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PubMed1985

Beating fantasies in a latency girl: their role in female sexual development.

Detailed clinical material is presented from the analysis of a latency girl whose inner life revolved around a series of beating fantasies. The clinical data support Freud's 1925 formulation that the perception of sexual differences initiates the oedipus complex in the girl. Whether a girl experiences vaginal sensations before puberty has been a controversial issue; in this girl vaginal sensations and contractions appeared prior to puberty.

Anxiety, Castration↗
PubMed1979

Fantasy and reality in patients reports of incest.

This paper explores some of the complex difficulties facing clinicians trying to assess whether a patient's report of incest is fantasy or reality. The role of sexualized family interactions, the age of the child, the nature of the act, and the quality of the reports are discussed as relevant variables. Cases are used to illustrate various points. In conclusion, we provide 8 questions the clinician should review before making any judgments about a report of incest being reality, especially when legal procedures are involved.

Adolescent↗
PubMed1993

[Anxiety and unconscious fantasies in adoptive families].

First, after a short introduction, the author goes into the threatened identity in adoptive families and the role sexuality hereby plays. This is demonstrated with a case example. Then the unconscious fantasies and dealing with the incest prohibition are described, followed by thoughts about therapy and the problem of the right time to tell the child about his adoption.

Adolescent↗
PubMed1996

Sex differences in the solitary and assaultive fantasies of delinquent and nondelinquent adolescents.

Self-images expressed in response to the Draw-A-Story task were examined for differences in gender, age, and delinquency. Subjects included 64 adolescents in detention in California and 74 normal controls attending schools in Ohio, New York, and Florida; 82 were males (53 delinquents, 29 controls); 56 were females (11 delinquents, 45 controls). Their ages ranged between 13 and 17. The first analysis evaluated whether gender or delinquency was related to self-image scores. No significant differences were found. The second analysis evaluated whether the proportions of drawings about solitary subjects or assaultive relationships differed depending on gender or delinquency. Significant gender differences were found in both solitary and assaultive content. The findings of assaultive content were reversed for solitary content. For assaultive content, the differences in proportion between male and female control subjects reached significance. The difference between male and female delinquents did not reach significance. Control males differed significantly from control females, but delinquent males did not differ significantly from delinquent females. Solitary content also distinguished between delinquent and control groups, as well as gender. The gender difference was large in the control group but small in the delinquent group. Delinquent female drawings were more like the male drawings of both groups. Thus greater gender differences were found among normal adolescents than among delinquent adolescents. Implications of the findings for access to fantasies and to screen for emotional needs are discussed.

Adolescent↗
PubMed1996

Grieving the loss of the fantasy child.

Home healthcare nurses are encountering more medically at-risk children. In these situations, parenting roles and the responsibilities of the nurse are important. The concept of parents' grieving the loss of the "fantasy" child, the purpose of various grief feelings, and suggested nursing interventions in this situation are explored.

Adult↗
PubMed1997

Self-sensuality in fantasy: reflections on early development based on a case history.

On the basis of a detailed account of the analysis of a severely disturbed female patient with suicidal tendencies and pronounced mood swings, in whom sensory impressions were particularly important, the author investigates the phenomena of hypersensuality and self-sensuality. These are shown to be closely bound up with the patient's primitive erotisation of both the transference and her life outside the analysis, their function being one of self-feeding designed to blot out the awareness of separation and separateness. Depending on a given subject's personality development and the position from which mental events are experienced, the author notes that this self-sensuality may be external, acted out or largely confined to fantasy. The case history leads to some theoretical reflections, supported by the results of infant observation conducted by the author and his assistants, on the possible connection between erotised patterns of relating in such patients and the existence of autistic nuclei. In the final part of the paper, the author considers whether the two familiar Kleinian positions need to be supplemented by a third, 'autistic', position, discusses the relevant consequences and implications, and emphasises that the assumption of the existence of such a position carries the risk of its reification. He ends with a poetic example that sums up the isolation of the patients concerned.

Adult↗
PubMedDate not supplied

[Suicide or fatal accident in fantasy play?].

The death by drowning of a 25-year-old man is reported, whose putrescent body was found drifting on the surface of an artificial lake. The deceased was dressed in a coat of chain-mail and trousers of the same material. The chain-mail clothing, which had a weight of 20 kg, reminded one of a knight's armour; it had been made by the wearer himself. Around the neck there were several turns of a chain running down to the legs and tying them together. According to the police investigations it is to be assumed that the man went out on the lake in a rubber boat and then pierced the air chambers of the boat with a knife. The possible background of the case in context with the special liking for fantasy games is discussed.

Accidents↗
PubMed1976

Rescue fantasies in homicide-suicide.

Thirteen homicide-suicides, events in which an individual murders one or more persons and kills himself immediately afterward, were studied. Findings were presented in terms of the setting in which these events occurred, the relationship between perpetrator and victim, and the rationalizations produced by the perpetrators to explain their behavior. The results are interpreted to suggest that persons who commit homicide-suicide are acting out a three-party rescue fantasy in an attempt to resolve unbearable stress.

Acting Out↗
PubMed1998

Facial disfigurement: a self-psychological perspective on the "hide-and-seek" fantasy of an avoidant personality.

The author presents the self-psychological treatment of a patient who was born with a facial disfigurement. At the onset of treatment, the patient met the diagnostic criteria for avoidant personality disorder. The disfigurement predisposed the patient to perceive herself as defective and flawed. This sense of being flawed was exacerbated by early losses and selfobject failures. The formulation presented focuses on the patient's "hide-and-seek" fantasy, which expresses both archaic grandiosity and omnipotence. The patient's emotional hiding and seeking is an apt description of her avoidant behavior, in general, and the transference, more specifically.

Adult↗
PubMed1988

Anorexia, psychoanalysis, and feminism: fantasy and reality.

Two distinct trends inform current psychoanalytic and feminist approaches to anorexia: one focuses on its roots in the fantasy, the other in the reality of childhood and adolescent deprivation and abuse. In outlining these two approaches, this article shows how both increasingly attend to the place of the mother to the neglect of the father in the genesis of anorexia--a shift of perspective somewhat redressed by systemic family therapy.

Adult↗
PubMed2001

The sexual games of the body politic: fantasy and state violence in Northern Ireland.

This article analyzes the practice of strip searching women political prisoners in Northern Ireland as a violent technology of control aimed at breaking the political identity of prisoners. Focusing on a controversial case of a mass strip search carried out in 1992, the article examines the phantasmatic investements pervading this seemingly rational technology of control. Using a psychoanalytic notion of fantasy against the backdrop of a Foucaultian theory of power, this article argues that strip searches constitute a gendered form of political domination driven by, and performed within, a phantasmatic scenario of sexual violence. In this scenario both the political and gender identities of prisoners are re-inscribed with the power of a state acting as a male body politic. The article argues that the phantasmatic support of rational technologies of control betrays the contingent and shifting character of domination as well as its ambiguous effects.

Anecdotes as Topic↗
PubMed1998

Creating the future of applied psychophysiology and biofeedback: from fantasy to reality.

AAPB and its membership are faced with a number of giant challenges, including but not limited to: (1) the cost savings efforts of third-party payors and managed care organizations; (2) the lack of public awareness of biofeedback and its usefulness; and (3) the lack of sufficient research data on both the effectiveness and efficacy of biofeedback. In spite of these challenges, there are windows of opportunity that have been or which could be created to move biofeedback further into the realm of conventional treatment. We must focus our efforts on working together to: (1) create strategic plans for creating the future of applied psychophysiology and biofeedback; (2) educate all decision makers, including the general public; (3) establish better relationships with other professionals with common interest; (4) conduct more efficacy and effectiveness research; and (5) create a demand for our services so that the public will be more willing to pay for our services "out of their own pocket." In order for this to happen, we must stop fighting with each other and direct our energies to productive activities that can change fantasies into realities.

Biofeedback, Psychology↗
PubMed2004

Transplantation: fantasy, fiction and fact.

Today organ transplantation is considered a routine surgical procedure. The idea of transferring tissues from one person to another has been inspiring to the minds of artists depicting the Saints Cosmos and Damian and also writers such as Mary Shelley. Early attempts at tissue transplantation were unsuccessful but in the last 50 years medical research has brought it into reality. The present paper looks at the subject from the realms of fantasy through the works of fiction and finally into everyday fact.

Drama↗
PubMed1994

Vitamins: the tortuous path from needs to fantasies.

The discovery of vitamins in the early 1900s, their chemical characterization and the clarification of their metabolic functions are sequential aspects of a brilliant chapter in the history of modern nutritional science. Despite our current knowledge about vitamins, inadequate vitamin status still abounds in the less industrialized world. With some vitamins, toxicity also poses a problem. The average daily amounts of dietary vitamins needed to maintain physiological functions in generally healthy persons is fairly well known. Nonetheless, new indicators of vitamin status and in vivo kinetic analysis should allow refinement of these values. The dietary intake of fruits and vegetables has been associated with a decreased risk of major chronic diseases, including cancer and cardiovascular diseases. The specific contributions of different components of the diet, including several vitamins, to this apparent protective effect is still uncertain. Factors besides diet that affect chronic diseases are lifestyle, genetics, medical awareness, and habits like smoking. Fantasies among generally healthy persons that large supplements of any single vitamin or combination of them, like some magical amulet, will significantly stave off ill health have captivated a sizable percentage of our population. Such beliefs can only be changed, if at all, by appropriate educational messages based on convincing scientific data.

Chronic Disease↗
PubMed2000

Transplantation and its biology: from fantasy to routine.

The replacement of diseased organs and tissues by the healthy ones of others has been a unique milestone in modern medicine. For centuries, transplantation remained a theme of fantasy in literature and the arts. Within the past five decades, however, it has developed from a few isolated attempts to salvage occasional individuals with end-stage organ failure to a routine treatment for many patients. In parallel with the progressive improvements in clinical results has come an explosion in immunology, transplantation biology, immunogenetics, cell and molecular biology, pharmacology, and other relevant biosciences, with knowledge burgeoning at a rate not dreamed of by the original pioneers. Indeed, there have been few other instances in modern medicine in which so many scientific disciplines have contributed in concert toward understanding and treating such a complex clinical problem as the failure of vital organs. The field has been a dramatic example of evolution from an imagined process to an accepted form of therapy.

Allergy and Immunology↗
PubMed1996

Relationships among affect in play, interpersonal themes in fantasy, and children's interpersonal behavior.

Relationships among children's affective expression in fantasy play, interpersonal themes in projective stories, and concurrent interpersonal behaviors were investigated in 49 children. Participants completed a play task, a projective storytelling task, and a brief IQ measure. Peer and teacher ratings provided measures of interpersonal functioning. Results found that access to and comfort with affect is related to the ability to think in interpersonal ways. Neither affective expression in play nor interpersonal themes in projective stories were related to actual interpersonal behavior.

Journal Article↗
PubMed1991

Future directions of laser phototherapy for diagnosis and treatment of malignancies: fantasy, fallacy, or reality?

A new and highly promising adjunctive modality for the diagnosis and therapy of malignancies is under development using lasers and tumor targeting dyes. To reach the eventual goal of clinical treatment, several current "fantasies and fallacies" regarding laser applications in medicine must be identified and their problems clearly outlined. A multidisciplinary scientific approach is also required to enable the clinical practicality of this laser targeting approach. Many new dyes and laser wavelengths are being tested to improve specific tumor uptake and/or retention, lower systemic toxicity, increase tissue penetration, and identify fluorochromes with synergistic properties to further enhance laser tumoricidal effects. Rapid technological advancements in magnetic resonance imaging may now provide an extremely sensitive way to detect and monitor laser-tissue effects, and allow efficient interstitial laser phototherapy of deep and sometimes inaccessible tumors. The current and future prospectives of the emerging field of laser phototherapy are described.

Coloring Agents↗
PubMed1996

Finding heroes and heroines: fads, fantasies, and foibles of search and screen committees.

Search and screen committees have many agendas other than finding candidates for a job vacancy. They are essentially political processes whereby special interest groups inside and outside the organization can express opinions, monitor diversity, and review and fine-tune the organizational culture with respect to planned change. Search committees reflect the fads of the institutional culture, have fantasies about the kinds of persons they will attract to the position, and commit foibles that may affect the outcome of the search.

Contract Services↗