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At least 19 recordsLinked to original sources

Technical approaches to transference hate in the analysis of borderline patients.

Transference hate presents a major obstacle to effective analytic work with borderline patients. In a subgroup of these patients, the analyst is hated relentlessly in a manner that seems unresponsive to interpretation. The persistent projective identification of hated aspects of the patient's internal world may erode the analyst's ability to maintain his analytic posture and lead to various forms of countertransference acting out. A prolonged period of containment is required for both patient and analyst before they are likely to converge in an 'analytic space' where interpretation will be effective.

Adult

Taking care of the hateful patient.

"Hateful patients" are not those with whom the physician has an occasional personality clash. As defined here they are those whom most physicians dread. The insatiable dependence of "hateful patients" leads to behaviors that group them into four stereotypes: dependent clingers, entitled demanders, manipulative help-rejecters and self-destructive deniers. The physician' negative reactions constitute important clinical data that should facilitate better understanding and more appropriate psychological management for each. Clingers evoke aversion; their care requires limits on expectations for an intense doctor-patient relationship. Demanders evoke a wish to counterattack; such patients need to have their feelings of total entitlement rechanneled into a partnership that acknowledges their entitlement--not to unrealistic demands but to good medical care. Help-rejecters evoke depression; "sharing" their pessimism diminishes their notion that losing the symptom implies losing the doctor. Self-destructive deniers evoke feeling of malice; their management requires the physician to lower Faustian expectations of delivering perfect care.

Adult

Dentist and laboratory: a "love-hate" relationship.

The author's intent has been to promote a close working relationship between the dentist and the technician. Certainly, McCracken was doing that when he said that he hoped they could "work together in proper sequence to develop restorations that are biologically and mechanically sound and to produce removable partial dentures that reflect continuous progress in prosthetic dentistry". That's the secret. The dentist and the technician should work together and in proper sequence. Too often dental education and the dental profession have seemed to espouse the idea that the technician must function as an automaton in the fabrication of removable partial dentures. The practitioner of general dentistry can certainly ask for ideas and suggestions from the technician and still control the ultimate outcome. The dentist can share thoughts with the technician to ameliorate the "love-hate" relationship and still be responsible for the removable partial denture treatment.

Communication

Helpful hate.

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Hate

A "hateful epileptic" patient in the burn unit.

An interdisciplinary team discussed the case of a 31-year-old woman who sustained second- and third-degree burns while having a seizure. She was a difficult patient who elicited a good deal of negative feelings from the staff. The interview raised the possibility of this burn having been a suicidal attempt, and the subsequent discussion centered on effective ways of relating to her pathologic defense mechanisms. The need for a comprehensive approach that took into consideration the biologic, psychologic, and social aspects of her needs became evident to all the participants.

Adult

The Jew in literature: the hated self.

This paper discusses the special psychological and sociological qualities of the Jew in the literature of novels, plays and short stories. From Shakespeare to Hemingway, the Jew has been assigned a special place in the psyche of the authors here described, reflecting the ongoing cultural bias as it became internalized in the selves of the authors quoted. The Jew of Shakespeare's "Shylock" reflects the 16th century bias of Shakespeare and is at a distance--although with interesting similarities--to the Jew of Hemingway. Two psychological facets of anti-Semitism in literature are primarily discussed: the group-self perception of the Jew as stereotype persona, identified over time with specific peculiarities, and the psychological perceptions (in the quoted literature) to the internalized group-percept.

Humans