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At least 19 recordsLinked to original sources

[Transferred employees' psychological stress due to "tanshin-funin" family separation: a study of stress responses].

A transferred employee may take his family along (taido-funin), or have to temporarily move and live alone (tanshin-funin), leaving the family behind. Two hundred and thirty-nine (239) taido-funin transferees, 247 tanshin-funin transferees, and 225 non-transferred employees completed a 31-item questionnaire designed to measure stress responses on the present level. Factor analysis found five factors for the stress: feeling of instability, poor health, loneliness, loss of self-confidence, and feeling of elation. Results indicated that (1) in general, tanshin-funin transferees felt more stressful than the other groups. However, family separation might not be as bad as expected, because while it did cause loneliness and poor health and decrease feeling of elation, the transferee self-confidence was actually increased. (2) The transferee rank did not affect the effects of family separation. (3) Besides, stress responses were measured on 31-items on the difference between present and past levels. According to the results, tanshin-funin transferees believed that psychological stress due to family separation was especially harmful. The effects of family separation depended also on the conceptual levels of measurement.

Adult↗

On trying something new: effort and practice in psychoanalytic change.

This paper describes one of the ingredients of successful psychoanalytic change: the necessity for the analysand to actively attempt altered patterns of thinking, behaving, feeling, and relating outside of the analytic relationship. When successful, such self-initiated attempts at change are founded on insight and experience gained in the transference and constitute a crucial step in the consolidation and transfer of therapeutic gains. The analytic literature related to this aspect of therapeutic action is reviewed, including the work of Freud, Bader, Rangell, Renik, Valenstein, and Wheelis. Recent interest in the complex and complementary relationship between action and increased self-understanding as it unfolds in the analytic setting is extended beyond the consulting room to include the analysand's extra-analytic attempts to initiate change. Contemporary views of the relationship between praxis and self-knowledge are discussed and offered as theoretical support for broadening analytic technique to include greater attention to the analysand's efforts at implementing therapeutic gains. Case vignettes are presented.

Adult↗

Volitional collapse (loss of the will to live) in patients with burn injuries. Treatment strategy.

Volitional collapse, or loss of the will to live, remains one of the most vexing of the various system failures complicating serious illness or injury. It resembles, but is distinguishable from, major depression. Two features of volitional collapse may sometimes be turned to therapeutic advantage: it releases the patient from a struggle that may be dissipating already depleted energy reserves, and it transfers survival responsibility from one who has given up to others who have not. Preferred treatment involves carefully orchestrated initiatives from the patient's physician, closest friend, and spouse; their leverage derives from traditional sources, most importantly psychologic transference, bonding, and conjugal commitment. A burn unit provides an ideal environment in which to study the disorder and its response to treatment.

Adult↗