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[The psychology of suffering].

Man's common experience interpreted in the humanities points to the inevitability of suffering. Suffering was even termed a basic border situation (C. Jaspers). The so-called scientific psychology hardly analyses human suffering. S. Freud regarded culture as a source of suffering and the behaviourists did not see the need for an analysis of man's inner experience. Radical change of the view on suffering was brought about in the works of V. E. Frankl who thought man to be homo patients (to be a man means to suffer). There are various sources and kinds of suffering. Based on his own vast researches the author characterizes three kinds of man's suffering: physical (pain, somatic diseases), psychical (hardships, mental disorders and illnesses) and spiritual (lack of a meaningful life, moral dilemmas). He also puts forward a hypothesis that a psychic suffering is a correlative between both mental and spiritual sufferings. Suffering fulfills a variety of functions in the life and personality of a human being; it can cause a personality degradation or can further a personality development. Therefore, we can speak of the ambivalent character of suffering. The elementary psychological problem, encountered in suffering, is to give suffering some meaning. In order to do this one must ask about future: for whom and what do I suffer? Whereas the question about the ultimate origin of suffering (why do I suffer?) not only makes it possible to explain the issue fully but first of all allows us to recognize suffering as a mystery of human existence. The author proves that the analyses carried out by John Paul II in Salvifici doloris are coherent with the principles of logotherapy. However, the analyses are more profound since they point to individual, social, cultural and transcendental dimensions of suffering.

Attitude to Health↗

Twenty years' research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies.

Cross-sectional quantitative designs are often used to investigate whether peer victimization is positively related to psychosocial maladjustment. This paper presents a meta-analytic review of cross-sectional studies, published between 1978 and 1997, of the association of peer victimization with psychosocial maladjustment. Mean effect sizes were calculated for the association between peer victimization and each form of maladjustment (depression, loneliness, generalized and social anxiety, and global and social self-worth) assessed. The results suggested that victimization is most strongly related to depression, and least strongly related to anxiety. There was no evidence that victimization is more strongly related to social than to psychological forms of maladjustment. Effect sizes were stronger when the same informants were used to assess both victimization and maladjustment than when different informants were used. There were some design limitations to the studies reviewed, but all together their results provide a strong background for more complex research into the course and treatment of victims' distress.

Adjustment Disorders↗

[The post-hospital care of the newborn and infant with disturbances of the adaptation period].

Medical care of the newborn or infant discharged from the neonatal intensive care unit is difficult and requires close co-operation between the primary care pediatrician and the team of specialists. The authors are trying to collect the rules of pediatric guidance of the high-risk patients to help in practical approach to such children and highlight the issues requiring special attention. The newborn should be discharged with precisely described plan of following treatment and controls. Despite careful discussion with parents on child's clinical status, many questions and daubts appear as sooll as the infant arrives home. All these problems have to be explained by the primary care pediatrician. Defining the subgroup of special care patients on the basis of perinatal and adaptive period risk factors can protect them from being "overseen" (the steadily progressing deterioration or problems occurring in the course of development). On the other hand, some non-typical symptoms are normal for these special patients and should be taken into consideration in the following evaluation of the development and recognition of changes in clinical condition. The attention is drawn to the meaning of corrected age and its use in growth monitoring and psychomotor development, and also the carefulness in recognizing mental psychomotor disability. Other problems, like early neurodevelopmental stimulation program, feeding difficulties, immunization questions and the care of children with chronic diseases are also discussed.

General Adaptation Syndrome↗