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71.
Assoc. Prof. Imre Szecsödy MD PhD 《Forum der Psychoanalyse》2007,23(4):393-401
The manifold functions of a supervisor in following the course of complex processes together with the trainee, are: ? to keep the goals of the supervision in view, ? to establish a teaching alliance and to support the wish and ambitions of the candidate to learn, ? to build a platform for the complex interactions with the trainee with regard to the dynamics of the training situation and keeping in mind the institutional influences, ? to lay down the setting for the work, ? to explore and to reflect how transference and counter-transference influence the interaction between patient and analyst as well as between trainee and supervisor, ? to examine these interactions together focussing continuously on the interaction between candidate and patient, and to encourage the candidate to do the same on his own, ? to continuously formulate hypotheses about the core conflict, the transference phenomena and resistance of the patient, ? to explore and reflect on the cooperative work. 相似文献
72.
Mary M. Mitchell PhD Michael Shayne Gallaway PhD MA Amy M. Millikan MD MPH Michael Bell MD MPH 《Suicide & life-threatening behavior》2012,42(5):486-494
Suicide is one of the leading causes of death among U.S. Army soldiers. Suicide‐related ideation, which is associated with suicide attempts and suicide, can cause considerable distress. In a sample of 1,663 recently redeployed soldiers, we used factor analysis and structural equation modeling to test the associations between combat exposure, unit cohesion, and their interaction in predicting suicide‐related ideation. We found that combat exposure was a significant risk factor for suicide‐related ideation, while unit cohesion was a significant protective factor. The significant interaction between the two factors indicated that soldiers who experienced greater combat exposure but also had higher levels of unit cohesion had relatively lower levels of suicide‐related ideation. In addition, those who had higher levels of combat exposure and lower unit cohesion were most at risk for suicide‐related ideation. Our findings indicate the importance of unit cohesion in protecting soldiers from suicide‐related ideation and suggest a higher risk group of soldiers who should be targeted for interventions. 相似文献
73.
Kenneth R. Conner PsyD MPH Michael D. McCarthy PhD Alina Bajorska MA Eric D. Caine MD Xin M. Tu PhD Kerry L. Knox PhD 《Suicide & life-threatening behavior》2012,42(6):699-708
There are meager prospective data from nonclinical samples on the link between anxiety disorders and suicide or the extent to which the association varies over time. We examined these issues in a cohort of 309,861 U.S. Air Force service members, with 227 suicides over follow‐up. Mental disorder diagnoses including anxiety, mood, and substance‐use disorders (SUD) were based on treatment encounters. Risk for suicide associated with anxiety disorders were lower compared with mood disorders and similar to SUD. Moreover, the associations between mood and anxiety disorders with suicide were greatest within a year of treatment presentation. 相似文献
74.
Fréaadéric Slama MD Bénédicte Dehurtevent MD Jean‐Daniel Even MD Aimé Charles‐Nicolas MD Nicolas Ballon MD PhD Rémy Slama MD 《Suicide & life-threatening behavior》2008,38(6):720-727
Research on vulnerability factors among ethnic groups, independent of primary psychiatric diagnosis, may help to identify groups at risk of suicidal behavior. French African Caribbean general psychiatric patients (N = 362) were recruited consecutively and independently of the primary psychiatric diagnosis. Demographic and clinical characteristics and lifetime history of suicide attempts were recorded. Sixty‐five patients (18%) had a history of at least one suicide attempt. Presence of professional qualifications, children, poor social contacts, treatment with benzodiazepine at inclusion, and poor treatment compliance were all associated with a lifetime history of suicide attempts. 相似文献
75.
Cynthia A. Claassen PhD Thomas Carmody PhD Robert Bossarte PhD Madhukar H. Trivedi MD Stephen Elliott MD Glenn W. Currier MD MPH 《Suicide & life-threatening behavior》2008,38(6):637-649
Fatal and nonfatal intentional self‐harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self‐harm across event types. The state‐level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone. 相似文献
76.
Martin Voracek DSc DMSc PhD Lisa Mariella Loibl BSc Viren Swami PhD Mona Vintilǎ PhD Kairi Kõtlves PhD Dhachayani Sinniah MD Subash Kumar Pillai MD Subramaniam Ponnusamy MD Gernot Sonneck MD Adrian Furnham DLitt DSc PhD David Lester PhD 《Suicide & life-threatening behavior》2008,38(6):688-698
The genetics of suicide is increasingly recognized and relevant for mental health literacy, but actual beliefs may lag behind current knowledge. We examined such beliefs in student samples (total N = 686) from Estonia, Malaysia, Romania, the United Kingdom, and the United States with the Beliefs in the Inheritance of Risk Factors for Suicide Scale. Cultural effects were small, those of key demographics nil. Several facets of construct validity were demonstrated. Marked differences in perceived plausibility of evidence about the genetics of suicide according to research design, observed in all samples, may be of general interest for investigating lay theories of abnormal behavior and communicating behavioral and psychiatric genetic research findings. 相似文献
77.
Peter Schouten MD 《Contemporary Family Therapy》1996,18(2):315-323
This article is concerned with two recnet studies of the Family-of-Origin Scale (FOS), Gavin and Wamboldt (1992) and Ryan, Kawash, Fine, and Powel (1994). The external validity analyses conducted for the FOS in these studies assumed the scale to be a unidemsional measure. The present discussion centers on methodological decisions and interpretive strategies that may have prevented a more complete understanding of the scale's dimensional structure and theoretical meaning. It is concluded that a unidimensional view of the FOS is an oversimplification that is inconsistent with the available data. A case is made for a more comprehensive and technically adequate evaluation of the FOS. Specific suggestions are offered. 相似文献
78.
79.
This study examined therapeutic outcome for a group of 175 clinic families divided into levels of family competence and style, and, later, into seven clinical groupings. The division into these groups was based on the level of rated Competence and Style determined by using the Beavers Systems Model. Therapists also rated their level of Openness/Sharing Strategy, Power Differential, and Partnership with the family at the third session. Results indicate that more competent families who fared well in therapy had therapists who formed a partnership, disclosed strategy, and employed a minimal power differential with the family. The most disturbed families, and those with a Centrifugal style, did better with therapists employing a high power differential and lower levels of openness and partnership. The study also presented the distribution of individual diagnoses by family groups. Implications for family therapists, including the value of family assessment, are provided. 相似文献
80.
Tatjana Sivik MD Ph.D. MA Domagoj Delimar MD Patricia Korenjak MD Natasa Delimar Ph.D. 《Integrative psychological & behavioral science》1997,32(4):364-372
Ninety soldiers with at least three months of combat exposure—60 injured soldiers (30 with permanent disabling and 30 with
nondisabling injuries), 30 noninjured soldiers and 30 healthy controls—were interviewed and investigated with physiological
(Prolactine, Cortisol, BP, Hb) and psychological tests (MMPI), IES-15 (Impact of Event Scale), PTSS (Post-Traumatic Symptom
Scale). Their was related injuries had a different effect on the physiological stress response of the soldiers as reflected
in the levels of prolactine, cortisol, hemoglobin and blood pressure.
In a report of personality characteristics of the same soldiers, we demonstrated that the experience of posttraumatic stress
was not dependent upon physical injury, but rather on the psychological appraisal of the situation. The results of the present
article confirm earlier findings that the relationship between physiological and psychological consequences of trauma are
complex, and that the perception of an event and the social context within which the traumatized soldier exists is as important
as the event itself. The physiological response to the trauma varied greatly among the soldiers regarding the psychosocial
impact of the consequence of the injury. So the anticipation of future possible trauma among less severely wounded soldiers
(expected to go back to war) was followed by pathological stress responses. Trauma seems to operate somewhat independently
from the overt conscious appraisal of the situation and relationship between psychological, psychosocial, and physiological
aspects are interrelated in a multifactorial way. An integrative approach is therefore of great importance in assessment as
well as in treatment of Posttraumatic Stress Disorder (PTSD).
Editorial Note This historical article is being published for the first time. It is based on the Ph.D. thesis of Dr. Harry
A. Teitelbaum for which he was awarded a doctorate by the University of Maryland in College Park in 1936. The dissertation
was stored prior to publication and was not rediscovered until 1997. Teitelbaum’s work was performed during the early days
of the development of knowledge regarding the mechanisms that regulate endocrine function. The understanding of the broad
capability of interactions among endocrine glands was evolving. It was a field that Teitelbaum contributed to for several
years, many of which were spent in collaboration with Horsley Gantt in his laboratory at Johns Hopkins. Although some of the
experimental strategies and some of the wording of the report seem quaint today, the contribution of Teitelbaum’s research
was solid and highly relevant to questions being asked at the time. 相似文献