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Biomedical subjects

A Streeck-Fischer

Publications and source records attributed to A Streeck-Fischer.

17 recordsLinked to original sources
PubMed2002

[Borderline disorders in childhood and adolescence].

Borderline disorders are situated in the area between neurosis and (schizophrenic) psychosis. In psycho-analytical terms, a "borderline personality organization" is characterized by the following criteria: weak sense of identity, poor reality control, permeable ego boundaries, multifarious defense reactions to impulsivity, disturbed object-relatedness with inappropriate relationship to the environment, and the assumption of a disorder/trauma during early childhood. Some 90% of the children have a history of traumatization in the past, e.g. a severe illness or sexual abuse. Various models are used to explain the multifarious disorders. What can be compensated in childhood via so-called "emergency maturation" and adaptation to the prevailing situation, is far more difficult from early adolescence onward. Then, external regulators, such as alcohol or drugs play a greater role in the re-establishment of inner equilibrium.

Adolescent↗
PubMed2000

Down will come baby, cradle and all: diagnostic and therapeutic implications of chronic trauma on child development.

OBJECTIVE: This review examines the clinical outcomes associated with exposure to chronic intrafamilial trauma and explores the treatment of the psychological, biological and cognitive sequelae. METHOD: The existing research literature on the subject was collected, using Index Medicus/MEDLINE, Psychological Abstracts and the PILOTS database. The research findings were supplemented with clinical observations by the authors and other clinical writings on this topic. RESULTS: Children with histories of exposure to multiple traumatic experiences within their families or in medical settings usually meet criteria for numerous clinical diagnoses, none of which capture the complexity of their biological, emotional and cognitive problems. These are expressed in a multitude of psychological, cognitive, somatic and behavioural problems, ranging from learning disabilities to aggression against self and others. CONCLUSIONS: Exposure to intrafamilial violence and other chronic trauma results in pervasive psychological and biological deficits. Treatment needs to address issues of safety, stabilise impulsive aggression against self and others, promote mastery experiences, compensate for specific developmental deficits, and judiciously process both the traumatic memories and trauma-related expectations.

Adolescent↗
PubMed2000

[Adolescents with borderline disorders--self and other destructive behavior in inpatient psychotherapy].

Severe destructive behavior against themselves and others by adolescents with boundary disorders often occurs during their development as a form of coping with traumatic stress. These and other non-verbal "acted-out messages" are described as forms of communication typical of adolescents who, as a consequence of trauma, are unable to express themselves using language. Such behavior determines the everyday life and the therapy of these adolescents. Their impaired information perception and processing causes--among other problems--deficits in memory functions, poor self-regulation, sensory modalities and language abilities, and primary responses such as flight/fight and freezing reactions, all of which contribute towards arrested development. The treatment of complexly traumatized adolescents poses special challenges in arranging and organizing in-patient psychotherapy. Different therapeutic steps are described, such as first recognizing and overcoming traumatizing reenactments, second, developing and providing safe places, third, building up and extending competencies, and fourth, developing playing and symbolizing abilities. These steps are necessary for coping with traumatizing experiences.

Acting Out↗
PubMed1999

[OPD-diagnostics of child play].

Up to now there have been only a few attempts at using child play as a diagnostic instrument for distinguishing different psychic disturbances. In this article the author proposes different dimensions of evaluating child play diagnostically, serving to classify the respective integration level. They are dimensions such as the relation reality/phantasy, bodily action, as if ability, play duration, contents and quality, and play development. Play is understood here essentially as a child's one-sided enactment. With case examples the author clarifies how child play is to be understood on different integration levels using the evaluation criteria.

Child↗
PubMed1999

[Brief report of working group OPD-CA (children and adolescents) Axis IV: structural standard].

Apart from the structural differentiation of the body and its functions, the enlargement of the child's repertoire of possibilities to make experiences and to act is a manifestation of the development of the child's psychic structure which, advancing in years, may be considered as a treasure of all the experiences one has made with oneself, with the world and with the others. Structure will develop along with the interactional experiences with the world around us and becomes manifest in one's behaviour which may be witnessed and observed. The description of the psychic structure comprises three dimensions (perception of the self and of the objects, control, communication and bonding) which will be described by certain capabilities and will be assessed with the help of an anchoring example typical for each age which serves the purpose of clinical illustration. The adaptational achievement may then be assessed on the basis of a structural standard independent of age and may be ranged on a structural level. It appears that the exemplary description of different scopes of tasks typically to be performed at certain ages which serves as a basis for the assessment of the adaptational competence during childhood and adolescence seems to be a good policy. The purpose of our studies is the development of a valid instrument which is easy to handle in practice and which has a high interrater-reliability.

Adolescent↗
PubMed1998

[Obsessive-compulsive disorders in childhood and adolescence--recent psychoanalytic views and treatment approaches].

Based on neurobiological and development-psychological findings psychodynamic concepts for understanding compulsive disorders are supplemented and extended. A stimulus barrier impaired during development which in the early mother-child system normally develops into an autonomous and self-regulating ability has the consequence in compulsive disorders that the ability of drawing limits between reality and phantasy has only poor success. Based on case examples the function of the situation triggering the compulsive symptoms and the foreseeable relationship quality are examined on the different levels of development. Then it becomes clear how complex the originating conditions for compulsive disorders are, and under which conditions a primary object fails as original external psycho-neurobiological regulator in the development of autonomous self-regulation.

Adolescent↗
PubMed1994

[Male adolescence, hatred for foreigners and the self-repair function exemplified by juvenile right extremist skinheads].

Restructuring the personality, developing a new we-feeling, coping with drive thrusts and ego-syntonically reorganizing infantile conflicts are key developmental functions during adolescence. Some characteristics of male adolescence explain why especially male teen-agers are susceptible to joining right-wing extremist groups ready to use violence. The surroundings of right-wing extremist violence offers specific stabilizations which support the adolescent configuration of the enlarged self but as the same time they also lead to deformations of the personality. Establishing a greater self by ideology, self reparative transformation of self hatred to xenophobia, masking the personality and the regression of sexual desire to the desire of violence are consequences of processes of adaption and assimilation as described in cases of serious inner or outer threats.

Adolescent↗
PubMed1994

[Developmental pathways in adolescence. Narcissism and transitional phenomena].

The author describes the development of the adolescent self as a three-stage process. After termination of the accord between the young person and the parents that marks the latency period, the adolescent creates a carefully guarded inner reality serving to distance him/her from infantile images of the self and the parents. In the second stage, the young person achieves stability by electing narcissistic configurations (self-aggrandisement, dissociation, turbulent self with day-dream fantasies) which are described here as transitional phenomena and assessed by Streeck-Fischer much less negatively than by other authors. The capacity for self-distance that evolves in this stage and the attendant potential for self-definition in constant oscillation between repetition and re-creation brings the process of adolescence to its close.

Adolescent↗
PubMed1992

["Proud of violence". Psychoanalytic remarks on adolescence and right extremism].

Young people with extremist right-wing leanings who join together to form gangs frequently come from a social background which has had a traumatic influence on their biographies from an early stage. The right-wing radical group functions as a substitute for caring parents and other figures that these youngsters can look up to. Within these constellations they then act out the violence that they themselves have been the victims of. The author points out that, both on an individual and social plane, these young people stand for facets of our own selves that we have severed off or negated and conflicts which we have yet to come to terms with.

Adolescent↗
PubMed1991

[Development promoting environment--contributing factors in inpatient psychotherapy of children and adolescents].

Frame conditions especially in stationary psychotherapy with children and adolescents have the function of development-conducive 'play-pens'. As spaces which can be actively formed they offer room to make new experiences, but also serve as limits and friction surfaces with supporting ego-functions. Regarding the developmental phase of adolescence they also serve adolescents in their conflicts with parental authorities in the process of detaching and spiritualization and depersonalization of super-ego structures. Concerning various disorders adequately formed 'play-pens' also fulfill further specific therapeutic functions: Bordering functions for youths near psychoses, containing functions for borderline disorders and trianguling functions for youths who have disorders in detaching and individualizing.

Adolescent↗
PubMed1991

[Borderline patients--management of self- and outwardly destructive behavior in inpatient pediatric and adolescent psychotherapy].

Destructive and self-injurious behavior among children and juveniles with borderline disturbances has brought institutions and staff members involved in child psychotherapy up against the limits of personal and institutional ability to deal with the situation. In order to be able to conduct productive therapy with these "borderline" cases, there is a need for critical examination of inpatient psychotherapy. The present study examines the background and effects of destructive behavior by means of two central types of psychological breakdown, "division" and "working off reactions". In different cases requiring therapy, such as the acting out of processes of division (expulsion, therapeutic isolation), the perpetuation of early behavior patterns, and malign regression, the study shows how important a clear organization of therapy and certain therapeutic attitudes are, particularly where these disturbances are concerned.

Adolescent↗
PubMed1989

[Compulsion, ego organization and treatment procedure. On the treatment of a patient with chronic compulsive symptoms].

On the basis of a case study, it is shown that traditional approaches to understanding what have been labeled compulsive neuroses are insufficient if the illness is based on a prestructural disturbance. Classical treatment techniques are contraindicated in such a case, and analytical approach oriented toward a response to the structure of the ego is appropriate in its place.

Ego↗
PubMedDate not supplied

[Predisposition for violence in adolescence].

Uncontrolled aggressiveness, violence, and reckless behavior make up the contents of many myths of the 'real man'. For youths with unfavourable developmental conditions these myths are especially important. Two types of adolescents, willing use violence, with antisocial personality developments are illuminated with the help of psychoanalytic models of understanding; the borderline disorder on a low structure level and the mimicry development with its 'false' structure development, which often leads to a wrong diagnosis. With specific interactions with youths of both types in an inpatient setting, developmental processes are described which then often lead to the use of violence if effective interventions are not used enough. In closing pedagogic, social-therapeutic and psychotherapeutic strategies for dealing with such adolescents are discussed.

Adolescent↗