Viennese Zeitgeist and the economics of Sigmund Freud and the psychology of Austrian economics.
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Biomedical subjects
Publications and source records attributed to S L Warner.
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This paper speculates on the origins of the slang term "headshrinker," commonly used to designate and devalue a psychiatrist. It is concluded that the term was coined shortly after World War II. The term serves to lessen patients' anxiety over their view of the psychiatrist's power and magic.
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A warp in the childhood emotional pattern may involve the ego and superego enough to cause psychotic elements or coloring, which may evolve into the psychotic character or into the potential for it or for psychosis. A brief review of relevant literature and a series of clinical vignettes are presented from the perspective of Alexander's model of the neurotic character. The psychotic is seen as showing: the dynamics of the neuroses acted out as in the neurotic character; narcissistic egocentricity and a failure of emphathetic, sympathetic identification and loving object relations; id impulses rationalized by a distortion of reality (manifested not in specific delusions, but rather, more diffusely throughout the ego); minimal or no insight into illness, as in criminality; and a failure of defenses against id impulse although the ego organization is intact. The clinical material reveals that these elements are encountered in all combinations and gradations; several types of psychotic character are discussed.
The effects of 14 weekly injections, s.c. or i.v., of "human equivalent" doses (5.25 mg/sq m) of Corynebacterium parvum (CP) in mice have been compared. Both s.c. and i.v. CP caused significant splenomegaly and antibody to CP, but stimulation was considerably greater after i.v. CP. Delayed hypersensitivity levels to CP were similar after s.c. and i.v. injection. T-cell competence, as judged by phytohemagglutinin reactivity and delayed hypersensitivity to sheep cells, was unimpaired after s.c. CP and augmented by i.v. CP. Activated peritoneal macrophages capable of nonspecifically inhibiting tumor growth in vitro were detected only after i.v. CP, and in vivo resistance to tumor cell challenge was greater after CP administered i.v. than s.c.
In certain special situations in psychoanalytic treatment there is a need to mobilize ego strength: (1) those patients who are "so infantile" that they need ego strengthening to mature sufficiently to cope with their lives; (2) patients who regress partially during psychoanalysis and cannot progress without analytic intervention to help strengthen their ego; (3) those patients with a strong tendency toward regression whose egos need immediate strengthening in analysis to prevent an immobilizing regression; (4) those patients for whom a stressful reality situation so undermines their confidence that they fall into a severe regression and need to be helped out of this as an emergency to avoid permanent trouble, such as flunking out of school or getting fired from their jobs. All attempts to mobilize ego strengths require an especially thorough understanding of the psychodynamics and especially of the transference and countertransference. In addition, the patient's ego must be assessed as having the potential for more effective functioning. Usually the patient has been unable to realize this potential because of the various degrees of regression, and the analyst has already made exhaustive analytic interpretation of the unconscious material, including the transference and resistance. He may then shift to a more direct approach, pointing out the patient's ego strengths and giving him an accurate picture of the way he can use these strengths toward his own goals. The aim is to help the patient use his own willpower and ego functions gradually to work on and finally resolve some of his neurotic problems. Accurately and honestly mirroring the patient's ego potentials, encouraging him to use his ego, and providing examples of how others have used their own willpower in comparable situations are usually helpful. The analyst must not impose his own values or goals on the patient but must work with the goals, problems, and strengths the patient has. Seven analytic cases are presented to illustrate different ways of helping the patient to mobilize and utilize his own ego strength. We are not suggesting any new "technique," but only that there is something, which can be recognized as willpower, that can be mobilized for therapeutic effect; the appeal is make primarily by the usual procedure of pointing out reality but with encouragement to the patient in coping with both external and internal stresses, these latter being most often regressive tendencies.
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Rarely do radiologic technology programs have adequate faculty to provide full-time counselors for the student's personal, professional, and academic problems. The problems of using educational or administrative personnel as part-time couselors are discussed and the utilization of interested staff technologists in the role of student counselor is recommended.
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