[Theories and methodology in the study of personality development. 4. Personality development and guidance (3)].
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Is there an influence of diabetes mellitus on a neurotic development of personality - that is the question of the present research. And specially: Are there special problems in interaction with the patient, who suffers on diabetes mellitus? We strictly have to make a distinction between the somato-psychic and psycho-somatic approach: The influence of diabetes mellitus in development of personality means, that there is an influence of somatic factors on the psyche. The influence of an neurotic personality on formation and development of diabetes mellitus means, that there is an influence of psychological factors on the soma. This difference often will be ignored. Oralic needs also can be the consequence of somatic disorders, and do not have to be originate exclusive from childhood - even if psychoanalytic oriented colleagues will contest this fact.
The authors consider some cases of postattack conditions in schizophrenia as a result of postprocess pathological personality development. A study of a group of schizoprenic patients (74 cases) made it possible to distinguish 6 variants of postprocess pathological personality (hypochondric, asthenical, development with querulous reactions, of a protracted reaction type, withdrawal from contacts, reaction of an animation type, reactions of protests). The authors propose to indicate the variant of a personality development in the framework of a functional diagnosis in order to make a more definite orientation of the rehabilitative measures.
Personality development was examined in two groups of women studied since adolescence who were judged psychologically healthy at age fifty: 1) Independants, whose health improved from forty to fifty, were ambitious and intellectual. 2) Traditionals, healthy at both ages, were gregarious and nurturant. Traditionals showed steady personality growth since adolescence. Independents were constricted at age forty but recovered by fifty. These patterns are compared in terms of the fit between personality and sex role. Traditional personalitites fit conventional feminine roles, accounting for their health throughout the middle years. Independents improved when disengaging from mothering freed them to develop their more assertive skills.
Many of the most significant changes in concepts of personality development and maldevelopment derive simply from belated appreciation that the child grows up in a family; and that the child requires considerable positive input from those who raise him to grow into a reasonably integrated person. Only recently have psychiatrists and psychoanalysts begun to focus on the influence of the family transactions throughout the formative years. The paper briefly presents the requisites a family must provide to assure the integrated development of its offspring and groups them under four headings: the parental nurturant functions that change with each phase of the offspring's development; the influence of the dynamic organization of the family on the offspring's intrapsychic structure, affecting self-boundaries, gender identity, superego directives, and so forth; conveying through family transactions the basic social roles and societal institutions to the child; transmitting the instrumental techniques of the culture, and particularly its language with its system of meanings and logic upon which virtually all ego functioning depends. The paper considers the evidence that the "choice of the neurosis" -- or more correctly, the choice of the psychiatric syndrome -- does not depend only upon fixation at various phases of pre-genital development, but also, and perhaps primarily, upon the panphasic influence of the intrafamilial environment. It is of particular importance to recognize that there is a very direct relationship between the family transactions, the separation-individuation process, bounary formation, the attainment of various degrees of object constancy, problems of splitting, superego directives, and what can be conscious and what need be repressed into the unconscious. The failure to recognize the import of the family has interfered with the formation of an integrated developmental theory that can unite various aspects of the developmental process that have remained more or less isolated from one another -- drive theory, object relations, ego psychology, separation-individuation, and cognitive development. Finally the question is raised if in providing guidance to parents we have been amiss in not focusing on such matters as who the parents are, how they relate to one another as well as to the child, the values they communicate by their behaviour -- matters that are fundamental and to which almost all else is secondary, but about which relatively little has been said or taught.
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Using a prospective study design, 48 preschool children with early histories of nonorganic failure-to-thrive (NOFT) and 47 physically healthy children of comparable age, sex, birth order, and family demographics were compared on measures of problem solving and personality development (ego control and ego resiliency). In responding to structured measures, NOFT children demonstrated deficits in behavioral organization, ego control, and ego resiliency compared with controls. Parents also identified higher levels of behavioral symptoms in children with early histories of NOFT compared with controls. However, home observational measures of ego control and ego resiliency did not differentiate the two groups. Deficiencies in problem solving and personality development and increased levels of behavioral symptoms in preschool children with early histories of NOFT may affect their future socioemotional development and learning.
The paper deals with a clinical and EEG characteristic of 2 groups of patients: 1) with psychopathlike conditions, due to early organic brain lesions (trauma during delivery, postnatal brain infections, etc), and 2) psychogenic pathological personality development in the presence of mild residual-organic brain insufficiency. Residual organic insufficiency in the first group is the main etiopathogenitical factor of disordered behaviour in children and adolescents. In the second group a psychogenically induced situation is one of the important factors of disturbed behaviour.
The Personal Development Study (PDS) was administered to four diagnostic groups, which included 89 hospitalized alcoholics, 336 unmarried mothers, 159 college students, and 387 chronic institutionalized schizophrenics. The PDS data from the four groups were factor analyzed separately by Varimax rotation of principal component factors. Cluster analysis methods were used to compare the separate diagnostic group factors with the overall factors previously reported by Pishkin and Thorne (1977). Only a few close fits of the diagnostic group factors showed large differences in item composition, order of emergence of factors and size of loadings between groups. Because many items and factors could be interpreted in terms of several alternative theoretical systems, interpretations were based on the clinical meanings of items and clusters in terms of integration theory (Thorne, 1976).
This pilot longitudinal study of normal children and their families examines the associations noted between behaviors appearing in early childhood and concerns expressed by the same youngster fifteen years later. These concerns were seen to be related to continuing transactions around a particular issue within the family system. A case description of the evolution of the particular patterns of one of the family systems studied and the details of their recurring negotiations includes an examination of two subsystems of the family unit: the mother-infant pair and the parenting couple. The impact of this family system's struggle upon the developing youngster and her personality as a late adolescent is discussed.
The paper deals with some results of a complex somato-psycho-neurological study of 51 patients with a pathological hypochondriacal personality development which led to a stable restriction or a complete loss of working capacity. The author indicates a complex pathogenesis of this disorder: a low level of socio-working adaptation and psychopathic traits in the premorbid personality; psycho-traumatizing situation due to an underestimation by the physicians of the severity of the somato-neurological disorder which in some cases is supplemented by an unfavourable family situation.
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The authors substantiate the concept that the material and pathophysiological substrate of psychopathy is the pathological variant of the highest nervous activity type, on the basis of which psychopathy appears and begins to form. They attempt to answer some questions concerning the correlation between exogenous and endogenous origins of psychopathy. A delineation between psychopathy and normal variants on the one hand and accentuated personalities and pathocharacterological personality development on the other one is made.
Reported the results of a factor analytic study of the Personal Development Study (PDS). The PDS was administered for research purposes to four diagnostic groups, which included 89 institutionalized alcoholics, 336 unmarried mothers, 159 college students, and 388 chronic schizophrenics. A principal component factor analysis with Varimax rotation performed on the combined populations (N = 972) yielded five main factors labeled as projection, optimism-responsibility, reaction and symptom formation, repressive-compulsive, and intropunitiveness-guilt. Analysis of base rates of responding to the individual items revealed that the four populations ranged along a continuum, with the normals at one extreme and the institutionalized schizophrenics at the other extreme of greater pathological responding.
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19 preschool children were administered the IES Arrow-Dot test at the beginning and end of the school year and results compared with those based on a similar sample gathered the previous year. Trends for declining Impulsivity and Superego development were corroborated. Baselines for Impulsivity and Superego showed variation. Baselines and trends of rising Ego scores were supported. Results suggested suport for developmental trends of personality integration in preschool children.
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