摘要:

A consultant psychiatrist on an in‐patient psychiatric unit left temporarily for a four‐week visit to Australia. Eight of 11 patients under his care developed disturbed behaviour, although all had been stable for many months before. Of the other 11 patients on the same ward, under the care of another consultant psychiatrist, only one developed similar problems over this time. It has already been well established in previous research that loss events, particularly of attachment figures, contribute to psychopathology. However, what loss events the psychiatric unit itself presents to patients, and furthermore how the loss of perhaps more distant but important figures, like consultants or senior psychiatrists, also affect patients has not been previously explored. The neglected issue of the role of authority in the therapeutic relationship as well as in psychiatric illness is discussed. It is suggested that this has important implications for psychiatric pract

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01766.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The personalities and perceptions of two women with a history of very significant sexual abuse who had committed serious violent offences against ‘boy friends’ are investigated using role construct repertory grid (Kelly) and hypotheses developed for treatment, in particular to prevent any reoffending. The most significant dimension that emerged was in general terms that of ‘abuser‐victim’. It was clear that there was significant confusion about their self‐perceptions with regard to these roles. They perceived themselves as abusers despite their histories of victimization. There was a high level of guilt associated with the victim role in each woman and in previous therapy simply dealing with their victim role gave rise to very disturbed self‐destructive behaviour and even more guilt.The grid results enabled the abuser self‐perception to be identified and treatment programmes to be developed using Ryle's cognitive‐analytic therapy. Following treatment further grids and clinical evidence suggested that there were significant changes in self‐perception and in behaviour. The findings were discussed and the need for further inves

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01767.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper explores the various literatures concerned with shame and guilt. Lewis' (1987) model of shame is outlined. The phenomena she suggested to be part of shame (feelings of helplessness, anger at others, anger at self, self‐consciousness and feelings of inferiority) were investigated as to their relationship with shame. Strong support for these phenomena being related to shame, but not guilt, was found. Although located in separate literatures, shame and fear of negative evaluation have considerable overlap and this study set out to explore this relationship. The study further considered the role of submissive behaviour in shame and depression. Evidence was found to support the view that submissive behaviour is involved in both shame and depressio

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01768.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

It is argued that a child with intellectual disability represents an ongoing source of loss and grief for parents. A developmental framework was employed to compare three age cohorts of parents. Grief was operationalized within the affective, behavioural and cognitive domains. Measures of intrusive thoughts, avoidance behaviours, current emotional distress over reminders of time of diagnosis of disability, and intensity of wishing for what might have been were used, collectively, to reflect the parents' grief reactions. As hypothesized, the results indicate no significant age‐related differences in the responses of 58 parent dyads but significant gender‐relatd differences. Mothers scored higher than fathers on all measures. However, on the Wishing Scale, there were no significant differences between fathers and mothers. It is concluded that grieving, as defined, is an ongoing feature of rearing a child with intellectual disability and is more intense for mothers than fathers. Results are discussed within the implications for research and practice, with particular reference to the merit of programmes and services which empower parents and strengthen bonds of partnership between parents and profession

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01769.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Recent studies of cognitive processes associated with persecutory delusions suggest that such delusions are associated with abnormalities in the processing of information relevant to the self. Attention to positive and negative trait words was studied in subjects suffering from persecutory delusions, matched subjects with depressed mood and normal controls using an emotional Stroop task. Subjects were required to name the ink colours of: (i) meaningless strings of Os, (ii) low self‐esteem personal adjectives, (iii) high self‐esteem adjectives and (iv) neutral adjectives. Subjects were also asked to rate the degree to which they endorsed as self‐descriptive these and other personally descriptive adjectives. The subjects with persecutory delusions demonstrated a significantly higher rate of endorsement for positive adjectives than negative adjectives, but showed a marked degree of interference when colour‐naming both positive and negative words. The relevance of these findings to a model of persecutory delusions involving the self‐concept is

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01770.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The aim of this study was to investigate the effects of different types of auditory stimulation on reports of auditory hallucinations at the time of the experiment. The results showed that self‐reports by seven schizophrenic patients of auditory hallucinations were reduced by different types of auditory stimulation, particularly by listening to pop music. Requiring the subject to read a passage aloud also reduced the levels reported. This study was a replication of one by Margo, Hemsley&Slade (1981) who reported similar finding

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01771.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

We argue that there are two groups of diabetic children who cope differently with the treatment regimen, (a) those who maximize their metabolic control and whose difficulties are associated with better control, and (b) those who maintain control less tightly and whose difficulties are associated with poorer control. This hypothesis was investigated with a sample of 47 diabetic children and their mothers. Analyses confirmed the hypothesis, indicating two distinct groups based on the type of symptom (emotional versus conduct) the child exhibited. Symptom type was associated with mother's knowledge of diabetes, diabetic control, scores received on a standardized measure of psychological disturbance and diabetes‐specific concerns. The comparison of these two diabetic groups proved more sensitive to differences in diabetic adjustment than did comparisons made on the basis of psychiatric disturbanc

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01772.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Book reviewed in this article:A History of Hypnotism.ByA. Gauld.Madness and Modernism: Insanity in the Light of Modern Art, Literature and Thought.ByL. A. Sass.Guilt and Depression.ByL. Grinberg.Obsessive Compulsive Disorder: The Facts.ByP. De Silva&S. Rachman.Group Counseling and Psychotherapy with Adolescents, 2nd ed.ByB. W. MacLennan&K. R. Dies.Parents Whose Parents Were Divorced.ByR. T. Berner.Virginia Satir: Foundational Ideas.Edited byB. J. Brothers.Wider Families: New Traditional Family Forms.Edited byT. D. Marciano&M. B. Sussman.Between Art and Science: Essays in Psychotherapy and Psychiatry.ByJ. Holmes.A Psychology for Living: Personal Construct Theory for Professionals and Clients.ByP. Dalton&G. Dunnett.Science, Systems and Psychoanalysis.ByR. Langs.Anxiety Disorders: A Practitioner's Guide.ByP. Emmelkamp, T. Bouman&A. Scholing.Psychological Aspects of Depression: Toward a Cognitive‐Interpersonal Integration.ByI. Gotlib&C. Hammen.A Dictionary for Psychotherapists: Dynamic Concepts in Psychotherapy.ByR. D. Chessi

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01773.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0007-1129    

DOI:10.1111/j.2044-8341.1994.tb01774.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY