[Diffuse malignant mesothelioma of the retroperitoneal region and mediastinum].
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Biomedical subjects
Publications and source records attributed to M Hirsch.
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The purpose of this project was to test the concurrent validity of the diagnoses recommended by a rule-based expert system. Concurrent validity was determined first by comparing the expert system's computerized diagnostic recommendations with that of a Clinical Nurse Specialist (CNS Assessor) who assessed the patient, and secondly by comparing the expert system's candidate diagnoses with those of a panel of 10 clinical nurse specialists (CNS Panel). The expert system rule base for generating diagnoses was programmed for some of the most common nursing diagnoses (Metzger & Hiltunen, 1987) including: alteration in comfort, acute pain; impaired physical mobility; sleep pattern disturbance; impairment of skin integrity and self-care deficit (bathing, feeding, toileting, and dressing). Activity intolerance and potential for infection were also programmed as diagnostic possibilities in the rule base.
Severe traumatic aggression in the intrafamilial development, as in political persecution, torture and concentration camp terror, can be psychically coped with the identificatory acception of and submission to the overwhelming power. FERENCZI first described this mechanism as a result of sexual abuse, physical mistreatment and the terrorism of chronically ill parents against their children. The victim introjects the terror, identifies himself with it and so remains victim throughout his life by repetition compulsion. ANNA FREUD has used the term 'identification with the aggressor' in the case of children showing more ego-strength, which are able to defend aggressively a feared attack by identification with it. FERENCZIS discoveries signify an important extension of psychoanalytic theory especially for the understanding of severe personality disorders and the internalization process of traumatic power.