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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   

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Destructiveness in primitive personalities is not restricted to a segment of the person as it is in the case of neurotics, but is global and pervasive. This destructiveness is meaningfully configured in a manner which cannot fully be accounted for by constitutional factors or be comprehended from the individual, intrapsychic, conflictual viewpoint of classical psychoanalysis. It follows an interpersonally meaningful pattern and therefore has adaptive significance in the contemporary life of the individual. The adaptive model I propose does not violate essential canons of psychoanalytic theory, for it can simultaneously be conceptualized in terms of intrapsychic structure and dynamics. This model holds out the possibility for a therapeutic approach to primitive personality organization which differs in some but by no means all respects from classical analysis.  相似文献   

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Considering Marcel Duchamp's work, this paper raises the question as to the nature of the subjective experience proposed by contemporary art to today's audience. Approaching art through the concept of sublimation, Freud maintains a fundamentally optimistic and positive view, putting forward its libidinal and sexual aspects, the pursuit of pleasure, beauty, and omnipotence. Following the path opened by Freud through the concept of the 'uncanny', most post-Freudian authors have proposed a 'blacker' image of artistic endeavour, allowing the expression of aggression. From a perspective which is neither that of an art historian nor a moralist, the author proposes the idea that certain propositions of contemporary art may allow the viewer to live narcissistic and destructive fantasies, via culturally sanctioned and socially acceptable means. The recognition of the fertile use of destruction as a condition of the emergence of the new, on the one hand, as well as the legitimacy of the expression through art of the most primitive fantasies and the right to non-communication, on the other, are postulated as constructs for a non-normative, non-judgemental psychoanalytic approach to the cultural world.  相似文献   

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Neonatal stress alters the hypothalamic-pituitary-adrenal (HPA) axis in rodents, such that, when these animals are exposed to stress as adults they hypersecrete corticosterone. Given that glucocorticoids are immunosuppressive, we examined the impact of maternal separation on HPA axis reactivity, natural killer (NK) cytotoxicity, and tumor growth in Fischer 344 rats following chronic restraint stress in adulthood. Pups underwent a chronic stress protocol whereby they were separated from their dams for 3 h on postnatal days 1-21. In adulthood, corticosterone responses were assessed following exposure to chronic (6 days for 10 h) restraint stress. Rats allocated to the chronic stress condition were inoculated with MADB106 tumor cells on day 4 of the restraint protocol. Blood was assessed for NK cytotoxicity on the final day of the chronic restraint protocol, and tumor colonization was assessed 3 weeks thereafter. Maternal separation impaired developmental weight gain (P < 0.05), depressed NK cytotoxicity (P < 0.05), and increased tumor colonization in the presence of chronic restraint stress in adulthood (P < 0.00 l). These findings occurred independently of circulating plasma corticosterone as only adult stress exposure potentiated corticosterone responses (P < 0.05). Our findings indicate that maternal separation and chronic stress can impair NK cytotoxicity and hence tumor immunity, but these effects are not directly mediated by perturbations in HPA axis function.  相似文献   

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One of Franz Rosenzweig's most significant ventures for Jewish renewal was the translation into German, which he initiated, of the Bible, prayerbook and religious poems. The aim of this essay is to explore the graphic design of the page that Rosenzweig selected for the printed edition of his translations. I will argue that the graphic design of the Siddur page is not just an aesthetic aspect of the translation but should be recognized as an educational and dialogic concern. Rosenzweig's preoccupation with page design is not limited to the Siddur, as the reader of The Star of Redemption will also notice his distinctive influence on the visual aspects of the text. It is expressed in the way he forms the six-pointed Star of David, the triangles which make up the star, and the way in which they appear in the book and are positioned on the page. And if the graphic depiction of the triangles is not enough, one only needs to visually experience what is described by Rosenzweig at the end of the book: the image of the star reveals the face of man.  相似文献   

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The purpose of this study was: (a) to assess and to compare anxiety and depression symptoms in mothers of preterm neonates during hospitalization in the Neonatal Intensive Care Unit, after discharge, and at the end of the infants' first year of life; and (b) to assess the child's development at 12 months of chronological corrected age (CCA). Thirty-six mothers, with no psychiatric antecedents assessed with the SCID-NP, were evaluated by STAI and BDI. The infants were assessed with Bayley-II Scales. There was a significant decrease in clinical symptoms of state-anxiety in mothers (p = .008), comparing the period during hospitalization and after discharge of the infants. Clinical symptoms of anxiety and depression were observed in 20% of the mothers at the end of the infants' first year of age. The majority of the infants exhibited normal development on Bayley-II at 12 months CCA; however, 25% of the infants displayed cognitive problems and 40% motor problems. The mothers' anxiety and depression symptoms decreased at the end of the first year of life of the pre-term infants and the children showed predominately normal development at this phase.  相似文献   

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Arditti J  Few A 《Family process》2008,47(3):303-321
This paper advances conceptualization of maternal distress following incarceration. We utilized a multiple case study methodology based on interviews with 10 mothers who demonstrated various permutations of "the triple threat" (depression, domestic violence, and substance abuse; Arditti & Few, 2006). Findings suggest that depressive symptomology persisted and worsened for mothers in our study and that maternal distress was indicative not only of women's psychological state, but also a relational and situational construct that embodied women's core experience. Maternal distress was largely characterized by health challenges, dysfunctional intimate relationships, loss related trauma, guilt and worry over children, and economic inadequacy. Further, maternal distress seemed to be intensified by the punitive traumatic context of prison and lessened by rehabilitation opportunities as well as support by kin and probation officers after reentry. Recommendations for clinicians and professionals who work with reentry mothers center around the need to alleviate maternal distress and better address women's emotional and physical health needs during incarceration and reentry.  相似文献   

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This paper examines Franz Boas as an aspiring professional geographer during the 1880s: his Baffin Land research, his publications, his participation in geography organizations, and his struggle to attain a university appointment in geography. Frustrated by a seeming lack of opportunity for advancement in Germany, Boas explored career opportunities as a geographer in America and launched a series of unsuccessful but meaningful attempts to dominate the intellectual direction of American geography. Finally, the article reviews the circumstances surrounding Boas's appointment as an anthropologist at Clark University in 1889. Through examining Boas's own words and actions, the paper demonstrates that his professional identification with geography was lengthier and stronger than earlier accounts have suggested. It also critiques the myth of a Baffin Land "conversion" to anthropology, and delineates the circumstances of his shift from German human geography to his Americanist recasting of anthropology after 1889.  相似文献   

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