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Biomedical subjects

M Sugar

Publications and source records attributed to M Sugar.

At least 19 recordsLinked to original sources
PubMed1990

The inpatient borderline adolescent in group therapy.

Group therapy provides a situation to focus inpatient adolescent borderlines' problems with separation anxiety, symbiotic pairing, and efforts to help them, based on the availability of multiple transferences and shifts in symbiotic pairs that occur between group members, as well as the observations and contributions of the peers and therapist.

Adolescent↗
PubMed1990

Abuse and neglect in schools.

Maltreatment in the classroom by students of teachers, and teachers of students, is widespread with emotional, physical, sexual, and neglect aspects. Its frequency and long-term developmental effects are undocumented. We know of the consequences in some who become our patients; but for the others we can only speculate based on reports about parental abuse and neglect. This paper presents these issues about the four types of abuse with representative cases. Idealization and transference feelings seem to contribute to the lack of reporting of abuse by teachers. Perhaps teachers do not report being abused by students for fear of retaliation. Some approaches to management are considered. The seriousness of this problem is underlined even more by the paucity of research and reports despite the obvious need. Hopefully, documentation of incidence and developmental effects will be forthcoming.

Aggression↗
PubMed1989

Children in a disaster: an overview.

Most children have psychopathological reactions to disasters, which are individually-based and vary according to age, developmental level, proximity to family members, specifics of their situation, losses during and after the disaster, and the responses of the family and community. Treatment should be individualized since children's improvement is not determined by parental response.

Accidents, Aviation↗
PubMed1988

A preschooler in a disaster.

A search of the literature of children in disasters showed no case of individual therapy with such a child. The absence may be related to a specific countertransference. In the case of the preschooler presented here, the child's particular situation and developmental stage were significant aspects of his reaction and therapy.

Abreaction↗
PubMed1983

Sexual abuse of children and adolescents.

Parents, relatives, and friends may inflict their passions on children of the same or opposite sex. This is often initiated by sleeping together. Sexual abuse contributes to and causes emotional trauma, although the child's turmoil, confusion, wish for acceptance, and anxiety may be overlooked by the parent and professional. Mutual silence aided by threats adds to the anxiety. Despite the notion that reports of parental sexual exploitation of their children are usually fantasies, there appear to be increasing data that incest and sexual abuse are frequent traumata. At present, there is increased risk of lowering the incest barrier because of increased rates of divorce and step- or surrogate parenthood, since they provide additional potential for being sexually and emotionally traumatized. Sexual abuse seems to be part of a constellation involving neglect and a pathological symbiosis. That sexual abuse is emotionally traumatic is apparent, but it needs emphasizing. Children's defensive reactions may cloud this, and it may be years before such incidents are connected to symptomatic behavior, even when the child is in intensive therapy. In the reported cases, there appears to be a pattern of reactions and defenses related to the traumata that are embedded in imprinting and identification with the aggressor. This leads to sexual abuse being a legacy passed on to the next generation of victims, as the victim becomes the molester through identification. Adolescent self-destructive behavior may stem from guilt about sexually abusing younger children. Therapists may be better able to understand and deal with some of their patients' symptoms if sexual abuse is considered as a possible factor in one or both directions.

Adolescent↗
PubMed1978

Consistent caretakers in the premature nursery.

Consistent caretakers for premature neonates in the nursery become involved emotionally with them during their lengthy stay. This is apparent in the mourning reaction they have when the infants are discharged. This should augur well for the infants since the caretakers offer many modes of stimulation necessary to the infants' optimal development. If there is deficient caretakers' involvement, it may contribute to a lag in development or emotional difficulties in the infants. These data suggest that a positive involvement by consistent caretakers may be a decisive contribution to developmental progress in premature infants.

Child Development↗
PubMed1977

Five early milestones in premature infants.

The onset of five early milestones was studied in premature and full-term infants. The milestones are: recognition of mother's voice and face, 3-month smile, following through 180 degrees, and two hand-eye coordination. It was hypothesized that premature infants would show delay in acquiring milestones related to time separated from mother. Compared to full-term infants, the prematures had a significant difference in the means only for the onset of smiling, and no effect related to maternal separation.

Auditory Perception↗
PubMed1977

Some milestones in premature infants at 6 to 24 months.

The onset of 12 milestones that occur from 6 to 24 months of age was studied in premature and full-term infants. The milestones are: sitting, crawling, teething, walking, pursuit of a hidden sound-making object, stranger anxiety, separation anxiety, "no" gesture, words, phrases, speech "no," and speech "yes." It was hypothesized that premature infants would show delay in acquiring milestones related to time separated from mother. Compared to full-terms, the prematures had no significant difference in the means for the onset of the milestones except for: sitting, crawling and walking related to maternal separation; and crawling and teething, related to birth weight.

Anxiety↗