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At least 1,207 records · Page 67Linked to original sources
PubMed1983

Some relations between the negative Oedipus complex and aggression in the male.

The conflictual problems that accompany the Oedipus complex, in both its positive and negative (normal and inverted) forms, have long been recognized. It has also been well established that normal and pathological identifications derive from bisexual tendencies and from the complications of early life experiences that reinforce love or hate toward father and mother respectively. In the male, two mechanisms that can operate to bring about a predominant feminine identification and hence a negative or inverted Oedipus complex have been described. First, there is that of a primary identification with the mother, and the seeking of the father as object, with castration anxiety as a consequence. Alternatively, the sequence has been considered to involve positive oedipal wishes with mother as object; accompanying castration anxiety based on expectation of punishment; submission in a negative oedipal position as an attempted defense, only serving, however, to reinforce castration anxiety; and ultimately, a reversion to reactive aggression against the father. The links between unconscious homosexuality and paranoia in light of the foregoing dynamics have been indicated. The influence of preoedipal experience has long been presumed, though not systematically traced. With the advance of understanding of the earliest phases of childhood development, further clarification has become possible. Several factors are discussed in this paper, with illustrative clinical material. Included are the parental roles in perpetuating infantile conflicts of each libidinal phase, and in progression from symbiosis to successful separation-individuation. The resultant difficulties in ego development and in the establishment of mature object relations are described. The subsequent problems in mastering the tasks of the oedipal phase are detailed, showing the effects in terms of alternating positive and negative oedipal strivings. The adolescent-phase struggles are touched on, including the unrealistic ego-ideal structuring based on the negative oedipal stresses. Finally, the relation between unconscious homosexuality, beating fantasies, and paranoia is discussed, with the implications regarding aggression and its effects on psychopathology.

Adult↗
PubMed1985

The development of the drive object concept in Freud's work: 1905-1915.

In 1905 Freud established the idea of an object of an instinctual drive as the basic object concept of psychoanalysis. He also introduced the derivative concepts of object directedness, object choice, and object finding. While taking these steps he simultaneously deemphasized the importance of drive objects in sexual life, contradicted himself on whether drives are autoerotic or object-directed in infancy, and made incompatible statements about whether or not object choice occurs before puberty. Freud's clinical work, reflected especially in the major case reports and a series of papers on fantasy, led to an apparent recognition of complexity in the mental life of children far greater than had been described earlier. The increased attention to and appreciation of mental content in childhood especially augmented Freud's understanding of the role of drive objects, object directedness, and object choice in infancy. This, in turn, led him to postulate a sequence of organizations of sexual life, named according to the zonal drive source plus the mode of object directedness, a process of theory development that continued through 1924. Object choice and, to a lesser extent, object directedness are concepts derived from and dependent upon the concept of drive object. Both require, however, explanatory constructs besides drive constructs. In 1915 Freud defined the term "object" in the context of stating his drive theory. Freud used the term object with several new modifying words during this decade. No new object concept was introduced, however, in this work, although some steps in that direction appeared to be in progress.

Child↗
PubMed1994

On love and lust in erotic transference.

Intense erotic transference is one of the most powerful and challenging phenomena in clinical psychoanalysis. Powerful longings for love and for sexual gratification are likely to elicit enactments in the analytic setting that interfere with the analyst's ability to maintain a dual state of awareness in which he or she is both a participant in and an observer of the immediate experience with the patient. These enactments occur on a continuum from frank love affairs between patient and analyst to subtle forms of partial transference gratification. Moreover, the two primary elements in the manifest content of erotic transference--love and lust--may be dissociated from one another and may produce significantly different reactions in the analyst.

Adult↗
PubMed1994

Effective utilization of home-video recordings for the evaluation of paroxysmal events in pediatrics.

In young children, differentiating seizures from nonepileptic "spells" by history alone can be difficult, even for the specialist. Nonepileptic spells may be psychogenic (rare in the young child) or physiologic in origin. Physiologic spells misidentified as epileptic may be treated with antiepileptic medication where none is needed. Recording spells on video provides a potentially valuable supplement to the clinical history in arriving at a correct diagnosis. In practice, however, most home-video recordings prove difficult to interpret. Simple instructions to parents on the manner in which spells should be recorded will greatly increase the usefulness of home-video recordings. A systemic analysis of precipitating factors and the evolution and resolution of the spell will very often exclude seizures. The widespread availability of home-video recordings provides the pediatrician with an opportunity to visually examine a child's spells, often avoiding unnecessary investigations and referrals and allowing the physician to more confidently offer reassurance to the parents.

Anticonvulsants↗
PubMed1996

Orgasm without organisms: science or propaganda?

The worldwide epidemic of sexually transmitted diseases (STDs) presents a major public health challenge to medical practitioners and educators as they seek to implement preventive educational strategies in the adolescent population. The serious consequences of many STDs and the insufficient impact of condom promotion in this high-risk group have led to increasing recognition that sexual intercourse is medically unwise for young adolescents. As a result of this recognition, some educators have proposed that adolescent sexuality education focus on the explicit teaching of noncoital sexual activities, sometimes called outercourse. This paper explores the emergence of this educational strategy, the assertion that noncoital sexual activities will positively impact the rising incidence of STDs and unplanned pregnancy in teenagers, and the hypothetical benefits of adolescent noncoital sex.

Adolescent↗
PubMed1994

A biopsied vaginal lesion in a child alleging abuse.

In a six-year-old child presenting with vaginal bleeding, considered to be the consequence of sexual abuse by a stepfather, a colposcopically identified vaginal lesion was biopsied. This showed a chronic inflammatory lesion which could have been the consequence of recurrent, self-inflicted, masturbatory injury. Various controversial aspects of this case are discussed.

Child↗
PubMed2000

The sin of Onan.

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Bible↗