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Karla Moras 《Journal of Contemporary Psychotherapy》2002,32(1):41-50
Study-based clinical observations and two premises are presented as indications for a need to identify therapeutic relationship techniques or the like that can extend the reach and efficiency of the psychotherapies. The premises are: (1) advances in psychotherapy practice and research now highlight one of the field's most longstanding challenges, signified by terms like treatment resistance; and (2) some proportion of outpatients whose problems are resistant to the psychotherapies (and medications) have marked limitations in the capacity to relate positively and productively to others, including therapists. Thus, ironically, they cannot optimally utilize a treatment modality that largely has developed to ameliorate problems relating to others. 相似文献
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Sylvia O'Neill 《The International journal of psycho-analysis》2015,96(5):1283-1303
This paper investigates the question of why, in the psychoanalytic psychotherapy of a patient with encapsulated autistic pathology, the steady maintenance of a therapeutically neutral stance can be especially difficult. Transference and countertransference vicissitudes are examined. The author notices that the patient's intolerance of ‘opposites’ (cf. Tustin, 1986), combined with extreme antipathy to having that intolerance noticed, can elicit corresponding, and potentially destabilizing, countertransference reactions. These reactions comprise an unstable tension between co‐existing pressures towards fusion with, or expulsion of, the patient, their co‐existence under further pressure to remain unnoticed. Until perceived, this state of affairs risks collusion with the pressure either to merge with or to expel the patient, and compromises the capacity to notice the detail of the transference process and even to notice co‐existent positive and negative transference images. Detailed clinical illustration is given, including a session where it was difficult to notice the patient's experience of a couple as a combined object. The author finds these observations of bipolar countertransference tensions illuminated by Green's concepts of positive and negative narcissism and of the disobjectalizing function, and specifically accounted for by Ribas's theory of autism as radical drive defusion. 相似文献
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慢性非传染性疾病的急剧增加, 亚健康状态的出现, 不良生活方式的广泛存在, 对人们的健康产生了越来越显著的影响。研究认为, 科学的慢性病管理应当包括亚健康和不良生活方式在内的全人群的慢性病预防。从两种体检、三个状态、九种体质、四种干预方法出发, 提出以健康帮扶、健康促进、体质调理为特色的“二三九四”中西医结合慢性病管理模式。进一步联合企业和社区的初步实践证明, 该模式有利于降低亚健康的现患率, 可提高健康人群的比例, 为中西医结合防治慢性病提供了一定的参考。 相似文献
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This study reports the findings from exploratory career counselling with Italian undergraduate university students using the Career Interest Profile (CIP). The participants (n = 178, females = 51.69%; mean age 22.28, SD = 1.59 years) received elective career counselling on campus. The students completed the CIP and the Self-Directed Search (SDS). Data were analyzed using both qualitative and quantitative approaches. The CIP yielded satisfactory results with regard to trustworthiness and intercorrelations with the SDS and provides career counsellors with a useful instrument for the identification of interest profiles of Italian undergraduate university students. Participants reported being enabled to explore prospective career interest areas using career-story narratives for constructing life trajectories and enhanced development of their career stories. 相似文献
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Dietmut Niedecken 《The International journal of psycho-analysis》2016,97(3):665-683
This article discusses the meaning of the primal scene for symbol formation by exploring its way of processing in a child's play. The author questions the notion that a sadomasochistic way of processing is the only possible one. A model of an alternative mode of processing is being presented. It is suggested that both ways of processing intertwine in the “fabric of life” (D. Laub). Two clinical vignettes, one from an analytic child psychotherapy and the other from the analysis of a 30 year‐old female patient, illustrate how the primal scene is being played out in the form of a terzet. The author explores whether the sadomasochistic way of processing actually precedes the “primal scene as a terzet”. She discusses if it could even be regarded as a precondition for the formation of the latter or, alternatively, if the “combined parent‐figure” gives rise to ways of processing. The question is being left open. Finally, it is shown how both modes of experiencing the primal scene underlie the discoursive and presentative symbol formation, respectively. 相似文献
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中西医结合若干问题的比较思考 总被引:1,自引:0,他引:1
谢竹藩 《医学与哲学(人文社会医学版)》2005,26(10):17-20,27
讨论中西医结合对西医临床思维的影响。对于慢性病中医注意病人的主观症状,与病人就医的缘由一致;西医重视客观的功能和结构异常,其判断结果有时未必能被病人接受。近年来西医开始重视病人的生活质量,其实中医的辨证指标有很多就是针对病人的生活质量。中医的整体观念同样体现在急性感染的治疗中,现代研究显示,清热解毒法除祛邪外也兼顾扶正。中西医结合促进了中西药合用,但须注意合理应用,避免合用的不良效果。 相似文献
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特征类型在组合概念范畴效应中的作用 总被引:1,自引:0,他引:1
组合概念范畴效应是指,人们解释不同范畴组合概念的策略存在差异。本研究通过特征列举实验和建构路径模型,检验概念的特征类型在组合概念范畴效应中的作用。特征列举实验的结果表明,生物的实体特征比率高于人造物,而人造物的情境特征比率高于生物。路径分析的结果表明:⑴修饰词的实体特征比率显著影响属性解释比率,修饰词具有较多实体特征的组合概念得到属性解释的比率较高;⑵主名词的情境特征比率对关系解释比率的影响不显著;⑶将特征类型引入路径模型后,范畴对解释策略的影响依然显著。因此,范畴间的特征类型差异会影响组合概念范畴效应,但还存在其他影响因素有待进一步研究。 相似文献