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Biomedical subjects

H A Guttman

Publications and source records attributed to H A Guttman.

At least 19 recordsLinked to original sources
PubMed2000

Empathy in families of women with borderline personality disorder, anorexia nervosa, and a control group.

This is a study of empathy in the families of 27 women with borderline personality disorder (BPD), 28 women with restricting anorexia nervosa (AN), and 27 women without a clinical diagnosis (NC). The daughters and both parents responded to the Interpersonal Reactivity Index (IRI), an instrument for assessing four dimensions of empathy. In addition, they were personally interviewed, with the Family Interview for Protectiveness and Empathy (FIPE), about the extent of empathy expressed by the parents to their daughter during her development. On the IRI, women with BPD scored highest on the immature and lowest on the mature aspects of empathy, whereas scores of AN and NC women were all within normal limits. Parents of BPDs had the lowest IRI scores, while parents of AN and NC groups were similar to each other and to criterion group scores. IRI scores of AN daughters were positively correlated with their parents' scores whereas BPDs' scores were negatively correlated with those of their parents. There were no correlations between the IRI scores of NC subjects and their parents. On the FIPE, borderline daughters and parents agreed about the relative absence of empathic parenting, whereas AN and NC daughters and parents agreed as to the presence of empathic parenting. The theoretical and clinical implications of these contrasting findings are discussed.

Adolescent↗
PubMed1999

The relationship between psychiatrists' couple and family therapy training experience and their subsequent practice profile.

A 28-item questionnaire was returned by 291 psychiatrists who had completed training between 1962 and 1992. There were positive correlations between the amount of couple and family therapy training (CFTT) they received and the following: the extent to which graduate psychiatrists practice CFT; their involvement as supervisors, teachers, teaching program directors, or researchers; the extent to which they seek continuing education in CFT; their positive attitude toward CFT; and the extent to which they feel that their attitude to and interest in CFT has had a positive effect on the milieu in which they practice and on their personal lives.

Adult↗
PubMed1984

Families of borderline patients: literal-minded parents, borderline parents, and parental protectiveness.

While borderline personality disorder is a well-established psychiatric diagnosis, less is known about family functioning and interactional patterns in subjects with the disorder. The authors describe interactional patterns in families of borderline children where one parent has a severe personality disorder and the other fails to protect the child adequately against the effects of that psychopathology. Two types of parents are described: the literal-minded parent and the borderline parent. The literal-minded parent resembles an alexithymic patient, lacking the ability to empathically understand and respond to the child's feelings and needs. The borderline parent uses the child as the target of projections and reality distortions. Therapy should mobilize the active protective functions of the healthier parent.

Adult↗
PubMed1983

Autonomy and motherhood.

Recently, increasing numbers of middle-class women have been choosing to continue to pursue their careers even during the early phases of their children's development. In some mental health circles, this has led to concern about the compatibility between motherhood and the autonomy which such women are demonstrating. Because of the canons of their training, most mental health professionals have definite expectations about the role of the mother in child development and a definite set of criteria for evaluating whether or not a given woman is a "good enough" mother. This underlying attitude is voiced in their concern with such questions as: "What are the boundaries between the woman's right to self-development and her legitimate pride in self-sustenance and the child's right to a psychologically available mother, who can act as a model and can guide her child's development?" Within this belief system, the notion of autonomy evokes not only the idea of self-fulfillment and independence but also the specter of selfishness and self-indulgence. Therefore, a mother's autonomy is viewed as being a rather suspect condition for the child's healthy growth and development. The object of this paper is to review the concept of the "good enough" mother, to examine and to define the concept of autonomy, and to consider whether or not the two can be compatible.

Adult↗
PubMed1983

[Family therapy with young children.].

In this article, the author demonstrates, using clinical examples, that family therapy must not consider the symptom uniquely as the expression of the family problem. Therapy must focus on it, if the symptom seriously compromises the child's development, or if it is the sole means of obtaining the family's cooperation in the treatment, as in the case of school phobia, of cystenosia, and of anorexia nervosa. In cases in which the symptom does not compromise the child's immediate development, it can be considered as a distress signal and the intervention of the therapist will then direct itself at the interactional models and the underlying family rule.

English Abstract↗
PubMed1977

The new androgyny: therapy of "liberated" couples.

Under the impact of women's liberation, many couples are seeking to develop relationships in which roles are less sex-linked and more androgynous. To help such couples and their families, therapists must re-examine and modify their own sexist preconceptions. However to be effective even the most "liberated" therapist and couple must distinguish between problems arising from sexism and from each member's personal history and psychodynamics.

Adult↗
PubMedDate not supplied

Teaching family psychodynamics in a family practice center: one experience.

This paper describes a method of teaching family psychodynamics in a new family practice center. Initially, there were difficulties in engaging staff because of inappropriate teaching methods and personal and professional identity conflicts. Ultimately, a sequential program of video playbacks, live interviews and case conferences was developed. The residents' four-month rotation in psychiatry proved essential for developing comfort with psychological and familial aspects of psyical illness.

Attitude of Health Personnel↗