眼外肌Pulley研究进展及分析

随着影像学、形态学、计算机等多学科在眼科的应用,眼外肌Pulley得以被发现并被应用于临床研究.眼外肌Pulley的应用使临床眼球运动Listing法则,前庭眼反射及双眼集合运动理论得到了较为全面的解释.在众多学科的研究基础上,眼外肌Pulley对某些复杂斜视的发病机制有了新的解释并对其临床治疗提供了新的手术方法.     

手术治疗Duane眼球后退综合征的临床分析

探讨Duane眼球后退综合征(DRS)的临床特征,鉴别诊断以及手术治疗的方法和效果.对自2003年～2010年16例因DRS行手术治疗的患者资料进行回顾性总结和分析,观察项目包括患者的性别和年龄、DRS类型和临床表现、手术治疗方式和效果.16例患者中,男7例,女9例.左眼受累11例,右眼受累5例,左眼易患病.Ⅰ型10例;Ⅱ型2例;Ⅲ型4例.12例患者合并内转眼急速上转和(或)下转现象,多为DRS外斜视者.全部16例患者均行单眼内直肌和(或)外直肌后徙术或双眼内直肌后徙术,其中有2例行上直肌后徙术,4例行下斜肌切断术,术后均取得满意效果.典型的DRS诊断并不困难,不同类型DRS的临床表现不同,内转眼上、下转现象多见于DRS外斜视者,详细的术前检查和合理的手术方案设计对眼球后退综合征的治疗具有重要意义.     

斜视伴内眦赘皮矫正手术的思辨性研究

斜视伴内眦赘皮是临床上常见的美容及眼位矫治受术者表型特征,其手术设计及实施过程中的辩证思维不仅对手术的预后起到重要影响,对于能否达到受术者对手术的要求和术后恢复具有重要意义.本文主要从手术方案的设计、手术实施过程中的辩证思维及手术后人文关怀讨论辩证思维的应用.     

浅谈颈椎后纵韧带骨化症的手术治疗

摘要：颈椎后纵韧带骨化（OPLL）是一种由于后纵韧带异位骨化导致脊髓和神经根受压而产生的疾病,其病因尚未明确。手术治疗是一种有效的治疗手段,但是手术时机的选择仍充满争议。手术方法根据手术入路可分为颈前路、颈后路和前后路联合入路手术。内固定及融合方式也很多,即使同样的手术入路,也有多种不同的内固定及融合方式可供选择。不同的手术方法有不同的适应证和优缺点。本文就颈椎后纵韧带骨化症的手术治疗进行综述。     

颅内动脉瘤治疗方案的比较

手术和血管内介入是目前临床上治疗颅内动脉瘤的有效方法,针对两者的优缺点,从治疗方式、疗效、费用等方面进行比较,为临床治疗思路提供借鉴。     

动态直视更吸引注意：来自稳态视觉诱发电位的证据

研究采用EEG技术,以ssVEP为指标,通过3个实验对直视是否比斜视更吸引注意及其影响因素进行了深入探讨。结果显示：仅在面孔直立条件下,斜视转直视诱发的ssVEP信噪比显著高于直视转斜视,且在注视方向静态呈现以及动态变化幅度减小的情况下直视与斜视在ssVEP信噪比上的差异消失。结论：直视更吸引注意,且直视在注意吸引上的优势主要跟其表达的社会信息相关,而非特征信息;注视方向呈现方式和动态变化幅度可能是直视捕获注意的关键因素。     

颅内动脉瘤治疗方案的比较

手术和血管内介入是目前临床上治疗颅内动脉瘤的有效方法,针对两者的优缺点,从治疗方式、疗效、费用等方面进行比较,为临床治疗思路提供借鉴.     

自内障手术治疗的发展与思考

白内障是常见的致盲眼病之一,目前治疗白内障唯一有效的方法是通过手术摘除混浊的晶状体并植入人工晶状体。随着白内障摘除手术技术的提高和仪器设备的不断更新,手术理念已由原来的白内障复明手术逐渐向白内障屈光手术转变,手术目的已不单纯局限在复明,而是旨在恢复更合乎生理状况的视觉功能。随着科学技术的发展,白内障手术技术的日趋成熟,人们关注的重点也逐渐从手术效果、术后视力的恢复,过渡到手术过程中患者的舒适程度、满意程度上来。使得白内障的手术治疗过程更具有人性化的特点,体现了当代医疗对患者的人文关怀。     

血管紧张素转换酶抑制剂与心肌缺血再灌注的细胞凋亡

随着心脏外科手术和介入治疗技术的进展以及心肌缺血患者的增加,心肌缺血再灌注损伤成为临床工作一种常见的病理生理过程。如何采用有效的治疗手段进行心肌保护,防治或降低缺血再灌注所造成的损伤,一直是心脏科学探索的一个重要课题。血管紧张素转化酶抑制剂对很多心脏疾病的治疗特别是拟行心脏手术患者的治疗都取得了良好的效果。随着对其研究的进展,其预处理可为临床预防治疗心肌缺血再灌注损伤提供思路与方法。     

Rathke囊肿的诊断和治疗

为了分析和讨论Rathke囊肿的诊断和治疗,我们回顾性分析45例经病理证实的Rathke囊肿病例,其中38例采用经鼻蝶窦入路显微外科手术,7例采用开颅手术。结果显示,术前明确诊断5例,术后患者症状均有不同程度的缓解或改善。因此,经鼻蝶窦入路显微外科手术是治疗Rathke囊肿的有效方法。     

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.