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On the theory and practice of the Staabs' test. An overall view for diagnostic-therapeutic use.

From a systemic point of view, Staabs' test findings are always a diagnostic construction. Criteria for their utility in a certain context is whether in addition to other information sources, it can give meaningful indications for the diagnosis and treatment (comp. for instance, also Priebe's 1989 thoughts on psychiatric diagnosis). Nevertheless or just for that reason is the consideration of relatively constant characteristics of a material, the test person as well as relative observation and description dimensions indispensable in order to prevent the danger of options and "overinterpretation". In this paper, an attempt was made at combining the characteristics that have been crystallized as relevant in the work with Staabs' test over the decades up till now and to put them into a theoretic (systemic) diagnostic context. Under these presuppositions, the Staabs' test presents a particularly suitable procedure for making contact with as well as for the diagnosis and treatment, above all, of children and adolescents. Also the use of relationship and family diagnostics and treatment is possible. At the same time Staabs' test has the inestimable advantage in that the test person's cooperation is only very rarely unattainable; in other procedures this is more often the case.

Adolescent↗

The dead father: on early psychic trauma and its relation to disturbance in sexual identity and in creative activity.

This paper explores the origins of two clinical phenomena which are frequently related in analytic practice, namely sexual deviancy and inhibition in creative or intellectual work. The analysands in question seek psychoanalytic help not for their sexual acts and object-choices but because of blockage in their professional activities. In the author's opinion the roots of both sexual deviancy and creativity may often be traced back to early psychic trauma. The sexual 'solution' and the creative activity both represent ways of attempting to overcome the traumatic situation of infancy. These propositions are illustrated by the case of an author who sought help because her writing was completely blocked and because her homosexual love-relations caused tension and concern. The sudden death of her father when she was fifteen months old and her mother's disturbed way of handling the tragic situation were decisive factors in both the patient's sexual and professional life.

Adult↗

[Childhood and transsexualism].

The introduction covers the ground that led the author to take an interest in transsexualism. The word "transsexualism" came into being at a specific time: 1953 (Benjamin). The concept, the facts, covered by this word, have existed in several known forms, as well as in "anonymous" ones. But the possibility of changing sex by hormonal or surgical means has given a new twist to the problem, with the role of the doctor and the media that go along with it. The definition is studied carefully and gives a description of transsexuals in its present forms working with biological males and biological females. The author suggests substituting "sexuel" and "sexué" in French for the distinction made in English between "sex" and "gender". The follow up should give a crucial value in order to justify turning a healthy subject into one who lives between the two genders. Unfortunately, such studies are neither numerous nor completely satisfactory because of insurmountable hurdles: a limited number of subjects who have been followed up, the impossibility of making up a test group, etc. Over the past few years, a reaction has sprung up, giving psychotherapy a more important role in treating patients, taking advantage of the treatment borderline cases have been given and what it has taught us. In all fairness, no one can speak of transsexual or transvestite children as has been done in the past, but only of feminine or effeminate boys and tomboy girls. When samples of such children have been followed longitudinally, one realizes that an extremely small number of them becomes transsexual, becoming for the most part homo- or bi-sexual, though some become heterosexual. Treating these children and their parents seems very important to everyone, given how hard it is to treat adult transsexuals. Only a few kinds of treatment have been published, and more especially, there is no data on the long-term future of those children having received treatment. We are trying to bring together data on the childhood of adult patients. Often, they have little to say about their own childhood. Interviews with parents give still another point of view. Most of the cases seen in consultation resulting from problems with gender-identity are mixed and secondary, rarely in a pure, clear-cut state.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

A critique of research in psychoanalytic theory.

The relationship between psychoanalytic theory and the experimental method is examined, with particular reference to the empirical studies on the oral and anal phases of development. The deficiencies in the design and conceptualization of many studies are discussed, as well as confusions in the writing of psychoanalytic theory. A central issue in bringing the experimental method to psychoanalytic theory is the question: What is being tested? A list of all projective and objective tests used to assess orality and anality is provided.

Adolescent↗

[Hermaphroditism].

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Adult↗

My grand-patient, my chief tormentor: a hitherto unnoticed case of Freud's and the consequences.

For many years Freud treated a woman patient who meant very much to him and for whose treatment he made the most extraordinary sacrifices. He wrote down her case history, and he described her case in at least six articles. In addition, this woman played a major role in the conflict between Freud and Jung. This paper sketches the case history, presents Freud's interpretation of her neurosis, and outlines the important consequences of this classical case in the history of psychoanalysis for theory and technique.

Adult↗