Echoes of Anaclitic Depression

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
V. Djurisic

Ego of the child under the age of four years (when basic independence is still not founded) experiences separation from the mother as a trauma. We will follow dynamics of this traumatisation, through revew of the cases of three adult patients during psychoanalitical psychotherapy.This study is mainly occupied with correlation between phase (and sub-phase) of ego development and object-relations during the absence of the mother and the echoes of anaclitic depression of that time upon clinical condition in adulthood.

2019 ◽  
Author(s):  
Soongki Roh ◽  
Ji Yeon Ham ◽  
Kyung Eun Song ◽  
Narae Hwang ◽  
Nan Young Lee

Abstract Myeloperoxidase (MPO) deficiency, one of the most common inherited phagocyte defects, and may exist as a transient phenomenon in combination with some clinical condition. Hematological analyzer ADVIA 2120i is used to identify the different types of leukocytes based on their size and staining properties, and by mean peroxidase index (MPXI). When MPO deficiency is present, neutrophils may be incorrectly counted as monocytes with lower MPXI values. We encountered a few cases of MPO deficiency with abnormally high monocytes counts resulting in pseudoneutropenia. These abnormal reports could lead to a mistaken diagnosis of severe neutropenia, which could result in unnecessary therapy. Manual differential count exhibited the normal differential count in every case. Every case yielded a markedly low MPXI value below -20. In conclusion, we suggest that MPO deficiency must be considered in patients especially when abnormally high monocyte counts combined with low MPXI values are observed.


1997 ◽  
Vol 14 (4) ◽  
pp. 132-135
Author(s):  
Siobhan Rooney ◽  
Gerard Byrne

AbstractObjective: The following case report describes a child with autistic symptoms who experienced early emotional deprivation and institutionalisation. The paper discusses her symptoms in relation to Melanie Klein's theories on object relationships.Method: LM was a four year old Rumanian adoptee, when she was first assessed by a child service in Dublin. On presentation, she exhibited a spectrum of autistic symptoms including an impairment in social interaction, absence of separation anxiety, poor attachment formation with others and restricted, repetitive, stereotyped patterns of behaviour. While attending the pre-school, she was involved in an individualised programme which focused on her specific needs.Result: After attending the pre-school programme, L exhibited a greater ability to express various emotions and her social interaction with others had improved, but she continued to have marked deficits in her personality. This child's symptoms are discussed with reference to the paranoid schizoid and depressive positions associated with ego development.Conclusion: By applying Melanie Klein's theories on object relations, one can gain a further understanding of a child's pathological symptoms, ego development and the necessary treatments required to improve these symptoms.


1977 ◽  
Vol 22 (3) ◽  
pp. 109-116
Author(s):  
James F. Masterson

An attempt has been made to describe the contribution of maternal libidinal availability and withdrawal to the etiology of the borderline syndrome. The mother's vital contribution to normal ego development has been emphasized, and the effects of deficiencies in that contribution to the development of the intrapsychic structure of the borderline — the split ego and the split object relations unit. The latter develops from the internalization of the two major themes of interaction with the mother, produces the lietmotif of the borderline's intrapsychic structure — the rewarding and withdrawing object relations part units. The rewarding part unit becomes allied with the pathological ego to defend against the withdrawing unit, but at the cost of failure to cope with reality. The relationship of these borderline intrapsychic structures to each other and to the therapist's intrapsychic structures, as developed in the therapeutic transference and resistance, is described and illustrated in a clinical example.


Author(s):  
Rosimar José de Lima Dias

Even though psychology and spirituality may appear at first glance as two quite different fields, it is possible to find innumerous points of convergence and ways of integration in these fields. From a clinical perspective it seems a worthwhile endeavor to explore spirituality and its interweaving with mental health to have a more integrative comprehension of clients’ functioning and to deliver psychotherapy in a more holistic way. This approach may allow individuals to overcome a rooted Western tendency of viewing human beings as having compartmentalized or dualistic dimensions. The goal of this paper is to approach spirituality through object relations theory and to propose one possible way to integrate spirituality in the psychotherapeutic setting, considering ego developmental stages and discussing a developmental model of spirituality. Finally, some possible clinical implications and benefits are pointed out as a result of making room available for transcendence on the “couch”. Key-words: Object relations; Spirituality; Attachment; Transcendence; Ego development.


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017664 ◽  
Author(s):  
Abdullah Mahdi Al Hamid ◽  
Maisoon Ghaleb ◽  
Hisham Aljadhey ◽  
Zoe Aslanpour

ObjectivesTo investigate the factors contributing to medicine-related problems (MRPs) among patients with cardiovascular diseases (CVDs) and/or diabetes in Saudi Arabia.DesignQualitative semistructured interviews were conducted. Interviews were audio recorded then transcribed into Microsoft Word. The transcribed interviews were then imported into the qualitative analysis software NVivo where thematic analysis was applied. Thematic synthesis was achieved by coding and developing subthemes/themes from the findings of the interviews.SettingFive healthcare centres in Najran, Saudi Arabia.Participants25 adult patients with diabetes and/or CVDs.ResultsThe study cohort included 16 men and 9 women with a median age of 61.8 years (40–85 years). Diabetes was the main condition encountered among 23 patients and CVDs were reported among 18 patients. Perceived factors leading to MRPs were of four types and related to: patient-, healthcare system-, clinical (condition-) and medicine-related factors. Patient-related factors were related to living situation, religious practices, diet/exercise and patients’ behaviour towards the condition and medicines. Healthcare system-related factors comprised sources and availability of medicines, ease of access to healthcare system and patient satisfaction with healthcare providers. Clinical (condition-) related factors associated with both the knowledge and control over condition, and effects of the condition among medicines intake. Medicine-related factors included lack of knowledge about medicines and medicine use.ConclusionsThe results of this study uncovered many factors associated with MRPs among patients with CVDs and diabetes in Saudi Arabia, especially in reference to lifestyle and medicine use. Improving communication with healthcare professional alongside the introduction of national clinical guidance would mitigate the unwanted health complications related to medicine use.


1986 ◽  
Vol 9 (3) ◽  
pp. 383-399 ◽  
Author(s):  
Carole J. Litt

In 1953, Donald Winnicott introduced the term 'transitional object' to describe those blankets, soft toys, and bits of cloth to which young children frequently develop intense, persistent attachments. Winnicott theorized that such T.O. attachments represent an essential phase of ego development leading to the establishment of a sense of self. Subsequent psychological theorists have linked the T.O. to the processes of: separation-individuation; ego and body ego development; the birth of memory, libidinal object constancy, and the capacity for symbolization, creativity; and the capacity for object relations and empathy. This paper reviews the major theories concerning the origin, development and psychological meaning of T.O.'s, and examines their validity in light of current empirical knowledge of T.O. behavior. An argument is made for viewing the T.O. as a developmental facilitator which may acquire different qualities and serve different psychological functions as the child moves toward physical and emotional independence.


Author(s):  
G. C. Smith ◽  
R. L. Heberling ◽  
S. S. Kalter

A number of viral agents are recognized as and suspected of causing the clinical condition “gastroenteritis.” In our attempts to establish an animal model for studies of this entity, we have been examining the nonhuman primate to ascertain what viruses may be found in the intestinal tract of “normal” animals as well as animals with diarrhea. Several virus types including coronavirus, adenovirus, herpesvirus, and picornavirus (Table I) were detected in our colony; however, rotavirus, astrovirus, and calicivirus have not yet been observed. Fecal specimens were prepared for electron microscopy by procedures reported previously.


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