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At least 793 records · Page 44Linked to original sources
PubMed1980

On the psychology and psychopathology of primal-scene experience.

The importance of primal-scene experience is suggested by the wide range of attention it has received, with a multitude of derivative phenomena being attributed to its influence. Emphasis has been on possible psychiatric problems, and almost all available reports are clinical and anecdotal. The classical psychoanalytic view has been that such stimulation, be it through actual witnessing or fantasy, results (especially in children) in experience of anxiety, intense eroticization, and sadomasochistic confusions about sexuality. It is suggested here that issues of affectional love and fears of aloneness and feelings of vulnerability may often be the focus of primal-scene reactions. A wide range of evidence has been presented here to support the view that primal-scene experience per se is not necessarily deleterious, and that traumatic or pathogenic effects usually occur only within a context of general brutality or disturbed family relationships. In contradistinction, some emphasis here has been placed on possible positive effects of primal-scene experience. There is a clear need for further study, especially among nonpsychiatrically selected persons, for understanding to be advanced regarding the vicissitudes of both normal and pathological primal-scene experience.

Child Development↗
PubMed1983

Childhood enuresis.

Enuresis is a common health problem in children, occurring in approximately 10 percent of five-year-olds and five percent of ten-year-olds. Regardless of the multiple possible causes, enuresis affects the child's development. Following a discussion of epidemiologic, physiologic, psychosocial and predisposing factors to enuresis, this article presents nursing approaches to the assessment and management of enuresis. A variety of management options for the nurse practitioner are discussed with a focus on supporting normal child development and facilitative family interactions.

Adolescent↗
PubMed1994

What is a clinical fact? Clinical psychoanalysis as inductive method.

This paper is an inquiry into the nature of clinical facts in psychoanalysis. The attainment of representability of psychic reality being requisite for insight, the author examines inductive processes on the part of both analyst and analysand, which are to be considered proper aspects of the study of clinical facts. It is argued that the analyst chooses his interpretations guided in good measure by nonverbal material, based on how he intuits that he is 'used' by the analysand and the ways the analysand feels 'used' by him; such nonverbal clues on the nature of the unconscious relational 'frames' operating in sessions guide him to select relevant associations from the universe of the analysand's verbal utterances. He thus comes to voice his interpretations, purveying a 'mapping' of psychic reality that typically makes use of a new viewpoint for description. Insight is achieved when the analysand attains ostensive refutation or redefinition of his unconscious 'theories' about the relationship, and this happens only in concrete individual situations, when the effects of his relational unconscious 'theories' come to be contrasted observationally in diverse 'screens', perceptual and mnemic, against the background of the analyst's neutrality: in such a way unconscious 'theories' attain the Pcs.-Cs. domain of the 'no'.

Adolescent↗