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Explicit incestuous motifs in psychosomatic patients.

In this study, which is the first ever to deal with the issue of incestuous motifs in psychosomatic patients, the author reviewed the charts of all his psychosomatic patients, seen in at least 40 interviews between 1975 and 1980, and the charts of all his non-psychosomatic patients, seen in at least 40 interviews between 1970 and 1975, in order to determine the frequency of explicit incestuous motifs in each group. It was found that the motifs had been reported by more psychosomatic patients than non-psychosomatic patients. Also, it was found that the explicit incestuous motifs which had been reported by the psychosomatic patients were more intense and pervasive than those which had been reported by the non-psychosomatic patients. These findings are discussed with reference to the issue of failure of the ego's defense mechanisms in psychosomatic patients.

Adult↗

Explicit incestuous motifs and emotional crises in psychosomatic patients.

This paper examines the emergence of incestuous motifs in the first four interviews of 50 people seeking psychotherapy. Results show a percentage (6%) which is neither relevant nor specific for any kind of diagnosis. The progress in psychotherapy of two groups of 8 patients, psychosomatic + neurotic respectively, is then compared with regard to the same motifs. All the patients underwent psychoanalytic psychotherapy twice a week for at least 2 years, between 1979 and 1982. Among the patients treated with psychotherapy, the psychosomatic subjects proved to have the weaker defense mechanisms. Most of these patients (87.5%) showed a tendency to act specific emotions through temporary exacerbations of their organic disease.

Adult↗

Patient-therapist sexual contact. I. Psychodynamic perspectives on the causes and results.

The problem of patient-therapist sexual contact is a substantial one, perhaps involving 5-10% of male therapists, and we suggest that the structure of psychotherapy and abundance of rescue fantasies make it inevitable. While skeptical of claims that there are any positive effects, we catalogue many negative effects: ambivalence and mistrust of subsequent therapists; patients doubting their own sense of reality; childhood trauma repeated and fixated instead of being interpreted; bondage to the offending therapist; original complaints of sexual dysfunction and problems in intimacy with men are exacerbated; burdens of guilt and shame carried by the patient; fantasy aspects of sexuality difficult to discuss in subsequent therapy, and the abrupt ending of the relationship leaving patient stranded and/or disorganized.

Adult↗

Engel's pain-prone disorder patient: 25 years after.

Engel's concept of pain proneness is reexamined. Child abuse issues, as they are presumed to influence pain proneness, are made explicit. Research literature related to pain proneness is reviewed. Its methodological shortcomings are discussed. Child abuse and child neglect literature was searched, but failed to reveal any association between child abuse and pain proneness. A broadly based research strategy is suggested to explore this association.

Accident Proneness↗

A biological basis for the Oedipus complex: an evolutionary and ethological approach.

The authors propose that the Oedipus complex has a strong biological basis that is evident in observations of human prehistoric and nonhuman primate behavior. The groundwork for the oedipal phase is the peaking of human infantile sexuality at age five or six-a vestige of an earlier biological timetable. Other contributing factors include the high level of helplessness of human infants, the resulting high attachment needs, and the prolongation of development phases. Unsuccessful resolution of the oedipal phase may result when the mother's dominant status is lowered. The authors suggest that an understanding of the relationship between sex and rank and an wareness of ethological findings can broaden psychodynamic formulations and enrich the psychoanalytic therapy of sexual problems.

Adolescent↗

Critique of a hypothesis of dominance and sexual behavior.

The author critically evaluates the article "Dominance and Sexual Behavior: A Hypothesis," which appeared in this journal last year and hypothesized that "male dominance facilitates male-female copulatory behavior while female dominance inhibits it." He concludes that such unitary-cause hypotheses of complex behaviors may be reductionistic and therefore less helpful than intended.

Animals↗

Early sexual experience and prostitution.

The authors compared several aspects of early sexual experience found in two earlier studies of prostitutes with results of research on "normal" women. The prostitutes had in common many negative experiences not found or found less often in other populations of young women. These include incestuous and/or coerced sex, lack parental guidance, intercouse at a young age, and few or no meaningful relationships with males. These women had discovered that sex could lead to a kind of status, even though that status is negatively labeled by the wider culture. In a society that values women on the basis of their sexuality, a woman who views herself as "debased" may see prostitution as a viable alternative--perhaps the only alternative.

Adolescent↗

A clinical note on hysterical psychosis.

The authors review the concept of hysterical psychosis and its reported psychodynamics. They suggest a psychodynamic issue that apparently has not been previously reported, namely, emotions engendered by an overt sexual advance or rage and disappointment over a lack of a sexual advance. This finding can be most helpful in distinguishing a case of hysterical psychosis from an acute schizophrenic episode.

Acute Disease↗

Overview: the sex of the therapist.

Research studies about the relevance of therapist gender to assessment, duration of treatment, and satisfaction with treatment or its outcome provide no clear, replicable results salient to decision making. Psychoanalytic and other clinical writings deal with the impact of clinician gender on the course or outcome of psychotherapy. Effects appear to depend on many factors, including the type and goal of psychotherapy, the patient's developmental level, the early relationship with parents, and the nature of object relationships and specific conflictual areas, as well as the therapist' sensitivity and value system regarding gender issues. No specific conclusions as to optimal patient-therapist matches on the basis of therapist sex appear warranted.

Adolescent↗

Sexual histories and premenstrual affective syndrome in psychiatric inpatients.

Of 45 female inpatients with schizophrenia, depression, borderline personality, or depression and borderline personality, 28 met criteria for probable or definite premenstrual affective syndrome. Of these 28, 16 had abnormal sexual histories, compared with only 1 of the 17 women who did not have premenstrual affective syndrome. Of the 12 patients with both depression and borderline personality disorder, 9 had both premenstrual affective syndrome and abnormal sexual histories. The 6 patients who had been raped all met the criteria for premenstrual affective syndrome. The authors suggest that premenstrual affective syndrome may signify unresolved sexual conflicts in subgroups of psychiatric patients.

Adolescent↗