ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01744.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper describes and analyses six models of health and disease. These are: religious, biomedical, psychosomatic, humanistic, existential and transpersonal. Of these six models, only one was unequivocally reductionist: the biomedical. The others were all holistic. The religious, humanistic and transpersonal models could be considered as health models, the biomedical, psychosomatic and existential models as disease or illness models. The different models were assumed to depict different, but related, ways of representing health and disease. It is probable that different groups in society, including the different groups in the health service ‐ doctors, nurses and patients ‐ look at health and illness from partly different models. This is considered to have significant implications for the health serv

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01745.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper defines a progression through five aspects of the concept of desire: (1) the Hegelian concept of desire given to Jacques Lacan by Alexandre Kojeve; (2) Lacan's subsequent addition of the Freudian concept; (3) Anthony Wilden's redefinition of the Lacanian rendition used to illustrate some aspects of clinical practice; (4) the Freudian theory of social behaviour recapped: a tension exists between what the mass of others expects us to do and what we want to do; and finally (5) the philosopher Stuart Hampshire's elucidation of how desire may be known. This paper combines these authors' expositions of desire and sketches out its meaning and relevance for practitioners.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01746.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In the following, a case of mother‐adult son incest is described and explained from a psychoanalytical viewpoint. Two theories are put forward: (a) Mother‐son incest may occur as a defence against psychosis, and (b) the incest represents an unconscious search for triangulation, a process in which external authorities (such as, for example, a court of law) may function as surrogates for persons who have been missed in the pre‐oedipal past. It is therefore possible to understand mother‐son incest symbolically as an indicator of pre‐oedipal needs of the son and of the mother's longing for the absent partner. The incest is, however, not only a cry for help; it is also to be regarded as an attempt to solve the problem for both people involved. Looked at in this way, new ways of understanding and new possibilities for thera

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01747.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The impact of 26 sessions of Cognitive Analytic Therapy on a patient with a borderline personality disorder is presented, largely through the patient's account given at a follow‐up assessment interview. It is suggested that the account raises questions of practical and theoretical interes

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01748.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Forty matched Scottish and Swazi girls and women reported the intensity of the bereavement reactions which they had experienced two weeks and one year after the death of a close relative. The Swazi respondents reported more intense grief reactions during the first two weeks of bereavement than the Scottish participants, but the only way in which the two nationalities differed one year after the death was that the Scottish participants had a greater tendency to report feelings of guilt than the Swazi respondents. It is suggested that ritualistic crying and saying farewell to a dying relative may intensify feelings of grief during the early days of bereavement but, in the context of a clearly defined period of mourning, may play a part in reducing later feelings of guilt. Nationality was not a good predictor of the overall bereavement reaction at either of the time periods. A better prediction was obtained from the number of exchanges with other people which were perceived as being unhelpful, and the number of interactions which were absent but longed for.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01749.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The specific characteristics of the Type A personality have generated a great deal of recent attention due to the prevalence of these characteristics in persons suffering from coronary heart disease. Type A individuals are more likely to be involved in serious accidents and experience more secondary complications when faced with serious illness. They are also less apt to incorporate appropriate coping strategies to help deal with pain and discomfort, or to enlist the help of others for such purposes. These studies are particularly interesting for those involved in health care, as such personality characteristics may influence health and healing. The present study examines the Type A personality construct and marital intimacy in a sample of 34 lower extremity amputees. The Survey of Work Styles (SWS) was used to measure Type A behaviour patterns, and the Waring Intimacy Questionnaire (WIQ) to assess the marital relationship. When compared to a group of age‐ and sex‐matched controls, lower extremity amputees showed higher prevalence of some Type A behaviour patterns, and, in males, lower levels of marital intimacy. The low return rate of questionnaires in this study limits its generalizability, but results remain consistent with predictions for Type A behaviour patte

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01750.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Rubino, Grasso, Sonnino&Pezzarossa (1991) reported a significantly higher level of alexithymia in neurotic and delusional patients than in psychosomatic patients, and concluded that alexithymia is not a non‐neurotic personality dimension. Further empirical data are cited, however, that contradict this conclusion and support the view that alexithymia is a type of affect defici

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01751.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A previously published research report (Rubino, Grasso, Sonnino&Pezzarossa, 1991a) is criticized by Taylor, Bagby&Parker (1993) on several grounds, and further data are cited to contrast our negative conclusions on one of the basic postulates of alexithymia research, i.e. the opposition, or at least independence between alexithymia and neurotic functioning. The theoretical and empirical arguments of Tayloret al.are closely examined, and it is concluded that alexithymia seems positively correlated not only with neurotic and psychotic conditions, but also with neuroticism.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01752.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The psychometric qualities of the Perinatal Grief Scale (PGS) were evaluated in a sample of 46 Dutch women in late pregnancy (≥24 weeks), who had been informed of the diagnosis ‘lethal or severe fetal malformation’. The validity was assessed by comparing it to the Impact of Event Scale and to a clinical diagnosis of psychological instability. The PGS appeared to be internally consistent and particularly strongly related to psychological instability. It can therefore be considered as a valid assessment instrument, also for women who experience late pregnancy

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1993.tb01753.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY