Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Psychosexual Development”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,369 records · Page 76Linked to original sources
PubMed1988

Adolescent sexuality.

The consequences of adolescent sexual behavior are an enormous burden both for the adolescent and society. The problem is not that teens are sexually active but rather that they have little preparation and guidance in developing responsible sexual behavior. Developmentally, adolescents reach physical maturity before they are cognitively able to appreciate the consequences of their behavior. A teenager's primary source of information regarding sexuality is his or her peer group, all of whom are experiencing and reinforcing the same behaviors. The family, the major socializer of other behaviors, is not as powerful a force in shaping responsible sexual behavior because of parental discomfort with sex education and sexual discussions. This is the result of a social milieu in which sex is frequently portrayed but rarely linked with responsible behavior or accurate, nonjudgmental information. The pediatric practitioner is in an ideal position to intervene in these dynamics. In the office, the practitioner can provide accurate sexual information to both parents and adolescents, support parental-child communication on sexual issues, and provide appropriate services or referral. In the community, the practitioner can advocate for school-based sex education as well as act as an information resource. Finally, the practitioner can advocate for the health care needs for adolescents on a national level, supporting legislation that provides adolescents with information and access to services necessary to make responsible sexual decisions.

Adolescent↗
PubMed1994

An empirical study of Freud's penis-baby equation.

One hypothesis of traditional psychoanalytic theory holds that a cardinal aspect of the "natural" development of femininity involves the woman's substitution of the wish for a baby in place of her original wish for a penis. The current study modified and extended earlier research examining the validity of Freud's this "penis-baby" theory. College-aged women and men were presented with either subliminal or supraliminal auditory messages concerned with either pregnancy or penetration themes. Subjects' written responses to Holtzman ink-blots, obtained both before and after exposure to an auditory message, were content-coded for phallic imagery and sexual imagery. Consistent with Freud's speculations about the phallic significance of pregnancy for women, female subjects who were exposed to the subliminal pregnancy message produced significantly more phallic imagery responses to ink-blots than did women in any of the other experimental conditions (p < .01). The phallic imagery production of males did not vary significantly as a function of message condition. Implications of these findings are discussed in the context of modern revisions to Freud's psychology of women and the current psychoanalytic conceptualization of penis envy as a highly condensed mental product with many layers of meaning.

Adolescent↗
PubMed1982

Female masturbation in adolescence and the development of the relationship to the body.

The significance of the role played by masturbation in the female is examined from a developmental point of view in order to question the assumption, often made, that female masturbation has the same normal significance as masturbation for the male. In order to do so, the difference between attitudes to male and female masturbation is defined as a difference in attitude to the use of the hand for masturbatory activity and is related to the observation that it is that activity that female children give up post-oedipally and again in post-puberty. The unconscious meaning of the hand, as identified with the mother's active handling of the child's body, is examined to show that masturbation is needed by the child to internalize a positive narcissistic cathexis of the body as well as a means of separating from the mother's body. The continued use of the hand during adolescence and adulthood by the girl or woman is then seen as a defensive means of maintaining a positive relationship to her own sexual body once the girl's body has become identified with that of her mother. The failure of this defence when used by the girl as a means to maintain a positive relationship to her own sexual body is seen as leading to the unconsciously determined need to attack her body, as can be observed clinically in those adolescents who physically attack their body.

Adolescent↗
PubMed1987

Sexual development and life of women with gonadal dysgenesis.

The sexual development and behavior of 37 women suffering from the gonadal dysgenesis syndrome were investigated. It was found that their sexual development was significantly retarded compared with a control group of 50 fertile patients of the same age. This retardation was greater in a subgroup of 19 women with the Turner syndrome than in a subgroup of 18 women with pure gonadal dysgenesis. The levels of gonadotrophins LH and FSH, estradiol, progesterone and testosterone in blood were similar in these two subgroups. In two-thirds of the gonadal dysgenesis syndrome patients, the estradiol level was mostly at the low end of normal. The assessment of their sexual life using the Sexual Activity of Women (SAW) and Sexual Function of Women (SFW) questionnaires indicated a lower sexual desire, a reduced orgastic capacity, and a weaker sexual activity in the pathological group. However, 24 patients living in a permanent and stable partner relationship at the time of the examination, did not significantly differ from the control group in their responses to the SFW questionnaire. The patients with gonadal dysgenesis syndrome were surprisingly well adapted to their shortcomings. The occurrence and intensity of most neurotic symptoms assessed by the N5 Questionnaire were scored lower by the patients with gonadal dysgenesis syndrome than by the control group.

Adult↗
PubMed2000

Effects of prenatal stress on development in mice: maturation and learning.

Female CD-1 mice were stressed during the final week of gestation. Beginning 3 days after birth, until weaning, their pups were examined for eye opening, startle response, tooth eruption, surface righting, ability to cling to and climb an incline, tail pull reflex, rotation, linear movement and exploration. At 3 months of age, they were tested in a Morris Water Maze. Stressed animals were significantly lighter and shorter than non-stressed animals the first week after birth. By 3 days after birth, significantly fewer stressed animals could rotate or right themselves. By 6 days after birth, significantly fewer stressed animals could cling to or climb an inclined screen, or show the tail pull reflex. By 9 days of age, significantly fewer stressed animals had teeth. In contrast, by day 12 of age, significantly more stressed animals demonstrated exploratory behavior than did non-stressed animals. There were no sex differences in the ability of animals to perform these tasks at the same age. Stressed animals were significantly slower than non-stressed animals to reach the hidden platform in the water maze on all trials, and this difference was due to stressed females being slower to find the platform than non-stressed females, with no main effect of stress on males. This study supports and expands previous findings in rodents that prenatal stress can cause deficiencies in some early indices of physical maturation and also that these deficiencies can be continued into adulthood.

Animals↗
PubMed2006

[Sexual development of children and teenagers in the families deported from Abkhazia (dynamic observation)].

The aim of the study was the evaluation of physical and pubertal development of children from the families deported from Abkhazia who were exposed to significant psycho-somatic stress and prolonged socio-economical infringement. Dynamic observation started in 1998. Children, 9-15 years of age, have been studied. 200 children have been selected by the individualised methods (115 were girls and 85 were boys). In parallel children of appropriate age and gender groups from the local families have been studied. The investigations were conducted according to the generally accepted schemes and tables suggested by Tenner (17), for girls and by V.M. Vedenski (8) for boys, respectively. The analysis of obtained results showed that the total percent of delayed puberty in studying group was 21.4% versus 30.0% in the groups of 1998. Consequently, index of delay in control group was equal to 3.9% (2005) and 5.0% (1998). The group, exceeding the norms of puberty (accelerates) was 4.8% versus 11.2% in control group in comparison with the data of 1998--5.4% versus 15.0%, respectively. It should be concluded that due to the obtained results, comparing with the analogic groups of 1998, the number of delayed puberty has been reduced by approximately 9.0%. The number of cases exceeding the norms of puberty has been decreased slightly.

Adolescent↗
PubMedDate not supplied

Parent expectations and comfort with discussion of normal childhood sexuality and sexual abuse prevention during office visits.

BACKGROUND: The American Academy of Pediatrics recommends that pediatricians provide anticipatory guidance about sexual development and sexual abuse prevention. OBJECTIVE: To examine parents' expectations, comfort level, and experience discussing sexual development and sexual abuse prevention with pediatricians. METHODS: A consecutive sample of parents presenting for care at 9 pediatric offices completed a self-administered survey. The survey included demographic information and questions related to parents' expectations, past experience, and comfort discussing normal childhood sexuality and sexual abuse prevention with their children's provider. Analyses examined relationships with parental recall of provider discussion about these topics and demographic characteristics. RESULTS: Of the 605 parents offered participation, 536 responses (89%) were analyzed. Respondents were 83% mothers, 62% white, 23% Hispanic, 7% African American, 6% Asian, 2% "other," and 65% college graduates. Nearly all respondents (98%) indicated pediatricians should discuss normal sexuality, and 96% indicated physicians should discuss sexual abuse prevention. Most parents (77%) indicated both the parent and the doctor are responsible for introducing these topics. Over 90% of parents reported that they were comfortable discussing these topics. Only 45% of respondents reported their child's pediatrician had discussed normal sexuality, and 29% had discussed sexual abuse prevention. Logistic regression modeling found the highest rates of discussion for normal sexuality were among parents with older children and the highest rates of discussion for child sexual abuse prevention topics were for mothers and those with older children. CONCLUSIONS: Pediatricians can discuss normal sexuality and sexual abuse prevention without fear of alienating parents.

Adult↗
PubMed2001

Early puberty and early sexual activity are associated with bulimic-type eating pathology in middle adolescence.

PURPOSE: To examine the associations between early pubertal timing and early advanced sexual development with bulimic-type eating pathology in middle adolescents. METHODS: A total of 19,321 boys and 19,196 girls aged 14-16 years (mean age 15.3 years, standard deviation 0.59) responded to the School Health Promotion Study, a class-room survey among Finnish adolescents about health, health behavior, and school experiences. Bulimic-type eating pathology was assessed with a questionnaire formulated according to the fourth edition of the Diagnostic and Statistical Manual for Mental Disorders IV (DSM-IV) criteria. Pubertal timing was assessed by self-reported age at menarche or oigarche. Statistical methods were used chi-square and logistic regression. RESULTS: Bulimic-type eating pathology among girls was associated with early menarche, early sexual experiences, and increasing age. Among boys, onset of ejaculations at the normative age was protective for bulimic-type eating pathology, and the risk was elevated among very early and late maturers. Early sexual experience was associated with bulimic-type eating pathology. CONCLUSION: To prevent bulimia nervosa and to create opportunities for early intervention, attention should be paid to early maturing girls and off-time maturing boys, as well as those with early onset of sexual activity.

Adolescent↗
PubMed2006

Gender-associated differences in the psychosocial and developmental outcome in patients affected with the bladder exstrophy-epispadias complex.

OBJECTIVE: To identify problems in the long-term psychosocial and developmental outcome specific to patients with the bladder exstrophy-epispadias complex (BEEC), using a self-developed semi-structured questionnaire, as there are various techniques of reconstruction to repair BEEC but to date neither patients nor surgeons have a clear answer about which type gives the most acceptable long-term results. PATIENTS AND METHODS: Increasingly many patients with BEEC reach adulthood and wish to have sexual relationships and families. To date, no studies have used disease-specific psychological instruments to measure the psychosocial status of patients with BEEC. Thus we contacted 208 patients with BEEC, and 122 were enrolled, covering the complete spectrum of the BEEC. The data assessed included the surgical reconstruction, subjective assessment of continence, developmental milestones, school performance and career, overall satisfaction in life, disease-specific fears and partnership experiences in patients aged >18 years. We compared affected females and males to assess gender-associated differences in quality of life. RESULTS: Affected females had more close friendships, fewer disadvantages in relation to healthy female peers and more partnerships than the males. Family planning seemed to be less of a problem in affected females. There were no gender differences in the adjustments within school and professional career, which was very good in general. CONCLUSION: Future studies are needed to assess the disease-specific anxieties, considering gender-specific differences.

Adolescent↗
PubMed2004

The cognitive, behavioral, and personality profiles of a male monozygotic triplet set discordant for sexual orientation.

The neurohormonal theory of sexual orientation proposes that homosexual men and homosexual women are exposed prenatally to a hormonal environment that is similar to that of the other sex. Prenatal exposure to an opposite-sex hormonal environment may lead the nervous system to develop in a manner consistent with the opposite sex. If this cross-sex exposure occurs, one prediction would be that the cognitive ability profile of homosexual men would be similar to that of heterosexual women. This study examined a set of male monozygotic triplets, aged 21 years, discordant for sexual orientation: 2 of the triplets were heterosexual, 1 was homosexual. The triplets were administered measures of 23 domains of cognitive ability, as well as measures of sexual orientation and masculinity/femininity. On the measures of cognitive ability, the triplets performed similarly, yet consistent differences were found between the 2 heterosexual triplets and the 1 homosexual cotriplet. Differences having the same pattern were found for the number of Schafer homosexuality signs on the Rorschach, and on a homosexuality scale derived from items on the Minnesota Multiphasic Personality Inventory--2 (MMPI-2). Responses from the homosexual triplet were in a more feminine direction than responses from his 2 heterosexual cotriplets on measures of masculinity-femininity, which included measures derived from Rorschach responses, the MMPI-2 Masculinity-Femininity scale, the Bem Sex Role Inventory, and the Boyhood Gender Conformity Scale. Responses to the 16 Personality Factor Questionnaire also distinguished the 1 homosexual triplet from the 2 heterosexual cotriplets. These findings support the view that the prenatal hormonal environment may have enduring effects on selected behavioral traits.

Adult↗
PubMed1980

[Inhibitions or neurosis and masculine characteristics in women. Contributions to analysis of denial].

The first part of this paper describes the general qualities of the psychical apparatus in two groups of women, male character and inhibition or neurosis. A different attitude towards the realization of the sexual difference in the phallic phase originates these two groups. The girl with a male character identifies herself with the little boy and maintains an autoerotic attitude. In the case of inhibition or neurosis the girl undervaluates herself and renounces her pleasure in masturbation. In the second part we develop a pattern of analysis, the theory of the places within the psychical apparatus: ideal, wish object, assistant and rival of the subject. The ideal is defined as warrantor for the being, for the feeling of oneself. When this ideal-cathexis happens the subject is put in the place of assistant of the ideal, in order to be recognized, to get the identification, the being. The place of rival is occupied by the one whose wishes are identical with the subject's, with whom the former has an exclusion relationship. The place of wish object appears in a heterosexual link, as the consequence of a libidinous cathexis. The distribution of these places in inhibitions or neuroses and male characters is considered in the next three parts of the paper. In inhibitions and neuroses the girl takes her mother as ideal, and her desire is to complete her, in identification with her father. The latter becomes a hostile character for the girl, and his fate is destruction, loss of meaning. The idealized link with her mother, however, progressively becomes hostile while the Ego of the girl develops. The girl then looks for shelter in worthless and multiplied men, and afterwords in a single man, idealized. These characteristics already belong to male characters. An analysis of the metapsychology of denial (Verleugnug), main defense mechanism against the registry of a traumatic perception, is offered in the next part. This defense preassumes an equivalent of an action aimed at putting something in the place of the traumatic registry, therefore maintaining the idealization of somebody as ideal, warrantor for the being. This idealization is questioned by an existence and value judgement. A link is then established between the Ego and three positions: the ideal, whose idealization the Ego tries to keep (love link); a hostile ideal, who assures the traumatic perception (hostile link) and an assistant of the hostile ideal (link of denounciation and disqualification). Denial implies the splitting of the Ego together with the existence of two preconscious organizations with different rules. One of these systems is connected only with primary identifications and the other also includes object-cathexes. In the last item we study how denial works in inhibitions and neuroses and in male characters. The girl may deny as regards either her own body (male characters) or her father's (inhibitions and neuroses). What really happens in both groups is a double denial, and the real definitive Ego, the reflexive judgement, is left out...

Denial, Psychological↗
PubMed2003

Development of sexually abusive behaviour in sexually victimised males: a longitudinal study.

BACKGROUND: Sexual maltreatment is one of the most common forms of child abuse. To identify risk factors for sexually abusive behaviour by adults, we prospectively assessed childhood experiences and personal characteristics of male child victims who became abusers in later life. METHODS: In a longitudinal study (7-19 years duration), we included 224 former male victims of sexual abuse. Risk factors contemporaneous with the abuse, and putative protective influences, were identified from social service and clinical records. Evidence of later criminal acts was obtained from a nationwide search of official records. FINDINGS: Of the 224 former victims, 26 had subsequently committed sexual offences (victim-abusers), in almost all cases with children, mainly outside their families. Risk factors during childhood for later offending included material neglect (odds ratio 3.4, 95% CI 1.2-9.7), lack of supervision (3.0, 1.1-8.3), and sexual abuse by a female person (3.0, 1.1-8.7). Victim-abusers had more frequently witnessed serious intrafamilial violence (3.1, 1.0-10.0). Six (29%) of 21 victim-abusers on whom we had relevant data had been cruel to animals (7.9, 2.0-31.4). No single putative protective factor, nor a composite protective index, significantly reduced the risk of paedophilic behaviour. INTERPRETATION: Most male victims of child sexual abuse do not become paedophiles, but particular experiences and patterns of childhood behaviour are associated with an increased risk of victims becoming abusers in later life. Our findings have implications for the design of selective interventions with a vulnerable subgroup of male victims, aimed at reducing the risk of paedophilic behaviour in later life.

Adolescent↗
PubMed1996

The role of the testicles in male psychological development.

In this paper the role of the testicles in male psychological development is thoroughly investigated. All previous psychoanalytic studies are reviewed; new clinical material is presented; critical research data from pediatric urology and physiological sex research are utilized. A number of significant conclusions emerge. (1) Certain cases of pathological castration anxiety are explained by a psychosomatic phenomenon (the "testicular vicious cycle") caused by actual and perceived threats to the genitals. (2) Testicular factors may be decisive in various neurotic symptom formations beginning with the early toilet training period. The testicular contribution then takes place along certain preferred pathways of symbolic displacement. (3) Testicular symptoms are observed in many cases of physical and sexual abuse. This finding has application to the treatment of male abuse survivors and to their related sexual dysfunctions. (4) Masturbation involving the testicles is not infrequent in young boys; the most common practice consists of inserting the testes inside the body. (5) The condition of cryptorchism may contribute to psychopathology, especially in the area of masculine self-image; however, cryptorchid boys do not tend to be gender-disordered, effeminate, or prehomosexual. (6) Male body image formation after the phallic stage is a complex emotional and intellectual task involving temporary denial of the inner body and the testicles. Finally it is suggested that a revised account of male sexuality, including both penis and testicles, is a prerequisite for any psychoanalytic theory of gender.

Adult↗
PubMed2005

Exposure to internet pornography among children and adolescents: a national survey.

Estimates suggest that up to 90% or more youth between 12 and 18 years have access to the Internet. Concern has been raised that this increased accessibility may lead to a rise in pornography seeking among children and adolescents, with potentially serious ramifications for child and adolescent sexual development. Using data from the Youth Internet Safety Survey, a nationally representative, cross-sectional telephone survey of 1501 children and adolescents (ages 10-17 years), characteristics associated with self-reported pornography seeking behavior, both on the Internet and using traditional methods (e.g., magazines), are identified. Seekers of pornography, both online and offline, are significantly more likely to be male, with only 5% of self-identified seekers being female. The vast majority (87%) of youth who report looking for sexual images online are 14 years of age or older, when it is developmentally appropriate to be sexually curious. Children under the age of 14 who have intentionally looked at pornography are more likely to report traditional exposures, such as magazines or movies. Concerns about a large group of young children exposing themselves to pornography on the Internet may be overstated. Those who report intentional exposure to pornography, irrespective of source, are significantly more likely to cross-sectionally report delinquent behavior and substance use in the previous year. Further, online seekers versus offline seekers are more likely to report clinical features associated with depression and lower levels of emotional bonding with their caregiver. Results of the current investigation raise important questions for further inquiry. Findings from these cross-sectional data provide justification for longitudinal studies aimed at parsing out temporal sequencing of psychosocial experiences.

Adolescent↗
PubMed1983

Sex differences in coping and perceptions of life events.

These data illustrate some important methodological considerations about the study of life events and the study of developmental data. As the data on the distribution of life events indicate, when individuals retell their life stories, events are rarely discrete. Psychologically, an event expands to include those predictors that later became apparent and the time taken to put the event into perspective. This calls into question the interpretation given to many life event questionnaires that seek to consider an event within a narrow time framework. Positive and negative events appear to have differential consequences. Our exploration of coping with positive events was an interesting one. Most of our respondents did not perceive that they had a coping task to accomplish when the event was perceived as a positive one. Many of the events reported by our respondents were events in the lives of others. Although this was more often the case for women than for men, interpersonal events and events in which the major impact fell on a family member were quite common in later life. In attempting to understand the impact of sociohistorical events as a context for development, it has often been assumed that overall negative events such as wars and economic depressions will have predominantly negative impacts. Our data suggest that sociohistorical events form the context for events in the family life cycle that happen independently of what is happening in the larger society. Events related to family formation happened against different backgrounds of sociohistorical events. These data also suggest that we look for cohort effects in nonlinear ways that would reflect generational communality of an event. This study also has limits. Our sample was small, and as the respondents had maximum freedom to pick the events to be discussed, we only know that we had a sample of three positive and three negative event contexts. We did not ask individuals 500 many positive and negative events they had during their lives and how the events mentioned fit into that ranking. The interviews were rich in the individuals' perceptions of the important aspects of their lives and indicated a realistic group of persons who had managed to cope reasonably well with the events in their lives. The cohorts in the study are of the age that traditional gender differences are founded on. Looking at the content of the issues to be coped with and the requirements of the situation suggest that life experience is what is predictive of coping skills.(ABSTRACT TRUNCATED AT 400 WORDS)

Adaptation, Psychological↗
PubMed1985

Transition to manhood: effects of the Great Depression on male youth.

This paper has been an exploration into the social and psychological problems associated with male youth growing up in the 1930s. By first defining and understanding the major transitions to adulthood--exiting from school, leaving the house of origin, entering the labor force, getting married, and establishing a separate household--it was then possible to explore how these transitions were affected by social, economic, and political factors in the Depression. It was also possible to examine how these factors affected the search for identify and role development in male youth. The historical study of adolescence in America has concentrated primarily on demographic data and observable behavior. Likewise, psychological studies on adolescence have concentrated on the recent past, and have tended to look at the individual rather than the relationship between the individual and/or cohort, and the social values and mores as well as economic and political conditions of the period under study. Youth culture, which can be defined as a socially recognized and institutionalized adolescence, has undergone dramatic change since the late 19th century. The transition to adulthood has not been a smooth evolution, as this paper suggests. Rather, the transition has been affected by societal conditions. Future historical research of American youth should look more closely at the differences between the sexes, as well as the influence of socioeconomic status, ethnic background, environment, and so forth. For example, a possible study might look at social and psychological problems of male youth coming of age during World War II--or Korea or Vietnam--and how the transition to adulthood was affected during these times. Other questions that lend themselves to adolescent research include the following: How have youth been affected by the economic climate (i.e., prolonged during affluent times, shortened during hard times)? What has been the historical trend in the transition to adulthood, and what have been the corresponding social and psychological adjustments? How has the youth culture influenced the adolescent experience in American society? Finally, an area that invites further research--especially with the growing interest in women's studies and the new concern with the male role in society--is the different role expectations of male and female youth, and how these expectations relate to the transition process.

Adolescent↗
PubMed1979

An ethological view of human adolescence.

In modern times the essential "normality" of adolescence has been acknowledged. With its pan-cultural and functional perspective, ethology is in a position to elaborate a description of normal human adolescence. Ethologists attempt to elucidate four interrelated aspects of a given behavior: its survival function, evolution, development, and elicitation by internal and external factors. The basic research strategy is two-fold: to identify biologically based, or evolved, behaviors (chiefly by controlling for the effects of experience and seeing if a core of evolved behavior remains); and to discover their functions by isolating the necessary and sufficient ecological conditions for their evolution. Applying this evolutionary analysis to human adolescence, we find that two developments seem to be basic: reproductive maturation and gaining independence from parents. The remainder of the article is an interpretation of various behavioral, morphological, and cultural data in accordance with these two developmental functions. Puberty seems to be timed so as to promote these functions most effectively. Pubertal changes parallel somatic growth and are delayed by poor nutrition, disease, and psychological stress--patterns consistent with functional considerations. The influence of natural selection on the sequencing of pubertal events is also emphasized. The role of pubertal hormones in altering behavior as well as morphology is illustrated. The adolescent gains independence from his parents by means of maturation and sex differentiation. Males become specialized for vigorous exertion, and females for work near the settlement--although considerable overlap in morphological and behavioral tendencies exists between the sexes. Various examples of sex differentiation demonstrates how morphological, behavioral, and cultural factors complement each other. Adolescent initiation rites help channel boys and girls into appropriate adult roles, teach respect for one's culture, and favor the fittest individuals. Hopi rites of passage are described as an example. Reproductive maturation likewise involves adaptive morphological and behavioral changes that are reinforced by cultural mores. Males rely on intimidation more than females, in order to dominate other males and attract females; contrariwise, females employ an endearment strategy more than males do. Many sex differences in human reproductive behavior can be explained with reference to man's parental behavior pattern. These include the male's greater aggressiveness, the preponderance of polygyny over polyandry, and differences in the antecedents of jealousy. Lastly, the need for an ethological understanding of adolescence is underscored as promising to offer a useful perspective on the problems of U.S. youth.

Adolescent↗
PubMedDate not supplied

[Psychodynamic factors in disk irritations].

The patients here concerned had a faulty psychical development. During the caracter-building period of early childhood they were unable, to assert themselves sufficiently enough to be accepted, or to feel that they are loved. Therefore they tried by means of overcompensatory efforts in the sense of extreme adjustment to others, to make up for this lack. Increasingly confined, as a preponderant attitude they finally developed a forced "assistant" pose (W. Schwidder). Under these circumstances the personality of the patients could not develop sufficiently in the way, that they were able to make free decisions by maintaining legitimate interests of selfassertion. As a rule, they did not experience their own subconscious, arbitrary strong protest against their overwhelming neurotic obligations, especially as their "backbone" did not make possible the establishment of any suitable or sufficient representation of their own desires or needs corresponding to the largely obsessional structure of most patients. The vicious circle, leading to the loss of inner balance makes understandable the determinant preponderance of self defense against complete exhaustion of strength. Therefore the necessary relaxation cannot be acquired and at the same time the fixation of the bodily ailments becomes unavoidable. In comparison with the study of Reischauer, with regard to our patients there cannot be established any special imperilled type; by these patients, however, a specific failure in trying to master their lives becomes a probability. By reason of our experiences, even though they are limited and still to be tested in other ways, conservative measures, which stimulate the activeness of the patients are to be preferred. If one interrupts that sort of pliant texture operatively-unless their is an urgent indication-unprofitable results must be expected, which correspond to orthopedic experiences. In the case of chronic manifestations and unusually deep fixation of the syndroms in the psychical area, no real improvement is obtained by psychoanalytic measures. Also, if one should succeed in transferring the patients in the acute state to a mental therapist in spite of the rapid reduction of their somatic pain complex, the prognosis for the more functionally concerned ones would then be burdened cosiderably by the long period of difficult differentiation against the largely somatic progression of the discs.

Adolescent↗