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Biomedical subjects

T L Hulsey

Publications and source records attributed to T L Hulsey.

6 recordsLinked to original sources

Psychopathology associated with sexual abuse: the importance of complementary designs and common ground.

In their recent longitudinal study of youth victimization and consequent traumatization, S. Boney-McCoy and D. Finkelhor (1996) contrast their position with previous retrospective research (S. Harter, P. Alexander, & R. A. Neimeyer, 1988; M. R. Nash, T. C. Hulsey, M. C. Sexton, T. L. Harralson, & W. Lambert, 1993a), arguing that their data support the impact of victimization per se, independent of the moderating effect of family environment. Because Boney-McCoy and Finkelhor's argument may misrepresent the results of such studies, this article (a) clarifies the actual findings of previous retrospective studies of abuse, (b) suggests methodological limitations both in Boney-McCoy and Finkelhor's research and in that of S. Harter et al., 1998, and M. R. Nash et al., 1993a, that should be remedied by future investigators, and (c) argues that both retrospective clinical research and prospective community surveys converge on a common ground, namely, that specific abuse experiences can best be understood and investigated in the context of the prior, contemporaneous, and subsequent family environments in which they occur.

Adolescent↗

Psychoanalytic psychotherapy and the tragic sense of life and death.

The authors discuss the role of psychotherapy with dying patients and explore the psychological impact of imminent death. The psychotherapy case they present highlights the symbolic meaning of fatal symptoms and the light this meaning sheds on the relationship between how we live and how we die. These features are addressed in the context of larger unresolved clinical issues: Is there a "healthy" way to die? And is there a unique role for psychoanalytic psychotherapy with dying patients?

Adaptation, Psychological↗

Long-term sequelae of childhood sexual abuse: perceived family environment, psychopathology, and dissociation.

In this study, 105 abused and nonabused women were examined for patterns of adult psychopathology associated with childhood sexual abuse and to test the extent to which these patterns are independent of other pathogenic properties of the family environment. Clinical and nonclinical Ss completed the Family Environment Scale, the Minnesota Multiphasic Personality Inventory (MMPI), the Rorschach, and the Stanford Hypnotic Susceptibility Scale. Greater nonspecific impairment among abused women may be a consequence, at least in part, of pathogenic family structure rather than sexual abuse per se. However, MMPI and Rorschach responses suggest sexual abuse may render victims especially vulnerable to specific disturbances i involving soma and self. Abuse was associated with greater use of dissociation, but covariance analysis revealed this effect to be accounted for by family pathology. There was no evidence that sexual trauma is associated with hypnotizability.

Adaptation, Psychological↗

Perceptions of family functioning and the occurrence of childhood sexual abuse.

The wide variety of sequelae attributed to childhood sexual abuse has led some authors to posit that it is the complex interaction between the object-relational developmental world of the child and the event and nature of the abuse that determines the enduring effects of the abusive experience. The authors addressed this hypothesis by examining the correlation between the occurrence of childhood sexual abuse and subjects' perceptions of the nature of their childhood family. Results revealed significant differences in the subjects' recollections of family functioning based on abuse status. Abused subjects recalled families that were isolative, rigidly ruled in an authoritarian style, and unable to foster the development of autonomy in family members. The authors discuss the study results in light of the interactions between memories of the childhood family and the experience of sexual abuse.

Adaptation, Psychological↗

Attitudes and practices regarding clinical hypnosis with psychotic patients--a survey: a brief communication.

Attitudes toward and actual use of hypnotherapeutic techniques with psychotic patients were assessed. Results are discussed in light of historical and current attitudes toward the use of hypnosis with psychotics. Respondents were selected from the 1980 membership directory of the Society for Clinical and Experimental Hypnosis (SCEH). 80 respondents completed and returned the survey. Results indicate that the perceived usefulness of hypnosis with psychotics is currently quite high and negative attitudes toward its use quite low. The growth of the use of hypnotherapeutic techniques and the need for further research are discussed.

Adult↗