Treatment contracts.
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Commitment of Persons with Psychiatric Disorders↗
Biomedical subjects
D I Joseph
Publications and source records attributed to D I Joseph.
Preoedipal factors in "Little Hans".
In this article, the text of "Little Hans" has been reexamined in reference to the existence of negative oedipal and preoedipal factors in the development, meanings, and resolution of Hans's phobia. The cumulative effect of the frequent administration of enemas, sleeping in the parental bedroom, exposure to the bloody birth of a sibling, a generally absent father and a seductive, threatening mother would be expected to interfere significantly with the process of separation-individuation. Evidence suggesting that Hans had problems in this area is discussed. In addition to reflecting the displaced fear of Hans's oedipal rival, his horse phobia may also represent his dread of a castrating preoedipal mother and his fear of a castrating vagina. The treatment, by clarifying many of Hans's misconceptions and by allowing Hans to develop a closer, more solid relationship with his father, assisted Hans in more completely negotiating the phallic-dyadic phase of development and helped him to move more completely into the oedipal phase proper.
Anxiety, Castration↗
The impact of a family history of mental illness on medical students: implications for teaching clinical psychiatry.
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Clinical Clerkship↗
Ethical issues in community psychiatry.
In delivering mental health services, community psychiatry operates under two contracts: one between the community and the provider of services and one between the provider of services and the individual or organization requesting them. Each party in the contract has a system of ethics and values that determines its conception of what services should be available and how they should be delivered. Often there are conflicts. Using case studies from a community mental health center, the authors discuss many of the conflicts and ways of resolving them.
Adolescent↗