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Kluft R P - - 1989
Patients who have experienced sexual exploitation by a previous therapist constitute an increasingly recognized clinical population. Although some of these patients were transiently overwhelmed or mildly disturbed when exploited, the majority were severely symptomatic and the victims of incest or other previous abuse. Many demonstrate a constellation of four factors ...
Wolowitz H - - 1989
Evolution of psychoanalytic dream theory from the topographical-conflict model resulted in the relative ascendance of manifest dream content and structure. Correspondingly, Freud's emphasis on the latent dream, disguised unconscious wish-fulfillment function, was paralleled by the development of an ego problem-solving-conflict function demonstrably observable in subjects' and patients' nocturnal dreams in ...
Gerstley L - - 1989
Antisocial personality disorder is generally perceived to be refractory to treatment, particularly psychotherapy. In this study, the ability of 48 patients with this disorder to form a working relationship with a psychotherapist or drug counselor was examined in relation to outcome of 24 weeks of treatment evaluated at 7-month follow-up. ...
Platt J J - - 1989
The Sympton Check List-90 (SCL-90) scores of 900 methadone patients were compared by sex and race using a two-way multivariate analysis of variance. The mean profiles did not differ with respect to sex, but did for race. White methadone patients were more obsessive-compulsive and depressed than the Black patients. However, ...
Kopp M - - 1989
Patients diagnosed (DSM III) with anxiety disorders (agoraphobia, panic syndrome, generalised anxiety syndrome) were classified along with controls as electrodermally stabile or labile on the basis of non-specific electrodermal activity and rate of habituation to tones. While patients showed more evidence of psychopathology than controls on scales of anxiety, neuroticism, ...
Korner-Bitensky N - - 1989
The degree to which physical therapists correctly predicted motor and functional outcome for stroke patients was investigated. Therapists used an adapted form of the physical therapy portion of the Patient Evaluation Conference System (PECSc)--a 14-item assessment measured on an 8-point scale. At admission to a rehabilitation hospital, therapists performed initial ...
Gabbard G O - - 1989
In the course of analytic work with refractory borderline patients, the analyst will experience protracted periods of silence. The analyst's verbal interventions are likely to fall on deaf ears and produce little change in the stalemate. The analyst may then need to resort to silent processing of the projective identification ...
Haller E - - 1989
Although the elderly have been studied as victims of violent behavior, there has been little investigation of this population as perpetrators of violence. Using the method of retrospective chart review, this study examines the issue of violence by geriatric patients with dementia who need acute psychiatric hospitalization. Of 52 patients, ...
Young S N - - 1989
1. The incidence of folic acid deficiency is high in patients with various psychiatric disorders including depression, dementia and schizophrenia. 2. In epileptics on anticonvulsants, folate deficiency often occurs because anticonvulsants inhibit folate absorption. In these patients folate deficiency is often associated with psychiatric symptoms. 3. In medical patients psychiatric ...
Aronson T A - - 1989
Many factors go into a choice of a therapeutic focus: the patient's psychopathology; the therapist's training, countertransference reactions, and ideological beliefs; and, importantly, a decision about what seems most amenable to treatment and change. As a theory, self psychology describes one aspect of the paranoid process; as such, it is ...
Boyer L B - - 1989
In working with regressed patients, the most effective interpretations are based frequently on information gathered through transference-countertransference interactions, interactions that often depend on the patient's projective and the analyst's introjective identification. A group of regressed analytic patients seek to rid themselves of tension predominantly by evacuating their unconscious fantasies or ...
Kopp M S - - 1989
87 patients with panic syndrome or agoraphobia with panic were compared with 28 generalized anxiety patients and 29 controls. Psychophysiological measures included rating scales, autonomic responses patterns, auditory thresholds and vigilance characteristics. In panic patients the state anxiety and the blood and injury phobia were significantly higher than in generalized ...
Gabbard G O - - 1989
The last five decades of the American cinema have produced a remarkably consistent stereotype of the female analyst. In films such as Spellbound (1945), Knock on Wood (1954), Sex and the Single Girl (1964), They Might be Giants (1971), and The Man Who Loved Women (1983), women analysts are swept ...
Eisendrath S J - - 1989
Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological defenses, therapeutic use of a double bind, and ...
Bass C - - 1988
We studied the relation between mood disorder and hyperventilation (hypocapnia) before and during exercise treadmill testing in 113 chest pain patients attending a cardiac clinic and 30 healthy controls. In most patients end-tidal PCO2 (PCO2) rose in the normal way on exercise but in a subset of 24 (21 per ...
Chasseguet-Smirgel J - - 1988
The opposition between the "archaic matrix of the oedipus complex" and the fully developed oedipus complex leads the author to compare two distinct types of patients: those who do not conform to the neurotic model (patients who probably witnessed and were the victims of disintegration of the family and the ...
Dell P F - - 1988
Therapists who have treated patients with multiple personality disorder (MPD) were surveyed about professional skepticism regarding the existence of MPD. Of these therapists, 78% reported that they had encountered intense skepticism from fellow professionals. Much of this skepticism appears to be explainable in terms of a) the lengthy decline of ...
Banys P - - 1988
Disulfiram is a potent alcohol-sensitizing drug, the effectiveness of which remains unproven in the treatment of alcoholism after 40 years of use. Its clinical utility is more closely associated with nonspecific, nonpharmacological factors (such as social class, patient compliance, patient personality characteristics, and treatment structure) than with its aversive biochemistry. ...
Silverman S - - 1988
Correspondences, when the analyst has not verbalized his disturbed thoughts and they appear in the patient's spoken associations during analytic treatment, are not due to a single cause. Rather, they occur under a variety of circumstances: chance, coincidence, communication through sensory stimuli and perceptions, sometimes of extraordinary subtlety; or possibly ...
Roy-Byrne P P - - 1988
The relationship between a history of attempted suicide and prior course of illness was explored in 87 patients with major affective disorder. Fifty-eight percent of bipolar (n = 67) and 50% of unipolar (n = 20) patients had a history of a suicide attempt. Females were more likely to have ...
Oxman T E - - 1988
Speech samples from 71 patients in four diagnostic groups were analyzed by two quantitative methods of speech content analysis, the results of which were entered into a discriminant analysis to test whether patients could be accurately classified back into their appropriate diagnostic groups. These classifications were compared with classifications made ...
McClain C J - - 1988
Thirteen patients met our criteria for severe acetaminophen hepatotoxicity over a 5-year study period. Six patients had therapeutic misadventures (not attempting suicide), and seven were attempting suicide. Five of six patients in the therapeutic misadventure group were chronic alcoholics, and three were taking other drugs reported to cause hepatic microsomal ...
Wu S F - - 1988
Studies investigating the possible role of personality and emotional factors in acne patients have yielded inconsistent and sometimes contradictory results. In the present study acne patients self-rated the severity of their conditions as mild, moderate, or severe and were compared to a control group on several personality variables. These self-ratings ...
Kinzl J - - 1988
Aphonia is the extreme form of a functional voice disorder. 22 female patients with aphonia underwent laryngoscopic and phonic examinations, psychiatric evaluation, psychological testing and biographical history-taking. Results demonstrate a homogeneous clinical picture, but heterogeneous personality structures and conflict situations. All patients are overtaxed by their situation; the conversion reaction ...
Loosen P T - - 1988
1. The tripeptide TRH exerts a spectrum of biological activities in both animals and man. Some of these activities have been extensively studied, particularly in psychiatric patients. 2. Behaviorally, TRH appears to increase the sense of well-being, motivation, relaxation, and coping capacity in both normal subjects and patients with psychiatric ...
Musalek M - - 1988
In a symptom-oriented study 17 patients suffering from chronic auditory hallucinations were investigated by means of 99mTc-HMPAO-SPECT and compared with healthy controls. The results confirm the relative frontal hypoactivity in junction with a relative hyperactivity in the basal ganglia and mesial limbic structures in both hemispheres found in a previous ...
Rey J H - - 1988
In this paper it is suggested that patients bring to analysis their damaged inner objects, and not only themselves, to undergo reparation because they are unable to do it. Stress is put on the very complex mechanisms used to keep damaged and dying inner objects alive whilst waiting for help ...
Spero M H - - 1988
Four illustrations have been presented which demonstrate the uses and interpretations of envy in countertransference reactions to religious patients. To be sure, envy reactions to any patient are significant, whether they simply distort the therapist's perception or contribute to a deeper understanding of the patient. In the case of the ...
Laderman C - - 1988
In comparing shamanistic healing with Western psychotherapy, the principal distinctions advanced by psychiatrists and psychologists have been: (1) that the shaman's patients receive 'remission without insight' while Western psychotherapy provides patients with a learning experience; and (2) that Western psychotherapy is based upon rational theory, whereas psychotherapeutic elements in shamanistic ...
Fava G A - - 1988
Ten patients suffering from agoraphobia with panic attacks reported significantly more obsessive-compulsive symptoms on the Comprehensive Psychopathological Rating Scale and Marks' Compulsion Checklist than healthy control subjects matched to the patients on sociodemographic variables. Behavioral treatment directed toward agoraphobia was associated with significant improvement in obsessive-compulsive complaints. On retesting, there ...
Modestin J - - 1987
Counter-transference reactions are frequently elicited while treating suicidal patients and they may contribute to the patient's committing suicide. Therapeutic constellations including the failure of the therapist to (1) cope with the patient's aggressiveness, (2) tolerate the patient's dependency, (3) handle the erotic transference adequately and (4) preserve loyalty towards the ...
Comings D E - - 1987
To determine the frequency of obsessive, compulsive, and schizoid behaviors in Tourette syndrome (TS), we prospectively questioned 246 patients with TS, 17 with attention-deficit disorder (ADD), 15 with ADD due to a TS gene, and 47 random controls. The comparative frequency of obsessive, compulsive, and repetitive behaviors--such as obsessive unpleasant ...
Black D W - - 1987
We investigated the risk of suicide among 705 patients with primary unipolar depression, 302 patients with secondary unipolar depression, and 586 patients with bipolar affective disorder (BAD). The suicide rates among the study subjects were compared with that of the general population of Iowa, the area from which the subjects ...
Selzer M A - - 1987
The initial treatment contract with a borderline patient recognizes the patient's potential for destructiveness and builds in safeguards. The therapist's effort to protect the treatment mobilizes the patient's primitive defenses. The therapist must be prepared to respond to resistance to the contract by clarification, confrontation, and occasionally interpretation. Although countertransference ...
Frey J J - - 1987
This article examines the structural organization and sequences of interaction among therapists, institutions, and patients and their families that contribute to the problem of institutional dependence. Our contention is that when patients have become dependent on an institution for the livelihood and/or for the stability it represents, they are only ...
Anzieu D - - 1987
After summarizing the seven questions put by Freud in his 1937 paper 'Analysis terminable and interminable', the author reports on the case of a female patient in whose second analysis four difficulties arose: the condensation of several traumas; a preverbal main trauma; the need for a permanent auxiliary ego to ...
Williams M - - 1987
This clinical presentation deals with the aftereffects, in a male patient, of a severely disturbed rapprochement phase, marked by many separations and a molestation before the age of three. The patient dreamed repeatedly of violence, often directed against himself, but the actual molestation was sealed off by formidable repression. A ...
Kluft R P - - 1987
Multiple personality disorder (MPD) is being recognized with increasing frequency. A great imitator, it may be encountered among patients who appear to have a wide range of other diagnoses, and have been in treatment for years without the presence of MPD being discovered. Nine of 241 MPD patients interviewed by ...
Steketee G - - 1986
The Hopkins Symptom Checklist (HSCL) was administered to 62 obsessive-compulsive and 49 nonobsessional patients to examine the reliability and validity of the obsessive-compulsive scale as well as four additional subscales identified in previous research. Test-retest correlation coefficients were generally below acceptable levels. Analyses of construct validity suggested that the obsessive-compulsive ...
Watson C G - - 1986
The scores of DSM-III-diagnosed post-traumatic stress disorder (PTSD) patients (N = 116), psychiatric patients who did not meet the criteria, and normals (N = 19) on the Keane, Malloy, and Fairbank (1984) PTSD and Penk Combat scales for the MMPI were compared. The Keane scale discriminated PTSD-positive patients from normals ...
Raboch J - - 1986
Using a structured interview and four questionnaires we examined the sexual development and life in the following groups of psychiatric female patients: 51 with schizophrenia, 50 with manic-depressive psychoses, 50 with neuroses, 30 with hysterical psychopathic personality, and 20 with anorexia nervosa. The results were compared with a control group ...
Wolk-Wasserman D - - 1986
Forty consecutively admitted suicide attempt patients in an intensive care unit, their therapists, and 70 significant others of 37 of the patients, were investigated by means of 300 semi-structured interviews. The patients belonged to three diagnostic groups: neurosis, alcohol and drug abuse, and prepsychosis/psychosis. Thirty-seven of the patients had communicated ...
Mattes J A - - 1986
An open pilot trial of combined trazodone and tryptophan for 11 patients with Obsessive-Compulsive Disorder was conducted to test the hypothesis that increasing serotonin activity is therapeutic for this condition. Results were not encouraging; several patients tolerated the combination poorly, but even among patients completing 2 weeks' treatment benefit was ...
Larsen F - - 1986
Two Norwegian psychiatrists classified independently according to DSM-III, 45 patients drawn at random from two populations: one of psychiatric patients (N = 161) and one of super obese surgical patients (N = 71). They interviewed the patients and listened to each other's audio-taped interviews afterwards. In the total group, on ...
Lee M A - - 1987
Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey (JAS) and Symptom ...
Tyson R L - - 1986
A framework is suggested for conceptualizing countertransference, based on expansion of the concept emerging subsequent to Freud's original view of the phenomenon: from Ucs to Cs, from reactions to transference to all reactions, from the analyst's neurosis to the analyst's functioning, from self-analysis to self-scrutiny, from obstacle to contribution. Particular ...
Schwaber E A - - 1986
Freud's monumental shift to the fantasy theory heralded the view that "it is psychical and not material reality" which is our sole domain of inquiry. Yet despite theoretical agreement and cogent technical admonitions against concerning ourselves with absolute or "external" truths, psychoanalytic listening betrays a stance in which the analyst ...
Burns T - - 1986
Four hundred and sixty seven Swedish psychiatrists (response rate = 52.5%) returned a questionnaire on their understanding of the term "borderline patient". Virtually all had heard of it and 75.2% regularly used it as a diagnosis. Its use was positively associated with female sex, psychotherapy interest and training. 38.8% of ...
Elizur A - - 1986
Interdependencies of attitudes towards vignettes of mentally ill patients and the professional approach of medical students measured by means of diagnostic assessments and therapeutic distance were studied. First, the findings indicate that the attitudes towards the vignettes depended on the behavioral characteristics of each patient presented in the vignettes. Thus, ...
Riehl A - - 1986
30 patients who had psychosomatic disorders and were living constantly with the same partner were followed up 2-3 years after inpatient psychotherapy. The outcome of psychotherapy was assessed and the patients were interviewed about partnership and disease. The interviews were evaluated by 10 raters who had to score 26 variables. ...
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