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Biomedical subjects

A Compton

Publications and source records attributed to A Compton.

At least 37 records · Page 2Linked to original sources
PubMed1987

Reversing severe hypoglycemia during pregnancy with glucagon therapy.

Glucagon therapy has been used to reverse severe hypoglycemia-induced unconsciousness, but no known study exists which reports its use during pregnancy. Pregnant diabetic women were eligible if they had either a prior hypoglycemic episode requiring intravenous glucose administration or had repeated capillary blood glucose determinations less than 40 mg/dl without any warning adrenergic symptoms. Of 51 insulin-dependent diabetic women, 16 were candidates for glucagon use during a recent 3 1/2-year period. Seven of these 16 persons required an injection on 12 occasions, and an immediate reversal of unconsciousness was encountered in 11 circumstances. No apparent short- or long-term maternal adverse effects were present. We conclude that glucagon therapy is needed infrequently for diabetic women during pregnancy but is helpful in reversing acute episodes of severe hypoglycemia.

Adult↗
PubMed1987

Objects and attitudes.

The concept of an attitudinal object has long been present in psychoanalysis but almost entirely neglected. This omission is integral in the confusion and controversy about the object concept in general. It has left a theoretical gap which the so-called object relations theories have attempted to fill. This paper offers some preliminary suggestions for a psychoanalytic understanding of attitudes as a first level of inference in the study of relationships and their psychological basis.

Attitude↗
PubMed1986

Freud: objects and structure.

This paper, part of a series exploring the development of Freud's object concept, deals with the concepts of objects and psychic structure in the period from 1915 to 1938. In connection with the increased prominence of object loss and hostility in his clinical material, the role of objects in the building of psychic structure via identification assumed increased importance from 1917 on. After introduction of the ego-id-superego model, Freud asserted for the first time that object choice does take place as early as the oedipal period, and interpolated the phallic-oedipal phase into his sequence of developmental phases. The prominence of structure formation through identification continued, but no new object concepts are discerned.

Drive↗
PubMed1986

Urologic evaluation of urinary tract infection in pregnancy.

Thirty-three antepartum patients with urinary tract infections underwent urologic evaluation as soon as the infection had been successfully treated. The evaluation included history of voiding habits, cystometry, urethral calibration and cystourethroscopy. A second phase of the urologic evaluation included an excretory urogram and repeat cystometry 10-12 weeks postpartum. Sixty percent had a history of infrequent voiding, and 90% of them had a bladder capacity greater than 450 mL. Forty-one percent of the patients had a normal bladder capacity (less than 450 mL), and 85% of this group did not have any history of infrequent voiding. The radiographic evaluation postpartum in 18 of 33 patients revealed major abnormalities in 50%. These abnormalities were seen as often and were as significant in women with asymptomatic bacteriuria as in those who presented with acute pyelonephritis. The results suggest that the large bladder seen in pregnant women may be secondary to the chronic, unphysiologic habit of infrequent voiding. Furthermore, this study reinforced the fact that most pregnant women with urinary tract infection have preexisting chronic bladder or renal abnormalities that predispose them to infection. Those at risk should be identified early through a careful history and urinalysis to determine which ones need urinary prophylaxis during pregnancy. Postpartum urologic investigation should be carried out to identify any structural or functional problems; understanding them is helpful in present and future management.

Adolescent↗
PubMed1985

The development of the drive object concept in Freud's work: 1905-1915.

In 1905 Freud established the idea of an object of an instinctual drive as the basic object concept of psychoanalysis. He also introduced the derivative concepts of object directedness, object choice, and object finding. While taking these steps he simultaneously deemphasized the importance of drive objects in sexual life, contradicted himself on whether drives are autoerotic or object-directed in infancy, and made incompatible statements about whether or not object choice occurs before puberty. Freud's clinical work, reflected especially in the major case reports and a series of papers on fantasy, led to an apparent recognition of complexity in the mental life of children far greater than had been described earlier. The increased attention to and appreciation of mental content in childhood especially augmented Freud's understanding of the role of drive objects, object directedness, and object choice in infancy. This, in turn, led him to postulate a sequence of organizations of sexual life, named according to the zonal drive source plus the mode of object directedness, a process of theory development that continued through 1924. Object choice and, to a lesser extent, object directedness are concepts derived from and dependent upon the concept of drive object. Both require, however, explanatory constructs besides drive constructs. In 1915 Freud defined the term "object" in the context of stating his drive theory. Freud used the term object with several new modifying words during this decade. No new object concept was introduced, however, in this work, although some steps in that direction appeared to be in progress.

Child↗
PubMed1985

The concept of identification in the work of Freud, Ferenczi, and Abraham: a review and commentary.

The development of the concept of identification in the work of Freud, Ferenczi, and Abraham is reviewed and analyzed from the standpoint of the development of the psychoanalytic object concept in general. Problems in the theory are seen to be related to ambiguity of the terms, ego and object, especially as reflected in the idea of introjection. The concept of identification, on the other hand, is shown to have undergone consistent evolution and expansion.

Ego↗
PubMed1983

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

The evolution of Freud's theory of instinctual drives, with the accompanying models of a mental apparatus, is remarkable for its tenacious adherence to addressing the fundamental problems of human psychology, here phrased as the problems of body-mind-environment relationships. The concept of instinctual drives continues to be one of the most pervasive concepts of psychoanalysis, weathering considerable attack over the last several decades, although losing some clarity in the process. I have cited and discussed as basic issues of the concept of instinctual drives: the relationship of observational data and theoretical constructs in psychology; whether our construct of drives is or should be or can be purely psychological; the problem of conceptualizing the ontogenetic origin of mind; the issues of the "force-meaning conjunction" and the problem of psychic energy in psychoanalytic constructs; and the relation of our concept of instinctual drives to the concept of instincts in general. It seems that progress with these fundamental issues might be made by utilizing models that are more homologous with present knowledge in related fields than is Freud's reflex arc model of the nervous system, in order to build a better drive construct within the framework of psychoanalysis. The classification of instinctual drives remains a problem. Clinically, aggression seems to be a factor in conflict, very much like sexuality. Despite widespread acceptance of the idea of aggression as simply parallel to sexuality in all respects, there are major discrepancies. Perhaps aggression cannot be viewed as a drive after all; perhaps our drive construct needs to be modified to accommodate aggression. Certainly, controversy in this area has interfered with the production of good clinical studies which could begin to increase our understanding of aggression and its place in the human personality. The psychoanalytic theory of drive development has probably undergone less change in the last 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.

Aggression↗
PubMed1983

The current status of the psychoanalytic theory of instinctual drives. II: The relation of the drive concept to structures, regulatory principles, and objects.

There has been and continues to be some degree of failure to recognize the effects of the introduction of the ego-id-superego model on the drive construct. In particular, some of the criticisms of drive theory fail to take cognizance of the structural position of drives. Drives, as an aspect of id, are more clearly separated from behavior conceptually than many discussions imply. Drive energy is a different concept from drive. Especially in the area of the governance of drives by the regulatory principles of mental functioning some improvement in clarity and utility seems possible through the use of different, more sophisticated models. Difficulties in the concept of objects appear to underlie considerable controversy in psychoanalysis today. I have here attempted to clarify the concept of drive objects, as a step in resolving the broader issues.

Cathexis↗
PubMed1980

A study of the psychoanalytic theory of anxiety, III: A preliminary formulation of the anxiety response.

An attempt is here made to apply the propositions of psychoanalytic ego psychology and certain ideas from systems theory to problems in the theory of anxiety. Conscious affect experience in adults is taken as a clinical starting point. The propositions advanced place concepts of processes by which events or fantasies are located in time at the center of anxiety theory and, perhaps, of affect theory generally.

Adult↗