The recovering female alcoholic: A family affair

Supported by a review of relevant literature and a case study, the author argues that family therapy intervention enhances the likelihood of a female alcoholic's positive prognosis. With a basis in systems theory, family therapy views the family as a system and, hence, perceives the alcoholism as a symptom of that family. A profile of the female alcoholic, how her drinking affects her family, and the role that family therapy plays in the recovery process are examined.     

Alcoholism and the family in peru: The impact of an alcoholic on teenagers' perceptions of the family

Abstract

We studied Peruvian high school students' perceptions of their family environment when a member of their household had a significant problem with alcohol using specialized forms of both the Family Environment Scale (FES) and the Michigan Alcohol Screening Test (SMAST). Of our sample of 218 high school students in Lima, Peru, 91.7% lived in a household in which a member had a significant problem with alcohol as defined by the family form of the SMAST. Also, when the alcoholic individual was a member of the nuclear family, the high school students perceived their families as less cohesive, less well organized, and with a lesser ability to express themselves. These family perceptions are similar to those found in American high school students who live with an alcoholic family member. Possible epidemiologic and family implications of these findings are discussed.     

On men crying: Lear's agony

King Lear vowed that because he was a man he would rather go mad or die than weep. Many adult male patients in psychoanalysis have just such an internal prohibition against crying, learned individually and often culturally encouraged, a prohibition that affects their ability to process loss, maintain intimacy, and accept vulnerability. It is suggested that the appropriate psychoanalytic role with these patients is to recognize and actively address this culturally supported prohibition. In addition, it is proposed that the prohibition against men crying may be a consequence of male envy of maternal traits and other feminine characteristics. Further, it is suggested that the developmental theory that the male child must "disidentify" with the mother memorializes a phallicism that often invokes the prohibition against crying in men and is itself mistaken.     

Orpheus and Eurydice: a creative agony

The archaic story of the Thracian musician Orpheus and his bride Eurydice is heard first as an ancient myth of marriage and death, wedding and separation. The mixture of expectation and dread in its sentiments is sounded still today in the contemporary wedding songs and funeral laments of the Mediterranean and the Balkans. Similar sequences of engagement and withdrawal, ascent and descent, change and metamorphosis are found in the adventures and vicissitudes of other mythic figures. Its premise of the soul's transmigration and its promise of psychic transformation inspired the religious ruminations and philosophic speculation of many centuries. The shifting keys in the songs of Orpheus and the cries of Eurydice score the shocking emotions of epiphanal moments, the creative 'agon', and a depth psychological passage. With its crescendos and denouements, the Orpheus/Eurydice phenomenon suggests the range of experience as one both engages reality and reaches toward meaning.     

The act of surrender in the treatment of the alcoholic

The success of A. A. in the alleviation of alcoholism has provided psychiatrists with a rich source of clinical material for a study of the religious process. The paper which follows is a discussion of one aspect of that process, namely, the act of surrender. It was prepared for a psychiatric audience; it may have some pertinence for the pastoral group since it represents at least an effort at understanding the religious life. Fully aware of its deficiencies, I offer the paper in the hope that it may seem to contain a measure of truth and be of some value to pastors in their relationships with their parishioners.This article is reprinted from Quarterly Journal of Studies on Alcohol, June, 1949 where it appeared under the title The Act of Surrender in the Therapeutic Process, by permission of author and publisher.s     

The thrill of victory and the agony of defeat: spontaneous expressions of medal winners of the 2004 Athens Olympic Games

Facial behaviors of medal winners of the judo competition at the 2004 Athens Olympic Games were coded with P. Ekman and W. V. Friesen's (1978) Facial Affect Coding System (FACS) and interpreted using their Emotion FACS dictionary. Winners' spontaneous expressions were captured immediately when they completed medal matches, when they received their medal from a dignitary, and when they posed on the podium. The 84 athletes who contributed expressions came from 35 countries. The findings strongly supported the notion that expressions occur in relation to emotionally evocative contexts in people of all cultures, that these expressions correspond to the facial expressions of emotion considered to be universal, that expressions provide information that can reliably differentiate the antecedent situations that produced them, and that expressions that occur without inhibition are different than those that occur in social and interactive settings.     

The patient in the family and the family in the patient

The notion that the family is “the unit of care” for family doctors has been enigmatic and controversial. Yet systems theory and the biopsychosocial model that results when it is imported into medicine make the family system an indispensable and important component of family medicine. The challenge, therefore, is to provide a coherent, plausible account of the role of the family in family practice. Through an extended case presentation and commentary, we elaborate two views of the family in family medicine — treating the patient in the family and treating the family in the patient — and defend both as appropriate foci for care by family doctors. The practical problem that arises when the family is introduced into health care is deciding when to concentrate on the family system. The moral problems that arise concern how extensively doctors may become involved in the personal lives of their patients and families. The patient-centered clinical method provides a strategy for handling both problems. Thus, making the family a focus of care in family medicine can be justified on theoretical, practical, and moral grounds.     

Ecstasy and agony: activation of the human amygdala in positive and negative emotion

Considerable evidence indicates that the amygdala plays a critical role in negative, aversive human emotions. Although researchers have speculated that the amygdala plays a role in positive emotion, little relevant evidence exists. We examined the neural correlates of positive and negative emotion using positron emission tomography (PET), focusing on the amygdala. Participants viewed positive and negative photographs, as well as interesting and uninteresting neutral photographs, during PET scanning. The left amygdala and ventromedial prefrontal cortex were activated during positive emotion, and bilateral amygdala activation occurred during negative emotion. High-interest, unusual photographs also elicited left-amygdala activation, a finding consistent with suggestions that the amygdala is involved in vigilance reactions to associatively ambiguous stimuli. The current results constitute the first neuroimaging evidence for a role of the amygdala in positive emotional reactions elicited by visual stimuli. Although the amygdala appears to play a more extensive role in negative emotion, it is involved in positive emotion as well.     

The ABC's of the Christian family

Conclusion The ABC's of the Christian family are affection, balance, and companionship. If firmly set upon these bases, families can truly come to know the meaning of understanding love in the spirit of Jesus. This is true, for these ABC's are basic not only to our physical families, but also to our spiritual membership in the family of God.The spirit itself beareth witness with our spirit, that we are the children of God; and if children, then heirs; heirs of God and joint-heirs with Christ; if so be that we suffer with him, that wemay be also glorified together (Romans 8:16–17).     

The agony of victory and thrill of defeat: Mixed emotional reactions to disappointing wins and relieving losses

Because of counterfactual comparisons, good outcomes that could have been better (i.e., disappointing wins) and bad outcomes that could have been worse (i.e., relieving losses) elicit relatively middling ratings on bipolar emotion scales. We conducted two experiments with gambles to examine whether such outcomes elicit neutral emotions, sequentially mixed emotions of positive and negative affect, or simultaneously mixed emotions. In Experiment 1, static unipolar measures of positive and negative affect revealed that disappointing wins and relieving losses elicit mixed emotions, rather than relatively neutral emotions. In Experiment 2, participants provided continuous unipolar measures of positive and negative affect by pressing one button whenever they felt good and another button whenever they felt bad. Results revealed that disappointing wins and relieving losses elicit positive and negative affect simultaneously, rather than in alternation.     

The agony of opportunity in negotiation: Number of negotiable issues,counterfactual thinking,and feelings of satisfaction

It has long been believed in the negotiation literature that increasing the number of issues in a negotiation is a positive feature because it increases integrative opportunities. But does this also increase negotiator satisfaction? Two studies are presented that examine this relationship between the number of issues in a negotiation and feelings of satisfaction immediately following the negotiation. Results indicate that those who negotiated the most issues felt the worse about their outcome. The proposed mechanism for this effect, that negotiators who deal with more issues generate more counterfactual thoughts imagining better possible outcomes, was tested and confirmed.     

The 1938 expulsion of the Freud family

The expulsion of the Freud family in 1938--On the basis of legal documents, the author describes the events of the years 1938-1942 pertaining to the migration of the Freud family under the pressure of the Nazi regime.