Understanding and ameliorating revenge fantasies in psychotherapy.
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Many features of the psychologic sequelae in survivors of Nazi persecution are consistent with "traumatic neurosis", but persistent guilt, which appears to be due to having identified with the aggressor, and self-loathing are not. Three cases of psychotherapy with survivors only peripherally affected by the persecution are discussed.
This paper carries out an analysis of the nature of mature religiosity of the basis of psychoanalytic findings and concepts, rather than attempting a philosophical and theological approach to religion. It highlights a striking correspondence between the characteristics of mature religiosity, derived from the various sources of development of the ego-ideal and the superego, and reflecting a dominance of love over hatred, of libido over the death drive as an aspect of psychological health and maturity, on the one hand, and the characteristics of the Deity in Judeo-Christian religions, on the other. At a clinical level, one of the functions of the psychotherapist is to explore the extent to which religiosity as a mature desire for a transpersonal system of morality and ethical values is available to our patients. Psychotherapy also has to help certain patients to free themselves from the use of formal religious commitments as a rationalization of hatred and destructiveness directed against self or others.
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The pressure toward enactment is investigated in terms of the threats that primitive, pre-thinking states of mind exert on attempts to know and understand. Clinical material and a review of the literature suggest that when the analyst confronts (by thinking) rather than complies (by action) with the hidden demands of omnipotence, he or she triggers and is then subject to the pre-thinking mental realm of concrete sensory bombardment, which can penetrate and obliterate his or her separately thinking mind. One important pressure driving the analyst toward enactment derives from a defensive response aimed at avoiding the threat of such concrete projections.
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Part I of this two-part article describes the major forms of domestic and foreign terrorism, the motivations of the perpetrators, and the psychological, social, and political forces that contribute to this most particular expression of violence. The article addresses the question of whether all terrorists are sick or evil and considers the possibility that some forms of terrorism, however odious their result, can be a rational response to a situation of perceived intolerable injustice. The article examines what motivates people to join terrorist groups and what may later move them to leave the terrorist lifestyle. Special consideration is given to the psychological and religious dynamics of suicide terrorism and what might motivate some people to give their lives for their cause. Finally, the article offers recommendations for a multipronged approach to dealing with this modern yet ageless scourge.
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This paper is a development on recent research that proved the value of non-pharmacological techniques and strategies in the management of breathlessness in lung cancer. It evaluates the intervention in a specialist palliative care setting using an outpatient clinic at Lewis-Manning House. Referrals were made by the patients' physician or specialist nurse. Patients (n = 30) were assessed and treated by the senior physiotherapist in charge of the clinic over three sessions. A number of outcomes were measured at various stages of the patients' treatment. The results have confirmed and strengthened the previous published results. Highly significant improvements in patients' breathlessness, functional capacity, activity levels and distress levels have been shown. For example, the percentage of patients experiencing breathlessness several times or more per day was reduced from 73% to 27% four weeks later. In addition, this project has been able to demonstrate significant improvements in quality of life and high levels of satisfaction with the interventions. Qualitative data enhanced the findings of objective measurements.
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