ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02850.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A 12‐page, psychodynamically‐formulated questionnaire is sent routinely to people referred to a clinical psychology service. This study examines its effect on attendance rates at initial appointments. A group of patients who were sent the questionnaire was compared to two control groups. There were indications that those who were sent the questionnaire were more likely than controls to attend. The result failed to reach statistical significance at the 5 per cent level, but, using a more conservative criterion, those who were sent the questionnaire were significantly more likely than controls to make contact — either by attending or actively cancelling their appointment — rather than simply failing to

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02851.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

There has been an ongoing controversy in the nature of the recommended treatment for the borderline personality disorder early in therapy. Kernberg emphasizes the negative features of the transference early in therapy and recommends dealing with it primarily by interpretation, confrontation, and limit setting. Adler views the transference early in therapy as primarily reflecting subjectively perceived breakdowns in needed self‐object merger, and recommends creating a symbolic holding environment through empathy and support. Gunderson devotes more equal emphasis to empathizing with and challenging the patient's point of view. The balance between empathy and confrontation is difficult to maintain because of the counter‐transference pull of the borderline. In order to avoid bias toward empathic or confrontive treatment strategies, it is argued that one must pay special attention to the extent to which the therapist understands the plausibility and adaptiveness of the borderline patient's experience and behaviour as readily as the implausibility and maladaptiven

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02852.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This pilot study investigated associations among change measures in a sample of borderline patients participating in an intensive, group‐oriented day treatment programme. Change scores over a four‐month period were calculated from measures of splitting dynamics, self‐perceptions, and experiences of interpersonal relationships. Correlations provided partial empirical support for the hypothesized associations among these variables. Findings suggested that as splitting decreased, patients developed a more benevolent, and more anaclitic, view of self‐in‐

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02853.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Over the last 20 years there has been a revival of interest in orthodox Judaism in Israel. In an area of Jerusalem with a large concentration of academies of study for ‘baalei teshuva’ (those who have undergone change to orthodox Judaism), it was noted that 12.6 per cent of referrals to the community mental health centre were newly religious. These referrals tended to have schizophrenia or severe personality disorders and were less likely than other referrals to have anxiety, depressive or adjustment disorders. Most of the newly religious referrals had psychiatric problems prior to becoming religious. Subsequent to religious change, many married and started a family before their psychiatric referral. The link between religious change and mental illness is explo

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02854.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A sample of young unemployed men (mean age: 21.7 years) was compared with a sample of middle‐aged unemployed men (mean age: 47.8 years) on a range of psychological and demographic/background variables. The groups were fortuitously matched for length of unemployment, with the average duration of current unemployment being 20.0 months for the young group and 17.9 months for the middle‐aged group. The middle‐aged group displayed poorer mental health, less life satisfaction and greater work involvement than the young group but the groups did not differ in self‐esteem. For the young group the best predictor of well‐being was perceived adequacy of social support and for the middle‐aged group the best predictor was participation in leisure activities involving other people. It was concluded that the poorer mental health displayed by middle‐aged unemployed men is not explained by the fact that they have, in general, been unemployed for longer than their young counterparts. In both groups, the best predictor of affective well‐being was a measure (albeit a different measure) of social support. These conclusions can only be regarded as tentative, however, because of the small sample sizes. Implications of these findings for community support programmes for both young and middle‐aged unemployed gro

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02855.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The psychosocial stresses of having a child with cancer were examined in a group of 18 parents using standard psychiatric measurement scales and a lengthy semi‐structured interview. Findings confirmed that staff/parent communication is difficult in a large institution but can be facilitated by staff who are aware of the difficulty. Two kinds of psychopathology were demonstrated in the parents. Thirteen of the 18 suffered symptoms of anxiety outside the normal range: of these 13, six had moderate or severe symptoms which warranted further attention. A group of six parents showed marked communication difficulty with staff, friends and their own spouses. The latter may represent a pre‐existing personality trait but one which makes the experience of having a child with cancer even more distress

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02856.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Thirty new members of a branch of Anorexic Aid were interviewed to determine their characteristics and compared with women seeking psychiatric treatment for anorexia nervosa and normal‐weight bulimia. It was expected that the two samples would be similar and that the women in the self‐help group would have also had professional treatment. Over half (53 per cent, 16) of the Anorexic Aid sample were anorectic, 40 per cent (12) were normal‐weight bulimics and 7 per cent (2) could not be classified and were excluded. Demographic characteristics were similar, with both samples being mainly British, single and from social classes I‐III, but the Anorexic Aid sample was significantly older. Clinical features were also similar, although there was a trend towards the Anorexic Aid anorectics being less severely ill at presentation. Nearly 90 per cent (25) of the Anorexic Aid sample had had professional treatment. The hypotheses are partially confirmed. Reasons for the differences in age and severity are di

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02857.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The aim of this research was to study the effect of suspected infertility on psychological functioning, comparing men who suspect that they are infertile (N= 107) with men who have no such suspicion (N= 30). Infertile men had lower self‐esteem, higher anxiety and showed more somatic symptoms than fertile men. The effects of moderating variables on the psychological functioning of the subfertile men were analysed. The findings were that causality of infertility, feelings of hopelessness and global attribution were related to sexual inadequacy. Depression was uniquely related to stress of infertility and global attribution. Global attribution, though predictive of psychological consequences, was not affected by the objective variables of infertilit

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02858.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Perloff, Yarnold&Feltzer (1988) recently reported in this journal data suggesting that Type A undergraduates are more internal in their health locus of control than Type Bs, and suggest this may have implications for their health behaviour and self‐care. Data from a non‐college sample of 104 Type A and B adults were examined using the same measures, but could not replicate the findings of Perloffet al. Several reasons for the failure to replicate are discussed, including statistical power, clinical meaningfulness, and current theory on the Type A‐health behaviour relatio

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1990.tb02859.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY