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111.
S T Levy 《Journal of the American Psychoanalytic Association》1987,35(2):447-466
The role of therapeutic strategy within psychoanalytic technique is described. An antistrategic bias inherent in certain aspects of the "classical" technique is explored in relation to the historical development of psychoanalysis. Clinical expertise, which includes the making of strategic or tactical choices, is relegated to the "unofficial," due in part to this negative bias impeding the study of technical differences in favor of general agreement about a theory of technique that may differ considerably from actual clinical work. A case is presented that illustrates strategic choices in the management of a severe character resistance in a supervised analysis. Some consequences of a negative bias against therapeutic strategy as it relates to psychoanalytic training is described. 相似文献
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Problems of mental health during combat activities are well documented in Israel (Dasberg, 1976). Much less attention has been paid to the problems of the young soldier who enters army life in Israel. This paper delineates some areas of friction and vulnerability between the worlds of the youth and the military. These encounters are systematized into groups, creating the "Binary Model." This model, based on the authors' experience as clinicians in the I.D.F. Central Mental Health Clinic, helps in locating and treating young soldiers in crisis situations. 相似文献
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Between 1984 and 1989, 129 Stage 1 and Stage 2 breast cancer patients were entered into a behavioral study in Pittsburgh. Approximately 70% of these patients had elected to have breast conservation (lumpectomy) surgery, with the remainder choosing mastectomy. Using the Profile of Mood States, a measure of perceived social support, and Karnofsky ratings of physical functional status, patients were assessed 3 to 5 days following surgery and again 3 and 15 months following surgery. The data were analyzed using a repeated-measures analysis of covariance, adjusting for aggressiveness of chemotherapy. Compared to mastectomy patients, patients who received breast conservation surgery were rated as more functional by observers, but they perceived themselves as having less energy and less emotional support, especially over the first 3 months of the recovery period. Because there is accumulating evidence that emotional support may act as a stress buffer in various populations and may have survival value, these findings may be particularly troublesome. This study shows that breast conservation surgery is not a psychosocial panacea. Patients whose breasts are spared, especially younger patients, have psychological symptoms that appear acutely worse in the short run and, in the end, are similar to those of patients who elect to have mastectomies. Therefore, patients choosing lumpectomies are not necessarily psychosocially better off than those electing to have mastectomies. Additionally, these patients, particularly younger patients, may require greater social support and potential mental health interventions than they seem to be receiving. 相似文献
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A right hemispatial field advantage on a verbal free-vision task 总被引:1,自引:0,他引:1
Within a fixed time limit for each stimulus item, right handers searched, in a top-to-bottom scan and from right to left for half the subjects and from left to right for the other half, among randomly placed and oriented words for target words that rhymed with a designated sound. A right hemispatial field advantage emerged, as well as an advantage for targets above as compared to below the horizontal meridian. A lateral X vertical location interaction showed a right-side advantage only for targets below the horizontal meridian and an upper target advantage only for targets on the left. Even though the task was presented in free vision, results were highly similar to prior findings with lateralized tachistoscopic presentation of verbal stimuli. 相似文献