ASDA specialty application.
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American Dental Association↗
Biomedical subjects
L I Jacobs
Publications and source records attributed to L I Jacobs.
Cognitive therapy of postmanic and postdepressive dysphoria in bipolar illness.
This paper describes a common dysphoric syndrome occurring during the remission from manic-depressive episodes. Its affective, cognitive and behavioral aspects represent a significant vulnerability to further relapses. It does not respond to pharmacotherapy and requires individual psychotherapy over a period of two to four years. Such therapy usually has three phases. Initially erroneous assumptions concerning bipolar illness and magic expectations regarding treatment are identified and corrected to resolve a negative transference. The main therapeutic focus then shifts to the patient's sense of emptiness. To foster a continuous and integrated sense of self, the patient is advised to write a diary, cultivate memories of competence and recognition, remember previous sessions, develop realistic goals, and read relevant problem-related novels. Finally, improvement in tolerance for ambiguity and accuracy in perceiving self and others, move the patient from the despair of "everydayness" to more serenity and a sense of mastery over his destiny.
Bipolar Disorder↗
Cognitive therapy for schizophrenia in remission.
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Attention↗
A cognitive approach to persistent delusions.
This article studies persistent delusions in schizophrenia as the cognitive aftermath of the primary delusional experience initially described by Karl Jaspers. Distinction between thinking and knowing, as well as concepts of metathinking and erroneous controlling assumptions, clarify the nature of the patient's cognitive vulnerability. Raising the patient's tolerance for ambiguity is described as the essential psychotherapeutic task.
Cognition↗
The ambivalent copulator: ejaculatory incompetence and identity diffusion.
This case report illustrates how a serious identity problem is crucial in dynamically understanding this rare sexual dysfunction. Ten retarded ejaculators treated by the author tend to be extremely compulsive and neurasthenic, with a failure to develop basic trust reflected in an obvious or concealed paranoid stance toward life. They exaggerate the destructive potential of their anger, perceive women as being invasive, possessive and controlling and lack basic sexual knowledge. Differences with the dynamics of the other male sexual dysfunctions are outlined. The successful treatment outcome in eight cases was greatly influenced by the partner's personality.
Adult↗
Ingestion of partial denture.
A partial denture was swallowed by an elderly, mentally incompetent patient. Dentists must be aware of the problems encountered in the treatment of such patients and the need to increase dental service to these patients beyond the office setting.
Airway Obstruction↗
The impotent king: secondary impotence refractory to brief sex therapy.
Men with a grandiose self-concept may develop secondary impotence that does not respond to sex therapy. The impotence occurs in response to a more self-assertive stance taken by their wives. The more common form of impotence is also presented and contrasted with the "impotent king". Recommendations for treatment are made.
Anger↗
Treatment and referral of patients presenting with sexual dysfunctions.
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Adult↗