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151.
Learning to be possessed has been described elsewhere by the writer as a form of pathogenic relating begun when children are taught by adults that they will receive a lesser penalty for misbehavior if they can show they were not responsible, such as if it were caused by an evil agent or the Devil. It was suggested that learning to be possessed can be an underlying cause of psychopathology, the delusion of persecution in particular. Two short stories by the distinguished American writer Edgar Allan Poe are examined to develop the formulation of learning to be possessed, especially when it has passed to a delusion of persecution. Two propositions are offered: (1) Where it appears that a family member is murdered by a delusional assailant by accident, it is not an accident; and (2) the delusion of persecution entails a memory loss so that the murderer not only can claim lack of personal responsibility for the act, but also spares himself the guilt of having broken a fundamental taboo. Further comparison is made between learning to be possessed as a cause of delusion, and the psychoanalytic theory in which the defense mechanism of projection is central. In the latter theory, interpretation of the delusion is critical; whereas in the former, interpretation is counterproductive because it merely reinforces the delusion.Probably a note of appreciation is due the writer's daughter Cary, who at age 14 is an expert at badgering her father for help with homework assignments. For several weeks the writer was alternatively pestered and cajoled to help Cary with her Poe Project for high school English which required an essay analyzing the work of a great American writer denigrated by the author as weird by his recollection formed decades earlier. Cary's persistence required the author to consider Poe anew, to recognize his unwarranted earlier prejudice, and to recognize that Poe offered him a gift of understanding regarding a topic about which the author had been thinking for several years, namely that form of pathogenic relating named learning to be possessed.  相似文献   
152.
153.
This article offers an invitation to develop one's own unique clinical style, relying less on institutionalized schools of therapy and more on the therapist's own natural resources. An emphasis is placed upon understanding therapy as art, trusting one's imagination, and maintaining a healthy irreverence for professional politics.  相似文献   
154.
A new approach is described for the development and structure of perceptual knowledge-based systems. This systematic method for acquiring perceptual knowledge for use in knowledge-based systems and for representing perceptual knowledge within the systems has revealed that two broad classes of perceptual activity can each be characterized by a single logical operator. The number of rules necessary to accomplish particular perceptual tasks can also be estimated.  相似文献   
155.
156.
The present paper is a commentary on an article by Drew Leder [1]. Leder identifies a series of texts in the clinical encounter, emphasizes the central role of interpretation in making sense of each of these texts, and articulates ordering principles to guide the interpretive work.The metaphor of clinical work as textual explication, however, creates the expectation that there is a text somewhere to be found. Such an expectation invites doctors and patients to search for the text and runs the risk of conceptualizing patients as more static than they are. If one is to use the textual metaphor, one must appreciate the radical extent to which the clinical encounter is a mutually produced and shifting entity. The qualities of mutuality and indeterminacy are not those one usually associates with texts. One might ultimately be better served by a different metaphor based more directly on uncertainty.  相似文献   
157.
We find three factors to be associated with use of cost-benefit rules in everyday decisions. These are effectiveness in achieving desirable life outcomes, intelligence, and training in economics. We argue that these empirical findings support the claim that cost-benefit reasoning is normative.  相似文献   
158.
The human immunodeficiency virus (HIV) causes a chronic, progressive, immune deficiency disease, the most severe phase of which is Acquired Immune Deficiency Syndrome (AIDS). HIV is a newly characterized human retrovirus transmitted only by direct exposure to blood or blood derivatives, certain acts of sexual intercourse, or transfer from infected mother to fetus or infant. In this article the author reviews the most important current epidemiologic, clinical, and virologic information about HIV and HIV disease and provides a factual framework for understanding the issues created by the epidemic.  相似文献   
159.
In this study the authors investigated the relationship between the Male Role Norm Scales (MRNS; Thompson & Pleck, 1987) and gender-related attitudes and behaviors in a sample of 367 male counselors drawn from American Counseling Association (ACA), formerly the American Association for Counseling and Development (AACD), members. Results indicated that this group of men did not, in general, endorse traditional male roles as measured by the MRNS. When a degree of affiliation with these roles was found, however, it was predictive of violence proneness, intimacy style, and degree of perceived similarity to father. Implications for training and counseling are discussed.  相似文献   
160.
Personnel Reaction Blank (PRB) scores and biographical data were obtained from two groups of registered nurses; a deviant group, represented by those who had official actions taken against their nursing license by the Minnesota Board of Nursing (n=53) and a non-deviant group of nurses (n=79) randomly selected from a broader population. The hypothesis that the deviant group of nurses would exhibit lower PRB scores, on average, compared to the non-deviant group was confirmed. The mean PRB scores for the deviant nurses (m=32.43) were significantly lower (p.01) than for the randomly selected non-deviant nurses (m=35.06). A multiple regression logit analysis showed that in addition to PRB scores, college degree, sex, and household income variables were also significantly related (p.001) to deviant and non-deviant group assignment; nonetheless, PRB significantly differentiated these groups after holding these variables constant.This study is based on the Masters thesis research of the first author. We acknowledge the help of the study subjects who contributed their time and effort.  相似文献   
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