Cultural and ethnic issues commonly surface as important therapeutic themes among many minority patients. Identity formation, self-concept, perception, and the effects of migration on the aetiology of psychiatric symptomatology are reviewed. Trauma resulting from migration, stress, and prolonged affect-laden situations in the precipitation and onset of physical disease and illness is discussed. A clinical presentation of a 68-year-old Nicaraguan man is presented to highlight the aforementioned issues, i.e., traumatization, the development of psychopathology, and the onset of physical illness as a result of forced migration.相似文献
The developmental course of the ability to rapidly allocate attention was studied using a dichotic listening task with 8-year old, 11-year old and college age subjects. In this task, subjects were instructed to listen to one ear for predescribed targets and then were later signaled (on some trials) to switch their attention to the other ear. Reorientation was assessed by comparing the pattern of subjects' omission and intrusion errors on trials following a command to switch ears with the pattern of errors on no-switch trials. Older subjects were better able to reallocate their attention in accordance with task demands, with the greatest gains in performance occurring between ages 8 and 11. This developmental change appears to be generally continuous and quantitative in nature. Since successful performance of this task requires flexibility in subjects' ability to control their focus of attention, these results support the hypothesis that the basis of the developmental improvement in the ability to ignore irrelevant information is linked to the ability to use active attentional strategies. 相似文献
Psychotherapy of girls between the ages of 10and 14 years presents specific difficulties which originate in the rapid physiological changes and intrapsychic demands for psychological differentiation, causing considerable anxiety and inner turmoil. The introduction of therapeutic intervention at this juncture is discussed along with its risks, benefits, limitations, possibilities, and implications for psychoanalytic theory. 相似文献
This paper is an investigation of some manifestations of autoerotism in patients with borderline personality organization. Symptoms involving somatic sensations and experiences are prominent in Kernberg's list of presumptive diagnostic elements for borderline conditions. It is postulated here that many such symptoms are autoerotic attempts to represent and resolve the difficulties around primitive aggression and associated lack of self-other differentiation that are central to borderline pathology. This is illustrated using case material from the treatment of a young woman who presented with symptoms of wristcutting and bulimia.Early versions of this paper were presented at the Eleventh Annual Symposium of the New York Center for Psychoanalytic Training in April, 1986, and the Mid-Winter Meeting of the Division of Psychoanalysis, American Psychological Association, April, 1987. 相似文献
Although there is considerable evidence that stimuli such as digits and letters are extensively processed in parallel and without capacity limitations, recent data suggest that only the features of stimuli are processed in parallel. In an attempt to reconcile this discrepancy, we used the simultaneous/successive detection paradigm with stimuli from experiments indicating parallel processing and with stimuli from experiments indicating that only features can be processed in parallel. In Experiment 1, large differences between simultaneous and successive presentations were obtained with an R target among P and Q distractors and among P and B distractors, but not with digit targets among letter distractors. As predicted by the feature integration theory of attention, false-alarm rates in the simultaneous condition were much higher than in the successive condition with the R/PQ stimuli. In Experiment 2, the possibility that attention is required for any difficult discrimination was ruled out as an explanation of the discrepancy between the digit/letter results and the R/PQ and R/PB results. Experiment 3A replicated the R/PQ and R/PB results of Experiment 1, and Experiment 3B extended these findings to a new set of stimuli. In Experiment 4, we found that large amounts of consistent practice did not generally eliminate capacity limitations. From this series of experiments we strongly conclude that the notion of capacity-free letter perception has limited generality. 相似文献
Human subjects were used in a study of auditory generalization following multiple-response discrimination training. The relations observed among stimulus intensity, response probability, and response latency were invariant with respect to whether the two vocal responses conditioned were topographically discrete, as in one experiment, or topographically continuous, as in another. The major findings were:
1. The probabilities associated with a specific response were maximal over several stimulus values at the extreme ends of the continuum, then dropped sharply at stimuli intermediate to the initial SD's as the probability of the alternative response increased.
2. Overall response latency was inversely related to the relative frequency of the two responses at each stimulus value. When the two responses were most nearly equal in probability, latencies were maximal; when one response had close to unit or zero probability, latencies were minimal.
3. Analysis of the latencies of the two responses, taken separately, revealed: (a) an increase in latency as the difference between the test stimulus and the initial SD increased; (b) a sharp discontinuity in the latency gradient and reversal in trend at intermediate stimulus intensities; and (c) at a given stimulus value, latencies associated with the stochastically dominant response were consistently shorter than those of the nondominant response.
4. No changes in response topography (fundamental frequency) were correlated with the characteristic changes in probability and latency during stimulus generalization.
This study examined the heart rate synchrony between a single couple in emotionally focused therapy (EFT) as a method of measuring coregulatory effects over the course of treatment. A clinician who is an EFT certified therapist, supervisor, and trainer administered all eight sessions in a private practice setting. Surrogate synchrony analysis assessed heart rate synchrony between partners, indicating that significant heart rate synchrony was more likely over time. Significant heart rate synchrony was more likely during sessions that focused on clients’ sharing attachment injuries, bonds, and longings with their partner compared to sessions more focused on cognitive processing of the relationship. Additionally, there were delays in heart rate synchrony that occurred between the couple, which may be indicative of the emotional processing speed of the empathic response of each partner. Understanding the physiological synchrony patterns between dyads in treatment could clarify the potential of coregulation in the therapeutic process. 相似文献
Recent research has led to increasingly sophisticated conjectures as to the roles that genetic heritage, prior experience, and environmental context play in the production and maintenance of complex behaviors. The field of evolutionary psychology was born of such conjectures (Stanley, 1895) and now serves as a niche for a growing number of researchers (Buss, 1995; Kenrick, 1994). One of the more provocative lines of experimental research to emerge from this alembic derives from the linkage of evolutionary theories of human mate selection with definitions of physical attractiveness based on somatic characteristics that simultaneously signal attractiveness and predict reproductive potential (Buss, 1989). The waist-to-hip ratio (WHR) has been purportedly demonstrated to be a robust example of just such an invariant perceptual cue (e.g., Henss, 1995; Singh, 1993a). Here, we report that judgments of attractiveness and fecundity can be either unrelated or related, positively or negatively, to the WHR depending on waist size, hip size, and weight, and are thus inconsistent with the evolutionary argument that human physical attractiveness is fundamentally a sign of mate value. 相似文献