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251.
Donald S. Shepard PhD Deborah Gurewich PhD Aung K. Lwin MBBS MS Gerald A. Reed PhD MSW Jr Morton M. Silverman MD 《Suicide & life-threatening behavior》2016,46(3):352-362
The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients. 相似文献
252.
Courage is a virtue which has been held in highest regard by all societies. In an age in which courage and its companions, human dignity and commitment, seem sadly lacking, it is imperative that we reacquaint ourselves with the implications of these attributes. In this paper we demonstrate the integral relationship between courage and intimacy and the importance of the concept of therapeutic caring to their development. We also introduce the theory of the double in which the self, in the act of intimacy, seeks to come together with its contradictory and disavowed attributes. These concepts are related to a psychotherapeutic paradigm in which we examine the requirements courage, intimacy, and caring impose upon practitioner and client.Paper presented at the 25th winter meeting of The American Academy of Psychoanalysis, New York City, December, 1981. 相似文献
253.
Joseph H. Berke MD 《Journal of Contemporary Psychotherapy》1981,12(2):75-87
The case of Peter and Susan is an example of multiple crisis intervention at the Arbours Crisis Centre in London. Both were treated by psychoanalytic psychotherapy together with intensive interpersonal support in a live-in therapeutic milieu, with successful results.An extended discussion about the work of the Arbours Association in London will be published by Human Sciences Press as a chapter entitled, An Alternative Sanctuary: The Arbours Crisis Centre, in the forthcoming book,Healing Human Systems, edited by U. Reuveni and R. & J. Speck. For further information about the Centre write to: The Arbours Association, 41a Western Park, London N.8. 相似文献
254.
Mordecai Kaffman MD Esther Elizur PhD Sheryl Shoham MA Nina Gilead-Roelofs MA Leah Shefatya MA 《Contemporary Family Therapy》1992,14(1):51-74
This article is part of a comprehensive research project in which the central characteristics of the process of divorce in the kibbutz were examined. It appears that the framework of the kibbutz, free as it is from socio-economic pressures and boundary factors not directly connected with the marital relationship as such, provides an excellent and perhaps unique opportunity to investigate the pure emotional effects of the marital breakup. 相似文献
255.
Melvin R. Lansky MD 《Contemporary Family Therapy》1991,13(1):17-31
The paper outlines an expansion of object relations theory to account for fragmentation and shame. This expansion promotes a better psychodynamic perspective on the type of marital conflict escalation that occurs when each spouse turns to the other for empathic receptiveness while that other is also in a disorganized and vulnerable state of mind. Escalation occurs when spouses have different needs for safety and optimum distance and when the shame generated by continued exposure of these needs is not acknowledged. Clinical precepts promoting a focus on fragmentation and acknowledgement of shame are elaborated. 相似文献
256.
257.
Roy M. Poses MD Wally R. Smith Brian P. Schmitt Donna Alexander-Forti Randall D. Cebul Robert S. Wigton 《Motivation and emotion》1995,19(3):193-203
Several studies have shown differences in the rates at which women and men receive treatment for several common medical problems, especially heart disease. The reason for these differences and the extent to which men and women receive different treatments for other problems is unclear. The purpose of the current study was to determine whether there are differences in the rates men and women receive antibiotic therapy for pharyngitis (sore throat), whether these differences are related to differences in disease severity or comorbidity across the sexes, and whether these differences could be due to prejudice against women by male clinicians. This was a retrospective analysis of data at two university student health services in Pennsylvania and Nebraska. Male clinicians did not prescribe antibiotics at significantly different rates for male and female patients, but female clinicians prescribed antibiotics more frequently for their male patients.The original data collection was supported in part by a grant from the National Library of Medicine, LM-04321.Presented in part at the Annual Meeting of the Society for Medical Decision Making, Portland, Oregon, October, 1992, and at the Third Primary Care Research Conference, Atlanta, Georgia, 1993.We thank Jane Kreisberg and Linda Rizjis for coordination of the collection of the original data, Linda Gray for help with data entry, and Cheryl Kull and Mary Martino for secretarial support. We are grateful to all the physicians who participated in the original study. 相似文献
258.
Paul V. Trad MD 《Contemporary Family Therapy》1994,16(6):463-487
This paper discusses the application of principles of infant psychiatry to the diagnosis and treatment of multigenerational family conflict. Using a technique referred to as previewing, the therapist can focus on the interpersonal meaning that the infant's development precipitates in the family and determine how the parents' relationships with the infant replicate their relationships with their own families of origin. The therapist may then use these insights for overcoming conflict and for acclimating parents to new developmental skills in an optimal manner. Specific suggestions for how parents may promote more adaptive patterns of interaction with the infant using previewing are offered. 相似文献
259.
Ilya Lazaroff MD Raphael Shimshoni MD 《Integrative psychological & behavioral science》2000,35(3):189-198
Stress medicine has shown that emotional disharmony can be a substantial factor for skin diseases. The harmonisation of the emotional status and a corresponding reduction of stress hormones by the Medical Resonance Therapy Music® (MRT-Music) as shown in other studies (1,2,3,4) inspired us to investigate its benefits for patients with psoriasis vulgaris and neurodermatitis (neurodermatitis constitutionalis atopica). Over a period of 14 days we measured the parameters of blood pressure, heart rate, stimulus to scratch and the degree of sickness in two, respectively four groups of 68 patients in total: two experimental groups (psoriasis/neurodermatitis) and two control gropus. All patients received the normal treatment of our hospital, the experimental groups were additionally treated with 3 × 30 minutes of MTR-Music per day, while the controls were asked to somehow relax during this time. In the experimental groups the measurements showed to somehow relax during this time. In the experimental groups the measurements showed a reduction of blood pressure and heart rate and revealed an enhanced reduction of the stimulus to scratch and an enhanced reduction in the degree of sickness. Interestingly the effects of MRT-Music were stronger with the psoriasis patients than with the neurodermatitis patients. The results of this pilot study convinced us to offer the treatment with the Medical Resonance Therapy Music to all our patients. 相似文献
260.
Koen Luyckx Bart Soenens Maarten Vansteenkiste Luc Goossens Michael D Berzonsky 《Journal of family psychology》2007,21(3):546-550
Longitudinal data were used to evaluate whether parental psychological control would have a negative impact on identity formation. Perceived psychological control and 4 identity dimensions (i.e., commitment making, exploration in breadth, identification with commitment, and exploration in depth) were assessed 5 times in a college sample. Associations between psychological control and identity (i.e., negative associations with both commitment dimensions and a positive association with exploration in breadth) were stable across time. Further, the developmental pathways of these constructs appeared to be correlated: Increases in psychological control were associated with simultaneous decreases in both commitment dimensions. Finally, reciprocal effects were found: Psychological control inhibited progress in both commitment dimensions, whereas exploration in breadth led to increased psychological control. The authors have provided suggestions for helping emerging adults to approach the task of identity formation. 相似文献