摘要:

The first part of this paper is a brief overview of the keynote speech given by Jeffrey Masson at the Sixth Conference of the Society for Existential Analysis, London, entitledIssues of power in the psychotherapeutic relationship, in which Masson raised various questions about the assumptions of what constitutes the alleged inappropriate behaviour of therapists, and the boundaries of the professional role that must not be overstepped. These criticisms are begun to be addressed in this paper. The overall aim of this paper is to promote a sceptical and critical discussion of the psychotherapeutic relationship and a few of its founding assumptions.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01817.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The cognitive‐analytic therapy of two patients with borderline personality disorder is described. Patients and therapists completed post‐sessional questionnaires which yielded measures of transference and counter‐transference. The relation of changes in these to the sequential diagrammatic reformulation of the patients' self‐states is con

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01818.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This paper describes a therapeutic model for working with children in the care system who have severe behavioural problems. The model is an extension of consultation work and was developed from clinical material. It links some of the theories about the internal conflicts of children to their family history and ways of consulting with the professional network, to give a coherent framework for action. The advantages and shortcomings of this model are discussed and some preliminary results are reported.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01819.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Post‐traumatic stress disorder (PTSD), grief and bereavement may be manifested in a variety of ways in different populations and cultures. Following is the description of an Ethiopian immigrant woman from the county of Begameder whose baby died during the long exodus from Ethiopia and who, because of the different environmental conditions in ‘the new land’, could not undergo traditional purification rituals. Subsequently she suffered various cultural signs and symptoms of PTSD due to complicated bereavement and, on top of that, was seen as ‘impure’ by both her family and herself. For two years her symptoms were attributed to a severe form of bronchial asthma and she did not respond to treatment. When eventually brought to psychiatric attention, she was erroneously diagnosed as suffering from psychosis and treated inappropriately. Accurate anamnesis, combined with adequate counselling, provided the correct diagnosis, and a combination of supportive psychotherapy, traditional healing and purification rituals resulted in a resolution of the syndrome. Thirty months of follow‐up showed that the results of the treatment were stable and satisfactory. The specific aspects of cultural manifestations of grief and mourning, the meaning of hallucinations not in the context of psychosis, purification rituals, the role of traditional healing among immigrants from a totally different culture, and the difficulties that helpers may have interpreting and making sense of the immigrants' behaviour and complaints ar

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01820.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The aim of this study was to investigate why requiring hallucinating schizophrenic subjects to read aloud produces large reductions in reports of auditory hallucinations. In Expt 1 hallucinating subjects (N= 9) were required to sort cards quietly into one, two, four, 13 and 26 piles. It was shown that the large reductions in the reports of hallucinations produced by reading aloud could not be accounted for in terms of the information content of the task. In Expt 2 the subjects (N= 7) were required to place the cards into one or two piles quietly or whilst saying the colour of the card aloud. Sorting cards into two piles whilst saying the colour of the card produced the largest reductions in the reports of hallucinations. It was concluded that it was the requirement to make overt motor and verbal response that produced the large reductions in reports of auditory hallucinations in the reading‐aloud tas

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01821.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Contrary to idealized images of parenthood, the months immediately following childbirth are characterized by enhanced rates of parental mental illness and filicide. In this paper we consider fathers and their role in the postnatal well‐being of the parturient couple. The process of becoming a father is influenced by not only the man's internal and external experiences of ‘father’, but also the woman's, since the new infant's relationship with father is mediated by mother and her conjugal relationship with father. When a couple's prenatal relationship is based on a system of shared parental constructs involving a denigrated father and overvalued mother and a concomitant intolerance of the idea of a creative (Oedipal) couple, they will experience particular difficulties in adjusting to the new family configuration. In working with individuals or couples who have experienced post‐partum psychological difficulties it is important to remember that not only maternal imagos but also paternal and conjugal ones need to be ad

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01822.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This paper analyses a number of possible reasons why modern psychiatry has neglected the therapeutic effects of religious beliefs. The gap which exists between psychiatry and religion is a relatively recent phenomenon and is partly related to psychiatry's progress in elucidating the biological and psychological causes of mental illness, rendering religious explanations superfluous. In addition, it is often assumed that religious attitudes are inevitably linked with phenomena such as dependence and guilt which are frequently seen as undesirable. Psychiatrists and psychologists tend to be less religiously orientated than their patients, which may further increase the professional's idea that religious beliefs are associated with disturbance. However, it has long been suspected that a positive relation exists between religion and mental health, and recently, the psychology of religion has provided empirical support for this idea. Psychiatry faces the challenge to accommodate this evidence into theory and practice.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01823.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

A case of deliberate genital self‐mutilation in a woman with familial schizophrenia is presented. Such behaviour, though well recognized in females with severe personality disorders, is extremely rare in female psychotics. The genital mutilation may be partially understood as a consequence of delusionally motivated action against a background of low self‐esteem, premorbid body‐image preoccupation, forced early sexual activity and hence profound ambivalence towards adult sexuality. Dealing with this constructively was hampered by a cognitive style characterized by impaired reasoning and reality testing. Tests of reasoning, judgement and reality testing showed deficits, and computed tomography revealed dilatation of the left frontal ventricular system. Both neuropsychological and psychodynamic factors appeared to be of relevance in this

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01824.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

A review of the literature on self‐mutilation of male genitalia and/or auto‐castration reveals that they are infrequent and usually related to psychoses or toxic states. In this report the authors present a case of a 17‐year‐old non‐psychotic Japanese male who mutilated his genitalia under clear consciousness because of a conflict over his frequent mas

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01825.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Book reviewed in this article:Counselling Parents of Children with Chronic Illness or Disability.ByHilton Davis.Counselling Individuals: A Rational Emotive Handbook, 2nd ed.ByW. Dryden&J. Yankura.Innovations in Rational Emotive Therapy.Edited byW. Dryden&L. K. Hill.The Psychological Treatment of Depression: A Guide to the Theory and Practice of Cognitive Behaviour Therapy, 2nd ed.ByJ. M. G. Williams.

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1995.tb01826.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY