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Biomedical subjects

M J Peebles-Kleiger

Publications and source records attributed to M J Peebles-Kleiger.

8 recordsLinked to original sources
PubMed2001

Contemporary psychoanalysis and hypnosis.

The relationship between psychoanalysis and hypnosis is presented in three parts: past, present, and future. First, the parallel developments in psychoanalysis and hypnosis over the past 100 years are summarized. Four major theoretical evolutions in psychoanalysis (drive theory, ego psychology, object relations theory, and self psychology) are described, with their corresponding influences on the practice of psychoanalytically informed hypnosis. Second, four contemporary movements in psychoanalysis are enumerated (postmodernism, spontaneity, pluralism, and integrationism), with commentary on these movements' likely impact on the current and future practice of hypnosis. Finally, the impact of shrinking mental health dollars on the practice of psychoanalysis and psychoanalytically informed treatments is presented. Hypnosis is offered as uniquely positioned, with its history of multitheoretically informed brief interventions, grounded in research and clinical practice, to provide psychoanalysis with a life raft into the next 100 years of practice.

Humans↗
PubMed2000

The use of hypnosis in emergency medicine.

Hypnosis can be a useful adjunct in the emergency department setting. Its efficacy in various clinical applications has been replicated in controlled studies. Application to burns, pain, pediatric procedures, surgery, psychiatric presentations (e.g., coma, somatoform disorder, anxiety, and posttraumatic stress), and obstetric situations (e.g., hyperemesis, labor, and delivery) are described. Negative effects are discussed.

Anesthesiology↗
PubMed2000

Pediatric and neonatal intensive care hospitalization as traumatic stressor: implications for intervention.

A substantial literature documents the psychological, medical, and economic benefits of attending to the emotional needs of parents whose children are hospitalized on the pediatric intensive care unit (PICU) or neonatal intensive care unit (NICU). Synthesizing the PICU/NICU literature with current findings from the field of psycho-traumatology, the author addresses PICU/NICU hospitalization as a potential traumatic stressor for families of hospitalized children and considers that intensive care clinical staff are vulnerable to symptoms of primary and secondary traumatic stress as well. Guidelines are offered for recognizing, managing, and increasing resiliency to the symptoms of normal traumatic stress responses in both families and intensive care staff.

Adult↗
PubMed1998

Office management of posttraumatic stress disorder. A clinician's guide to a pervasive problem.

Primary care physicians are often called on to help patients and families struggling with posttraumatic stress disorders. The characteristic clusters of symptoms, namely, reexperiencing, avoidance, and hyperarousal, are easily confused with other disorders, particularly since symptoms can occur months or even years after the initial trauma. Treatment includes drug therapy and clinical office techniques to stabilize symptoms, such as interrupting traumatic flashbacks, educating family members about effective home care, and redirecting unhealthy self-blame and aggression. Nonetheless, some patients need psychiatric referral for further processing of traumatic perceptions and adaptive integration of the trauma into a self-view and world-view.

Adaptation, Psychological↗
PubMed1996

Can we be both women and analysts?

The authors, candidates at a psychoanalytic institute that has not had a woman training analyst for more than 20 years, have a unique vantage point from which to examine the woman's development as an adult female and as a psychoanalyst. Our group has engaged in a series of discussions asking: Can we be both women and analysts? Comparing and contrasting our experiences with feedback from colleagues across the United States and abroad, we had to accept that our unique situation could not be a foil for the training dilemmas facing women. Our insights into the challenges involved with training, expression of sexuality, family ties, formation of an analytic identity, creative contributions to the field, and career progression have caused us to arrive at some sobering observations and hard-hitting questions which we present here. We hope that as we describe our discussions about the woman analyst's experience an active dialogue will arise within the reader's mind, and subsequently with colleagues.

Adult↗
PubMed1994

Re-integration stress for Desert Storm families: wartime deployments and family trauma.

Because the war was relatively brief, casualties relatively light, and the Nation sanctioned the war socially, veterans of Desert Shield/Storm and their families were not anticipated to suffer symptoms of trauma or re-entry stress beyond that expected in routine peacetime military deployments. However, the authors argue that the stress imposed on families by Desert Shield/Storm was not analogous to that of routine deployments. The call to duty was unexpected, disruptive, and "hazardous" (i.e., highly dangerous) which places it in the category of a "catastrophic" stressor as defined by McCubbin and Figley (1983). The deployment was a call to war, which creates unique stress beyond those experienced during peacetime deployments. The deployment also carried with it prolonged "anticipation of trauma." For these reasons, the authors argue, the deployment to Desert Shield/Storm created a situation of "family trauma" for veterans and their families. Suggestions are offered for education, prevention and treatment for families undergoing unexpected wartime military deployments.

Adaptation, Psychological↗
PubMed1993

Toward a conceptual understanding of the deviant response in the Comprehensive Rorschach System.

We examined the scoring criteria, subtypes, and interpretative nuances of the deviant response (DR) special score of the Comprehensive Rorschach System. To augment the usual understanding of the DR score, we review the concepts of fabulizing and confabulation in Rorschach literature and discuss the traditional meaning of and the confusion surrounding these terms. By equating a subtype of DR, the excessively embellished DR response, with Rapaport's (Rapaport, Gill, & Schafer, 1968) "affect-laden fantasy" type of confabulation response, we set the stage for an examination of the unique clinical diagnostic implications of this special subtype of DR. We conclude by recommending slight modifications to some of the special scores categories (DR in particular) of the Comprehensive System so that these scores can not only be assigned with more internal consistency and precision but also become more useful in identifying a broader range of unusual Rorschach responses.

Borderline Personality Disorder↗