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261.
Therapists sometimes encounter cases of intense marital discord in which the disaffected spouse seems unable to specify the reason for his or her discontent except in the vaguest, most general terms. Such cases may be extraordinarily difficult to treat, as the disaffected partner may seem impervious to any attempt at negotiation, to the point of dissolution of the marriage. The reason for the disaffected spouse's intransigence may seem unclear to the other spouse, to the therapist, and even to herself/himself. We hypothesize an explanation for this phenomenon in terms of the disaffected partner's experience of having suffered humiliation at the hands of the other spouse and offer a plan for treatment, citing case materials. 相似文献
262.
Tamas Kurimay MD 《Contemporary Family Therapy》1990,12(5):381-391
The author presents how the Holocaust appears symbolically in an obsessive-compulsive neurosis in 1988 in Budapest, through the therapy of a 16-year-old boy and his family. The behavior therapy that was first applied made the symptoms even more serious, supposedly because the index patient interpreted it as pursuit. The hypothesis supposed the appearance of the Holocaust in the third generation—as a family myth—and intervention based on this hypothesis brought an end to the neurotic symptoms. The knowledge of historical processes is very important in psychotherapeutic treatment.I would like to acknowledge my debt and my appreciation to Valeria Kiss, occupational therapist, Central National Institute, Budapest, who has had a major role in creating therapy, as co-therapist. I would like to thank Beata Susansky and Gareth Dewar for helping in translation and Andras Posman for helping with the figures of the genogram. 相似文献
263.
This is an extension of a previous paper describing a conflict cycle in families and therapy consisting of four steps: (1) the dispute; (2) blaming; (3) shame, guilt, or denial; and (4) reparation, reconciliation, or retaliation. The focus is on a single case of a 15-year-old male with a gender identity disorder in addition to a conduct disorder. He is an adopted child living in a small community in the southern United States. Conflict is illustrated from several perspectives in a single interview with the family and over the length of contact over a nine-month period: (1) between the adolescent and parents, (2) between the adolescent and community, (3) between the parents, and (4) between the Good Self and the Bad Self of the adolescent. The thesis is that the conflict cycle is an organizing principle helpful to therapists working with families to make assessments and plan interventions.This paper is an expanded and edited version of a presentation by the senior author in San Diego, California, on November 12, 1988, at the Western States Conference of the American Society of Adolescent Psychiatry. 相似文献
264.
265.
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
266.
Margo G. H. Jansen 《Psychometrika》1997,62(3):393-409
In educational and psychological measurement we find the distinction between speed and power tests. Although most tests are partially speeded, the speed element is usually neglected. Here we consider a latent trait model developed by Rasch for the response time on a (set of) pure speed test(s), which is based on the assumption that the test response times are approximately gamma distributed, with known shape parameters and scale parameters depending on subject ability and test difficulty parameters. In our approach the subject parameters are treated as random variables having a common gamma distribution. From this, maximum marginal likelihood estimators are derived for the test difficulties and the parameters of the latent subject distribution. This basic model can be extended in a number of ways. Explanatory variables for the latent subject parameters and for the test parameters can be incorporated in the model. Our methods are illustrated by the analysis of a simulated and an empirical data set. 相似文献
267.
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
268.
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
269.
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
270.
In the present study, the authors tested whether an increase in salivation is associated with an increase in subjectively experienced hunger. After conditioning, subjects showed a significant increase in salivation flow. Hunger levels, however, were significantly decreased after conditioning. No correlation was found between salivation flow and hunger levels. It is argued that salivation responses and subjectively experienced hunger are loosely coupled systems. Salivation flow reflects the learning history of a subject which may sometimes be paralleled by a biological state which is called hunger, whereas, at other times, hunger may be absent. The authors conclude that conditioning of preparatory responses such as salivation depends on the probability relationship between exposure to cues (CSs) and food intake (US), as well as the intensity of the US. 相似文献