A re-evaluation of the motor inhibition--fantasy hypothesis.
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Hypotheses regarding intrapsychic disruption, specific types of anxiety and fear, and defense structure in young children with potentially fatal illnesses were tested by administering two projective tests to 24 Irish children (ages 3-6) with malignancies and 24 matched controls with non-life-threatening orthopedic diseases. Responses of the children with malignancies showed more imagery related to, and descriptions of, negative futures, loneliness, bodily intrusion, and nonbeing. Possible explanations of these findings and their implications for the treatment of children with potentially fatal illnesses are discussed.
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The subliminal psychodynamic activation method was used to enhance the efficacy of a behavior therapy approach to smoking cessation. Thirty-four subjects received a 3-week, group-oriented, multicomponent behavior therapy package aimed at smoking cessation. Subjects were randomly assigned to either experimental or control groups. The experimental group received the subliminal message "mommy and I are one," and the control group the message "people are walking." At 4-weeks post-treatment the abstinence rate for the experimentals was 67 per cent and 12.5 per cent for the controls. At 12-weeks follow-up, 44 per cent of the experimentals and 12.5 per cent of the controls were abstinent. A chi2 analysis revealed a statistically significant difference between groups at 4 but not 12 weeks. A multiple analysis of covariance was used to analyze percentage of baseline smoking at both follow-up points. A significant main effect for treatment and for time emerged along with an interaction between treatment and time. Thus, the results revealed that the subliminally exposed message differentially effected the post-treatment smoking behavior of the experimental group. The results were interpreted as evidence for a transference phenomena explanation for the effectiveness of the behavioral treatment program.
This study of a randomly selected sample of 101 schoolchildren, who had no history of previous psychiatric symptomatology, showed that approximately 12% of the children had suicidal impulses. Verbatim statements of the children about their suicidal tendencies are presented. Case vignettes illustrate the common occurrence of parental depression and suicidal behavior and the child's identification with these depressed parents. Clinical implications of these findings are discussed.