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[Role theoretical aspects in depressive psychosis (author's transl)].
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The special needs of minority groups.
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The schizophrenic 'artist's' expression of movement.
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Masculinity and femininty in the preschool years.
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[Changes in the investment of the body: conversion symptoms during puberty].
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Clinical observations on resistance to the transference.
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Male homosexuality in western culture: the dilemma of identity and subculture in historical research.
This article examines recent historical literature dealing with concepts of homosexual identity and subculture. It focuses on the current historiographical debate between the essentialists and the social constructionists. Historians are searching for the origins of the modern homosexual and for ways to explain the unique development of homosexual identities and subcultures in western societies. The distinction is drawn between macroanalysis and microanalysis. After critically examining their efforts, the article suggests the need to avoid focusing on global historical forces, which might account for the emergence of a homosexual identity (macroanalysis), and, instead, to analyze carefully particular homosexual subcultures (microanalysis). This latter approach can provide insights into the variety of homosexual social roles and identities that have existed in history.
[Schizophrenia as dialectic of psychotic forms and psychological contents].
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Assault on a child's individuality: a kind of soul murder.
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The cognitive processes of career Oriented primiparas in identity reformulation.
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[The interaction between television and children (author's transl)].
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Female alcoholism: a pilot study of women in treatment.
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Dreams: royal road but challenging journey.
A discussion of "Dream Analysis in the Treatment of an Eleven-Year-Old Boy" by Harold M. Voth, M.D. This discussion endeavors to make three points: (1) Advances in ego psychology have led to a shift in technique from the content interpretation of dreams to the ego-defense analysis of intrapsychic conflict, using dreams and associations to them as raw data in that process. Questions are raised as to how thoroughly Dr. Voth completed this process with his patient. (2) Transference and countertransference elements seem to have been overlooked; there is evidence of the mutual expression of transference-countertransference issues within the relationship. (3) Perhaps it is better to describe what Dr. Voth offered the young patient as a corrective emotional experience, rather than as a truly psychoanalytic one.
The female athlete and role conflict.
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Projective identification as a self-psychological change agent in the psychotherapy of a child.
The psychotherapy of a 10-year-old boy is used to demonstrate the usefulness of idealizing and mirroring transferences to help patients move from a state of lack of selfhood and self-differentiation to the development of self-structures that provide strength and self-esteem. Projective identification is presented as a therapeutic technique that can be used to facilitate this process by aiding the internalization of mirroring and idealization functions.
Assessment of perioperative psychological distress in patients undergoing radical cystectomy for bladder cancer.
PURPOSE: Despite a recent growth in our understanding of the impact of psychosocial factors on the outcome of patients with cancer there is still relatively little known about the effect of these issues on patients with genitourinary malignancies. We determined the prevalence of psychological distress in patients with bladder cancer prior to and following radical cystectomy. MATERIALS AND METHODS: A total of 74 consecutive patients with clinically organ confined bladder cancer were prospectively surveyed preoperatively using the Basic Symptom Inventory-18, a validated instrument that measures the psychological domains of general distress, anxiety, depression and somatization. Of the initial 74 patients 62 were available for postoperative assessment 1 month following cystectomy. Preoperative and postoperative distress scores were evaluated with respect to age, sex, marital status, type of surgical reconstruction and tumor stage. RESULTS: The preoperative prevalence of psychological distress in patients diagnosed with bladder cancer was 45% and it remained somewhat increased at 34% approximately 4 weeks after cystectomy. Demographic factors such as gender, age, and marital status were not significantly associated with the overall prevalence of distress. In the entire study group there was a statistically significant decrease in general distress (p = 0.028), depression (p = 0.034) and anxiety (p = 0.0004) from the preoperative to the postoperative assessments. Pathological stage was significantly associated with post-cystectomy anxiety (p = 0.040) and general distress (p = 0.042). CONCLUSIONS: Our findings indicate that a large proportion of patients with bladder cancer undergoing radical cystectomy experience psychological distress during the perioperative period. The identification of psychological distress in this population has the potential to influence health related quality of life as well as recovery in all individuals with bladder cancer.
The polarity of the sexes and its decline.
The polarity of the sexes is rooted in the genic sex. The qualities which constitute masculinity and femininity are psychobiological secondary (sex) characteristics. They are epigenetic phenomena evolved from the interaction of man's biological givens with the civilization. The polarity of the sexes changes in our civilization faster than before. The potential for psychological change is in the process of identification primarily of the infants of both sexes with the mother. Socioeconomic and cultural changes bear influence on the structure of the family and promote the equalization of the sexes.