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Biomedical subjects

W H Sledge

Publications and source records attributed to W H Sledge.

39 records · Page 3Linked to original sources

Antecedent psychological factors in the onset of vasovagal syncope.

Broad psychosocial antecedents for 18 aviators with vasovagal syncope are compared with 31 controls. The immediate thoughts, fantasies, and feelings of the fainters are examined in detail. The fainters had significantly more job dissatisfaction than the controls. The presyncope fantasies of the fainters confirm Engel's observations of the immediate psychological context for vasovagal syncope (anticipation of bodily harm, denial of fear, and submission to a threat), and extend his formulation to include psychological harm in the form of humiliation, embarrassment, and loss of prestige.

Adult↗

The therapist's use of metaphor.

A linguistic perspective is applied to the therapist's use of original metaphors in psychoanalytically oriented psychotherapy. I present a review of the literature along with a view of psychotherapy and metaphor from a linguistic perspective. Three examples from psychotherapy are used to illustrate properties of metaphorical interpretations. An examination of the portion of the hour that precedes the therapist's metaphor suggests the importance of context in reducing the dangers of misunderstanding inherent in the use of metaphor.

Adult↗