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Biomedical subjects

J Pedder

Publications and source records attributed to J Pedder.

4 recordsLinked to original sources

Psychoanalytic views of aggression: some theoretical problems.

Various problems in relation to psychoanalytic theories of aggression are considered in a review which is by no means exhaustive but includes areas which have puzzled and interested the author. First to be considered is why the concept of aggression as a major drive was a relative late-comer in psychoanalysis; next the contentious concept of a 'death instinct' and some of the factors in Freud's lifetime which may have contributed to both. Then it is suggested that we seem to have theories of aggression which might be called primary or secondary in two different senses. First is the question whether aggression is innate or secondary to frustration. In another sense, primary and secondary theories of aggression seem to survive paralleling Freud's original primary and secondary theories of anxiety. In this sense the primary theory survives as an explanation of psychosomatic disorder. Lastly, the link between suicide and murder is considered and the turning of aggression against the self in depression and self-destructive attacks.

Aggression↗

Fear of dependence in therapeutic relationships.

The fear of dependence is considered as it is experienced by therapists and patients in therapeutic relationships. The concept of dependence is briefly reviewed in the psychoanalytic literature of both East and West. A clinical illustration is given of the fear of dependence in a male patient. It is suggested that the Western ideal of independence is a myth which especially ignores the reliance on internal others.

Dependency, Psychological↗

Self poisoning in Auckland.

The records of all deliberate self poisoners seen at Auckland Hospital in a 15 month period in 1971-72 were examined. There were 550 patients of whom 35 presented twice and six three times. Five persons died. A subgroup of 100 was interviewed personally and compared with 100 orthopaedic outpatients matched for age and sex. Self poisoners are more likely to be aged 15-24, of female sex, have seen a psychiatrist, self poisoned previously, come from disturbed family and marital backgrounds and show other signs of moderate maladjustment. Drugs taken are usually prescription drugs obtained legitimately with psychiatric ones particularly hypnotics and anxiolytics, predominating. The act is usually impulsive and not designed to result in death. Most patients require only outpatient treatment. It is suggested that the term attempted suicide is a misnomer in most cases and the less misleading self poisoning replace it.

Adolescent↗