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Results for “Reality Therapy”

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PubMed1986

The management of alcohol withdrawal.

Alcohol withdrawal is a common condition which often complicates intercurrent illness. Its severity and course are determined largely by the setting in which it occurs. This article discusses the history, pathophysiology, pathogenesis and principles of the treatment of alcohol withdrawal. The importance of environment and basic nursing care are stressed and the use of drugs is discussed. A withdrawal assessment scale is also included.

Alcoholism↗
PubMed1979

Problems in the assessment of analyzability.

As additional studies of assessment of analyzability have been reported, research has proven very difficult and provided little clarification. This paper reviews the literature, particularly of the last twenty-five years, from the viewpoint of identifying the nature of the problems in developing useful methods of study. Some approaches to these problems, which might provide increased understanding as well as a clearer definition of some inherent limitations, are discussed.

Affect↗
PubMed1986

Suddenly finding it really matters: the paradox of the analyst's non-attachment.

Psychological discoveries of a certain kind give rise to a particular sense of shock. When we are forced to look afresh at something whose importance we think we already know, we may find it has new and unexpected significance. Our previous understanding, genuine as it was, comes to seem rather shallow. Psychoanalysts must be open to such experiences, and I illustrate this with episodes from the history of psychoanalysis and with clinical examples. 'What really matters about this analysis?' is a question for which patient and analyst must each seek an answer, and both must allow it to take them by surprise. There is a parallel between the patient's need to give up his established ways of coping and the analyst's need not to cling on to his familiar ways of understanding. The paradox of non-attachment is that our understanding can only develop if we are not anxious to hold on to it. I relate this clinical observation to the idea of non-attachment as found in spiritual tradition, and I draw on the work of Bion and Matte Blanco to locate these ideas within psychoanalytic theory.

Fantasy↗