Psychosomatic gastrointestinal disturbances. A multifactor, interactional concept.
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Vaginismus includes both physical as well as psychological aspects that make vaginal penetration extremely painful if not altogether impossible. Aside from history, diagnosis rests on the physical examination. The causes for the condition range from the deeply psychological to vividly recalled genital experiences and may involve conditioned responses. Similarly, treatment methods range from surgery to simple muscle-strengthening exercises to elaborate psychotherapeutic intervention. More recently, behavioral methods have shown marked success. The most important considerations in therapy seem to be the patient's understanding of the problem and flexibility of approach.
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This paper uses the methodology and analytical findings of conversation analysis to investigate the use of a particular subject-verb construction within the context of turns at talk in conversation. An investigation of the conversation of an English speaking man with agrammatism reveals recurrent use of 'I suppose' to provide structure within turns at talk. The speaker's ability to produce subject-verb constructions is known to be generally poor. Thus, it is suggested that the use of a particular construction that can be produced with relative ease may be interactionally motivated by the need to take a reasonably unproblematic turn at talk despite the constraints of an agrammatic aphasia. Preliminary thoughts on the implications of this finding for the assessment of aphasia are presented.
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