Infantile Sexuality, Primary Object-Love and the Anthropological Signifi Cance of the Oedipus Complex: Re-Reading Freud's 'Female Sexuality'

The author attempts to show why and in what respect Freud's famous article 'Female sexuality' can still be a source of inspiration for a contemporary metapsychology. In this text, Freud acknowledges the importance of the child's tie to its mother for the fi rst time. Both Balint and Bowlby consider this text to be a distant forerunner of their own theories on primary object-love and attachment respectively. At the same time, Freud's text contains some elements of a 'theory of generalized seduction' as it was developed in the last decades by Jean Laplanche. 'Female sexuality' therefore presents itself as the perfect point of departure for a discussion of the relation between primary object-love (and attachment) and sexuality. Based on his reading of Freud's text, the author argues that human subjectivity is characterized by the lack of attunement between the world of the adult and the world of the child. This insight allows for a reformulation of the anthropological signifi cance of the Oedipus and castration complexes. They are no longer interpreted as universal problems that every child has to face, but as historical and contingent solutions to the lack of attunement between the child and the adult that is essential to human subjectivity.     

The analyst: His professional novel1

The psychoanalyst needs to be in touch with a community of colleagues; he needs to feel part of a group with which he can share cognitive tension and therapeutic knowledge. Yet group ties are an aspect we analysts seldom discuss. The author defi nes the analyst's ‘professional novel’ as the emotional vicissitudes with the group that have marked the professional itinerary of every analyst; his relationship with institutions and with theories, and the emotional nuance of these relationships. The analyst's professional novel is the narrative elaboration of his professional autobiography. It is capable of transforming the individual's need to belong and the paths of identifi cation and deidentifi cation. Experience of the oedipal confi guration allows the analyst to begin psychic work aimed at gaining spaces of separateness in his relationship with the group. This passage is marked by the work on mourning that separation involves, but also of mourning implicit in the awareness of the representative limits of our theories. Right from the start of analysis, the patient observes the emotional nuance of the analyst's connection to his group and theories; the patient notices how much this connection is governed by rigid needs to belong, and how much freedom of thought and exploration it allows the analyst. The author uses clinical examples to illustrate these hypotheses.     

Variations on the concept of traumatism: Traumatism,traumatic, trauma1

In this paper, the author outlines Freud's fundamental hypotheses concerning the concept of traumatism, then goes on to differentiate three notions (French being a particularly apposite language for such a venture): ‘traumatism’, ‘traumatic’ (in a substantive sense) and ‘trauma’. These three terms correspond to the three turning points in Freud's theory with respect to the concept of traumatism (1895‐97, 1920, 1938). The author evokes also the developments that are due to Ferenczi, particularly in his later writings (1928‐33), where he defi ned and discussed the question of ‘trauma’ in contemporary clinical practice; the author goes on to explore the different variations on this theme as regards mental functioning. He then defi nes, from a metapsychological point of view, the differences between ‘traumatisms’ that have been ‘worked over by secondary processes’, organised and governed by the pleasure‐unpleasure principle (‘traumatism’) and ‘early’ or ‘primary traumatisms’, which interfere with the process of binding the instinctual drives (‘trauma’); states of mind infl uenced by a traumatic imprint (‘traumatic’) are looked upon as belonging to both categories of the above mentioned traumatisms. The author illustrates his hypotheses with a clinical example.     

中小学教师应对方式相关因素研究

本文通过对530名中小学教师应对方式、一般自我效能感、社会支持的测试,探讨了三者之间的关系。结果表明：(1)教师一般自我效能感、社会支持对教师采用何种应对方式具有间接或直接的预测作用,且它们可能分别对某种类型的应对方式更具重要性。(2)高自我效能感、高社会支持的教师更倾向于采用适应性应对方式;低自我效能感、低社会支持的教师更倾向于采用情绪指向的应对方式。(3)教师一般自我效能感、社会支持的增加有助于教师压力的缓解和适应性应对方式的采用。     

Between the basic fault and second skin

The ideas that are commonly associated with Esther Bick, such as primal skin function, defensive second skin phenomena and adhesive identity, are traditionally seen as affiliated to the larger body of work that constitutes the Kleinian school. I shall argue, however, that Bick's thinking owes a largely communally unrecognised debt to the work of her training analyst, Michael Balint. Beginning with a discussion of Bick's early psychoanalytic formation within the British Psychoanalytic Society, her ideas will be reapproached in the light of her contemporary psychoanalytic milieu, with particular reference to Balint's notions concerning primary object-love, the basic fault and space. A brief history of the Manchester Training Centre, a short-lived but pioneering British attempt to extend psychoanalytic training beyond London, is included incidentally. Bick's early intellectual openness to diverse psychoanalytic streams will then be discussed in relation to the formation of psychoanalytic groups and their relative capacity to tolerate difference.     

原发性甲亢合并严重肝损伤患者的循证治疗

为原发性甲亢合并严重肝损伤患者制定循证治疗方案。根据PICO原则,提出临床问题并转换成便于检索的形式,检索美国国家指南交换中心（NGC）、Cochrane图书馆（2010年第3期）、PubMed（1995-2010．11）和维普数据库（CHKD,1995～2010．11）。根据检索结果,制定治疗方法,2月后患者肝功能、...     

An outcome evaluation study of a psycho‐educational course in a primary care setting

Rationale: To date relatively little research has examined the effectiveness of psycho‐educational courses provided in a primary care setting to adults with mild‐to‐moderate mental health concerns. Aims: To determine whether group psycho‐education could be a viable alternative to individual counselling by (1) assessing the clinical effectiveness of an 8‐week psycho‐educational course, and (2) examining the group outcomes in comparison with individual treatment outcomes from a previous study in the same counselling service. Method: A total of 57 participants attending a psycho‐educational course provided data over a 36‐month period, using the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE‐OM) pre‐ and post‐intervention. A comparison was then made with the data of 58 previous participants of individual counselling evaluation, using the same CORE‐OM system. Results: Participants reported significantly lower levels of psychological distress after attending the course and these results are comparable to outcomes measured in the same service for individual counselling, indicating that group interventions could be considered a legitimate alternative to individual counselling, thus increasing cost effectiveness and reducing waiting times. Limitations of the study and implications for practice and further investigation are considered.     

原发性开角型青光眼局部药物治疗的比较及决策最优化

通过对目前治疗原发性开角型青光眼局部降眼压药物的作用机制、治疗效果、不良反应、药品价格及使用方便程度进行综合的比较分析,运用比较治疗学的理论和方法来指导和规范该类青光眼局部药物治疗的临床决策,以期提高治疗效果、减少并发症、降低费用及提高患者的生存质量。     

简论朱子易学在元代发展的基本面貌

易学是朱熹学术体系中的重要组成部分,在易学史上产生了重大影响。元代时期,朱子易学在政府的推崇下,逐渐成为官方学术;同时学者也积极地以师徒相传、朋友讲习与读书自得等方式,传承朱子易学;此外,元代学者还通过研究朱子的易学典籍、发展与批判朱子的易学观点,以及调和朱子与程子的易说等多种途径,对朱子易学作深入探究。这三个方面即构成了朱子易学在元代发展的基本面貌。     

显示方式对小学生阅读动态文本的影响

以小学三年级和五年级学生为被试,在机控速度（240字/分）条件下,如何在单行呈现动态文本以提高小学生的阅读绩效。实验采用2（呈现方式：引导式、RSVP）×2（年级：三年级、五年级）×2（窗口：5字、10字）的多因素混合实验设计。结果发现：（1）在呈现方式上,平滑滚动引导式优于RSVP,更受被试偏爱;（2）在两种呈现方式下,五年级的阅读正确率显著高于三年级;（3）与平滑滚动引导式相比,窗口大小对RSVP的影响更大。