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261.
The propagation of shear horizontal waves between the interface of two magneto-electro-elastic materials with an magneto-electro-mechanical imperfect contact has been studied. Mechanical, electrical and magnetical imperfections are modelled by means of a spring, a capacitor and an inductor, respectively. A general expression for the dispersion relation is given in an explicit form. Some limit cases are analysed in detail. The influence of imperfect contacts is shown in some numerical results.  相似文献   
262.
263.
The three discussants agree that a definition of psychoanalysis tied to session frequency is problematic and needs to change. Yet none supports my recommendation to redefine the practice of psychoanalysis in terms of the practitioner's training. This prompted me to look more closely at my proposal and push my thinking further. I argue that psychoanalysis, like many other professions, needs to define its practice as the application of its complex and evolving knowledge and skill base, grounded in its unique field of inquiry. Although there are individual exceptions, the inculcation of this knowledge and skill base is generally best accomplished through psychoanalytic training. This assertion, however, rests on the premise that our training curricula keep pace with our rapidly evolving field of inquiry and knowledge. To further clarify my vision I examine the nature of psychoanalytic expertise. I suggest that such expertise amounts to the inculcation and integration of a large number of psychoanalytic frames of reference. I contend further that the nature of contemporary psychoanalytic theories is such that important psychoanalytic frames of reference are proliferating more rapidly than in the past, that the relationships among them are becoming more complex, and that consequently the application of psychoanalytic theory to practice is also becoming more complex. Psychoanalytic training programs need to recognize this expanding complexity and revise curricula and pedagogic methods on an ongoing basis to reflect this evolution within our field.  相似文献   
264.
The insufficiencies that Joan Copjec finds in the work of Judith Butler are the same kind Dyess and Dean want to alert us to in relational psychoanalysis. Two dangers of this nature are reification (that is, the relational position's becoming “the Book”) and a flirtation with superficiality (a potential outcome of believing that all experience can be understood in the terms of social relatedness). Theorizing “the impossibility of meaning” may be a first step in addressing these problems without having to limit the terms of the discussion to nature and nurture, or essence and social construction. But the idea of the Real is inextricably interrelated with, and mutually defined by, other parts of Lacan's theory. And so, if we simply import into relational psychoanalysis Lacan's conception of the Real, we are mixing apples and oranges and thereby risking conceptual confusion. We should instead use Lacan's idea as inspiration for the construction of a conception of “the impossibility of meaning” that can be used in theorizing the particular kind of problems relational psychoanalysis sets itself.  相似文献   
265.
A good interpretation contributes to the patient's feeling of being witnessed or recognized. Recognition is an affective experience, not a matter of truth value, so that the truth in an interpretation, while it may be necessary to the recognition, is not sufficient. In fact, since interpretation is hardly the only form in which recognition can be couched, a good outcome can take place apart from any kind of interpretation. But this does not mean that new understanding is unimportant. It's just that the place of that new understanding in clinical process matters more than its content. I discuss Ellen F. Fries'case of Andres from this perspective.  相似文献   
266.
This paper addresses the postmodern critique of unified-self theories that argues that the self is not unified but multiple, not a static entity but in constant flux, not a separate center of initiative but intersubjectively constituted. The author proposes that there are two kinds of division in self-experience: the dissociative divisions of multiple-self theory, and a division, akin to the divisions between Freud's structural agencies, between what are here termed the “intersubjective self” and “primary subjective experience.” In contrast to dissociated self-states, which occur in different moments in time, these two dimensions of self-experience occur simultaneously; indeed, what is most important about them is their relationship. The author suggests that it is this intrapsychic relationship, as it occurs in a given psychological moment, that determines the qualities of self-experience that are emphasized in unified-self theories: such qualities as cohesiveness versus fragmentation; authenticity vs. falseness; vitality versus depletion; optimal versus nonoptimal self-regulation; and agency versus feeling one is at the mercy of others. Furthermore, a major organizer of the intersubjective self is early identifications, especially “identifications with the other's response to the self.” The implications of these concepts for therapeutic action are discussed and illustrated with an extended account of an analytic case.  相似文献   
267.
My approach in this review of Irwin Hoffman's Ritual and Spontaneity in the Psychoanalytic Process is historical and explicative. I discuss the book's reprinted works in their original publication sequence in order to highlight the emergence of themes over time. I then discuss the chapters written expressly for this volume in light of these themes.  相似文献   
268.
I argue that because psychoanalysis and psychotherapy are emergent processes and the expression of values, a hermeneutic perspective is necessary to study them. I present some basic aspects of one significant perspective of this kind, that of Hans-Georg Gadamer. We have no choice but to recognize that objectivism is the dominant mode of thought in our culture and the means by which the public is liable to judge our claims for psychoanalysis and psychotherapy. Nevertheless, it is crucial for us not to privilege quantitative empirical research in the study, and especially in the formulation, of these activities.  相似文献   
269.

Training in ethics and professionalism is a fundamental component of residency education, yet there is little empirical information to guide curricula. The objective of this study is to describe empirically derived ethics objectives for ethics and professionalism training for multiple specialties. Study design is a thematic analysis of documents, semi-structured interviews, and focus groups conducted in a setting of an academic medical center, Veterans Administration, and community hospital training more than 1000 residents. Participants were 84 informants in 13 specialties including residents, program directors, faculty, practicing physicians, and ethics committees. Thematic analysis identified commonalities across informants and specialties. Resident and nonresident informants identified consent, interprofessional relationships, family interactions, communication skills, and end-of-life care as essential components of training. Nonresidents also emphasized formal ethics instruction, resource allocation, and self-monitoring, whereas residents emphasized the learning environment and resident-attending interactions. Conclusions are that empirically derived learning needs for ethics and professionalism included many topics, such as informed consent and resource allocation, relevant for most specialties, providing opportunities for shared curricula and resources.  相似文献   
270.
We propose a hierarchical Bayesian model for analyzing multi-site experimental fMRI studies. Our method takes the hierarchical structure of the data (subjects are nested within sites, and there are multiple observations per subject) into account and allows for modeling between-site variation. Using posterior predictive model checking and model selection based on the deviance information criterion (DIC), we show that our model provides a good fit to the observed data by sharing information across the sites. We also propose a simple approach for evaluating the efficacy of the multi-site experiment by comparing the results to those that would be expected in hypothetical single-site experiments with the same sample size.  相似文献   
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