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Ferenczi's Clinical Diary: on loving and hating.

The author considers that Ferenczi's work has had a significant influence both on theorising and on the clinical practice of psychoanalysis. His 'Diary', written with such personal candour and presented with such consistency of reflective orientation, reveals many of the assumptions that found Ferenczi's work and thought. One enormously significant aspect of Ferenczi's work concerns his rendering of hatred and hate-reactions as 'insane' and 'unreal'. This understanding is based on a view of the infant/child as originally non-instinctually-driven, as gentle, tender and, in a definite sense, wise/omniscient. Love between individuals would be the only emotional tie proper to this natural arrangement. Given such a rendering, the interpretation of the significance of the patient's own hate/hatred in the treatment setting is inevitably and necessarily foreclosed. In place of this, the analyst's/Ferenczi's own hatred is revealed in 'mutual analysis' in the hope that through this 'confession' the analyst's emotional failings and limitations may be 'forgiven'. It is argued that this foreclosure of the interpretation and handling of hate in the treatment only increases its persecutory aspect. It is further argued that 'love-offerings' within or even outside of treatment, in any form, are never an adequate response to persecutory hate, and this for precise reasons.

Adult↗

Anger, aggression, and violence in love triangles.

Motives for anger and aggression in love triangles are discussed and then examined using homicide data and survey data from college students. We find that love triangles are a more important motive when females commit homicide than when males commit homicide. Females usually kill their lover while males usually kill their rival. Male attacks on male rivals reflect identity concerns, according to the college student data. Anger at both the partner and rival also depends on the assignment of blame. The aggrieved party may attack the partner or rival in order to gain retribution or deter future episodes.

Adult↗

Love wave propagation in functionally graded piezoelectric material layer.

An exact approach is used to investigate Love waves in functionally graded piezoelectric material (FGPM) layer bonded to a semi-infinite homogeneous solid. The piezoelectric material is polarized in z-axis direction and the material properties change gradually with the thickness of the layer. We here assume that all material properties of the piezoelectric layer have the same exponential function distribution along the x-axis direction. The analytical solutions of dispersion relations are obtained for electrically open or short circuit conditions. The effects of the gradient variation of material constants on the phase velocity, the group velocity, and the coupled electromechanical factor are discussed in detail. The displacement, electric potential, and stress distributions along thickness of the graded layer are calculated and plotted. Numerical examples indicate that appropriate gradient distributing of the material properties make Love waves to propagate along the surface of the piezoelectric layer, or a bigger electromechanical coupling factor can be obtained, which is in favor of acquiring a better performance in surface acoustic wave (SAW) devices.

Manufactured Materials↗

Adolescent coping with grief after the death of a loved one.

The purpose of this article was to describe adolescent coping after the death of a loved one. Data were obtained by two self-report questionnaires filled in by 14-16-year-old pupils in two secondary schools in Finland. The sample consisted of 89 adolescents (70% girls) who had each experienced the death of a loved one. The instrument used in the study was developed by Hogan and DeSantis. The article reports the responses to two open-ended questions. The data were analyzed using content analysis. The most important factors that helped adolescents cope with grief were self-help and support from parents, relatives and friends. However, the official social support system was not experienced as very helpful. No one reported help, for example, from school health services. According to the adolescents, fear of death, a sense of loneliness and intrusive thoughts were factors that hindered coping with grief. Some respondents felt that parents or friends were an additional burden on them. The results are discussed in terms of identifying the different impact of social support, the importance of self-help and professional help. Knowledge of factors that have an effect on adolescent coping with bereavement is important for families, effective nursing practice, school health services and parents.

Adaptation, Psychological↗

Does low mercury containing skin-lightening cream (fair & lovely) affect the kidney, liver, and brain of female mice?

Fair & Lovely is an over-the-counter skin-lightening cream sold widely in Saudi markets. Its mercury content is 0.304+/-0.316 microg/g, in the range of 0.102 to 0.775 microg/g. This study was designed to evaluate its toxic effects on mice. The cream was applied on mice for a period of 1 month at different intervals. Mercury levels were measured in the liver, kidney, and brain tissue samples of a total of 75 adult female CD1 mice by Atomic Absorption Spectrophotometer coupled to a Vapor Generator Accessory. The mean mercury concentrations in the tissues of the treated mice were 0.193+/-0.319 microg/g; whereas for the control group, it was 0.041 microg/g+/-0.041microg/g. While the kidney was found to have the highest mercury content, the brain was found to have the lowest content. Treated mice showed a significant reduction in body weight. Marked histological changes were clearly noted in the kidney and, to a lesser extent, in the brain and liver. These results indicate that although Fair & Lovely mercury content is less than the U.S. Food and Drug Administration (FDA) permissible limits histopathological changes in the brain, kidney, and liver tissues are evidence of its possible toxicity.

Journal Article↗

Preparing caregivers for the death of a loved one: a theoretical framework and suggestions for future research.

Caring for a terminally ill loved one and the death of that person are two of the most stressful human experiences. Recent research suggests that a substantial number of caregivers are unprepared for the death and that these caregivers may be at greater risk of psychological distress. The literature on preparedness and mental health, however, is in its infancy. The purpose of this paper, therefore, is to summarize the literature in order to stimulate discussion and research on preparedness. It is our view that preparedness for the death of a loved one is an important contributor to caregiver well-being and bereavement outcomes and that more work in this area is needed in order to improve the care provided to caregivers of seriously or terminally ill patients. We briefly review the literature on preparedness, present a theoretical model delineating the relationships between preparedness, caregiver-health care provider communication, and caregiver well-being, and provide suggestions for future research.

Caregivers↗

Preparedness for the death of a loved one and mental health in bereaved caregivers of patients with dementia: findings from the REACH study.

BACKGROUND: Although it has been suggested that family and friends who are prepared for the death of a loved one have less distress, the relationship between preparedness and bereavement mental health is inconclusive. OBJECTIVES: To determine the relationship between preparedness for the death and mental health in bereaved caregivers of dementia patients and explore predictors of preparedness. DESIGN: A prospective study of family caregivers of persons with dementia. Standardized assessment instruments and structured questions were used to collect data at study entry and at 6, 12, and 18 months. Multiple caregiving-related variables were collected. Bereaved caregivers reported whether they were "not at all" prepared or prepared for the death of their loved one. SUBJECTS: Two hundred twenty-two bereaved caregivers RESULTS: Twenty-three percent of caregivers were not prepared for the death. These caregivers had more depression, anxiety, and complicated grief symptoms. Black caregivers, caregivers with less education, those with less income, and those with more depressive symptoms prior to the death were more likely to perceive themselves as "not at all" prepared. In contrast, the amount of pain the care recipient was in prior to death was positively associated with preparedness. CONCLUSIONS: Despite providing high-intensity care, often for years, many bereaved caregivers perceived themselves as unprepared for the death. These caregivers had more depression, anxiety, and complicated grief symptoms. Future work should be directed to confirming these findings and determining how best to intervene with high-risk caregivers.

Aged↗

Disasters, the media and social structures: a typology of credibility hierarchy persistence based on a newspaper coverage of the Love Canal and six other disasters.

The starting-point of this paper is the assumption that credibility and the right to be heard are differentially distributed in any social system and therefore a 'hierarchy of credibility' exists. To test this, the media coverage of the Love Canal, New York, hazardous waste landfill disaster and six other disasters was examined to determine if this hierarchy exists in all cases. A hierarchy of credibility emphasising the views of established news sources with routine and habitual access to the media was demonstrated in the majority of events examined However, the Love Canal disaster was one of two where this hierarchy was disrupted due to a number of factors. These included the contentious or political nature of the event, its duration, the extent of competition of credibility and coverage among news sources, the extent of information shortage, the type of news medium, the degree of sympathetic and representational salience of victims and the extent to which they organized and achieved status as 'newsmakers'. Building on disaster research, a model of the operation of the credibility hierarchy in coverage of disasters is presented and discussed.

Attitude to Health↗

The loving support breastfeeding campaign: awareness and practices of health care providers in Mississippi.

OBJECTIVES: To evaluate the impact of the national breastfeeding promotion campaign, Loving Support Makes Breastfeeding Work, on health care providers in Mississippi. DESIGN: Cross-sectional study. SETTING: The Mississippi WIC (Women, Infants, and Children) program implemented the national Loving Support project for the state. Questionnaires were mailed to all hospitals with obstetric services and WIC clinics and to a random sample of one half of the practicing pediatricians and one third of the practicing family physicians in the state. PARTICIPANTS: Two hundred and two health care providers, including 104 nurses and 98 physicians, responded to the questionnaire. MAIN OUTCOME MEASURES: Health care providers' (a) awareness of the breastfeeding promotion activities in the state; (b) changes in practice in providing breastfeeding advice and referrals to lactation specialists and for breast pumps; and (c) changes in the management of breastfeeding-related problems. RESULTS: A significantly higher proportion of nurses than physicians mentioned breastfeeding benefits to mothers, provided breastfeeding management advice, and referred mothers for breast pumps and to lactation specialists after the campaign. CONCLUSIONS: This study showed the positive impact of the campaign on nurses' breastfeeding awareness and practices. More efforts are needed to continue breastfeeding outreach activities for health care providers.

Attitude of Health Personnel↗

Evaluating the social impact and effectiveness of four-year "Love Teeth Day" campaign in China.

A massive campaign on "Love Teeth Day" (LTD) has been celebrated nationwide each year in China since 1989. As announced in an official document, nine government and non-government organizations have jointly issued a circular designating that the 20th of September of each year be kept for the Love Teeth Festival in this country. The main activities were planned and conducted by the National Committee for Oral Health, which was set up in 1988. It aims to motivate the people's awareness of dental self-care, participation, and to promote community involvement in oral health education programs. For feedback, two types of questionnaires were designed and sent to the public and the organizers, respectively, after each campaign, and then returned to the office for data processing. The findings from a four-year study indicated that: (1) The activities started from three municipalities, 29 capitals of provinces, and some large cities (1989), and spread to most cities in the urban area, and about 300 counties in the rural area (1992); (2) 14,000 dental professionals and health workers participated in 1989 as information providers, and increased to 40,000 in 1992; (3) oral health knowledge has increased to 76.2% (1992) from 37% (1989); and (4) the people's will in dental prevention was strengthened.

Child↗

Man/boy love and the American gay movement.

The issue of man/boy love has intersected the gay movement since the late nineteenth century, with the rise of the first gay rights movement in Germany. In the United States, as the gay movement has retreated from its vision of sexual freedom for all in favor of integration into existing social and political structures, it has sought to marginalize cross-generational love as a "non-gay" issue. The two movements continue to overlap, amid signs of mutual support as well as tension--a state of affairs that also characterizes their interrelationship in other countries. This article offers an overview and analysis of that interrelationship in the United States since the Stonewall Riots in New York City in June 1969, which marked the beginning of a reinvigorated struggle for gay liberation.

Adolescent↗

Understanding the experience of moving a loved one to a long-term care facility:family members' perspectives.

This project was designed to develop an understanding of family members' experiences of moving a loved one to a long-term care facility and to identify ways in which facilities might help ease this process. Twenty-one semi-structured interviews were conducted with family members who had recently moved a relative into one of three long-term care facilities in Southern Ontario, Canada. Several factors appeared to contribute to the overall experience of the move to long-term care and either served to impede or facilitate a positive transition for families. These factors included: the experience during the waiting process, preparation for the move, ease of the actual move, control over decisions, communication throughout the process, support from others, and family and resident perceptions and attitudes towards the move. Easing the difficult aspects of moving a loved one to a long-term care setting can be facilitated with better preparation and support from facilities and community services.

Aged↗

Infantile sexuality, primary object-love and the anthropological significance of the Oedipus complex: re-reading Freud's 'Female sexuality'.

The author attempts to show why and in what respect Freud's famous article 'Female sexuality' can still be a source of inspiration for a contemporary metapsychology. In this text, Freud acknowledges the importance of the child's tie to its mother for the first time. Both Balint and Bowlby consider this text to be a distant forerunner of their own theories on primary object-love and attachment respectively. At the same time, Freud's text contains some elements of a 'theory of generalized seduction' as it was developed in the last decades by Jean Laplanche. 'Female sexuality' therefore presents itself as the perfect point of departure for a discussion of the relation between primary object-love (and attachment) and sexuality. Based on his reading of Freud's text, the author argues that human subjectivity is characterized by the lack of attunement between the world of the adult and the world of the child. This insight allows for a reformulation of the anthropological significance of the Oedipus and castration complexes. They are no longer interpreted as universal problems that every child has to face, but as historical and contingent solutions to the lack of attunement between the child and the adult that is essential to human subjectivity.

Anthropology↗

Is vision metric? Comment on Lappin and Love (1992).

In a recent paper, Lappin and Love (1992) showed that depth judgments, based on planar motion of a stimulus, are remarkably precise. This led them to the conclusion that perception of planar motion allows acquiring metric information about visual space. We show, however, that Lappin and Love's stimuli contained 2-D cues in the frontal plane that could subserve the subject's judgments. This means that high precision in this task does not necessarily imply metric structure of visual space.

Depth Perception↗

Teaching the three Rs and an L for love.

Mothers love to talk about their babies, children love to hear about them and need to hear about them if they are to become, in their turn, caring and responsible parents. Susan Thomas describes a pilot scheme at a Kent junior school which brought the two together along with experts from many related fields and created a comprehensive and involving educational programme which predates the Miles report recommendations.

Adult↗

Loving openness as a meta-world hypothesis: expanding our vision of mind and medicine.

In 1942, Stephen C. Pepper published a seminal book, World Hypothesis, that sought to explain how people create hypotheses about the world. Pepper proposed that there were four basic world hypotheses: (1) formistic (the hypothesis that nature exists as categories); (2) mechanistic (the hypothesis that nature obeys cause-effect relationships); (3) contextual (the hypothesis that processes in nature are relative and context dependent); and (4) organismic (the hypothesis that processes in nature reflect interactive relationships in systems). Most classical and modern theories of science and medicine implicitly adopt one or more of these foundational hypotheses. In 1997, Schwartz and Russek proposed that there were four additional world hypotheses: (5) implicit process (the hypothesis that nature consists of invisible forces and information, such as energy and consciousness); (6) circular causality (the hypothesis that nature consists of circulating interactions that inherently change over time); (7) creative unfolding (the hypothesis that processes in nature reflect flexible designs or plans that have adaptive function); and (8) integrative diversity (the hypothesis that phenomena in nature reflect complex integrations of diverse processes). Theories in postmodern and integrative science implicitly adopt hypotheses 5 through 8. However, underlying the creation of the eight world hypotheses is an implicit meta-world hypothesis which we term loving openness (the hypothesis that phenomena in nature reflect levels of openness and caring). This paper briefly explains the origin and implications of the loving openness meta-world hypothesis for understanding mind-body healing in medicine, the reordering of values in integrative medicine (with a primary focus on caring with humility), and the fostering of a new vision for twenty-first century frontier science, spirituality, and medicine.

Attitude↗

[Patient care and ethics. The dentist in love with his patient].

A young dentist, who just started his practice, falls in love with a 24-year old woman, during an expensive treatment of several crowns and bridges. He gets confused if it is wise for him to continue this treatment. This question is discussed by a philosophical analysis of what is called the 'I-am-in-love-situation'.

Adult↗

Love and male impotence.

This paper deals with male impotence in relation to love. A detailed clinical presentation attempts to show how the symptom was embedded in faulty processes of separation-individuation, whereby regression in the service of intercourse, passion and love is hindered by the fears and fantasies underlying merging experiences. These problems are examined as they appear interwoven in transference and counter-transference phenomena. The clinical case presentation is followed by a discussion of different forms of male impotence from a more general viewpoint; its relation not only to castration and phallic anxiety, but also to earlier developmental aspects. Finally, some reflections about male and female gender differences in relation to symbiotic experience.

Countertransference↗