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Biomedical subjects

J Sandler

Publications and source records attributed to J Sandler.

At least 19 recordsLinked to original sources
PubMed1991

Preventing relapse in obesity through posttreatment maintenance systems: comparing the relative efficacy of two levels of therapist support.

The present study compared the relative effectiveness of a therapist-supported maintenance condition with a minimal contact maintenance condition in preventing relapse following an obesity treatment program. Thirty-two subjects who completed an initial 12-week cognitive/behavioral plus aerobic exercise treatment program were matched on absolute weight loss and randomly assigned to one of two maintenance conditions. Subjects were assessed at pretreatment, posttreatment, and 3, 6, and 12 months following posttreatment using measures of weight, blood pressure, and depression. Three- and six-month follow-up results indicated that subjects who participated in the therapist-supported maintenance group continued to lose weight and/or maintained therapy-induced weight loss to a greater degree than control subjects. At the 12-month follow-up assessment therapist-supported subjects maintained therapy-induced weight loss better than the control subjects. These findings suggest that maintenance programs which provide continued contact emphasizing relapse prevention training may be an important adjunct in the maintenance of therapy-induced weight loss.

Adult↗
PubMed1990

On internal object relations.

This paper gives an account of the author's attempts to come to terms with the concept of internal object relations, and to find an appropriate theoretical place for it within non-Kleinian mainstream theory. It is proposed that the internal object be regarded as a structure in the nonexperimental realm, being built up during development on the basis of the child's subjective perceptual and fantasy experiences. The internal objects in turn influence perception, thought, fantasy, current object relations, and transference. From the point of view of the clinician, the concepts of internal object and of internal object relation act as useful organizing constructs for both analyst and patient. Finally, the suggestion is made that internal objects can be regarded as the source of internal "presences" with which the person constantly unconsciously interacts.

Delusions↗
PubMed1988

Psychoanalytic technique and 'analysis terminable and interminable'.

Some of the implications for psychoanalytic technique of the papers given at the plenary sessions of the Montreal Congress are considered. Emphasis is placed on the role of affects in development and in current psychic functioning. Motivation for unconscious wishes arises from many sources, and affects should not only be thought of as drive derivatives. There is a substantial gap between the (largely) implicit clinico-technical theories in the analytic work presented, which do in fact show great sensitivity to the patients' affects, and the formal 'official' general psychoanalytic theory used. This discrepancy in our theories should be faced. Freud's tripartite structural theory of the mind (the 'second topography') seems now to have limitations for clinical purposes.

Ego↗
PubMed1987

Sex differences in weight loss among adults with type II diabetes mellitus.

The treatment of choice for Type II or non-insulin-dependent diabetes mellitus is a behavioral program for the management of weight. However, compliance with this lifelong dietary regimen is often poor. In the current investigation male and female adults with diagnosed Type II diabetes were randomly assigned to either a behavior modification, a cognitive modification, a cognitive-behavior modification, or a control group. Patients were evaluated in terms of weight, percentage of body fat, and glycosylated hemoglobin measures. Men lost significantly more weight than women and subjects in the behavior modification group lost more weight and demonstrated greater decreases in diabetes control than subjects in the cognitive-behavior modification, cognitive, and control groups. A significant interaction indicated that diabetic men may benefit more from behavioral weight reduction programs than diabetic women. Several explanations for these findings are considered.

Adult↗
PubMed1987

The past unconscious, the present unconscious and the vicissitudes of guilt.

The concepts of present unconscious and past unconscious have been introduced in order to provide a useful theoretical schema for comprehending clinical psychoanalytic material. In the present paper these concepts, together with the notion of the second censorship, are made use of to provide a framework for understanding the way in which guilt feelings and the ideas associated with them are dealt with at different levels of consciousness. The technical approach linked with the theoretical ideas in this paper is described, with special reference to the relation between interpretation of the present and reconstruction of the past.

Child Development↗