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Biomedical subjects

S M Hingley

Publications and source records attributed to S M Hingley.

7 recordsLinked to original sources
PubMed2001

Psychodynamic theory and narcissistically related personality problems: support from case study research.

An introductory overview of central psychodynamic theories relevant to narcissistically related personality problems and disorders of the self is provided, focusing on the central role of the child's relationship with primary care givers in the development of the self. A psychodynamic formulation is described for a 45-year-old woman experiencing depression, anxiety and despair following a severe rift in her previously enmeshed/merged relationship with her teenage daughter. The subsequent two and a half years of therapy were monitored using the Brief Symptom Inventory (BSI), the Dysfunctional Attitudes Scale (DAS) and the Object Relations Technique (ORT), producing data supportive of psychodynamic theory and therapy. A pattern of depression emerged during therapy which was in keeping with the concept of abandonment depression, as the client came to experience herself as more separate from her daughter and others. Changes in the functioning of primitive defences were also illustrated, plus the expression of previously denied anger, and increased abilities to be assertive, set limits and take care of herself.

Adolescent↗
PubMed1997

Psychodynamic perspectives on psychosis and psychotherapy. I: Theory.

Psychotherapy with sufferers of psychosis may usefully draw on both cognitive--behavioural and psychodynamic theory. The latter has a long history with fluctuating popularity, whilst cognitive--behavioural approaches are currently attracting the attention of clinicians. Some of the factors which may reduce interest in psychodynamic approaches are reviewed, followed by an overview of core psychodynamic theories of psychosis under the major headings of vulnerability of defence and vulnerability of the ego. A vulnerability-stress formulation of psychodynamic theory is then considered together with implications for intervention.

Cognitive Behavioral Therapy↗
PubMed1997

Psychodynamic perspectives on psychosis and psychotherapy. II: Practice.

Psychodynamic theory has a contribution to make to the overall care and management of people suffering from psychosis. The research literature in support of these contributions is reviewed and key psychodynamic concepts of value in understanding psychosis are illustrated by the case example of a two-year supportive psychodynamic psychotherapy with a man experiencing paranoid and grandiose delusions. The contribution psychodynamic approaches may make to currently evolving cognitive--behavioural therapies, and to the overall provision of care are discussed.

Adult↗
PubMed1994

Living with the opposite sex: the views of long-stay psychiatric patients.

Assumptions tend to be made about the value of long-stay psychiatric patients living on mixed-sex wards. In this study the views of 71 patients living on single-sex continuing care wards were elicited using a six-item structured interview. The data were analysed by quantitative and qualitative methods. The results show that the majority of patients preferred single-sex living. The benefits and problems of surveys with this population are discussed as well as the implications for decisions about the structure and quality of care.

Adult↗
PubMed1992

Psychological theories of delusional thinking: in search of integration.

Psychological theories approach the problem of delusional thinking in psychosis from a range of perspectives. Recent attention has focused on the attributional style of sufferers; research points towards the relevance of cognitive deficits; the potential value of cognitive therapy in reducing delusional thinking is being explored; and psychodynamic theories argue for the role of defence mechanisms. Aspects of these approaches are reviewed and ideas for integration discussed within the vulnerability-stress model of psychosis. Implications for therapy are noted.

Cognition Disorders↗
PubMed1977

Detection and measurement of fetomaternal haemorrhage: serum alpha-fetoprotein and the Kleihauer technique.

A raised maternal serum alpha-fetoprotein concentration was taken as an indicator of fetomaternal haemorrhage due to amniocentesis and was used to calculate the volume of the fetal bleed. The alpha-fetoprotein concentration seemed to be a more sensitive and reliable indicator than the established Kleihauer technique and may have further applications in antenatal testing.

Amniocentesis↗