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Biomedical subjects

F Meerwein

Publications and source records attributed to F Meerwein.

16 recordsLinked to original sources
PubMed1989

["Spute dich, Kronos, fort den rasselnden Trott..." Reflections on time perception in the psychoanalytic process and at the end of life].

Referring to Goethe's Poem "An Schwager Kronos", the author tries to establish a relationship between the experience of time as lived through in the course of the psychoanalytic process as well as of time as experienced under the impression of the possibly approaching end of one's life. Psychoanalytic theory, however, has only limited possibilities to grasp "time" in psycho-dynamic or psycho-symbolic terms. Nevertheless, the changes in the experience of time, which take place in the course of a lifetime, can often be worked through in a psychoanalytic process focussing on loss, "fear of breakdown" (Winnicott) and hope. This working through contributes to the internalisation of the holding environment, i.e. good inner "saving" objects provided by the therapist. Episodes from Mozart's "Last Year" are used as clinical illustrations.

Attitude to Death↗
PubMed1984

[Concept of the double as a problem of relationships in problems of leukemia and terminal cancer patients and its appearance in art therapy].

Patients suffering from leukemia or from severe terminal cancer have possibly been impaired with regard to their ego functions even before any manifestation of their disease had occurred. With the outbreak of their illness they often experience an additional imperilment of their ego loundaries. By introjection of the art therapist (or the physician) whom the patients frequently perceive as their double they are able to make an attempt at reconstructing an intact image of themselves and thus to restore intact ego functions. The double, on the one hand, becomes a source of help and, on the other, an exponent of the patient's own nonexistence because he continuously represents the non-ego as well. Pictures painted by leukemia patients in the course of an art psychotherapy illustrate this phenomenon. The confrontation with the double, exhibited in these pictures, allows the working-through of the relationship between the patient and the therapist which is always ambiguous. Thus the coping with grief, to a certain degree at least, becomes possible.

Adult↗
PubMed1978

[Psychosocial aspects in oncology].

Affects of hopelessness and helplessness may play an important role in the life history of cancer patients. Open communication with the patient is necessary in order to overcome these affects. The function of denial is discussed and depression is described as a necessary phase in coping with the disease. Depressions in cancer patients cannot be avoided through denial but should be adequately treated.

Depression↗
PubMedDate not supplied

[Remarks on the physician-patient relationship with cancer patients. Prerequisites, function, and goal of so-called Balint groups in an internal-oncological department].

Drawing on their experience with their own cancer patients and with the Balint Group in the Oncological Department of Zürich's University Hospital, the authors describe the special problems arising in the doctor-patient relationship in this field. They show how the diagnosis of cancer can give rise to a feeling of sudden and complete object loss in the patient, thereby confronting the doctor with his own fear of death. The mobilization of archaic defence mechanisms in both the doctor and the patients can lead to an insoluble double-blind situation unless the doctor is able to give up his defence position and thus make it possible for the patient to give up his own fear of death and to accept the nature of his illness. The authors show how the doctor can break through the isolation of the patient in whose body-ego an archaic bad inner-object has been activated by the cancer, and build up good inner objects for him again. In the last chapter Winnicott's idea the "intermediate area" is shown to shed a new light on the phenomenon of redenial or belief in immortality.

Adult↗