摘要:

The concept of the container has a place within cognitive science as well as within psychodynamic theories. Cognitive semantics has shown that many metaphors giving meaning to daily life‐events use the container as a basic reference point. Psychoanalytic theory, most notably, Freud's psychosexual developmental model, illustrates how the container of the body results in meaning. Object relations theory in psychoanalysis has shown how patients with borderline personality disorder behave according to the dynamics of container and containment. Both the cognitive and the psychodynamic conceptions of containers are clinically relevant. The fundamental notion of the container leads to an exploration of ‘container dynamics’ both in cognitive semantics and in psychodynamic work. A model of the cusp may be of help in the description of the dynamics at the border of the container. Furthermore, the descriptions of the patient's communication of emotion and thoughts may involve three interacting dimensions: an effective‐perceptual dimension, a phantasy dimension and a socio‐interactive dimension. The interaction between these dimensions has implications for dealing with container dynamics and the process of co

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01873.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper further develops the concept of the self as experiential being, and its relevance for an understanding of psychopathology. It is proposed that the self, or ‘I’, processes and regulates its experiences by means of three modalities that are dynamically interrelated throughout life: exchanges/boundaries, internal mirroring/affective awareness, and the representational space. It is further proposed that pathology develops when these processes of self‐regulation go wrong. As a result, different psychopathological positions are identified which, in the case of severe disorders, require a distinctive initial approach to therapy.There is also the unique degree to which humans evolve an ‘inner space’ in which to create representations of themselves interacting with other figures and with things in their world. Also, these creations can be close to reality in form or completely changed to fit fantasy wishes.John D. Sutherland (1

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01874.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Research over the last two decades has revealed that significant psychological effects may ensue for women who suffer spontaneous abortion. The psychological impact on their male partners has been largely overlooked. This paper examines the psychological impact on the male partners of 126 British women who suffered miscarriage. Higher than anticipated levels of grief and stress were found on the Perinatal Grief Scale and the Impact of Events Scale respectively, indicating that these men were strongly affected by the miscarriage. The duration of the pregnancy prior to miscarriage, and the experience of confirmatory imaging of the foetus via routine ultrasound scan, were factors related to raised levels of grief and stress. A small number of semi‐structured interviews appeared to confirm that some men displayed symptoms of Bowlby's (1961) first stage of bereavement. These were modified by differences in the expected role behaviour of men, but in other respects were comparable to the findings of a recent study of an Australian cohort of women who miscarried (Conway, 1995

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01875.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Interviews were carried out at 36 weeks antenatal with 63 married couples, in 36 of which the woman had a history of affective disorder and in 27 the woman had no previous psychiatric history. The men's attitudes to their wives were assessed using expressed emotion methodology. Also assessed were psychiatric history, neuroticism, satisfaction with the marital relationship and attitudes to sex, pregnancy and parenthood in both the woman and her partner. Women with psychiatric histories who did not relapse in the six months following delivery had partners who were more positive about them than partners of high‐risk women who remained well and control women. This effect is explored further by examining which characteristics of the man and which of the woman contributed to his critical and positive comment score. Criticism of his wife was associated with each partner reporting less marital satisfaction and also with the man's psychiatric history. No characteristic of the woman contributed to her partner's criticism. In contrast, the men's positive comments about their wives were associated with the woman's satisfaction with key aspects of her femaleness. Positive husbands had wives who were pleased to be pregnant, happy with their pregnant bodies and enjoying the sexual aspect of the marital relationship. In women with psychiatric histories the time which had elapsed since her last psychiatric admission also influenced his positive comment

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01876.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Eating attitudes were investigated in young females with diabetes (YFDs) and healthy age‐matched female controls. Results from the Eating Disorder Inventory confirmed that YFDs had higher scores for drive for thinness, body dissatisfaction and bulimia. In addition, YFDs who omitted insulin injections had high scores for ineffectiveness and interoceptive awareness and had increased sensitivity to external eating cues (as measured by the Dutch Eating Behaviour Questionnaire). It is suggested that dieting and weight gain associated with diabetes treatment precipitate a deterioration in eating attitudes. Furthermore, omission of insulin and increased sensitivity to external eating cues serve as markers for a group of YFDs who are at increased risk of developing an eating disorder. The present results provide support for the spiral model of eating disorders (Heatherton&Polivy, 1992) and its emphasis on the importance of self‐esteem and self‐awar

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01877.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Causal beliefs regarding the onset of psychiatric disorder and treatment expectations for clients admitted to a psychiatric unit were examined from the points of view of the clients themselves, their relatives and staff. Results suggested that these beliefs were influenced by the admission itself. Those clients who had been admitted previously held significantly higher biological causal beliefs than those who had been admitted for the first time; as compared to staff who did not distinguish between the two groups in this way. The mean psychosocial views of relatives decreased significantly over the two‐month period following an admission. Clients' and relatives' mean biological views were significantly greater than those of staff. Various correlations were found between causal beliefs and treatment expectations including one in the relatives' view between psychosocial causal beliefs and the importance assigned to family therapy. Indeed, there was a significant decrease in the family therapy rating over time given by relative

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01878.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The effect of monitoring on frequency and duration of intrusions, and on reported symptomatology in patients with a diagnosis of post‐traumatic stress disorder (PTSD) was investigated. Six patients were asked to monitor their intrusions over a period of two months. The patients were reassessed after completing the monitoring and followed up after three months. Four patients recovered and no longer met criteria for PTSD, one patient was still experiencing some symptoms, and one still met criteria for a diagnosis of PTS

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01879.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1996.tb01880.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY