[In memoriam Max Einhorn, inventor of the duodenal tube].
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This paper delineates a pattern of personality organization in which an individual is self-defined as having an identity that has been produced independently of all prior experiences. Usually there is a history of several radical changes of self-concept, in the conscious sense. Two psychodynamic bases of this pattern are discussed: one involving a flight from engulfment in others' perceptions and definitions, and the other involving a flight from a sense of irrevocable inner badness. In both cases, the childhood origins appear to be located in the pathogenic responses of caretakers during the phases of separation and individuation. Patients showing this pattern present special problems for the psychoanalyst. The main hazard one encounters in treating such people is that the patient will respond to the analyst's efforts to illuminate his or her personality structure and psychic origins with a sudden redefinition of the self and a breaking off of therapy. We have presented some treatment recommendations based on our experiences working with such people that involve substantial modifications of classical analytic technique. Central in these recommendations is the emphasis we have placed on the potential value of the analyst's empathically guided personal openness in the conduct of therapy.
Already 94 years ago in 1910, Dr. Hans Christian Jacobaeus performed the first clinical laparoscopic surgery in Stockholm. His pioneering procedure was based on the animal experiments of Georg Kelling (1866-1945), a German physician from Dresden, who performed the first laparoscopic intervention in 1901 using a Nitze cystoscope in a dog. In 1910 Jacobaeus published his first experiences with laparoscopic surgery in the Münchner Medizinische Wochenschrift under the title "The possibility to perform cystoscopy in examinations of serous cavities." He used this technique for diagnostic purposes in unclear abdominal complaints and functional impairment. Jacobaeus was the first who pointed out the possibility of causing injury to organs, especially the gut, by inserting the trocar. In 1910 Jacobaeus recognized the immense diagnostic and therapeutic possibilities of laparoscopic surgery, but also the difficulties and limits. He also was the first who recognized the need to complete training sessions on animals and corpses. He demanded the development of special laparoscopic instruments to optimize and simplify the operation.
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Jules Gonin's former student presents a personal and historical biography of the Swiss ophthalmologist, who, between 1902 and 1921, explored and illustrated the many unknown aspects of retinal detachment, defined its pathogenesis, and developed the method of reattachment by ignipuncture and thermocautery.