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1.
The author explores the relationship between spirituality and religion and human growth and development, specifically examining emotional well-being during adulthood. Dimensions of spirituality to be explored are meaning in life, a transcendent purpose, intrinsic values, and spiritual community. The argument is made that spirituality is related to emotional well-being during adulthood. Implications for further research and relevant information for counselors, psychologists, and educators are included.  相似文献   

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This paper discusses contraindications to psychoanalysis and psychoanalytic training. From Freud onwards, there has been a clear understanding that not all patients are helped by psychoanalysis, but there has been considerable controversy as to who might benefit from treatment, and whether this depends on the diagnosis, the personality or the rather vague concept of “analysability\". Increasing emphasis has been placed on the analyst-patient relationship and its characteristics, without this clearly solving the dilemma. Moreover, while psychoanalysis was previously perceived rather uniformly in its classical version, treating mainly neurotics, increasing differentiation between psychoanalytic schools has appeared in the last fifty years, which would seem to give grounds for a widening of indications. This development has increased the need for rational criteria for indications and contraindications. In this article, research findings relating to outcome and process and the therapeutic relationship will be examined in parallel with clinical experience. As the therapeutic relationship is probably decisive for the outcome of the treatment, scrutiny of who is suited to be a psychoanalyst should have been an important focus of research. This has not been the case. Available research on this issue and the experiences of practitioners in the evaluation of candidates will be discussed in the following.  相似文献   

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Utilizing audio-recorded psychoanalytic interviews of both patients and their analysts, group discussions of these interviews, and the application of questionnaires commonly used in psychotherapy research, the authors investigate the potential use of the Leuzinger-Bohleber methodology as an objective evaluative instrument to assess the quality of psychoanalytic treatment. Preliminary study results were obtained through interviews conducted with seven analysts and their respective patients, three of whom were treated with psychoanalysis (three or more sessions per week, for a duration of no less than one year) and four with psychotherapy (one or two sessions per week, for a duration of no less than one year). Patients were found to be eager to participate, and no adverse experiences were reported by analysts, patients or the research team. In addition to the interviews, further data were obtained through review of mailed-in questionnaires completed by 21 patients. The authors present both preliminary observations regarding the methodology as a whole, as well as the detailed results of one specifi c case subject treated with psychotherapy. Review of study fi ndings supports the utilization of this methodology as an evaluative instrument which may ultimately advance current knowledge of the process and outcome of psychoanalytic treatment.  相似文献   

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This article articulates a number of qualities that characterize a cocreative approach to counseling. Informed by his work with Graeme Summers in transactional analysis, the author reviews the literature on cocreativity in counseling and psychotherapy in both humanistic and psychoanalytic/psychodynamic traditions. Despite their somewhat separate development, the ideas within these 2 traditions together contribute to the elaboration and understanding of cocreative therapeutic relating.  相似文献   

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In the present study, an attempt was made to investigate the role of personality and personal values in the curriculum choice. Four hundred students (200 males and 200 females) ranging in age between 18- and 25-years-old participated in the study. Eysenck Personality Questionnaire – Revised (EPQ-R) and The Aspiration Index (AI) were used to measure the personality traits and personal values respectively. Regression analyses indicate that individuals scoring high on extraversion and having high intrinsic value orientation (Importance) are more likely to choose arts/humanities (A/H) academic discipline. While individuals with high scores on psychoticism, neuroticism and having extrinsic value orientation (Importance) tend to opt for business/technical (B/T) academic stream. Findings are explained in terms of the Self-determination theory and the changing choices leading to the possible shift in the value system. Gender differences in personality and values; and their impact on academic choice have also been studied. Extraversion plays the strongest role in the choice of A/H academic choice irrespective of gender. Females are guided by intrinsic values while choosing A/H streams while males are influenced by extrinsic values while opting for B/T streams.  相似文献   

7.
The author describes a reformulation for research purposes of a supportive psychoanalytic therapy for patients with borderline personality disorder. The major influences on the thinking that led to the modification of prior formulations and the historical background of treatment manuals are described. Supportive treatment is contrasted with transference-focused psychotherapy and dialectic behavior therapy in the interest of creating a clear comparison that lends itself to empirical study.  相似文献   

8.
This paper reviews attempts by three authors to describe psychoanalytic conceptualizations and treatment of torture victims. It argues that because the transference-countertransference configuration with immigrants who have not suffered torture is very similar to that of torture survivors, that no special diagnostic categories, theories, or treatment methods are needed to work with torture survivors. Second, the paper contends that newer psychoanalytic paradigms such as Hoffman's Social Constructivism may assist clinicians to capture the richness and complexity of clinical work with torture survivors better than do traditional analytic conceptions such as neutrality. Via an analysis of the three papers in this volume, I conclude with a consideration of the strengths and the weaknesses of the field of cross-cultural psychotherapy in general.  相似文献   

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Metacognition and motivation are considered key facets of self-regulation in various contexts. Recent studies identified a link between metacognition and creative performance, with metacognitively aware students performing more creatively and exhibiting higher levels of intrinsic and identified extrinsic motivation. The present study aims to examine the relationship between metacognition, orientation toward intrinsic or extrinsic motivation, and creative performance. One hundred nineteen university students completed the Metacognitive Awareness Inventory (MAI) and Scale of Intrinsic versus Extrinsic Orientation in the Classroom and performed four verbal creativity tasks (product improvement task, consequences task, and two unusual uses tasks). The partial correlation network showed that all the creativity tasks were uniquely related to at least one facet of metacognition, and that the most complex task (product improvement task) was linked to both metacognitive knowledge and regulation. Furthermore, the structural equation model indicated that orientation toward intrinsic motivation mediated the relationship between metacognition and creative performance, explaining 16% of the variance in creative performance.  相似文献   

10.
Objectives: This systematic review aimed to critically appraise the literature on the efficacy and effectiveness of psychoanalysis, psychoanalytic and psychodynamic psychotherapy in adults with intellectual and developmental disabilities (IDD). Method: A systematic search of electronic databases was carried out. The methodological quality of the studies was assessed using a quality assessment tool and comparisons were made with a review of the quality of research on the effectiveness of cognitive behavioural therapy (CBT) for people with IDD. Results: The search yielded 13 papers which provided evidence for the effectiveness but not efficacy of psychoanalytic and psychodynamic psychotherapy; but none were found for psychoanalysis. The quality of the research was generally poor compared to the current research on the effectiveness of CBT. Conclusions: Positive outcomes have been indicated for psychoanalytic and psychodynamic psychotherapy with people with IDD. Larger scale, more controlled research is necessary to advance the evidence base.  相似文献   

11.
The group-analytic approach, which emphasises the individual in a network of group relationships, is described with reference to the subject of sexual abuse in childhood. Three different National Health Service psychotherapy groups run by the author provide contrasting examples of how the theme, originating in an individual participant, was manifested in the dynamics of the group-as-a-whole. The therapeutic significance to the individual and the group is explored.  相似文献   

12.
Two seemingly unrelated characteristics of psychoanalytic couple psychotherapy may be better understood when juxtaposed. First, countertransference in psychoanalytic couple psychotherapy holds particularly strong intensity. Second, format decisions are central to couple psychotherapy. The use of conjoint and concurrent formats, or variations thereof, has been key in the historical development of couple psychotherapy and remains an area of much debate. Some couple psychotherapists use the format of couple psychotherapy flexibly, using variations of conjoint or concurrent couple psychotherapy, while others adhere strictly to working conjointly. Decisions regarding whether to undertake concurrent or conjoint therapy are not generally linked to countertransference; this article demonstrates that reading decisions regarding format through consideration of countertransference offers a needed perspective for the therapist. Case studies published by psychoanalytic couple therapists are analysed through this prism to demonstrate that changing the format may serve to dilute countertransference. One particular manifestation of countertransference, linked to oedipal dynamics, is explored: countertransferential intensity for couple psychotherapists potentially relates to being faced with their internal parental couple and their unresolved Oedipal strivings. Possible unconscious motivations to change the format of couple psychotherapy need to be carefully considered, as format changes may mask an avoidance of bearing the countertransference.  相似文献   

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That if real success is to attend the effort to bring a man to a definite position, one must first of all take pains to find him where he is and begin there. This is the secret of the art of helping others (Kierkegaard [] 1962, p.?27)

The aim of this study is to explore the importance, to the therapeutic process, of the relation between the patient's and the therapist's problem formulations and private theories of pathogenesis and cure. Four cases of young adults in psychoanalytic psychotherapy were compared, two with unequivocally positive and two with more ambiguous outcome at termination. The patients and therapists were interviewed about their private theories initially and at termination of therapy, and a qualitative comparison was made between the cases. In the two more successful cases the therapists had early in therapy perceived obstacles for the therapeutic work in the patients' ways of thinking, feeling, and relating, and made interpretative interventions focusing on these. This was not observed in the less successful cases. In the more successful cases the patient's and the therapist's private theories were more similar at termination than initially, whereas the opposite development was found in the less successful cases. One hypotheses generated is that the therapeutic process can be facilitated by a therapist listening to the patient's private theories, making interpretative interventions focusing on obstacles to the therapeutic work, including contradictions between their private theories, and monitoring the patient's reactions to these interventions.  相似文献   

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Various factors could play a role in a patient's decision to leave treatment. This study asks whether patients who leave treatment before one year are different from those who stay beyond a year in open‐ended psychoanalytic psychotherapy, using a variety of experiential measures. Our data indicate that the personality trait of “openness” assessed at intake, correlates with staying in therapy, and that relationship factors as assessed by the patients during therapy correlate with staying in therapy at the beginning, at the average point of dropping out (before one year – average 31 weeks), and at the end of the study. These results indicate that the failure to engage in the therapeutic relationship is a salient factor in the phenomena of leaving before one year. Significant reductions in physical symptoms and other positive trends toward improvement do not emerge until such therapeutic engagement has occurred. We conclude that the personality trait of “openness,” and the quality of the therapeutic relationship significantly influence who will stay in open‐ended psychoanalytic psychotherapy and who will go. Those who stay in psychoanalytic psychotherapy beyond one year benefit more from the experience than those who leave. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   

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This paper presents the impact of clinical supervision on once-weekly psychoanalytically-informed training psychotherapy. The development of Oedipus complex theory is presented, culminating in Britton's work on the triangular space that opens up by working through the complex. The geometry of psychic space is described to highlight the importance of supervision, especially when training in therapy. The theme of spiders and cobwebs emerging from the clinical material provides a powerful metaphor for the tensions in psychic space. In the course of this training, the trainee therapist was at times less able to benefit fully from supervision, and thus the third position partially collapsed. Vignettes from anonymised clinical work are presented in the three ‘phases’ of this therapeutic process, illustrating the impact of the presence – and relative absence – of supervision.  相似文献   

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This article is a review of the international scientific literature on informed consent and its use in some of the constituent organizations of the International Psychoanalytical Association (IPA). Because psychoanalysis comprises a theory based on practice, the dearth of clinical material for study, training and research purposes is a serious problem for analysts. Supervisions, presentations at scientific societies and congresses, publications and teaching material involve patients to an extent that goes beyond the work done in their sessions. Should consent be requested in these cases? This contribution addresses controversial and long‐standing issues such as informed consent and confidentiality, audio recording of treatments, knowledge production, the ambivalence of participating subjects over time and the perspective of analysts and patients respectively. The authors consider the various alternative approaches available for the handling of these ethical dilemmas without losing sight of the patient’s dignity and personal rights, while also taking account of the position of the analyst.  相似文献   

17.
A four-week experimental study (N?=?113) examined the effects of reflecting on intrinsic values. In the experimental group, participants learned about the distinction between intrinsic (e.g. having close relationships) and extrinsic (e.g. being popular) values, wrote about two personal intrinsic values, and then reflected on these values weekly for four weeks. In the control group, participants completed parallel exercises related to the daily details of their lives. Results revealed that participants in the intrinsic values group experienced greater well-being immediately following the written reflection than participants in the control group. Four weeks later, the more engaged participants felt in the reflection exercises, the more they prioritized intrinsic over extrinsic values and the greater their well-being. These effects occurred only for participants in the intrinsic values condition. The implications for changing value priorities and improving well-being are discussed.  相似文献   

18.
内外部线索对学习判断的影响   总被引:5,自引:0,他引:5       下载免费PDF全文
陈功香  傅小兰 《心理学报》2003,35(2):172-177
该研究针对Koriat和Dunlosky实验研究结果的不同,通过两个实验,进一步考察内外部线索对学习判断(judgment of learning,简称为JOL)的影响。被试为山东师大本科生63名。内部线索词对的语义联系,两种外部线索分别是呈现时间和呈现顺序。本研究结果表明:(1)无论在交替呈现还是区组呈现条件下,内部线索对JOL和回忆都产生了显著影响;(2)呈现顺序和呈现时间可能是两种不同类型的外部线索;(3)不同的内外部线索对JOL有不同的交互作用;(4)实验二中无意义词对先呈现组的JOL大于有意义词对先呈现组的JOL,这说明JOL可能存在“锚定效应”。  相似文献   

19.
长期以来,肿瘤学的几乎所有研究一直在关注肿瘤细胞本身,从哲学角度看这无疑是正确的。肿瘤细胞是肿瘤事件发生发展的内因。近年研究表明,肿瘤的外因,即肿瘤微环境中的非肿瘤细胞及其产物,对肿瘤的发生发展起着十分重要的作用。肿瘤微环境的外因,通过作用于内因选择了更具抵抗性的肿瘤细胞,促进了肿瘤的进展与转移。因此,重视肿瘤微环境的外因研究,对肿瘤治疗学将会开辟以外因为靶点干预的新思路。  相似文献   

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ABSTRACT

The present study examined the relationship between religiosity and competitive anxiety in college athletes and whether there were differences in competitive anxiety for intrinsically religious and extrinsically religious individuals. College athletes (N?=?95) from three separate sports from the NCAA completed a questionnaire that included the Age-Universal I/E Scale, the Competitive State Anxiety Inventory-2 Revised, open-ended questions on habits related to religion, and demographic items. Results revealed no significant relationship between intrinsic and extrinsic religiosity and competitive anxiety. Extrinsically religious athletes had higher somatic anxiety than intrinsically religious athletes. The majority of participants (77%) reported praying before games primarily for comfort. Athletes turn to religion to calm their nerves but it is important to understand that their approach to religion may relate to increased anxiety. This information is useful for sport practitioners and coaches as they seek to help their athletes seek an intrinsic approach to religion in sport.  相似文献   

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