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11.
The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals. 相似文献
12.
S. Robert Moradi MD 《Contemporary Family Therapy》1994,16(5):363-379
The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child. 相似文献
13.
Gisela Rose MD Tatjana Sivik Natasha Delimar 《Integrative psychological & behavioral science》1994,29(4):423-430
The purpose of this study is to determine associations between cardiovascular risk factors and subjective experience of psychological general well-being with special reference to gender-related differences. One hundred fifty white-collar workers in a car manufacturing plant in Sweden participated in a health care screening program. Subjective experience of psychological well-being was significantly correlated with cardiovascular risk factors among both men and women. There were, however, marked differences between the genders. For men, the following specific psychological variables were significantly correlated with cardiovascular risk factors: estimation of general health, anxiety, self-control and vitality. For women, more complex significant relationships between the two sets of variables were found. Moreover, the direction of the correlations differed between the genders. For example, men with cardiovascular risk factors, such as increased blood pressure, blood lipids and body mass index, reported significantly morepositive estimation of their general health. For women the relation was the opposite with a significantly positive correlation (p-0.004) between experience of good health and a low risk factor profile indicating the concordance between physiological and psychological parameters. Possible reasons for these sex differences are discussed. 相似文献
14.
James S. Howard MD 《Integrative psychological & behavioral science》1996,31(2):148-154
In this article a brief overview of the treatment of chronic psychosis for the last two centuries is covered, with particular emphasis on many scientifically demonstrated causes of chronic organic psychosis and their medically successful treatment, including recent neurotransmitter manipulations. With respect for the important contributions of Bleuler, the term “schizophrenic” is considered as an unscientific and unprovable nosological construct, which has hampered the successful resolution of chronic psychosis and has outlived its usefulness in the lexicon of modern psychiatry. 相似文献
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John W Callaway Stephen Nowicki Marshall P Duke 《Journal of research in personality》1980,14(1):27-39
Subsequent to success or failure experience, 48 subjects attempted a psychomotor task in order to escape or avoid an aversive stimulus (tone). Their attempts at solving the task over 24 trials were made in the presence of subject-experimenters each of whom had expectancies instilled regarding the solution to the task. The job of the subject-experimenters was to “offer information” on every third trials as the subjects attempted to solve the task. It was hypothesized that the expectancies of the subject-experimenters would be communicated to the subjects via periodic comments, that these expectancies would differentially affect the subjects' performance on the task, and that prior experience on a similar task would differentially affect subjects' performances on the task. The results demonstrated that the expectancies instilled in the subject-experimenters were communicated and influenced the performances of subjects as predicted. It appears that consistency with respect to the expectancies communicated played a major role in producing significant effects. Prior experience failed to produce significant differences on task performance, a finding conflicting with that of D.S. Hiroto (Journal of Experimental Psychology, 1974, 102, 187–193). The results are discussed from the perspective of using the overt, explicit communication of expectancies as a means for exploring the illusive phenomenon of the experimenter expectancy effect. 相似文献
19.
Edward L. Pinney Jr. MD 《Group》1979,3(1):55-59
Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also. 相似文献