scholarly journals The Diagnosis and Treatment of Borderline Schizophrenia in Adolescence

1967 ◽  
Vol 12 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Philip Katz

It is necessary to establish the presence or absence of a borderline schizophrenic reaction early, for it is of great importance in deciding on the treatment program for the patient. Its presence is suspected if there are symptoms that indicate that the patient is developing a thought disorder, and/or a disturbance of affect of schizophrenic type, and/or is beginning to detach from reality. It is also suspected if there is a persistence of such symptoms as disturbances of judgment, poor empathy and understanding of others, an absence of enjoyment, periods of seclusiveness, or sexual and philosophical preoccupations. Mixtures of the neuroses, with free-floating anxiety often indicates an underlying schizophrenic process. In the treatment of a patient with a borderline schizophrenic reaction, the prime focus should be on the prevention of a psychosis. The child should be protected against severe stresses, which may involve some environmental manipulation. Anxiety has a deteriorating effect and tranquillizers may have to be used. Supportive psychotherapy is of great value. It is essential that the relationship with the therapist be a positive one. The therapist should be a real person who offers the adolescent patient someone with whom to identify. One strengthens useful defences and lessens the need for the other defences by reducing the ego's needs for those defences, e.g. by reality testing the fantasied threats, by offering a less punitive and less rigid superego, and by manipulating the environment to reduce stress. It is often helpful to orient the patient towards pleasurable experiences which have an ego-strengthening effect. Here then, in the handling of the defences and in the management of anxiety, can be seen a major difference in the treatment of patients with a borderline schizophrenic reaction, from the treatment of patients with psycho-neuroses or personality disorders. Failure to recognize the presence of an underlying schizophrenic process may lead to the choice of the wrong treatment program for the patient, with a resultant worsening of his condition and the onset of a psychosis.

Author(s):  
Andrey V. Popovkin ◽  

The article attempts to consider in general terms the evolution of anthropology, understood, on the one hand, as a special view of human nature and, on the other hand, as a method of human formation. The paper deals with the relationship between the views on human nature and the goals and strategies of education. Special attention is paid to the Humboldt model of education as the most complete and consistent embodiment of modern anthropology. A hypothesis is put forward and substantiated about the correlation of the dispute between Socrates and the sophists with the opposition of the Humboldt and postmodern models of education and views on human nature. The essence of this confrontation is in two different views on a person: proceeding from the goal of a person or proceeding from his actual factuality. The former view corresponds to the anthropology and pedagogy of Socrates and the culture of modernity, the latter — to the sophists and the culture of postmodernity. Postmodern culture gives rise to posthumanism, which looks at a person as a kind of aggregate of properties and abilities. The educational strategy corresponding to it consists in the desire to «upgrade» a person, to supplement or discard something in order to maximize his situational adaptation to the changing reality and to increase the existing set of possibilities in each here-and-now. The term «anthropotechnics» in its mechanistic meaning is more relevant to such a view and attitude towards a person. An assumption is made and arguments are presented that behind various types of «anthropotechnics», ethical relativism, and the like, one can see the intention of the elites to construct the image of a person they need. At the end of the paper, a question is raised about the possibility of turning from «anthropotechnics» to a new anthropology. It is shown that this anthropology should be based on the desire to see a real person, that is, to see in him the main behind the cover of the accidental and secondary, without falling into abstract idealization. The philosophical concepts of E. Husserl and S.N. Trubetskoy are proposed as a promising basis.


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 246-253 ◽  
Author(s):  
Gretchen E. Ely ◽  
William R. Nugent ◽  
Julie Cerel ◽  
Mholi Vimbba

Background: The relationship between suicidal thinking and adolescent dating violence has not been previously explored in a sample of adolescent abortion patients. Aims: This paper highlights a study where the relationship between dating violence and severity of suicidal thinking was examined in a sample of 120 young women ages 14–21 seeking to terminate an unintended pregnancy. Methods: The Multidimensional Adolescent Assessment Scale and the Conflict in Adolescent Relationships Scale was used to gather information about psychosocial problems and dating violence so that the relationship between the two problems could be examined, while controlling for the other psychosocial problems. Results: The results suggest that dating violence was related to severity of suicidal thinking, and that the magnitude of this relationship was moderated by the severity of problems with aggression. Conclusions: Specifically, as the severity of participant’s general problems with aggression increased, the magnitude of the relationship between dating violence and severity of suicidal thinking increased. Limitations of the study and implications for practice are discussed.


Author(s):  
Melanie K. T. Takarangi ◽  
Deryn Strange

When people are told that their negative memories are worse than other people’s, do they later remember those events differently? We asked participants to recall a recent negative memory then, 24 h later, we gave some participants feedback about the emotional impact of their event – stating it was more or less negative compared to other people’s experiences. One week later, participants recalled the event again. We predicted that if feedback affected how participants remembered their negative experiences, their ratings of the memory’s characteristics should change over time. That is, when participants are told that their negative event is extremely negative, their memories should be more vivid, recollected strongly, and remembered from a personal perspective, compared to participants in the other conditions. Our results provide support for this hypothesis. We suggest that external feedback might be a potential mechanism in the relationship between negative memories and psychological well-being.


1994 ◽  
Vol 72 (01) ◽  
pp. 058-064 ◽  
Author(s):  
Goya Wannamethee ◽  
A Gerald Shaper

SummaryThe relationship between haematocrit and cardiovascular risk factors, particularly blood pressure and blood lipids, has been examined in detail in a large prospective study of 7735 middle-aged men drawn from general practices in 24 British towns. The analyses are restricted to the 5494 men free of any evidence of ischaemic heart disease at screening.Smoking, body mass index, physical activity, alcohol intake and lung function (FEV1) were factors strongly associated with haematocrit levels independent of each other. Age showed a significant but small independent association with haematocrit. Non-manual workers had slightly higher haematocrit levels than manual workers; this difference increased considerably and became significant after adjustment for the other risk factors. Diabetics showed significantly lower levels of haematocrit than non-diabetics. In the univariate analysis, haematocrit was significantly associated with total serum protein (r = 0*18), cholesterol (r = 0.16), triglyceride (r = 0.15), diastolic blood pressure (r = 0.17) and heart rate (r = 0.14); all at p <0.0001. A weaker but significant association was seen with systolic blood pressure (r = 0.09, p <0.001). These relationships remained significant even after adjustment for age, smoking, body mass index, physical activity, alcohol intake, lung function, presence of diabetes, social class and for each of the other biological variables; the relationship with systolic blood pressure was considerably weakened. No association was seen with blood glucose and HDL-cholesterol. This study has shown significant associations between several lifestyle characteristics and the haematocrit and supports the findings of a significant relationship between the haematocrit and blood lipids and blood pressure. It emphasises the role of the haematocrit in assessing the risk of ischaemic heart disease and stroke in individuals, and the need to take haematocrit levels into account in determining the importance of other cardiovascular risk factors.


2014 ◽  
pp. 147-153
Author(s):  
P. Orekhovsky

The review outlines the connection between E. Reinert’s book and the tradition of structural analysis. The latter allows for the heterogeneity of industries and sectors of the economy, as well as for the effects of increasing and decreasing returns. Unlike the static theory of international trade inherited from the Ricardian analysis of comparative advantage, this approach helps identify the relationship between trade, production, income and population growth. Reinert rehabilitates the “other canon” of economic theory associated with the mercantilist tradition, F. Liszt and the German historical school, as well as a reconside ration of A. Marshall’s analysis of increasing returns. Empirical illustrations given in the book reveal clear parallels with the path of Russian socio-economic development in the last twenty years.


2020 ◽  
Vol 7 (2) ◽  
pp. 291-317
Author(s):  
Burak Çavuş

Bu çalışmada, 1960-1990 yılları arasında yayınlanan ve Avrupa’ya işçi göçünü konu edinen romanlar izleksel bağlamda incelenmiştir. Romanlardaki temel izlekler çerçevesinde göç süreci irdelenmiş, inceleme, göçmenlerin tanımlanmasında ve adlandırılmasında kullanılan Gastarbeiter (konuk işçi) Auslander (yabancı) kavramları ve Almanlar tarafından Türk kimliğine atfedilen çağrışımlar üzerinden yürütülmüştür. Göçmenlere yönelik politikalarda ve yaklaşımlarda onların nasıl tanımlandığının etkili olduğuna ve yazınsal süreçte de bu politika ve yaklaşımların belirleyici olduğu savından hareket edilmiştir. Bu noktada adlandırmaların, tanımlamaların göç olayı çerçevesinde biz ve öteki ilişkisi üzerindeki etkisine odaklanılmış; toplum ve yazın ilişkisi temelinde incelenen romanlar üzerinden göç ve göçmenlik meselesine dair çıkarımlar yapılmıştır. Bunlar arasında, ayrımcılık, kötü çalışma koşulları, hak ihlalleri, ırkçılık ve ötekileştirme gibi başat sorunların bu eserlerde merkezi konumda olduğu tespit edilmiştir. Böylece çalışmanın amacı olan göç yazınını oluşturan temel izleklere ulaşılmış; sosyolojik ve tarihsel gerçekliğin yazınsal gerçekliğe aktarılmasında etkili olan unsurlar ön plana çıkarılmıştır. ABSTRACT IN ENGLISH Main Patterns in Migration Novels In this study, the novels published between 1960-1990 and dealing with the migration of workers to Europe were examined in a contextual context. The process of immigration has been examined within the framework of the basic lines in the novels, through the concepts of Gastarbeiter (guest worker), Auslander (foreigner) used in the identification and naming of immigrants and connotations attributed to Turkish identity was conducted. The argument is that how they are defined is effective in policies and approaches towards immigrants and that these policies and approaches are determinative in the literary process. At this point, the effect of naming definitions on us and the other relationship within the framework of migration has been focused; there are inferences about the issue of migration and immigration through the novels examined on the basis of the relationship between society and literature. Among these, it has been determined that dominant problems such as discrimination, poor working violations, racism and marginalization are central to these works. Thus, the basic themes that constitute the migration literature, which is the aim of the study have been reached and the factors that are effective in transferring the sociological and historical reality have been brought the fore.


2020 ◽  
Vol 10 (1) ◽  
pp. 59-71
Author(s):  
Perrine Moran

Many couples who come for therapy are struggling with separating from unconscious phantasies and beliefs that enmesh each partner with the other, resulting in states that popular songs powerfully epitomise. While this borderline experience is common and functional in the early stages of being in love its persistence paralyses the development of the relationship. Facing separation from and loss of illusion is a challenge couple therapists are often asked to help with. The argument is illustrated by a case, and by references to some of Cole Porter’s best known songs.


2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Feldman

This paper is a contribution to the growing literature on the role of projective identification in understanding couples' dynamics. Projective identification as a defence is well suited to couples, as intimate partners provide an ideal location to deposit unwanted parts of the self. This paper illustrates how projective identification functions differently depending on the psychological health of the couple. It elucidates how healthier couples use projective identification more as a form of communication, whereas disturbed couples are inclined to employ it to invade and control the other, as captured by Meltzer's concept of "intrusive identification". These different uses of projective identification affect couples' capacities to provide what Bion called "containment". In disturbed couples, partners serve as what Meltzer termed "claustrums" whereby projections are not contained, but imprisoned or entombed in the other. Applying the concept of claustrum helps illuminate common feelings these couples express, such as feeling suffocated, stifled, trapped, held hostage, or feeling as if the relationship is killing them. Finally, this paper presents treatment challenges in working with more disturbed couples.


2019 ◽  
Vol 2 (4) ◽  
pp. 276-291
Author(s):  
Chatarina Natalia Putri

There are many factors that can lead to internship satisfaction. Working environment is one of the factors that will result to such outcome. However, many organizations discarded the fact of its importance. The purpose of this study is to determine whether there is a significant relationship between working environment and internship satisfaction level as well as to determine whether the dimensions of working environment significantly affect internship satisfaction. The said dimensions are, learning opportunities, supervisory support, career development opportunities, co-workers support, organization satisfaction, working hours and esteem needs. A total of 111 questionnaires were distributed to the respondents and were processed by SPSS program to obtain the result of this study. The results reveal that learning opportunities, career development opportunities, organization satisfaction and esteem needs are factors that contribute to internship satisfaction level. In the other hand, supervisory support, co-workers support and working hours are factors that lead to internship dissatisfaction. The result also shows that organization satisfaction is the strongest factor that affects internship satisfaction while co-workers support is the weakest.


2018 ◽  
Vol 8 (2) ◽  
pp. 166-182
Author(s):  
Maria Poggi Johnson

In his trilogy of space travel novels, published between 1938 and 1945, C.S. Lewis strikingly anticipates, and incarnates in imaginative form, the insights and concerns central to the modern discipline of ecotheology. The moral and spiritual battle that forms the plot of the novels is enacted and informed by the relationship between humans and the natural environment, Rebellion against, and alienation from, the Creator inevitably manifests in a violent and alienated attitude to creation, which is seen as something to be mastered and exploited. Lives and cultures in harmony with the divine will, on the other hand, are expressed in relationships of care and respect for the environment. The imaginative premise of the Trilogy is that of ecotheology; that the human relationships with God, neighbour, and earth and are deeply and inextricably intertwined.


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