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At least 1,063 records · Page 59Linked to original sources
PubMed1975

Sexual counseling. What the busy physician can, and cannot, do.

Patients with sexual problems often seek help first from their family physician. Before referring these patients, the physician should determine the kind of dysfunction present and whether it might successfully be treated in the general office setting. Secondary impotence can often be overcome by simple reassurance or by a program of frequent sexual foreplay and avoidance of actual intercourse. A stop-start method of reconditioning has had some success in the treatment of premature ejaculation. Anorgasmia is a commonly reported female complaint. If caused by inadequate foreplay, counseling and interpersonal discussion should lead to successful resolution. There is some evidence that anorgasmia in some cases may result from clitoral adhesion or underdevelopment of the pubococcygeus muscle. Both conditions may be simply remedied.

Coitus↗
PubMed1975

Sexual conseling of the physically disabled.

Sexual satisfaction and feelings of self-esteem play an important role in the ability to adapt to an acquired physical disability. A framework has been presented to show how sexual function is affected by different types of physical disability, and spinal cord injury has been selected as a specific example. Sexual counseling for the disabled differs little from that for the able-bodied--the same principles apply. It is appropriate to remind not only the counselor but also the disabled that (1) loss of sensation does not mean loss of feelings, (2) loss of potency does not mean loss of ability, (3) loss of urinary continence does not mean loss of penile competence, and (4) loss of genitalia does not mean loss of sexuality.

Attitude to Health↗
PubMed1982

Adolescent sexual counseling.

The physician provides a much-needed service to teenagers by counseling them regarding sexuality. A series of conferences during adolescence and use of questionnaires can facilitate discussion and point up potential problems. When the patient is confronted with a problem such as a need for contraception or an unwanted pregnancy, the physician should present all the options available and leave the final choice up to the patient. The physician is not obligated to participate in a solution that is counter to his or her moral values.

Abortion, Induced↗
PubMed1975

Operation homecoming: psychological observations of repatriated Vietnam prisoners of war.

While in military service as a psychiatrist stationed at Scott Air Force Base, I had the opportunity to do the psychiatric evaluations on a number of the prisoners of war returning from North Vietnam. Scott Air Force Base is an area medical center (North Central United States), and was responsible for administering the medical and psychiatric examinations on all the men whose homes were in this area. Our hospital processed 29 returning POWS, of whom I saw 14. This group of POWS was probably unique in military history in that it was comprised almost entirely of officers. Their period of confinement was considerably longer than that of the prisoners of World War II and the Korean War, with the typical Vietnam POW being in captivity about six or seven years. This paper is an attempt to share my observations and thoughts on the experience of being a Vietnam Prisoner of War.

Adaptation, Psychological↗
PubMed1994

"How can we know the dancer from the dance?" The analysis of a five-year-old girl.

How the analyst and the patient shape the analysis is a complex matter varying with the stage of the analysis and the individual characteristics of each patient and analyst. Examining analytic hours from the beginning, middle, and end of a five-through-seven-year-old girl's treatment suggests an intricate pattern evolving from observing and learning toward elaborating a free-ranging, creative, multilevel interplay of internal dialogues and affects.

Child↗
PubMed2000

"Where work is play for mortal stakes": the good hour in child analysis.

To explore the concept of the "good hour" in child analysis I discuss an hour in the analysis of a six-and-a-half-year-old girl. Elements of this hour include a palpable therapeutic alliance, affective immediacy, surprise, and discovery, oscillating therapeutic action of action, play, and verbalization, creative accessibility to the unconscious, the transference, the countertransference, and a capacity to work with conflict, defense, and fantasy. These qualities are similar to those described by Kris for adult analysis over forty years ago. The present hour, however, illustrates greater emphasis on affect rather than drive, the therapeutic action of play in the analytic setting, and the transformative importance of the relationship. In addition, the hour highlights a greater focus on communication by action and enactment, the highly informative uses of the countertransference, and the co-creation of the analytic process.

Child↗