子宫内膜异位症的诊断和治疗进展

子宫内膜异位症(endometriosis,EMT)是妇科最常见的疾病之一,是引起痛经、月经不调、不孕等证状的重要原因,发病率呈逐年上升趋势,严重危害妇女的身心健康,影响患者的生活质量.其发病机制不清,疗效差,易复发,一直是妇科研究的热点和难点.多年来随着对EMT发病机制的不断认识,使EMT的诊治得到了进一步的完善和发展.从哲学的角度以认识和发展的观点对子宫内膜异位症的诊断和治疗进展进行综述,以有助于临床上的诊治.     

子宫内膜异位症引起的盆腔疼痛的诊断和治疗

子宫内膜异位症(endometriosis,EMT)是妇科最常见的疾病之一,且发病率呈逐年上升趋势,盆腔疼痛是它常见的症状之一,其发病机制尚未明确,易复发,成为妇科研究的热点和难点。随着对EMT引起盆腔疼痛的发病机理的不断认识,其诊治也相应得到完善和发展。本文从哲学的角度以认识和实践等观点对EMT引起盆腔疼痛的诊断和治疗进展进行综述,以助于临床诊治。     

子宫内膜异位症引起的盆腔疼痛的诊断和治疗

子宫内膜异位症(endometriosis,EMT)是妇科最常见的疾病之一,且发病率呈逐年上升趋势,盆腔疼痛是它常见的症状之一,其发病机制尚未明确,易复发,成为妇科研究的热点和难点.随着对EMT引起盆腔疼痛的发病机理的不断认识,其诊治也相应得到完善和发展.本文从哲学的角度以认识和实践等观点对EMT引起盆腔疼痛的诊断和治疗进展进行综述,以助于临床诊治.     

子宫内膜异位症导致不孕机理探讨

近年来的研究表明了EMT和不孕之间存在较强的相关性,但是两者之间的因果关系和发病机制目前仍存在争议。本文对子宫内膜异位症与不孕之间机理探讨是从分析和综合相结合的认识方法来达到掌握两者关系的本质及其规律性的目的。遵循这样科学的发展战略才能更有利于人类医学领域的繁荣发展。     

子宫内膜异位症导致不孕机理探讨

近年来的研究表明了EMT和不孕之间存在较强的相关性,但是两者之间的因果关系和发病机制目前仍存在争议.本文对子宫内膜异位症与不孕之间机理探讨是从分析和综合相结合的认识方法来达到掌握两者关系的本质及其规律性的目的.遵循这样科学的发展战略才能更有利于人类医学领域的繁荣发展.     

子宫内膜干细胞与子宫内膜异位症的治疗

子宫内膜异位症（EMs）是妇科最常见的疾病之一,引起痛经、月经不调、不孕等,严重危害妇女的身心健康,影响患者生活质量。其发病率逐年升高,发病机制不清,疗效差,一直是困扰妇科医生的难题之一。最近提出的子宫内膜干细胞（SC）学说认为EMs起源于SC,EMs病灶的维持和发展是子宫内膜SC不断更新和分化的结果。因此,治疗的关键应是针对子宫内膜SC,通过靶向子宫内膜SC及其异常调节的信号转导通路来治疗EMs。这对传统的治疗方式提出了巨大的挑战,也为有效的根治EMs开辟了新的思路。     

腹腔镜手术治疗子宫内膜异位症的临床价值

子宫内膜异位症是妇科常见病、多发病之一,可引起痛经、慢性盆腔痛、性交痛和不孕等症状,严重影响育龄期妇女的身心健康和生活质量,日益受到人们的关注。以人为本,微创手术是当代医学的模式之一。本文从哲学的角度出发、以辩证的观点对腹腔镜手术治疗子宫内膜异位症的临床价值进行综述。     

腹腔镜手术治疗子宫内膜异位症的临床价值

子宫内膜异位症是妇科常见病、多发病之一,可引起痛经、慢性盆腔痛、性交痛和不孕等症状,严重影响育龄期妇女的身心健康和生活质量,日益受到人们的关注。以人为本,微创手术是当代医学的模式之一。本文从哲学的角度出发、以辩证的观点对腹腔镜手术治疗子宫内膜异位症的临床价值进行综述。     

论子宫内膜异位症的诊断和治疗

子宫内膜异位症 (ｅｎｄｏｍｅｔｒｉｏｓｉｓ ,ＥＭＴ)是生育年龄妇女的常见疾病 ,对妇女的身体健康和生活质量有着很大的影响 ,其发生率为 4 %～ 17% ,而ＥＭＴ患者中合并不孕者约 30 %～ 4 0 %。近几十年来 ,对ＥＭＴ不孕的诊断和治疗的过程 ,也就是对ＥＭＴ不孕发病机理认识的不断深化的过程。1　对ＥＭＴ引起不孕的发病机理的探讨和认识ＥＭＴ首先于 1860年由Ｒｏｋｉｔａｎｓｋｙ在一尸解病例中记述 ,直到 192 1年由Ｓａｍｐｓｏｎ定名为子宫内膜异位症。对ＥＭＴ与不孕症之间的密切关系早已众所周知 ,但对其发病机理尚不十分清楚。重…     

子宫腺肌病发病的相关因素分析

回顾性分析2012年1月~2016年2月在广西医科大学第四附属医院妇产科行全子宫切除术的732例患者的临床资料。分析妊娠史、人工流产史、剖宫产史、子宫肌瘤、子宫内膜异位症、子宫内膜增生症、子宫内膜不典型增生、子宫颈上皮内瘤变、子宫脱垂及附件区良性肿物(除外巧克力囊肿)与子宫腺肌病之间的关系。多因素分析提示:人工流产史(OR=1.627)、子宫肌瘤(OR=2.035)、子宫内膜异位症(OR=2.325)是子宫腺肌病发生的高危因素;而绝经(OR=0.123)为腺肌病发病的保护因素。     

Together – apart: in touch in a time of separation

This paper explores the experience of working as a Jungian analyst through the various phases of the global COVID-19 pandemic, examining the importance of the physical containing space alongside the analyst’s internal mind and how technology can both help and hinder understanding. A number of clinical vignettes illustrate the challenge of communicating over a distance, paying particular attention to the way countertransference phenomena can become re-attuned. Reference is made to mythology and symbols of hope, and consideration given to the meaning and purpose of the pandemic.     

The Possibility of Meaning in Human Evolution

Science undermines the certitude of non-naturalistic answers to the question of whether human life has meaning. I explore whether evolution can provide a naturalistic basis for existential meaning. Using the work of philosopher Daniel Dennett and scientist Ursula Goodenough, I argue that evolution is the locus of the possibility of meaning because it has produced intentionality, the matrix of consciousness. I conclude that the question of the meaning of human life is an existentialist one: existential meaning is a product of the individual and collective tasks human beings undertake.     

Phenotypic plasticity and archetype: a response to common objections to the biological theory of archetype and instinct

Since Jung’s death in 1961, scholars have attempted to integrate growing biological science data into Jungian concepts such as the collective unconscious, instincts and the archetypes. This enterprise has been challenging due to persistent false dichotomies of gene and environment occasionally arising. Recent works by Roesler (2022a, 2022b) for example, have raised objections to the biological theory of archetypes, but the objections are plagued by such dichotomies. The concept of phenotypic plasticity, however, helps to both avoid this problem as well as bridge the gap between competing theories into a more integrated model with solid biological foundations.     

When is it time to stop? When good enough becomes bad enough

This article draws on Winnicott’s concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the ‘Casablanca dilemma’, based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.     

Kann Es Ein Argument Für Den Skeptizismus Geben? Das Epistemische Problem Der Irrtumsmöglichkeit

Summary  Is there any argument for scepticism? The epistemic problem of the possibility of error. Arguments for scepticism rest on the assumption that knowledge claims are fallible. For this reason the concept of knowledge appears to be questionable. Since it is necessary to distinguish doubts from possible doubts, the arguments for scepticism appear to be unconvincing. If we take it into account that we know something that is immune to doubt, we should draw the conclusion that, contrary to scepticism, knowledge claims have to be compatible with being fallible. Thus any knowledge claim is capable of being doubted.     

The transcendent function in Spitteler’s Prometheus and Epimetheus

In August 2020, John Beebe and Steve Myers met via Zoom to discuss their differing interpretations of psychological typology and the different sources within Jung’s writings that influenced their books: Integrity in Depth: Energies and Patterns in Psychological Type (Beebe), and Myers-Briggs Typology vs Jungian Individuation (Myers). The discussion centred on Spitteler’s epic poem Prometheus und Epimetheus, which forms the basis of chapter V of Psychological Types. This is both the largest chapter and one of two chapters that Jung highlighted in the Argentine foreword as containing the essence of the book. Jung’s book is primarily about the transformation of personality rather than the categorization of people. Although it contains a critical psychology that deconstructs the nature of consciousness, that is only one half of the book and a stepping-stone to the other half, which is the reconciliation of opposites with particular emphasis on the relation of consciousness and the unconscious. Jung assumed that readers were already familiar with Prometheus und Epimetheus, an understanding of which sheds light on the nature of the transformation that Jung described – the development of a new attitude towards attitude itself.     

Chapter 6: Biblical Foundations for a Practical Theology of Aging

SUMMARY

This article reviews Biblical sources pertaining to the elderly, particularly the frail elderly. Founded on these sources, implications for elderly with Alzheimer's Disease and other forms of dementia are addressed through a personal perspective informed by writings of Christian mystics.     

Seeing in the Dark: A View into Dissociation and Healing

In this paper, I will explore the role of art-making, the experience of trauma and dissociation, and the process of working with self-states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched’s (2013) recommendation for a “binocular stance” to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client’s unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth.