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Biomedical subjects

P H Ornstein

Publications and source records attributed to P H Ornstein.

At least 19 recordsLinked to original sources

The family physician as a "therapeutic instrument".

The doctor-patient relationship is the matrix of the family physician's diagnostic-therapeutic activity. To enhance the curative potential inherent in this relationship, the physician has to be able to make contact with the person in the patient. To achieve this, the physician must develop his potential for empathic observation, empathic listening, and introspective self-awareness. The use of these skills in a non-judgmental, non-condemning, and non-manipulative climate creates an optimum therapeutic setting. Rather than focusing upon the body of knowledge available in the behavioral sciences, or upon the pursuit of learning "psychiatry" or "psychotherapy," the family physician should first develop his own personal skills. He should then apply them to his own patients, in his own setting, in order to discover the therapeutic approaches appropriate to this patients and their problems. The psychiatrist, psychologist, or any other behavioral scientist can be most helpful to the family physician if he is prepared to aid him in his own discoveries rather than attempt to teach him the accumulated knowledge from his own field.

Education, Medical, Graduate

On the interpretive process in psychoanalysis.

The concept of interpretation and its function in the psychoanalytic process is updated by emphasizing the analyst's contributions to the psychoanalytic treatment process through his interpretations of resistance and transference. By incorporating Kohut's recent contributions to the psychoanalysis of narcissistic personality disorders into our general considerations regarding the process of interpretation, we have been aided in our effort to unify the theory of the psychoanalytic treatment process. We offer a broadened definition of the interpretative process and stress the added "interpersonal" dimension of resistance and transference, namely, those elements in the development of both, which are affected by the analyst;s personality and the manner of his interpretive and noninterpretive interventions. This makes the artificially sharp dichotomy between verbal and nonverbal interpretations or between interpretations and noninterpretive interventions unnecessary. The recognition of the "self-object" role of the analyst in the narcissistic transferences not only lends more precision to our understanding of archaic narcissistic experiences (whishes, demands, fantasies, etc.), but makes their interpretation within the transference our preferred analytic response. The need to foster the so-called "real relationship" between patient and analyst and the need to deal with such "nontransference" aspects of the relationship noninterpretively is thus replaced with interpretive interventions. To underline our emphasis on the analyst;s contributions to the analytic process, clinical samples and brief vignettes illustrate the manner in which interpretations may retard or promote the analytic process.

Attitude of Health Personnel