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101.
102.
Diana Diamond Ph.D. Frank E. Yeomans M.D. Barry Stern Ph.D. Kenneth N. Levy Ph.D Susanne Hörz Ph.D. Stephan Doering M.D. 《Psychoanalytic Inquiry》2013,33(6):527-551
Clinical experience involving the treatment of patients with comorbid borderline and narcissistic personality disorders suggests that this patient population is among the more difficult to treat within the personality disorder spectrum. In this article, we present refinements of Transference Focused Psychotherapy (TFP) based on our clinical experience with and research data on patients with comorbid narcissistic personality disorder/borderline personality disorder (NPD/BPD). We briefly review object relations formulations of severe narcissistic pathology, as well as recent research in attachment and the allied concept of mentalization, which have provided a new lens through which to view narcissistic disorders. The research findings from two randomized clinical trials demonstrating the efficacy and effectiveness of TFP are presented. The data from the two Randomized Clinical Trials (RCT) allowed for the study of the characteristics of the subgroup of borderline personality disorder patients who have comorbid NPD/BPD. Findings on comorbidity, attachment status, capacity for mentalization, and level of personality organization of borderline patients with comorbid NPD/BPD, compared with borderline patients without comorbid narcissistic pathology (BPD), are presented. Clinical implications of the observed group differences are discussed, with a focus on refinements in the technique of TFP. Clinical case material is presented to illustrate the specific challenges posed by narcissistic patients to carrying out TFP in each phase of treatment. 相似文献
103.
Johan Caudroit Yannick Stephan Britton W. Brewer Christine Le Scanff 《Journal of applied social psychology》2010,40(8):1999-2018
The present study aims to identify the processes underlying athletes' psychological disengagement during a competitive event. It was expected that goal attainment would predict psychological disengagement through the mediation of physical self‐worth. It was further hypothesized that athletic identity and passion for the activity would be predictors of psychological disengagement. Athletes completed measures of athletic identity, passion, and physical self‐worth before a competition; and perceived goal attainment, physical self‐worth, and psychological disengagement after a competition. Physical self‐worth mediated the relationship between perceived goal attainment and discounting. Obsessive passion and athletic identity were negatively related to devaluing over and above goal attainment and physical self‐worth. The study highlights individual and contextual correlates of psychological disengagement in the sport setting. 相似文献
104.
Stephan Torre 《Philosophical Studies》2010,150(1):97-114
I suggest a way of extending Stalnaker’s account of assertion to allow for centered content. In formulating his account, Stalnaker
takes the content of assertion to be uncentered propositions: entities that are evaluated for truth at a possible world. I
argue that the content of assertion is sometimes centered: the content is evaluated for truth at something within a possible
world. I consider Andy Egan’s proposal for extending Stalnaker’s account to allow for assertions with centered content. I
argue that Egan’s account does not succeed. Instead, I propose an account on which the contents of assertion are identified
with sets of multi-centered worlds. I argue that such a view not only provides a plausible account of how assertions can have
centered content, but also preserves Stalnaker’s original insight that successful assertion involves the reduction of shared
possibilities. 相似文献
105.
Bernard J. Fitzgerald Richard A. Pasewark Stephan Fleisher 《Journal of personality assessment》2013,95(3):234-235
GAT and TAT themes of normals with an age range of 59–94 years were analyzed to determine the comparative efficacy of each instrument to elicit themes depicting loss of sexuality, loss of attractiveness, family difficulties, physical limitations, and dependency. In only the area of physical limitations, did the GAT more successfully elicit relevant themes than did the TAT. 相似文献
106.
Christophe Maïano Alexandre J. S. Morin Robert C. Eklund Johana Monthuy-Blanc Jean-Marie Garbarino Yannick Stephan 《Journal of personality assessment》2013,95(1):53-62
The present study explored the validity of constriction as an indicator of depression. Twenty-five patients displaying constriction in their Bender records and 25 patients not showing this indicator were compared with regard to MMPI Depression scores. A significant difference was found between D scores of these two groups (p<.05), supporting the validity of the indicator as an index of depression. Constriction was found to be infrequent, occurring in only 5.5% of the patient records. Although the indicator seems to be of some value as an indicator of depression its utility is lessened due its low rate of occurrence. 相似文献
107.
This study presents a simultaneous examination of multiple evidential bases of the validity of assessment center (AC) ratings. In particular, we combine both construct-related and criterion-related validation strategies in the same sample to determine the relative importance of exercises and dimensions. We examine the underlying structure of ACs in terms of exercise and dimension factors while directly linking these factors to a work-related criterion (salary). Results from an AC (N = 753) showed that exercise factors not only explained more variance in AC ratings than dimension factors but also were more important in predicting salary. Dimension factors explained a smaller albeit significant portion of the variance in AC ratings and had lower validity for predicting salary. The implications of these findings for AC theory, practice, and research are discussed. 相似文献
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109.
Wolfgang Herzog Christoph Nikendei Hans-Christoph Friederich Bernd L?we Jana Jünger Wolfgang Eich Stephan Zipfel 《Psychotherapeut》2003,2(4):348-356
Die psychische Komorbidität internistischer Patienten im Sinne einer ICD-Diagnose des Kapitels F beträgt mehr als 35%: Neurotische, besonders somatoforme, Schmerz-, affektive Störungen und Suchterkrankungen sind häufig. Die Liegedauer ist bei psychischer Komorbidität deutlich erhöht. Es benötigen 5% der internistischen Patienten ein psychosomatisches Konsil. Neue, komplexe Behandlungsstrategien, wie Transplantationen, Kardioverter-Defibrillatoren, Medikamentenpumpen, erfordern häufig spezifische psychosoziale Interventionen. Ältere Patienten haben Erkrankungen, die zunehmend chronifizieren und komplexer werden. Damit werden Lebensqualität und psychische Komorbidität zu zentralen Outcomevariablen der Volkskrankheiten. Das zweite große Aufgabenfeld internistischer Psychosomatik ist die Untersuchung und die Behandlung psychosomatischer Patienten im engeren Sinne (Essstörungen, Schmerz- und somatoforme Störungen), weil internistische Diagnostik und Therapie erforderlich oder die Motivation der Patienten primär somatisch ist. Organisationsmodelle reichen von Konsil-/Liaisondiensten bis zu integrierten psychosomatischen Abteilungen oder Fachabteilungen an Allgemeinkrankenhäusern. Aussichtsreiche Forschungsstrategien werden neben der Erforschung psychosomatischer Mechanismen in der Entwicklung pragmatischer Behandlungsprogramme, ihrer Überprüfung in klinischen Studien und der Versorgungsforschung gesehen. Darüber hinaus sollte eine Intensivierung nationaler und internationaler Forschungsnetze erfolgen, wenn immer möglich unter Beteiligung anderer Disziplinen, um auch im Bereich der Forschung konkurrenzfähig zu bleiben. 相似文献
110.