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Based on Freud's remark that a neurosis can not be slain in absentia, the thesis is established that presence moments constitute the central points in the analytic process. The interpenetrative dynamics between analyst and analysand creates an analytical field, in which a pre‐conception is formed. This pre‐conception meets the self‐revealing psychic world of the patient. This realization is a moment of presence (O) and the analytic third is determined. In this moment, the presence of psychic reality is irrefutable present and can be called by name. The name, which is seen as a presentational symbol, is a creation of the analytic couple, but has its source in the genetic roots of the patient. The presentational arises from the presence, which can then become the representation. F is central in this process and is part of the analytic couple. Based on detailed case material of a narcissistic disorder it is shown that a dynamic that impresses at first narcissistic, can be understood from a different point of view as a struggle for the analytical attitude and belief (F).  相似文献   

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The stability of the F2-(Al-Pd-Mn) phase has been studied by in-situ neutron diffraction on a single quasicrystal with composition Al69.8Pd21.4Mn8.8. We find that the F2 phase is not stable and corresponds to a transient state in the process of the transformation of the icosahedral phase to the F2M phase. The icosahedral-to-F2Mphase transition occurs at around 715oC. In the F2 phase a large amount of diffuse scattering is located close to the icosahedral Bragg reflection in place of the S 1 superstructure reflections characteristic of the F2m phase.  相似文献   

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This paper summarizes and expands research on cognitive aging from the Berlin Aging Study (BASE), a longitudinal, multidisciplinary, and population-based investigation of old and very old individuals. First, we describe previously reported research on five key themes: (a) experimental and mortality-associated components of longitudinal selectivity; (b) comparisons between cross-sectional and cross-sectional/longitudinal convergence age gradients; (c) old-age dedifferentiation of inter-individual differences; (d) possible reasons for the age-based increase in the link between intellectual and sensory domains; and (e) limits to cognitive plasticity in very old age. Second, we make use of multilevel modeling to determine the magnitude and direction of retest effects. Retest effects are classified as either flat (step function from the first to the second measurement occasion) or growing (linear increase after the first measurement occasion). Five of the eight longitudinally administered cognitive tests are found to display significant retest effects of either or both types. Retest adjustment increased the linear negative and decreased the quadratic negative component of cross-sectional/longitudinal convergence gradients in measures of intellectual abilities.  相似文献   

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Implantable cardioverter-defibrillators (ICDs) are the treatment of choice for patients at risk for potentially life threatening arrhythmias. The associated stress of living with an implanted device and receiving ICD shock therapy has been noted to exert a psychological toll on the individual patient and family. Anxious and depressive symptomatology is frequently reported by these patients, thus creating a demand for tailored psychological interventions for this population. The current case report describes the components, delivery, and effectiveness of a targeted treatment approach for anxiety and depression in an individual with an ICD. Test results and interview data revealed significant improvements in multiple domains of cognitive, emotional, and behavioral functioning. Improvements in marital relations were also achieved. These treatment effects were maintained at follow-up and in the context of acute, medical stressors. Future clinical and research directions are also discussed.  相似文献   

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