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At least 991 records · Page 55Linked to original sources
PubMed2005

[Origin of psychiatric disorders ex sexualibus: explanatory approaches at the beginning of the 19th century].

In the first half of the 19th century there were the first publications, which dealt systematically with the relation between deviations of the sexual system or behaviour and mental disturbances. The knowledge and the theoretical ideas of medicine and of psychiatric diseases at that time and a discussion concerning the consequences of masturbation can be demonstrated in works like "De mentis aberrationibus ex partium sexualium conditione abnormi oriundis" by Hermann Joseph Löwenstein (1823) and "Ueber die Beziehungen des Sexualsystemes zur Psyche überhaupt und zum Cretinismus ins Besondere" by Joseph Häussler (1826). Both publications try to sytemize the issue and prove their hypotheses by numerous casuistics. The autors belong to the so called "Somatis School" in psychiatry at that time.

Adolescent↗
PubMed2003

Pubertal timing, sexual behaviour and self-reported depression in middle adolescence.

The associations between pubertal timing, sexual activity and self-reported depression were analysed in a population sample of 17,082 girls and 15,922 boys aged 14-16 as a par of a classroom survey. Pubertal timing was assessed by age at onset of menstruation (menarche) or ejaculations (oigarche). Sexual experiences elicited included kissing, light petting, heavy petting and intercourse. Self-reported depression was measured by the 13-item Beck Depression Inventory. Among girls, self-reported depression was associated with early puberty and intimate sexual relationship. Among boys depression was associated with very early and late puberty and experience of intercourse. Early puberty is a risk factor for self-reported depression. Intimate sexual relationships in middle adolescent are likely to indicate problems in adolescent development rather than successful adolescent passage.

Adolescent↗
PubMed1995

The phallic castration complex and primary femininity: paired developmental lines toward female gender identity.

I suggest that two developmental lines contribute to the achievement of female gender identity. One is rooted in the phallic castration complex, and the other in primary femininity. Far from being mutually exclusive, the two comprise necessary aspects of every girl's progress toward becoming a woman. To that extent, every woman's analysis will include the analysis of compromise formations that emerge from both. In distinguishing clinical manifestations of each developmental line, I suggest that it may be useful to conceptualize primary femininity and the phallic castration complex as affect-defense configurations which incorporate two fundamentally different ideas about danger. In conflicts of primary femininity, danger is anticipated: anxiety is the signal for compromise formation, since what is actually possessed (the female genital) is valued and is therefore imagined as subject to danger. In the phallic castration complex, danger is imagined already to have occurred. Depressive affect becomes the primary motive for defense, based on a fantasy that what is valued (the male genital) has already been lost. This distinction may facilitate our efforts to specify exactly how recent revisions in theories of female development have explicit implications for practice.

Adult↗
PubMed1989

The fetishistic use of speech.

The question which has been addressed in this paper is that of how broad or narrow our definition of fetishism should be. Can speech and words be included in the category of fetishistic phenomena? A detailed clinical case has been presented of an obscene telephone perversion in which obscene words, seen, heard and spoken, were utilized to deal with conflicts involving dread of the sight of the 'castrated' female genital and to ward off intense castration anxiety by supporting the illusion of a female phallus. The clinical observations have been utilized to illustrate the conclusion that although fetishism most often employs concrete objects for the defensive purposes involved, there are other instances in which abstract words and speech can be used concretely in place of or in addition to the more familiar concrete items. A brief discussion has been made of certain aspects of language development that are pertinent in this regard.

Dreams↗
PubMed1980

Symposium on object relations theory and love. Object concept and object choice.

Any considerations of object relations theory and love requires a clear understanding of how the term, object relations, is used. In this contribution the concept of the object as a mental representation is emphasized. Developmentally, the evolution of the object cannot be separated from the vicissitudes of the drives. Sensorimotor experience is metaphorically assimilated in terms of pleasure-unpleasure components. Since the object concept develops in this context, it is inextricably linked to the vicissitudes of the drives. In later experience, these become organized in terms of persistent unconscious fantasies that ultimately affect object choice and patterns of loving. These are multiple determined and are influenced by contributions from all levels of development, predominantly integrated under the aegis of the oedipus complex.

Aggression↗
PubMed1997

Developmental tasks of childhood and adolescence: implications for genetic testing.

Many reports have recently recommended a careful weighing of the potential benefits and harms of genetic testing (carrier or predisposition) of children and adolescents [Andrews et al., Washington DC: National Academy Press, 1994; Wertz et al., JAMA, 272:875-881, 1994; Clinical Genetics Society (UK), J Med Genet, 31:785-797, 1994; ASHJ/ACMG, Am J Hum Genet, 57:1233-1241, 1995]. Despite this, youngsters are currently being tested for late-onset disorders as well as for carrier status [Reilly and Wertz, Am J Hum Genet, 57:A57, 1995]. Many children to be tested will be those in at-risk families, who may already have experienced the chronic illness or death of a close relative. Thus, reactions to testing will be influenced by prior family experiences. Emotional reactions to testing will be determined by both the child's cognitive and psychosocial development. Testing of adolescents may alter the achievement of developmental tasks, including seeking freedom from parental figures, establishment of personal identity, handling of sexual energies, and remodeling of former idealizations of self and others. There are many potential dilemmas in deciding whether to test a child or adolescent for genetic status. If parents choose not to test, the risk is for later difficulty integrating such information into the self concept. If parents test and do not tell results, the risk is for creating a climate of family secrecy. If parents test and tell results, the risk is robbing the child of the autonomy of his or her own later decision. Perhaps the question of whether to test is not the real question. More than genetic testing, genetic counseling is of crucial importance in thoughtful decisions concerning whether to test an individual child or adolescent. A more important question may be how to provide unaffected children in at-risk families with appropriate counseling. Provision of psychosocial support to at-risk families will enable the child to encounter genetic testing, if necessary, supported with the best possible resources.

Adolescent↗
PubMed1987

The development of time sense: from object constancy to adolescence.

A developmental line of time sense during the oedipal phase and latency is described. Subjective time sense is seen as constantly evolving, shaped by the emergence of cognitive capacities, significant emotional themes, and environmental influences. Temporal development during these phases is unique because the capacity to tell objective time is present for the first time. Significant emotional influences are the Oedipus complex, infantile neurosis, and superego formation. The concepts of Mother Time and Father Time are presented as useful descriptors of the child's intrapsychic representation of the chief environmental effectors of temporal organization. Clinical examples demonstrate that the development of time sense can be unaffected, impeded, or incorporated into psychopathology.

Child↗
PubMed1975

Adopted children in their adoptive families.

The adoptive process can produce unusual stresses on the child, and biologic and adoptive parents, from prenatal to postnatal life, and through the various phases of physical and pscyhological development. Because of the possibility of these children and their families falling into the "at risk" category with greater potential for psychological and social problems, the pediatrician is of primary importance in diagnosis and counseling. The pediatrician can be of major help in properly diagnosing emotional, behavioral and/or learning problems occurring in adopted children. There must be a thorough evaluation of the child and his family to understand and properly treat symptomatic behavior. The pediatrician can give advice regarding developmental milestones, and especially help the adoptive parents in appreciating their conscious and unconscious attitudes so as to enhance attachment behaviors. Pediatricians are the consultants to whom parents turn for advice regarding the timing of telling about adoption. This advice needs to be individualized according to the specific child's needs. Using a developmental conceptual framework, the pediatrician is in the best position to help the parents and their adopted children with their feelings about societal attitudes and how these can most appropriately be handled. Along this line, the pediatrician can give help and advice when and if the adoptee decides to search for his biologic parents. There is a need to clarify laws which seal the original birth certificate permitting those adoptees who wish to attain a knowledge of potentially related disease processes and an identity with his own genealogical past to do so. This would also allow the adoptee to offer his own children information about their own genetic pool and an awareness of adoption as one of the most valuable and historically significant child rearing practices.

Adoption↗
PubMed1991

Looking at and looking away. Etiology of preoedipal splitting in a deaf girl.

This paper presents the analysis of a profoundly deaf 12-year-old girl. The main referring symptom was a pattern of intense libidinal looking at and aggressive looking away from others, which functioned as a preoedipal splitting to keep apart opposite "all good," life-enhancing and "all bad," deathlike self and object representations. The preoedipal splitting seemed to have its etiology in traumatic experiences in the symbiotic and rapprochement phases. The analysis followed the sequence of separation-individuation, as blocks to development were progressively removed.

Borderline Personality Disorder↗