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High- and low-sexual responders to a double-entendre word association test were found to differ in defensive preference on the Defense Mechanisms Inventory. Low responders preferred avoidant defenses (reversal and principalization), and high responders preferred approach defenses (turning against object and projection). Results also suggested a consistency of defensive orientation over different situations.
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Five cases are presented of adolescent girls with severe problems in leaving home. Though the psychodynamics were similar (preoedipal conflicts in the separation-individuation phase), the psychopathology and underlying causative factors were different in each case. Factors to be considered in the initial diagnostic assessment are outlined. These include constitutional and congenital factors, the developmental history, maternal emotional illness, and gene-environment interactions. Various treatment modalities are described and illustrated. In four of the cases specific parameters were necessary, particularly behavioral technics and conjoint family therapy. The manner in which the analyst may serve, in cases amenable to psychoanalytic treatment, as transference object plus real object is discussed and illustrated.
Earlier descriptions of pathological grief are reviewed. From the study of recently bereaved widows major forms of pathological grief are outlined. These are suppressed or inhibited grief and distorted grief, including forms with extreme anger or extreme guilt. Other grief variants are noted. The management of pathological grief is outlined; specifically the encouragement of the expression of suppressed affects especially sadness, anger and guilt; as well as the going over of memories and feelings to do with the lost relationship. Consideration is given to: the establishment of the therapeutic contract; the specific exploration of the response to the death and the pre-existing relationship; resistances; interpretation of defences; assessment of progress of mourning; social network factors; termination; and transference and counter-transference.
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In a sequence of events described as the "cooling out" process, an administrative conflict snowballed to an irrevocable stage resulting in an employee's dismissal. Such scapegoating reduces friction in the organization structure, but does not identify and resolve problems.
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The psychotherapeutic aspects of the care of the 49 terminally ill patients described in the preceeding paper are discussed. Their differing ways of coping with the stress of dying and the range of psychotherapeutic strategies used in treatment are described. The work suggests that the therapist's use of psychological insights can improve his understanding of the emotional pain of terminal illness, and well-aimed psychotherapy can contribute to its relief.
The present study is the first to examine Miller's theoretical assumptions of displaced aggression using human subjects. Subjects in the present study either served as nonangered controls, were angered by the experimenter's confederate, or were both angered by and led to fear the confederate. All subjects were then able to three targets: the confederate, a person described as a friend of the confederate, and a person having no association with the confederate. Targets received the most intense aggression from angered subjects. The difference between the aggression gradients for high-anger-low-fear and control subject. Frightened subjects gave their most intense aggression to the displaced targets. Results also support the suggestion that direct aggression is most likely if the aggressor can first extinguish some of his fear by attacking more indirect targets.
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The author's point of departure is schizophrenic fragmentation, which has been considered here from a drive-economic and structural point of view, starting from Freud's prestructural conceptions and Jacobson's metapsychological formulations. The view is arrived at in the essay that the central psychological mechanism in the schizophrenic disorder is a drive-energetic decathexis of the basic psychic tissue, or the primal representative matrix, which has far-reaching consequences within the entire psychic organization. The basic psychic tissue corresponds to that area of inner reality which, according to Freud, remains beyond the primal repression and is made up of the first representations of the instinctual drive. The entire psychic organization has then been woven out of this representational tissue, binding drive energies in a preliminary way. According to the view put forward here, schizophrenic fragmentation does not primarily represent a disintegration of the psychic macrostructures or a consequence of the ego's resorting to primitive defences but is a consequence of a drive-energetic crisis at the level of the basic psychic tissue. The disorder manifests itself as the disappearance of inner liveliness and as a diffuse dissociation of the entire representional world, which I have characterized as the disappearance of psychic transparence. Its influences naturally also extend to the realm of the more advanced psychic functions and macrostructures and will invalidate in a radical way the person's drive economy. Reference is made in the article to the possibility that the central task of the primal representative matrix may be the creation of lively connexions and a striving for synthesis throughout the entire psychic organization and that the schizophrenic disorder may be intimately related to the decathexis of this function.
This study compared the amount and direction of overt and fantasized aggression of enuretic and nonenuretic children. Following the dynamic approach, it was hypothesized that enuretic children would differ from nonenuretics in having more difficulty in expressing overt aggression toward their mothers than toward a neutral figure. In fantasy, enuretic children were expected to express more aggression feelings toward their parents than control subjects. Twenty-eight enuretic subjects and a matched group of control subjects were induced to aggress toward their mothers and toward a neutral figure. The experimental situation was a variation of the Buss (1961) technique for eliciting and measuring aggression. Aggressive fantasies were assessed, using Bene and Anthony's Family Relation Test (1957). A significant interaction was obtained between enuresis/nonenuresis and target figures. Enuretic subjects expressed more aggression toward a neutral figure than toward the mother (p = .05) and differed from the control group in expressing less aggression toward the mother (p = .10). On the fantasy level, a significantly opposite trend to the predicted one emerged: Enuretic subjects showed less aggression toward both parents. The results were discussed with respect to the dynamic and the behavioristic approach to enuresis, and further research directions were suggested.
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