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Denial and Depression in Patients with Digestive System Cancer 消化系统癌症患者的否认和抑郁
Pub Date : 2019-09-16 DOI: 10.23937/2572-4037.1510044
T. Ahmet, C. Can, Ağdanlı Onur Ulaş, Binbay Tolga
Objectives: This study aimed to investigate the association among denial, depression, and other defense mechanisms in patients with digestive system cancer. Methods: This research was conducted as a case control study. Denial and depression were assessed in 105 patients with digestive system cancer (n = 36; 34.3% were diagnosed with depression). Denial was assessed using the denial of cancer interview, and depression was investigated using SCID-1 and Hospital Anxiety and Depression Scale. Defense mechanisms were assessed using the Defense Mechanism Rating Scale. Results: Patients with depression were less likely to experience denial. Neurotic and immature defense mechanisms were more frequently observed in patients with digestive system cancer who had depression than in those who did not have depression. In addition, a family history of psychiatric disorders, pain, and rectal cancer were related to depression. Mature defense mechanisms, humor, denial, and dissociation have independently protective functions against depression in patients with digestive system cancer. Conclusions: Denial in patients with digestive system cancer can have a protective effect against depression and thus should be considered by clinicians when providing information regarding the illness and its prognosis.
目的:本研究旨在探讨消化系统癌症患者否认、抑郁和其他防御机制之间的关系。方法:采用病例对照研究。对105例消化系统癌患者进行否认和抑郁评估(n = 36;34.3%被诊断为抑郁症)。采用癌症否认访谈法评估患者的否认程度,采用SCID-1和医院焦虑抑郁量表调查患者的抑郁程度。采用防御机制评定量表对防御机制进行评估。结果:抑郁症患者不太可能经历否认。神经过敏和不成熟的防御机制在患有抑郁症的消化系统癌患者中比在没有抑郁症的患者中更常见。此外,精神疾病、疼痛和直肠癌的家族史也与抑郁有关。成熟的防御机制、幽默、否认和解离对消化系统癌患者的抑郁有独立的保护作用。结论:消化系统癌症患者的否认对抑郁症有保护作用,因此临床医生在提供有关疾病及其预后的信息时应考虑到这一点。
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引用次数: 0
How Sexual Behaviors are Influenced by Personal Cognition and Control Toward Sex? Let Chinese University Students Tell You 个人对性的认知和控制如何影响性行为?让中国大学生告诉你
Pub Date : 2019-08-05 DOI: 10.23937/2572-4037.1510043
Wei Fang-qiang, Wang Chu, Jiao Yanli, Zhang Bingren, Wan-de Wei
In addition to sexual desire and knowledge, sexual morality, desire control, and attitude toward sex might contribute to the premarital sexual behaviors in young people, but were less studied. In 886 Chinese university students of Study 1, we have developed a Sexual Awareness and Coping Strategy Inventory (SACSI) with four domains of Personal release, Sexual knowledge, Traditional sexual morality and Negative attitude, which displayed satisfactory convergent and discriminant validities. In Study 2, we have invited 25 female students with (FS) and 50 without (FN), 50 male with (MS) and 97 without (MN) premarital sexual experience, to answer the SACSI, the sociodemographic and sexual risk behavior-related questions. Male students scored higher on Personal release, Sexual knowledge, and Negative attitude, but lower on Traditional sexual morality than female did. The FS group scored higher on Personal release, but lower on Negative attitude than FN did. The Negative attitude in MS and FS were correlated with the premarital sexual behaviors. Our studies have depicted more factors crucial for the premarital sexual behaviors, and recall for more education on the desire control and attitude toward sex in university students.
除了性欲和性知识外,性道德、性欲控制和性态度也可能是影响年轻人婚前性行为的因素,但研究较少。在研究1的886名中国大学生中,我们编制了包含个人释放、性知识、传统性道德和消极态度四个领域的性意识与应对策略量表(SACSI),显示出令人满意的收敛效度和区别效度。在研究2中,我们邀请了25名有(FS)和50名没有(FN)的女生,50名有(MS)和97名没有(MN)婚前性经历的男生,回答了SACSI、社会人口学和性风险行为相关的问题。男生在“个人释放”、“性知识”、“消极态度”三项得分较高,而在“传统性道德”三项得分较低。FS组在个人释放上得分较高,但在消极态度上得分低于FN组。MS和FS的消极态度与婚前性行为相关。我们的研究揭示了影响大学生婚前性行为的重要因素,并呼吁加强对大学生欲望控制和性态度的教育。
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引用次数: 0
Structural Change and its Assessment 结构变化及其评估
Pub Date : 2019-07-03 DOI: 10.23937/2572-4037.1510042
R. Sandell
The concepts of structure and structural change and their use in psychoanalytic discourse are explored. It is argued that, when these concepts are not used merely as rhetorical devices, the concept of structure essentially refers to stable, unobservable mental organisations and that these may only manifest themselves as consistency across time in their behavioural derivatives. The concept of structural change may refer to three different forms of change in structures so defined. It is argued that psychoanalytic treatment is neither necessary nor strictly sufficient to bring about such changes. Particular attention is paid to the concept of symptom in the context of structures and structural change. When assessment is concerned, it is concluded that structures and structural change do not reside in certain functions or instruments as such but may only be assessed through repeated observations of structure indicators. able-in other kinds of mental treatments. Werman [4] and Blum [5] bluntly suggest that the concept represents a mere idealization among psychoanalysts, “an article of faith in the superiority of analysis”, as Abend [6] put it. And Weinshel argues [3], “We should at least consider that our long-held claim that ‘structural change’ is the sacrosanct province of psychoanalysis may be a somewhat solipsistic one”. The purpose of this paper is to follow Weinshel’s suggestion and analyze the structural change concept with the following kinds of questions in
探讨了结构和结构变化的概念及其在精神分析话语中的应用。有人认为,当这些概念不仅仅被用作修辞手段时,结构的概念本质上指的是稳定的、不可观察的心理组织,这些组织可能只在它们的行为衍生品中表现为跨越时间的一致性。结构变化的概念可以指这样定义的结构的三种不同形式的变化。有人认为,精神分析治疗既不是必要的,也不是严格足够的,以带来这样的变化。特别注意的是在结构和结构变化的背景下症状的概念。在评估方面,得出的结论是,结构和结构变化并不存在于某些功能或工具中,而只能通过反复观察结构指标来评估。在其他类型的精神治疗中。Werman[4]和Blum[5]直言不讳地指出,这个概念仅仅代表了精神分析学家的理想化,正如Abend[6]所说的那样,“一种对分析优越性的信仰”。Weinshel认为[3],“我们至少应该考虑到,我们长期坚持的‘结构变化’是精神分析学神圣不可侵犯的领域的主张,可能有点唯我论的意味。”本文的目的是遵循Weinshel的建议,用以下几种问题来分析结构变化概念
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引用次数: 0
Personality Organization Traits and Expected Countertransference and Treatment Interventions 人格组织特质与预期反移情及治疗干预
Pub Date : 2019-06-30 DOI: 10.23937/2572-4037.1510039
M GordonRobert, ValeriyaSpektor, L. Linh
Background: There is little empirical research on patients at the severe level of personality organization who generally need more clarifications of roles, tasks, boundaries, and supportive interventions, and often create increased problems with countertransference. The purpose of this study was to investigate the relationship between clinicians’ ratings of their new patients’ level of personality organization traits (i.e.: Defensiveness, identity integration, object relations, and reality testing) and degree of expected countertransference and treatment interventions. Method: We surveyed 509 Clinicians about their reactions to a recently seen patient. Results: We found that the more severe the level of personality organization traits: 1. The more expected need for ongoing clarification of roles and tasks throughout the course of treatment; 2. The more clinicians’ expectation of their patients being confused about boundaries; 3. The more expected negative countertransference; 4. The more expected need for supportive interventions. Conclusion: These findings point out the importance for clinicians to accurately assess and understand their patients’ level of personality organization in order to intervene appropriately regardless of theoretical orientation.
背景:目前对人格组织严重水平患者的实证研究很少,这些患者通常需要更多的角色、任务、边界和支持性干预的澄清,并且往往会增加反移情的问题。本研究旨在探讨临床医师对新患者人格组织特质(防卫性、身份整合、客体关系和现实测试)水平的评分与预期反移情程度和治疗干预之间的关系。方法:我们调查了509名临床医生对最近见到的病人的反应。结果:我们发现人格组织特质水平越严重:1。在整个治疗过程中,更需要不断澄清角色和任务;2. 临床医生越期望他们的病人对界限感到困惑;3.负反移情期望值越高;4. 对支持性干预措施的更多预期需求。结论:这些发现指出了临床医生准确评估和了解患者人格组织水平的重要性,以便在不考虑理论取向的情况下进行适当的干预。
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引用次数: 4
Kambô: A Shamanistic Ritual Arriving in the West - Description, Risks and Perception by the Users Kambô:传入西方的萨满教仪式——使用者的描述、风险和感知
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510034
Hesselink Jan M Keppel
The impact of priests and their institutions is vanishing in our culture. This depletes the society from religious experiences. However, many are looking into new ways of experiencing the essence of life. One of the new sources inspiring people to reconnect with themselves and with nature can be found in shamanism. Since some decades now rituals from the Amazon based on herbal products such as Ayahuascaare increasingly seen in Europe and the United States. Recently, people started to experiment with Kambô, a skin secretion from an Amazonian giant leaf frog, containing a number of neuroactive and vasoactive peptides, such as phyllocaerulein, phyllokinin, sauvagine, adenoregulin, deltorphins, and dermorphin. From a pharmacological and medical perspective, the Kambôritual is based on voluntary inducing a mostly relative brief period of intoxication, from a shamanistic perspective it is about a medicine which brings healing and classically prepares tribe members for more efficient hunting. There are even reports from patients claiming to be cured of cancer. We will present both some medical as well as shamanic and transpersonal perspectives related to this ritual, discuss adverse events, interactions and contra-indications and add some recommendations for its use.
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引用次数: 7
Pathogenic Beliefs and their Relevance in Psychotherapy: A Written Case Study 致病信念及其在心理治疗中的相关性:一个书面案例研究
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510032
K. Jennifer, F. Irina, Výrostková Jana, Sammet Isa, Andreas Sylke
Objective: Goals of this single-case study are to assess whether tests according to Control Mastery Theory (CMT) can be reliably identified by trained raters and to examine whether the Psychotherapy Process Q-Sort method can adequately represent the test situation. Method: A single case was analyzed by well-trained psychology graduates on the basis of the Plan Formulation Method. The interrater reliability of the identified tests was examined. In addition, the tests were classified according to the Psychotherapy Process Q-Sort. Results: 70 test situations were identified with acceptable overall interrater reliability and slightly better values for single categories. The Q-Sort analysis indicated 34 items that were assigned more than 5 times to 3 tests. Overall, a combination of more than five Q-Sort items represented one test situation. Conclusions: These findings demonstrate that even welltrained graduates can identify tests. Indeed, the Psychotherapy Process Q-Sort does not suffice to adequately represent the test concept according to CMT.
目的:本个案研究的目的是评估根据控制掌握理论(CMT)的测试是否能被训练有素的评分者可靠地识别,并检验心理治疗过程q -排序方法是否能充分代表测试情况。方法:采用“计划制定法”,对训练有素的心理学专业毕业生进行个案分析。对所识别的测试的互译信度进行了检验。此外,测试是根据心理治疗过程q分类。结果:70个测试情况被确定为可接受的整体互译信度,单个类别的值略好。Q-Sort分析显示,有34个项目被分配给3个测试5次以上。总的来说,超过五个Q-Sort项目的组合代表一个测试情况。结论:这些发现表明,即使是训练有素的毕业生也能识别测试。事实上,心理治疗过程Q-Sort并不足以充分代表CMT的测试概念。
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引用次数: 2
Explaining the Minority Status Hypothesis: Development of the Cultural Resilience Life Stress Paradigm 解释少数民族地位假说:文化弹性生活压力范式的发展
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510030
A. Paul
This paper reviews recent empirical studies (N = 13) that focused on two cultural resources (spirituality and racial identity) utilized by African-Americans to cope with stress in an attempt to: 1) Provide some explanations why the minority status hypothesis is unfounded in most epidemiologic community surveys; and 2) Develop a theoretical framework that explicates this phenomenon. The review shows that both spirituality and racial identity reduced the negative impact of life stressors while producing positive effects on African-Americans’ well-being whereby affecting their mental health status. The findings allow the authors to build upon the existing life stress paradigm to produce a theoretical framework, The Cultural Resilience Life Stress Paradigm, which illustrates the life stress-distress pathway to mental health status revealed by the literature. This theoretical framework intends to increase understanding about cultural resources as a basic premise for improving and enhancing mental health promoting programs’ policies and practices. ic status [6]; and exposure to [7]. While these correlations should work to substantiate a minority status hypothesis, findings from five epidemiologic community surveys-the National Institute of Mental Health Epidemiologic Catchment Area Study [8]; the National Comorbidity Survey [9]; the National Survey of American Life [10]; the National Epidemiologic Survey of Alcohol and Related Conditions, 2001-2002 [11] and the 2008 National Health Interview Survey [12] present the minority mental health status dilemma. These five national studies indicate that the mental health status of African-Americans is comparable to, and possibly better than, those of Whites. Further, independent of the relative health of African Americans, this racial group’s mental health status is better than might be expected based on the prevalence of stressors alone. The disproportionate rate of stress and the lower than expected rates of mental disorders among African-Americans has raised a number of questions regarding the cultural factors related to their mental health. African-American cultural coping Culture influences mental health status and seems to play a role in how people cope with stressors [13]. Although African-Americans are exposed to more stressors than Whites, they take an active role in dealing with stressors rather than avoiding them [14]. African Americans appraise stressful situations as changeable more frequently than Whites [15] and are more likely than Whites to engage in healthy coping skills [16]. In an attempt at identifying the coping capacity of African-Americans, Edwards [17] conducted a qualitative Review ARticle
本文回顾了近期关于非裔美国人应对压力的两种文化资源(精神和种族认同)的实证研究(N = 13),试图:1)提供一些解释,为什么少数民族地位假说在大多数流行病学社区调查中是没有根据的;2)建立一个解释这一现象的理论框架。研究表明,灵性和种族认同都能减少生活压力源的负面影响,同时对非裔美国人的幸福感产生积极影响,从而影响他们的心理健康状况。研究结果允许作者在现有的生活压力范式的基础上建立一个理论框架,即文化弹性生活压力范式,该范式说明了文献揭示的生活压力-痛苦通往心理健康状态的途径。这一理论框架旨在增加对文化资源的理解,作为改善和加强心理健康促进项目政策和实践的基本前提。IC状态[6];和暴露于[7]。虽然这些相关性应该可以证实少数民族地位假说,但五项流行病学社区调查的结果——国家精神卫生研究所流行病学集水区研究[8];全国合并症调查[9];美国国家生活调查[10];2001-2002年全国酒精及相关疾病流行病学调查[11]和2008年全国健康访谈调查[12]显示了少数民族心理健康状况的困境。这五项全国性研究表明,非裔美国人的心理健康状况与白人相当,甚至可能比白人更好。此外,与非裔美国人的相对健康状况无关,该种族群体的心理健康状况比仅根据压力源的流行程度所预期的要好。在非裔美国人中,不成比例的压力率和低于预期的精神障碍率引发了一些关于与他们的精神健康相关的文化因素的问题。文化影响心理健康状况,并似乎在人们如何应对压力源中发挥作用[13]。尽管非裔美国人比白人暴露于更多的压力源,但他们在处理压力源方面表现得更为积极,而不是回避压力源[14]。非裔美国人比白人更频繁地认为压力情境是多变的[15],也比白人更有可能采取健康的应对技巧[16]。为了确定非裔美国人的应对能力,Edwards[17]进行了一篇定性的综述文章
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引用次数: 5
Psychological, Behavioral, and Economic Perspectives on Corruption 腐败的心理学、行为学和经济学观点
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510033
Ma Qingguo, Yan Min
With the development and transformation of China’s economy, “anti-corruption” has become the top priority of the Communist Party of China in recent years. Corruption is a kind of unethical behavior that the public power loss the public nature because of private using, it deviates from the value of public power and the goals of the value. Here, we review both experimental evidences documenting acts of small corruption and recent evolutionary cognitive models based on surveys of corruption. These studies show that corruption and the crime of corruption is a phased development process based on psychological development theory and game theory. This unethical behavior can be a crime by the unconscious cognitive processes begins with the simple reciprocity behavior to slip into large illegal acts or be a transition process by the subject of corruption from the initial compliance with corrupt group of standards or requirements to becoming unconscious acts of corruption or norm. These researches present different commentary and results, and sometimes even contradictory views.
随着中国经济的发展和转型,“反腐败”近年来成为中国共产党的头等大事。腐败是公共权力因私用而丧失公共性的一种不道德行为,它背离了公共权力的价值和价值目标。在这里,我们回顾了记录小额腐败行为的实验证据和基于腐败调查的最新进化认知模型。这些研究表明,基于心理发展理论和博弈论,腐败与腐败犯罪是一个阶段性的发展过程。这种不道德行为可以是由简单的互惠行为开始的无意识认知过程演变为大规模的违法行为,也可以是腐败主体从最初遵守腐败群体的标准或要求到成为无意识的腐败行为或规范的过渡过程。这些研究提出了不同的评论和结果,有时甚至是相互矛盾的观点。
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引用次数: 0
Death Acceptance through Otherness 通过他者接受死亡
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510031
Halperin Demian, Schreiber Gabriel
When the subject of death appears in the therapeutic context, dealing with it can be a complex task. Levinas proposed that there is no anxiety towards one’s own death but rather that fear for death is fear for the Other’s death, meaning that because of death’s incomprehensibility, it can only be experienced when it happens to others. According to him, both death and the Other represent a way out of solitude for the subject. Death is thus intrinsically related to human encounter. The present work deals with the way the philosophy of ethics, by drawing our attention to our responsibility in the face of the Other, helps us understand and address the question of death in relational therapy. [4]. As we will see further, Levinas’s stance on alterity and death invites us to rethink the therapeutic relationship and processes in terms of human encounter and responsibility, in terms of Otherness. We previously wrote about the importance of adequate and adaptive to and fro movements along the axis of Sameness and Otherness in therapy [5]. In the case we described, we showed the importance of Sameness in the therapeutic relationship. Indeed, the adoption of Sameness by the therapist enabled him to step outside and act from his position of Otherness [5]. To exemplify the importance of Otherness when dealing with the subject of death, we discuss the following case through Levinas’s philosophy of ethics.
当死亡的主题出现在治疗背景下,处理它可能是一项复杂的任务。列维纳斯提出,对自己的死亡没有焦虑,而是对死亡的恐惧是对他者死亡的恐惧,这意味着,由于死亡的不可理解性,只有当它发生在别人身上时,才能体验到它。在他看来,死亡和他者都代表了主体摆脱孤独的一种方式。因此,死亡本质上与人类相遇有关。目前的工作涉及伦理哲学的方式,通过提请我们注意我们在面对他者时的责任,帮助我们理解和解决关系治疗中的死亡问题。[4]。正如我们将进一步看到的,列维纳斯关于另类和死亡的立场邀请我们重新思考治疗关系和过程在人类相遇和责任方面,在他者方面。我们之前曾写过在治疗中沿着同一性和异性的轴线进行适当和适应性的来回运动的重要性[5]。在我们描述的案例中,我们展示了治疗关系中一致性的重要性。事实上,治疗师对同一性的采用使他能够走出他者的位置,并从他者的位置行动[5]。为了举例说明他者性在处理死亡主题时的重要性,我们通过列维纳斯的伦理学哲学来讨论以下案例。
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引用次数: 0
Cognitive-Behavioral Interventions and Assistive Technology-based Programs for Improving Adaptive Responding of Persons with Parkinson's Disease: A Literature Overview 认知行为干预和辅助技术为基础的方案,以改善帕金森病患者的适应性反应:文献综述
Pub Date : 2018-12-31 DOI: 10.23937/2572-4037.1510038
P. Viviana, Stasolla Fabrizio, Maselli Stefania, Morelli Isabel
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引用次数: 0
期刊
International journal of psychology and psychoanalysis
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