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Biomedical subjects

T L Dorpat

Publications and source records attributed to T L Dorpat.

7 recordsLinked to original sources
PubMed1977

Depressive affect.

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Adaptation, Psychological↗
PubMed1977

Evaluation and management of suicidal behavior.

The danger of suicide is highest in depressed older people, especially men who have sustained a loss, who have an attitude of hopelessness, and who have not resolved feelings of grief. Factors associated with greater risk are chronic or serious illness, divorced, separated or widowed marital status, white race, drug abuse, excessive use of alcohol, unemployment, and poor living conditions. Commonly, those who commit suicide have made previous attempts and have directly or indirectly communicated their intention to others. The family physician is in the front line in the recognition and prevention of suicide. In the treatment of the suicidal, the physician should maintain a strong positive relationship to the patient and be consistently dedicated to his care including availability to see the patient frequently and to receive phone calls in the middle of the night. Those with the most serious risk should be referred to a psychiatrist and hospitalized to protect them from their suicidal impulses. Psychotherapy, antidepressant and tranquilizer drugs, and electric shcok treatment are the main therapeutic approaches. The physician's capacity for empathy and emotional commitment is of greater importance than his professional credentials.

Depression↗
PubMed1977

On neutrality.

The various meanings of neutrality are traditionally assigned either to the psychoanalytic model, which developed within psychoanalysis, or to the natural science model whose meanings and methods were imported from the observational methods of natural science. The rules of abstinence and anonymity and the analyt's respect for the patient's autonomy are the principal distinctly psychoanalytic meanings of neutrality. These are discussed and illustrated by case examples. Psychoanalytic neutrality is founded upon and regulated by ethical principles of truthfulness, personal freedom, and the analyst's caring commitment to the patient. The natural science model includes the inhibition of the analyst's affective reactions, the attitude of impersonal detachment, and the requirement that the analyst's evaluations and interpretations be value-free. It is nether possible nor desirable for analysis to adopt the neutral attitudes and techniques of the natural science observer.

Affect↗
PubMed1976

Structural conflict and object relations conflict.

A hierarchical model of the mind is required for a more integrated understanding of psychic conflict. At a higher developmental level, the hierarchical model includes the tripartite model, and at a lower level it includes an object-relations model. Psychic conflicts may be classified into object relations conflicts and structural conflicts. The object-relations class of psychic conflict covers the phase of psychic development prior to id-ego-superego differentiation. The earlier psychoanalytic writings tended to ascribe all kinds of symptoms, conflicts, and disorders to structural conflicts. Logical and empirical evidence against the universality of structural conflicts in various disorders and symptoms, even psychoneurotic symptoms, has been summarized and discussed.

Adult↗