Biomedical subjects

Stefano Bolognini

Publications and source records attributed to Stefano Bolognini.

5 recordsLinked to original sources

PubMed2006

The profession of ferryman: considerations on the analyst's internal attitude in consultation and in referral.

Psychoanalytic consultation is an interview with a patient who will not be taken in treatment by the consultant analyst, but who will be sent to another, perhaps specifically chosen, colleague after one or more assessment sessions. This practice is becoming increasingly important since, besides traditional private relationships between consultant and patient, it is now common in many specialized centres affiliated to official psychoanalytical institutions. The author explores some fundamental aspects of the analyst's internal attitude in consultation: motivation to know; a 'concave' attitude to listening; responsibility in proposing suitable technical choices and referral to a further specialist; empathy and partial identification; the balance between authentic experience in the consultation and risks of seduction; internal links within the community of colleagues; the technique for sending patients on. He presents a clinical example, specifically aimed at reproducing the internal attitude of the analyst, together with the necessary work that allows a difficult patient to initiate psychoanalytic treatment.

Adult↗

PubMed2004

Intrapsychic-interpsychic.

The 'interpsychic' is an extended psychic dimension, regarding the joint functioning and reciprocal influences of two minds. The concepts of 'subjectivity' and 'person' can be included in the 'interpsychic'. They can also overlap with each other, and sometimes all three can overlap together, but they do not necessarily coincide. In the different contemporary perspectives, how can we modify the intrapsychic 'through' (and 'with' and 'by') the interpsychic? Presenting four clinical vignettes, the author progressively moves from the theoretical positions that emphasise the exploration and the elaboration of the intrapsychic mainly through the intrapsychic, to the positions that emphasise the same operations mainly through the interpsychic. The last part of the paper deals with the technical use of the interpsychic dimension: the analytic dialogue, when interpsychically experienced (from inside), gains a new, more specific effectiveness, first in containing and then in symbolising. In an intense mental 'cohabitation' inside the analytic working pair, it is very often clearly experienced as 'true' (as in dreams).

Adult↗

PubMed2002

The analyst at work: two sessions with Alba.

In this paper, the author presents clinical material that relates to two sessions with a patient called Alba. This analytic work, being of a somewhat unusual character, lends itself to discussion, the author feels, since the technical choices made are undoubtedly very personal and he believes many colleagues might have done things differently. The author endeavours to enrich the account of the sessions with his concomitant thoughts, so as to supply colleagues with the elements, atmosphere and developments of his internal workshop.

Adult↗

PubMedDate not supplied

[Thyroid microcarcinoma and multinodular struma. Personal experience and considerations regarding surgical therapy].

Thyroid microcarcinoma is a malignant papillary tumour of the thyroid gland measuring < or = 1.0 cm in diameter. Prognosis and treatment are controversial. We report on a personal series of 28 cases of thyroid microcarcinoma observed over the period from 2000 to 2004. From 2000 to 2004, 199 consecutive total thyroidectomies were performed in patients with multinodular struma. The histological diagnosis was made by a pathologist according to the recommendations of the World Health Organization by means of sections of the thyroid gland of no more than 2 mm. At routine histological examination, 28 cases (14.07%) of "incidental" thyroid microcarcinoma were found. The mean tumour size was 4.10 mm (range: 0.12 to 10 mm). The tumours were multifocal in 2 patients, and none presented lymph node metastases. Thyoid microcarcinoma is a malignant tumour associated with a good prognosis. Multifocality should be the main factor considered in selecting the type of thyroid surgery. A total thyroidectomy may be regarded as sufficient treatment.

Adult↗

PubMedDate not supplied

[Lichtenstein vs. Rutkow-Robbins technique in the treatment of primary inguinal hernia. Analysis of the long term results].

BACKGROUND: The AA. compared the preliminary results of two different methods of inguinal hernioplasty: one using only the mesh (Lichtenstein) and the other one using both mesh and plug (Rutkow-Robbins). PATIENTS AND METHODS: Seventy consecutive patients were randomly allocated into two groups, 35 patients each one, to receive either a Licthenstein mesh or a Rutkow-Robbins plug and mesh for primary monolateral groin hernia. RESULTS: Follow-up was planned at 1 week, 3 weeks, 3 and 6 months after surgery. The Authors evaluated early and late complications i.e.: the presence of paraesthesia, postoperative pain and the incidence of recurrence. The results were analysed statistically using the Fisher and chi2 tests. CONCLUSIONS: Data parameters did not show statistically significative differences between the two groups (p > 0.05). No recurrences were detected. The Authors concluded that no advantage may derivate by an additional plug to the single mesh hernia repair.

Adult↗