R.D. Laing's contribution to existentialism and humanistic psychology.
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Schizophrenia is one of the most pervading and obscure mental deseases. No scientific explanation--either somatogenic or psychogenetic--has attained, so far, a comprehensive grasp of schizophrenic ways of experiencing the world. Not that the valuable research made in many branches of Psychiatry is to be belittled because of being parcial or single-oriented: it is necessary a completely different approach--from a phenomenological standpoint-- provided by Daseinanalyse, to encompass the richess and complexity of schizophrenic experience. In that view, "being-ill" is, for the schizophrenic, a basic impairment of the capacity of "being-open-to" the human environment, and a correlative lack of "feeling-of-the-self", an incapability to be what one really is. The consequence is a loss of freedom, a basic difficulty to face the world and to reach its meaning together with the meaning of one's own life. Three cases are discussed, in which the patients are overwhelmed by other's actions and thoughts, and cannot tell apart what pertains really to their own inner world. They are even absorbed by inanimate elements, or by ordinary objects of everyday life. Everything is a threat to their nonexisting beings. Once such a grasp of the complexities of schizophrenic "way-of-being-in-the-world" is attained, it is possible to work towards the development of the patient's own self, to help to expand and strenghthen the individual inner "roots" in order to gain a higher level of individual entity that enables the patient to face the world without the risks and perils of being engulfed in its maelstroms.
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A simple classification in global impotence and erective impotence appears closer to reality than more sophisticated but more arbitrary classification. In the majority of cases, impotence reflects a global psychological dysfunction. Psychogenic impotents are most of the time inferiorized subjects alledging organic or other non justified factors to their disorder. Generally, they are peaceful, obsessive, often hypothymic; they express disgust for the body, suffer various somatic dysfunctions due to the sexual stasis; they have difficulties in communicating with things and beings. As compared to erective impotents, it seems that the global impotents have a more rigid father, are among the younger sibblings and have more brothers and sisters. The author describes further some observations of partners and of couples, as well as etiological and prognostic factors.
The study consisted of one historical retrospect of how the course Fundamental of Nursing is being oriented in man focus and the of assistance of nursing given to him. It describes and analyses an experience which has been realized by teachers of course Fundamental of Nursing in the Nursing School of Ribeirão Preto at University of São Paulo. It consists of the philosophical approach about the man who we assist. Consolidate with the Heidegger's ideas, we introduce the man's notions of being-in-the-world-with-the-others, of hospital and disease world and the facets, enabling to see the man as sick, in his-being-sick, as the new perspective of comprehension of human existence.
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