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Biomedical subjects

R Melito

Publications and source records attributed to R Melito.

3 recordsLinked to original sources

Adaptation in family systems: a developmental perspective.

Adaptation involves a dialectic between permanence and change. At lower levels of organization, mechanisms of permanence and change are split and in opposition; at a higher level of organization, they are integrated so that change can occur while identity is preserved. Current family theory does not account for the ability of families to change while simultaneously maintaining continuity; rather, mechanisms of permanence (morphostasis) and change (morphogenesis) are treated as operating singly or sequentially. Current theory, therefore, accounts only for a lower level of adaptive functioning. Piaget's notion of "regulations" is used to supplement the description of this lower level of adapting. In addition, Piaget's notion of "operations" is used to describe a higher level of adaptive process in which permanence and change are integrated. Because adaptive functioning is tied to degree of organization, one must increase the degree of organization of a family to raise its adaptive level.

Adaptation, Psychological↗

Cognitive aspects of splitting and libidinal object constancy.

Features of normal cognitive development during the preoperational period have been described and interrelated with features of the rapprochement subphase of the separation-individuation process and with the beginning of libidinal object constancy. Specifically, aspects of preoperational thought have been shown to be consistent with and to complement the psychoanalytic developmental understanding of the child's renewed fear of object loss during rapprochement, of splitting, and of the "integration" of split object representations. The cognitive processes of centering and decentering have been shown to be central to the phenomena discussed.

Affect↗

The "business" metaphor in the delivery of human services.

A critique is presented of the application of business concepts to the delivery of human services. It is first established that such application involves the use of a metaphor. Some notions of how metaphors function are then presented and used to describe how the "business" metaphor may operate in its application to the delivery of mental health services. Both potential benefits and problems that may result from such an application are discussed. It is concluded that "business" is not an appropriate metaphor for the delivery of human services.

Commerce↗