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Biomedical subjects

V Lingiardi

Publications and source records attributed to V Lingiardi.

7 recordsLinked to original sources

Hermeneutics and the philosophy of medicine: Hans-Georg Gadamer's platonic metaphor.

Taking as our starting point Plato's metaphor of the doctor as philosopher we reflect on some aspects of the epistemological status of medicine. The framework to this paper is the hermeneutics of Hans-Georg Gadamer which shows the paradoxical nature of Western medicine in choosing the body-object as its investigative starting point, while in actual fact dealing with subjects. Gadamer proposes a model of medicine as the art of understanding and dialogue, which is capable of bringing together its various constituent parts, i.e. knowledge, knowing how to do and knowing how to be, in medical practice and in the physician's training. The paper concludes with a brief discussion of the dyadic figure of the physician as Platonic "master of the living totality" and wounded healer, capable of activating the patient's self-healing capacity.

Art↗

Defense mechanisms and personality disorders.

The evaluation of defense mechanisms represents one of the most promising fields in the psychodynamic-oriented empirical research on personality disorders (PDs). This study examines the association between DSM-IV PDs and defense mechanisms. We evaluated a sample of 50 adult outpatients seeking personality assessment and psychotherapeutic treatment. PDs have been assessed using the Structured Clinical Interview for DSM-IV Personality Disorder, version 2.0. Defense mechanisms have been evaluated by a group of trained clinical psychologists and psychiatrists (interrater reliability from .61 to .95) using Perry's Defense Mechanism Rating Scale. Our results support the hypothesis that some defense mechanisms underlie PDs and that defenses call for further attention as we assess PDs.

Adult↗

[Childhood trauma and personality disorders].

The influence of the model of object relations on modern psychodynamic research has led to increased emphasis on the importance of relations and traumatic events in the genesis of some psychic disorders, especially with regard to personality disorders. The development of axis II in the DSM-III system has increased the number of empiric studies in this field. In this paper, the Authors report data relating to a sample of 49 subjects with personality disorders (DSM-III-R) in which the presence of sexual abuse, physical maltreatment and negative family atmosphere was examined using a self-administered questionnaire (CAT). The results suggest a significant presence of these events throughout the sample and reveal a correlation between some personality disorders and specific traumatic events. It may therefore be hypothesized that the presence of these events represents an important factor from the point of treatment, both in technical and in prognostic terms.

Adolescent↗

How we teach the doctor-patient relationship.

Since the reform of the Italian medical degree in 1988, fourth-year students now study the dynamics of the doctor-patient relationship as part of the compulsory 'methodology of the clinical, therapeutic, prevention and rehabilitation approach' course. This work illustrates a pilot scheme carried out at the Milan University Medical School and begun shortly before the reform of the Italian medical degree. In dealing with the teaching of the doctor-patient relationship, the authors look into a relational-psychological perspective which is supported by notions and instruments intrinsic to medical pedagogy. The work is handled along three main lines: (a) presentation of a relational teaching model and definition of teaching objectives; (b) presentation of the methods and techniques used (role-playing, videotape recordings, video simulation and group work); and (c) discussion on the evaluation criteria.

Curriculum↗

An international perspective on assessment of negative and positive symptoms in schizophrenia.

The authors used the Scale for Assessment of Negative Symptoms and the Scale for Assessment of Positive Symptoms in interviews of 96 psychiatric inpatients in Italy. They evaluated the interrater reliability and the internal consistency of these scales for the assessment of negative and positive symptoms in schizophrenia. Their findings indicate that the results of these scales are similar in Italy and the United States, countries with different languages and cultures.

Adult↗

[Not Available].

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History, 20th Century↗