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Biomedical subjects

J Küchenhoff

Publications and source records attributed to J Küchenhoff.

14 recordsLinked to original sources
PubMed1992

[Some dimensions of the forgotten body in psychoanalysis and psychosomatic medicine].

Bodily Experience is well reflected in psychoanalysis and psychosomatic medicine, the body is not forgotten. The first part of the paper summarizes the general and clinical knowledge on bodily experience. The second part deals with some still neglected dimensions of bodily experience. The first two dimensions are clinical perspectives. 1. The (ill) body can be functionalized as a help to stabilize fragile body boundaries. 2. The body is determined not only by intrapsychic conflicts but also by social influences, so that bodily behavior might not necessarily reflect intrapsychic attitudes but social (hyper-)adaptation. The following two dimensions may be important for psychosomatic research. 3. Causal and unidirectional models of body-soul influences lack complexity and should be replaced by differentiated interactional models. 4. Empirical studies on body experience have to take into account its subjective and unconscious character. Qualitative methods might be very helpful here.

Body Image↗
PubMed1992

[The communicative function of psychogenic physical disorders].

The goal of the present paper is to give a classification of psychosomatic theories on symbolic body functioning by applying two modern semiotic theories (Peirce, de Saussure). Hysterical symptoms have been regarded since Freud as symbolizations through the body. Psychovegetative disorders are symbolic representations of pre-oedipal conflicts at the level of M. Balint's basic faults. Psychosomatic symptoms in alexithymic patients cannot be regarded as symbolic; these patients, however, exert a form of negative communication that can be understood as a last resort prior to (psychotic) decompensation. It therefore seems necessary to differentiate which patients can best be described by which semiotic model.

Humans↗
PubMed1991

[Theory and methods of clinical assessment of defense mechanisms].

Originally, defense theories had been developed as metapsychological categories. Applied to empirical investigations, however, defense theories have to be adapted to the specific empirical design. A clinical and an empirical theory on defense, for which the same terms are often used, are by no means identical. The clinical and empirical terms have to be matched. An empirical theory on defense should correspond not only to metapsychological categories but be adequate for the research object. Among the most common empirical procedures, clinical ratings of defense mechanisms come closest to clinical judgements, but entail methodological problems. Group ratings underly dynamic group processes which are difficult to control and thus imply a risk. The advantage of such a rating, however, is that affective processes within the rating team may be seen as an extended observational instrument. Despite their methodological restrictions, consensus ratings may be seen as an instrument the further development of which is worthwhile.

Crohn Disease↗
PubMed1990

[Edgar Degas, photography and voyeurism].

Degas has drawn his paintings in a voyeuristic perspective. This voyeurism is not due to the painter's personal psychopathology. Instead, Degas has recognized the voyeuristic change of visual perception as a result of the development of photography as a new medium; meanwhile this change has become unconscious. Degas' paintings thus confront us with the historicity of visual perception and of the visual partial instinct.

Body Image↗
PubMed1989

[Against premature facilitation of clinico-hermeneutic and theoretical scientific empirical aspects. Comments on W. Tress, research on psychogenic diseases between clinico-hermeneutic and theoretical scientific empirical aspects: social empirical markers as mediators].

The paper presented here is a contribution to the debate on the methodological dualism of hermeneutical and nomothetical procedures in psychotherapy and psychotherapeutic research. Recently, W. Tress has made re-commendations to mediate between both spheres by applying so-called "socio-empirical markers". This concept is criticized. Rather than precipitately mediating between clinical hermeneutics and empirical nomology, a critical differentiation of both methodologies is advocated. The inter-methodological dialog is furthered best by supporting hermeneutical methodology which has been devaluated in present day psychotherapy research. Recommendations to enhance the application of hermeneutics in psychoanalytic psychotherapy are given.

Communication↗
PubMed1988

[Forensic psychiatry: contradictions between clinical practice and justice].

All the different branches in forensic psychiatry have to face identical handicaps resulting from the difficulties in cooperation with the law-court. For the psychiatrist, his identity as a therapist is contradictory to his forensic tasks. The paper deals with the resulting dilemmata (partiality v. neutrality; diagnostic approach v. legal consequence; psychiatric v. legal methodology and scientific standard). The best way for both sciences to cooperate is by reflecting these handicaps and dilemmata rather than denying them.

Forensic Psychiatry↗
PubMed1981

Coping with a stoma - a comparative study of patients with rectal carcinoma of inflammatory bowel diseases.

409 patients who had either an implantation of a stoma or a bowel resection for either colorectal carcinoma of colitis/ileitis answered a 200-item questionnaire. A discriminant analysis revealed a higher degree of pre- and postoperative depression and a decrease of social activities for stoma patients who also more often lived in rural areas in comparison with patients with the same diagnosis who only had a resection. A comparison of operated cancer patients with patients operated for ulcerative colitis or Crohn's disease showed less depression before and after surgery in cancer patients. Cancer patients also frequently ceased sexual activities after the operation, and they came from much more remote rural areas than the comparison group, irrespective of the type of operation performed.

Adult↗