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Health education: a boon to humanity or a fantasy and fraud?

The health education profession in the United States has been influenced by three major forces in recent years: sociomedical phenomena resulting in a public demand for health education, disease specificity of the practice of health education, and the process of professional credentialing. While these three forces are looked upon by many as beneficial to the profession, they also pose significant threats to the viability of the profession. Health educators must deal with these threats if the health education profession is to significantly benefit humanity. Otherwise, the profession may be ultimately perceived as a fantasy and fraud.

Credentialing↗

[The analyst's pregnancy: fantasy or reality? Or does the reality surpass the fiction?].

This article focuses on the pregnancy of analysts and its impact on the (reality) within analytical treatment. In this situation, the analyst on the one hand is caught between words and action, and on the other hand, begins to realize her pregnancy has an effect on patients, namely through emotional intensification of transference, almost instant awareness of the pregnancy by some, which incidentally sometimes leads to silence in the form of denial or inhibition. The analyst herself, in a transferential reaction, could seek to break the silence, along with the interrelation, while being torn between the "maternal preoccupations" directed toward her child as well as toward her patient. Beyond the study of attitudes or stereotyped themes, this article tries of identify the "transference dynamics" brought on by the issue of an analyst's pregnancy. In conclusion, the analyst's pregnancy, during the course of treatment, appears to distance itself from its event-related qualities and transforms itself into a mix of fantasy and reality, which can be analyzed like a dream or a deep-rooted souvenir.

Attitude↗

[Attitude, process fantasy and progress assessment after inpatient psychotherapy--the Tiefenbrunn Termination Interview].

This is a preliminary study on the qualitative evaluation of inpatient psychotherapy by means of a semistandardized interview at the end of treatment. The interview focus is on the patients' attitude, fantasy of cure and view of achieved progress. These components are formulated in a metaphoric, every-day-language which are set in relation to the patient's quantitative evaluation of treatment. Experience of therapy appears as consistently embedded in, and depending from the patient's lay theory of cure, which also determines his measure of outcome. Obviously, an important dimension of psychotherapeutic interaction can be described as "negotiating" the lay theory of cure.

Attitude to Health↗

Hitchcock's "Vertigo": the collapse of a rescue fantasy.

The author presents an interpretation of Hitchcock's 'Vertigo', focusing on the way in which its protagonist's drama resonates with the analyst's struggle with deep unconscious identifications, with the impossibility of maintaining detached objectivity or guaranteeing one's role as a reparative good object and with the dangers of grandiosity, omniscience and illusory control. The protagonist's 'countertransference love' crystallises around a rescue fantasy in which he is Orpheus striving to bring Eurydice back from Hades, or a Knight determined to behead an obscure Dragon endangering Beauty. Initially these key roles are sharply differentiated, through splitting and disavowal, which deprive the participants of their conflictual three-dimensionality. Eventually, however, the valiant Knight turns out to be as helpless and lonely as his Beauty, and in the final scene as ruthless and lethal as the Dragon. This interpretation is compared to numerous other views of the film offered in the literature. The survey and comparison of the various views leads to fundamental issues in the psychoanalytic study of art. Interpretations can be seen as unavoidably coloured by the (counter)transference of viewers. It is suggested that a film has no hidden true meaning, and a new individual significance emerges in the transitional space opened up by each viewer's encounter with the emotional universe of the film. A defensive emphasis on the pathology of artists and their work may alienate us from art, and blind us to ways in which we could learn from it personally and professionally.

Drama↗

Brain fantasies.

Any reasoning concerning the brain must face two different objects: the organ-brain, and the metaphoric-brain. Because we know so little about the true nature of brain/mind relations, we have to be extremely careful and humble when coping with brain and mind. It is necessary above all to make a clear distinction between reality and fantasies, between organ-brain and metaphoric-brain.

Behavior↗

Fantasy in individuals who smoke, stopped smoking, and never smoked.

The present study advanced the hypothesis that individuals who smoke tend to fantasize more than those who have stopped smoking or never smoked. Ninety males and 90 females, with each sex divided into three categories (smokers, stopped smokers, and never smoked) were used. Results of the study supported the hypothesis when applied to male smokers, but not to female smokers. While male smokers tended to fantasize most, the opposite was found for the female smoker, who fantasized least. This was also true in the specific area of achievement.

Achievement↗