共查询到20条相似文献,搜索用时 15 毫秒
1.
Ariel Nathanson 《Journal of Child Psychotherapy》2016,42(3):272-284
This paper described common themes and transitions in the treatment of adolescents and young adults presenting as addicted to sexual enactments. Central to their experience is a highly addictive reliance on a bad object, which both enables and relies upon sexually perverse enactments. The paper follows the therapeutic process with patients seen in either group or individual long-term psychotherapy. Their experience is understood in the context of theories central to the work at the Portman Clinic relating to perversion and addiction, combined with some ideas from the field of criminology. Patients usually start by noticing their relationship with their compulsive behaviour, moving from a passive stance to a perception of themselves as active agents. They discover moments that are described as ‘pressing a button’, at which they move from passivity to taking perverse action. Those insights lead to a slowing down of the addictive cycle and emergence of phantasies, core complex anxieties and even hopes, all desperately avoided by taking sexualised action. The paper follows a pathway of change and transformation, which when successful enables patients to reduce or cease addictive behaviours by coming in contact with a good object, enabling both emotional pain and the experience of potency and hope. 相似文献
2.
Karla Cristhina Alves Silas Prado de Sousa 《International Forum of Psychoanalysis》2013,22(3-4):166-168
Abstract The medical-legal view of perversion is strictly concerned with the sexual aspect. This is the result of a controversial historical process full of moralism with respect to sexuality. Psychoanalysis questions this reductionist view, offering itself as instrument of special importance in the characterization of perversion as a complex of structures in human beings. Alves KC und Prado de Sousa S. Perversion aus der medizin-rechtlichen Perspektive Die medizin-rechtliche Sicht der Perversion ist strikt mit dem sexuellen Aspekt befaßt. Dies ist das Ergebnis eines kontrovers historischen Prozesses, der ganz mit Moralismus im Hinblick auf Sexualität angefüllt ist. Psychoanalyse stellt diese reduktionistische Sicht in Frage und bietet sich selbst als Instrument von besonderer Bedeutung an, die Perversion als einen Komplex von Strukturen bei Menschen zu charakterisieren. Alves KC y Prado de Sousa. Perversión desde la perspectiva médico-legal. El punto de vista médico-legal de la perversión esta estrictamente relacionado con el aspecto sexual. Este es el resultado de un proceso controvertido moral histórico con respecto a la sexualidad. El Psicoanálisis cuestiona este punto de vista reduccionista, ofreciéndose como instrumento de especial importancia en la caracterización de la perversión como una complejidad estructural en los seres humanos. 相似文献
3.
SANDRA FILIPPINI 《The International journal of psycho-analysis》2005,86(3):755-773
The author examines the theme of perverse relationships within the couple, focusing on the question of men's maltreatment of their female partners, particularly in the psychological sense. Various aspects of the perpetrator's personality and relational style are described. The author takes as her starting point and discusses in depth the concepts of narcissistic perversion (Racamier, 1992) and relational perversion (Pandol, 1999), considered useful for understanding and identifying this type of pathology. She postulates that maltreating behaviour, in fact, originates from the encounter of particularly non–empathic relational styles which are typical of certain personalities (mainly, but not exclusively, of the narcissistic disorder) with perversity, that is, perversion, understood as a character trait. The author makes a distinction between relational perversion and sado–masochistic relationship, and presents a clinical picture deriving from the analysis of a man who maltreats his companion, in order to shed light on the above–mentioned aspects, touching on some problems arising in the analysis of such patients. In conclusion, she considers some aspects of the experience of victims of maltreatment. 相似文献
4.
Grier F 《The International journal of psycho-analysis》2011,92(6):1541-1559
The author discusses the traditional interpretations of the principal dramatis personae in Verdi's Rigoletto, suggesting that the opera expresses the composer's unconscious but highly perceptive and intuitive exploration of: (i) paranoid and perverse father-daughter oedipal dynamics as enacted between Rigoletto and Gilda; (ii) a folie-à-deux sado-masochistic relationship between Rigoletto and the Duke; (iii) the avoidance of conscious guilt and responsibility for Rigoletto's part in the tragedy through the rejection of insight achieved via massive projection, an addiction to mania, and perversion. In this respect Rigoletto is compared with King Lear. Some technical aspects of Verdi's compositional style employed to portray the contrasting characters of the protagonists are analysed. The paper also touches on Verdi's own possible unconscious (as well as conscious) investment in this particular opera, noting similarities between Verdi's portrait of the tragic, hunchback jester and his own self-depiction. The author notes similarities and contrasts between his analysis of the opera and recent papers by Hudson (1992),Tarnopolsky (1995)and Bergstein (2003)on the same subject. 相似文献
5.
STEPHEN D. PURCELL 《The International journal of psycho-analysis》2006,87(1):105-123
The author believes that unconscious sexual excitement in the transference and countertransference is an especially problematic aspect of the analysis of perverse character pathology and that perverse sexual gratifi cation deserves a more prominent position in the clinical theory of analyzing perversion than that which has been assigned tacitly through analysts' routine focus on the defensive and destructive dynamics of perversion. He presents clinical material from the analysis of a perverse patient that illustrates the role of excitement in the transference perversion established in this analysis; and he asserts that gratifying perverse enactments occurring in the transference perversion can appear not only as conscious or unconscious excitement in the transference but also, at times most clearly, as the analyst's excitement. The author suggests that using a clinical theory that supports the analyst in understanding his excited responses as perverse countertransferences-i.e. evoked excitement complementary to the sexual component of a perverse transference-will assist him in locating and thinking about gratifying, perverse excitement in the transference where it is most usefully analyzed. Finally, he discusses some of the reasons why analysts might deny, suppress or otherwise avoid perverse countertransferences and in so doing contribute to sustaining perverse resistances. 相似文献
6.
Ana Maria Rudge 《International Forum of Psychoanalysis》2013,22(4):213-220
Contemporary debates about the Freudian notion of superego are presented highlighting the importance of this notion for both psychoanalytic theory of culture and clinical work. Different versions of the relationship between superego and moral conscience, as well as between superego and ego ideal are identified, which may account for the contradictory positive and negative aspects that the superego assumes in Freudian theory. Points of convergence and divergence between Kantian categorical imperative and the superego are discussed. 相似文献
7.
José Tiago dos Reis Filho Leila Marquez Lopes de Oliveira Nina Rosa Artuzo Sanches Rodrigo Mendes Ferreira Rosa Maria Gouvêa Abras 《International Forum of Psychoanalysis》2013,22(3-4):153-157
Abstract The purpose of this article is to study in the clinic the incidence of so-called perverse phenomena in relationships, in order to find out when these phenomena depend on a perverse organization and when they are only a kind of erotic game between the couple, in both hetero- and homosexual aspects. The first difficulty was to find a definition of “perversion” shared by the authors who have carried out research on the subject and consequently to determine what characterizes a perverse marital bond. In contrast to neurosis, which can be defined by the use of the repression mechanism, the mechanism of disavowal is not exclusive for perversion since it can be found even in other psychical arrangements. Is it, then, a structure or a psychological organization? It is also considered to be a “truth” in psychoanalysis that the pervert cannot be analyzed. But is it the pervert who cannot be analyzed, or is it the analyst who cannot bear listening to him? Do the theoretical references of the analyst not give sufficient theoretical support to maintain his listening? This paper presents the hypothesis that perversion is an attempt – always a frustrated one, and for this reason indefinitely repeated – to elaborate a trauma in which the pervert, identified with the traumatic agent, touches a point equally traumatic for his partner, turning the partner into an object of enjoyment. This arrangement allows the pervert, at least in his imagination, to leave the suffered trauma behind, adopting towards the object a position of activity and domination. Identifying with the aggressor, he leaves his partner paralyzed in the traumatic point, a situation that he knows all too well. dos Reis Filho JT, et al Trauma, Perversion und eheliche Bande Der Artikel untersucht klinische Fällen von sogenannter Perversion in Beziehungen, mit dem Ziel herauszufinden, wann es sich um eine perverse Organisation und wann es sich lediglich um eine spezielle Art von erotischem Spiel zwischen dem Paar handelt, dies sowohl in hetero- wie in homosexuellen Beziehungen. Die erste Schwierigkeit war, eine für alle Autoren akzeptable Definition von Perversion zu finden. Alle hatten Erfahrung in Forschung in diesem Gebiet und mussten sich auf Vorstellungen einigen, wodurch eine perverse eheliche Beziehung gekennzeichnet ist. Im Gegensatz zur Neurose, gekennzeichnet ausschliesslich von Verdrängungsmechanismen, kommt Ablehnung nicht ausschliesslich bei der Perversion vor sondern auch bei anderen psychischen Strukturen. Ist Perversion demnach eine psychische Struktur oder eine psychologische Organisation? Es wird auch als erwiesen betrachtet, dass ein Perverser nicht analysiert werden kann. Aber, ist es wirklich der Perverse, der nicht analysiert werden kann? Ist es nicht vielleicht der Analytiker, der es nicht ertragen kann, dem Perversen zuzuhören? Gibt der theoretische analytische Hintergrund des Analytikers ihm möglicherweise nicht genug Unterstützung, um das Zuhören aufrechterhalten zu können? Dieser Aufsatz vertritt die Hypothese, dass die Perversion ein unaufhörlich wiederholter, immer misslingender Versuch ist, ein Trauma aufzuarbeiten. Der Perverse ist identifiziert mit dem Täter im damaligen Trauma. Er trifft einen traumatisierten Punkt beim Partner und macht aus ihm ein Objekt seiner Lusterfüllung. Dieses Arrangement erlaubt dem Perversen-wenigstens in seiner Phantasie – das von ihm erlittene Trauma hinter sich zu lassen, indem er gegenüber dem Objekt eine Position der Aktivität und Dominanz einnimmt. Identifiziert mit dem Aggressor belässt er seinen Partner gelähmt am traumatischen Punkt-eine Situation, die er nur allzu gut an sich selbst kennt. dos Reis Filho JT et al. Trauma, perversión y el vínculo marital El propósito del presente trabajo es estudiar en la clínica la incidencia de los cada vez más llamados fenómenos perversos en las relaciones, para descubrir cuando este fenómeno depende de una organización perversa y cuando se trata de un tipo de juego erótico en las parejas, tanto en sus aspectos homosexuales como heterosexuales. La primera dificultad fue encontrar una definición de perversión compartida por los autores estudiosos de este tema y consecuentemente determinar las características de un vínculo marital perverso. En contraste con la neurosis que puede ser definida por el uso del mecanismo de la represión, el mecanismo de la negación no es característico de la perversión únicamente sino que se puede también encontrar en otras organizaciones psíquicas. ¿Se trata entonces de una estructura o de una organización psicológica? Se considera también que en psicoanálisis, es cierto que se trata al perverso como inanalizable. Bueno, ¿es el perverso el que no es analizable o es el psicoanalista que no puede soportar escucharlo? Acaso las referencias teóricas del analista no ofrecen suficientes soportes teóricos para mantener la escucha? Este trabajo presenta la hipótesis de que la perversión es un intento – siempre frustrado, y por lo mismo indefinidamente repetido- para elaborar un trauma en el que el perverso está identificado con el agente traumático, tocando un punto igualmente traumático en su pareja, convirtiendo a su pareja en objeto de su disfrute. Este arreglo permite al perverso, al menos en su imaginación, dejar atrás el trauma sufrido, adoptando con su objeto una posición de actividad y dominación. Identificándose con el agresor, deja a su pareja paralizada en el punto traumático, situación que el perverso sabe muy bien. 相似文献
8.
Veronika Grüneisen 《Scandinavian Psychoanalytic Review》2016,39(2):98-105
The paper describes the therapeutic relationship, specifically the countertransference enactments of the analyst whose own destructive impulses were inevitably mobilised in the treatment of a narcissistically disturbed patient. They are discussed in the light of other authors’ theoretical understanding of the described dynamics. The societal context of the analyst’s work is being discussed. 相似文献
9.
The present research expands on the relationship between subclinical paraphilia and Big Five and Dark Triad personality traits in an online sample of 585 adults. In this sample, sexually deviant courtship behaviors such as exhibitionism and voyeurism were related to high levels of narcissism while transvestism related to greater openness to experience. Further, there were gender differences in the relationship between sadomasochism and personality with sadomasochism reflecting greater openness in men and Machiavellianism in women. These findings suggest that deviant sexual behaviors represent both a degree of antisocial personality functioning and a degree of personal openness that depends on the specific behavior being examined and that more research is needed in this area. 相似文献
10.
Goldsmith GN 《The Journal of analytical psychology》2002,47(2):203-224
'Diversity', the theme of our conference, carries a subversive sub-text in totalitarian societies. This is one of the themes presented as the current revival of psychoanalysis in the more democratic post-Communist Russia is explored. The history of psychoanalysis in Russia is summarized with a focus on its politicization, which led to initial interest in its theory (by way of a misapprehension of its tenets), and then to ultimate suppression of psychoanalytic thinking as an ideology deemed antagonistic to the totalitarian regime. In contrast, features of psychoanalysis and democracy are explored for their mutual affinities. The background of the resourceful new generation of analytic therapists is discussed, especially in regard to their experience of the parallel meanings of the word 'repression' (political, psychological). There is a persistence of some traits in patients and practitioners alike that are referable to past repression, such as the newness of verbal treatments, the inhibition of psychological curiosity, the ambivalent lure of certainty, and the pressure of authoritarian introjects. It is noted that psychoanalysis has its own history of a posture opposed to pluralism and diversity, which deepens the dialogue on the mutual engagement between psychoanalysis and the vicissitudes of its history in Russian culture. 相似文献
11.
ALESSANDRA LEMMA 《The International journal of psycho-analysis》2005,86(3):737-753
In this paper the author explores the psychic functions of lying and draws on Glasser's (1979) notions of self-preservative and sadistic violence to identify three selfobject configurations. Each of these is associated with specific anxieties to which the lie offers an apparent solution. The first configuration is sadistic lying. Here the intent is to attack and triumph over the duped other. The lie allows the object to be controlled and humiliated. This gratifies the self by reversing an earlier humiliation. The second and third configurations are both forms of self-preservative lying, where the lie may be best conceived as a symptom of hope (Winnicott, 1985). In the second configuration, the object is felt to be unavailable or inscrutable. The lie may be used to create an attractive self that will elicit the object's love, admiration and concern. In this way, the lie serves to eliminate doubt about the object's intentions towards the self. In the third configuration, the object is felt to be intrusive, and the dyadic relationship is overpowering. Here the lie can represent an attempt to insert a third into the relationship. 相似文献
12.
Michael Ermann 《International Forum of Psychoanalysis》2013,22(3-4):188-192
Abstract Perverse thinking is found not only in perversion, but also in other psychic structures. It is bound neither to aggressive nor to sexual experience. It is a state of mental functioning outside reality and fantasy, and occurs whenever an individual gets into an existential irritation, which demands a fundamental change. It creates denial as a protection against destruction that does not really change reality, but creates another reality besides the objective one. It is thinking in terms of two incompatible realities and the replacement of the knowledge of its incompatibility by the idea of its being normal: the acceptance of the coexistence of two states of thinking that are excluding one another is the perversion of normality. By the use of some case material, this paper demonstrates how this mode of functioning can intrude into transference-countertransference dynamics, and how one can try to handle it. Ermann M. Über perverses Denken. Eine Fallvignette. Perverses Denken tritt nicht nur in der klinisch manifesten Perversion auf, sondern kann auch bei anderen psychischen Organisationen in Erscheinung treten. Es ist weder an aggressive noch an sexuelle Akte gebunden. Perverses Denken ist ein Funktionszustand, der außerhalb der Realität und der Phantasiewelt liegt und auftritt, wenn grundlegende Veränderungen bevorstehen. Es schafft eine Verleugnung als Schutz gegen Destruktion, verändert aber nicht wirklich die Realität, sondern schafft eine zweite Wirklichkeit neben der objektiven. Es besteht darin, dass die Betroffenen gleichzeitig in zwei unvereinbaren Realitäten denken und die Unvereinbarkeit verleugnet wird. Das Nebeneinander wird zur Normalität erklärt. Diese Art des Denkens, ihr Einfluss auf die analytische Beziehung und eine Möglichkeit, damit umzugehen, werden in diesem Beitrag dargestellt. Ermann M. Acerca del pensar perverso. Una viñ eta clínica. El pensamiento perverso, no se encuentra solamente en la perversión, sino también en otras estructuras psíquicas. No está asociado a las experiencias sexuales o de agresión. Se trata de un funcionamiento mental fuera de la realidad y de la fantasía, y ocurre cuando un individuo tiene una irritación existencial, que demanda un cambio fundamental. Crea una negación como una protección contra la destrucción que no cambia la realidad necesariamente, pero produce otra realidad a lado de la realidad objetiva. Es pensar en términos de dos realidades incompatibles y la idea de ese pensamiento como si fuera normal, reemplaza el conocimiento de esta incompatibilidad: Aceptar la coexistencia de dos estados de pensamiento excluyentes en sí mismos es la perversión de la normalidad. A través de material de un caso el presente trabajo demuestra cómo este modo de funcionamiento puede introducirse en la dinámica de la transferencia contratransferencia, y cómo puede ser manejada. 相似文献
13.
Frank M. Lachmann PhD 《International Forum of Psychoanalysis》2013,22(3-4):162-165
Abstract Violations of expectations provide a motive for both creativity and perversion. The term “violations of expectations,” derived from empirical studies of early development, includes surprise, shock, betrayals of trust, as well as the possession of extraordinary talents. In the creative area, violations of expectations are illustrated through aspects of the life and work of Marc Chagall and Richard Wagner, and in perversion through the lives and actions of serial killers. Lachmann FM. Kreativität, Perversion und die Verletzungen von Erwartungen Verletzungen von Erwartungen liefern ein Motiv für beides: Kreativität und Perversion.Diese Benennung, aus empirischen Untersuchungen früher Entwicklung abgeleitet, schließt sowohl Überraschung, Schock, Verrat von Vertrauen ein wie auch die Verfügung über außergewöhnliche Talente. Im kreativen Bereich werden Verletzungen von Erwartungen durch Aspekte von Leben und Werk von Chagall und Richard Wagner illustriert und im Bereich der Perversionen durch Leben und Aktionen von Serien-Mördern. Lachmann FM. Creatividad, perversión y violación de las expectativas. La violación de las expectativas provee un motivo para ambas, la creatividad y la perversión. Este término, derivado de estudios empíricos sobre el desarrollo temprano, incluye sorpresa, shock, revelación de la verdad, así como la posesión de talentos extraordinarios. En la creativa violación de expectativas se ilustran aspectos de la vida y del trabajo de Marc Chagall y Richard Wagner y en la perversión a través de sus vidas y acciones de asesinos en serie. 相似文献
14.
Robert Michels 《The International journal of psycho-analysis》2003,84(1):9-12
Psychoanalysis provides a framework for understanding human experience, which can be of great value to persons suffering from psychiatric disorders, and to their caretakers. There are also, of course, other useful frameworks. In past years, some have inferred that the value of psychoanalysis with these patients implies that it helps us to understand the aetiology of their disorders, that it may offer a 'cure', or that it has some special relevance to their problems. There is no evidence for any of these. Further progress in this area should be based on new evidence. 相似文献
15.
Lilli Gast 《International Forum of Psychoanalysis》2018,27(1):35-39
AbstractThe International Psychoanalytic University was founded in 2009. This article provides an outline of its core tasks, study programs, research activities, and infrastructure. 相似文献
16.
Anthony Parfitt 《Journal of Child Psychotherapy》2013,39(1):49-65
This article presents a case study of a year of psychotherapeutic work by a female and male therapist with a 14-year-old boy born with ambiguous genitalia. His mother was also present in the sessions at the request of Zak. We describe the early trauma surrounding Zak's birth and the subsequent desertion of a violent father. We present the catalogue of medical interventions he received to re-construct his genitals. Now at the age of 14 years Zak is entering into a chemically induced puberty. His mother had a version of an internal couple at war, where the male was viewed as useless and with suspicion. This view served to distort her capacity to bear Zak's condition and dovetailed with his phantasy of a monstrously violent and destructive male. Thus the artificial shove into manhood for Zak was filled with terror. The induced puberty was felt more like an attack and he acted out through resistance to intervention and non-compliance. This organisation created in him a state of thoughtlessness and despair, which we propose parades itself as a ‘secondary handicap’ (Sinason, Mental Handicap and the Human Condition, Free Association, London, 1992). Our joint work as a couple with Zak and his mother stood in opposition to their internal structures and provided an experience of a different kind of coupling: an opportunity to observe a cooperatively working couple who helped give words to the anxieties they brought. We trace Zak's attachment to and internalisation of a thinking couple, which paralleled both his ability to become more expressive and a reduction in acting out his aggression. The work aimed to promote in Zak a level of emotional development that was commensurate with his physical development. The construction of genitals and a lifetime of testosterone injections alone will not allow Zak to grow into the man he can be. We will attempt to explore the basis of these structures to demonstrate that the work provided the opportunity for Zak to reflect upon and express his terror, and to turn to other people to seek support, help and advice. 相似文献
17.
The ancient figure of Baubo plays a pivotal role in the Greek myth of Demeter and Persephone with an exhibitionistic act that brings Demeter out of her depression. The Baubo episode raises questions about the meaning of female exhibitionism, suggesting divergences from earlier psychoanalytic conceptualizations as either a perversion or a compensation for the lack of a penis. In line with contemporary thinking about primary femininity, such as that of Balsam or Elise, the authors propose a more inclusive understanding of female exhibitionism, which would encompass pleasure in the female body and its sexual and reproductive functions. They argue that female exhibitionism can reflect triangular or \"oedipal\" scenarios and the need to attract the male, identification with the mother, competition or camaraderie with other women, a sense of power in the female body and its capacities, as well as homoerotic impulses. The authors posit a dual early desire and identification with the mother that underlie and characterize female sexual development. The authors present clinical data from adolescent and adult cases of female exhibitionism which illustrate these Baubo-like aspects and discuss the technical issues that are involved in such cases. 相似文献
18.
Heather Wood 《Psychoanalytic Psychotherapy》2013,27(4):319-338
Various indices of use of Internet pornography have drawn attention to the extent of adult sexual interest in children; clinical experience and now research evidence are accumulating to suggest that the Internet is not simply drawing attention to those with existing paedophilic interests, but is contributing to the crystallisation of those interests in people with no explicit prior sexual interest in children. Drawing on clinical experience in a specialist NHS outpatient psychotherapy service, the author argues that a dichotomous notion of paedophilia is no longer tenable, and any model of paedophilia needs to take account of eruptions of a sexual interest in children in those who appear not to be consistently paedophilic and who have had adult-to-adult sexual relationships. This phenomenon is analysed in two ways: first, by considering how it is that the adult sexual adaptation might ‘unravel’ under the influence of Internet sex to reveal underlying paedophilic currents and second, by revisiting general and psychoanalytic theories of paedophilia and by considering how predisposing factors to paedophilia might be amplified through access to Internet pornography. 相似文献
19.
Jarl Jørstad 《Scandinavian Psychoanalytic Review》2013,36(1):34-45
This presentation describes the way in which defence mechanisms and resistance manifested themselves in the analysis of a man with a narcissistic personality disorder. In the course of the analysis, there were changes in the forms taken by the defence and the resistance, signalling important genetic and dynamic conditions in his life. Both represented desperate attempts to avoid the unbearably painful feelings and affects which he had experienced in his childhood, and bore witness to early and primitive defence mechanisms such as denial, splitting and projective identification. The defence can also be seen as an expression of an unconscious fear of being re-traumatised. The idealisation of the analyst in the first years of the analysis can therefore be understood as a precondition for entering into this kind of process. It also represented a defence against aggressive and homosexual feelings in the transference which first became clear during the final phase of the analysis and could then be worked through. At this point, the analyst's reactions to his own unconscious countertransference were of help in understanding what was actually going on. This analysis may also suggest that defects and trauma in the earliest years may be conducive to alexithymia, deficient contact between feelings and words, linked to the risk of developing serious psychosomatic illnesses. This may be a consequence of the fact that the child's feelings and affects were neither accepted, understood nor affirmed in words, or they may even have been met with rejection or ridicule. A connection between narcissistic personality disorders and alexithymia can possibly be seen here. 相似文献
20.
Heather B. MacIntosh 《Psychoanalytic Social Work》2013,20(1):26-49
Trauma model approaches to the treatment of dissociative disorders may provide containment and direction and yet, these same approaches may be constricting and limit exploration. However, relational psychoanalytic approaches may allow for engagement and exploration while potentially failing to provide containment and structure. This article provides an overview of key elements of both models and considers the question of whether it is possible to creatively resolve theoretical and clinical tensions between trauma model and relational psychoanalytic responses to dissociation. A review of the history of the study of dissociation in the field of psychoanalysis and concerns about psychoanalytic practice in the context of dissociation is followed by comparing contrasting conceptualizations of the assumptions of normality, definitions of dissociation, theories of etiology, goals of treatment, and theorized mechanisms of action. The review ends with a discussion of potential possibilities for clinical integration. 相似文献