Unconscious fantasy (or phantasy) as clinical concept

A clinical phenomenology of the concept ‘unconscious fantasy’ attempts to describe it from a ‘bottom‐up’ perspective, that is, from the immediate experience of the analyst working in session. Articles of psychoanalytic authors from different persuasions are reviewed, which taken as a whole would shed some light on how the concept of unconscious fantasy takes shape in the analyst's mind during the session with the patient. A clinical phenomenology in three steps is described. Each step is illustrated by clinical material. Current controversies around the concept of unconscious fantasy (or phantasy) are still trapped in the discussion about if and how they are really unconscious. The strategy to describe from a ‘bottom‐up’ perspective the process of how the analyst's mind embraces the idea that an emerging phenomenon in the relationship with the patient can be defined as ‘unconscious fantasy’, allows us to elude the question as to whether or not we believe that unconscious fantasies exist at all, since we are neither required to assert or deny such a prior existence in order to describe the process of elaboration which, in the end, does formulate a fantasy as fantasy.     

成人股骨头坏死的治疗进展

股骨头坏死（ONFH）是一种进展性和致残性疾病,保存自身股骨头是临床治疗所追求的最理想目标,早中期的治疗方案主要采用非手术疗法和保髋的姑息性手术,目前为止还没有一种治疗方法能达到理想的治疗效果。近年来,骨髓间充质于细胞（MSCs）移植治疗ONFH是目前研究热点之一,有望成为一种有效的治疗方法,晚期行人工髋关节置换术是唯一的和最佳的选择。因此,早期诊断,采用综合性治疗方案保全自身髋关节是治疗本病的主要方向。     

人工颈椎间盘置换术能否取代ACDF

目前颈椎病的治疗主要采用切除病变椎间盘和椎体间融合的手术方法,而人工颈椎间盘置换术的临床应用预示着脊柱外科治疗学新纪元的开始。简要介绍了Byran人工颈椎间盘置换术,对其临床效果进行了随访和分析,总结了人工颈椎间盘置换术的治疗优势和临床应用中的问题。客观评价了人工颈椎间盘技术,为临床决策提供了实践依据。     

Fantasy proneness as a confounder of verbal lie detection tools

This study investigated whether high fantasy‐prone individuals have superior storytelling abilities. It also explored whether this trait is related to specific linguistic features (i.e. self‐references, cognitive complexity, and emotional words). Participants high (n = 30) and low (n = 30) on a fantasy proneness scale were instructed to write down a true and a fabricated story about an aversive situation in which they had been the victim. Stories were then examined using two verbal lie detection approaches: criteria‐based content analysis (CBCA) and linguistic inquiry and word count (LIWC). Irrespective of the truth status of the stories, independent observers rated stories of high fantasy‐prone individuals as being richer in all nine CBCA elements than those of low fantasy‐prone individuals. Furthermore, overall, high fantasy‐prone people used more self‐references in their stories compared with low fantasy‐prone individuals. High fantasy prones' fabricated stories scored higher on various truth indices than authentic stories of low fantasy prones. Thus, high fantasy‐prone people are good in creating a sense of authenticity, even when they fabricate stories. Forensic experts should bear this in mind when they employ verbal lie detection tools. Copyright © 2010 John Wiley & Sons, Ltd.     

Predicting preference for items during periods of extended access based on early response allocation

Top‐ranked items were identified during 30‐min free‐operant preference assessments for 9 individuals. Data from each session were analyzed to identify the item (a) that was engaged with first in each session and (b) to which the most responding was allocated after 5 min, 10 min, 15 min, 20 min, and 25 min had elapsed in each session. The results indicated that the first‐engaged item and the 5‐min high‐allocation item predicted the top‐ranked item in 55% and 62% of the sessions, respectively. The results also showed that engagement with the top‐ranked item from the first session decreased across subsequent sessions for 6 of the 9 participants. The implications of the results for brief versus extended stimulus preference assessments are discussed.     

The power of prospection: mental contrasting and behavior change

People often immerse themselves in dreams and fantasies about a desired future. Though such future fantasies are pleasant, they do not necessarily lead to the effort required to attain the desired future. Indeed, the more positively people fantasize about their desired futures, the less effort they invest and the less successful they are in realizing these futures. However, when fantasies about a desired future are complemented with a clear sense of reality, people find the direction and energy needed to realize their fantasies. We review Fantasy Realization Theory, which explicates these ideas and led to the discovery of mental contrasting future and reality, a self‐regulation strategy of behavior change. Mental contrasting helps people figure out what they really want and wisely select, commit to, and actively pursue prioritized wishes while constructively dealing with setbacks. It helps them live a rewarding life through work, play, health, and relationships.     

A Psychoanalytic View of Racial Myths in a Nazi Propaganda Film: Der Ewige Jude (The Eternal Jew)

This paper describes the emotional appeal of propaganda utilizing concepts from psychoanalysis, small group psychology, and psychohistory. The film propagandist attempts to exploit irrational emotional responses to visual scenes and commentary to change attitudes, values, and behavior in a mass setting. A link between shared unconscious fantasies and myth is offered as an explanatory concept to explain propaganda's wide emotional appeal. The German Nazi anti-Semitic film, Der Ewige Jude, serves as the case example of the exploitation of such fantasies in a mass setting for a political end.     

The cross-culturally disordered self: A self-psychological study and treatment

The psychotherapeutic treatment of a young woman whose development was thwarted by patriarchal, sexist, familial, and cultural contexts is presented and discussed. The history, dream material, and symptomotology indicate developmental deficits from which derived a lack of cohesive, individual selfhood as well as narcissistic vulnerabilities manifested by a high propensity for shame. The author posits a view of patriarchy as acculturating women subjectively to experience themselves on an unconscious fantasy level as appendages of men, thus depriving them of genuine and authentic selfhood. This perspective is used as a lens through which this woman's experience in two patriarchal cultures can be empathically understood. The case enables us to examine how the process of acculturation in patriarchal contexts can interfere with women's capacity to develop a strong sense of self and allows us to consider whether and how human development is culturally determined.     

Unconscious fantasy in context: The work of Jacob A. Arlow

For Jacob A. Arlow, understanding unconscious fantasies was central to his clinical work. These fantasies are to be found at the core of those eruptions that break without warning into our ordinary lives, whether in the form of hysterical symptoms, daydreams or nightmares. What, however, could an unconscious fantasy be on a theoretical level, beyond a vehicle for discharge? Although partly unconscious, such fantasies are sometimes composed of fixed verbal content with a high degree of internal organisation. Unconscious fantasies therefore pose many challenges to understanding.