Julie M Turner-Cobb  Mariana Michalaki  Michael Osborn 《Psychology & health》2013,28(4):495-501

Objective: The role of self-conscious emotions (SCEs) including shame, guilt, humiliation and embarrassment are of increasing interest within health. Yet, little is known about SCEs in the experience of chronic pain. This study explored prevalence and experience of SCEs in chronic pain patients compared to controls and assessed the relationship between SCEs and disability in pain patients.

Design and measures: Questionnaire assessment comparing musculoskeletal pain patients (n = 64) and pain-free control participants (n = 63). Pain was assessed using the McGill Pain Questionnaire; disability, using the Roland–Morris Disability Questionnaire; and six SCEs derived from three measures (i) Test of Self-Conscious Affect-3 yielding subscales of shame, guilt, externalisation and detachment (ii) The Brief Fear of Negative Evaluation Scale and (iii) The Pain Self-Perception Scale assessing mental defeat.

Results: Significantly greater levels of shame, guilt, fear of negative evaluation and mental defeat were observed in chronic pain patients compared to controls. In the pain group, SCE variables significantly predicted affective pain intensity; only mental defeat was significantly related to disability.

Conclusion: Findings highlight the prevalence of negative SCEs and their importance in assessment and management of chronic pain. The role of mood in this relationship is yet to be explored.  相似文献   

    

Didier Houzel 《Journal of Child Psychotherapy》2013,39(2):225-237

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Lesley Maroni 《Journal of Child Psychotherapy》2013,39(2):222-239

This paper describes the first two years of intensive psychotherapy with a six-year-old boy diagnosed with autism. I explore the many ways in which he retreated from reality, most frequently by taking refuge inside the maternal body or flying off into an imaginary space world. He fragmented his identity and that of his objects by using the discourse of fictional characters. Everything was externalised; there was little transmutation of material available for thought. I consider his dilemma – the wish to fuse with the object and the fear of being engulfed; the omnipotent denial of the need for an object and of the parental relationship, leading to an inability to make links. The paper discusses working with a child who experienced any ‘paternal’ firmness as persecuting and destructive. The softer, receptive maternal mind of the therapist was more easily tolerated. He gradually began to internalise a more benign combined object, as he became more able to bear separateness from the other.  相似文献   

    

Maurice J. Rosenthal 《Anxiety, stress, and coping》2013,26(1):61-63

Abstract

This study has examined children's estimates of dental anxiety and pain before and after a standard dental treatment session consisting of a local analgesic and drilling procedures. A method of assessing intensity of pain while receiving dental treatment was devised, and measures of the child's uncooperativeness and the dentist's supportive behaviour including treatment time was collected. Results showed that there was an immediate reduction in dental anxiety following exposure to dental procedures for those children referred because of their previous uncooperativeness. The reduction in anxiety was not attributed to supportive behaviour of the dentist. Children referred as unco-operative recorded higher pain intensity to comparison children.  相似文献   

    

Margaret Ann Fitzpatrick Hanly 《The International journal of psycho-analysis》2007,88(4):1001-1017

Austen's extraordinary realism in depicting the dynamic internal processes which follow on the heroine's loss in Persuasion becomes clear in the light of a psychoanalytic understanding of mourning. Persuasion dramatizes the effects of a mother's death in adolescence as these come into play at the time of the heroine's separation from her fiancée and her later mourning. The thesis of this paper is that, despite falling in love with the brilliant hero, an unfinished mourning and an unconscious identification with her dead mother helped to persuade the heroine Anne Elliot to break her engagement, to create a 'final parting' as her mother had done to her in dying. The heroine's internal monologues show that she has projected some of the darker feelings of mourning, her anger and resentment, on to the hero and that she reopens a complex mourning process, partly through the displacement of affect, showing how traumatic effects of loss can be worked through in deferred action, effecting positive psychic change.  相似文献   

    

Corinne Gartner 《British Journal for the History of Philosophy》2013,21(2):213-233

This paper explores the potential for psychic conflict within Seneca's moral psychology. Some scholars have taken Seneca's explicit claim in De Ira that the soul is unitary to preclude any kind of simultaneous psychic conflict, while other interpreters have suggested that Seneca views all cases of anger as instances of akrasia. I argue that Seneca's account of anger provides the resources for accommodating some types of simultaneous psychic conflict; however, he denies the possibility of psychic conflict between two action-generating impulses, thus rejecting the phenomena of genuine akrasia and enkrateia. Although superficially counterintuitive, Seneca's cognitivist account of anger, according to which anger is complex and requires assent to the propositions that ‘I have been wronged’ and ‘I ought to seek revenge’, renders his denial of akrasia and enkrateia more plausible.  相似文献   

    

Alicia Perez‐Albeniz  Joaquin De Paul 《Aggressive behavior》2006,32(5):421-432

It has been proposed that abusive parents and parents at high risk for child physical abuse could be more likely to view children's behavior as being motivated by hostile intent [e.g., Milner, 1993], as compared to nonabusive and low‐risk parents. This kind of misattribution of other's behavior may inhibit empathic emotion, and therefore, could block the inhibiting effect of a victim's pain cues on aggression [Baron, 1979]. An experiment was designed to analyze the moderating effect of an adult victim's intent on aggression in high‐ and low‐risk participants for child physical abuse. A 2 × 2 factorial design based upon two levels of the participant's risk status (high, low) and two levels of victim's intent (positive, ambiguous) was employed. All participants observed an adult victim's pain cues. Ninety‐five (48 high and 47 low risk for child physical abuse) undergraduate females enrolled in courses at the University of the Basque Country participated in the experiment. The main effects of victims' intent and of participants' risk status were statistically significant. Participants in the ambiguous victim's intent condition aggressed significantly more than participants in the positive victim's intent condition. Moreover, high‐risk participants aggressed more than low‐risk participants regardless of the victim's intent. A significant interaction between risk status and victim's intent was expected. High‐risk subjects for child physical abuse were expected to aggress more than low‐risk subjects only in the ambiguous victim's intent condition. However, results did not support this hypothesis. Aggr. Behav. 32:1–12, 2006. © 2006 Wiley‐Liss, Inc.  相似文献   

    

Hentschel U  Bijleveld CC 《Scandinavian journal of psychology》2004,45(2):191-196

After images are based on physiological processes, they can also be treated as subjective phenomena with a psychological meaning. This statement also applies to pain. The basic working hypothesis of this study concerned the relationship between the two phenomena. Forty-one respondents (23 females, 18 males, age range 20-45 years) were given the Cold Pressor Test and the Serial After Image Technique. The data analysis was done by means of cross-tables and an exploratory optimal scaling program (OVERALS). Three pain tolerance groups (low, medium, high) could be differentiated fairly well on the basis of the after image characteristics of the respondents. Pain intolerant respondents more frequently had small and \"immature\" after images, whereas highly pain tolerant respondents had more large and \"mature\" after images. The implications of these results for a bio-psycho-social theoretical frame of reference for pain are discussed.  相似文献   

    

Dan Ariely 《决策行为杂志》1998,11(1):19-45

Two experiments were conducted to examine the effects of various factors on retrospective pain evaluation. The factors examined in Experiment 1 were the rate and pattern of change, the intensity (particularly the final intensity), and the duration of the painful experience. Experiment 2 manipulated these factors and, in addition, examined the effect of continuous (on-line) ratings on the overall retrospective evaluation. The two experiments utilized different pain modalities, heat in the first and mechanical pressure in the second. In addition, all subjects in Experiment 1 experienced stimuli with the same physical magnitude, while in Experiment 2 stimuli were individually tailored to make them subjectively equivalent. In both experiments, subjects were presented with a series of painful stimuli and evaluated the intensity of each stimulus immediately upon its termination. The stimuli themselves were composed of multiple intensity levels that differentially changed over time (Intensity-Patterns). Subjects' on-line ratings in Experiment 2 closely mirrored the physical patterns of the intensities. The main conclusion from both experiments is that the retrospective evaluations of painful experiences are influenced primarily by a combination of the final pain intensity and the intensity trend during the latter half of the experience. In addition, results indicated that duration has little impact on retrospective evaluations for stimuli of relatively constant intensity. However, when the stimulus intensity changes over time, duration does play a role. Finally, the task of continuously reporting the stimulus intensity had a moderating impact on the retrospective evaluations. © 1998 John Wiley & Sons, Ltd.  相似文献   

    

Levine HB 《The International journal of psycho-analysis》2012,93(3):363-385

Freud's initial formulations viewed psychoanalysis as working towards the rediscovery of psychic elements - thoughts, feelings, memories, wishes, etc. - that were once known - represented in the mind, articulatable, thinkable - but then disguised and/or barred from consciousness. His subsequent revisions implicated a second, more extensive category of inchoate forces that either lost or never attained psychic representation and, although motivationally active, were not fixed in meaning, symbolically embodied, attached to associational chains, etc. Following Freud's theory of representation, the author conceptualizes these latter forces as \"unrepresented\" or \"weakly represented\" mental states that make a demand upon the mind for work and require transformation into something that is represented in the psyche, if they are to be thought about or used to think with. This paper describes, discusses and presents illustrations of this transformational process (figurability),that moves intersubjectively from unrepresented or weakly represented mental states to represented mental states, from force to meaning, from the inchoate to mental order.  相似文献