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At least 73 records · Page 4Linked to original sources
PubMed1989

Maori Elder-patient relationship as a therapeutic paradigm.

This paper examines the dynamics of teh psychotherapeutic relationship between a Maori Elder and Maori psychiatric patients. The functioning of an Elder was examined over a period of 9 months in a psychiatric unit. A content analysis was performed on audiovisual records of 10 interviews conducted by the Elder on five psychiatric patients. The results of this analysis were used to construct a theoretical paradigm of the Elder-Patient Transaction and to contrast it with psychodynamic psychotherapy and pastoral counseling. Distinctive features of relationship, content of the sessions and the issues of dominance and dependence are discussed, and possible mechanisms of change are mentioned.

Adult↗
PubMed1990

Hazards of long-term psychotherapy during psychiatric residency.

When he laid the groundwork for modern standards of training psychiatrists, Freud (1937) asked, "Where and how is the poor wretch to acquire the ideal qualifications which he will need in his profession? The answer is, in an analysis of himself" (p. 248). Fromm-Reichmann (1950), an equally important influence on psychiatric education, echoed this sentiment when she professed that "any attempt at intensive psychotherapy is fraught with danger, hence unacceptable, where not preceded by the future psychiatrist's personal analysis" (p. 42). Although most psychiatric residencies do not require personal psychotherapy (Pasnau and Russell 1975), many educators and their trainees still consider psychoanalysis or long-term reconstructive psychotherapy at least a valuable experience and at most a necessary step toward becoming a complete psychiatrist. In our experience, however, psychoanalysis and related psychotherapies can have adverse effects during the turmoil of residency training.

Adaptation, Psychological↗
PubMed1984

Human reactions to the Nazi concentration camps: a summing up.

With the passing of time, it becomes increasingly unlikely that major studies of concentration camp survivors will appear. Nearly forty years have gone by since the camps were liberated. Most survivors have died, and their children are approaching middle age. This paper provides a brief summary of the available data. Beginning with an account of the events leading to the Holocaust, it goes on to summarize the major types of psychological defenses employed by the prisoners, and also describes the group or social activity in the camps. The long lasting psychological, psychiatric, and medical consequences of internment are then reviewed. The paper concludes with a discussion of studies of the children of survivors.

Adaptation, Psychological↗
PubMed1975

Life experiences and the decision to become a mental patient.

This research focuses upon life events influencing the decision to adopt or reject the mental patient role. Studied were 30 mental health center patients who defined themselves as mentally ill and aggressively sought treatment. These were contrasted with 21 persons who consistently denied that they were mentally disordered, and persistently resisted the treatment forced upon them. Patients in both groups had been exposed to the mental health system on the average of 7 years each. Findings showed that those identifying with the mental patient role, in contrast to those resisting it, were more likely to have received treatment in adolescence, to occupy a special sibling position in the family, to have suffered parental loss in childhood, and to have had a parent defined as mentally ill or inebriate. These results were interpreted to indicate that the decision to accept the role of mental patient occurs in the context of a crisis of personal identity to which adolescents are particularly vulnerable. The patient-candidate's fears of being mentally unbalanced are realistically affirmed by knowledge that his parent was also regarded as mentally unsound, and he has the opportunity to learn the appropriate patient role from other family members. In addition, the patient who identifies with the mental health system may be incorporating it as a love object to replace parental loss. Those resisting the patient role, in constrast, seem already to have had developed the identity of an oppressed group, and appeared to regard coercion into the mental health system as a realistic confirmation of their sense of victimization. There did not appear to be any advantages to accepting or rejecting the patient role with regard to socially acceptable conduct.

Adult↗
PubMed1977

The psychological gains and losses of religious conversion.

A presentation of case material demonstrating productive identify formation and conflict resolution resulting from religious conversion with at the same time significant repression that so affected personal relatedness as to eventually lead to breakdown of adjustment.

Adult↗
PubMed1990

Pseudomaturity in the developmental line of object relations.

In this work I identify pseudomaturity as a syndrome that reflects the child's image of key adult figures. In the first case, an adolescent's imitation of his high school principal maintained an internal image of this figure that shielded the boy from the experience of further hostility and from separation anxiety. In the second case, a latency-age girl's coy and servile mannerisms endeared her to adults and served as a reaction formation to her own need to be nurtured. In the third case, a preadolescent boy's cold intellectualism and disdain for peers were modeled after his mother's image of the father and also reflected the mother's image of powerful figures. Finally, an adolescent girl's intermittent runaways were patterned after her mother's premature independence, while her severe isolation of affect acted to minimize the cost of losing her mother's protection.

Adolescent↗
PubMed1980

The ambivalent copulator: ejaculatory incompetence and identity diffusion.

This case report illustrates how a serious identity problem is crucial in dynamically understanding this rare sexual dysfunction. Ten retarded ejaculators treated by the author tend to be extremely compulsive and neurasthenic, with a failure to develop basic trust reflected in an obvious or concealed paranoid stance toward life. They exaggerate the destructive potential of their anger, perceive women as being invasive, possessive and controlling and lack basic sexual knowledge. Differences with the dynamics of the other male sexual dysfunctions are outlined. The successful treatment outcome in eight cases was greatly influenced by the partner's personality.

Adult↗
PubMed2002

Construct validity of the Relationship Profile Test: links with attachment, identity, relatedness, and affect.

Studies suggest that overdependence and detachment have negative effects on psychological adjustment, health, and therapy process and outcome. In contrast, healthy dependency (ie., flexible, situation-appropriate help and support seeking) has beneficial effects in each of these areas. In this investigation, 90 college students (50 women and 40 men) completed a battery of personality scales including the Relationship Profile Test (RPT), a 30-item measure of destructive overdependence, dysfunctional detachment, and healthy dependency. RPT scores showed the expected patterns of subscale intercorrelations, gender differences, and links with measures of attachment style, identity, relatedness, and affect. Implications of these results for the construct validity of the RPT are discussed in the context of theoretical models of dependency-detachment.

Adolescent↗
PubMed1984

Clio, fallacies, and homosexuality.

Major fallacies occur in historical writing on male homosexuality. These include: the assertion of controversial assumptions as proven; attributing complex phenomena to a single cause; semantic distortion; ethnocentricism; and anachronism. History itself is fallaciously conceived as historical "forces" (historicism) and intrinsic "will" (the pathetic fallacy). Finally there is "tunnel history," viewing events outside of a broad historical context.

Europe↗