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Biomedical subjects

G MacLean

Publications and source records attributed to G MacLean.

22 records · Page 2Linked to original sources

Addendum to a case of traumatic neurosis: consideration of family dynamics.

The previously reported case of a youmg boy who had experienced a severe trauma is reviewed. The initial report had described the concepts of psychic trauma and traumatic neurosis and had conceptualized the case in terms of these concepts. In this second report, an addendum to the first, the later reassessment of the case is reported and important contributory family dynamics are identified. It is concluded that the importance of the concept of traumatic neurosis with its emphasis on the inner world of the child, must leave the diagnostician ever aware of the inner worlds of the parents and to the dynamics of family life.

Attitude to Death↗

Studies of the psychosocial adjustment of the hearing-impaired: I. Adolescents and their families a pilot study.

There is a general pessimistic view found in the literature that defends a hypothesis that the consequences of a severe hearing impairment on psychosocial development aare many and severe. This pilot study of 20 adolescents who had experienced a profound hearing impairment from birth had the purpose of clarifying this issue. The findings of the study were not compatible with such pessimism. It is concluded that the teaching of an oral means of communication which facilitates education within a mainstreamed system, is compatible with good psychosocial adjustment. To confirm this optimism and to delineate the variables in good development, further study employing comparison groups is needed.

Achievement↗

Self-enucleation and psychosis. Report of two cases and discussion.

We report two cases of self-enucleation and the case histories of the two schizophrenic men who carried out this drastic form of self-mutilation. In a review of the literature and consideration of the case material, it is concluded that castration fears, failure to resolve oedipal conflicts, repressed homosexual impulses, severe guilt, and self-punishment are ubiquitous phenomena in such cases. However, we conclude that psychosis, most probably schizophrenia, with a severe disturbance in body image, are necessary variables in the act of self-enucleation.

Adult↗