with self-reported received treatment for depression, diabetes, hypertension and irritable bowel syndrome. Work engagement did not have any significant negative or positive relationships with the treatment for these health conditions. The results of this study make stakeholders aware of the relationship between job burnout, work engagement and self-reported treatment for health conditions. Evidence for increased reporting of treatment for ill-health conditions due to burnout was found. Therefore, attempts should be made to manage job burnout to prevent ill-health outcomes. Copyright © 2014 John Wiley & Sons, Ltd.

  12. Essentials of psychoanalytic process and change: How can we investigate the neural effects of psychodynamic psychotherapy in individualized neuro-imaging?

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    Heinz eBoeker

    2013-08-01

    Full Text Available The paper focuses on the essentials of psychoanalytic process and change and the question of how the neural correlates and mechanisms of psychodynamic psychotherapy can be investigated. The psychoanalytic approach aims at enabling the patient to remember, repeat and work through concerning explicit memory. Moreover, the relationship between analyst and patient establishes a new affective configuration which enables a reconstruction of the implicit memory. If psychic change can be achieved it corresponds to neuronal transformation.Individualized neuro-imaging requires controlling and measuring of variables that must be defined. Two main methodological problems can be distinguished: The design problem addresses the issue of how to account for functionally related variables in an experimentally independent way. The translation problem raises the question of how to bridge the gaps between different levels of the concepts presupposed in individualized neuro-imaging (e.g. the personal level of the therapist and the client, the neural level of the brain.An overview of individualized paradigms, which have been used until now is given, including Operationalized Psychodynamic Diagnosis (OPD-2 and the Maladaptive Interpersonal Patterns Q-Start (MIPQS. The development of a new paradigm that will be used in fMRI experiments, the Interpersonal Relationship Picture Set (IRPS, is described. Further perspectives and limitations of this new approach concerning the design and the translation problem are discussed.

  13. The constitution of intelligence: a psychoanalytical approach / A constituição da inteligência: uma abordagem psicanalítica

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    Regina Orgler Sordi

    2005-01-01

    Full Text Available This paper aims to discuss human intelligence in the psychoanalytical perspective, particularly considering the contribution of Silvia Bleichmar who explores how human mind develops the intellectual activity from the embryonic states. It is recognized the contribution of genetic epistemology developed by Jean Piaget which allows to understand the capacity to build symbolic systems from sensory-motor schemes. There is also pointed some convergence between the genetic psychology and the psychoanalytic thought. What is stressed in this article, however, is that the contribution of psychoanalysis about the origins of intelligence has been less studied, although it is of most interest both theoretically and clinically. The theoretical inspiration of the paper relies on Freud's theory but it is more definitely grounded on the French school of Jean Laplanche. It tries to show that to reach the objectivity of logical structures, characterized by the categories of the Aristotelian logic – classification, space, time, causality, denial – the psychism does an active work of mind connection which starts in the first inscriptions of the other sexualized human and has to implant the originary repression, the only one able to organize the logic of the secondary thought. It stresses, at the end, that the contribution about a theory of the origins of psychism, concerning the development of intelligence is of great help in the studies about learning disabilities, as it differentiates learning difficulties due to secondary causes of the disorders which address to the lack of constitution of the ego.

  14. PARRHESIA, PHAEDRA, AND THE POLIS: ANTICIPATING PSYCHOANALYTIC FREE ASSOCIATION AS DEMOCRATIC PRACTICE.

    Science.gov (United States)

    Gentile, Jill

    2015-07-01

    This essay explores the mostly unexamined analogy of psychoanalytic free association to democratic free speech. The author turns back to a time when free speech was a matter of considerable discussion: the classical period of the Athenian constitution and its experiment with parrhesia. Ordinarily translated into English as "free speech," parrhesia is startlingly relevant to psychoanalysis. The Athenian stage-in particular, Hippolytus (Euripides, 5th century BCE)-illustrates this point. Euripides's tragic tale anticipates Freud's inquiries, exploring the fundamental link between free speech and female embodiment. The author suggests that psychoanalysis should claim its own conception of a polis as a mediated and ethical space between private and public spheres, between body and mind, and between speaking and listening communities. © 2015 The Psychoanalytic Quarterly, Inc.

  15. Psychoanalytical interpretations of prejudices with emphasis on prejudices towards persons with disabilities

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    Dimoski Sanja

    2012-01-01

    Full Text Available This paper deals with interpretations of prejudices and specifically, prejudices towards people with disabilities, from the perspective of one of the many theoretical approaches. Psychoanalytic theoretical point of view interpret prejudices through the personality of the individual. The study and interpretation of prejudices towards people with disabilities is one of the major themes of modern social model of disability. Psychoanalytic interpretations determine prejudices, as well as prejudices towards people with disabilities, as a result of defense mechanisms, especially projection. This paper discusses the emotional component of attitude, based on its predominance in prejudices, as a extreme attitudes. In this analysis we have taken into account the emotional and unconscious reactions that can compose an emotional ambivalence in relation to the object of an attitude. Prejudice towards people with disabilities were brought in connection with the irrational and emotional reactions and unconscious fantasies related to the object of an attitude.

  16. ["... here I am entirely among patients now..": the psychoanalytical practice of Lou Andreas-Salomé].

    Science.gov (United States)

    Klemann, Manfred

    2005-01-01

    The aim of this article is to disprove the widespread prejudice depicting Andreas-Salomé merely as a femme fatale, or companion of a few famous contemporaries (Nietzsche, Rilke, and Freud), while suppressing her original intellectual and clinical-practical achievement as a psychoanalyst. An evaluation of both published and hitherto unpublished sources clearly confirms the broad and thorough foundations of her psychoanalytical training in theory as well as in practice. Between 1913 and 1933 Andreas-Salomé conducted a relatively large number of analyses, discussed some of them with Freud in a kind of "supervision" by correspondence and published several articles on central psychoanalytical issues. So far, however, many psychoanalysts seem to have been unaware of her status as a former accomplished colleague.

  17. The violent true believer as a "lone wolf" - psychoanalytic perspectives on terrorism.

    Science.gov (United States)

    Reid Meloy, J; Yakeley, Jessica

    2014-01-01

    The existing research on lone wolf terrorists and case experience are reviewed and interpreted through the lens of psychoanalytic theory. A number of characteristics of the lone wolf are enumerated: a personal grievance and moral outrage; the framing of an ideology; failure to affiliate with an extremist group; dependence on a virtual community found on the Internet; the thwarting of occupational goals; radicalization fueled by changes in thinking and emotion - including cognitive rigidity, clandestine excitement, contempt, and disgust - regardless of the particular ideology; the failure of sexual pair bonding and the sexualization of violence; the nexus of psychopathology and ideology; greater creativity and innovation than terrorist groups; and predatory violence sanctioned by moral (superego) authority. A concluding psychoanalytic formulation is offered. Copyright © 2014 John Wiley & Sons, Ltd.

  18. Child psychoanalytic psychotherapy in the UK National Health Service: an historical analysis.

    Science.gov (United States)

    Rous, Elizabeth; Clark, Andrew

    2009-12-01

    This review developed from a discussion with the late Professor Richard Harrington about interventions in Child and Adolescent Mental Health services (CAMHS) that lacked an evidence base. Our aim is to investigate the literature for signs that child psychoanalysis is a declining paradigm within the Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom (UK). We present the literature chronologically since the inception of the UK National Health Service. This study shows that there have been a number of threats to child psychoanalytic psychotherapy, but no significant consistent decline. The profession is beginning to develop the social profile of a scientific discipline. We conclude that child psychoanalytic psychotherapy does not consistently demonstrate features of a declining scientific paradigm.

  19. When the Subconscious Goes to Steering - Psychoanalytic Subtexts in Thriller Cinema: The Example of Duel

    OpenAIRE

    Erol, Volkan

    2017-01-01

    Fear, an inseparable part of humanity, manifests itself in art andliterature as a reflection of subconscious, also occupies cinema since itsbeginning. Images that reflected from gigantic screens in the darkness of movietheaters, manage to revive collective fears simultaneously unlike any othermedium. Horror, thriller and suspense films, which use subconscious fears as asource and more often than not, prefer to use metaphors while narrate them,prepare the ground for psychoanalytic film analysi...

  20. ON THE BIRTH AND DEVELOPMENT OF PSYCHOANALYTIC FIELD THEORY, PART 1.

    Science.gov (United States)

    Silverman, Martin A

    2017-07-01

    Defining Psychoanalysis: Achieving a Vernacular Expression, by Ian Miller. London: Karnac, 2016. 116 pp. The Pioneers of Psychoanalysis in South America: An Essential Guide, edited by Nydia Lisman-Pieczanski and Alberto Pieczanski. London/New York: Routledge, 2015. 537 pp. Reading Italian Psychoanalysis, edited by Franco Borgogno, Alberto Luchetti, and Luisa Marino Coe. London/New York: Routledge, 2016. 738 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  1. La Adicción a Sustancias Químicas: ¿Puede ser Efectivo un Abordaje Psicoanalítico? Substance Addiction: Can a Psychoanalytical Approach be Effective?

    Directory of Open Access Journals (Sweden)

    Cristián López

    2006-05-01

    Full Text Available En este artículo se discute la posibilidad de usar una aproximación psicoanalítica para el tratamiento de pacientes con adicción. Los conceptos centrales de los llamados "clásicos" son analizados, discutiendo si la adicción puede ser considerada un síntoma psicoanalítico, una expresión de conflictos inconscientes. Se distinguen tres etapas en el proceso que lleva al desarrollo de una adicción. Se presenta el concepto de "rectificación subjetiva" de Lacan, con el fin de discutir el proceso de entrada a tratamiento desde una aproximación psicoanalítica. Se discute la necesidad de abstinencia. Se realiza una propuesta para establecer una aproximación técnicamente flexible a partir de la cual se puedan incluir las instancias y elementos terapéuticos requeridos sin renunciar al punto de vista psicoanalítico.This article discusses how possible it is to use a psychoanalytical approach to treat patients with drug addiction. Main concepts of the so called "classics" are analysed discussing if drug addiction can be considered a psychoanalytical sympton, an expression of unconscious conflicts. Three steps of the process leading to an addiction are distinguished. The concept of "subjective rectification" of Lacan is presented, aiming to discuss the entrance process to a treatment from a psychoanalytical point of view. The need of abstinence is discussed. A proposal is made to set a technically flexible approach, in order to include all the therapeutic instances and elements required without giving up a psychoanalytical point of view.

  2. Interference with work in fibromyalgia - effect of treatment with pregabalin and relation to pain response

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    Hallier Ernst

    2011-06-01

    Full Text Available Abstract Background Clinical trials in chronic pain often collect information about interference with work as answers to component questions of commonly used questionnaires but these data are not normally analysed separately. Methods We performed a meta-analysis of individual patient data from four large trials of pregabalin for fibromyalgia lasting 8-14 weeks. We analysed data on interference with work, inferred from answers to component questions of Fibromyalgia Impact Questionnaire (FIQ, Short Form 36 Health Survey, Sheehan Disability Scale, and Multidimensional Assessment of Fatigue, including "How many days in the past week did you miss work, including housework, because of fibromyalgia?" from FIQ. Analyses were performed according to randomised treatment group (pregabalin 150-600 mg daily or placebo, pain improvement (0-10 numerical pain rating scale scores at trial beginning vs. end, and end of trial pain state (100 mm visual analogue pain scale [VAS]. Results Comparing treatment group average outcomes revealed modest improvement over the duration of the trials, more so with active treatment than with placebo. For the 'work missed' question from FIQ the change for patients on placebo was from 2.2 (standard deviation [SD] 2.3 days of work lost per week at trial beginning to 1.9 (SD 2.1 days lost at trial end (p /= 50% pain improvement and from 1.9 (SD 2.2 days to 0.73 (SD 1.4 days (p /= 50% pain improvement and a pain score Conclusions Effective pain treatment goes along with benefit regarding work. A reduction in time off work >1 day per week can be achieved in patients with good pain responses.

  3. Addiction as an attempt at self-regulation (contemporary psychoanalytic theories of addiction

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    Gregor Žvelc

    2001-09-01

    Full Text Available In the article author presents the development of psychoanalytic theory of addiction from early writings to contemporary ego, self psychological and theories of object relations. Classical psychoanalysis understood addiction as a regressive gratification of libidinal drives, whereas contemporary authors understand it as an attempt of adaptation to certain problems and worries. The neurotic conflict is not anymore in the foreground, but disturbances in ego, self and object relations. On the basis of a review of contemporary psychoanalytical theories, the author concludes that individuals prone to addiction have a disturbance in self-regulation. Because of that, they have problems in tolerating and coping with certain emotions. With the help of outer means they tend to re-establish internal balance, which they can't manage alone. This outer 'help' can be seen in various forms of addiction (drugs, food, relationships, sex .... So, the core problem of addicted people is a deficit of self-regulation, which is a consequence of a lack of internalisaton of regulatory functions of primary object. Contemporary psychoanalytical theories of addiction bring us greater insight in personality factors which influence the formation of addiction, thus giving us guidelines for adequate psychotherapy of addiction.

  4. Working alliance and treatment fidelity as predictors of externalizing problem behaviors in parent management training.

    Science.gov (United States)

    Hukkelberg, Silje S; Ogden, Terje

    2013-12-01

    The study investigated treatment fidelity and working alliance in the Parent Management Training-Oregon model (PMTO) and investigated how these relate to children's externalizing problem behaviors, as reported by parents and teachers. Participants were 331 Norwegian parents who rated the client-therapist working alliance at 3 time points (Sessions 3, 12, and 20). Competent adherence to the PMTO treatment protocol was assessed by PMTO specialists from evaluations of videotaped therapy sessions using the Fidelity of Implementation (FIMP) system (Knutson, Forgatch, & Rains, 2003). Parents and teachers reported children's problem behaviors at baseline and at the end of therapy. Structural equation modeling was used to analyze the repeated measures data. Parents reported high and stable levels of alliance and fidelity from Time 1 to Time 3, with no correlational or direct relations between the 2. Treatment fidelity predicted reductions in parent-reported externalizing behavior, whereas working alliance was related to less change in problem behavior. Alliance and fidelity were unrelated to teacher-reported behavior problems. The findings point to treatment fidelity as an active ingredient in PMTO and working alliance as a negative predictor of postassessment parent-reported externalizing behavior. More research is needed to investigate whether these findings can be replicated and extended beyond PMTO.

  5. Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment?

    DEFF Research Database (Denmark)

    Madsen, Ida E H; Hanson, Linda L Magnusson; Rugulies, Reiner Ernst

    2014-01-01

    Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects of emoti...... of emotional demands on antidepressant treatment, as an indicator of common mental disorders, are buffered by good leadership....

  6. A COGNITIVE-BEHAVIOURAL GROUP TREATMENT IMPROVED WORK ABILITY IN PATIENTS WITH SEVERE FUNCTIONAL SOMATIC SYNDROMES

    DEFF Research Database (Denmark)

    Schröder, Andreas; Ørnbøl, Eva; Jensen, Jens Søndergaard

    2014-01-01

    Objective: Functional somatic syndromes (FSS) such as fibromyalgia, irritable bowel and chronic fatigue syndrome often disrupt employment and may lead to long-term dependence on social benefits and permanently reduced work ability. Cognitive-behavioural treatments (CBT) relief symptoms and improve...

  7. [Psychoanalytic psychotherapy and the ADHD-triad (impulsivity, hyperactivity and attention deficit disorder)].

    Science.gov (United States)

    Bürgin, Dieter; Steck, Barbara

    2007-01-01

    A brief survey of the psychoanalytically oriented literature regarding the symptom triad of ADHD is followed by the discussion of frequently found disturbances in infantile development, attachment, object relations (regulation of drives and affects, ego functions) of the role of infantile trauma (object loss) and psychic conflict. In the analytic-psychotherapeutic process with a child, the ADHD-symptom-triad may manifest itself e.g. as intrapsychic conflict on the level of the self-representation or of the representation of central self-object-relations (characterized by an insufficient containing-/holding-function), as impairment of self-regulative functions, as inconsistent symbolizing capacity or as deficient regulating and controlling capacity of the ego. The multitude of factors involved does not allow a generalisation of neither the etiology or the pathogenesis of this symptom triad. This is particularly evident in a therapeutic procedure which is relation oriented. In a first interview the authors illustrate the capacity of a ten year old boy (diagnosed as ADHD patient) to make use of the analytic therapeutic dialogue and to present his intrapsychic experiences and problems in a figurative and narrative performance. Finally some specific technical features of low or high frequent analytic psychotherapy with ADHD children are shown: according to the foremost pregenital form of relations--manifested mostly by intensive self esteem problems, narcissistic aggressiveness and motor impulsivity--the transference and counter-transference movements proceed predominantly by projective and introjective identifications. Containment of the difficulties by the therapist is often paralleled for a long period of time by assistance in regulation and by limit setting for the child. Translation of action into language and transformation of intrapsychic processes within the psyche of the therapist into helpful interventions for the child require a continuous adjustment to the

  8. The capacity to tell a joke: Reflections from work with Asperger children.

    Science.gov (United States)

    Brown, Lawrence J

    2016-12-01

    The capacity to tell a joke is a highly complex interpersonal event that depends upon the maturation of certain developmental achievements which are absent or stunted in children with Asperger's Syndrome. These include the ability to know another's mind, a sense of interpersonal timing and, most notably, a capacity for abstract thinking. The author discusses Freud's () notion of joke-work, which is akin to dream-work, both of which are pathways to forming mental representations. Freud considered joke-work as a mental activity that operated on the verbal level and the author examines the preverbal dimensions that are rooted in the earliest mother/infant interactions. An extended case discussion of the psychoanalytic treatment of an Asperger boy is offered to illustrate these points and to demonstrate the activity of joke-work as a means of building mental representations. Copyright © 2016 Institute of Psychoanalysis.

  9. Effort-reward imbalance at work and the risk of antidepressant treatment in the Danish workforce

    DEFF Research Database (Denmark)

    Nielsen, Maj Britt D.; Madsen, Ida E. H.; Aust, Birgit

    2016-01-01

    Background: Previous studies have shown that high effort-reward imbalance (ERI) at work is a risk factor for the onset of self-reported depressive symptoms. In this study, we examined whether ERI predicts risk of treatment with antidepressant medication in a representative sample of the Danish...... workforce. Methods: We linked survey data on ERI and covariates of 4541 participants from the Danish Work Environment Cohort Study 2000 with the Danish National Prescription Registry that includes all legally purchased prescription drugs at pharmacies in Denmark since 1995. Participants with a history...... of antidepressant treatment or with self-reported depressive symptoms at baseline were excluded. Using Cox proportional hazard analyses we examined the prospective association between ERI at baseline and incident antidepressant treatment while adjusting for potential confounders. Time of follow-up was 5 years...

  10. Fluorescence spectroscopy as a tool for determination of organic matter removal efficiency at water treatment works

    Directory of Open Access Journals (Sweden)

    M. Z. Bieroza

    2010-04-01

    Full Text Available Organic matter (OM in drinking water treatment is a common impediment responsible for increased coagulant and disinfectant dosages, formation of carcinogenic disinfection-by products, and microbial re-growth in distribution system. The inherent heterogeneity of OM implies the utilization of advanced analytical techniques for its characterization and assessment of removal efficiency. Here, the application of simple fluorescence excitation-emission technique to OM characterization in drinking water treatment is presented. The fluorescence data of raw and clarified water was obtained from 16 drinking water treatment works. The reduction in fulvic-like fluorescence was found to significantly correlate with OM removal measured with total organic carbon (TOC. Fluorescence properties, fulvic- and tryptophan-like regions, were found to discriminate OM fractions of different removal efficiencies. The results obtained in the study show that fluorescence spectroscopy provides a rapid and accurate characterization and quantification of OM fractions and indication of their treatability in conventional water treatment.

  11. Miniscalpel-Needle Treatment Is Effective for Work-Related Neck and Shoulder Musculoskeletal Disorders

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    Shuming Li

    2016-01-01

    Full Text Available Background. Work-related musculoskeletal disorders (MSDs are a group of painful disorders of muscles, tendons, and nerves, such as neck and shoulder MSD. This study was designed to use miniscalpel-needle (MSN technique as an intervention for work-related MSDs. Methods. Thirty-one patients with work-related MSDs and 28 healthy subjects were enrolled as controls in this study. The MSD symptoms of each patient were assessed by visual analog scale (VAS and neck disability index (NDI. Blood samples were collected from control subjects and MSD patients before and after treatment. Serum levels of C-reactive protein (CRP and tumor necrosis factor (TNF were measured using ELISA. Results. Prior to MSN treatment, serum levels of CRP and TNF were significantly higher in the MSD patients than the healthy controls. Serum CRP levels correlated with VAS and NDI scores, and serum TNF levels correlated with NDI scores. Compared to pretreatment, VAS and NDI scores were significantly lower in MSD patients after MSN treatment, while serum CRP and TNF levels were significantly lower compared with the healthy control levels. Conclusions. Our results indicate that MSN may be an effective intervention for work-related MSDs and be associated with lower serum levels of inflammatory biomarkers.

  12. Caravaggio four centuries later: psychoanalytic portraits of ambivalence and ambiguity.

    Science.gov (United States)

    Szajnberg, Nathan M

    2013-04-01

    Rome celebrated the four hundredth anniversary of Michelangelo Marisi da Caravaggio's death with an historical exhibition of his brief lifetime's work. Yet psychoanalysis has not studied this work extensively, despite the artist's compelling portrayal of a full range of human affects, including ambivalence. Psychoanalysis has studied artistic pioneers such as da Vinci (Freud 1910) and Michelangelo (Freud 1914), Giotto's use of blue sky as psychologically innovative (Blatt 1994), and Magritte's play with external reality (Spitz 1994). What can we learn about Caravaggio's work-including innovative contributions such as visual representation of expressed emotions, particularly negative emotions, including ambivalence, and remarkably candid, even critical, self-representations-and how can this late-sixteenth-century artist teach us about the development of the concept of mind underlying psychoanalysis?

  13. African-Americans in public housing: a traditional social work approach to substance abuse treatment.

    Science.gov (United States)

    Larkin, Rufus

    2003-01-01

    In recent years, an increased and special emphasis on family issues of public housing residents emerged among social service professionals in northeast Georgia. This emphasis was launched because of the disparity between the number of substance-dependent African-Americans and those who sought and remained in substance abuse treatment programs. The relationship between these factors prompted an examination of preferences for substance abuse treatment among African-Americans in three northeast Georgia public housing complexes. This paper describes the implementation and evaluation of a traditional social work practice approach involving the identification of families where substance abuse was present, the examination of their preferences for substance abuse treatment, and the efficacy of home-based, family-centered practice. The evaluation results support the claim that elements of traditional social work practice, such as community or home-based, family-centered treatment, can be effective in addressing substance abuse issues of African-Americans residing in public housing complexes. In addition, this form of treatment supports the notion that African-American families residing in public housing can be assisted in the resolution of substance abuse issues.

  14. The question of representation in the psychoanalytical and cognitive-behavioural approaches. Some theoretical aspects and therapy considerations

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    Philippe eDe Timary

    2011-04-01

    Full Text Available This paper compares the cognitive-behavioural and psychoanalytical approaches with respect to the way in which each of them conceives of representation and deals with the issues that this involves. In both of them conscious and latent (unconscious representations play a crucial role. Highlighting similarities and differences facilitate communication on a theoretical level but also prove helpful to the clinical practitioners involved. We try to put forward an attempt at comparison, with the idea of going beyond the -- obviously important -- differences in vocabulary. In this attempt at comparison, we have successively compared the definitions of representation and the respective therapeutic interventions proposed by each approach. There are no doubt many overlapping elements in the way in which the workings of the mind are conceived of in these approaches, particularly as regards their links with affects. We next developed the implications of representation deficits in pathology, suggesting the important role played by elements that are avoided, suppressed from memory or repressed, and with respect to the need to treat such material in a specific manner so as to ensure some progress as to the symptoms presented. We finally summarized common and distinct aspects of the two perspectives. The very fact that two approaches that follow very distinct methodologies reach the same conclusion concerning the importance of distortions and failures of representation in generating mental distress strengthens, in our view, the epistemological reliability of the role of representation in psychopathology.

  15. Making unformulated experience real through painting: Painting and psychoanalytic psychotherapy practice as two ways of making sense.

    Science.gov (United States)

    Schwartz, Karen M

    2018-02-01

    I contend that painting, like psychoanalytic psychotherapy, is an intersubjective process able to connect hearts and minds of painters and viewers alike, because the creative process of making a painting brings painters into more complex and more animated relationship with themselves. My own painting process is largely nonverbal. Interactions between me and my evolving artwork-in-process reveal experiences, thoughts, and feelings not yet formulated in words, and so, not available explicitly to conscious awareness until visual representation allows questions of meaning and intention to be thought about and elaborated in the usual, verbal sense. I describe how my particular painting practice provides an experiential frame for the creative process of self-articulation that goes on in psychotherapy, as well as how the physical and mostly nonverbal dialogue experienced in the painting studio served as a source of listening attitudes and self-regulation in my work with a patient's inhibited self-expression and thwarted artistic ambitions. © 2018 Wiley Periodicals, Inc.

  16. Psychoanalytic Discourse of the 1920s-1930s Ukrainian Novellas

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    Nataliya Maftyn

    2017-10-01

    Full Text Available The article highlights the impact of Freud’s ideas on the Ukrainian prose between the Two World Wars. The analysis of the works by V. Pidmohylnyi and I. Cherniava shows that in literary texts, the erotic-death paradigm is one of the ‘modernist’ algorithms for plot development; in the novellas, this paradigm affects the process of conflict modeling and conflict development. It is rightly believed that V. Pidmohylnyi’s dominant literary interest was the ‘helplessness of human morality before the temptations of crime’. In the novella analyzed in this study, Pidmohylnyi adopts the perspective of the ontogenesis of the human soul at the age of puberty. I. Cherniava explores the theme of subconscious ‘temptation of crime’ a wicked and thoughtless children’s game is sure to unleash. The two stories have many features in common: they are thematically close; in both of them, the plot is based on the Freudian ideas; stylistically, they are realist-oriented works with certain elements of naturalism. The novellas belong to the same type of structurally modified literary works, in which the action is no more important than the resultant psychic changes in the characters. In both novellas, the plot is built around stable structural-behavioural patterns of human culture (in Vania, it is the initiation trial pattern; in The Execution, the perverse play pattern, the game of a trial transformed into a crime. Both works have rather specific expositions, which fulfill the function of ‘Vorgeschichte’ – they tell a reader about certain psychic inclinations of the characters and present the projection of the central theme. In both novellas, the plot type, which determines the development of action, is outlined in the prehistory. Structurally, the two novellas are based on parallelism of events. As to their style, both works bear the features of naturalism.  

  17. Predictors of lost time from work among nursing personnel who sought treatment for back pain.

    Science.gov (United States)

    Pompeii, Lisa A; Lipscomb, Hester J; Dement, John M

    2010-01-01

    To examine possible predictors of lost workdays among nurses and nurses' aides who sought treatment for work-related back pain. Nursing staff employed at a tertiary care medical center over a 13-year time period (1994 through 2006). We used existing data from clinic surveys administered to nursing personnel during their initial treatment visit to the hospital's occupational health clinic. Predictors of losing ≤ 7 and ≥ 8 workdays was examined. 589 of 708 (83%) nursing personnel with complaints of work-related back pain completed the survey, with 31% resulting in lost workdays. Experiencing sudden onset of pain (RR:1.9; 95% CI: 1.1, 3.1), a combination of severe pain with numbness and tingling in the back/legs (RR: 7.4; 95% CI: 2.9, 18.6), severe pain only (RR: 4.4; 95% CI: 1.8, 11.1), numbness and tingling in the back/legs only (RR: 3.5; 95% CI: 1.0, 12.2), and working < 5 years at the hospital (RR: 2.3; 95% CI: 1.2, 4.7) were predictive of losing ≥ 8 workdays. Job title, work demands, work conflicts, and most psychosocial factors were not predictive. Severe pain, neurologic symptoms and sudden onset of pain were predictive of delayed return-to-work; however, these symptoms alone should not be considered indicators of poor outcomes given that most workers who reported these symptoms returned to work in less than 8~days. Among these health care workers, lost workdays appear to be related to more severe pathology rather than workplace characteristics.

  18. Psychosocial work conditions and work stress in an innovating addiction treatment centre. Consequences for the EFQM Excellence Model

    NARCIS (Netherlands)

    Nabitz, Udo; Jansen, Paul; van der Voet, Sandra; van den Brink, Wim

    2009-01-01

    In the Job Demand Control Model (JDCM) and the EFQM Excellence Model, psychosocial work conditions are regarded as critical factors for the functioning of the personnel and the organisation. In order to gain insight into the role of work conditions for the development of work strain and well-being,

  19. DOCTOR’S AUTOMATIZED WORK PLACE FOR THE TREATMENT OF PATIENTS WITH GAUCHER DISEASE

    Directory of Open Access Journals (Sweden)

    N. H. Horovenko

    2015-05-01

    Full Text Available The program was designed to account the registry of patients with Gaucher disease. During the investigation of object domain a medical documentation and work regime of centre were analyzed including medical forms and questionnaires, medical cards, the order of filling appointment of treatment, report forms. The program provides the creation of automatized work place for interaction with patients with Gaucher disease on a personal computer of doctor. The purpose of development system is to perform a range of functions, which correspond to the full cycle of interaction doctor with patients. General function: introduction and correction of data, analysis and preservation of the history of this treatment, filtration patient records, construction of schedules based on the results of blood tests and examinations which reflect the dynamics of the patient. Special functions: calculation of required quantity of the medicine to the patient, tracing of human health standards depending on the age of the patient, the cost of the medicine.

  20. [Consumerism, patient empowerment and changing clinical work--patient awareness and treatment demands on the rise].

    Science.gov (United States)

    Toiviainen, Hanna

    2011-01-01

    Consumerism refers to the accentuation of a patient's status and freedom of choice within the health care. Increasing patient knowledge, empowerment and demands stand out in the medical practice. Patients seek for self-diagnosis before attending the consultation. Regarding the treatment relationship, one doctor out of five experiences the situation positive and two out of five negative. The patients influence prescription decisions. Private doctors have a more positive attitude to patients' consumer role than those working within the public sector.

  1. Against Flourishing: Wellbeing as biopolitics, and the psychoanalytic alternative

    Directory of Open Access Journals (Sweden)

    C. Wright

    2013-11-01

    Full Text Available This article critically analyzes what is at stake in the recenttranslation of the term ‘happiness’ into the inter-related terms ‘well-being’and ‘flourishing’ within Happiness Studies. Focussing on the work of MartinSeligman, the article argues that the category of ‘flourishing’ in particularhighlights Happiness Studies and positive psychology as a new, neoliberalinterpretation of utilitarianism. This is supported with reference to MichelFoucault’s late lectures at the Collège de France on the connections betweenneoliberalism and the direct political administration of life that he termed‘biopolitics’, a concept which explains the interweaving of health andhappiness in today’s dominant therapeutic cultures. Finally, the articleattempts to outline a radical alternative to the biopolitical notion of‘flourishing’ by appealing to psychoanalysis, specifically Lacanianpsychoanalysis - its critique of consumer happiness, but also its clinicalcommitment to working transformatively with unhappiness.

  2. Mirror processes in the protected space of psychoanalytic supervision

    OpenAIRE

    Schmolke, Margit; Hoffmann, Nataly

    2014-01-01

    Supervision is a useful instrument in psychodynamic psychotherapy as well as in a multi-disciplinary team-work. Precondition is a confidential setting in which the trainee is able to open him/herself in the relationship to his/her supervisor. Institutional conditions and rules as well as the personal background and professional experience of the trainee play an important role. The specific interest of the authors is the phenomenon of what happens within the trainee-supervisor-relationship, in...

  3. Psychoanalytic reflections on a particular form of language distortion.

    Science.gov (United States)

    Spero, M H

    1990-01-01

    A female obsessive patient communicated with her sister via a distortion of the Hebrew language, in which she masculinized the feminine gender second person pronoun and certain nouns. This treatment of words is analyzed in terms ranging from the concrete to the metaphoric uses of language. Lacan's emphasis on the meaning of the word is explored and is seen as an amplification rather than a replacement of the object relations approach to language and metaphor.

  4. Optimization of metal working fluids treatment using calcium chloride by response surface methodology

    Directory of Open Access Journals (Sweden)

    HA. Jamali

    2016-11-01

    Full Text Available Background: Extensive use of metal working fluids degrades their chemical composition. They should be treated using a safe method. Chemical coagulation-flocculation process is one the treatment methods. Objective: The aim of this study was to optimize the coagulation-flocculation process using calcium chloride in metal working fluids treatment. Methods: This laboratory based study was performed in School of Health affiliated to Qazvin University of Medical Sciences in 2014. Using calcium chloride and a six-compartment jar, the efficiency of coagulation-flocculation process was assessed for removal of chemical oxygen demand (COD and turbidity and amount of released oil. Central composite design (CCD and response surface methodology (RSM were applied to optimize the treatment operation parameters (pH and dosage of coagulant. Quadratic models were developed for calculation of the three responses (COD, turbidity, and released oil. Findings: The optimum condition for coagulation-flocculation process was seen after treatment with 4.2 g/L calcium chloride at pH 3.71 in which COD and turbidity removal efficiency were 93% and 96.9%, respectively and the amount of released oil was 31.8 ml. The level of desirability was 91.2%. The values of laboratory study were in good agreement with the values predicted by the model. Conclusion: Metal working fluids treatment with calcium chloride was efficient in the removal of pollution parameters. Dosage of calcium chloride was similar to the conventional coagulants such as Alum, but its efficiency was higher.

  5. Toward a tripartite vision of supervision for psychoanalysis and psychoanalytic psychotherapies: alliance, transference-countertransference configuration, and real relationship.

    Science.gov (United States)

    Watkins, C Edward

    2011-08-01

    The psychoanalytic supervision relationship is examined as a tripartite phenomenon, comprised of the supervisory alliance, transference-countertransference configuration, and real relationship. While most supervisory analysts would readily acknowledge that a real (or personal) relationship element exists in analytic supervision, that facet of the supervision relationship has not routinely been incorporated into considerations of psychoanalytic supervision. In this vision of supervision, real relationship, supervisory alliance, and transference-countertransference configuration are presented as integral and complementary constructs that define psychoanalytic supervision. Each of those three components is examined briefly with regard to its beginnings, evolution, and contemporary status; each component is also considered from an empirical perspective. While we have a growing quantitative and qualitative research foundation that supports psychoanalytic practice, psychoanalytic supervision has largely been ignored as a subject and object of scientific study. Supervisory alliance, transference-countertransference configuration, and real relationship are explored as research ready variables. Some clinical hypotheses--eminently testable and worthy of investigation--are proposed with regard to each component of the model, and some ideas--albeit tentative and preliminary--about how to initiate such inquiries are offered. © 2011 N.P.A.P.

  6. Ageism at Work: What Happens to Older Workers Who Benefit from Preferential Treatment?

    Directory of Open Access Journals (Sweden)

    Caroline Iweins

    2012-12-01

    Full Text Available In order to increase the activity rate of older workers, the Organisation for Economic Cooperation and Development (OECD recommends that national governments implement policies promoting the employment of this category of workers. However, policies that favour minority groups have been shown to produce detrimental effects such as devaluing members of these groups. In two studies, we examined whether age-related preferential treatment reinforces ageist attitudes in the workplace. A first study revealed that policies favouring 50 years old workers increased negative perceptions toward them. In a second experimental study, results indicated that, compared to a merit-based treatment, a preferential treatment increased negative perceptions, emotions, and behaviours toward an old target. As a set, our findings shed new light on ageism at work and on the role of context.

  7. Heat Treatment Optimization and Properties Correlation for H11-Type Hot-Work Tool Steel

    Science.gov (United States)

    Podgornik, B.; Puš, G.; Žužek, B.; Leskovšek, V.; Godec, M.

    2017-12-01

    The aim of this research was to determine the effect of vacuum-heat-treatment process parameters on the material properties and their correlations for low-Si-content AISI H11-type hot-work tool steel using a single Circumferentially Notched and fatigue Pre-cracked Tensile Bar (CNPTB) test specimen. The work was also focused on the potential of the proposed approach for designing advanced tempering diagrams and optimizing the vacuum heat treatment and design of forming tools. The results show that the CNPTB specimen allows a simultaneous determination and correlation of multiple properties for hot-work tool steels, with the compression and bending strength both increasing with hardness, and the strain-hardening exponent and bending strain increasing with the fracture toughness. On the other hand, the best machinability and surface quality of the hardened hot-work tool steel are obtained for hardness values between 46 and 50 HRC and a fracture toughness below 60 MPa√m.

  8. The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders.

    NARCIS (Netherlands)

    Eijsden-Besseling, M.D. van; Bergh, K.A. van den; Staal, J.B.; Bie, R.A. de; Smeets, R.J.P.; Heuvel, W.J.A. van den

    2010-01-01

    OBJECTIVE: To assess the influence of work- and treatment-related factors on clinical status and functional disability in patients with non-specific work-related upper limb disorders (WRULD). PARTICIPANTS: 182 computer workers with non-specific WRULD, 18-50 years old, not having specific WRULD nor

  9. Cognitive behavioural therapy and short-term psychoanalytical psychotherapy versus a brief psychosocial intervention in adolescents with unipolar major depressive disorder (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled superiority trial.

    Science.gov (United States)

    Goodyer, Ian M; Reynolds, Shirley; Barrett, Barbara; Byford, Sarah; Dubicka, Bernadka; Hill, Jonathan; Holland, Fiona; Kelvin, Raphael; Midgley, Nick; Roberts, Chris; Senior, Rob; Target, Mary; Widmer, Barry; Wilkinson, Paul; Fonagy, Peter

    2017-02-01

    Psychological treatments for adolescents with unipolar major depressive disorder are associated with diagnostic remission within 28 weeks in 65-70% of patients. We aimed to assess the medium-term effects and costs of psychological therapies on maintenance of reduced depression symptoms 12 months after treatment. We did this multicentre, pragmatic, observer-blind, randomised controlled superiority trial (IMPACT) at 15 National Health Service child and adolescent mental health service (CAMHS) clinics in three regions in England. Adolescent patients (aged 11-17 years) with a diagnosis of DSM IV major depressive disorder were randomly assigned (1:1:1), via a web-based randomisation service, to receive cognitive behavioural therapy (CBT) or short-term psychoanalytical therapy versus a reference brief psychological intervention. Randomisation was stochastically minimised by age, sex, self-reported depression sum score, and region. Patients and clinicians were aware of group allocation, but allocation was concealed from outcome assessors. Patients were followed up and reassessed at weeks 6, 12, 36, 52, and 86 post-randomisation. The primary outcome was self-reported depression symptoms at weeks 36, 52, and 86, as measured with the self-reported Mood and Feelings Questionnaire (MFQ). Because our aim was to compare the two psychological therapies with the brief psychosocial intervention, we first established whether CBT was inferior to short-term psychoanalytical psychotherapy for the same outcome. Primary analysis was by intention to treat. This trial is registered with Current Controlled Trials, number ISRCTN83033550. Between June 29, 2010, and Jan 17, 2013, we randomly assigned 470 patients to receive the brief psychosocial intervention (n=158), CBT (n=155), or short-term psychoanalytical therapy (n=157); 465 patients comprised the intention-to-treat population. 392 (84%) patients had available data for primary analysis by the end of follow-up. Treatment fidelity and

  10. Treatment compliance of working persons to high-dose antimuscarinic therapies: a randomized trial

    Science.gov (United States)

    Kosilov, Kirill Vladimirovich; Loparev, Sergey; Kuzina, Irina; Shakirova, Olga; Zhuravskaya, Nataliya; Lobodenko, Alexandra

    2016-01-01

    Aim: The aim of this work was to study the factors affecting the stability of working patients in antimuscarinic (AM) drug treatment. Background: The prevalence of urge urinary incontinence (UUI) is an average of between 8.2% and 16.0% of the population. UUI is a condition that adversely affects the health-related quality of life. The first-line therapy in managing UUI is AM treatment. Methods: In 1006 patients between 18 and 60 years old (627 women, 379 men, mean age 69.4) who received AM treatment for one year, the possible demographic, socioeconomic and health factors influencing compliance were studied. Also, the functional state of the lower urinary tract (LUT) was studied in this randomized, prospective survey. The study instruments were the documents of employers, tax offices, outpatient records, OABq-SF (overactive bladder - short form) questionnaires, MOS SF-36 (Medical Outcomes Study short form-36), voiding charts, and uroflowmetry data. Results: The compliance to AM treatment within 6 months was retained in 49.5% patients; during the year, in 32.3% of patients. The average time for reaching the 30-day break in taking trospium was 194 days. In the course of the experiment it was revealed that compliance to AM treatment was significantly higher in patients taking solifenacin and trospium in high dosages (p ⩽ 0.01, p ⩽ 0.05), suffering from severe symptoms of urgency (p ⩽ 0.01), and having a low level of side effects (p ⩽ 0.01). A satisfactory level of compliance is characteristic of patients with a high level of monthly and annual income (p ⩽ 0.01, p ⩽ 0.01), a low percentage of expenses to AM (p ⩽ 0.05), and rarely changing employers (p ⩽ 0.05). In addition, the compliance to treatment is higher in older adults (p ⩽ 0.05), living in the urban district (p ⩽ 0.01), and working in educational (p ⩽ 0.05) and health (p ⩽ 0.01) institutions, having a high level of the indices of Social Functioning (p ⩽ 0.05), Role-Emotional (p ⩽ 0

  11. Psychological treatments for psychosis: history and overview.

    Science.gov (United States)

    Bachmann, Silke; Resch, Franz; Mundt, Christoph

    2003-01-01

    This article is part of the ISPS (International Society for the Psychological Treatment of the Schizophrenias and other Psychoses) task force report on the PORT (Patients Outcome Research Team) recommendations for treatment of schizophrenia. It reviews psychological treatment approaches in psychosis to date and assesses recent trends. The most influential therapies have been psychoanalytic/psychodynamic, cognitive behavioral (CBT), and supportive therapy.

  12. Methods of sampling airborne fungi in working environments of waste treatment facilities.

    Science.gov (United States)

    Černá, Kristýna; Wittlingerová, Zdeňka; Zimová, Magdaléna; Janovský, Zdeněk

    2016-01-01

    The objective of the present study was to evaluate and compare the efficiency of a filter based sampling method and a high volume sampling method for sampling airborne culturable fungi present in waste sorting facilities. Membrane filters method was compared with surface air system method. The selected sampling methods were modified and tested in 2 plastic waste sorting facilities. The total number of colony-forming units (CFU)/m3 of airborne fungi was dependent on the type of sampling device, on the time of sampling, which was carried out every hour from the beginning of the work shift, and on the type of cultivation medium (p fungi ranged 2×102-1.7×106 CFU/m3 when using the membrane filters (MF) method, and 3×102-6.4×104 CFU/m3 when using the surface air system (SAS) method. Both methods showed comparable sensitivity to the fluctuations of the concentrations of airborne fungi during the work shifts. The SAS method is adequate for a fast indicative determination of concentration of airborne fungi. The MF method is suitable for thorough assessment of working environment contamination by airborne fungi. Therefore we recommend the MF method for the implementation of a uniform standard methodology of airborne fungi sampling in working environments of waste treatment facilities. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  13. The concept of a transference neurosis and psychoanalytic methodology.

    Science.gov (United States)

    Renik, O

    1990-01-01

    Implicit in Freud's definition of transference neurosis is the valuable concept that evolution in the observable form of a patient's transference can be used as a criterion of analytic progress. Problems have arisen because the concept has been misapplied. Freud and those who followed him focused attention on clinical developments that are not in fact indicators that successful analytic work has taken place. It is suggested that transference neurosis be identified in terms of a different set of clinical observations than is usually used. Emphasis is given to evolution in the form of the analyst's activity, as well as the patient's, when analytic progress occurs. Validly applied, the concept of transference neurosis can provide a dependent variable whose appearance or non-appearance enables the testing of hypotheses about the psychoanalysis of neurotic patients.

  14. Psychoanalytic education in the twenty-first century: a syllabus for all seasons.

    Science.gov (United States)

    Jacobs, Carl

    2011-10-01

    I am suggesting that psychoanalytic training facilities restructure their curriculum to include opposing views, in an effort to avoid the inevitable disintegration of the field at large. Without a sense of requirement for any particular viewpoint, I have suggested the model of class modules, usually based around three differing positions, be applied in as many classes as possible. This method enhances the very nature of psychoanalysis while it extends the educational provenance of each separate institute, and specifically each teacher of psychoanalysis. In so doing, candidates across the board will feel and think in a more collegial manner, and may find that learning psychoanalysis is to learn something new and exciting.

  15. For developmental period specific tasks in psychoanalytically oriented psychotherapy: The case report

    Directory of Open Access Journals (Sweden)

    Miloš Židanik

    2000-03-01

    Full Text Available The patient – therapist relationship is always unique, depending from both personalities – the patient's and the therapist's one. Therefore the rules for therapeutic interventions are strict and rigid – they should give some objective frames for the therapy. In this article I present psychoanalytically oriented psychotherapy, where I outrouled the rigidness of psychotherapeutic interventions.At deep pathology of personality structure, especially at ego and self pathology, it is sometimes advisable to overcame the therapeutic boundaries for a more active healing process of developmental deficits.

  16. POST-BIONIAN DEVELOPMENTS IN PSYCHOANALYTIC FIELD THEORY: THE CONTRIBUTIONS OF ANTONINO FERRO AND GIUSEPPE CIVITARESE.

    Science.gov (United States)

    Katz, S Montana

    2017-04-01

    The Bi-Personal Field: Experiences in Child Psychoanalysis. By Antonino Ferro. New York: Routledge, 1992 (1999). 232 pp. The Intimate Room: Theory and Technique of the Analytic Field. By Giuseppe Civitarese. New York: Routledge, 2008 (2010). 240 pp. The Necessary Dream: New Theories and Techniques of Interpretation in Psychoanalysis. By Giuseppe Civitarese; translated by Ian Harvey. London: Karnac, 2013 (2014). 246 pp. The Analytic Field and Its Transformations. By Antonino Ferro and Giuseppe Civitarese. London: Karnac, 2015. 224 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  17. Medicating patients in psychoanalytic therapy: implications for introjection, transference, and countertransference.

    Science.gov (United States)

    Riccio, Dominick J

    2011-12-01

    If a patient comes for psychotherapy or psychoanalysis, why medicate him with psychotropic drugs? The answers to this question are explored and addressed from several points of view. The central hypothesis of this paper suggests that most of the reasons for medicating patients have to do with therapist's unresolved countertransference issues. Furthermore, medicating a patient may have deleterious effects on his introjected sense of self, and impacts the transference relationship in a significant way. The issues surrounding medication as adjunctive therapy are elucidated and clarified in terms of rationale, efficacy, and the impact on the psychotherapeutic relationship. Psychoanalytic solutions are offered and discussed.

  18. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

    OpenAIRE

    Cavanagh, Sheila L.

    2017-01-01

    Much has been written about Antigone who buried her brother Polynices in Theban soil despite the prohibition issued by King Creon (her uncle) in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger. By engaging Ettinger’s theory of the Other (Feminine) Sexual Difference, I consider how ways of being in the Feminine tap into the matrixial domain, ...

  19. From somatic pain to psychic pain: The body in the psychoanalytic field.

    Science.gov (United States)

    Hartung, Thomas; Steinbrecher, Michael

    2017-03-24

    The integration of psyche and soma begins with a baby's earliest contact with his or her parents. With the help of maternal empathy and reverie, β-elements are transformed into α-elements. While we understand this to be the case, we would like to enquire what actually happens to those parts of the affect which have not been transformed? For the most part they may be dealt with by evacuation, but they can also remain within the body, subsequently contributing to psychosomatic symptoms. This paper describes how the body serves as an intermediate store between the psychic (inner) and outer reality. The authors focuses on the unconscious communicative process between the analyst and the analysand, and in particular on how psychosomatic symptoms can spread to the analyst's body. The latter may become sensitive to the analysand's psychosomatic symptoms in order to better understand the psychoanalytical process. Sensory processes (visual and auditory) and psychic mechanisms such as projective identification can serve as a means for this communication. One of the first analysts to deal with this topic was Wilhelm Reich. He described one kind of psychosomatic defence like a shell, the character armour, comparing the armour formed by muscle tension with another, more psychical type of armour. This concept can be linked to Winnicott's contribution of the false self and later on to Feldman's concept of compliance as a defence. The authors links further details of the clinical material with theoretical concepts from Joyce McDougall, Piera Aulagnier, and Ricardo Rodulfo and Marilia Aisenstein. With the aid of the complex concept of projective identification, as described by Heinz Weiss, the authors discusses the important question of how the analyst gets in touch with the patient's current psychosomatic state, and describes a specific communication between the body of the psychoanalyst and the body of the patient. A vignette illustrates in greater detail the relationship

  20. Online working alliance predicts treatment outcome for posttraumatic stress symptoms in Arab war-traumatized patients.

    Science.gov (United States)

    Wagner, Birgit; Brand, Janine; Schulz, Wassima; Knaevelsrud, Christine

    2012-07-01

    Previous studies have shown that Internet-based interventions for posttraumatic stress disorder are feasible. However, little is known about how therapeutic process factors impact online interventions in war and conflict regions. This study aims to assess the quality of the working alliance at midtreatment and posttreatment and its relationship with therapy outcome in an Internet-based cognitive-behavioral intervention for Arabic-speaking traumatized patients. A trial was conducted from January 2009 to August 2011 with patients recruited specifically in Iraq. Fifty-five participants with posttraumatic stress symptoms completed the Working Alliance Inventory (WAI) after at least session 4. Participants' mean age was 27.7 years (SD = 6.9); 78% of participants were females. Participants received two weekly 45-min Internet-based cognitive-behavioral interventions over a 5-week period. The main outcome measures were the Posttraumatic Diagnostic Scale (PDS) and the WAI. High ratings of the therapeutic alliance were obtained early in treatment, and results remained stable from sessions 4 to 10, indicating that it was possible to establish a positive and stable online therapeutic relationship. The working alliance at both assessment points predicted treatment outcome for posttraumatic stress symptoms. Despite the instability of the settings and patients' ongoing exposure to human right violations through war and dictatorships, it was possible to establish a stable online therapeutic relationship. © 2012 Wiley Periodicals, Inc.

  1. PSYCHOANALYTICAL GUIDELINES TO THE SUPERVISION OF POST-GRADUATION STUDENTS

    Directory of Open Access Journals (Sweden)

    Emari Andrade

    2017-01-01

    Full Text Available We first dedicated ourselves to an extensive research, on the work of Jacques Lacan, of elements that could help us to throw light on the complex task of advising a career of researcher training. We then are willing, in this text, to formalize eight guidelines to psychoanalysis that could guide the supervision of post-graduation students. They are: 1 There are differences between the organism and the erogenous body; 2 There is a gap between the human being and his sexuality; 3 The instance that bonds language and the body is the Real; 4 Teaching and transmitting are two different things; 5 It is possible to transmit someone the love for knowledge by the management of the Real; 6 Advising makes more effect from what the advisor does than from what he says; 7 The evaluation of what is said must be done from the consequences of saying; e 8Writing can be an resource to help someone in the creation of his own self. Taking them as a support to analyse the manuscripts of the corpus, we realised that they are an important tool to show what happens in the process of the academic text writing, leading to the comprehension of the ways followed by each researcher regarding the instructions given by the theses advisor.

  2. Primal seduction, matricial space and asymmetry in the psychoanalytic encounter.

    Science.gov (United States)

    Chetrit-Vatine, Viviane

    2004-08-01

    Wishing to highlight the asymmetric dimension that characterizes ethics as 'responsibility toward the other' in Levinas's philosophy, the author presents as an introduction three related concepts of Levinas's thinking: the caress, the face, the saying. Following some poetic narrative reflections offered as 'interlude' moments, the author seeks to bring together her concept of 'matricial space' inspired by Levinas's conception of ethics and the Laplanchian concept of 'primal seduction', both based on asymmetry. She suggests adding to Laplanche's proposition of two kinds of transference (filled-in transference and hollowed-out transference) a third kind: the matricial-space transference. She argues that together with the hollowed-out transference, which is related to the primal seduction, the matricial-space transference, which relates to the matricial position in the parent/analyst, is provoked by the analyst. If the hollowed-out transference assures the moving-on of the analysis, the matricial-space transference, in combination with the hollowed-out transference, is prerequisite for transformation to occur and may be deciphered specifically in 'impasse' situations, at what she coined 'subjectal moments'. As a conclusion, while insisting on the need for asymmetry in the analytic encounter, she suggests the existence in the human neonate of a need for ethics, and she questions the origin of the human capacity to be responsible toward the other. She illustrates her argument using clinical material from her own work alongside that of other authors.

  3. The occurrence and removal of selected pharmaceutical compounds in a sewage treatment works utilising activated sludge treatment

    Energy Technology Data Exchange (ETDEWEB)

    Jones, O.A.H. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Voulvoulis, N. [Institute of Environmental Policy, Imperial College, London SW7 2AZ (United Kingdom); Lester, J.N. [School of Water Sciences, Cranfield University, Cranfield, Bedfordshire MK43 0AL (United Kingdom)]. E-mail: j.lester@cranfield.ac.uk

    2007-02-15

    Pharmaceutical substances have been detected in sewage effluents as well as receiving waters in many parts of the world. In this study, the occurrence and removal of a number of drug compounds were studied within a large sewage treatment plant in the south of England. Samples were processed using solid phase extraction and analysed using gas chromatography-mass spectrometry (GC-MS). The results demonstrate that ibuprofen, paracetamol, salbutamol and mefenamic acid were present in both the influent and effluent of the works while propranolol-HCl was not found above the limit of quantification in any sample. Elimination rates were circa 90% for each compound but several hundred nanograms per litre were still present in the final effluent. - This report looks at the occurrence and removal rates of drugs in English wastewater.

  4. REBEL WITHOUT A CAUSE: A PSYCHOANALYTIC AND FAMILY-LIFE-CYCLE VIEW OF EMERGING ADULTHOOD IN THE FILM.

    Science.gov (United States)

    Fulmer, Richard H

    2017-07-01

    The period during which grown children leave home and establish a new, self-supporting family is called emerging adulthood. This paper uses psychoanalytic concepts and family-life-cycle theory to analyze the film Rebel without a Cause () as a dramatic example of three families going through this phase. Freud's () rescue-motif of the child trying to save an endangered peer to repay his parents for having been nurtured is also characteristic of this period and is considered practice for parenting the next generation. Proximate conflict and support enable two of the film's families to continue the path to reproduce themselves. © 2017 The Psychoanalytic Quarterly, Inc.

  5. The evolution of psychoanalytic thought: a brief view through the lens of Western art and history: Freud and beyond.

    Science.gov (United States)

    Stavovy, Tania

    2017-06-01

    The aim of this paper is to explore the diversity and progress in psychoanalysis and psychotherapy post-Sigmund Freud from the perspective of Western art. Since 1900 the shift from one-person psychology to the more contemporary two-person psychology is reflected in the creativity of artists, particularly in their depiction of the mother-infant relationship. An alternative perspective in understanding the evolution of Man's nature can be drawn from a discourse between art, history and psychoanalytic thought. Using art as evidence that reflects concurrent changes in psychoanalytic thought is a stimulating way to engage trainee psychiatrists and psychiatrists in their exploration of human nature.

  6. Avaliação de resultados da psicoterapia psicanalítica Assessment of psychoanalytic psychotherapy outcomes

    Directory of Open Access Journals (Sweden)

    Simone Isabel Jung

    2007-08-01

    Full Text Available INTRODUÇÃO: Este artigo relata uma investigação de coorte retrospectiva que avaliou a efetividade da psicoterapia psicanalítica com pacientes adultos em um serviço de atendimento comunitário na cidade de Porto Alegre, Brasil. MÉTODO: A amostra foi constituída por 34 pacientes divididos em dois grupos: grupo 1, 17 pacientes que realizaram tratamento por até 11 meses (média de 6,4 meses, e grupo 2, 17 pacientes com 1 ano ou mais de psicoterapia (média de 24,7 meses, contatados após o término de seu tratamento psicoterápico, em média 20,9 meses no grupo 1 e 29,9 meses no grupo 2. Os instrumentos utilizados foram: entrevista semi-estruturada, questionário de efetividade e escala de avaliação global do funcionamento. Experts independentes aplicaram a escala de avaliação global do funcionamento na entrevista inicial de tratamento (realizada pelo psicoterapeuta e encontrada no arquivo da instituição e de seguimento. RESULTADOS: Os pacientes melhoraram significativamente seu funcionamento global, comparando a avaliação inicial à de seguimento da psicoterapia (p INTRODUCTION: This article reports a retrospective cohort investigation, which assessed the effectiveness of psychoanalytic psychotherapy in adult patients at a community health center in the city of Porto Alegre, Brazil. METHODs: The sample was composed of 34 patients, who were divided into two groups: group 1, 17 patients who underwent treatment for up to 11 months (mean 6.4 months and group 2, 17 patients who underwent psychotherapy for 1 year or longer (mean 24.7 months. The patients were contacted after their psychotherapeutic treatment was over, in average 20.9 months (group 1 and 29.9 months (group 2. Instruments used were semi-structured interview, effectiveness questionnaire and global assessment of functioning scale. Independent experts applied the global assessment of functioning scale in the initial interview (carried out by the psychotherapist and found in

  7. Delayed sodium pyruvate treatment improves working memory following experimental traumatic brain injury.

    Science.gov (United States)

    Moro, Nobuhiro; Ghavim, Sima S; Hovda, David A; Sutton, Richard L

    2011-03-17

    Prior work indicates that cerebral glycolysis is impaired following traumatic brain injury (TBI) and that pyruvate treatment acutely after TBI can improve cerebral metabolism and is neuroprotective. Since extracellular levels of glucose decrease during periods of increased cognitive demand and exogenous glucose improves cognitive performance, we hypothesized that pyruvate treatment prior to testing could ameliorate cognitive deficits in rats with TBI. Based on pre-surgical spatial alternation performance in a 4-arm plus-maze, adult male rats were randomized to receive either sham injury or unilateral (left) cortical contusion injury (CCI). On days 4, 9 and 14 after surgery animals received an intraperitoneal injection of either vehicle (Sham-Veh, n=6; CCI-Veh, n=7) or 1000 mg/kg of sodium pyruvate (CCI-SP, n=7). One hour after each injection rats were retested for spatial alternation performance. Animals in the CCI-SP group showed no significant working memory deficits in the spatial alternation task compared to Sham-Veh controls. The percent four/five alternation scores for CCI-Veh rats were significantly decreased from Sham-Veh scores on days 4 and 9 (pglucose and regional cytochrome oxidase activity at day 15 post-injury did not differ between CCI-SP and CCI-Veh groups. These results show that spatial alternation testing can reliably detect temporal deficits and recovery of working memory after TBI and that delayed pyruvate treatment can ameliorate TBI-induced cognitive impairments. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  8. Increased incidence of infertility treatment among women working in the plastics industry

    DEFF Research Database (Denmark)

    Hougaard, K.S.; Hannerz, H.; Feveile, H.

    2009-01-01

    Several plastic chemicals adversely affect reproductive ability. This study examined the possible association between employment in the plastics industry and infertility. Dynamic cohorts of economically active women and men were followed for hospital contacts due to infertility in the Danish...... Occupational Hospitalisation Register, from 1995 to 2005. A person was considered to be at increased risk in a particular year if plastic work was the main occupation in the previous year. Analyses were standardized according to county, socio-economic group, year and age. 107 cases of treatment for female...... infertility were observed among female plastic workers, as opposed to an expected 87.15 cases, i.e. relative risk was 1.23 (95% CI: 1.01-1.48). For male workers the numbers were 41 respectively 49.9 cases, with relative risk being 0.82 (95% CI: 0.59-1.11). The increased incidence of infertility treatment...

  9. Methods of sampling airborne fungi in working environments of waste treatment facilities

    Directory of Open Access Journals (Sweden)

    Kristýna Černá

    2016-06-01

    Full Text Available Objectives: The objective of the present study was to evaluate and compare the efficiency of a filter based sampling method and a high volume sampling method for sampling airborne culturable fungi present in waste sorting facilities. Material and Methods: Membrane filters method was compared with surface air system method. The selected sampling methods were modified and tested in 2 plastic waste sorting facilities. Results: The total number of colony-forming units (CFU/m3 of airborne fungi was dependent on the type of sampling device, on the time of sampling, which was carried out every hour from the beginning of the work shift, and on the type of cultivation medium (p < 0.001. Detected concentrations of airborne fungi ranged 2×102–1.7×106 CFU/m3 when using the membrane filters (MF method, and 3×102–6.4×104 CFU/m3 when using the surface air system (SAS method. Conclusions: Both methods showed comparable sensitivity to the fluctuations of the concentrations of airborne fungi during the work shifts. The SAS method is adequate for a fast indicative determination of concentration of airborne fungi. The MF method is suitable for thorough assessment of working environment contamination by airborne fungi. Therefore we recommend the MF method for the implementation of a uniform standard methodology of airborne fungi sampling in working environments of waste treatment facilities.

  10. Family therapy treatment: working with obese children and their families with small steps and realistic goals.

    Science.gov (United States)

    Peterson, Ywonne

    2005-06-01

    Childhood obesity treatment can be discussed from several points of view, and there are many forms of treatment. Solution-focused brief therapy (SFBT) and systemic family therapy can be useful in a wide range of contexts and settings such as social care, education and healthcare. They can also be used wherever practitioners sometimes feel that they have very little impact on the patient and where the patient seems to be resistant to acknowledging his/her problem. Health professionals need to assist by starting to explain main goals and medical information in terms of a single, small, concrete and important goal, described as the beginning of a new behaviour, not as the end of something. This report focuses on some useful tools and methods taken from casework examples from multidisciplinary obesity team meetings with more than 300 families during a 3-y project approximately between 2002 and 2003 at the Childhood Obesity Unit at University Hospital, Malmö. Other casework examples are taken from supervision and training professionals who are currently working with or are going to work with childhood obesity using a solution-focused model. The main aim of this report is to discuss and think about the difference between problem-solving and solution-building interview questions when it comes to treatment regarding how best to help children and parents with serious obesity health problems. There is a great need for treatment models and the prevention of childhood obesity now and in future, which presents an interesting and urgent challenge for open-minded thinking and new fields of research.

  11. International survey and surgeon's preferences in diagnostic work-up towards treatment of anterior shoulder instability.

    Science.gov (United States)

    Weel, Hanneke; Tromp, Wouter; Krekel, Peter R; Randelli, Pietro; van den Bekerom, Michel P J; van Deurzen, Derek F P

    2016-06-01

    Recurrent anterior shoulder instability after surgical treatment can be caused by bony defects. Several diagnostic tools have been designed to measure the extent of these bony lesions. Currently, there is no consensus which measurement tool to use and decide which type of surgery is most appropriate. We therefore performed an evaluation of agreement in surgeons' preference of diagnostic work-up and surgical treatment of anterior shoulder instability. An international survey was conducted amongst orthopaedic shoulder surgeons. The survey contained questions about surgeons' experience, clinical and radiological examination and the subsequent treatment for anterior shoulder instability. Descriptive statistics were used to present the data, and percentages of responding surgeons were calculated. The questionnaire was completed by 197 delegates from 46 countries. 55 % of the respondents think evidence in current literature is sufficient on diagnostic work-up for anterior shoulder instability. Anamnestic, number of dislocations was most frequently asked (by 95 % of respondents), the most frequently used test is the apprehension test (91 %). For imaging, conventional X-ray in various directions was most performed, followed by MR arthrography and plane CT scan respectively. The responding surgeons perform surgery (labrum repair or Latarjet) in 51 % of the patients. A median of 25 % glenoid bone loss was given by the respondents, as cut-off from when to perform a bony repair. Many different diagnostic examinations for assessing shoulder instability are used and a high variety is seen in the use of diagnostic tools. Also no consensus is seen in the use of different surgical options (arthroscopic and open procedures). This implies the need for more research on diagnostic imaging and the correlation with specific subsequent surgical treatment. Survey, level of evidence IV.

  12. The Psychoanalytic Concept ofJouissanceand the Kindling Hypothesis.

    Science.gov (United States)

    Dimitriadis, Yorgos

    2017-01-01

    This article aims to define the conceptual field of jouissance in Lacanian theory, and put forth the hypothesis of a relationship between certain neurophysiological mechanisms and specific clinical phenomena where jouissance is "kindled" and outside the control of the symbolic process. First, the author briefly introduces Lacan's notion of jouissance and the way it draws on Freud's theorization, and describes the preliminary stages of this conceptual field in Lacan's work. Then, the jouissance related to two other concepts: repetition, with its Freudian and Lacanian nuances, as well as the-exclusively-Lacanian concept of the object petit a . Lacan's later conceptualization of language as jouissance (the notion of lalangue ) is then discussed in relation to Freud's early ideas ("Letter 52") on the different kinds of inscriptions that help form the mental apparatus. Finally, the author tries to formulate a hypothesis regarding specific neurophysiological mechanisms, based on clinical situations where jouissance becomes "kindled" and escapes the control of the symbolic processes through the neurophysiological mechanisms of conditioning, "kindling-sensitization" and "excitotoxicity." In these cases, jouissance can have a destructive effect on the body and can affect, among others organs, the brain-a process the author has previously described heuristically as the "psychosomatic diseases of the brain." This would be a special mechanism of automatism that would be triggered under the specific conditions of the fragility of the signifying chain (foreclosure of the Name-of-the-Father or solidification of the signifying chain) in combination with biological factors, including genetic factors. In this process, signifiers are reduced to signals, which in turn may be reduced to stimuli, with a tendency toward self-perpetuation, while affects are reduced to emotions and moods. Thus, conditioning and kindling-sensitization could also be understood in terms of a "semiotic

  13. The Psychoanalytic Concept of Jouissance and the Kindling Hypothesis

    Directory of Open Access Journals (Sweden)

    Yorgos Dimitriadis

    2017-09-01

    Full Text Available This article aims to define the conceptual field of jouissance in Lacanian theory, and put forth the hypothesis of a relationship between certain neurophysiological mechanisms and specific clinical phenomena where jouissance is “kindled” and outside the control of the symbolic process. First, the author briefly introduces Lacan's notion of jouissance and the way it draws on Freud's theorization, and describes the preliminary stages of this conceptual field in Lacan's work. Then, the jouissance related to two other concepts: repetition, with its Freudian and Lacanian nuances, as well as the—exclusively—Lacanian concept of the object petit a. Lacan's later conceptualization of language as jouissance (the notion of lalangue is then discussed in relation to Freud's early ideas (“Letter 52” on the different kinds of inscriptions that help form the mental apparatus. Finally, the author tries to formulate a hypothesis regarding specific neurophysiological mechanisms, based on clinical situations where jouissance becomes “kindled” and escapes the control of the symbolic processes through the neurophysiological mechanisms of conditioning, “kindling-sensitization” and “excitotoxicity.” In these cases, jouissance can have a destructive effect on the body and can affect, among others organs, the brain—a process the author has previously described heuristically as the “psychosomatic diseases of the brain.” This would be a special mechanism of automatism that would be triggered under the specific conditions of the fragility of the signifying chain (foreclosure of the Name-of-the-Father or solidification of the signifying chain in combination with biological factors, including genetic factors. In this process, signifiers are reduced to signals, which in turn may be reduced to stimuli, with a tendency toward self-perpetuation, while affects are reduced to emotions and moods. Thus, conditioning and kindling-sensitization could also

  14. The Psychoanalytic Concept of Jouissance and the Kindling Hypothesis

    Science.gov (United States)

    Dimitriadis, Yorgos

    2017-01-01

    This article aims to define the conceptual field of jouissance in Lacanian theory, and put forth the hypothesis of a relationship between certain neurophysiological mechanisms and specific clinical phenomena where jouissance is “kindled” and outside the control of the symbolic process. First, the author briefly introduces Lacan's notion of jouissance and the way it draws on Freud's theorization, and describes the preliminary stages of this conceptual field in Lacan's work. Then, the jouissance related to two other concepts: repetition, with its Freudian and Lacanian nuances, as well as the—exclusively—Lacanian concept of the object petit a. Lacan's later conceptualization of language as jouissance (the notion of lalangue) is then discussed in relation to Freud's early ideas (“Letter 52”) on the different kinds of inscriptions that help form the mental apparatus. Finally, the author tries to formulate a hypothesis regarding specific neurophysiological mechanisms, based on clinical situations where jouissance becomes “kindled” and escapes the control of the symbolic processes through the neurophysiological mechanisms of conditioning, “kindling-sensitization” and “excitotoxicity.” In these cases, jouissance can have a destructive effect on the body and can affect, among others organs, the brain—a process the author has previously described heuristically as the “psychosomatic diseases of the brain.” This would be a special mechanism of automatism that would be triggered under the specific conditions of the fragility of the signifying chain (foreclosure of the Name-of-the-Father or solidification of the signifying chain) in combination with biological factors, including genetic factors. In this process, signifiers are reduced to signals, which in turn may be reduced to stimuli, with a tendency toward self-perpetuation, while affects are reduced to emotions and moods. Thus, conditioning and kindling-sensitization could also be understood in

  15. Predictors of return to work among patients in treatment for common mental disorders: a pre-post study

    Directory of Open Access Journals (Sweden)

    Mattias Victor

    2017-07-01

    Full Text Available Abstract Background Effects of return to work (RTW interventions vary, and more knowledge is needed about the factors that contribute to RTW. This study investigated changes in work participation and mental health, and predictors of RTW among patients being treated for common mental disorders (CMDs. Methods The study was a prospective pre–post study of 164 patients treated at an RTW outpatient clinic for CMDs. Differences between before and after treatment were analysed using paired t tests for continuous variables and marginal homogeneity test for categorical variables. Univariable and multivariable logistic regression analyses were used to identify factors associated with RTW. Baseline data (patient characteristics, clinical status, generalized self-efficacy, expectations of future work ability and treatment variables were used as independent variables in logistic regressions. Further analysis investigated whether improvements in symptoms, work ability, expectations of future work ability and generalized self-efficacy were associated with RTW. Results Number of individuals with full work participation increased, and there were improvements in symptoms, work ability and generalized self-efficacy. In the final model for predicting RTW, baseline work ability and expectancy of future work ability, a history of psychiatric treatment and focus on RTW in the treatment predicted RTW. Improvement in expectations of future work ability at post-treatment did also predict RTW. Conclusions Assessing work ability and expectations of RTW at the beginning of treatment is recommended to identify patients at risk of long-term sick leave. Individuals with a history of psychiatric treatment are also risking long-term work disability. It is essential that treatment focus not only on symptom-relief, but also on improving work ability and expectations of RTW. An RTW-focused approach in therapy is associated with RTW. Trail registration ClinicalTrails.gov ID NCT

  16. Barely here to begin with and not-so-goodbyes: keeping the faith when working with turbulent patients.

    Science.gov (United States)

    Waska, Robert

    2012-01-01

    Some patients are unable or unwilling to step into the difficult and uncharted explorations that psychoanalytic work entails; in this paper the author shows how the effort to establish analytic contact with each individual can provide a level of valuable support, containment, and growth for many patients. Such patients may display great resistance to the challenge of psychoanalytic treatment, subtly inviting the analyst, through projective identification processes, to succumb to countertransference acting out. These turbulent patients often leave treatment in very abrupt and unprocessed manners. It is suddenly all over and that is that. This abrupt dismissal is usually a continued expression of the remaining pathology and conflictual phantasies that had been played out in the transference throughout the span of the analytic process. We cannot always prevent this. Rather than seeing this as a complete failure, we can try to maintain ourselves within the depressive position by realizing we are being used by turbulent patients as provisional placeholders and temporary containers. This is a model of grieving in which we acknowledge and accept what we cannot have, what we are not, and what should be but is not. Struggling with these issues in the countertransference is critical to our ability to help such patients because these are the exact issues the patients cannot bear in their lives. And, if we cannot bear them, then the patient has no hope of ever surviving them.

  17. Aaron T. Beck's drawings and the psychoanalytic origin story of cognitive therapy.

    Science.gov (United States)

    Rosner, Rachael I

    2012-02-01

    In this essay the author challenges the standard origin story of cognitive therapy, namely, that its founder Aaron T. Beck broke with psychoanalysis to pursue a more pragmatic, parsimonious, and experimentalist cognitive model. It is true that Beck broke with psychoanalysis in large measure as a result of his experimental disconfirmation of key psychoanalytic ideas. His new school of cognitive therapy brought the experimental ethos into every corner of psychological life, extending outward into the largest multisite randomized controlled studies of psychotherapy ever attempted and inward into the deepest recesses of our private worlds. But newly discovered hand-sketched drawings from 1964 of the schema, a conceptual centerpiece of cognitive therapy, as well as unpublished personal correspondence show that Beck continued to think psychoanalytically even after he broke with psychoanalysis. The drawings urge us to consider an origin story much more complex than the one of inherited tradition. This new, multifaceted origin story of cognitive therapy reaches beyond sectarian disagreements and speaks to a broader understanding of the theoretical underpinnings of cognitive therapy.

  18. Psychoanalytic self psychology and its conceptual development in light of developmental psychology, attachment theory, and neuroscience.

    Science.gov (United States)

    Hartmann, Hans-Peter

    2009-04-01

    The chapter starts with a historical overview of the subject of narcissism in psychoanalysis. Some sociophilosophical definitions of narcissism are explained and the connection to self psychology is described. It is especially referred to Honneth's Struggle for Recognition, which is related to the need for selfobject experiences. An outline of different concepts concerning narcissism, especially in the European psychoanalytic tradition, follows and leads to a clearer understanding of Kohut's conception of the self and its selfobjects. Because self psychology can often be understood as applied developmental psychology, useful links to attachment research are described and the move to the level of representation by mentalization is clarified. Further development of self psychology in the direction of intersubjectivity helps to supply connections to systems theory. Recently developed theories of empathy with reference to neurobiological findings provide a dynamic perspective of the activation of empathy. Thus, empathy seems to be better understood as a sort of contagion on which cognitive cortical processes are superimposed. Finally, the therapeutic process in psychoanalytic self psychology is portrayed. This process implies a disruption and repair process by which transmuting internalization can take place. More current theories of self psychology view this process in its essence intersubjectively as a co-construction between patient and analyst. The paper concludes with some hints for a paradigm shift in the direction of a more holistic understanding of the self.

  19. Work-related carpal tunnel syndrome treatment: a cross-sectional study among 106 patients

    Directory of Open Access Journals (Sweden)

    M. Aouatef

    2017-08-01

    Full Text Available The objective is to assess the influence of sociodemographic, professional and clinical variables on the choice of treatment of work-related carpal tunnel syndrome (CTS. An exhaustive and trans-sectional study was conducted over a period of eight years, from 1st January 2006 to 31 December 2013 in the Department of Occupational Medicine at University Hospital of Mahdia, Tunisia. The study population was represented by patients with work-related carpal tunnel syndrome. Data collection was based on a questionnaire sheet, describing social, occupational and medical characteristics of patients. The study population was characterized by a large female dominance, representing 95.3% with an average age of 42±7.8 years. Patients medically treated represented 38.7% and 61.3% had had surgical treatment. After binary logistic regression, surgical indication of CTS was significantly correlated to diabetes (p=0.017, other musculoskeletal disorders (p=0.02, functional signs of CTS (acrocyanosis p=0.05; muscle weakness p=0.015; radiating pain p=0.01; painful discomfort of the hand, the forearm or arm p=0.027 and to the atrophy of thenar muscles (p=0.018. According to this study, the choice of therapy for occupational CTS depends only on clinical data. More detailed studies will be needed to refine these results.

  20. Work-related carpal tunnel syndrome treatment: a cross-sectional study among 106 patients.

    Science.gov (United States)

    Aouatef, M; Asma, B; Hajer, H; Charfeddine, A; Lamia, B; Taoufik, K

    2017-08-03

    The objective is to assess the influence of sociodemographic, professional and clinical variables on the choice of treatment of work-related carpal tunnel syndrome (CTS). An exhaustive and trans-sectional study was conducted over a period of eight years, from 1st January 2006 to 31 December 2013 in the Department of Occupational Medicine at University Hospital of Mahdia, Tunisia. The study population was represented by patients with work-related carpal tunnel syndrome. Data collection was based on a questionnaire sheet, describing social, occupational and medical characteristics of patients. The study population was characterized by a large female dominance, representing 95.3% with an average age of 42±7.8 years. Patients medically treated represented 38.7% and 61.3% had had surgical treatment. After binary logistic regression, surgical indication of CTS was significantly correlated to diabetes (p=0.017), other musculoskeletal disorders (p=0.02), functional signs of CTS (acrocyanosis p=0.05; muscle weakness p=0.015; radiating pain p=0.01; painful discomfort of the hand, the forearm or arm p=0.027) and to the atrophy of thenar muscles (p=0.018). According to this study, the choice of therapy for occupational CTS depends only on clinical data. More detailed studies will be needed to refine these results.

  1. Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

    NARCIS (Netherlands)

    Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

    2008-01-01

    Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

  2. Barriers to the treatment of childhood caries perceived by dentists working in different countries.

    Science.gov (United States)

    Pine, Cynthia M; Adair, Pauline M; Burnside, Girvan; Nicoll, Alison D; Gillett, Angela; Borges-Yáñez, S Aida; Broukal, Zdenek; Brown, John; Declerck, Dominique; Ping, Feng Xi; Gugushe, Tshepo; Hunsrisakhun, Jaranya; Lo, Edward C M; Naidoo, Sudeshni; Nyandindi, Ursuline; Poulsen, Vibeke Juul; Razanamihaja, Noëline; Splieth, Christian; Sutton, Betty King; Soo, Teo Choo; Whelton, Helen

    2004-03-01

    To explore whether dentists' beliefs and attitudes to providing preventive and restorative dental care for young children can form a barrier to the provision of care. The Barriers to Childhood Caries Treatment (BaCCT) Questionnaire, a standardised international measure was developed and applied. Through a research consortium, each site was asked to recruit 100 dentists. The sample participating was not intended to be nationally representative. Dentists were mainly randomly selected and contacted by mail with one or more mailings depending on site. 2,333 dentists in 14 countries and 17 sites participated. Factor analysis identified four factors as potential barriers. Two factors were found to be barriers in many sites. First, in most countries, dentists agreed that young children's coping skills limit their ability to accept dental care. Secondly, dentists with negative personal feelings, for example, that providing care can be stressful and troublesome and that they feel time constrained. Differences in dentists' beliefs can be partly explained by their work profile, with those treating children often, and those working under systems where they feel they can provide quality care being least likely to identify barriers to providing care for children. The BaCCT Questionnaire was determined to be a valid psychometric measure. Separately, it was found that health systems do impact on dentists' ability to deliver preventive and restorative care for children but that these effects vary across countries and further work is needed to determine how best these should be examined.

  3. Problems of reliability and economy work of thermal power plants water treatment based on baromembrane technologies

    Science.gov (United States)

    Chichirova, N. D.; Chichirov, A. A.; Saitov, S. R.

    2017-11-01

    The introduction of baromembrane water treatment technologies for water desalination at Russian thermal power plants was beganed more than 25 years ago. These technologies have demonstrated their definite advantage over the traditional technologies of additional water treatment for steam boilers. However, there are problems associated with the reliability and economy of their work. The first problem is a large volume of waste water (up to 60% of the initial water). The second problem a expensive and unique chemical reagents complex (biocides, antiscalants, washing compositions) is required for units stable and troublefree operation. Each manufacturer develops his own chemical composition for a certain membrane type. This leads to a significant increase in reagents cost, as well as creates dependence of the technology consumer on the certain supplier. The third problem is that the reliability of the baromembrane units depends directly on the water preliminary treatment. The popular pre-cleaning technology with coagulation of aluminum oxychloride proves to be unacceptable during seasonal changes in the quality of the source water at a number of stations. As a result, pollution, poisoning and lesion of the membrane structure or deterioration of their mechanical properties are observed. The report presents ways to solve these problems.

  4. Transference, relationship and the analyst as object: Findings from the North American Comparative Clinical Methods Working Party.

    Science.gov (United States)

    Rudden, Marie G; Bronstein, Abbot

    2015-06-01

    Data from the North American Comparative Clinical Methods (CCM) Working Party a is used to 1) explore how psychoanalysts in North America conceive and address the transference and the relationship between analyst-analysand and 2) to study what kinds of 'objects' psychoanalysts become, explicitly and implicitly, within psychoanalytic treatments. The North American CCM Working Party closely studied 17 clinical cases presented by North American psychoanalysts across the spectrum of analytic schools at their meetings. We found that the 17 analysts fell into three different groupings according to the internal consistency of their method and their approaches to transference, relationship and analyst-as -object. We also found that analysts' individual work, while heavily influenced by their schools of thought, also involved unique interpretations of their particular paradigms. Copyright © 2015 Institute of Psychoanalysis.

  5. Acidified and ultrafiltered recovered coagulants from water treatment works sludge for removal of phosphorus from wastewater.

    Science.gov (United States)

    Keeley, James; Smith, Andrea D; Judd, Simon J; Jarvis, Peter

    2016-01-01

    This study used a range of treated water treatment works sludge options for the removal of phosphorus (P) from primary wastewater. These options included the application of ultrafiltration for recovery of the coagulant from the sludge. The treatment performance and whole life cost (WLC) of the various recovered coagulant (RC) configurations have been considered in relation to fresh ferric sulphate (FFS). Pre-treatment of the sludge with acid followed by removal of organic and particulate contaminants using a 2kD ultrafiltration membrane resulted in a reusable coagulant that closely matched the performance FFS. Unacidified RC showed 53% of the phosphorus removal efficiency of FFS, at a dose of 20 mg/L as Fe and a contact time of 90 min. A longer contact time of 8 h improved performance to 85% of FFS. P removal at the shorter contact time improved to 88% relative to FFS by pre-acidifying the sludge to pH 2, using an acid molar ratio of 5.2:1 mol H(+):Fe. Analysis of the removal of P showed that rapid phosphate precipitation accounted for >65% of removal with FFS. However, for the acidified RC a slower adsorption mechanism dominated; this was accelerated at a lower pH. A cost-benefit analysis showed that relative to dosing FFS and disposing waterworks sludge to land, the 20 year WLC was halved by transporting acidified or unacidified sludge up to 80 km for reuse in wastewater treatment. A maximum inter-site distance was determined to be 240 km above the current disposal route at current prices. Further savings could be made if longer contact times were available to allow greater P removal with unacidified RC. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Retained Austenite Transformation during Heat Treatment of a 5 Wt Pct Cr Cold Work Tool Steel

    Science.gov (United States)

    Rehan, M. Arbab; Medvedeva, Anna; Svensson, Lars-Erik; Karlsson, Leif

    2017-11-01

    Retained austenite transformation was studied for a 5 wt pct Cr cold work tool steel tempered at 798 K and 873 K (525 °C and 600 °C) followed by cooling to room temperature. Tempering cycles with variations in holding times were conducted to observe the mechanisms involved. Phase transformations were studied with dilatometry, and the resulting microstructures were characterized with X-ray diffraction and scanning electron microscopy. Tempering treatments at 798 K (525 °C) resulted in retained austenite transformation to martensite on cooling. The martensite start ( M s ) and martensite finish ( M f ) temperatures increased with longer holding times at tempering temperature. At the same time, the lattice parameter of retained austenite decreased. Calculations from the M s temperatures and lattice parameters suggested that there was a decrease in carbon content of retained austenite as a result of precipitation of carbides prior to transformation. This was in agreement with the resulting microstructure and the contraction of the specimen during tempering, as observed by dilatometry. Tempering at 873 K (600 °C) resulted in precipitation of carbides in retained austenite followed by transformation to ferrite and carbides. This was further supported by the initial contraction and later expansion of the dilatometry specimen, the resulting microstructure, and the absence of any phase transformation on cooling from the tempering treatment. It was concluded that there are two mechanisms of retained austenite transformation occurring depending on tempering temperature and time. This was found useful in understanding the standard tempering treatment, and suggestions regarding alternative tempering treatments are discussed.

  7. The Bible as Transformational Object: The Psychoanalytic Theories of Christopher Bollas and Their Relevance for Religious Educators

    Science.gov (United States)

    DeGear, Elizabeth Berne

    2016-01-01

    This article examines the psychoanalytic concepts of object-relations theorist Christopher Bollas, applying them to a view of the Bible as "transformational object." Emphasizing the connection between psychological process and religious experience, this article suggests that each person's innate ability to choose and use objects is a key…

  8. Surface hardening using cw CO2 laser: laser heat treatment, modelation, and experimental work

    Science.gov (United States)

    Muniz, German; Alum, Jorge

    1996-02-01

    In the present work are given the results of the application of laser metal surface hardening techniques using a cw carbon dioxide laser as an energy source on steel 65 G. The laser heat treatment results are presented theoretically and experimentally. Continuous wave carbon dioxide laser of 0.6, 0.3, and 0.4 kW were used. A physical model for the descriptions of the thermophysical laser metal interactions process is given and a numerical algorithm is used to solve this problem by means of the LHT code. The results are compared with the corresponding experimental ones and a very good agreement is observed. The LHT code is able to do predictions of transformation hardening by laser heating. These results will be completed with other ones concerning laser alloying and cladding presented in a second paper.

  9. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind.

    Science.gov (United States)

    Connolly, Patrick; van Deventer, Vasi

    2017-01-01

    The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization) provides the critical theoretical context within which the significance of Friston's (2010a) Free Energy Principle (FEP) for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated) organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while "psychoanalytic" mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989) offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect), which is itself founded upon the tendency toward autopoiesis (self-making) within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a) theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis underscores the

  10. Ability to work and employability of patients in opioid substitution treatment programs in Slovenia.

    Science.gov (United States)

    Bilban, Marjan; Kastelic, Andrej; Zaletel-Kragelj, Lijana

    2008-12-01

    To assess the ability to work and employability of individuals taking part in opioid substitution treatment programs (OSTP). The study was composed of two surveys. In the first survey, 237 of 480 patients enrolled in OSTP responded to the questionnaire about their employment status, opinion about employment, and perception of assignments before and during OSTP. In the second survey, 66 of 100 employers responded to the questionnaire on the occurrence, perception, and management of addiction problems in their companies. Unemployment rate in individuals enrolled in OSTP was 43.5% and decreased during OSTP by 10.5% (P=0.027). Irregular use of OSTP medications was the most important factor for unemployment (odds ratio, 2.44; P=0.016). OSTP was highly effective in achieving a positive change in patients' perception of different kinds of assignments previously perceived as beyond their abilities. Thus, perception of mentally demanding assignments (Pemployers reported illicit drugs as being a problem at their companies and 79.1% believed they would not recognize a person under the influence of illicit drugs. In 93.0% of the cases, applicants for a job would have had lower chances if they had been drug users; the percentage was slightly higher for those taking part in OSTP (94.7%). OSTP in Slovenia was effective in increasing both employability and OSTP patients' ability to work. To facilitate complete rehabilitation, particularly in obtaining employment for the patients, the process must involve the society as a whole.

  11. Improving working memory abilities in individuals with Down syndrome: a treatment case study

    Directory of Open Access Journals (Sweden)

    Hiwet Mariam eCosta

    2015-09-01

    Full Text Available Working Memory (WM skills of individuals with Down’s syndrome DS tend to be very poor compared to typically developing children of similar mental age. In particular, research has found that in individuals with DS visuo-spatial WM is better preserved than verbal WM. This study investigated whether is possible to train Short-Term Memory (STM and WM abilities in individuals with DS. The cases of two teenage children are reported: E.H., 17 years and 3 months, and A.S., 15 years and 11 months. A school-based treatment targeting visuo-spatial WM was given to E.H. and A.S. for six weeks. Both prior to and after the treatment, they completed a set of assessments to measure WM abilities and their performance was compared with younger typically developing nonverbal mental age controls. The results showed that the trained participants improved their performance in some of the trained and non-trained WM tasks proposed, especially with regard to the tasks assessing visuo-spatial WM abilities. These findings are discussed on the basis of their theoretical, educational and clinical implications.

  12. The Vitiligo Working Group recommendations for narrowband ultraviolet B light phototherapy treatment of vitiligo.

    Science.gov (United States)

    Mohammad, Tasneem F; Al-Jamal, Mohammed; Hamzavi, Iltefat H; Harris, John E; Leone, Giovanni; Cabrera, Raúl; Lim, Henry W; Pandya, Amit G; Esmat, Samia M

    2017-05-01

    Treatment of vitiligo with narrowband ultraviolet B light (NBUVB) is an important component of the current standard of care. However, there are no consistent guidelines regarding the dosing and administration of NBUVB in vitiligo, reflected by varied treatment practices around the world. To create phototherapy recommendations to facilitate clinical management and identify areas requiring future research. The Vitiligo Working Group (VWG) Phototherapy Committee addressed 19 questions regarding the administration of phototherapy over 3 conference calls. Members of the Photomedicine Society and a group of phototherapy experts were surveyed regarding their phototherapy practices. Based on comparison and analysis of survey results, expert opinion, and discussion held during conference calls, expert recommendations for the administration of NBUVB phototherapy in vitiligo were created. There were several areas that required further research before final recommendations could be made. In addition, no standardized methodology was used during literature review and to assess the strength of evidence during the development of these recommendations. This set of expert recommendations by the VWG is based on the prescribing practices of phototherapy experts from around the world to create a unified, broadly applicable set of recommendations on the use of NBUVB in vitiligo. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  13. Dr Jekels' health resort in Bystra near Bielsko: the first treatment centre which adopted psychoanalysis in Poland.

    Science.gov (United States)

    Dembińska, Edyta; Rutkowski, Krzysztof

    2017-08-29

    The paper sets out to present the history of a health resort and hydrotherapy centre in Bystra near Bielsko from 1898 to 1912. At that time Dr Ludwik Jekels, one of the Polish psychoanalysis forerunners, was the owner of the centre. Initially, Dr Jekels was very enthusiastic about climatic treatment and hydrotherapy, until 1905 when he got interested in psychoanalysis. Shortly afterwards he became its staunch supporter and adopted it as a curative procedure in his health resort. That was the first documented case of psychoanalysis use in Poland. This paper presents the development of the therapeutic centre in Bystra and the characteristic of typical patients receiving treatment there. It also briefly reports on medical histories of the conditions of patients who received psychoanalytic treatment. The paper also focuses on another significant area of Dr Jekels'contact with Sigmund Freud ranging from an accidental meeting in Vienna around 1898, through the summer of 1910 when Jekels looked after Freud's daughters in his spa, to 1912 which saw Jekels'receiving psychoanalytic treatment from Freud. It also presents a detailed analysis of hypotheses why Jekels decided to sell the health resort and move to Vienna. Finally, the significance of Jekels'currently underrated therapeutic work for the development of the Polish psychoanalysis is reiterated.

  14. Psychological intervention with working memory training increases basal ganglia volume: A VBM study of inpatient treatment for methamphetamine use

    Directory of Open Access Journals (Sweden)

    S.J. Brooks, PhD

    2016-01-01

    Conclusions: While psychological intervention is associated with larger volume in mesolimbic reward regions, the utilisation of additional working memory training as an adjunct to treatment may further normalize frontostriatal structure and function.

  15. [The working alliance in inpatient treatment for personality disorders and its connection with patient characteristics: an exploratory study].

    Science.gov (United States)

    Colijn, S; Cnossen, M C; de Jong, I; Haringsma, R

    2014-01-01

    The working alliance between therapist and patient has been investigated frequently, but much less is known about the working alliance in specific patient groups in specific settings. To obtain insight into the characteristics of the working alliance in intensive inpatient psychotherapy involving patients with severe personality disorders, and to pay special attention to patient characteristics such as diagnosis and attachment. At the end of the first phase of treatment we collected, on the basis of questionnaires, information about the working alliance and attachment of 60 patients with a severe personality disorders who had received inpatient psychotherapy. Working alliances with therapist and team were found to be weaker than in outpatient populations; working alliances with the therapist proved to be stronger than working alliances with the treatment team. Cluster C patients developed a better working alliance with the treatment team than did cluster B patients, particularly in the domain of treatment goals. Patients in this study turned out to be attached more anxiously and 'avoidantly' than patients in general outpatient populations; no correlation was found between patients' attachment and the strength of the working alliance. However, when a distinction was made between patients with extreme scores and patients with average scores, results showed that the more anxiously patients felt attached, the higher were their scores for their working alliance with the treatment team. It is more difficult to establish a working alliance with patients who have a severe personality disorder than with patients suffering from a less severe personality disorder. Patients with a severe personality disorder seemed to show a higher degree of anxious attachment and to have a more critical attitude to the working alliance.

  16. Memory, Identity and Desire: A Psychoanalytic Reading of David Lynch’s Mulholland Drive

    Directory of Open Access Journals (Sweden)

    Murat Akser

    2012-12-01

    Full Text Available This is a reading of David Mulholland Drive through psychoanalytic approach of Lacan from the perspective of formation of fantasy and shifting identities. Lynch constructs his films consciously choosing his themes from the sub(versive/conscious side of human mind. Previous attempts to read Lynch's films are fixed around the idea that Lynch is using film genres to create postmodern pastiches. Mulholland Drive has been analyzed several times from different approaches ranging from gender (Love, 2004, narratology (Lentzner, 2005; McGowan, 2004; Cook, 2011. Elements of film noir, musical, caper films can be identified in Lynch’s films. This detailed textual analysis intends to rationalize Lynch’s narrative structure through Lacanian terms in reference to Zizekian terminology.

  17. Paranoia and beating fantasy: an inquiry into the psychoanalytic theory of paranoia.

    Science.gov (United States)

    Blum, H P

    1980-01-01

    Psychoanalytic contributions to the theory of paranoia are reviewed. As a primary problem underlying paranoia, this paper emphasizes the importance of beating fantasy associated with a fragile personality structure rather than the theory of repressed homosexuality. Castration anxiety and homosexual conflict may precipitate paranoia, but all levels of psychosexual development and their corresponding danger situations contribute to the transformed fantasy of persecution and punishment; early infantile narcissism, aggression, and sadomasochism are especially important. Severe preoedipal disturbance has contributed to deficient ego development and oedipal resolution. The failure to negotiate separation-individuation is associated with narcissistic arrest and impaired object relations and testing of reality. Ego integration, identity and sexual identity are unstable. Attempts at undoing, repair, or revenge of traumata and narcissistic injury and the maintenance of ego stability and (narcissistic) object relationship are more fundamental than homosexual object choice or the negative Oedipus complex in the understanding of paranoid psychopathology.

  18. Racism as a transference state: episodes of racial hostility in the psychoanalytic context.

    Science.gov (United States)

    Hamer, Forrest M

    2006-01-01

    Episodes of racial prejudice emerging in the context of a psychoanalytic therapy suggest that racism can be thought of as a regressed state of transference, characterized by polarized representations of self and other, categorical thinking, and the predominance of splitting and projection as defenses. The author suggests that activation of racial hostility in the clinical situation occurs as a result of events and processes not atypical in an analytic process. Though such states occurring outside of the analytic context are more likely made conscious in certain situations and in certain persons, the author suggests that racism can be more generally described as an ever-potential state of mind for most people living in racialized contexts.

  19. Psychodynamic psychotherapy as treatment for depression in adolescence.

    Science.gov (United States)

    Midgley, Nick; Cregeen, Simon; Hughes, Carol; Rustin, Margaret

    2013-01-01

    This article presents a psychodynamic approach to understanding and treating adolescent depression, based largely on the manual for short-term psychoanalytic psychotherapy (STPP) for adolescents (11-17 years old) with moderate to severe depression, developed for the IMPACT Study from Great Britain. Although the authors make reference to longer-term psychodynamic treatments, the 28-session model (plus 7 sessions of parent/carer work) used in the IMPACT Study informs the psychodynamic approach presented herein. In the course of discussing the analytical framework for depression and the treatment, a single case study is presented throughout to graphically illustrate the clinical course and outcomes. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. Towards a psychoanalytic understanding of Fascism and anti-Semitism: perceptions from the 1940s.

    Science.gov (United States)

    Fisher, David James

    2004-01-01

    After selecting five representative European psychoanalytic thinkers, all of whom emigrated to the United States, this essay surveys their earliest perceptions and interpretations of the historical and psychological roots of Fascism, with particular emphasis on anti-Semitism. My samples almost all derive from the period before, during, and immediately after World War II. In examining the writings of Otto Fenichel, Ernst Simmel, Erik Homburger Erikson, Rudolf Loewenstein and Bruno Bettelheim, it discusses the various environmental and psychological dimensions of their understandings of racial prejudice. The paper argues that each thinker attempted to integrate historical, sociological, cultural and clinical factors into their psychodynamic formulations about the individual and group mind of the Fascist anti-Semite. This generation of psychoanalysts explained Fascist anti-Semitism by exploring the mechanisms of projection, the process of massive splitting mechanisms of the group mind, fantasies of delinquent adolescent aggrandizement in Hitler, sado-masochistic and perverse oedipal dynamics, and a macabre identification with the torturers on the part of Jewish inmates in the concentration camps, that obliterated the individual's sense of autonomy and capacity to respond morally. The paper points out the pronounced ambivalence of this generation of Jewish analysts and intellectuals toward their own Jewish backgrounds and sense of themselves as Jews. It also argues that this generation muted its left-wing and socialist political tendencies once they arrived in America, taking a turn against politics. It suggests that some of the features of this Jewish ambivalence can be seen in the exploration of a so-called "Jewish psychology," itself a disguised form of racism, a derivative of projection, which may have had rather negative and authoritarian consequences for the psychoanalytic movement in America.

  1. The case of David: on the couch for sixty minutes, nine years of once-a-week treatment.

    Science.gov (United States)

    Kavaler-Adler, Susan

    2005-06-01

    This paper illustrates a unique case of object relations psychoanalytic psychotherapy on a once-a-week treatment basis. The work of developmental mourning that would be thought to require two to five sessions a week was accomplished on a once-a-week basis. The analyst adjusted the treatment hour, in this one case, to 60 minutes, as opposed to the 45- or 50-minute hour. When treatment began, the analyst made an intuitive judgment to increase the patient's one session a week--which the patient made clear was all he was ready to do--to 60 minutes. The analyst made time in her practice for this 60-minute session and has continued with the patient using this format for 9 years of treatment. This had led up to the current stage of treatment, which has been so critical to the patient's self-integration process.

  2. Fractionation of wastewater characteristics for modelling of Firle Sewage Treatment Works, Harare, Zimbabwe

    Science.gov (United States)

    Muserere, Simon Takawira; Hoko, Zvikomborero; Nhapi, Innocent

    Varying conditions are required for different species of microorganisms for the complex biological processes taking place within the activated sludge treatment system. It is against the requirement to manage this complex dynamic system that computer simulators were developed to aid in optimising activated sludge treatment processes. These computer simulators require calibration with quality data input that include wastewater fractionation among others. Thus, this research fractionated raw sewage, at Firle Sewage Treatment Works (STW), for calibration of the BioWin simulation model. Firle STW is a 3-stage activated sludge system. Wastewater characteristics of importance for activated sludge process design can be grouped into carbonaceous, nitrogenous and phosphorus compounds. Division of the substrates and compounds into their constituent fractions is called fractionation and is a valuable tool for process assessment. Fractionation can be carried out using bioassay methods or much simpler physico-chemical methods. The bioassay methods require considerable experience with experimental activated sludge systems and associated measurement techniques while the physico-chemical methods are straight forward. Plant raw wastewater fractionation was carried out through two 14-day campaign periods, the first being from 3 to 16 July 2013 and the second was from 1 to 14 October 2013. According to the Zimbabwean Environmental Management Act, and based on the sensitivity of its catchment, Firle STW effluent discharge regulatory standards in mg/L are COD (3.0), ammonia (0.2 ± 0.4) and TP (3.0 ± 1.0). The raw sewage parameter concentrations measured during the study in mg/L and fractions for raw sewage respectively were as follows total COD (680 ± 37), slowly biodegradable COD (456 ± 23), (0.7), readily biodegradable COD (131 ± 11), (0.2), soluble unbiodegradable COD (40 ± 3), (0.06), particulate unbiodegradable COD (53 ± 3) (0.08), total TKN (40 ± 4) mg/L, ammonia (28 ± 6

  3. THE ANALYSIS OF RELATIONSHIP BETWEEN MOTHER AND CHILD AND ITS IMPACT ON THE FORMATION OF GENDER STEREOTYPES IN THE CONTEXT OF PSYCHOANALYTIC FEMINISM

    National Research Council Canada - National Science Library

    L. Bulanova-Duvalko

    2014-01-01

    The purpose. The article analyzes the influence of the experience of motherhood on formation steady sexual arrangements and stereotypical models of femininity and masculinity in society in the context of the psychoanalytic feminism...

  4. Industrial working conditions and the treatment of child workers in Turkey.

    Science.gov (United States)

    Arkan, Gülcihan; Sohbet, Rabia

    2014-11-01

    The purpose of this study was to determine working conditions for children working at industry descriptive study was conducted between May and June 2010 and included 249 workers 18 years at a Kahramanmaras industry site. Study data demonstrated that 33.3% of the children were 18 working in a mechanics store, 82.3% were working 9 to 12 hours a day, 68.7% were earning a Turkish Liras, and only 22 were using annual leave. These children started working under the age entered into the work force and quit school. Also, it was found that working conditions were was instituted in many workplaces. Copyright 2014, SLACK Incorporated.

  5. Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders.

    Science.gov (United States)

    Leichsenring, Falk; Masuhr, Oliver; Jaeger, Ulrich; Rabung, Sven; Dally, Andreas; Dümpelmann, Michael; Fricke-Neef, Christian; Steinert, Christiane; Streeck, Ulrich

    2016-01-01

    With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatment for severe personality disorders. PIT has been applied in clinical practice for many years and has proven effective in open studies. In a randomized controlled trial, we compared manual-guided PIT to nonmanualized pychodynamic therapy by experts in personality disorders (E-PDT) in patients with cluster B personality disorders. In an inpatient setting, patients with cluster B personality disorders were randomly assigned to manual-guided PIT (n = 64) or nonmanualized E-PDT (n = 58). In addition, a quasi-experimental control condition was used (n = 46) including both patients receiving treatment as usual and patients waiting for treatment. Primary outcomes were level of personality organization and overall psychological distress. As secondary outcomes, depression, anxiety and interpersonal problems were examined. No significant improvements were found in the control patients. Both PIT and E-PDT achieved significant improvements in all outcome measures and were superior to the control condition. No differences were found between PIT and E-PDT in any outcome measure at the end of treatment. The type of cluster B personality disorder had no impact on the results. In an inpatient setting, both PIT and E-PDT proved to be superior to a control condition in cluster B personality disorders. In a head-to-head comparison, both treatments appeared to be equally effective. Further research on the treatment of cluster B personality disorders is required. © 2016 S. Karger AG, Basel.

  6. From playfulness and self-centredness via grand expectations to normalisation: a psychoanalytical rereading of the history of molecular genetics.

    Science.gov (United States)

    Zwart, H A E

    2013-11-01

    In this paper, I will reread the history of molecular genetics from a psychoanalytical angle, analysing it as a case history. Building on the developmental theories of Freud and his followers, I will distinguish four stages, namely: (1) oedipal childhood, notably the epoch of model building (1943-1953); (2) the latency period, with a focus on the development of basic skills (1953-1989); (3) adolescence, exemplified by the Human Genome Project, with its fierce conflicts, great expectations and grandiose claims (1989-2003) and (4) adulthood (2003-present) during which revolutionary research areas such as molecular biology and genomics have achieved a certain level of normalcy--have evolved into a normal science. I will indicate how a psychoanalytical assessment conducted in this manner may help us to interpret and address some of the key normative issues that have been raised with regard to molecular genetics over the years, such as 'relevance', 'responsible innovation' and 'promise management'.

  7. The effects of ethanol and silymarin treatment during gestation on spatial working memory.

    Directory of Open Access Journals (Sweden)

    Romero David

    2004-02-01

    Full Text Available Abstract Background Using a rat model we have found that the bioflavonoid silymarin (SY ameliorates some of the negative consequences of in utero exposure to ethanol (EtOH. In the current study our aim was to determine if spatial working memory (SWM was impaired in offspring whose mothers were maintained on a liquid diet containing EtOH during different gestational weeks. We also determined if SWM was altered with a concomitant administration of SY with EtOH during specific gestational weeks. Methods We provided pregnant Fischer/344 rats with liquid diets containing 35% EtOH derived calories (EDC during specific weeks of the gestational period. A silymarin/phospholipid compound containing 29.8% silybin co-administered with EtOH was also administered during specific weeks of the gestational period. We tested SWM of the offspring with a radial arm maze on postnatal day (PND 60. After testing the rats were sacrificed and their brains perfused for later analysis. Results We observed SWM deficits, as well as a significantly lower brain weight in female offspring born of mothers treated with EtOH during the third week of gestation in comparison to mothers treated during either the first or second weeks of gestation. Rats from any group receiving EtOH in co-administration with SY showed no significant deficits in SWM. Conclusion EtOH treatment during the last week of gestation had the greatest impact on SWM. The addition of SY to the EtOH liquid diet appeared to ameliorate the EtOH-induced learning deficits.

  8. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind

    Science.gov (United States)

    Connolly, Patrick; van Deventer, Vasi

    2017-01-01

    The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization) provides the critical theoretical context within which the significance of Friston's (2010a) Free Energy Principle (FEP) for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated) organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while “psychoanalytic” mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989) offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect), which is itself founded upon the tendency toward autopoiesis (self-making) within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a) theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis underscores the

  9. THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz

    2013-11-01

    Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

  10. Agents of the Father's law in a society of brothers: A philosophic and psychoanalytic perspective on legitimate use of violence.

    Science.gov (United States)

    Even-Tzur, Efrat; Hadar, Uri

    This paper explores subjective processes of "Agents of Law" - individuals who the state grants the authority to use violence - and the dissonance stemming from the contradictory demands posed on them as legitimate users of violence despite the societal taboo against violence. A conceptual model will be offered based on two theoretical legs, Lacanian psychoanalysis and political theories of legitimacy. Specifically, psychoanalytic ideas would serve to examine unconscious processes, subject position and various identifications related to the question of "self-legitimacy" of Agents of Law. A central link between psychoanalysis and political thought is found in the image of the father and in the triad ruler-God-Father, which calls for an oedipal analysis. A psychoanalytic reading of two philosophical schools that elaborated on the question of legitimacy will be presented, and yield two analytic poles of a model for the understanding of possible subject positions of agents of Law: identification with a "Living Father" vs. identification with a "Dead Father". The psychoanalytic reading will shed light on the limitations of the philosophical perspectives in reflecting on the various (im)possible psychological positions of agents of Law. Finally, then, it will be shown how psychoanalysis helps finding words to characterize different nuances in the coping of agents of Law with the contradictory demands posed on them in an age in which God is dead, the father was murdered and the king was beheaded. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. A Comparison of Psychoanalytic Therapy and Cognitive Behavioral Therapy for Anxiety (Panic/Agoraphobia) and Personality Disorders (APD Study): Presentation of the RCT Study Design.

    Science.gov (United States)

    Benecke, Cord; Huber, Dorothea; Staats, Hermann; Zimmermann, Johannes; Henkel, Miriam; Deserno, Heinrich; Wiegand-Grefe, Silke; Schauenburg, Henning

    2016-09-01

    Anxiety disorders, most notably panic disorders and agoraphobia, are common mental disorders, and there is a high comorbidity with personality disorders. Randomized controlled trails addressing this highly relevant group of patients are missing. The multicenter Anxiety and Personality Disorders (APD) study investigates 200 patients with panic disorder and/or agoraphobia with comorbid personality disorder in a randomized control-group comparison of psychoanalytic therapy (PT) and cognitive behavioral therapy (CBT), including 100 patients in each group. Each patient will be examined over a period of six years, regardless of the duration of the individual treatment. The main issues that are addressed in this study are the comparison of the efficacy of PT and CBT in this special patient population, the comparison of the sustainability of the effects of PT and CBT, the comparison of the long-term cost-benefit-ratios of PT and CBT as well as the investigation of prescriptive patient characteristics for individualized treatment recommendations (differential indication). The APD study compares efficacy, sustainability, and cost-benefit-ratios of CBT and PT for anxiety plus personality disorders in a randomized controlled trail. The study design meets the requirements for an efficacy study for PT, which were recently defined. Current Controlled Trials ISRCTN12449681.

  12. Compassion and altruism in psychoanalytic theory: an evolutionary analysis of self psychology.

    Science.gov (United States)

    Kriegman, D

    1990-01-01

    Freud's creation of psychoanalysis was, in part, a reaction to the societal, religious morality that denied the ubiquitous drivenness that repeatedly confronted him, the essential animal nature of homo sapiens as had been recently made clear by the theory of evolution. For example, Freud (1933) wrote an aggression, It is a general principle. . .that conflicts of interest between men are settled by the use of violence. This is true of the whole animal kingdom, from which men have no business to exclude themselves. Though evolutionary theory was in its infancy, incompletely understood even by its creator, Freud's commitment to facing its truths led to an unswerving stance in reaction to attempts to deny the narcissistic injury inherent in his psychoanalytic discoveries. He insisted on trying to reinterpret virtually all social behaviors in the light of his new theory, and he and his followers have stretched his drive/structure model to its limits. Yet, as we have seen, this evolutionary creation--the human psyche--cannot be fully accounted for utilizing the vicissitudes of Freud's two instincts. What we come to appreciate when we bring the perspective of the theory of evolution to the relational/structure versus drive/structure debate, is that the debate is about the two sides of the same coin. Like this metaphor, in the case of the selfish, yet social, human animal, you cannot have a one-sided coin. Both drives and relationships are biologically inherent and have their structuralizing effect upon the supraordinate self. A modern evolutionary biological, psychoanalytic conception of conflicts and drives may actually be closer to the adaptive/functional tone of aspects of the self psychological paradigm than to the traditional perspective. As human animals we are inherently in conflict over our irreducible biologically based driven, asocial needs (i.e., self-enhancing pleasure seeking and avoidance of unpleasure) and our irreducible biologically based needs for a self

  13. The interactive role of working alliance and counselor-client interpersonal behaviors in adolescent substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Stephen M. Auerbach

    2008-01-01

    Full Text Available This descriptive study explored the relationship between client and counselor perceptions of the working alliance and the interpersonal relationship dimensions of affiliation and control, and evaluated the relationship of perceptions of the alliance and of client and counselor interpersonal reactions to each other to client outcome after 3-6 months of treatment for substance abuse. Clients were 39 adolescents. Client and counselor ratings of the working alliance (using the Working Alliance Inventory-WAI and interpersonal appraisals of each other (using the Impact Message Inventory Circumplex-IMI-C were obtained during the second week of treatment. Outcome data using the Global Appraisal of Individual Needs (GAIN and the Child and Adolescent Functional Assessment Scale (CAFAS were obtained during the second week of treatment and again after three months and six months of treatment. Interpersonally the predominant impact clients and counselors had on each other was friendliness. For both clients and counselors feelings of affiliation with their counterpart was the relationship dimension most strongly associated with the perception of a working alliance. These findings, and significant associations obtained between WAI and IMI measures and outcome measures, have implications for future research on the role of alliance and interpersonal variables in substance abuse clients¿ response to treatment.

  14. If It Works for Pills, Can It Work for Skills? Direct-to-Consumer Social Marketing of Evidence-Based Psychological Treatments.

    Science.gov (United States)

    Friedberg, Robert D; Bayar, Hasan

    2017-06-01

    The emergence of evidence-based psychological treatments (EVPTs) is a scientific success story, but unfortunately the application of these empirically supported procedures has been slow to gain ground in treatment-as-usual settings. This Open Forum commentary argues that direct-to-consumer (DTC) marketing, which has worked well in communicating the advantages of various medicines, should perhaps be considered for use in social marketing of EVPTs. DTC marketing of pharmaceuticals is a long-standing advertising strategy in the United States. In fact, DTC marketing of psychotropic medicines is quite a success story. The authors recommend various strategies for using marketing science to devise DTC advertising of EVPTs, discuss previous research on DTC campaigns, and describe initiatives launched in the United Kingdom and Europe to promote EVPTs. Suggestions for evaluating and regulating DTC marketing of EVPTs are included. Finally, the potential for DTC marketing of EVPTs to increase mental health literacy and reduce health disparities is explored.

  15. Disability and Psychiatric Symptoms in Men Referred for Treatment with Work-Related Problems to Primary Mental Health Care.

    Science.gov (United States)

    Bailey, S Kathleen; Mushquash, Christopher J; Haggarty, John M

    2017-03-24

    The relationship between male sex and employment as barriers to accessing mental health care is unclear. The aim of this research was to examine (1) whether the clinical features of men referred to a shared mental health care (SMHC) service through primary care differed when symptoms were affecting them in the work domain; and (2) empirically re-evaluate the effectiveness of a SMHC model for work-related disability using a pre-post chart review of N = 3960 referrals to SMHC. ANOVA and logistic regression were performed to examine symptoms (Patient Health Questionnaire, PHQ) and disability (World Health Organization Disability Assessment Schedule, WHODAS 2) at entry and discharge. Men were RR (relative risk) = 1.8 (95% C.I.: 1.60-2.05) times more likely to be referred to SMHC with work problems than women. Having greater disability and more severe somatic symptoms increased the likelihood of a work-related referral. There were no significant differences after treatment. Problems in the work domain may play an important role in men's treatment seeking and clinicians' recognition of a mental health care need. This study is relevant because men are underrepresented in mental health (MH) treatment and primary care is the main gateway to accessing MH care. Asking men about functioning in the work domain may increase access to helpful psychiatric services.

  16. Some psychoanalytical meanings of the skin in the book of Job

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    Pieter van der Zwan

    2017-01-01

    Full Text Available Traditionally, there has been a tension between psychology and religion because of the Freudian critique of religion. This research intends to show that a deeper understanding of religion leading hopefully to an even deeper religiosity can be achieved by studying bodily features portrayed in a (religious text from a psychoanalytic perspective. Just as any literary character can be �psychoanalysed� to produce new perspectives on it and on the narrative as a whole, the personality of Job invites the postmodern reader to continue understanding this book on new levels. From this approach, it becomes clear that the protagonist struggles with boundaries and individuation because of his depressive tendencies experienced in issues with reality�s harsh touch, nakedness and distance. Intradisciplinary and/or interdisciplinary implications: Just as any literary character can be �psychoanalysed� to produce new perspectives on it and on the narrative as a whole, the personality of Job invites the postmodern reader to continue understanding this book on new levels. From this approach, it becomes clear that the protagonist struggles with boundaries and individuation because of his depressive tendencies experienced in issues with reality�s harsh touch, nakedness and distance.

  17. "Operation Pied Piper": a psychoanalytic narrative of authority in a time of war.

    Science.gov (United States)

    Farley, Lisa

    2012-01-01

    The evacuation of British children during World War II is read alongside the legend of the "Pied Piper" after which the mass migration was officially named. While virtually every British account of World War II makes mention of the evacuation, most are silent on the question of its ominous title: "Operation Pied Piper." This paper traces the legend's key theme - on influencing and being influenced - as it surfaces in the writing of one child analyst and one social worker charged with the responsibility of leading a family of five hostels for British youth. At a time when Hitler's deadly regime reached unprecedented heights across the Channel, the legend of the "Pied Piper" becomes a highly suggestive metaphor for thinking about D. W. Winnicott and Clare Britton's writing on what authority could mean in the face of leadership gone terribly wrong. Quite another, profoundly intimate loss of leadership haunts their words as well: Sigmund Freud, in exile from Hitler's Europe and leader of the psychoanalytic movement, died in London just weeks after the first wave of Blitz evacuations. It is in this context that Winnicott and Britton articulated a theory of authority that could address the losses of history without at the same time demanding the loss of the mind.

  18. The invasion of reality (or of negotiation): The psychoanalytic ethic and extinction anxiety.

    Science.gov (United States)

    Nociforo, Nicola

    2017-10-01

    Extinction anxiety is the expression used to describe a pervasive and ever more realistic sense of futurelessness. A group emotion characterized by terror of the extinction of the human race, the family, or professional or shared cultural group, it grips the individual with a sense of desperation and impotence through the internal groups present in the mind of every individual. The contribution presented here aims to demonstrate how extinction anxiety has also infected psychoanalysts and psychoanalytic institutions, thereby seriously weakening the ethics of psychoanalysis. The term ethics here should not be confused with morals, but is intended as the happiness that is derived from the capacity to be responsible for one's self and one's own professional identity. The contagion of extinction anxiety has, in fact, accentuated the crisis of psychoanalysts and their faith in psychoanalysis. The author relates a particularly tormented clinical experience in order to show how only the relationship with psychoanalysis and its capacity to interpret the manifestations of the unconscious, enables the recognition of the effects of what he defines as a true invasion of reality, thus restoring to thought the power to establish a deep, transformative, and fecund relationship between internal and external reality. Copyright © 2016 Institute of Psychoanalysis.

  19. Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker’s Regeneration

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    Bakhtiar Sadjadi

    2016-12-01

    Full Text Available The present paper seeks to critically read Pat Barker’s Regeneration in terms of Cathy Caruth’s psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker’s novel in order to explore how trauma and history are interrelated in the narrative of past history and, particularly, in the history of World War I. The present paper also demonstrates how Barker’s novel Regeneration acts as the narrative of trauma that vocalizes the silenced history of shell-shocked soldiers of World War I to represent British society, the history that has been concealed due to social and individual factors. The study thus investigates the dissociative disorders which are experienced by traumatized survivors of World War I as the aftermath of traumatic experiences of wartime. In addition, it argues how time moves for the traumatized victim and how the notion of latency in terms of Caruth’s theory is traceable in Barker’s novel. In Regeneration, the traumatized survivors are haunted with traumatic memory of past history; furthermore, past history constantly disrupts their present and the victims are in continuous shift from present time to past time. Time thus loses its linearity in the narrative of traumatized survivors. Keywords: Latency, post-traumatic stress disorders, traumatic memory, trauma

  20. Aetiology of phenomenon of fair play in sport through psychoanalytic discourse

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    Roman Vodeb

    2003-12-01

    Full Text Available When discussing fair play, sports experts nowadays mostly talk about how to "be a sport" on a sport field. It means telling and preaching to athletes to obey all the written rules of sport's ethic and those not written as well. Here we want to explore the other meaning of the term "fair play". We want to really learn about it, because fair play certainly is a psychological category. Psychoanalytic logic teaches us that roots of fair play should be sought in the infantile period of child's development. It seems, that the events caused by the Oedipus complex and the building Superego have the most sufficient impact on someone's sports behavior. Theoretically speaking, fair play cannot be considered as something gained from culture - it is mainly a construct, a symptom of returning infantile repressions in the context of father as a sexual concurrent. "Turning to the opposite side" (reaction-formation is an ego-defense mechanism that in the etiology of fair play ought to be pointed out in particularly. As we are talking about men in sports, let us tell, it is the boy's relation towards his father at the time when he's arrogating the boy's mother to himself, the most crucial for feeling and performing fair play. Fantasies and repressions, which happened in the psychical reality of a child, have the main impact on fair play in sports as well as in other situations.

  1. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

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    Sheila L. Cavanagh

    2017-08-01

    Full Text Available Much has been written about Antigone who buried her brother Polynices in Theban soil despite the prohibition issued by King Creon (her uncle in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger. By engaging Ettinger’s theory of the Other (Feminine Sexual Difference, I consider how ways of being in the Feminine tap into the matrixial domain, thus expanding the bounds of what counts as subjective experience in psychoanalysis. I situate Ettinger’s theory of the matrixial in relation to Lacan’s analysis of Antigone in The Ethics of Psychoanalysis (Seminar VII. I also focus on Julia Kristeva’s concept of ‘debinding’ (2010 and Judith Butler’s (2002 writing on gender and kinship disorder in the tragedy. My objective is to build upon Ettinger’s analysis of Antigone to better understand how it is not death, exactly, that is at stake in the drama, but rather the status of the Feminine dimension in the Theban city-state. If Antigone’s transgression can be understood through a matrixial lens it behooves us as feminist scholars to more fully understand the affective landscape and maternal ethics of difference enacted in the play.

  2. El dibujo y la simbolización en algunos casos de maltrato infantil. // Drawing and symbolization in some cases of child maltreatment. A psychoanalytical look

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    Nicolás Uribe Aramburo.

    2009-06-01

    Full Text Available This article makes part of a research carried out within the framework of the Master in Psychoanalytical Research, which comes up from the analysis of clinical material obtained from psychotherapeutic work developed during more than three years with children coming to a psychology service of a non-profit institution located in one of Medellin's communes, mainly because of problems related to child maltreatment. In order to obtain such analysis material, we started from the psychoanalytical thesis of psychic determinism and the neutrality of the therapist. For that reason we invited some kids to draw and associate freely, expecting what they showed would be related to their maltreatment experiences. Consequently, the methodology used consisted not only in handing over to children but in leading them to use drawing. // Este artículo es parte de una investigación llevada a cabo en el marco de la Maestría en Investigación psicoanalítica, que surge del análisis del material clínico obtenido en el trabajo psicoterapéutico realizado por más de tres años con población infantil que acudía a un servicio de psicología de una institución sin ánimo de lucro ubicada en una de las comunas de la ciudad de Medellín, principalmente por problemáticas asociadas al maltrato infantil. Para obtener dicho material de análisis partimos de las tesis psicoanalíticas del determinismo psíquico y la neutralidad del terapeuta, razón por la cual invitamos a los niños a dibujar y asociar libremente con la expectativa que de que aquello que exteriorizaran tendría una relación con sus vivencias de maltrato. En consecuencia, la metodología utilizada no sólo consistió en darles la palabra a los niños, sino que también implicó inducirlos a usar el dibujo.

  3. Os sonhos: integrando as visões psicanalítica e neurocientífica Dreams: integrating psychoanalytic and neuroscientific views

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    Elie Cheniaux

    2006-08-01

    Full Text Available É realizada uma ampla revisão dos estudos psicanalíticos e das mais recentes pesquisas neurocientíficas sobre os sonhos. Segundo Freud, os sonhos constituem "uma realização (disfarçada de um desejo (reprimido". Para muitos neurocientistas, eles são formados a partir de estímulos aleatórios originados na ponte e não possuem qualquer significado. Contudo, diversos estudos associam as emoções experimentadas durante a vigília e o conteúdo dos sonhos. A hipótese de que o sistema dopaminérgico mesolímbico-mesocortical, relacionado aos estados motivacionais, é essencial para a formação dos sonhos dá algum respaldo à teoria freudiana. Todavia, não há dados empíricos que apóiem a existência de uma instância censora que deturpe os sonhos. É possível que os sonhos exerçam um papel na elaboração psíquica de lembranças traumáticas. Na nossa opinião, as visões psicanalítica e neurocientífica sobre os sonhos podem ser complementares e mutuamente enriquecedoras.A comprehensive review was carried out about psychoanalytic studies and the most recent neuroscientific researches about dreams. According to Freud, dreams represent "a (disguised fulfillment of a (repressed wish." For several neuroscientists, they are formed based on random stimuli originated from the brainstem and do not have any meaning. However, several studies associate the emotions experienced during waking with the content of dreams. The hypothesis that the dopaminergic mesolimbic-mesocortical system, which is associated with instinctual appetitive craving states, is essential to the formation of dreams brings some endorsement to Freudian theory. Nevertheless, there is no empirical data to support the existence of an instance of censorship that distorts the dreams. It is possible that the dreams play a role in psychological working-through of traumatic memories. In our opinion, psychoanalytic and neuroscientific views about dreams can be complementary and

  4. Preschool Work against Bullying and Degrading Treatment: Experiences from an Action Learning Project

    Science.gov (United States)

    Söderström, Åsa; Löfdahl Hultman, Annica

    2017-01-01

    This article deals with experiences from an action learning project against bullying and degrading treatment among nine Swedish preschools. Even though definitions of bullying and degrading treatment tend to lead to thoughts of school-age children rather than preschoolers, previous research shows that bullying occurs in preschool as well. Our data…

  5. [Characteristics of work stimulation of the medical personnel in the treatment-and-prophylactic institutions].

    Science.gov (United States)

    Shichanin, V V; Tregubov, V N; Serdiuk, B V

    2005-02-01

    Social and economic relations of the last years that were formed in our country have lead to the changes in approaches to administrative activity. Under conditions of administrative-and-command guidance the patriotism and requirements of production discipline ensured the highly effective work. Today the economic relations between employer and personnel are of the first priority. These principles can be attributed to the military medical collective activity. The algorithm developed during the investigation for stimulating the employees working in the in-patient military medical institutions suggests the following performance of measure complex directed to the improvement of professional training of managerial staff working in the military medical institutions work with subordinates, fulfilment of motivation activity, summing up the medical staff work.

  6. A high working memory load prior to memory retrieval reduces craving in non-treatment seeking problem drinkers

    NARCIS (Netherlands)

    Kaag, Anne Marije; Goudriaan, Anna E.; de Vries, Taco J.; Pattij, Tommy; Wiers, Reinout W.

    2017-01-01

    Reconsolidation-based interventions have been suggested to be a promising treatment strategy for substance use disorders. In this study, we aimed to investigate the effectiveness of a working memory intervention to interfere with the reconsolidation of alcohol-related memories in a sample of

  7. Treatment of Mobbing in School: Principles for and the Results of the Work of an Anti Mobbing Group

    Science.gov (United States)

    Pikas, Anatol

    1975-01-01

    Article attempted to define the concept of mobbing and to develop principles of treatment in connection with cases which really occur, and to use the work in a regular university course providing students with successful personal therapeutic experiences. (Author/RK)

  8. Training Emotional Intelligence Related to Treatment Skills of Staff Working with Clients with Intellectual Disabilities and Challenging Behaviour

    Science.gov (United States)

    Zijlmans, L. J. M.; Embregts, P. J. C. M.; Gerits, L.; Bosman, A. M. T.; Derksen, J. J. L.

    2011-01-01

    Background: Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance staff behaviour and treatment skills a training…

  9. Noninvasive treatments for iatrogenic priapism: Do they really work? A prospective multicenter study

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    Mohamad Habous

    2016-01-01

    Conclusions: Physical exercise and oral salbutamol are safe and effective in restoring detumescence of pharmacologically-induced priapism. Noninvasive therapy may save a significant number of these patients an invasive treatment.

  10. Innovative work behavior in healthcare: the benefit of operational guidelines in the treatment of rare diseases.

    Science.gov (United States)

    Kessel, Maura; Hannemann-Weber, Henrike; Kratzer, Jan

    2012-05-01

    Innovative work behavior is a core demand of healthcare professionals who treat patients with rare diseases. In healthcare services, determinants of innovative work behavior are not completely detected. This paper focuses on how the existence of guidelines and the flexibility of healthcare professionals in taking on extra roles in the workplace enable innovative work behavior. We used survey data from 160 healthcare professionals working in Germany in the field of rare diseases, including physicians, caregivers, and therapists. A mediation model was statistically tested using linear multiple regression analysis. The existence of guidelines for operational processes contributes to innovative work behavior by integrating the stages of knowledge acquisition, idea generation, and solution implementation. Individuals' flexibility in their role ownership mediates this relationship. In addition, we found evidence that physicians are more active in acquiring knowledge, whereas nurses or therapists show more initiative in generating new ideas. Engaging in different roles enables healthcare professionals to demonstrate initiative for innovative work behavior aside from the completion of their daily tasks. The assumption of new roles may be encouraged by the creation of overall guidelines that raise awareness for the workers' need to take on extra tasks and innovative behavior. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  11. Navigating the poverty of heroin addiction treatment and recovery opportunity in Kenya: access work, self-care and rationed expectations.

    Science.gov (United States)

    Rhodes, Tim; Ndimbii, James; Guise, Andy; Cullen, Lucy; Ayon, Sylvia

    2015-01-01

    Drawing on the analyses of qualitative interview accounts of people who inject heroin in Kenya, we describe the narration of addiction treatment access and recovery desire in conditions characterised by a 'poverty of drug treatment opportunity'. We observe the performance of addiction recovery narrative in the face of heavy social constraints limiting access to care. Fee-based residential rehabilitation ('rehab') is the only treatment locally available and inaccessible to most. Its recovery potential is doubted, given normative expectations of relapse. Treating drug use is a product of tightly bounded agency. Individuals enact strategies to maximise their slim chances of treatment access ('access work'), develop self-care alternatives when these fail to materialise and ration their care expectations. The use of rehab as a primary means of respite and harm reduction rather than recovery and the individuation of care in the absence of an enabling recovery environment are key characteristics of drug treatment experience. The recent incorporation of 'harm reduction' into policy discourses may trouble the primacy of recovery narrative in addiction treatment and in how treatment desires are voiced. The diversification of drug treatments in combination with social interventions enabling their access are fundamental.

  12. THE ANALYSIS OF RELATIONSHIP BETWEEN MOTHER AND CHILD AND ITS IMPACT ON THE FORMATION OF GENDER STEREOTYPES IN THE CONTEXT OF PSYCHOANALYTIC FEMINISM

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    L. Bulanova-Duvalko

    2014-12-01

    Full Text Available The purpose. The article analyzes the influence of the experience of motherhood on formation steady sexual arrangements and stereotypical models of femininity and masculinity in society in the context of the psychoanalytic feminism. In particular, the importance of philosophical analysis of mother-child interrelations as the subjects of motherhood experience facilitates the understanding of mechanisms for construction and reproduction of the sexual arrangements and stereotyped gender roles is covered. Moreover, the influence of separation and individuation processes in the mother-child interrelations on the reproduction of patriarchy in social relations is considered. Research methodology. The basis of the research is a methodology of the psychoanalytic feminism as well as content analysis and a systematic method. Scientific novelty of the research lies in studying and systematizing the key theses of stereotypical manifestations of femininity theoretical substantiation from the perspective of psychoanalytic feminism that had not been presented within the national scientific thought. The research handles the following tasks: 1to define the main directions of polemics of the psychoanalytic feminism and psychoanalytic concepts of Sigmund Freud and Jacques Laca; 2 to highlight the major spheres of the psychoanalytic feminism scientific interest;3 to consider the features of theory about the influence of the human psyche development during the pre-oedipal stage on producing the constant sexual arrangements in the perspective of the Anglo-American tradition of the psychoanalytic feminism; 4 to describe the main aspects of the theory about constructing femininity in the French feminism studies; 5 to analyze different ways to overcome the patriarchal symbolic order suggested by the psychoanalytic feminism. Conclusions. The research found that despite the adherence to a particular psychoanalytic theory the scholars agree that the pre-oedipal stage of

  13. The impact of prior psychiatric medical treatment on return to work after a diagnosis of breast cancer

    DEFF Research Database (Denmark)

    Jensen, Laura Schärfe; Overgaard, Charlotte; Garne, Jens Peter

    2017-01-01

    PURPOSE: Breast cancer and psychiatric disorders negatively impact work life, both positively associated with unemployment and early retirement. Our purpose was to assess whether being prescribed psychiatric medication, 2-4 yrs prior to a diagnosis of breast cancer, could impact the likelihood...... of returning to work after cancer therapy. METHODS: 16,868 self-supporting women, diagnosed with breast cancer in Denmark from 2000 to 2012, were identified from a population-based clinical database, then cross-referenced to data held for psychiatric medication usage, sociodemographics, and labour......-market participation. The association between historic psychiatric medication and return to work was estimated using a modified Poisson regression model. 'Return to work' was defined as being self-supporting one year after diagnosis of breast cancer. RESULTS: 16% of our cohort had used psychiatric medical treatment 2...

  14. Cognitive behavioral therapy and work outcomes: correlates of treatment engagement and full and partial success in schizophrenia.

    Science.gov (United States)

    Kukla, Marina; Davis, Louanne W; Lysaker, Paul H

    2014-09-01

    Cognitive behavior therapy (CBT) has been found to be generally effective for persons with schizophrenia. Less is known however about those who will engage in this treatment, and among those who engage, who benefits more versus less from this intervention. This study sought to identify factors associated with treatment engagement and response in persons with psychosis engaged in CBT focused on enhancing work function. Participants were 50 adults with schizophrenia-spectrum disorders participating in a randomized control trial that offered both CBT and a protected employment position over 26 weeks. Survival analysis and discriminant analyses were used to analyze the data. RESULTS indicated that poor treatment engagement and engagement in work was associated with lower educational attainment, more severe baseline levels of negative symptoms, and lower baseline scores on the Arithmetic and Digit Symbol subscales of the WAIS-III. Amongst those participants who did engage, younger age and poorer working memory as assessed by the Arithmetic subscale predicted shorter initial job tenure. More severe levels of positive symptoms and lower self-esteem during the later stages of treatment were associated with worse employment outcomes across the study period. These findings evidence differential predictors of engagement and success and suggest that a subgroup of persons with schizophrenia engaged in CBT and a vocational placement are at risk for poor functional outcomes associated with psychological factors that evolve over time.

  15. Effectiveness of social work intervention with a systematic approach to improve general health in opioid addicts in addiction treatment centers

    Directory of Open Access Journals (Sweden)

    Raheb G

    2016-11-01

    Full Text Available Ghoncheh Raheb,1,2 Esmat Khaleghi,1 Amir Moghanibashi-Mansourieh,1 Ali Farhoudian,2 Robab Teymouri3 1Department of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 2Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 3Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Purpose: This study takes a systematic approach to investigate the effect of social work intervention aimed at increasing general health among opioid addicts in addiction treatment centers. Patients and methods: This is an experimental plan (pretest to posttest with a control group; the study sample included 60 patients with drug dependencies undergoing treatment in addiction treatment centers. These patients were randomly assigned as case (30 and control (30 groups. The case group was subjected to intervention over ten sessions, whereas the control group received no intervention. Both groups then passed through a posttest, while a follow-up was conducted after 4 months. Data were obtained via a General Health Questionnaire. Results: A covariance analysis test and independent and dependent t-test results indicated that a social work intervention adopting systematic approach was effective in increasing the general health of drug-addicted patients under treatment. Conclusion: Thus, the nature of the presence of social workers in addiction treatment centers has been effective and can have a significant influence by reducing anxiety and insomnia and somatic symptoms, improving patients’ self-understanding and self-recognition, and enhancing social functioning. Keywords: social work, intervention, systematic approach, general health, opioid addicts

  16. Does Working Memory Moderate the Effects of Fraction Intervention? An Aptitude-Treatment Interaction

    Science.gov (United States)

    Fuchs, Lynn S.; Schumacher, Robin F.; Sterba, Sonya K.; Long, Jessica; Namkung, Jessica; Malone, Amelia; Hamlett, Carol L.; Jordan, Nancy C.; Gersten, Russell; Siegler, Robert S.; Changas, Paul

    2014-01-01

    This study investigated whether individual differences in working memory (WM) moderate effects of 2 variations of intervention designed to improve at-risk 4th graders' fraction knowledge. We also examined the effects of each intervention condition against a business-as-usual control group and assessed whether children's measurement interpretation…

  17. Working Memory Capacity and Disfluency Effect: An Aptitude-Treatment-Interaction Study

    Science.gov (United States)

    Lehmann, Janina; Goussios, Christina; Seufert, Tina

    2016-01-01

    According to Cognitive Load Theory, learning material should be designed in a way to decrease unnecessary demands on working memory (WM). However, recent research has shown that additional demands on WM caused by less legible texts lead to better learning outcomes. This so-called disfluency effect can be assumed as a metacognitive regulation…

  18. Treatment sensitivity of implicit threat evaluation, avoidance tendency and visual working memory bias in specific phobia

    NARCIS (Netherlands)

    Reinecke, A.; Soltau, C.; Hoyer, J.; Becker, E.S.; Rinck, M.

    2012-01-01

    Cognitive theories of anxiety postulate that negative processing biases play a causal role in the pathogenesis of a disorder, while a normalisation of bias drives recovery. To test these assumptions it is essential to investigate whether biases seen in anxiety are treatment-sensitive, or whether

  19. Piece Work: Fabric Collage as a Neurodevelopmental Approach to Trauma Treatment

    Science.gov (United States)

    Homer, Eliza S.

    2015-01-01

    This article describes the use of collaborative fabric collage based on a neurodevelopmental adaptation for an adult who was being treated for trauma. The case demonstrates the value of thinking about neurodevelopmental factors when creating art therapy interventions. A biologically respectful treatment that offers relational, relevant,…

  20. International survey and surgeon's preferences in diagnostic work-up towards treatment of anterior shoulder instability

    NARCIS (Netherlands)

    Weel, Hanneke; Tromp, Wouter; Krekel, Peter R.; Randelli, Pietro; van den Bekerom, Michel P. J.; van Deurzen, Derek F. P.

    2016-01-01

    Recurrent anterior shoulder instability after surgical treatment can be caused by bony defects. Several diagnostic tools have been designed to measure the extent of these bony lesions. Currently, there is no consensus which measurement tool to use and decide which type of surgery is most

  1. On the possibility of using biological toxicity tests to monitor the work of wastewater treatment plants

    Directory of Open Access Journals (Sweden)

    Zorić Jelena

    2008-01-01

    Full Text Available The aim of this study was to ascertain the possibility of using biological toxicity tests to monitor influent and effluent wastewaters of wastewater treatment plants. The information obtained through these tests is used to prevent toxic pollutants from entering wastewater treatment plants and discharge of toxic pollutants into the recipient. Samples of wastewaters from the wastewater treatment plants of Kragujevac and Gornji Milanovac, as well as from the Lepenica and Despotovica Rivers immediately before and after the influx of wastewaters from the plants, were collected between October 2004 and June 2005. Used as the test organism in these tests was the zebrafish Brachydanio rerio Hamilton - Buchanon (Cyprinidae. The acute toxicity test of 96/h duration showed that the tested samples had a slight acutely toxic effect on B. rerio, except for the sample of influent wastewater into the Cvetojevac wastewater treatment plant, which had moderately acute toxicity, indicating that such water should be prevented from entering the system in order to eliminate its detrimental effect on the purification process.

  2. Formulating Mental Health Treatment Paridigms for Military Filipino Amerasians: A Social Work Education Challenge

    Science.gov (United States)

    Kutschera, P. C.; Caputi, Marie A.; Pelayo, Jose Maria G., III

    2013-01-01

    Virtually no formal treatment protocol exists for the health/mental health care of biracial Filipino Amerasians in the Philippines. Today this large group comprises a mostly socioeconomically at risk diaspora. A recent 3-year study found depression, elevated anxiety, joblessness, social isolation, substance and alcohol abuse, and housing…

  3. On decoding and rewriting genomes: a psychoanalytical reading of a scientific revolution.

    Science.gov (United States)

    Zwart, Hub

    2012-08-01

    In various documents the view emerges that contemporary biotechnosciences are currently experiencing a scientific revolution: a massive increase of pace, scale and scope. A significant part of the research endeavours involved in this scientific upheaval is devoted to understanding and, if possible, ameliorating humankind: from our genomes up to our bodies and brains. New developments in contemporary technosciences, such as synthetic biology and other genomics and "post-genomics" fields, tend to blur the distinctions between prevention, therapy and enhancement. An important dimension of this development is "biomimesis": i.e. the tendency of novel technologies and materials to mimic or plagiarize nature on a molecular and microscopic level in order to optimise prospects for the embedding of technological artefacts in natural systems such as human bodies and brains. In this paper, these developments are read and assessed from a psychoanalytical perspective. Three key concepts from psychoanalysis are used to come to terms with what is happening in research laboratories today. After assessing the general profile of the current revolution in this manner, I will focus on a particular case study, a line of research that may serve as exemplification of the vicissitudes of contemporary technosciences, namely viral biomaterials. Viral life forms can be genetically modified (their genomes can be rewritten) in such a manner that they may be inserted in human bodies in order to produce substances at specific sites such as hormones (testosterone), neurotransmitters (dopamine), enzymes (insulin) or bone and muscle tissue. Notably, certain target groups such as top athletes, soldiers or patients suffering from degenerative diseases may become the pioneers serving as research subjects for novel applications. The same technologies can be used for various purposes ranging from therapy up to prevention and enhancement.

  4. The War on Women in Psychoanalytic Theory Building: Past to Present.

    Science.gov (United States)

    Balsam, Rosemary H

    2015-01-01

    Psychoanalysis has both waged "hot" war on women overtly and "cold" war covertly over the years by colluding with cultural stereotypes offered as "theory," starting with Freud and his Viennese circle. True freedom of thinking, however, broke through in Freud's originality even then, and from time to time subsequently in the history of the movement only to keep retreating. Fritz Wittels's thesis on the "Child Woman" will exemplify Horneys (1924, 1926, 1933) and Jones's (1927) grounds for engaging in the "hot war" in the 1920s and challenging the unselfconscious inbuilt denigration of women. This skirmish had little impact, however, in the New World up till the 1970s. In the aftermath of the second wave of feminism, there were (and are) bursts of new thought about sex and gender that remain fragmented and unintegrated into general acceptance. The contemporary situation has been more like a "cold" war waged by ennui in the field. A sexed and agendered theories of mind as a "no man's land" absorb an intense focus away from the sexual and gender specificities that were alive, contentious, and unresolved in Freud's libido theory. The third sociocultural wave of feminism, since the 1990s, has refocused vitality on individuality, race, and varieties of sexual identity. I identify the latter as the psychoanalytic space for a potential renewed interest in theorizing the female body within heterosexual, homosexual, queer, or transgendered individuals. The "wars" have shown how fruitless for peace and new discovery is the compulsive (but still common) close comparison between males and females developmentally. Female development is as fresh and unsettled a theoretical question as it once was with Freud.

  5. Gestalt dialogues as a treatment for mild depression: time works just as well.

    Science.gov (United States)

    Tyson, G M; Range, L M

    1987-03-01

    In a treatment analogue design, 44 moderately depressed volunteer subjects were divided randomly into four groups: attention-placebo; Gestalt empty chair dialogues designed to be personally relevant and high in affect; dialogues designed to be personally irrelevant and neutral in affect; and groups in which strong affect was encouraged, but no dialogues enacted. Groups met 1 hour per week for 4 weeks. Each group was pretested, post-tested, and follow-up tested with an abbreviated MMPI, the Depression Adjective Check List, and experimenter questionnaires. A series of 4 X 3 ANOVAs indicated significant main effects for time across all dependent variables. Also, anxiety and social introversion decreased over time in all groups. No other main or interactional effects were significant. These results suggest that mild depression, as well as anxiety and social introversion, dissipated over time and remained lower regardless of whether the subject had any treatment.

  6. Instituições psicanalíticas: uma política de avestruz? Psychoanalytical Institutions: ostrich politics?

    Directory of Open Access Journals (Sweden)

    Paulina Schmidtbauer Rocha

    2000-12-01

    Full Text Available Este trabalho aponta questões que consideramos fundamentais para a constituição de instituições psicanalíticas mais democráticas e fraternas, capazes de sustentar a vocação crítica da psicanálise e sua marca de subversão em prol da humanidade. Refletimos sobre suas marcas históricas e seus desdobramentos políticos, destacando que não se trata mais de colocar a instituição como um mal necessário para a formação e transmissão da psicanálise. É necessário, ao contrário, vê-la como uma das possíveis escolhas para pensar o homem e suas circunstâncias na contemporaneidade. O que, por sua vez, implica em responsabilidades indelegáveis de cada um que se reconhece como psicanalista e quer pertencer à pólis psicanalítica.This paper points to questions considered fundamental for the constitution of more democratic and fraternal psychoanalytical institutions. These should be capable of preserving the critical vocation of psychoanalysis as well as its subversive character on behalf of humanity. The author reflects on the historical marks and political developments of the psychoanalytical institution, emphasizing that it should no longer be seen as a necessary evil for training psychoanalysts and transmitting psychoanalysis. Rather, it should be considered as one of several possible alternatives for thinking about man and his contemporary circumstances. This in turn implies non-delegable responsibilities that must be acknowledged by all psychoanalysts who wish to belong to the psychoanalytical polis.

  7. What works for survivors of childhood abuse: learning from participants in an inpatient treatment program.

    Science.gov (United States)

    Palmer, Sally; Stalker, Carol; Gadbois, Sue; Harper, Kim

    2004-04-01

    Thirty adults were interviewed about their experiences in a 6-week program for recovery from posttraumatic stress. The most valued aspects were their relationships with staff and the staff's expertise in treating the long-term effects of abuse. They valued the structured group treatment that allowed them to process emotions with the goal of healing. A few were upset by process groups, whereas others had difficulty with the sudden loss of support at discharge from the program.

  8. Influencing HIV treatment success in India : do mobile phones really work?

    OpenAIRE

    SHET, Anita

    2014-01-01

    Background: Sustaining treatment adherence and long-term virological suppression is a global health challenge in HIV management. Mobile phone-based interventions are increasingly harnessed to enhance medication adherence in HIV infection, although supporting evidence for implementation is limited by lack of robust efficacy trials in settings such as India. The overall aim of this thesis was to assess whether customized mobile phone reminders would ...

  9. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind

    Directory of Open Access Journals (Sweden)

    Patrick Connolly

    2017-09-01

    Full Text Available The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization provides the critical theoretical context within which the significance of Friston's (2010a Free Energy Principle (FEP for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while “psychoanalytic” mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989 offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect, which is itself founded upon the tendency toward autopoiesis (self-making within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis

  10. A psychoanalytic understanding of the desire for knowledge as reflected in Freud's Leonardo da Vinci and a memory of his childhood.

    Science.gov (United States)

    Blass, Rachel B

    2006-10-01

    The author offers an understanding of the psychoanalytic notion of the desire for knowledge and the possibility of attaining it as it fi nds expression in Freud's Leonardo da Vinci and a memory of his childhood. This understanding has not been explicitly articulated by Freud but may be considered integral to psychoanalysis' Weltanschauung as shaped by Freud's legacy. It emerges through an attempt to explain basic shifts, contradictions, inconsistencies and tensions that become apparent from a close reading of the text of Leonardo. Articulating this implicit understanding of knowledge provides the grounds for a stance on epistemology that is integral to psychoanalysis and relevant to contemporary psychoanalytic concerns on this topic. This epistemology focuses on the necessary involvement of passion, rather than detachment, in the search for knowledge and views the psychoanalytic aim of self-knowledge as a derivative, and most immediate expression, of a broader and more basic human drive to know.

  11. Brexpiprazole as an adjunctive treatment in young adults with major depressive disorder who are in a school or work environment.

    Science.gov (United States)

    Weisler, Richard H; Ota, Ai; Tsuneyoshi, Kana; Perry, Pamela; Weiller, Emmanuelle; Baker, Ross A; Sheehan, David V

    2016-11-01

    Major depressive disorder (MDD) is a common, debilitating disorder with substantial socioeconomic burden. Many patients with MDD experience symptoms that impair functioning and productivity, often negatively affecting work or educational pursuits. This Phase 3b open-label study evaluated adjunctive brexpiprazole in young adults with MDD, who were in work or study. Young patients (18-35 years) with MDD (inadequate responders to 1-3 antidepressant treatments [ADT] for their current episode) received brexpiprazole 1-3mg/day (target dose, 2mg/day) adjunctive to the same stable dose of ADT for 12 weeks. Depressive symptoms improved during treatment with adjunctive brexpiprazole (primary endpoint, least squares [LS] mean change from baseline in Montgomery-Åsberg Depression Rating Scale [MADRS] total score, -18.1 [pWork Limitations Questionnaire (WLQ; pwork/school, social life, and home responsibilities). Changes from baseline in additional measures supported improvements in patient functioning and depression symptoms. The most common adverse events were headache (21.3%), weight increase (17.0%), and somnolence (17.0%); reported rates of akathisia were low (6.4%). Clinically relevant increases in weight (≥7%) occurred in 10.5% of patients. Open-label design; absence of comparator. Brexpiprazole may represent an effective therapy for adjunctive treatment strategy of young adults with MDD who are working or studying. The observed improvements in work/school functioning in patients with MDD, whose depression was treated with ADT+brexpiprazole, suggests potential to reduce socioeconomic burden. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

  12. Ultrasonic misting in the treatment of works of art on paper

    Directory of Open Access Journals (Sweden)

    João Paulo Dias

    2005-01-01

    Full Text Available A solution of calcium hydroxide and sodium borohydride was applied using an ultrasonic misting device to a graphite drawing from the artist Guilherme Camarinha. This process allowed the drawing to be washed, reduce its foxing stains and planar distortions without interfering with a fountain pen inscription written by the author in the bottom righthand corner. As there is not much literature regarding this procedure, some practical questions related to the use of ultrasonic dispersions in the treatment of paper are discussed herein.

  13. Presynaptic mitochondrial morphology in monkey prefrontal cortex correlates with working memory and is improved with estrogen treatment.

    Science.gov (United States)

    Hara, Yuko; Yuk, Frank; Puri, Rishi; Janssen, William G M; Rapp, Peter R; Morrison, John H

    2014-01-07

    Humans and nonhuman primates are vulnerable to age- and menopause-related decline in working memory, a cognitive function reliant on the energy-demanding recurrent excitation of neurons within Brodmann's Area 46 of the dorsolateral prefrontal cortex (dlPFC). Here, we tested the hypothesis that the number and morphology (straight, curved, or donut-shaped) of mitochondria in dlPFC presynaptic boutons are altered with aging and menopause in rhesus monkeys (Macaca mulatta) and that these metrics correlate with delayed response (DR) accuracy, a well-characterized measure of dlPFC-dependent working memory. Although presynaptic bouton density or size was not significantly different across groups distinguished by age or menses status, DR accuracy correlated positively with the number of total and straight mitochondria per dlPFC bouton. In contrast, DR accuracy correlated inversely with the frequency of boutons containing donut-shaped mitochondria, which exhibited smaller active zone areas and fewer docked synaptic vesicles than those with straight or curved mitochondria. We then examined the effects of estrogen administration to test whether a treatment known to improve working memory influences mitochondrial morphology. Aged ovariectomized monkeys treated with vehicle displayed significant working memory impairment and a concomitant 44% increase in presynaptic donut-shaped mitochondria, both of which were reversed with cyclic estradiol treatment. Together, our data suggest that hormone replacement therapy may benefit cognitive aging, in part by promoting mitochondrial and synaptic health in the dlPFC.

  14. Innovative systems for cultural heritage conservation. Millimeter wave application for non-invasive monitoring and treatment of works of art.

    Science.gov (United States)

    Bruno, Bisceglia; De Leo, Roberto; Pastore, Anna Pia; von Gratowski, Svetlana; Meriakri, Viatcheslav

    2011-01-01

    A novel non invasive technique and a suitable apparatus for disinfestation of artworks is introduced. Non destructive and non invasive techniques are often irreplaceable in order to preserve and restore cultural heritage objects in its structure and shape. Although many techniques are available for art and archaeological works the non invasive methods are preferred as they leave the object untouched after treatment. Environmental parameters, such as humidity, can damage culture heritage objects and also results in spring up variety of pests and other micro-organisms. Non-invasive monitoring of these damage and also disinfestation treatments and drying with help of electromagnetic waves are preferred as they keep the object untouched after treatment. Application of millimeter waves for solving this problem is discussed here. Millimeter waves have high spatial resolution and absorption in water as well as in bio-objects that are usually moist and at the same time minimal interaction with dry culture heritage objects by itself. Different phases of the microwaves treatment (MW) of artworks are described, some results are shown and discussed. Many biological forms don't survive over a certain temperature, called lethal temperature which, for most xylophages is about 53-55 degrees C, while for moulds and funguses is between 65 and 70 degrees C. In order to evaluate the management of disinfestation of works of art, incident power, temperature, exposure time were monitored. The monitoring of temperature is essential in order to prevent damages. A computer simulation allows to predict and monitor the heating process.

  15. The challenge of professional identity for Chinese clinicians in the process of learning and practicing psychoanalytic psychotherapy: the discussion on the frame of Chinese culture.

    Science.gov (United States)

    Yang, Yunping

    2011-06-01

    One important element in psychoanalysis, which is derived from Western culture, is individualization: the independency and autonomy of an individual are highly valued. However, one of the significant essences in Chinese culture is that the collective interests transcend the individual interests and the interests of social groups are more important than those of families. Therefore, when learning and practicing psychoanalytic psychotherapy, Chinese clinicians inevitably experience conflicts derived from this difference of cultural values. This article attempts to use a historical perspective to discuss the current challenges of professional identity for Chinese clinicians learning and practicing psychoanalytic psychotherapy and psychoanalysis. Copyright © 2011 Institute of Psychoanalysis.

  16. Treatment outcome of 18-month, day hospital Mentalization-Based Treatment (MBT) in patients with severe borderline personality disorder in the Netherlands

    NARCIS (Netherlands)

    D.L. Bales (Dawn); N. van Beek (Nicole); M. Smits (Maaike); S.P. Willemsen (Sten); J.J. van Busschbach (Jan); R. Verheul (Roel); H. Andrea (Helene)

    2012-01-01

    textabstractPsychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United

  17. Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands

    NARCIS (Netherlands)

    Bales, D.; van Beek, N.; Smits, M.; Willemsen, S.; Busschbach, J.J.V.; Verheul, R.; Andrea, H.

    2012-01-01

    Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As

  18. [Functional digestive disorders in infants. Working protocol of diagnostic and treatment].

    Science.gov (United States)

    Khavkin, A I; Bel'mer, S V; Zakharova, I N; Keshishian, E S; Pampura, A N; Faĭzullina, R A

    2014-01-01

    Functional digestive disorders in infants comprise a group of disorders characterized by several specific features. They are related to structural and physiological peculiarities of the gastrointestinal tract in children during lactotrophic period of nutrition, limited pharmacotherapeutic options and supremacy of dietary correction in this age group, and psychological discomfort that has a negative impact on the quality of life of the whole family. The working protocol "Functional gastrointestinal disorders in infants' was prepared by the Russian Society for Pediatric Gastroenterology, Hepatology, and Nutrition (RusPGHAN) based on the previously proposed European (ESPGHAN) and American (NASPGHAN) guidelines. The protocol includes detailed description of the current approaches to diagnosis and management of the functional digestive disorders in young children, as well as algorithm tables that can be used by pediatricians and familial physicians in routine clinical practice.

  19. Operationalizing Pain Treatment in the Biopsychosocial Model: Take a Daily "SWEM"--Socialize, Work, Exercise, Meditate.

    Science.gov (United States)

    Collen, Mark

    2015-09-01

    In the United States, chronic pain is often poorly treated at an exceedingly high cost. The use of the biomedical model to manage pain is frequently ineffective, and evidence suggests that the biopsychosocial (BPS) model is a better choice. A problem with the BPS model is that it has not been operationalized in terms of patient behavior. This commentary addresses that issue by suggesting that people with chronic pain and illness participate daily in four self-management health behaviors: socialize, work, exercise, and meditation, and discusses evidence that supports these recommendations. These self-management behaviors may decrease pain and thus reduce the need for pain medications and other medical interventions. Additional topics include patient adherence and health coaching.

  20. The Relationship Between Non-Medical Use of Prescription Opioids and Sex Work Among Adults in Residential Substance Use Treatment.

    Science.gov (United States)

    Matusiewicz, Alexis K; Ilgen, Mark A; Bonar, Erin E; Price, Amanda; Bohnert, Amy S B

    2016-05-01

    High rates of substance use (e.g., alcohol, cocaine, heroin) have been documented among individuals who engage in sex work (SW), and adults seeking substance use disorder (SUD) treatment frequently report prior engagement in SW. Non-medical use of prescription opioids (NMUPO) has increased over the last decade, but little is known about the relationship between NMUPO with sex exchange. The purpose of this study was to describe the prevalence of recent SW among patients at a large residential SUD treatment center and examine the association between NMUPO and SW. Approximately 14% of 588 adults reported involvement in SW in the month prior to treatment. NMUPO was more common among those with a history of SW (95% of sex workers vs. 74% of non-sex-workers), and this association remained statistically significant after controlling for demographic factors, other substance use and psychiatric symptom severity (odds ratio=3.38). SW is relatively common among patients in residential SUD treatment, and is associated with greater psychiatric severity and more extensive substance use, including alarming rates of NMUPO. Addiction treatment for individuals involved in SW may benefit from the addition of content related to NMUPO. Copyright © 2016. Published by Elsevier Inc.

  1. Algunas puntualizaciones psicoanalíticas sobre Durkheim Some psychoanalytical views about Durkheim

    Directory of Open Access Journals (Sweden)

    Osvaldo Umérez

    2005-12-01

    Full Text Available Es el objetivo del siguiente trabajo realizar una lectura psicoanalítica de los aportes de Emile Durkheim al entendimiento de la crisis de los lazos sociales producto de la "sociedad industrial", centrándonos en las nociones de "anomia" y "mal de lo infinito"que dicho autor utilizara para dar cuenta del descontento del hombre en la sociedad de tales características. Sostenemos la vigencia de su pensamiento en el acercamiento a lo actual y realizamos un retorno a dicho autor mediante conceptualizaciones freudianas y lacanianas. Desde Freud, se aborda la perspectiva propuesta en relación al malestar en la cultura y la imposibilidad del hombre para llevar a cabo el programa del principio del placer. Desde Lacan, se trabaja la noción de Superyó en tanto imperativo de goce , la resignificación del concepto de castración y la cuestión de la femeneidad. Esta última trabajada por los tres autores mencionados como excepción a la ley universal.The aim of the following paper is to make a psychoanalytical approach to the contributions of Emile Durkheim to the understanding of the social relationship crisis produced by the "industrial society", highlighting the notions of "anomy" and "infinite evil" which that author used to show the discontent of the man in a society with those characteristics. His standing thought is supported as a way of approaching the present time and a return to the ideas of the author is made through concepts from Freud and Lacan. From Freud, the perspective proposed in connection to the cultural malaise is studied as well as the impossibility of the man to carry out the pleasure principle programme. From Lacan, the notion of the Superego as an imperative of enjoyment, the reappraisal of the concept of castration and the femineity matter are considered. This last issue has been elaborated by the three authors mentioned as an exception to the universal law.

  2. 'For Beauty is nothing but the barely endurable onset of Terror': Outline of a general psychoanalytic aesthetics.

    Science.gov (United States)

    Leikert, Sebastian

    2017-06-01

    Even close to 80 years after Freud's words that psychoanalysis "has scarcely anything to say about beauty" (Freud, Civilization and its Discontents, SE 21, p. 82) the question of a specific psychoanalytic aesthetic is still faced with a deficit in theory. Since aesthetics is related to Aisthesis, the Greek word for 'perception', a psychoanalytic aesthetic can solely emerge from a psychoanalysis of perceptive structures. The term 'kinaesthetic semantic' is introduced in order to exemplify via music how perceptive experiences must be structured for them to be experienced as beautiful. The basic mechanisms - repetition of form (rhythm, unification) and seduction (deviation, surprise) - are defined. With the help of these mechanisms an intensive contact between perceiving object and kinetic subject, the physical self, is established. The intensive relatedness is a requirement for the creative process in art and also for psychic growth on the subject's level. The described basic mechanisms of the aesthetic process in music can also be encountered in painting and poetry. By the means of a self-portrait by Bacon it will be examined how, in art, terror and traumatization are represented via targeted disorganization of beauty endowing mechanisms, hence finding an enabling form of confrontation and integration of fended contents. Copyright © 2017 Institute of Psychoanalysis.

  3. Role of Human Health Care Providers and Medical Treatment Facilities in Military Working Dog Care and Accessibility Difficulties with Military Working Dog Blood Products.

    Science.gov (United States)

    Giles Iii, James T

    2016-01-01

    The use of military working dogs (MWDs) in support of military operations has increased dramatically over recent years, as they have proven to be our most reliable deterrent to improvised explosive devices. Healthcare delivery for MWDs in combat presents unique challenges and requires extensive collaboration between veterinarians and human health care providers (HCPs). A successful example is the incorporation of MWD emergency care for nonveterinary HCPs into the Joint Trauma System Clinical Practice Guidelines, which has proven to be a helpful product. Additional challenges that need further solutions include MWDs as patients in human medical treatment facilities (MTFs) and the procurement of appropriate canine blood components in an operational environment. It is often necessary for MWDs to be treated as patients in human MTFs, however, there is no Department of Defense guidance to support this activity. Access to MWD blood products is limited to collection of fresh whole blood in the operational setting. Similar to humans, specific blood component therapy, such as fresh frozen plasma, is often indicated for sick or injured MWDs. Currently there is no formal system in place to deliver any blood products for MWDs or to facilitate collection in theater.

  4. The Treatment of Nonmelancholic Depression: When Antidepressants Fail, Does Psychotherapy Work?

    Science.gov (United States)

    Parker, Gordon; Graham, Rebecca; Sheppard, Elizabeth

    2014-01-01

    Objective: Treatment-resistant depression (TRD) is used as a descriptive or diagnostic term and has generated many management guidelines weighting antidepressant (AD) therapy, but which may be an inappropriate paradigm for the nonmelancholic disorders where psychotherapy may be a more salient modality. This study sought to evaluate the effectiveness of psychological therapy in patients whose nonmelancholic depressive condition had been resistant to at least 2 ADs. Method: Principal analyses compared 32 patients, diagnosed with a nonmelancholic depression who received 12 weeks of psychological therapy, with a small control group. Comparative analyses failed to find a distinct therapeutic effect, leading to an extension study pursuing candidate explanatory factors for this lack of response, including psychosocial factors. Results: While our sample showed a 41% response and 22% remission rate to psychotherapy, their improvement pattern was similar to the control group, thus arguing against any specific therapeutic benefit. Explanatory factors nominated by the treating psychologist weighted personality issues for 35% of the patients, distal stressors for 22%, and comorbid anxiety conditions for 18%. When sample members were compared with an age- and sex-matched sample of patients with nonmelancholic depression who improved distinctly during a similar 12-week period, rates of such putative personality, stress, and anxiety risk factors did not differ, arguing against the likelihood of these factors compromising improvement. Conclusions: Patients with nonmelancholic TRD also failed to demonstrate a clear response to a psychotherapeutic approach, while our pursuit of clinically explanatory variables was not supported empirically. PMID:25004496

  5. Effects of vacuum heat treatment on the photoelectric work function and surface morphology of multilayered silver–metal electrical contacts

    Energy Technology Data Exchange (ETDEWEB)

    Akbi, Mohamed, E-mail: akbi_mohamed@umbb.dz [Laboratoire “Arc Electrique et Plasmas Thermiques”, CNRS, UPRES-A 6069, 24, Avenue des Landais, F-63177 Aubière Cedex (France); Department of Physics, Faculty of Sciences, University of Boumerdes (UMBB), Independence Avenue, 35000 Boumerdes (Algeria); Bouchou, Aïssa [Faculty of Physics, University of Algiers (USTHB), B.P. 32, El-Alia, Bab-Ezzouar, 16111 Algiers (Algeria); Zouache, Noureddine [Laboratoire “Arc Electrique et Plasmas Thermiques”, CNRS, UPRES-A 6069, 24, Avenue des Landais, F-63177 Aubière Cedex (France)

    2014-06-01

    Contact materials used for electrical breakers are often made with silver alloys. Mechanical and thermodynamical properties as well as electron emission of such complicated alloys present a lack of reliable and accurate experimental data. This paper deals mainly with electron work function (EWF) measurements about silver–metal (Ag–Me) electrical contacts (Ag–Ni (60/40) and Ag–W (50/50)), before and after surface heat treatments at 513 K–873 K, under UHV conditions (residual gas pressure of 1.4 × 10{sup −7} mbar). The electron work function (EWF) of silver alloyed contacts was measured photoelectrically, using both Fowler's method of isothermal curves and linearized Fowler plots. An interesting fact brought to light by this investigation is that after vacuum heat treatments, the diffusion and/or evaporation phenomena, affecting the atomic composition of the alloy surface, somehow confine the EWF of the silver–nickel alloy, Φ(Ag–Ni), determined at room temperature in interval]Φ(Ag), Φ(Ni) [=] 4.26 eV, 4.51 eV[. Surface analysis of two specimens before and after heating showed a significant increase of tungsten atomic proportion on the contact surface for Ag–W contacts after VH treatments. A multilayer model, taking into account the strong intergranular and volume segregation gives a good interpretation of the obtained results.

  6. International Myeloma Working Group Recommendations for the Treatment of Multiple Myeloma–Related Bone Disease

    Science.gov (United States)

    Terpos, Evangelos; Morgan, Gareth; Dimopoulos, Meletios A.; Drake, Matthew T.; Lentzsch, Suzanne; Raje, Noopur; Sezer, Orhan; García-Sanz, Ramón; Shimizu, Kazuyuki; Turesson, Ingemar; Reiman, Tony; Jurczyszyn, Artur; Merlini, Giampaolo; Spencer, Andrew; Leleu, Xavier; Cavo, Michele; Munshi, Nikhil; Rajkumar, S. Vincent; Durie, Brian G.M.; Roodman, G. David

    2013-01-01

    Purpose The aim of the International Myeloma Working Group was to develop practice recommendations for the management of multiple myeloma (MM) –related bone disease. Methodology An interdisciplinary panel of clinical experts on MM and myeloma bone disease developed recommendations based on published data through August 2012. Expert consensus was used to propose additional recommendations in situations where there were insufficient published data. Levels of evidence and grades of recommendations were assigned and approved by panel members. Recommendations Bisphosphonates (BPs) should be considered in all patients with MM receiving first-line antimyeloma therapy, regardless of presence of osteolytic bone lesions on conventional radiography. However, it is unknown if BPs offer any advantage in patients with no bone disease assessed by magnetic resonance imaging or positron emission tomography/computed tomography. Intravenous (IV) zoledronic acid (ZOL) or pamidronate (PAM) is recommended for preventing skeletal-related events in patients with MM. ZOL is preferred over oral clodronate in newly diagnosed patients with MM because of its potential antimyeloma effects and survival benefits. BPs should be administered every 3 to 4 weeks IV during initial therapy. ZOL or PAM should be continued in patients with active disease and should be resumed after disease relapse, if discontinued in patients achieving complete or very good partial response. BPs are well tolerated, but preventive strategies must be instituted to avoid renal toxicity or osteonecrosis of the jaw. Kyphoplasty should be considered for symptomatic vertebral compression fractures. Low-dose radiation therapy can be used for palliation of uncontrolled pain, impending pathologic fracture, or spinal cord compression. Orthopedic consultation should be sought for long-bone fractures, spinal cord compression, and vertebral column instability. PMID:23690408

  7. Health Effects in Fish of Long-Term Exposure to Effluents from Wastewater Treatment Works

    Science.gov (United States)

    Liney, Katherine E.; Hagger, Josephine A.; Tyler, Charles R.; Depledge, Michael H.; Galloway, Tamara S.; Jobling, Susan

    2006-01-01

    Concern has been raised in recent years that exposure to wastewater treatment effluents containing estrogenic chemicals can disrupt the endocrine functioning of riverine fish and cause permanent alterations in the structure and function of the reproductive system. Reproductive disorders may not necessarily arise as a result of estrogenic effects alone, and there is a need for a better understanding of the relative importance of endocrine disruption in relation to other forms of toxicity. Here, the integrated health effects of long-term effluent exposure are reported (reproductive, endocrine, immune, genotoxic, nephrotoxic). Early life-stage roach, Rutilus rutilus, were exposed for 300 days to treated wastewater effluent at concentrations of 0, 15.2, 34.8, and 78.7% (with dechlorinated tap water as diluent). Concentrations of treated effluents that induced feminization of male roach, measured as vitellogenin induction and histological alteration to gonads, also caused statistically significant alterations in kidney development (tubule diameter), modulated immune function (differential cell count, total number of thrombocytes), and caused genotoxic damage (micronucleus induction and single-strand breaks in gill and blood cells). Genotoxic and immunotoxic effects occurred at concentrations of wastewater effluent lower than those required to induce recognizable changes in the structure and function of the reproductive endocrine system. These findings emphasize the need for multiple biological end points in tests that assess the potential health effects of wastewater effluents. They also suggest that for some effluents, genotoxic and immune end points may be more sensitive than estrogenic (endocrine-mediated) end points as indicators of exposure in fish. PMID:16818251

  8. Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group

    Directory of Open Access Journals (Sweden)

    Domenico Prezioso

    2015-07-01

    Full Text Available Objective: Diet interventions may reduce the risk of urinary stone formation and its recurrence, but there is no conclusive consensus in the literature regarding the effectiveness of dietary interventions and recommendations about specific diets for patients with urinary calculi. The aim of this study was to review the studies reporting the effects of different dietary interventions for the modification of urinary risk factors in patients with urinary stone disease. Materials and Methods: A systematic search of the Pubmed database literature up to July 1, 2014 for studies on dietary treatment of urinary risk factors for urinary stone formation was conducted according to a methodology developed a priori. Studies were screened by titles and abstracts for eligibility. Data were extracted using a standardized form and the quality of evidence was assessed. Results: Evidence from the selected studies were used to form evidencebased guideline statements. In the absence of sufficient evidence, additional statements were developed as expert opinions. Conclusions: General measures: Each patient with nephrolithiasis should undertake appropriate evaluation according to the knowledge of the calculus composition. Regardless of the underlying cause of the stone disease, a mainstay of conservative management is the forced increase in fluid intake to achieve a daily urine output of 2 liters. Hypercalciuria: Dietary calcium restriction is not recommended for stone formers with nephrolithiasis. Diets with a calcium content ≥ 1 g/day (and low protein-low sodium could be protective against the risk of stone formation in hypercalciuric stone forming adults. Moderate dietary salt restriction is useful in limiting urinary calcium excretion and thus may be helpful for primary and secondary prevention of nephrolithiasis. A low-normal protein intake decrease calciuria and could be useful in stone prevention and preservation of bone mass. Omega-3 fatty acids and bran of

  9. Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group.

    Science.gov (United States)

    Prezioso, Domenico; Strazzullo, Pasquale; Lotti, Tullio; Bianchi, Giampaolo; Borghi, Loris; Caione, Paolo; Carini, Marco; Caudarella, Renata; Ferraro, Manuel; Gambaro, Giovanni; Gelosa, Marco; Guttilla, Andrea; Illiano, Ester; Martino, Marangella; Meschi, Tiziana; Messa, Piergiorgio; Miano, Roberto; Napodano, Giorgio; Nouvenne, Antonio; Rendina, Domenico; Rocco, Francesco; Rosa, Marco; Sanseverino, Roberto; Salerno, Annamaria; Spatafora, Sebastiano; Tasca, Andrea; Ticinesi, Andrea; Travaglini, Fabrizio; Trinchieri, Alberto; Vespasiani, Giuseppe; Zattoni, Filiberto

    2015-07-07

    Diet interventions may reduce the risk of urinary stone formation and its recurrence, but there is no conclusive consensus in the literature regarding the effectiveness of dietary interventions and recommendations about specific diets for patients with urinary calculi. The aim of this study was to review the studies reporting the effects of different dietary interventions for the modification of urinary risk factors in patients with urinary stone disease. A systematic search of the Pubmed database literature up to July 1, 2014 for studies on dietary treatment of urinary risk factors for urinary stone formation was conducted according to a methodology developed a priori. Studies were screened by titles and abstracts for eligibility. Data were extracted using a standardized form and the quality of evidence was assessed. Evidence from the selected studies were used to form evidence-based guideline statements. In the absence of sufficient evidence, additional statements were developed as expert opinions. General measures: Each patient with nephrolithiasis should undertake appropriate evaluation according to the knowledge of the calculus composition. Regardless of the underlying cause of the stone disease, a mainstay of conservative management is the forced increase in fluid intake to achieve a daily urine output of 2 liters. HYPERCALCIURIA: Dietary calcium restriction is not recommended for stone formers with nephrolithiasis. Diets with a calcium content ≥ 1 g/day (and low protein-low sodium) could be protective against the risk of stone formation in hypercalciuric stone forming adults. Moderate dietary salt restriction is useful in limiting urinary calcium excretion and thus may be helpful for primary and secondary prevention of nephrolithiasis. A low-normal protein intake decrease calciuria and could be useful in stone prevention and preservation of bone mass. Omega-3 fatty acids and bran of different origin decreases calciuria, but their impact on the urinary

  10. Municipal return to work management in cancer survivors undergoing cancer treatment: a protocol on a controlled intervention study.

    Science.gov (United States)

    Stapelfeldt, Christina M; Labriola, Merete; Jensen, Anders Bonde; Andersen, Niels Trolle; Momsen, Anne-Mette H; Nielsen, Claus Vinther

    2015-07-29

    Cancer survivors are often left on their own to deal with the challenges of resuming work during or after cancer treatment, mainly due to unclear agreements between stakeholders responsible for occupational rehabilitation. Social inequality exists in cancer risk, survival probability and continues with regard to the chance of being able to return to work. The aim is to apply an early, individually tailored occupational rehabilitation intervention to cancer survivors in two municipalities parallel with cancer treatment focusing on enhancing readiness for return to work. In a controlled trial municipal job consultants use acceptance and commitment therapy dialogue and individual-placement-and-support-inspired tools with cancer survivors to engage them in behaviour changes toward readiness for return to work. The workplace is involved in the return to work process. Patients referred to surgery, radiotherapy or chemotherapy at the Oncology Department, Aarhus University Hospital, Denmark for the diagnoses; breast, colon-rectal, head and neck, thyroid gland, testicular, ovarian or cervix cancer are eligible for the study. Patients must be residents in the municipalities of Silkeborg or Randers, 18-60 years of age and have a permanent or temporary employment (with at least 6 months left of their contract) at inclusion. Patients, for whom the treating physician considers occupational rehabilitation to be unethical, or who are not reading or talking Danish are excluded. The control group has identical inclusion and exclusion criteria except for municipality of residence. Return to work is the primary outcome and is indentified in a social transfer payment register. Effect is assessed as relative cumulative incidences within 52 weeks and will be analysed in generalised linear regression models using the pseudo values method. As a secondary outcome; co-morbidity and socio-economic status is analysed as effect modifiers of the intervention effect on return to work. The

  11. Effective connectivity of AKT1-mediated dopaminergic working memory networks and pharmacogenetics of anti-dopaminergic treatment.

    Science.gov (United States)

    Tan, Hao Yang; Chen, Anthony G; Kolachana, Bhaskar; Apud, Jose A; Mattay, Venkata S; Callicott, Joseph H; Chen, Qiang; Weinberger, Daniel R

    2012-05-01

    Working memory is a limited capacity system that integrates and manipulates information across brief periods of time, engaging a network of prefrontal, parietal and subcortical brain regions. Genetic control of these heritable brain processes have been suggested by functional genetic variations influencing dopamine signalling, which affect prefrontal activity during complex working memory tasks. However, less is known about genetic control over component working memory cortical-subcortical networks in humans, and the pharmacogenetic implications of dopamine-related genes on cognition in patients receiving anti-dopaminergic drugs. Here, we examined predictions from basic models of dopaminergic signalling in cortical and cortical-subcortical circuitries implicated in dissociable working memory maintenance and manipulation processes. We also examined pharmacogenetic effects on cognition in the context of anti-dopaminergic drug therapy. Using dynamic causal models of functional magnetic resonance imaging in normal subjects (n = 46), we identified differentiated effects of functional polymorphisms in COMT, DRD2 and AKT1 genes on prefrontal-parietal and prefrontal-striatal circuits engaged during maintenance and manipulation, respectively. Cortical synaptic dopamine monitored by the COMT Val158Met polymorphism influenced prefrontal control of both parietal processing in working memory maintenance and striatal processing in working memory manipulation. DRD2 and AKT1 polymorphisms implicated in DRD2 signalling influenced only the prefrontal-striatal network associated with manipulation. In the context of anti-psychotic drugs, the DRD2 and AKT1 polymorphisms altered dose-response effects of anti-psychotic drugs on cognition in schizophrenia (n = 111). Thus, we suggest that genetic modulation of DRD2-AKT1-related prefrontal-subcortical circuits could at least in part influence cognitive dysfunction in psychosis and its treatment.

  12. Conceptualización psicoanalítica acerca del juego de los niños: Punto de partida para una investigación empírica en psicoterapia Psychoanalytical conceptual approach to children´s play: Initial step for an empirical research in psychotherapy

    Directory of Open Access Journals (Sweden)

    Ana M. Luzzi

    2009-12-01

    Full Text Available Este trabajo es una exploración del marco teórico de una investigación desarrollada mediante una beca UBACyT de maestría, cuyo propósito es efectuar un estudio descriptivo del juego de niños entre 6 y 8 años en el contexto de la psicoterapia psicoanalítica grupal y su potencial relación con la contención emocional de los padres. Objetivos: Delimitar el significado otorgado al juego de los niños en la obra de autores clásicos del psicoanálisis. Metodología: Se efectúa una investigación conceptual sobre el juego de los niños, en tanto actividad normal de su vida anímica y en el contexto de la psicoterapia psicoanalítica. Se rastrea el concepto en la obra de Sigmund Freud, punto de partida de teorizaciones posteriores de autores de la Escuela Inglesa de Psicoanálisis. Dentro de esta corriente, se enfatizan los aportes de Melanie Klein, pionera en el trabajo psicoanalítico con niños, y de Donald Winnicott, que enriquecen la conceptualización de la actividad lúdica. Resultados y Conclusión: Los diferentes modos de conceptuar la actividad lúdica de los niños por parte de los autores mencionados, influyó en el modo de concebir la clínica psicoanalítica con niños.The following paper is part of the theoretical frame of an investigation that is being developed by an UBACyT master scholarship, which purpose is to carry out a descriptive study of children´s play between six and eight years old in the context of the psychoanalytic psychotherapy group and its potential relationship with the capacity of emotional containment of parents. Aim: Specify the meaning given to children´s play in the work of classical psychoanalytical authors. Methodology: A conceptual research about children´s play is carried out, as a normal activity in their mind life and as a psychoanalytical psychotherapy activity. The concept has been searched throughout Sigmund Freud´s work, as the basic and first step of the following theoretical discoveries

  13. Return to work after early-stage breast cancer : A cohort study into the effects of treatment and cancer-related symptoms

    NARCIS (Netherlands)

    Balak, Fulya; Roelen, Corne A. M.; Koopmans, Petra C.; ten Berge, Elike E.; Groothoff, Johan W.

    Introduction Earlier diagnosis and better treatment have increased the survival rates of cancer patients. This warrants research on return to work of cancer survivors. What is the return to work rate following early-stage breast cancer? What is the effect of the type of treatment and cancer-related

  14. 40 CFR Appendix J to Part 122 - NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j))

    Science.gov (United States)

    2010-07-01

    ... Publicly Owned Treatment Works (§ 122.21(j)) J Appendix J to Part 122 Protection of Environment... POLLUTANT DISCHARGE ELIMINATION SYSTEM Pt. 122, App. J Appendix J to Part 122—NPDES Permit Testing Requirements for Publicly Owned Treatment Works (§ 122.21(j)) Table 1A—Effluent Parameters for All POTWS...

  15. The conversation group: using group psychoanalytic techniques to resolve resistances of recently immigrated Chinese students to learning English in a high school setting.

    Science.gov (United States)

    Zaretsky, Sheila

    2009-07-01

    Does group psychoanalytic theory and technique have an application in an ordinary high school classroom? In this article, the writer describes a research project in which she attempts to answer this question by applying the techniques with a group of recently immigrated Chinese students who wished to improve their spoken English.

  16. How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda

    Science.gov (United States)

    Siu, Godfrey E; Wight, Daniel; Seeley, Janet

    2012-01-01

    Background Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART). By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Methods Participant observation and 26 in-depth interviews with men were conducted in a gold mining village in Eastern Uganda between August 2009 and August 2010. Interviewees included men who were taking HIV treatment, who had discontinued treatment, who suspected HIV infection but had not sought testing, or who had other symptoms unrelated to HIV infection. Results Many participants reported spending large proportions of their income, alleviating symptoms prior to confirming their HIV infection. This seriously undermined their sense of masculinity gained from providing for their families. Disclosing HIV diagnosis and treatment to employers and work colleagues could reduce job offers and/or collaborative work, as colleagues feared working with “ill” people. Drug side-effects affected work, leading some men to discontinue the treatment. Despite being on ART, some men believed their health remained fragile, leading them to opt out of hard work, contradicting their reputation as hard workers. However, some men on treatment talked about “resurrecting” due to ART and linked their current abilities to work again to good adherence. For some men, it was work colleagues who suggested testing and treatment-seeking following symptoms. Conclusions The central role of a work ethic in expressing masculinity can both encourage and discourage men's treatment-seeking for AIDS. HIV testing and treatment may be sought in order to improve health and get back to work, thereby in the process regaining one

  17. How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda

    Directory of Open Access Journals (Sweden)

    Janet Seeley

    2012-06-01

    Full Text Available Background: Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART. By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Methods: Participant observation and 26 in-depth interviews with men were conducted in a gold mining village in Eastern Uganda between August 2009 and August 2010. Interviewees included men who were taking HIV treatment, who had discontinued treatment, who suspected HIV infection but had not sought testing, or who had other symptoms unrelated to HIV infection. Results: Many participants reported spending large proportions of their income, alleviating symptoms prior to confirming their HIV infection. This seriously undermined their sense of masculinity gained from providing for their families. Disclosing HIV diagnosis and treatment to employers and work colleagues could reduce job offers and/or collaborative work, as colleagues feared working with “ill” people. Drug side-effects affected work, leading some men to discontinue the treatment. Despite being on ART, some men believed their health remained fragile, leading them to opt out of hard work, contradicting their reputation as hard workers. However, some men on treatment talked about “resurrecting” due to ART and linked their current abilities to work again to good adherence. For some men, it was work colleagues who suggested testing and treatment-seeking following symptoms. Conclusions: The central role of a work ethic in expressing masculinity can both encourage and discourage men's treatment-seeking for AIDS. HIV testing and treatment may be sought in order to improve health and get back to work, thereby in the

  18. How a masculine work ethic and economic circumstances affect uptake of HIV treatment: experiences of men from an artisanal gold mining community in rural eastern Uganda.

    Science.gov (United States)

    Siu, Godfrey E; Wight, Daniel; Seeley, Janet

    2012-06-14

    Current data from Uganda indicate that, compared to women, men are under-represented in HIV treatment, seek treatment later and have a higher mortality while on antiretroviral therapy (ART). By focusing on a masculine work ethic as one of the most predominant expressions of masculinity, this study explores why for some men HIV treatment enhances their masculinity while for others it undermines masculine work identity, leading them to discontinue the treatment. Participant observation and 26 in-depth interviews with men were conducted in a gold mining village in Eastern Uganda between August 2009 and August 2010. Interviewees included men who were taking HIV treatment, who had discontinued treatment, who suspected HIV infection but had not sought testing, or who had other symptoms unrelated to HIV infection. Many participants reported spending large proportions of their income, alleviating symptoms prior to confirming their HIV infection. This seriously undermined their sense of masculinity gained from providing for their families. Disclosing HIV diagnosis and treatment to employers and work colleagues could reduce job offers and/or collaborative work, as colleagues feared working with "ill" people. Drug side-effects affected work, leading some men to discontinue the treatment. Despite being on ART, some men believed their health remained fragile, leading them to opt out of hard work, contradicting their reputation as hard workers. However, some men on treatment talked about "resurrecting" due to ART and linked their current abilities to work again to good adherence. For some men, it was work colleagues who suggested testing and treatment-seeking following symptoms. The central role of a work ethic in expressing masculinity can both encourage and discourage men's treatment-seeking for AIDS. HIV testing and treatment may be sought in order to improve health and get back to work, thereby in the process regaining one's masculine reputation as a hard worker and provider

  19. Cognitive Training and Work Therapy for the Treatment of Verbal Learning and Memory Deficits in Veterans With Alcohol Use Disorders.

    Science.gov (United States)

    Bell, Morris D; Vissicchio, Nicholas A; Weinstein, Andrea J

    2016-01-01

    This study focused on the efficacy of cognitive training for verbal learning and memory deficits in a population of older veterans with alcohol use disorders. Veterans with alcohol use disorders, who were in outpatient treatment at VA facilities and in early-phase recovery (N = 31), were randomized to receive a three-month trial of daily cognitive training plus work therapy (n = 15) or work therapy alone (n = 16), along with treatment as usual. Participants completed assessments at baseline and at three- and six-month follow-ups; the Hopkins Verbal Learning Task (HVLT) was the primary outcome measure. Participants were primarily male (97%) and in their mid-50s (M = 55.16, SD = 5.16) and had been sober for 1.64 (SD = 2.81) months. Study retention was excellent (91% at three-month follow-up) and adherence to treatment in both conditions was very good. On average, participants in the cognitive training condition had more than 41 hours of cognitive training, and both conditions had more than 230 hours of productive activity. HVLT results at three-month follow-up revealed significant condition effects favoring cognitive training for verbal learning (HVLT Trial-3 T-score, p memory (HVLT Total T-score, p memory and 58.8% showed a deficit in verbal learning compared with a premorbid estimate of verbal IQ. At three-month follow-up there was a significant reduction in the number of participants in the cognitive training condition with clinically significant verbal memory deficits (p work therapy alone condition and a trend toward significance for verbal learning deficits, which was not sustained at six-month follow-up. This National Institute on Drug Abuse-funded pilot study demonstrates that cognitive training within the context of another activating intervention (work therapy) may have efficacy in remediating verbal learning and memory deficits in patients with alcohol use disorder. Findings indicate a large effect for cognitive training in this pilot study, which

  20. The association of HIV/AIDS treatment side effects with health status, work productivity, and resource use.

    Science.gov (United States)

    daCosta DiBonaventura, Marco; Gupta, Shaloo; Cho, Michelle; Mrus, Joseph

    2012-01-01

    Due to stable incidence and improved survival rates, there are an increasing number of patients living with HIV/AIDS in the USA. Although highly effective, current antiretroviral therapies are associated with a variety of side effects. The role side effects play on health outcomes has not been fully examined. The current study assessed the association of medication side effects with (1) self-assessed health status; (2) work productivity and activity impairment; and (3) healthcare resource utilization. Data were from a cross-sectional patient-reported survey fielded in the USA using a dual methodology of Internet and paper questionnaires. A total of 953 patients living with HIV/AIDS who were currently taking a medication for their condition were included in the analyses. The most frequent side effects reported by patients were fatigue (70.72%), diarrhea (62.96%), insomnia (58.97%), dizziness (52.78%), neuropathy (52.68%), joint pain (52.36%), nausea (51.63%), and abdominal pain (50.37%). The presence of each side effect was associated with reduced self-assessed health status, increased productivity loss, increased activity impairment, and increased healthcare resource use. Controlling for CD4 cell counts in regression modeling did little to diminish the impact of side effects. Although not all side effects were associated with all outcomes, every side effect was associated with worse health status, some measure of increased work productivity loss, and/or some measure of increased healthcare resource use. Patients are living longer with HIV and, therefore, spending a greater length of time on treatment. The results of the current study suggest that many of these patients are experiencing a wide array of side effects from these therapies. These side effects have demonstrated a profound association with self-assessed health, work productivity, and healthcare resource use. Improved management of these side effects or development of treatments with a better side effect

  1. Definition, diagnosis and treatment strategies for opioid-induced bowel dysfunction-Recommendations of the Nordic Working Group.

    Science.gov (United States)

    Drewes, Asbjørn M; Munkholm, Pia; Simrén, Magnus; Breivik, Harald; Kongsgaard, Ulf E; Hatlebakk, Jan G; Agreus, Lars; Friedrichsen, Maria; Christrup, Lona L

    2016-04-01

    Opioid-induced bowel dysfunction (OIBD) is an increasing problem due to the common use of opioids for pain worldwide. It manifests with different symptoms, such as dry mouth, gastro-oesophageal reflux, vomiting, bloating, abdominal pain, anorexia, hard stools, constipation and incomplete evacuation. Opioid-induced constipation (OIC) is one of its many symptoms and probably the most prevalent. The current review describes the pathophysiology, clinical implications and treatment of OIBD. The Nordic Working Group was formed to provide input for Scandinavian specialists in multiple, relevant areas. Seven main topics with associated statements were defined. The working plan provided a structured format for systematic reviews and included instructions on how to evaluate the level of evidence according to the GRADE guidelines. The quality of evidence supporting the different statements was rated as high, moderate or low. At a second meeting, the group discussed and voted on each section with recommendations (weak and strong) for the statements. The literature review supported the fact that opioid receptors are expressed throughout the gastrointestinal tract. When blocked by exogenous opioids, there are changes in motility, secretion and absorption of fluids, and sphincter function that are reflected in clinical symptoms. The group supported a recent consensus statement for OIC, which takes into account the change in bowel habits for at least one week rather than focusing on the frequency of bowel movements. Many patients with pain receive opioid therapy and concomitant constipation is associated with increased morbidity and utilization of healthcare resources. Opioid treatment for acute postoperative pain will prolong the postoperative ileus and should also be considered in this context. There are no available tools to assess OIBD, but many rating scales have been developed to assess constipation, and a few specifically address OIC. A clinical treatment strategy for OIBD

  2. Psicanálise e Universidade: a interface possível por meio da pesquisa psicanalítica clínica. Alice quebra-vidros Psychoanalysis and University: the potential interface through psychoanalytic clinical research. Alice Glass-breaker

    Directory of Open Access Journals (Sweden)

    Julieta Freitas Ramalho da Silva

    2008-06-01

    Full Text Available As relações entre Psicanálise, Ciência e Universidade são antigas. Remontam à época de Freud e têm se mostrado tema importante para a Psicanálise no século XXI. Os psicanalistas que trabalham nas Universidades sofrem demandas por evidenciar o funcionamento e os resultados de sua disciplina. Este artigo comenta os modelos possíveis de pesquisa psicanalítica e defende a pesquisa clínica de caso individual por meio do próprio método psicanalítico acrescido por elementos da pesquisa qualitativa. Para tanto, as autoras estudam o processo de psicoterapia psicanalítica e o funcionamento mental de uma paciente borderline atendida durante quatro anos em uma clínica universitária pública. Aproximadamente 120 sessões foram registradas de um total de 340 sessões. Estas foram lidas e relidas como se fossem narrativas pela psicanalista investigadora, revelando momentos significativos do trabalho da dupla analista-paciente.The relationships between Psychoanalysis, Science and Universities have been discussed since Freud and gained relevance over the 21st century as an important subject for Psychoanalysis. Psychoanalysts who work in Universities are supposed to conduct research. This article comments on possible psychoanalytical research models and supports individual case clinical research through the psychoanalytical method itself, added on qualitative research elements. The authors study the psychoanalytical psychotherapy process and the mental functioning of a borderline patient treated for four years in a public university institution. Approximately 120 of 340 sessions were registered. They were read and re-read by the investigator-psychoanalyst as if they were narratives and revealed some meaningful developments from the psychoanalyst-patient.

  3. A constituição da inteligência: uma abordagem psicanalítica The constitution of intelligence: a psychoanalytical approach

    Directory of Open Access Journals (Sweden)

    Regina Orgler Sordi

    2005-12-01

    embryonic states. It is recognized the contribution of genetic epistemology developed by Jean Piaget which allows to understand the capacity to build symbolic systems from sensory-motor schemes. There is also pointed some convergence between the genetic psychology and the psychoanalytic thought. What is stressed in this article, however, is that the contribution of psychoanalysis about the origins of intelligence has been less studied, although it is of most interest both theoretically and clinically. The theoretical inspiration of the paper relies on Freud's theory but it is more definitely grounded on the French school of Jean Laplanche. It tries to show that to reach the objectivity of logical structures, characterized by the categories of the Aristotelian logic - classification, space, time, causality, denial - the psychism does an active work of mind connection which starts in the first inscriptions of the other sexualized human and has to implant the originary repression, the only one able to organize the logic of the secondary thought. It stresses, at the end, that the contribution about a theory of the origins of psychism, concerning the development of intelligence is of great help in the studies about learning disabilities, as it differentiates learning difficulties due to secondary causes of the disorders which address to the lack of constitution of the ego.

  4. Fatores associados a abandono precoce do tratamento em psicoterapia de orientação analítica Factors related to early dropout in psychoanalytic psychotherapy

    Directory of Open Access Journals (Sweden)

    Simone Hauck

    2007-12-01

    Report Questionnaire, Defensive Style Questionnaire, Scale of Defensive Functioning of Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR and Global Assessment of Functioning, and followed for 3 months. RESULTS: Dropout rate was 12.5%. There was no difference between groups in respect to Global Assessment of Functioning, Self Report Questionnaire and Defensive Style Questionnaire scores. Dropout patients reported to be satisfied with their health, despite psychopathological severity, even when other variables were controlled (p < 0.0001. The group that remained in psychotherapy was better adjusted before treatment and had average or superior estimated intelligence (p < 0.05. More dropout patients presented lower levels of defensive style, by means of the Scale of Defensive Functioning of DSM-IV-TR. CONCLUSIONS: Psychopathology severity alone did not predict dropout. However, patients with lower levels of insight and immature defenses (especially narcissistic had higher dropout rates. Therefore, such aspects must be seriously considered, along with patients' expectations about the psychoanalytic method, and should be judiciously assessed before indication.

  5. Kinetic characterization and of recrystallization of the aluminum alloy 6063 after S work hardening treatment; Caracterizacao e cinetica de recristalizacao da liga de aluminio 6063 apos tratamentos termomecanicos

    Energy Technology Data Exchange (ETDEWEB)

    Esposito, Iara Maria

    2006-07-01

    The aluminum 6063 alloy possesses a great industrial interest, presenting characteristics that justify its frequent use, when compared to the other aluminum alloys: the precipitation hardening and high cold work capacity. These alloys present high ductility, that allows their use in operations with high deformation degrees, as the cold work. The objective of this work is to show comparative analysis of the hardness Vickers of the commercial aluminum 6063 alloy, after cold work with different area reduction degree and thermal treatment. Considering the frequent utilization aluminium 6063 alloy, this work studies the characterization and recrystallization of this alloy, after the plastic deformation in different area reduction degrees, thermal treatment and convenient treatment times - Thermo mechanic Treatments. (author)

  6. Comments on "The effects of leader-member exchange and differential treatment on work unit commitment": distinguishing between neutralizing and moderating effects.

    Science.gov (United States)

    Xu, Ye; Barbuto, John E

    2004-04-01

    Van Breukelen, Konst, and van der Vlist in 2002 examined how members' perceptions of differential treatment from the leader affect the relationship between Leader-Member exchange and work unit commitment. This paper offers commentary, with specific focus on the judgment call for examining continuous effects across all levels of differential treatment. To justify the role of differential treatment as a neutralizer that weakens the influence of Leader-Member exchange on work unit commitment, the regression coefficients of work unit commitment on Leader-Member Exchange should be examined continuously with discriminable differential treatment. As a caution against using "neutralizer" based on the research results presented, "moderator" is suggested as the more appropriate descriptor of the role that differential treatment played. Also, the nature of the interaction between Leader-Member exchange quality and work unit commitment is explored, suggesting research should focus more on the main effects.

  7. Sternberg working memory performance following treatment with pramipexole in patients with moderate-to-severe restless legs syndrome.

    Science.gov (United States)

    Jung, Ki-Young; Kim, Sung Min; Song, Jin-Young; Lee, Byeong Uk; Lee, Chany; Lee, Sang Kun; Koo, Yong Seo; Cho, Yong Won; Choi, Jeong Woo; Kim, Kyung Hwan

    2015-06-01

    We recently reported that the P300 amplitude related to the Sternberg working memory (WM) task was significantly lower in drug-naïve severe restless legs syndrome (RLS) patients than controls. Here, we evaluated the effects of pramipexole on the Sternberg WM task performance by event-related potential (ERP) study. Thirteen drug-naïve RLS patients (52.0 ± 9.48 years) were enrolled in the study. Pramipexole was administered over a period of 12 weeks every night 1 h before bedtime. Two ERP studies were carried out: the first was performed just before giving the first dose of pramipexole and the second was conducted at 12-16 weeks after commencement of pramipexole administration. P300 amplitudes and reaction times were compared before and after treatment considering brain regions and memory load as within-subject factors. Clinical and sleep-related variables were correlated with P300 amplitude. After treatment with pramipexole, the International RLS Severity Scale (IRLS) score was significantly decreased. Sleep quality and depression were also significantly improved. Omission error was significantly reduced without significant change of commission error. Reaction time was significantly shortened, regardless of memory load size, following treatment with pramipexole. Parietal P300 amplitude was significantly increased after treatment with pramipexole for all memory load sizes. Increase of frontal P300 amplitude was significantly correlated with improvement of sleep duration, IRLS, Insomnia Severity Index, and Pittsburgh Sleep Quality Index score. Our study suggested that pramipexole improves WM performance in patients with RLS in addition to improving RLS symptoms, sleep disturbance, and depression. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. ["Vocational perspective" - concept and acceptance of a group treatment for patients with extensive work-related problems].

    Science.gov (United States)

    Dorn, M; Bönisch, A; Ehlebracht-König, I

    2011-02-01

    The treatment programme "Vocational Perspective" was developed for patients with health-related social problems, e. g. long-term sick leave, job loss due to disability, job insecurity and psychosocial disabilities. It intends the patient-oriented imparting of information referring to social system, legal rights, earning capacity and occupational reintegration as well as an early feedback of the sociomedical assessment by the physicians. Participants during in-patient rehabilitation are supported to deal with their occupational situation; motivation to stay employed is strengthened. The group programme contains five psychoeducative modules and an additional sociomedical "ward round". The aim of the study was to examine the acceptance of the newly developed sociomedical vocational therapy module. A total of 179 patients participated in 21 "vocational perspective" seminars within the scope of a controlled quasi-experimental trial. In the experimental group the data on acceptance of the treatment was assessed by questionnaire at the end of the intervention. Experiences with implementation of the programme are described in order to complete the patient-related perspective. The identification of a demand for work-related interventions in medical rehabilitation seemed successful: Sociodemographic and socioeconomical parameters of the sample proved high risk in view of the social-medical perspective (poor education, high unemployment rates and long-term sick leave). Self-estimations revealed high suffering of the participants, e. g. due to the occupational situation, anxiety and depression, and confirmed high interest in work-related issues. The patients showed quite high acceptance of the programme (regarding importance of seminar, comprehensibility, usefulness of information, atmosphere of the group, mode and extent of the programme). 82.7% of the participants would recommend the programme to other people with work-related problems. Altogether, the experiences during the

  9. Connection and Disconnection: Value of the Analyst’s Subjectivity in Elucidating Meaning in a Psychoanalytic Case Study

    Directory of Open Access Journals (Sweden)

    Sara Hueso

    2012-11-01

    Full Text Available This article reflects on pivotal concepts of psychoanalytic practice and theory, applied to a single case study to create new meanings. Drawing from the concepts of transference, countertransference, and projective identification, the author presents the notion that the researcher’s subjective reactions are created and induced by the subject of study precisely because this is one, and sometimes the only way available to the subject to communicate something that is out of its full awareness. In essence, some unconscious material can be expressed nonverbally by the subject by means of provoking visceral and bodily reactions in the researcher, or in some cases, psychic imagery such as dreams or fantasies. The material can be meaningfully interpreted by the researcher by receiving, containing, and sorting through these inchoate emotional reactions within self.

  10. [Psychoanalytic study of social withdrawal: grandiose narcissism and passive aggression due to insufficient maternal containing in childhood].

    Science.gov (United States)

    Ogawa, Toyoaki

    2012-01-01

    Two different types of pathology can cause social withdrawal: the narcissistic--schizoid personality organization (NSPO) type and the mild Asperger's syndrome (mild developmental disorders) type. Only the former type can be treated by psychoanalytic psychotherapy. In the childhood of both types, one may find traumatic family environments which will result in social withdrawal (Hikikomori). In the infancy of the NSPO type, the mother fails to function as a sufficient container of the child's emotion, which encourages formation of a schizoid personality organization i.e. the psychic withdrawal (or "psychic retreat" by Steiner, J.). With only a little failure in life events, this may turn into a physical withdrawal for a long time. And in this type of pathology their aggression takes a passive form that hardens their social withdrawal situation. Moreover, the social withdrawal itself serves to reinforce the pathological narcissism.

  11. Treatment Options in Kleptomania

    Directory of Open Access Journals (Sweden)

    Lut Tamam

    2009-06-01

    Full Text Available Kleptomania is a rare disorder with inability or great difficulty in resisting impulses of stealing. People with this disorder are compelled to steal things, generally things of little or no value. This disorder usually begins during puberty and usually last until late adulthood; in some cases lasts throughout the person's life. People with this disorder are likely to have a comorbid conditions like mood disorders. Individuals with the disorder are usually referred for treatment due to the comorbid psychiatric complaints rather than kleptomanic behaviour per se. On the other hand literature lacks of studies about the treatment of kleptomania. A wide variety of therapeutic strategies have been proposed for its treatment, among them psychoanalytic oriented psychotherapy, behavioral therapy and pharmacotherapy. Some medications that are used for people diagnosed with kleptomania are selective serotonin reuptake inhibitors, mood stabilizers and opioid antagonists. There is evidence from numerous case studies that a variety of cognitive behavioral therapy techniques are effective in the treatment of kleptomania and it is favored over other approaches such as psychodynamic and psychoanalytic therapies. Studies to date suggest that cognitive behavioral therapy when used in combination with medication, is more effective than medication alone.

  12. Patterns of work injuries: cases admitted to emergency room treatment compared to cases reported to the Danish Working Environment Authority during 2003-2010.

    Science.gov (United States)

    Lander, Flemming; Nielsen, Kent Jacob; Rasmussen, Kurt; Lauritsen, Jens M

    2014-02-01

    To compare work injuries treated in an emergency department (ED) and injuries reported to the Danish Working Environment Authority (DWEA). Work injuries of the ED, Odense University Hospital, and injuries from the geographical catchment area reported to the DWEA between 2003 and 2010 were included. The injuries included in both datasets were identified by merging the ED file and the DWEA file using the civil registry number and injury date information as key. Approximately 50 000 work injuries occurred in the catchment area of the ED. The intersection between the two injury registration systems was 16%. A major discordance concerned the type of injuries, as some injuries were seen frequently in the ED but not reported to the DWEA to any significant extent, for example 'eye injuries' and 'superficial lacerations or wounds'. On the other hand, some injuries are rarely seen in the ED, but often reported to the DWEA, for example 'low back pain'. Additionally, younger workers visit the ED more often than older workers, and injuries in the high risk sectors have the lowest reporting proportion. Neither the ED nor DWEA injury files alone give a complete picture of work injuries. But merged, they represent a significant number of injuries, taking into account differences in data sources, for example concerning uneven distribution of age, sex, type of injury and type of industry. Obviously, not all serious work related ED injuries resulting in lost work time are reported to the DWEA.

  13. Therapeutic working alliance: From a psychoanalitical to a pantheoretical conception

    Directory of Open Access Journals (Sweden)

    Peter Praper

    2004-05-01

    Full Text Available Although the concept of therapeutic working alliance was rooted in psychoanalysis, today it is more prominent in psychoanalytic psychotherapies than psychoanalysis. It is rather surprising that we cannot find the concept in the Laplanche and Pontalis Dictionary. During the last two decades a growing body of empirical research material on therapeutic working alliance was published, confirming the idea of the alliance as a separate dimension of therapeutic relationship with few recognisable components. The dimension of the therapeutic working alliance was examined in several approaches and proved as one of the most important therapeutic factors, regardless of the approach, and it has finally been accepted as a pantheoretical concept.

  14. The Association between Insomnia and Insomnia Treatment Side Effects on Health Status, Work Productivity, and Healthcare Resource Use.

    Directory of Open Access Journals (Sweden)

    Marco DiBonaventura

    Full Text Available The aims of this study were (1 to compare health outcomes (i.e., health-related quality of life [HRQoL], productivity at work, and healthcare resource use visits between those with insomnia and non-insomnia controls, (2 to compare health outcomes between those treated for insomnia and non-insomnia controls, and (3 to assess the prevalence of side effects of insomnia medications and their relationship with health outcomes. Data from the 2013 US (N = 75,000 and 5EU (N = 62,000 National Health and Wellness Survey (NHWS were used. The NHWS is a patient-reported survey administered to a demographically representative sample of adults. Those who met DSM-V criteria for insomnia and, separately, those treated for insomnia were compared with equivalently sized control groups who were identified using a propensity score matching method. Outcomes included HRQoL (Short Form 36v2, productivity at work (Work Productivity and Activity Impairment-General Health questionnaire, and healthcare resource use visits in the past 6 months and were analyzed using one-way ANOVAs. Among those with treated insomnia, those with and without side effects were compared on health outcomes using general linear models controlling for confounding variables. Patients with insomnia (n = 4147 and treated insomnia (n = 2860 in the 5EU reported significantly worse HRQoL than controls (health utilities: 0.60 vs. 0.74; 0.60 vs. 0.74, respectively, greater overall work impairment (38.74% vs. 14.86%; 39.50% vs. 15.66%, and more physician visits in the past 6 months (9.10 vs. 4.08; 9.58 vs. 4.11. Similar findings were observed in the US. Among those treated for insomnia, 13.56% and 24.55% in the US and 5EU, respectively, were non-adherent due to side effects. In the US, non-adherence was associated with significantly worse HRQoL (health utilities: 0.60 vs. 0.64, p <.05 and greater overall work impairment (37.71% vs. 29.08%, p <.05, among other significant differences. These relationships

  15. Role of Human Health Care Providers and Medical Treatment Facilities in Military Working Dog Care and Accessibility Difficulties with Military Working Dog Blood Products

    National Research Council Canada - National Science Library

    Giles Iii, James T

    2016-01-01

    The use of military working dogs (MWDs) in support of military operations has increased dramatically over recent years, as they have proven to be our most reliable deterrent to improvised explosive devices...

  16. Improved Social Interaction, Recognition and Working Memory with Cannabidiol Treatment in a Prenatal Infection (poly I:C) Rat Model.

    Science.gov (United States)

    Osborne, Ashleigh L; Solowij, Nadia; Babic, Ilijana; Huang, Xu-Feng; Weston-Green, Katrina

    2017-06-01

    Neuropsychiatric disorders such as schizophrenia are associated with cognitive impairment, including learning, memory and attention deficits. Antipsychotic drugs are limited in their efficacy to improve cognition; therefore, new therapeutic agents are required. Cannabidiol (CBD), the non-intoxicating component of cannabis, has anti-inflammatory, neuroprotective and antipsychotic-like properties; however, its ability to improve the cognitive deficits of schizophrenia remains unclear. Using a prenatal infection model, we examined the effect of chronic CBD treatment on cognition and social interaction. Time-mated pregnant Sprague-Dawley rats (n=16) were administered polyinosinic-polycytidilic acid (poly I:C) (POLY; 4 mg/kg) or saline (CONT) at gestation day 15. Male offspring (PN56) were injected twice daily with 10 mg/kg CBD (CONT+CBD, POLY+CBD; n=12 per group) or vehicle (VEH; CONT+VEH, POLY+VEH; n=12 per group) for 3 weeks. Body weight, food and water intake was measured weekly. The Novel Object Recognition and rewarded T-maze alternation tests assessed recognition and working memory, respectively, and the social interaction test assessed sociability. POLY+VEH offspring exhibited impaired recognition and working memory, and reduced social interaction compared to CONT+VEH offspring (p0.05). In conclusion, chronic CBD administration can attenuate the social interaction and cognitive deficits induced by prenatal poly I:C infection. These novel findings present interesting implications for potential use of CBD in treating the cognitive deficits and social withdrawal of schizophrenia.

  17. Variation in Dopamine D2 and Serotonin 5-HT2A Receptor Genes is Associated with Working Memory Processing and Response to Treatment with Antipsychotics

    National Research Council Canada - National Science Library

    Blasi, Giuseppe; Selvaggi, Pierluigi; Fazio, Leonardo; Antonucci, Linda Antonella; Taurisano, Paolo; Masellis, Rita; Romano, Raffaella; Mancini, Marina; Zhang, Fengyu; Caforio, Grazia; Popolizio, Teresa; Apud, Jose; Weinberger, Daniel R; Bertolino, Alessandro

    2015-01-01

    .... In particular, the DRD2 rs1076560 T allele predicts a lower ratio of expression of D2 short/long isoforms, suboptimal working memory processing, and better response to antipsychotic treatment compared with the G allele...

  18. Estimation of the electric power potential using wastewater sludge produced from the Percy Steward Wastewater Treatment Works (PS-WWTW) in Mogale City local municipality

    CSIR Research Space (South Africa)

    Mema, V

    2015-06-01

    Full Text Available Energy recovered from biogas in the form of methane can reduce the usage of electricity generated from fossil fuels thereby lessening greenhouse gas deposits into environment. Sewage sludge produced by Municipal Wastewater Treatment Works composes...

  19. Infliximab Versus Conventional Combination Treatment and Seven-Year Work Loss in Early Rheumatoid Arthritis: Results of a Randomized Swedish Trial.

    Science.gov (United States)

    Eriksson, Jonas K; Wallman, Johan K; Miller, Heather; Petersson, Ingemar F; Ernestam, Sofia; Vivar, Nancy; van Vollenhoven, Ronald F; Neovius, Martin

    2016-12-01

    To compare long-term work loss in methotrexate-refractory early rheumatoid arthritis (RA) patients randomized to the addition of infliximab or conventional combination treatment. This study was a multicenter, 2-arm, parallel, randomized, active-controlled, open-label trial. RA patients with infliximab or conventional combination treatment with sulfasalazine plus hydroxychloroquine. Yearly sick leave and disability pension days >7 years after randomization were retrieved from nationwide registers kept by the Swedish Social Insurance Agency. Of 210 working-age patients, 109 were randomized to infliximab (mean age 48.4 years, 73% women) and 101 to conventional treatment (mean age 48.7 years, 77% women). The year before randomization, the mean number of annual work days lost was 127 in the infliximab arm and 118 in the conventional treatment group (mean difference 9 [95% confidence interval (95% CI) -23, 39]). Compared to the year before randomization, the mean changes at 7 years were -25 days in the infliximab and -26 days in the conventional treatment group (adjusted mean difference 10 [95% CI -25, 46]). The cumulative mean for work-loss days was 846 in the infliximab group and 701 in the conventional treatment group (adjusted mean difference 104 [95% CI -56, 284]). Long-term work loss improved significantly in early RA patients randomized to infliximab plus methotrexate or conventional combination therapy. No difference was detected between strategies, and the level of work-loss days remained twice that observed in the general population. © 2016, American College of Rheumatology.

  20. Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Bech, Per

    2010-01-01

    was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. METHODS: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational...... the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years, while gender and depression had no predictive value. CONCLUSIONS: The stress treatment programme showed a significant effect on the return to work rate......ABSTRACT: BACKGROUND: In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study...

  1. Diferenças: os grupos na escola numa perspectiva psicanalítica/Differences: the groups at school in a psychoanalytic perspective

    Directory of Open Access Journals (Sweden)

    Paula Baracat De Grande

    2006-01-01

    Full Text Available O presente trabalho é resultado de observações feitas em uma escola pública estadual como parte das atividades práticas da disciplina EL 511 Psicologia e Educação, ministrada pela professora Dra. Regina Maria de Souza, na Universidade Estadual de Campinas (UNICAMP. A partir da observação de duas classes do primeiro ano do Ensino Médio, notamos a diferença - que fabricaram para si - de dois grupos sócio-culturais, chamados, nesse trabalho, de nerds e descolados. Tal diferença é analisada pela perspectiva psicanalítica, ao considerar que os alunos reforçam as diferenças entre o grupo ao qual pertencem em relação ao outro grupo a partir do processo de identificação. A identificação envolve a formação do eu, que passa necessariamente pela imagem do outro. Sustentamos que a diferença entre esses grupos influencia na dinâmica da interação em sala de aula e, por isso, deve ser considerada e discutida no âmbito educacional. Nesse trabalho, também salienta-se a questão da identificação das professoras observadas com um grupo em detrimento do outro. This paper work is the result of the observations made in a state public school as a part of the practice activities of the subject EL 511 Psycology and Education teached by professor Dr. Regina Maria de Souza, in Campinas State University (UNICAMP. From the observation of two first year High School classrooms, we noteced a difference that segregates the students in two social-cultural groups named, in this paper work, nerds and populars. This difference is analysed by the psychoanalytic perspective by considering the differences between the group which they belong in relation to the other group inside a identification process. The identification involves the “I” formation that passes necessary by the image of the other. We defend that the difference between those groups influences the dynamic of the classes iteration and, therefore, must be considered and discussed in the

  2. Work Function and Conductivity of Inkjet-Printed Silver Layers: Effect of Inks and Post-treatments

    Science.gov (United States)

    Mitra, Dana; Mitra, Kalyan Yoti; Dzhagan, Volodymyr; Pillai, Nikhil; Zahn, Dietrich R. T.; Baumann, Reinhard R.

    2017-12-01

    The electronic properties of a printed layer are influenced by a number of factors, including the nature of the ink (nanoparticle- or solution-based), ink composition (solvents, additives, concentration), and post-treatment technologies, especially sintering. One of the major challenges in the field of printed electronics is achieving the desired performance, for example, in terms of conductivity, resistivity, or work function (WF). This work investigates the dependence of sheet resistance and WF on various sintering methodologies. Four different silver nanoparticle inks were inkjet-printed on a flexible polymeric foil and post-treated by thermal sintering (in an oven) or novel sintering processes using infrared or intense pulsed light. The surfaces of the printed and sintered layers were investigated optically, and various inhomogeneities in the layer surface were observed, varying from a smooth to a highly rough appearance with ring-shaped drying structures. An analysis of the sheet resistance revealed notable variation among the various inks and sintering methodologies used. Here, for the very first time, WF is measured and evaluated as a function of sintering methodology and silver ink, and the respective layer formation characteristics realized with the inkjet printing technology. The WF values obtained by ultraviolet photoemission show a similar spread and allow unambiguous trends to be tracked with respect to the type of ink and sintering method used. The values of the WF obtained range from 3.7 eV to 4.3 eV, approaching the reported bulk values of 4.3-4.7 eV. The various silver inks resulted in different WFs when the same sintering method was used, while the same silver ink resulted in different WFs when various sintering methods were applied. Therefore, it is believed that the WF can be tuned over a broad range in a controlled manner to satisfy electronic device requirements.

  3. Effects of a multidisciplinary stress treatment programme on patient return to work rate and symptom reduction: results from a randomised, wait-list controlled trial.

    Science.gov (United States)

    Netterstrøm, Bo; Friebel, Lene; Ladegaard, Yun

    2013-01-01

    To evaluate the efficacy of a multidisciplinary stress treatment programme. General practitioners referred 198 employed patients on sick leave with symptoms of persistent work-related stress. Using a waitlisted randomised controlled trial design, the participants were randomly divided into the following three groups: the intervention group (IG, 69 participants); treatment-as-usual control group (TAUCG, 71 participants), which received 12 consultations with a psychologist, and the waitlisted control group (WLCG, 58 participants). The stress treatment intervention consisted of nine 1-hour sessions conducted over 3 months. The goals of the sessions were the following: (1) identifying relevant stressors; (2) changing the participant's coping strategies; (3) adjusting the participant's workload and tasks, and (4) improving workplace dialogue. Each participant also attended a mindfulness-based stress reduction (MBSR) course for 2 h a week over 8 weeks. The IG and TAUCG showed significantly greater symptom level (Symptom Check List 92) reductions compared to the WLCG. Regarding the return to work (RTW) rate, 67% of participants in the IG returned to full-time work after treatment, which was a significantly higher rate than in the TAUCG (36%) and WLCG (24%). Significantly more participants in the IG (97%) increased their working hours during treatment compared with the participants in the control groups, TAUCG (71%) and WLCG (64%). The stress treatment programme--a combination of work place-focused psychotherapy and MBSR--significantly reduced stress symptom levels and increased RTW rates compared with the WLCG and TAUCG. Copyright © 2013 S. Karger AG, Basel.

  4. Ebola virus disease cases among health care workers not working in Ebola treatment units--Liberia, June-August, 2014.

    Science.gov (United States)

    Matanock, Almea; Arwady, M Allison; Ayscue, Patrick; Forrester, Joseph D; Gaddis, Bethany; Hunter, Jennifer C; Monroe, Benjamin; Pillai, Satish K; Reed, Christie; Schafer, Ilana J; Massaquoi, Moses; Dahn, Bernice; De Cock, Kevin M

    2014-11-21

    West Africa is experiencing the largest Ebola virus disease (Ebola) epidemic in recorded history. Health care workers (HCWs) are at increased risk for Ebola. In Liberia, as of August 14, 2014, a total of 810 cases of Ebola had been reported, including 10 clusters of Ebola cases among HCWs working in facilities that were not Ebola treatment units (non-ETUs). The Liberian Ministry of Health and Social Welfare and CDC investigated these clusters by reviewing surveillance data, interviewing county health officials, HCWs, and contact tracers, and visiting health care facilities. Ninety-seven cases of Ebola (12% of the estimated total) were identified among HCWs; 62 HCW cases (64%) were part of 10 distinct clusters in non-ETU health care facilities, primarily hospitals. Early recognition and diagnosis of Ebola in patients who were the likely source of introduction to the HCWs (i.e., source patients) was missed in four clusters. Inconsistent recognition and triage of cases of Ebola, overcrowding, limitations in layout of physical spaces, lack of training in the use of and adequate supply of personal protective equipment (PPE), and limited supervision to ensure consistent adherence to infection control practices all were observed. Improving infection control infrastructure in non-ETUs is essential for protecting HCWs. Since August, the Liberian Ministry of Health and Social Welfare with a consortium of partners have undertaken collaborative efforts to strengthen infection control infrastructure in non-ETU health facilities.

  5. Limitation of sludge biotic index application for control of a wastewater treatment plant working with shock organic and ammonium loadings.

    Science.gov (United States)

    Drzewicki, Adam; Kulikowska, Dorota

    2011-11-01

    This study aimed to determine the relationship between activated sludge microfauna, the sludge biotic index (SBI) and the effluent quality of a full-scale municipal wastewater treatment plant (WWTP) working with shock organic and ammonium loadings caused by periodic wastewater delivery from septic tanks. Irrespective of high/low effluent quality in terms of COD, BOD5, ammonium and suspended solids, high SBI values (8-10), which correspond to the first quality class of sludge, were observed. High SBI values were connected with abundant taxonomic composition and the domination of crawling ciliates with shelled amoebae and attached ciliates. High SBI values, even at a low effluent quality, limit the usefulness of the index for monitoring the status of an activated sludge system and the effluent quality in municipal WWTP-treated wastewater from septic tanks. It was shown that a more sensitive indicator of effluent quality was a change in the abundance of attached ciliates with a narrow peristome (Vorticella infusionum and Opercularia coarctata), small flagellates and crawling ciliates (Acineria uncinata) feeding on flagellates. Copyright © 2011 Elsevier GmbH. All rights reserved.

  6. Investigations of the origins of estrogenic A-ring aromatic steroids in UK sewage treatment works effluents.

    Science.gov (United States)

    Niven, S J; Snape, J; Hetheridge, M; Evans, M; McEvoy, J; Sutton, P G; Rowland, S J

    2001-03-01

    The present preliminary study describes an investigation of a putative aromatisation pathway in sewage from cholesterol through the corresponding A-ring aromatic steroid, norcholest-1,3,5(10)-trienol (NCT) to estrone. The synthesis and analytical characterisation of NCT and of the trimethyl silyl ether by gas chromatography-mass spectrometry, is described. The analytical properties of synthetic NCT were used to direct a search for the compound over several months in 1998 in the effluents of two sewage treatment works (STW; Deephams and Harpenden, north London). The study was prompted by the earlier findings that increased vitellogenin concentrations in the plasma of caged male rainbow trout held in the STW effluents (so-called fish 'feminisation') could be attributed to the presence of A-ring steroids such as estrone. Until now it has been assumed that these steroids originate from the STW influents and it is not clear to what extent, if at all, aromatisation of steroids might occur during STW operation. NCT was only detected in the solid particles associated with the effluents on one occasion in 8 months. This suggests that the hypothesised pathway is not a major one. Confirmation of previous reports of estrone and 17 beta-estradiol was also obtained using a published analytical method and by a simple modification of the method these reports were extended to include a regular occurrence of the weaker estrogen, 16 alpha-estriol in the case of Harpenden STW effluents in 1998.

  7. Working memory predicts methamphetamine hair concentration over the course of treatment: moderating effect of impulsivity and implications for dual-systems model.

    Science.gov (United States)

    Rubenis, Adam J; Fitzpatrick, Rebecca E; Lubman, Dan I; Verdejo-Garcia, Antonio

    2017-11-08

    High impulsivity and poor executive function are characteristic of methamphetamine use disorder. High arousal in the impulsive system has been proposed to compromise the executive system's regulating ability (i.e. the dual-systems model). While interaction between these variables may partly explain poor treatment outcomes associated with methamphetamine use disorder, previous research has tended to examine each factor separately. We investigated whether high impulsivity (measured with an impulsive choice task) and poor executive function (measured with a working memory task) predict methamphetamine use (determined by hair sample) in the 6 weeks following treatment commencement. We also investigated whether impulsive choice moderates the relationship between working memory and methamphetamine use. One hundred and eight individuals with methamphetamine use disorder (75 percent male) were tested within 3 weeks of commencing treatment; 80 (74 percent) were followed up 6 weeks following baseline testing. Cognitive measures significantly predicted drug use after controlling for nuisance variables. Working memory was a significant predictor, while impulsive choice was not. The interaction model included working memory as a predictor and impulsive choice as a moderator. This model was significant, as was the interaction term. Working memory significantly predicted levels of methamphetamine use in early treatment, and impulsive choice moderated this relationship. Those with working memory deficits are particularly vulnerable to using greater amounts of methamphetamine. As working memory increased methamphetamine use decreased among individuals with low/medium delay discounting. Pre-treatment cognitive testing may identify patients at high risk, while remediation of working memory function may be a treatment target for reducing methamphetamine use. © 2017 Society for the Study of Addiction.

  8. O excesso de transferência na pesquisa em psicanálise The excess of transference in psychoanalytic research

    Directory of Open Access Journals (Sweden)

    Waldir Beividas

    1999-01-01

    Full Text Available Toda reflexão sobre a pesquisa em psicanálise se concentra em geral: (a na mútua implicação que se espera aí entre a dimensão teórica e a clínica; (b num debate entre a pesquisa psicanalítica e a pesquisa «científica», onde a psicanálise é levada a confrontar-se com a ciência cartesiana, experimental, positivista ou neo-positivista, e assim adiante… O presente estudo quer abordar uma região menos explorada nesse debate; quer demonstrar que a psicanálise freudiana, sobretudo com Lacan e após Lacan, acabou sendo levada a uma «submissão pânica» ao a priori da enunciação do fundador (Freud ou do re-fundador (Lacan. A pesquisa ficou embaraçada numa teia excessivamente «transferencial», sob o regime de um dixit Lacan sobreposto a um dixit Freud. O autor defende uma saída para isso: conceber a pesquisa psicanalítica como uma conceituação estruturante do inconsciente com Lacan e Freud, e não sob Lacan e Freud.Reflection about research in psychoanalysis generally focus on: (a the mutual implications supposed to exist between the theoretical and clinical dimensions; (b the discussion between psychoanalytical and "scientific" research, in which psychoanalysis in confronted with Cartesian, Experimentalist, Positivist, or Neo-Positivis models, among others. The present study intended to approach a field that has been poorly explored on this debate, aiming to demonstrate that Freudian psychoanalysis, specially with and beyond Lacan, was led to a "panicky surrender" to he a priori enunciation of the founder (Freud or to the re-founder (Lacan. Research got entrapped on a web of excessive transference regulated by a Lacan dixit over a Freud dixit. I suggest that the way out of this puzzle is to conceptualize psychoanalytical research as a "structuring conceptualization" of the unconscious with Lacan and Freud rather than under Lacan and Freud.

  9. Christophe Dejours’ psychodynamic theory of work and its implications for leadership

    OpenAIRE

    Dashtipour, Parisa; Vidaillet, Bénédicte

    2016-01-01

    International audience; Psychoanalytic approaches to leadership centre on emotions and the role of the leader as the manager of emotion (Gabriel, 2011). These perspectives have often focused on the dysfunctions of leadership, the way in which leaders contribute to ‘dark’ and unhealthy organizational lives. In contrast to such approaches, in this paper we draw from Christophe Dejours’ psychodynamic theory of work, in order to explore what role leaders could play to facilitate health in organiz...

  10. "They've taken her!" — Psychoanalytic perspectives on mediating maternity, feeling and loss

    Directory of Open Access Journals (Sweden)

    Caroline Bainbridge

    2010-01-01

    self-made woman who has achieved social mobility impact on her treatment by female commentators? More broadly, what do such analyses suggest about the contemporary formation of the (maternal feminine and its political status in the current UK climate? This paper scrutinises media comment by female journalists on Kate McCann, highlighting the notions of ‘woman’ and ‘femininity’ that pervade the commentary. Drawing on psychoanalysis and on the work of Luce Irigaray, it discusses how McCann has become a contemporary measure of what is meant by ‘femininity.’ It sets its discussion against the backdrop of ‘post-feminism’ and uses this case to illustrate the complex relation of contemporary women to feminism and its values.

  11. Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.

    Science.gov (United States)

    Jaromi, Melinda; Nemeth, Andrea; Kranicz, Janos; Laczko, Tamas; Betlehem, Jozsef

    2012-06-01

    The purpose of the study was to measure the effectiveness of a spine training programme (Back School) in nurses who have been living with chronic low back pain. It was hypothesised that active therapy, ergonomics and education called Back School will significantly decrease the pain intensity levels and improve the body posture of the study participants. A chronic low back pain is a significant work-related health problem among healthcare workers around the world. Proper body posture is essential for decreasing pain in healthcare workers who have history of chronic low back pain. By teaching proper body posture and with the creation of occupational settings that are 'spine-friendly' hospitals and other healthcare settings can significantly lower the suffering of their nursing staff. Single-blinded randomised controlled trial was utilised with six- and 12-months follow-up. The study was carried out at the University of Pecs, Faculty of Health Sciences from 2007 to 2008 involving 124 nurses with low back pain. Participants were randomly assigned to the study group (who have received ergonomics training and education called Back School) with an intervention conducted once a week for a six-week period. The control group received passive physiotherapy once a week for a six-week period. Further follow-up measurements were conducted at six and 12 months, respectively. The study variables and outcome measures were pain intensity and body posture (angle of thoracic kyphosis and lumbar lordosis). The pain intensity was investigated with the Visual Analogue Scale. Body posture was recorded and analysed with the Zebris biomechanical motion analysis system. The statistical analysis of repeated measures indicated a significant decrease in back pain intensity after the therapy in both groups, compared with measurements before the therapy; however, the BS group showed significantly better results during the six-month and one-year follow-up period. The biomechanical analysis of

  12. Characterisation of raw sewage and performance assessment of primary settling tanks at Firle Sewage Treatment Works, Harare, Zimbabwe

    Science.gov (United States)

    Muserere, Simon Takawira; Hoko, Zvikomborero; Nhapi, Innocent

    The need for more stringent effluent discharge standards as prescribed by the Environmental Management Act 20:27 to protect the environment can be sustainably achieved with the aid of Activated Sludge Models. Thus, the researchers believe it is time to re-evaluate wastewater characteristics at Firle Sewage Treatment Works (STW) and make use of activated sludge simulators to address pollution challenges caused by the sewage plant. Therefore, this paper characterizes raw sewage and assesses settled and unsettled sewage in order to evaluate the performance of the primary treatment system and the suitability of the settled sewage for treatment by the subsequent Biological Nutrient Removal (BNR) system at Firle STW. Parameters studied included COD, BOD, TKN, TP, NH3, TSS, pH and Alkalinity. Composite samples were collected over a 9-day campaign period (27 June to 6 July 2012), hourly grab samples over 24 hrs and composite samples on 6 March 2012 which were then analysed in the lab in accordance with Standard Methods for the Examination of Water and Wastewater to support the City of Harare 2004-2012 lab historical records. Concentrations for unsettled sewage in mg/L were COD (527 ± 32), BOD (297 ± 83) TKN (19.0 ± 2.0), TP (18 ± 3), NH3 (24.0 ± 12.9), TSS (219 ± 57), while pH was 7.0 ± 0 and Alkalinity 266 ± 36 mg/L. For settled sewage the corresponding values in mg/L were COD (522 ± 15), BOD (324 ± 102), TKN (21.0 ± 3.0), TP (19.0 ± 2.0), NH3 (25.6 ± 11.2), TSS (250 ± 66), while pH was 7.0 ± 0 and Alkalinity 271 ± 17 mg/L. The plant design values for raw sewage are COD (650 mg/L), BOD (200 mg/L), TKN (40 mg/L) and TP (11 mg/L). Thus, COD and nitrogen were within the plant design range while BOD and TP were higher. Treatability of sewage in BNR systems is often inferred from the levels of critical parameters and also the ratios of TKN/COD and COD/TP. The wastewater average settled COD/BOD, COD/TP and TKN/COD ratio were 1.7 ± 0.5, 27.1 ± 3.1 and 0.04 ± 0

  13. A psychoanalytic appreciation of Giotto's mode of artistic representation and its implications for Renaissance art and science.

    Science.gov (United States)

    Blatt, S J

    1994-01-01

    This paper applies developmental psychoanalytic and cognitive psychological principles to an evaluation of Giotto's Padua frescoes as pivotal in the transition from a medieval to a Renaissance mode of thought. The formulation stresses the importance of the emergence of triadic or operational thinking involving the coordination of multiple dimensions and the capacity for transforming them with reversibility, reciprocity, and conservation. This developmental achievement also results in an expanded sense of time and space. These concepts provide a basis for appreciating more fully the transition from the dyadic classical and medieval artistic representations to the triadic representations of Renaissance art, especially the contributions of Giotto's Padua frescoes to the development of the concept of infinity in nature, a concept central to both Renaissance art and science. The development of this concept in Renaissance thought raises a question about the relation of art and science. Two major modes of encoding or representing experiences are discussed--a sequential lexical and a nonsequential nonverbal mode (or word and thing representations). These formulations lead to the identification of a process that suggests that developments in art often precede those in science and thereby contribute to a fuller appreciation of Giotto's Padua frescoes as a landmark contribution with implications for the entirety of Renaissance thought.

  14. Oedipus the King: quest for self-knowledge--denial of reality. Sophocles' vision of man and psychoanalytic concept formation.

    Science.gov (United States)

    Zachrisson, Anders

    2013-04-01

    In the Oedipus myth we find a dramatic representation of the child's passionate ties to its parents. In the play Oedipus the King, Sophocles relates the theme of the myth to the question of self-knowledge. This was the predominant reading in German 19th century thinking, and even as a student Freud was fascinated by Oedipus' character - not primarily as the protagonist of an oedipal drama, but as the solver of divine riddles and as an individual striving for self-knowledge. Inspired by Vellacott, Steiner has proposed an alternative reading of Oedipus the King as a play about a cover-up of the truth. The text supports both these arguments. The pivotal theme of the tragedy is Oedipus' conflict between his desire to know himself and his opposing wish to cover up the truth that will bring disaster. It is this complex character of Oedipus and the intensity of his conflict-ridden struggle for self-knowledge that has made the tragedy to a rich source of inspiration for psychoanalytic concept formation and understanding both of emotional and cognitive development up to our own time. Copyright © 2012 Institute of Psychoanalysis.

  15. Role of Perceived Fair Interpersonal Treatment and Organization-Based Self-Esteem in Innovative Work Behavior in a Nigerian Bank

    Directory of Open Access Journals (Sweden)

    Oluyinka Ojedokun

    2012-10-01

    Full Text Available The purpose of this study is to examine the role of perceived fair interpersonal treatment, organization-based self-esteem, and some demographic characteristics in innovative work behavior among employees of a Nigerian bank. Data were collected from a randomly selected sample of 185 employees through a structured questionnaire. Hierarchical multiple regression and One-Way Analysis of Variance were carried out to test hypotheses. The results reveal significant positive influence of perceived fair interpersonal treatment and organization-based self-esteem on innovative work behavior. Lastly, the results show significant effect of level of education on innovative work behavior. The findings suggest that perceived fair interpersonal treatment and organization-based self-esteem are important predictors of innovative work behavior. Therefore, organizations should focus on improving the levels of organizational based self-esteem among employees who scored low on this trait by providing more recognition and importance. They should also strive to ensure fair interpersonal treatment among employees in order to promote motivation to engage in innovative work behavior.

  16. The brains of bats foraging at wastewater treatment works accumulate arsenic, and have low non-enzymatic antioxidant capacities.

    Science.gov (United States)

    Hill, Kate; Schoeman, M Corrie; Vosloo, Dalene

    2017-12-14

    Increasing rates of urbanisation cause ubiquitous infrastructures that remove anthropogenic contaminants - particularly Wastewater Treatment Works (WWTWs) - to become stressed, and hence pollute surrounding water systems. Neoromicia nana bats are suitable models to study the effects of pollution in these environments because they exploit abundant pollutant-tolerant chironomid midges that breed at WWTWs, and consequently accumulate metals such as iron, copper and zinc in their livers and kidneys. If these metals persist in their circulatory systems, and cross the blood brain barrier (BBB) they can have adverse effects on critical functions such as flight and echolocation. The aim of this study was to investigate the potential neurological effects on N. nana foraging at WWTWs versus bats at reference sites in Durban, South Africa. Our objectives were to 1) compare trace metal levels in brain and hair samples (as a proxy for circulating metals) between N. nana foraging at WWTWs and reference sites to determine if excess metals pass through the BBB via the circulatory system; and 2) compare biomarkers of neuron function (acetylcholinesterase activity), protection (antioxidant capacity), DNA integrity (DNA fragmentation), lipid integrity (lipid peroxidation) and cell viability (caspase-3 activity) between N. nana foraging at WWTW and reference sites. We found a significantly higher concentration of arsenic in hair (p < 0.05) and brain tissue (p < 0.1) of WWTW bats compared to bats at reference sites. By contrast, acetylcholinesterase activity did not differ in bats among sites and there was no evidence of significant differences in lipid peroxidation, compromised DNA integrity or apoptosis in the brains between WWTW bats and reference site bats. However, total antioxidant capacity was significantly lower in brains of WWTW bats than bats at reference sites suggesting that antioxidant protection may be compromised. Long-term exposure to environmental pollutants at

  17. An even hover-reading of Freud: The work of metaphor.

    Science.gov (United States)

    Sauvayre, Pascal; Vegas, Monica

    2016-10-01

    It is posited that the 'elasticity' of Freud's texts evokes an 'evenly hovering' stance in the reader in order to draw out from his writings the multilayered and latent meanings, which often subvert his manifest discourse. This elasticity is exemplified in the metaphor - a central feature of psychoanalytic epistemology. This hypothesis is tested through a close reading of a text that precisely announces itself on the manifest level as a series of straightforward prescriptions, 'Recommendations to Physicians Practicing Psychoanalysis' (1912). And we find that his use of metaphors (culminating in the telephone metaphor) glides into unexpected and surprising (unconscious) spaces, thus mirroring the analytic process that is the subject of Freud's paper. The text proves itself to be as slippery as the psyche it studies, and for which an 'evenly hovering' stance is best suited for both the reader and for the clinician to be receptive to the workings of the metaphor that reveals unique psychoanalytic truths. Copyright © 2016 Institute of Psychoanalysis.

  18. Does an Effective Theoretically Based Weight Loss Treatment for Middle-Aged Women Work for Young Women?

    Science.gov (United States)

    Johnson, Ping H.; Annesi, James J.

    2017-01-01

    Background: Young adults gain weight faster and suffer from chronic diseases at a younger age than their older counterparts. Existing behavioral obesity treatments included few young adults, and their effects on young adults remain unknown. Purpose: The purpose of this study was to explore whether a behavioral treatment that was effective in…

  19. Why it's important for it to stop: Examining the mental health correlates of bullying and ill-treatment at work in a cohort study.

    Science.gov (United States)

    Butterworth, Peter; Leach, Liana S; Kiely, Kim M

    2016-11-01

    There is limited Australian information on the prevalence and mental health consequences of bullying and ill-treatment at work. The aims of this study were to use data from an ongoing Australian longitudinal cohort study to (1) compare different measures of workplace bullying, (2) estimate the prevalence of bullying and ill-treatment at work, (3) evaluate whether workplace bullying is distinct from other adverse work characteristics and (4) examine the unique contribution of workplace bullying to common mental disorders in mid-life. The sample comprised 1466 participants (52% women) aged 52-58 from wave four of the Personality and Total Health (PATH) through Life study. Workplace bullying was assessed by a single item of self-labelling measure of bullying and a 15-item scale of bullying-related behaviours experienced in the past 6 months. Factor analysis the identified underlying factor structure of the behavioural bullying scale. Current bullying was reported by 7.0% of respondents, while 46.4% of respondents reported that they had been bullied at some point in their working life. Person-related and work-related bullying behaviours were more common than violence and intimidation. The multi-dimensional scale of bullying behaviours had greater concordance with a single item of self-labelled bullying (Area Under the Curve = 0.88) than other adverse work characteristics (all Area Under the Curves bullying and scales reflecting person-related and work-related bullying were independent predictors of depression and/or anxiety. This study provides unique information on the prevalence and mental health impacts of workplace bullying and ill-treatment in Australia. Workplace bullying is a relatively common experience, and is associated with increased risk of depression and anxiety. Greater attention to identifying and preventing bullying and ill-treatment in the workplace is warranted. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  20. On the physiology of jouissance: interpreting the mesolimbic dopaminergic reward functions from a psychoanalytic perspective

    OpenAIRE

    Bazan, Ariane; Detandt, Sandrine

    2013-01-01

    Jouissance is a Lacanian concept, infamous for being impervious to understanding and which expresses the paradoxical satisfaction that a subject may derive from his symptom. On the basis of Freud’s “experience of satisfaction” we have proposed a first working definition of jouissance as the (benefit gained from) the motor tension underlying the action which was [once] adequate in bringing relief to the drive and, on the basis of their striking reciprocal resonances, we have proposed that cent...

  1. A staged approach evaluation of remotely supervised myofeedback treatment (RSMT) in women with neck-shoulder pain due to computer work

    NARCIS (Netherlands)

    Huis in 't Veld, M.H.A.; Huijgen, Barbara C.H.; Schaake, Leendert; Hermens, Hermanus J.; Vollenbroek-Hutten, Miriam Marie Rosé

    Remotely supervised myofeedback treatment (RSMT) is a relatively new intervention aimed at reducing neck-shoulder pain and disabilities. Subjects are equipped with a garment that can be worn under the clothes during daily work. Dry surface electrodes incorporated in this garment measure muscle

  2. Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot

    NARCIS (Netherlands)

    Schaper, N. C.; Andros, G.; Apelqvist, J.; Bakker, K.; Lammer, J.; Lepantalo, M.; Mills, J. L.; Reekers, J.; Shearman, C. P.; Zierler, R. E.; Hinchliffe, R. J.

    2012-01-01

    The International Working Group on the Diabetic Foot (IWDGF) has produced in 2011 a guideline on the diagnosis and treatment of peripheral arterial disease in patients with diabetes and a foot ulcer. This document, together with a systematic review that provided the background information on

  3. What treatment works best for restless legs syndrome? Meta-analyses of dopaminergic and non-dopaminergic medications.

    Science.gov (United States)

    Hornyak, Magdolna; Scholz, Hanna; Kohnen, Ralf; Bengel, Juergen; Kassubek, Jan; Trenkwalder, Claudia

    2014-04-01

    At the time of writing only dopamine agonists are licensed for the treatment of restless legs syndrome (RLS) in various countries, but randomized controlled trials (RCTs) have been performed with other treatments. We performed comprehensive meta-analyses and indirect comparisons of RCTs for all currently recommended treatments of RLS. We searched the Central, Medline, Embase, PsycINFO and CINAHL databases. Outcome measures were the international RLS study group severity scale (IRLS), clinical global impression-improvement, (CGI-I), periodic limb movement index (PLMI), and psychosocial parameters such as quality of life (QoL). We also conducted indirect comparisons by testing for heterogeneity between the substance groups. Placebo (58 trials) and actively (4 trials) controlled RCTs with dopamine agonists (38 trials), levodopa (4 trials), anticonvulsants (13 trials), most of them with α₂δ ligands (11 trials), opioids (1 trial), and iron treatments (6 trials) were included (9596 patients). Although treatment effects showed large variations, changes in the IRLS in the substance groups were comparable (P = 0.78), with a mean reduction in the IRLS of -5.47 points for dopamine agonists, -5.12 points for anticonvulsants (α₂δ ligands and levetiracetam), and -4.59 points for iron treatments. The CGI-I indicated slightly different treatment effects between the substance groups, while PLMI changes during treatment differed (P = 0.002), showing a marked decrease with dopamine agonists (-22.50/h), levodopa (-26.01/h), and oxycodone (-34.46/h) compared with a slight decrease for anticonvulsants (α₂δ ligands and levetiracetam; -8.48/h) and iron treatments (-13.10/h). Quality of sleep and QoL improved moderately in most of the RCTs investigating these parameters (standardized mean difference, SMD) 0.40 and 0.33, respectively). In the few studies evaluating the change of depressive (n = 4) or anxiety symptoms (n = 3), these symptoms improved slightly (SMD -0.24, and -0

  4. Experimental Investigation Of Segregation Of Carbon Atoms Due To Sub-Zero Cryogenic Treatment In Cold Work Tool Steel By Mechanical Spectroscopy And Atom Probe Tomography

    Directory of Open Access Journals (Sweden)

    Min N.

    2015-06-01

    Full Text Available In this work, we present mechanical spectroscopy of cold work tool steel subjected to sub-zero cryogenic soaking treatment to reveal the carbon segregation and the subsequent carbides refinement. The maximum of Snoek-Köster (SK peak height was obtained in the sample subjected to soaking 1h at −130°C cryogenic treatment. The SK peak height is reduced with prolonging the soaking time. The results indicate that an increase in the height of SK peak is connected with an increase in dislocation density and the number of segregated carbon atoms in the vicinity of dislocations or twin planes after martensite transformation at −130°C which is confirmed by corresponding TEM and atom probe tomography measurement. Hence, it is suggested that the isothermal martensite, formed during the cryogenic soaking treatment decreases (APT the height of SK peak.

  5. Training emotional intelligence related to treatment skills of staff working with clients with intellectual disabilities and challenging behaviour

    NARCIS (Netherlands)

    Zijlmans, L.J.M.; Embregts, P.J.C.M.; Gerits, L.; Bosman, A.M.T.; Derksen, J.J.L.

    2011-01-01

    Background - Staff working with clients with intellectual disabilities (ID) who display challenging behaviour may contribute to the continuation of this behaviour, because it causes emotional reactions such as anxiety, anger and annoyance, which may prohibit adequate response behaviour. To enhance

  6. Chronic N-acetylcysteine treatment alleviates acute lipopolysaccharide-induced working memory deficit through upregulating caveolin-1 and synaptophysin in mice.

    Science.gov (United States)

    Shen, Xianzhi; Sun, Yanyun; Wang, Mengwei; Shu, Hui; Zhu, Li-Juan; Yan, Pei-Yun; Zhang, Jun-Fang; Jin, Xinchun

    2017-10-23

    Working memory (WM) is a dynamic encoding process and an active representation of information over a short time. The ability to guide forthcoming behavior would be disrupted if WM was impaired by various factors including inflammation, stress, free radicals, and disease states such as schizophrenia. However, the mechanism underlying acute working memory impairment remains to be defined. In this study, we tested the hypothesis that decreased caveolin-1 (Cav-1) and synaptophysin (SYP) accounted for the WM impairment challenged with acute intraperitoneally lipopolysaccharide (LPS), which mimicked neuroinflammation. Delayed alternation T-maze task (DAT) was used to assess working memory of adult male C57BL/6 mice, and western blot and immunostaining were used to detect protein expression and distribution in medial prefrontal cortex (mPFC) and hippocampus. Our results showed that LPS dose-dependently induced working memory deficit accompanied by the decrease of Cav-1 and SYP in mPFC but not hippocampus. In addition, LPS significantly decreased protein level of Cav-1 and SYP in neurons by activating microglia cells. More important, 2-week N-acetylcysteine (NAC) treatment dose-dependently inhibited LPS-induced working memory deficit by improving the ability to use Lose-shift but not Win-shift strategy and significantly inhibited LPS-induced downregulation of Cav-1 and SYP in mPFC. Taken together, our findings demonstrate that chronic NAC treatment alleviates acute LPS-induced working memory deficit through upregulating Cav-1 and SYP in mice.

  7. Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment? A prospective study from two Nordic countries.

    Science.gov (United States)

    Madsen, Ida E H; Hanson, Linda L Magnusson; Rugulies, Reiner; Theorell, Töres; Burr, Hermann; Diderichsen, Finn; Westerlund, Hugo

    2014-08-01

    Emotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects of emotional demands on antidepressant treatment, as an indicator of common mental disorders, are buffered by good leadership. We used data from two nationally representative work environment studies, the Danish Work Environment Cohort Study (n = 6,096) and the Swedish Longitudinal Occupational Survey of Health (n = 3,411), which were merged with national registers on antidepressant purchases. All individuals with poor self-reported baseline mental health or antidepressant purchases within 8.7 months before baseline were excluded, and data analysed prospectively. Using Cox regression, we examined hazard ratios (HRs) for antidepressants in relation to the joint effects of emotional demands and leadership quality. Buffering was assessed with Rothman's synergy index. Cohort-specific risk estimates were pooled by random effects meta-analysis. High emotional demands at work were associated with antidepressant treatment whether quality of leadership was poor (HR = 1.84, 95 % CI 1.32-2.57) or good (HR = 1.70, 95 % CI 1.25-2.31). The synergy index was 0.66 (95 % CI 0.34-1.28). Our findings suggest that good leadership does not substantially ameliorate any effects of emotional demands at work on employee mental health. Further research is needed to identify possible preventive measures for this work environment exposure.

  8. The impact of prior psychiatric medical treatment on return to work after a diagnosis of breast cancer: A registry based study.

    Science.gov (United States)

    Jensen, Laura Schärfe; Overgaard, Charlotte; Garne, Jens Peter; Bøggild, Henrik; Fonager, Kirsten

    2017-08-01

    Breast cancer and psychiatric disorders negatively impact work life, both positively associated with unemployment and early retirement. Our purpose was to assess whether being prescribed psychiatric medication, 2-4 yrs prior to a diagnosis of breast cancer, could impact the likelihood of returning to work after cancer therapy. 16,868 self-supporting women, diagnosed with breast cancer in Denmark from 2000 to 2012, were identified from a population-based clinical database, then cross-referenced to data held for psychiatric medication usage, sociodemographics, and labour-market participation. The association between historic psychiatric medication and return to work was estimated using a modified Poisson regression model. 'Return to work' was defined as being self-supporting one year after diagnosis of breast cancer. 16% of our cohort had used psychiatric medical treatment 2-4 years before their diagnosis. Sixty-three per cent of these individuals had returned to work one year later, compared to 69% of the patient group with no prior history of using psychiatric medication treatments. In the fully adjusted model, prior use of psychiatric medication diminished the likelihood of returning to work one year after cancer diagnosis (RR = 0.91 (0.87-0.94)). High income and older age were positively associated with returning to work; negative correlates included those related to disease severity. Historic use of psychiatric medication provoked a minor, although statistically significant reduction in the resumption of working life one year after a diagnosis of breast cancer. Although historic use of psychiatric medication may incur a minor effect on working life, further research is needed on the long-term social consequences for sub-groups.

  9. The incidence of Freudian self-analysis in the construction of the psychoanalytic theory of anxiety.

    Science.gov (United States)

    Obaid, Francisco Pizarro

    2014-02-01

    The value and function of self-analysis has been a contentious issue in several studies dedicated to the Freudian legacy. For some writers, Freud's experience of self-analysis is rightly considered to be the master key to an understanding of the origins of the fundamentals of psychoanalysis. For others, the exaggerated importance attributed to the process merely led to the construction of a foundational myth. Nevertheless, if it is recognized to be a process in which Freud, in collaboration with Fliess, analysed personal aspects, working hypotheses and psychopathological debates, a reconsideration of self-analysis may contribute new elements to our understanding of the paths that were taken in the elaboration of the theory and practice of pyschoanalysis. Starting from this premise, the present work will consider the systematic examination that Freud conducted of his own phobia in the course of his self-analysis to be a process of great relevance to the elaboration of the early psychoanlytic conceptualizations of anxiety, in that in the course of this process the possible role of sexuality, fantasy, memory and unconscious determinism in the etiology of anxiety became part of the discussion. Copyright © 2013 Institute of Psychoanalysis.

  10. Dream actors in the theatre of memory: their role in the psychoanalytic process.

    Science.gov (United States)

    Mancia, Mauro

    2003-08-01

    The author notes that neuropsychological research has discovered the existence of two long-term memory systems, namely declarative or explicit memory, which is conscious and autobiographical, and non-declarative or implicit memory, which is neither conscious nor verbalisable. It is suggested that pre-verbal and pre-symbolic experience in the child's primary relations is stored in implicit memory, where it constitutes an unconscious nucleus of the self which is not repressed and which influences the person's affective, emotional, cognitive and sexual life even as an adult. In the analytic relationship this unconscious part can emerge essentially through certain modes of communication (tone of voice, rhythm and prosody of the voice, and structure and tempo of speech), which could be called the 'musical dimension' of the transference, and through dream representations. Besides work on the transference, the critical component of the therapeutic action of psychoanalysis is stated to consist in work on dreams as pictographic and symbolic representations of implicit pre-symbolic and pre-verbal experiences. A case history is presented in which dream interpretation allowed some of a patient's early unconscious, non-repressed experiences to be emotionally reconstructed and made thinkable even though they were not actually remembered.

  11. On psychobiology in psychoanalysis - salivary cortisol and secretory IgA as psychoanalytic process parameters

    Science.gov (United States)

    Euler, Sebastian; Schimpf, Heinrich; Hennig, Jürgen; Brosig, Burkhard

    2005-01-01

    This study investigates the psychobiological impact of psychoanalysis in its four-hour setting. During a period of five weeks, 20 subsequent hours of psychoanalysis were evaluated, involving two patients and their analysts. Before and after each session, saliva samples were taken and analysed for cortisol (sCortisol) and secretory immunoglobuline A (sIgA). Four time-series (n=80 observations) resulted and were evaluated by "Pooled Time Series Analysis" (PTSA) for significant level changes and setting-mediated rhythms. Over all sessions, sCortisol levels were reduced and sIgA secretion augmented parallel to the analytic work. In one analytic dyad a significant rhythm within the four-hour setting was observed with an increase of sCortisol in sessions 2 and 3 of the week. Psychoanalysis may, therefore, have some psychobiological impact on patients and analysts alike and may modulate immunological and endocrinological processes. PMID:19742067

  12. A note on the history of the Norwegian Psychoanalytic Society from 1933 to 1945.

    Science.gov (United States)

    Anthi, Per; Haugsgjerd, Svein

    2013-08-01

    The Norwegian analysts, who were trained in Berlin before 1933, were drawn into a struggle against fascism, informed by politically leftist analysts who worked at the Berlin Institute. The Norwegian group, including the analysts Wilhelm Reich and Otto Fenichel, were committed to Marxist or social democratic ideologies in order to fight down fascism and Nazism. They were a source of inspiration but also of conflict. After the war the leadership of the IPA was sceptical about the Norwegian group because of its former connections with Die Linke, as well as its relations with Wilhelm Reich. This paper in part considers the courageous efforts of Nic Waal, whom Ernest Jones used as a delegate and courier to solve problems for the IPA and who was unjustly treated after the war. Copyright © 2013 Institute of Psychoanalysis.

  13. Treatment

    National Research Council Canada - National Science Library

    Safaa M. Raghab; Ahmed M. Abd El Meguid; Hala A. Hegazi

    2013-01-01

    ... composed. This paper presents the results of the analyses of leachate treatment from the solid waste landfill located in Borg El Arab landfill in Alexandria using an aerobic treatment process which was applied...

  14. Patients' experiences following breast cancer treatment: an exploratory survey of personal and work experiences of breast cancer patients from three European countries.

    Science.gov (United States)

    Braybrooke, J P; Mimoun, S; Zarca, D; Elia, D; Pinder, B; Lloyd, A J; Breheny, K; Lomazzi, M; Borisch, B

    2015-09-01

    Improved treatments for early breast cancer have led to a significant increase in overall survival. While evidence regarding potential long-term sequelae of adjuvant treatments exists, relatively little research reports patients' own perceptions of change before and after adjuvant chemotherapy (AC). This study aimed to identify key ongoing issues associated with AC in daily life. An online survey developed for this study was completed by 198 women (mean age 49.7 years) in the UK, France and Germany who had AC 1-5 years previously for oestrogen receptor positive, HER2 negative early breast cancer. Women without AC and endocrine therapy, those treated with Trastuzumab or who had recurrent disease were excluded. A third of women who responded were currently unable to perform their former family role. The majority had needed support, particularly with child care, during treatment. While 54% were in full-time employment before diagnosis this had reduced to 32% following AC. Of those women still working, over half reported difficulties with tiredness or concentration. Most (85.8%) were satisfied with healthcare professionals' treatment information, but only 29.7% received information about returning to work. This exploratory survey highlights areas of women's lives affected 1-5 years following AC for early breast cancer. The impact on returning to work and issues surrounding childcare particularly, require further study. © 2014 John Wiley & Sons Ltd.

  15. Community mapping of sex work criminalization and violence: impacts on HIV treatment interruptions among marginalized women living with HIV in Vancouver, Canada.

    Science.gov (United States)

    Goldenberg, Shira M; Deering, Kathleen; Amram, Ofer; Guillemi, Silvia; Nguyen, Paul; Montaner, Julio; Shannon, Kate

    2017-09-01

    Despite the high HIV burden faced by sex workers, data on access and retention in antiretroviral therapy (ART) are limited. Using an innovative spatial epidemiological approach, we explored how the social geography of sex work criminalization and violence impacts HIV treatment interruptions among sex workers living with HIV in Vancouver over a 3.5-year period. Drawing upon data from a community-based cohort (AESHA, 2010-2013) and linked external administrative data on ART dispensation, GIS mapping and multivariable logistic regression with generalized estimating equations to prospectively examine the effects of spatial criminalization and violence near women's places of residence on 2-day ART interruptions. Analyses were restricted to 66 ART-exposed women who contributed 208 observations and 83 ART interruption events. In adjusted multivariable models, heightened density of displacement due to policing independently correlated with HIV treatment interruptions (AOR: 1.02, 95%CI: 1.00-1.04); density of legal restrictions (AOR: 1.30, 95%CI: 0.97-1.76) and a combined measure of criminalization/violence (AOR: 1.00, 95%CI: 1.00-1.01) were marginally correlated. The social geography of sex work criminalization may undermine access to essential medicines, including HIV treatment. Interventions to promote 'enabling environments' (e.g. peer-led models, safer living/working spaces) should be explored, alongside policy reforms to ensure uninterrupted treatment access.

  16. Dapsone treatment in a girl with severe chronic thrombocytopenic purpura. Does it work? Do not touch it!

    Science.gov (United States)

    Pusiol, A; Nocerino, A; Passone, E; Tenore, A

    2012-10-01

    Dapsone has been shown to be effective in treating immune thrombocytopenic purpura (ITP) in adults. In children the experience is limited. We describe our experience using dapsone in a female with refractory, symptomatic ITP who suffered intracranic haemorrhage and massive gastric bleeding. After treatment platelet counts was more than 100 x 103/μL, and reached 1000x103/μL. Discontinuation resulted in a rapid decrease in platelet counts, with severe intracranial haemorrhage (ICH). The recovery of dapsone led the platelets count to lower values. We suggest that treatment should not be discontinued in responders, at least in children with symptomatic ITP. Additional studies of dapsone in children are warranted.

  17. Feasible, Efficient and Necessary, without Exception - Working with Sex Workers Interrupts HIV/STI Transmission and Brings Treatment to Many in Need.

    Science.gov (United States)

    Steen, Richard; Wheeler, Tisha; Gorgens, Marelize; Mziray, Elizabeth; Dallabetta, Gina

    2015-01-01

    High rates of partner change in sex work-whether in professional, 'transactional' or other context-disproportionately drive transmission of HIV and other sexually transmitted infections. Several countries in Asia have demonstrated that reducing transmission in sex work can reverse established epidemics among sex workers, their clients and the general population. Experience and emerging research from Africa reaffirms unprotected sex work to be a key driver of sexual transmission in different contexts and regardless of stage or classification of HIV epidemic. This validation of the epidemiology behind sexual transmission carries an urgent imperative to realign prevention resources and scale up effective targeted interventions in sex work settings, and, given declining HIV resources, to do so efficiently. Eighteen articles in this issue highlight the importance and feasibility of such interventions under four themes: 1) epidemiology, data needs and modelling of sex work in generalised epidemics; 2) implementation science addressing practical aspects of intervention scale-up; 3) community mobilisation and 4) the treatment cascade for sex workers living with HIV. Decades of empirical evidence, extended by analyses in this collection, argue that protecting sex work is, without exception, feasible and necessary for controlling HIV/STI epidemics. In addition, the disproportionate burden of HIV borne by sex workers calls for facilitated access to ART, care and support. The imperative for Africa is rapid scale-up of targeted prevention and treatment, facilitated by policies and action to improve conditions where sex work takes place. The opportunity is a wealth of accumulated experience working with sex workers in diverse settings, which can be tapped to make up for lost time. Elsewhere, even in countries with strong interventions and services for sex workers, an emerging challenge is to find ways to sustain them in the face of declining global resources.

  18. Assessment and Treatment of Short-Term and Working Memory Impairments in Stroke Aphasia: A Practical Tutorial

    Science.gov (United States)

    Salis, Christos; Kelly, Helen; Code, Chris

    2015-01-01

    Background: Aphasia following stroke refers to impairments that affect the comprehension and expression of spoken and/or written language, and co-occurring cognitive deficits are common. In this paper we focus on short-term and working memory impairments that impact on the ability to retain and manipulate auditory-verbal information. Evidence from…

  19. Definition, diagnosis and treatment strategies for opioid-induced bowel dysfunction - Recommendations of the Nordic Working Group

    DEFF Research Database (Denmark)

    Drewes, Asbjørn Mohr; Munkholm, Pia; Simrén, Magnus

    2016-01-01

    and OIBD, particularly OIC, will lead to better pain treatment in patients on opioid therapy. Subsequently, optimised therapy will improve quality of life and, from a socio-economic perspective, may also reduce costs associated with hospitalisation, sick leave and early retirement in these patients....

  20. [Evidence based standards for rehabilitative therapy and work-related medical rehabilitation: are they compatible?: an expenditure analysis of treatment requirements].

    Science.gov (United States)

    Vorsatz, N; Brüggemann, S

    2011-06-01

    Medical rehabilitation carried out by the German Pension Insurance aims at maintaining or restoring the ability to work taking into account individual problems of the insured population. To ensure high-quality rehabilitation the German Pension Insurance uses a variety of quality assurance instruments. It is indispensable that requirements from different instruments constitute a conclusive and hence reproducible overall concept. This article looks at the requirements imposed on work-related medical rehabilitation (MBOR) and from the standards for rehabilitative therapy. In an expenditure analysis we evaluated the extent to which the requirements from our standards for rehabilitative therapy in chronic back pain and work-related medical rehabilitation are compatible with each other, and their impact on the quantity of treatment to be delivered. In a first step the instruments were compared qualitatively. Next, we looked at the resulting cumulative duration of treatment. Finally, using an orthopaedic rehabilitation centre on the underlying assumptions as an example, we analysed whether existing staffing levels are sufficient to fulfil the requirements. MBOR and rehabilitation treatment standards both set requirements regarding vocational orientation; they, however, employ different methods and address different groups of rehabilitants. The duration of treatment for a rehabilitant who - owing to his work-related problems - is treated not only according to the rehabilitative treatment standards but also fulfilling the MBOR requirements profile increases on average from 10.4 to 14.2 h a week. Modelling of the staffing levels necessary to fulfil the requirements shows a possible shortage in the group of social workers only. The requirements from MBOR and rehabilitative treatment standards are compatible with each other regarding systematics, target group and scope of work-related treatment and are consistent with specifications for structural quality, especially with

  1. International Working Group (IWG) consensus criteria for treatment response in myelofibrosis with myeloid metaplasia, for the IWG for Myelofibrosis Research and Treatment (IWG-MRT).

    Science.gov (United States)

    Tefferi, Ayalew; Barosi, Giovanni; Mesa, Ruben A; Cervantes, Francisco; Deeg, H Joachim; Reilly, John T; Verstovsek, Srdan; Dupriez, Brigitte; Silver, Richard T; Odenike, Olatoyosi; Cortes, Jorge; Wadleigh, Martha; Solberg, Lawrence A; Camoriano, John K; Gisslinger, Heinz; Noel, Pierre; Thiele, Juergen; Vardiman, James W; Hoffman, Ronald; Cross, Nicholas C P; Gilliland, D Gary; Kantarjian, Hagop

    2006-09-01

    Myelofibrosis with myeloid metaplasia (MMM) is a clinicopathologic entity characterized by stem cell-derived clonal myeloproliferation, ineffective erythropoiesis, extramedullary hematopoiesis, and bone marrow fibrosis and osteosclerosis. Patients with MMM have shortened survival and their quality of life is compromised by progressive anemia, marked hepatosplenomegaly, and severe constitutional symptoms including cachexia. After decades of frustration with ineffective therapy, patients are now being served by promising treatment approaches that include allogeneic hematopoietic stem cell transplantation and immunomodulatory drugs. Recent information regarding disease pathogenesis, including a contribution to the myeloproliferative disorder phenotype by a gain-of-function JAK2 mutation (JAK2(V617F)), has revived the prospect of targeted therapeutics as well as molecular monitoring of treatment response. Such progress calls for standardization of response criteria to accurately assess the value of new treatment modalities, to allow accurate comparison between studies, and to ensure that the definition of response reflects meaningful health outcome. Accordingly, an international panel of experts recently convened and delineated 3 response categories: complete remission (CR), partial remission (PR), and clinical improvement (CI). Bone marrow histologic and hematologic remissions characterize CR and CR/PR, respectively. The panel agreed that the CI response category is applicable only to patients with moderate to severe cytopenia or splenomegaly.

  2. A psychoanalytical interpretation of the characters in A.C. Jordan’s novel Ingqumbo yeminyanya

    Directory of Open Access Journals (Sweden)

    L.L. Kwatsha

    2007-07-01

    Full Text Available Psychoanalysis is a way of treating certain nervous disorders of the mind by examining all the ways that sufferers can be helped to remember their past life, dreams, et cetera. This is an effort to find hidden forgotten anxieties or desires influencing one’s behaviour without one’s knowledge thereof. The aim of this article is to make a detailed interpretation of the characters Zwelinzima and Thembeka/Nobantu in A.C. Jordan’s novel, “Ingqumbo yeminyanya”, so as “to uncover the hidden causes of the neurosis in order to relieve the character of his or her conflicts, thus dissolving the distressing symptoms” (Gräbe, 1986. This article will look at the behaviour of the different characters in Jordan’s novel. Psychoanalysis is rooted in the idea that humans have unconscious longings that must be analysed in order to understand behaviour. The accent of the article will fall on how psychoanalysis can help the reader, critic or analyst to penetrate the inner workings of the minds of the characters.

  3. On the physiology of jouissance: interpreting the mesolimbic dopaminergic reward functions from a psychoanalytic perspective

    Directory of Open Access Journals (Sweden)

    Ariane eBazan

    2013-11-01

    Full Text Available Jouissance is a Lacanian concept, infamous for being impervious to understanding and which expresses the paradoxical satisfaction that a subject may derive from his symptom. On the basis of Freud’s experience of satisfaction we have proposed a first working definition of jouissance as the (benefit gained from the motor tension underlying the action which was [once] adequate in bringing relief to the drive and, on the basis of their striking reciprocal resonances, we have proposed that central dopaminergic systems could embody the physiological architecture of Freud’s concept of the drive. We have then distinguished two constitutive axes to jouissance: one concerns the subject’s body and the other the subject’s history. Four distinctive aspects of these axes are discussed both from a metapsychological and from a neuroscience point of view. We conclude that jouissance could be described as an accumulation of body tension, fuelling for action, but continuously balancing between reward and anxiety, and both marking the physiology of the body with the history of its commemoration and arising from this inscription as a constant push to act and to repeat. Moroever, it seems that the mesolimbic accumbens dopaminergic pathway is a reasonable candidate for its underlying physiological architecture.

  4. Deciphering Political Utopias. Unions, Female Night Work, and Gender Justice

    Directory of Open Access Journals (Sweden)

    Christine Morgenroth

    2012-09-01

    Full Text Available The group discussion is a qualitative method perfectly suited for analyzing attitudes and opinions at the supra-individual level and tracing the process of how they emerge. Psychoanalytic group theories expand our understanding of group processes by adding the dimension of the unconscious: groups, too, display defense reactions and forms of repression. By adding this dimension, we can show how social groups proceed to collectively relegate important issues to the realm of the unconscious. In this way, social defense processes are reproduced in actu. In group discussions involving female union members, the predicament of working mothers comes to the fore particularly clearly. An excerpt from a group discussion illustrates that the women seem to perceive night work as the only realistic solution to the problem of reconciling work and family. Only when we turn to a psychoanalytic hermeneutics of scenic understanding are we able to reveal a repressed conception of life looming behind the paradoxical demand: the desire to overcome the separation of productive and reproductive labor in the lives of both sexes; a desire that can only be achieved if labor unions, too, perceive gender relations as a political challenge demanding their attention. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs120315

  5. Beliefs, death, anxiety, denial, and treatment preferences in end-of-life care: a comparison of social work students, community residents, and medical students.

    Science.gov (United States)

    Reese, Dona J; Chan, Cecilia L W; Perry, David C; Wiersgalla, Diane; Schlinger, Jennifer M

    2005-01-01

    This study examined cultural and religious beliefs, death anxiety, denial, and medical treatment preferences in end-of-life care in a sample of social work students, community residents, and medical students in a mid-western city of 49,000. Results indicated that most social work students, community residents, and medical students preferred palliative as opposed to life-prolonging care during terminal illness. The three groups differed in cultural and religious beliefs and all three reported a moderate amount of death anxiety. Students reported less denial of terminality than community residents. Implications for personal and professional preparation to provide end-of-life care are discussed.

  6. Re-designing the everyday; The use and perception of time among cancer patients combining work and treatment

    DEFF Research Database (Denmark)

    Hauge, Bettina

    2016-01-01

    by their cancer diagnosis. The article describes how cancer struck women and men perceived time in their different life-worlds, at work, at home on temporary sick leave, and at the hospital, and it shows how these perceptions changed during the process of recovery.To these people time appeared in three forms......: A time beyond control, realizing that they had cancer; taking control of time, discovering that they could go to work; the time of the future, which was their new perception of time as cured. This new perception of time reflected the incidental discovery of the cancer, realizing life as coincidental......This article describes how time was used dynamically by a group of people at risk of losing their lives. It is shown how these people appeared to experience a change in the relationship between inner and outer time and that time literally was felt in this situation. An empirical investigation of 16...

  7. Return to work after treatment for primary breast cancer over a 6-year period: results from a prospective study comparing patients with the general population.

    Science.gov (United States)

    Noeres, Dorothee; Park-Simon, Tjoung-Won; Grabow, Jördis; Sperlich, Stefanie; Koch-Gießelmann, Heike; Jaunzeme, Jelena; Geyer, Siegfried

    2013-07-01

    cancer survivors than among controls. The main predictor for not returning to work was found to be age; tumour stage and the severity of side effects of treatment also seemed to have an impact. Breast cancer survivorship in Germany increases the risk of dropping out of paid work. The influence of work- and illness-related factors varies considerably between the early and late phases of recovery after breast cancer treatment. The comparative analysis demonstrates the relevance of labour market and pension legislation in Germany.

  8. Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

    DEFF Research Database (Denmark)

    Netterstrøm, Bo; Bech, Per

    2010-01-01

    Medicine) completed a stress treatment programme consisted of the following:1) Identification of relevant stressors. 2. Changing the coping strategies of the participants. 3. Evaluating/changes in participant workload and tasks. 4. Relaxation techniques. 5. Physical exercise. 6. Psychiatric evaluation when...... indicated by depression test score.On average each patient attended six one-hour sessions over the course of four months.A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline...... the two groups was observed after one and two years. Age below 50 years and being a manager increased the odds ratio for RTW after one and two years, while gender and depression had no predictive value. CONCLUSIONS: The stress treatment programme showed a significant effect on the return to work rate...

  9. Working with energy and mass balances: a conceptual framework to understand the limits of municipal wastewater treatment.

    Science.gov (United States)

    Garrido, J M; Fdz-Polanco, M; Fdz-Polanco, F

    2013-01-01

    At present all municipal waste water treatment plants (WWTPs) are energy consumers. Electrical energy requirements for oxygen transfer are large in secondary biological systems. Nevertheless, from a thermodynamic point of view chemical oxygen demand (COD) is an energy source. Combustion of every kilogram of COD releases 3.86 kWh of energy. In this manuscript some measures are presented, from a conceptual point of view, in order to convert the actual concept of wastewater treatment as an 'energy sink' to an 'energy source' concept. In this sense, electrical self-sufficiency in carbon removal WWTPs could be obtained by increasing the sludge load to the anaerobic sludge digester. Nitrogen removal increases the energy requirements of WWTPs. The use of a combined two-stage biological treatment, using a high loaded first stage for carbon removal and a second stage combined nitrification-anammox process for nitrogen removal in the water line, offers a way to recover self-sufficiency. This is not a proven technology at ambient temperature, but its development offers an opportunity to reduce the energy demand of WWTPs.

  10. Heat treatment of nitrided layer formed on X37CrMoV5-1 hot working tool steel

    Science.gov (United States)

    Ciski, A.; Wach, P.; Tacikowski, J.; Babul, T.; Šuchmann, P.

    2017-02-01

    The paper presents the technology consisting of combination of the nitriding process with subsequent austenitizing at temperature above eutectoid temperature of the Fe-C system and further rapid cooling. Such treatment will cause formation of the martensite in the area of the primarily nitrided layer and the additional precipitation hardening by tempering of heat treated steel. The article shows that the heat treatment process of nitrided layer formed on X37CrMoV5-1 steel leads to strengthening of surface layer, the substrate and the core of nitrided part. Heat treatment of nitrided steel with the tempering in inert (nitrogen) or active (ammonia) atmosphere can increase the thickness of the layer formed by short-term nitriding process. After the nitriding process of X37CrMoV5-1 steel the nitrided layer had a thickness of about 160 μm, while a subsurface layer of iron nitrides had a thickness of 7 μm. After subsequent quenching and tempering processes, the nitrided layer undergoes additional diffusion and its thickness is increased to about 220 μm (inert atmosphere) or 280 μm (active atmosphere). If the tempering process is carried out in an inert atmosphere, the primarily formed layer of iron nitrides disappears. Tempering in an active atmosphere leads to forming of white layer with a thickness of 7 μm. Basic properties of nitrided layers formed in such way, like the hardness and the wear resistance, are presented.

  11. Screening vs. non-screening detected colorectal cancer: Differences in pre-therapeutic work up and treatment.

    Science.gov (United States)

    Saraste, D; Martling, A; Nilsson, P J; Blom, J; Törnberg, S; Janson, M

    2017-06-01

    Objectives To compare preoperative staging, multidisciplinary team-assessment, and treatment in patients with screening detected and non-screening detected colorectal cancer. Methods Data on patient and tumour characteristics, staging, multidisciplinary team-assessment and treatment in patients with screening and non-screening detected colorectal cancer from 2008 to 2012 were collected from the Stockholm-Gotland screening register and the Swedish Colorectal Cancer Registry. Results The screening group had a higher proportion of stage I disease (41 vs. 15%; p primary tumour and metastases and were more frequently multidisciplinary team-assessed than the non-screening group ( p multidisciplinary team-assessed than patients with surgically resected cancers ( p multidisciplinary team assessed more extensively than patients with non-screening detected cancers. Staging and multidisciplinary team assessment prior to endoscopic resection was less complete compared with surgical resection. Extensive surgical and (neo)adjuvant treatment was given in stage I disease. Participation in screening reduced the risk of emergency surgery for colorectal cancer.

  12. What treatments work for anxiety in children with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)? Systematic review.

    Science.gov (United States)

    Stoll, Sarah Victoria Ellen; Crawley, Esther; Richards, Victoria; Lal, Nishita; Brigden, Amberly; Loades, Maria E

    2017-09-05

    Anxiety is more prevalent in children with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) than in the general population. A systematic review was carried out to identify which treatment methods are most effective for children with CFS and anxiety. Systematic review using search terms entered into the Cochrane library and Ovid to search the databases Medline, Embase and psychINFO. Studies were selected if participants were ME (using US Centers for Disease Control and Prevention, the National Institute for Health and Care Excellence or Oxford criteria) and had a valid assessment of anxiety. We included observational studies and randomised controlled trials. Any or none. Change in anxiety diagnostic status and/or change in anxiety severity on a validated measure of anxiety from pretreatment to post-treatment. The review identified nine papers from eight studies that met the inclusion criteria. None of the studies specifically targeted anxiety but six studies tested an intervention and measured anxiety as a secondary outcome. Of these studies, four used a cognitive behavioural therapy (CBT)-type approach to treat CFS/ME, one used a behavioural approach and one compared a drug treatment, gammaglobulin with a placebo. Three of the CBT-type studies described an improvement in anxiety as did the trial of gammaglobulin. As none of the studies stratified outcomes according to anxiety diagnostic status or severity, we were unable to determine whether anxiety changed prognosis or whether treatments were equally effective in those with comorbid anxiety compared with those without. We do not know what treatment should be offered for children with both anxiety and CFS/ME. Further research is therefore required to answer this question. This review was registered on Prospective Register of Systematic Review Protocols (PROSPERO) and the protocol is available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016043488. © Article author(s) (or their

  13. [Update of recommendations for evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology].

    Science.gov (United States)

    Reyes-García, Rebeca; García-Martín, Antonia; Varsavsky, Mariela; Rozas-Moreno, Pedro; Cortés-Berdonces, María; Luque-Fernández, Inés; Gómez Sáez, José Manuel; Vidal Casariego, Alfonso; Romero Muñoz, Manuel; Guadalix Iglesias, Sonsoles; Fernández García, Diego; Jódar Gimeno, Esteban; Muñoz Torres, Manuel

    2015-05-01

    To update previous recommendations developed by the Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology and Nutrition for the evaluation and treatment of osteoporosis associated to different endocrine and nutritional diseases. Members of the Working Group on Osteoporosis and Mineral Metabolism of the Spanish Society of Endocrinology and Nutrition. Recommendations were formulated according to the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in MEDLINE (Pubmed) using the following terms associated to the name of each condition: AND "osteoporosis", "fractures", "bone mineral density", and "treatment". Papers in English with publication date between 18 October 2011 and 30 October 2014 were included. The recommendations were discussed and approved by all members of the Working Group. This update summarizes the new data regarding evaluation and treatment of osteoporosis associated to endocrine and nutritional conditions. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  14. Pena Private Freedom with psychiatric treatment and psychological for Abused

    Directory of Open Access Journals (Sweden)

    Mirza Maria Pedrosa Porto de Mendonça

    2016-06-01

    Full Text Available The research aimed to investigate the opinion of professionals in law and health areas on the profile of the sexual abuser of children within the family and the effectiveness of the type of penalty he suffers. The offender is someone who probably does not enjoy enough sanity to control its inclination to unlawful and may or may not be classified as mentally ill. The research covers the incidence and effects of this event on intra-family life. Deals with this issue in order to establish a new legal paradigm in the context of the penalties in the most private sphere of criminal law. The work aims to demonstrate the social relevance of the topic and the need for an effective regulatory sweater for sexual abusers, especially the intra-family and makes a clear proposal for legislative changes with regard to this type of crime, arguing the need to adapt the law the objective reality. It argues that psychoanalytic treatment of offenders as a means of punishment is more important than the simple deprivation of liberty. It argues that the current legislation is incipient and inadequate for such cases and this opinion supported by a significant number of experts. This is not to defend this criminal who practice sexual abuse, but to seek solutions to impunity and respect for the principle of individualization of punishment.

  15. Person--job match among frontline staff working in residential treatment centers: the impact of personality and child psychopathology on burnout experiences.

    Science.gov (United States)

    Leon, Scott C; Visscher, Linn; Sugimura, Niwako; Lakin, Brittany L

    2008-04-01

    Prior research has shown that the personality variables extraversion and neuroticism predict burnout among frontline staff working in residential treatment centers. This study tested the hypothesis that the effect of personality on burnout would be moderated by the psychiatric characteristics of the youth served on the milieu. Two hundred and three frontline staff working in 21 residential treatment centers in Illinois serving troubled youth completed surveys regarding opinions about their jobs, the Big Five Inventory (BFI), a youth presenting problems scale for the entire milieu, and the Maslach Burnout Inventory (MBI). Results indicated that the effect of neuroticism on burnout is moderated by psychosis and posttraumatic stress disorder (PTSD); high and moderate milieu ratings of psychosis and PTSD showed a positive relationship between neurosis and burnout, while low ratings of these conditions showed no relationship. These findings suggest that the optimal work setting is a function of the interaction between specific personality characteristics and specific work environments, with implications for personnel selection and future research on person-environment fit. Copyright 2008 APA, all rights reserved.

  16. Catching a Wave: The Hypnosis-Sensitive Transference-Based Treatment of Dissociative Identity Disorder (DID).

    Science.gov (United States)

    Brenner, Ira

    2018-01-01

    In this article, I will describe the way in which I work with enactment-prone dissociative patients in the transference. This approach requires an appreciation of the phenomena of hypnosis and the auto-hypnotic aspects of some forms of dissociation. Essentially, I learn from the patient and my interactions with the patient how hypnotic phenomena and auto-hypnotic defenses manifest themselves in the therapeutic relationship in order both to understand them and ultimately to bring them under conscious control. Because of the fluidity and turbulence of these states, I use the analogy of catching a wave, in which timing and balance are essential, albeit elusive factors in effecting a successful treatment. The importance of having experience with many patients, attending conferences, seeking supervision, and undergoing one's own therapy will be also discussed as important prerequisites for the clinician endeavoring to utilize this type of approach. This preparation, this quest for such a "balance," is modeled after the so-called tripartite model of training employed in psychoanalytic training institutes. I will offer clinical material to illustrate this approach, which I have described as "psychoactive psychotherapy." In such treatments, the clinician may be taken by surprise and is likely to be thrown "off balance" from time to time. The mutually shared understanding of such moments is essential to regaining clinical balance in the therapeutic setting, and can lead to if not create important turning points in the treatment process.

  17. METACOGNITION-ORIENTED SOCIAL SKILLS TRAINING (MOSST: THEORETICAL FRAMEWORK, WORKING METHODOLOGY AND TREATMENT DESCRIPTION FOR PATIENTS WITH SCHIZOPHRENIA

    Directory of Open Access Journals (Sweden)

    Felix Inchausti

    2017-09-01

    Full Text Available The presence of social deficits in schizophrenia has been widely described in the literature as well as the negative impact of these deficits on psychosocial functioning. As a result, social skills training (SST has emerged as a well-validated intervention that is recommended in several treatment guidelines for schizophrenia. However, various studies have found that the effects and generalizability of current SST programmes are limited with regards to the potential benefits on the daily psychosocial functioning of these patients. This paper aims to describe a newly developed intervention model that integrates metacognitive remediation into SST for patients affected by schizophrenia: metacognition-oriented social skills training (MOSST. The theoretical model of MOSST is based on recent findings suggesting the central role of metacognitive deficits in successful psychosocial functioning with schizophrenia. Therefore, MOSST focuses not only on training interpersonal skills but also on improving the understanding of one’s own mental states and those of others as well as the connection between mental states and effective social behaviour. In order to facilitate the treatment description, a case report is presented of an adult diagnosed with schizophrenia who successfully completed the programme. Finally, the clinical implications and limitations of the available evidence on MOSST are discussed, and future research directions with this programme are suggested.

  18. Impact of the new American and British guidelines on the management and treatment of dyslipidemia in a Spanish working population.

    Science.gov (United States)

    Brotons, Carlos; Calvo-Bonacho, Eva; Moral, Irene; García-Margallo, María Teresa; Cortés-Arcas, María Victoria; Puig, Mireia; Vázquez-Pirillo, Gastón; Ruilope, Luis Miguel

    2014-11-01

    The guidelines of the American College of Cardiology/American Heart Association and the British National Institute for Health and Clinical Excellence on the management and treatment of dyslipidemia recommend significant changes, such as the abolition of therapeutic targets and the use of new risk tables. This study aimed to evaluate the impact of the use of these new guidelines compared with the application of European guidelines. Observational study conducted among Spanish workers. We included all workers registered with the Sociedad de Prevención de Ibermutuamur in 2011 whose cardiovascular risk could be evaluated. Cardiovascular risk was calculated for each worker using the Systematic Coronary Risk Evaluation cardiovascular risk tables for low-risk countries, as well as the tables recommended by the American and British guidelines. A total of 258,676 workers were included (68.2% men; mean age, 39.3 years). High risk was found in 3.74% of the population according to the Systematic Coronary Risk Evaluation tables and in 6.85% and 20.83% according to the British and American tables, respectively. Treatment would be needed in 20 558 workers according to the American guidelines and in 13,222 according to the British guidelines, but in only 2612 according to the European guidelines. By following the American guidelines, the cost of statins would increase by a factor of 8. The new recommendations would result in identifying more high-risk patients and in treating a larger fraction of the population with lipid-lowering drugs than with the European recommendations, which would result in increased costs. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  19. [Pharmacological treatment of dementia: when, how and for how long. Recommendations of the Working Group on Dementia of the Catalan Society of Geriatrics and Gerontology].

    Science.gov (United States)

    Rodríguez, Daniel; Formiga, Francesc; Fort, Isabel; Robles, María José; Barranco, Elena; Cubí, Dolors

    2012-01-01

    Dementia in general--and Alzheimer's disease (AD) in particular--are bound to loom large among the most acute healthcare, social, and public health problems of the 21st century. AD shows a degenerative progression that can be slowed down--yet not halted--by today's most widely accepted specific treatments (those based on cholinesterase inhibitors as well as those using memantine). There is enough evidence to consider these treatments advisable for the mild, moderate and severe phases of the illness. However, in the final stage of the disease, a decision has to be made on whether to withdraw such treatment or not. In this paper, the Working Group on Dementia for the Catalan Society of Geriatrics and Gerontology reviews the use of these specific pharmacological treatments for AD, and, drawing on the scientific evidence thus gathered, makes a series of recommendations on when, how, and for how long, the currently existing specific pharmacological treatments should be used. Copyright © 2011 SEGG. Published by Elsevier Espana. All rights reserved.

  20. The Turkish Adaptation of the Burnout Measure-Short Version (BMS) and Couple Burnout Measure-Short Version (CBMS) and the Relationship between Career and Couple Burnout Based on Psychoanalytic-Existential Perspective

    Science.gov (United States)

    Capri, Burhan

    2013-01-01

    The purpose of this research is to carry out the Turkish adaptation, validity, and reliability studies of Burnout Measure-Short Form (BMS) and Couple Burnout Measure-Short Form (CBMS) and also to analyze the correlation between the careers and couple burnout scores of the participants from the psychoanalytic-existential perspective. This research…