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Biomedical subjects

L Finkelstein

Publications and source records attributed to L Finkelstein.

14 recordsLinked to original sources

Neglected aspects of the superego.

Topics covered in this essay on neglected aspects of the superego include the overemphasis on the harsh superego and the neglect of the range of activities of ordinary people that involve issues of moral responsibility; the need for a more complete developmental schema for different types of superego and for the benign, mature superego; the neglect of the complexities of moral responsibility and of the importance of conflicting value systems; the neglect of the central role played by the superego in interpersonal relations. Causes of the neglect of the superego include a concern with neutrality on the part of the analyst that leads to an overemphasis on other analytic perspectives at the expense of superego analysis; the assumption that what is moral is self-evident; a lack of familiarity with concepts of moral responsibility; and a need for greater familiarity with current research studies into moral education and superego development. Based on these causes, remedies are suggested for the neglect of the superego.

Female↗

ANABEL: intelligent blood-gas analysis in the intensive care unit.

ANABEL (ANalysis of Acid-Base status by Evaluating Lisp) is a prototype medical intelligent decision-support system aiming to assist clinicians in an Intensive Care Unit environment with the interpretation of blood-gas measurements. Its architecture is based on the merging of representations for declarative (domain-descriptive) and procedural (problem-solving) medical knowledge. The system performs diagnosis in two stages (tentative and differential) by first evaluating elementary computational units of procedural knowledge (procedures) and then abstracting their symbolic outputs in generating text. Thus, a 'semantic trace' is built which reflects the system's line of reasoning in reaching its conclusion. This paper describes the design aspects, development and clinical validation of ANABEL.

Acid-Base Imbalance↗

Psychoanalysis, marital therapy, and object-relations theory.

This paper attempts to indicate why psychoanalysts should be interested in marital therapy. It discusses the clinical advantages and disadvantages of marital therapy as compared to psychoanalysis, describes the contributions of the classical psychoanalytic viewpoint to marital therapy, and finally, attempts to complement the classical psychoanalytic viewpoint with an object-relations viewpoint which can illuminate marital dynamics and provide interpretive content during the course of marital therapy.

Adult↗

Validation of simple and complex models in physiology and medicine.

The problem of assessing the value of mathematical models in physiology and medicine is considered. The role of validation within the modeling process is clearly defined. An appropriate vocabulary and validation procedures to be adopted are outlined for simple and complex models, with these two classes defined operationally on the basis of theoretical identifiability. Some examples illustrating these validation procedures are briefly discussed. It is shown that simple and complex models each have a role both in physiology and clinical application when properly validated.

Animals↗

Modeling and identification of metabolic systems.

Introductory principles of physiological systems analysis by computer simulation or computation are introduced. The problems of model formulation, identification, and validation are examined. Selected guidelines for successful modeling are suggested, and examples of such applications in the field of endocrinology and metabolism are given.

Animals↗

Awe and premature efaculation: a case study.

The analysis of a man suffering from premature ejaculation is described. As is typical of a large group of men who ejaculate prematurely, he was passive and masochistic in his marriage and obsessive-compulsive in his character. Analysis of his affect of awe led first to a deeper understnding of his self-representations and object relationships, and later, with the discovery of the specific unconscious fantasies associated with the feeling of awe, to the alleviation of his symptom of premature ejaculation.

Adult↗