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At least 289 records · Page 16Linked to original sources
PubMed1989

Masochistic patients. How to help the person who finds 'joy in pain'.

Masochistic patients are encountered in all fields of medicine. They do not behave in the expected "normal" manner: They want to be cared for rather than cured. Treatment of these patients is possible if the physician recognizes and deals with any negative feelings toward the patient on his or her own part and then follows some elementary guidelines, such as not stressing progress, minimizing expectations for cure, showing appreciation for the patients' suffering, and establishing a relationship that is both supportive and nondemanding.

Behavior↗
PubMed1985

Survivor guilt in the pathogenesis of anorexia nervosa.

The purposes of this paper are (1) to contribute to an understanding of the crucial role of unconscious guilt in the pathogenesis of anorexia nervosa and (2) to contribute to an appreciation of the importance of the concept of survivor guilt by demonstrating its usefulness in describing and explaining aspects of the pathogenesis, psychopathology and psychotherapy of anorexia.

Adult↗
PubMed1993

Adult children of alcoholics: narcissism, shame, and the differential effects of paternal and maternal alcoholism.

Recent clinical and research literature has suggested that having one or both parents alcoholic leads to higher levels of character pathology (Baker and Williamson 1989; Benson and Heller 1987; Berkowitz and Perkins 1988; Brown 1988; Hibbard 1987, 1989; Parker and Harford 1988; Plescia-Pikus et al. 1988; Soyster 1984; Wood 1987) than is normal for nonclinical adults. Only Berkowitz and Perkins (1988) have looked at what difference it may make as to which parent is identified as alcoholic.

Adolescent↗
PubMed1981

Paraphilia and abuse-martyrdom: exhibitionism as a paradigm for reciprocal couple counseling combined with antiandrogen.

A paraphiliac with syndrome of exhibitionism has received treatment with the anti-androgenic hormone, Depo-Provera, for three years and is maintained on 350 mg, intramuscularly each week. He and his wife had been in a pathological oppressor/martyr relationship, he as a paraphiliac-oppressor and she as an abuse-martyr. They both receive reciprocal counseling therapy in individual and couple sessions. Antiandrogen diminishes paraphilic fantasy and enhances self-governance of its behavioral concomitants, but does not totally suppress erotosexual expression. Reciprocal counseling therapy enhances erotosexuality and pair-bondedness between the two partners as they both change, not singly, but mutually, toward a more healthy life style.

Adult↗
PubMed1985

Coping with a transvestitic mate: clinical implications.

The transvestite's mate often seeks psychiatric consultation following discovery of her partner's cross-dressing. The clinical management of such situations is complex and mandates investigation of how such women have coped with the knowledge that their partner wears women's clothes for sexual arousal. This report reviews the coping styles of 20 women married or living with transvestitic men. Depression, hostility, sadism and alcohol abuse were methods utilized to cope with their perverse mate. Therapeutic strategies are discussed to help such women during the initial stages of a consultation so that they may develop sufficient insight and information to intelligently manage the dilemma in which they find themselves.

Adult↗
PubMed1989

DSM-III-R: the conflict over new psychiatric diagnoses.

The inclusion of three new diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R) has generated much controversy. Many women's groups and mental health organizations objected to paraphilac rapism, premenstrual dysphoric disorder, and masochistic personality disorder. Findings from a national survey of social workers' attitudes about DSM indicated that the majority of respondents did not support adoption of the proposed diagnoses, although many were undecided. The conflict has reopened the debate about the manual among mental health professionals. The opinions of social work practitioners potentially can influence whether these and other controversial diagnoses are included in the upcoming DSM-IV.

Attitude of Health Personnel↗
PubMed1989

The little woman meets son of DSM-III.

The author discusses conceptual problems in psychiatry, illustrated by a debate over inclusion of a new disorder, masochistic personality disorder, in DSM-III-R, the manual of psychiatric diagnoses. While the DSM committee has attempted to avoid assumptions about theory and values in an attempt to be scientific, this has proved impossible, as theory is an integral part of scientific observation and values are a prerequisite for any judgement. The foundation for psychiatry cannot be theory-it can only be patient need.

Female↗
PubMed1976

Female responsiveness to erotic films and the "ideal" erotic film from a feminine perspective.

Subjects were 20 volunteers randomly selected from all female undergraduate students attending a local university, who were 21 years of age or older, and living off campus. The stimuli consisted of seven films, of approximately 5 minutes duration each, which depicted various types of human sexual behavior. Themes included "romantic" heterosexual behavior, primarily genital heterosexual behavior, a mild, and an explicit form of group-sex behavior, a mild and explicit form of heterosexual sadomasochistic behavior, and male homosexuality. Subjects rated the degree of sexual arousal experienced for each film on a 50-point Likert scale. The order of presentation of the films for each subject was randomized, and all subjects participated individually with only a female experimenter present. Following the rating period, subjects completed the Sex Knowledge and Attitude Test (9). Finally, a structured interview was conducted to probe specific likes and dislikes with respect to the content of the films viewed. Results indicated that rank order ratings of the films, from most to least sexually stimulating, was: heterosexual, romantic; group-sex mild (two males and one female); heterosexual-genital; group-sex explicit (three males and three females); sadomasochism (mild); sadomasochism-explicit (forcing and brutal); and male homosexuality. One conclusion that the data led to was that females preferred and were significantly more sexually stimulated by films in which a male related to a female (even if the male was treating the female cruelly) than they were by homosexual stimuli involving two males together. Correlational data between the rating responses and the Sex Knowledge and Attitude Test yielded much information including significant negative correlations between ratings of both group-sex films and rejection of sexual myths. Also, significant positive correlations were found between rated degree of sexual stimulation for the heterosexual and the group-sex films and the consideration of pre- and extramarital relations as acceptable or even desirable.

Abortion, Spontaneous↗
PubMed1987

Prevalence of DSM-III-R self-defeating (masochistic) personality disorder in normal and outpatient populations.

The prevalence of DSM-III-R self defeating (masochistic) personality disorder was determined on an outpatient population (N = 82) and a normal population (N = 40) using the Personality Diagnostic Questionnaire (PDQ). Fifteen (18.3%) of the outpatients and two (5%) of normals were assessed as having the disorder. Overlap of greater than 50% with borderline, avoidant, and dependent personality disorders was found. Validation of masochistic personality disorder will require it to be of value in research and clinically in ways distinct from the other personality disorders with which it is associated.

Adult↗