scholarly journals "Fear of Breakdown"

2020 ◽  
Vol 24 (2) ◽  
pp. 77-101
Author(s):  
John O'Connor

In this paper the author proposes that a central task of psychotherapeutic work is to “stay close to the terror,” particularly when working with those patients whose inner world is populated by often dissociated states of traumatic horror. The paper explores a range of psychoanalytic, Jungian, and trauma theory that might assist in guiding psychotherapists regarding how we might engage with this central task, particularly given the often terrifying intrapsychic, interpsychic, and interpersonal disturbances such therapeutic work entails, for both patient and therapist.

1986 ◽  
Author(s):  
Sally H. Barlow ◽  
Shawn L. Christian
Keyword(s):  

1943 ◽  
Vol 38 (2) ◽  
pp. 299-299
Author(s):  
Ernst Harms
Keyword(s):  

2016 ◽  
Vol 25 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Antonio Giorgio ◽  
Luca Montesarchio ◽  
Piero Gatti ◽  
Ferdinando Amendola ◽  
Paolo Matteucci ◽  
...  

  Background & Aims: Disappearance of portal blood flow and arterial vascularization is the hallmark of hepatocarcinogenesis. The capability of a dynamic imaging modality detecting arterial hypervascularization of small nodules is crucial to promote a rapid diagnostic and therapeutic work-up improving survival. We aimed to evaluate the capability of CEUS to detect arterial vascularization of ≤ 2 cm HCC nodules arising during surveillance so as to shorten the diagnostic and therapeutic work-up. Methods: From October 2009 to September 2014, among 1757 consecutive cirrhotic patients under surveillance with ultrasound (US), 243 patients had new single nodules 7-20 mm; 229/243 had a conclusive histologic diagnosis and comprised the study group. All patients underwent CEUS followed by enhanced MRI and US guided percutaneous 18G needle core biopsy of the nodules. Of the 229 nodules, 27 were hyperechoic, 171 hypoechoic and 31 isoechoic lesions. Results: The histology results revealed that 199/229 nodules were HCC and 30 were benign. Of 199 HCC, CEUS evidenced arterial hypervascularity in 190 nodules (95.5%) (sensitivity 94.48 %, specificity 100%, PPV 100%, NPV 76.92 %). Of the 39 CEUS arterial-unenhanced nodules, 30 were benign and 9 (23%) were well-differentiated HCC. eMRI showed arterial hypervascularity in 199 nodules (86,9%). Of these, only 193 (97%) were histologically HCCs while 6 were benign (sensitivity: 97%, specificity: 80%, PPV: 97%, NPV: 80%). Conclusions: CEUS has a great capability to detect arterial hypervascularity of small HCC. Because only 4.5% of new nodules escape the demonstration of arterial hyervascularity, CEUS must be performed immediately after conventional US to contrast the malignant fate of small lesions arising in a cirrhotic liver.. Abbreviations: CEUS: contrast-enhanced ultrasound; CT: computed tomography; HCC: hepatocellular carcinoma;MRI: magnetic resonance; NPV: negative predictive value; PPV: positive predictive value; US: ultrasonography.


Author(s):  
Saveleva Zh.V.

The prevalence of autism is growing, the problems of stigmatization and discrimination of people with autism spectrum disorders in society are exacerbating. The mass media play an important role in enlightening and reducing stigmatizing effects, in connection with which the goal was formulated to study the construction of images of a person with ASD in the mass media by the method of qualitative and discourse analysis of video clips from the federal channel. According to the results of the study, it can be argued that the range of characteristics used to describe people with autism in media discourse is diverse, but in retrospect, dominant interpretation models can be identified. At an early stage, the prevailing image of a person with ASD was deprived of the quality’s characteristic of normotypical people who do not want to leave their world. People diagnosed with autism were referred to as the intolerant category of "autistic". Since 2013, there has been a discursive turn, within which the category “autist” is replaced by tolerant speech patterns, adults with autism get into the lens of the media, the topic of uncommunicability as a property of a person with autism is replaced by the intention of the lack of opportunities to communicate, one of the reasons for which is social exclusion. In television stories of recent years, the mass media are actively constructing the image of a person with autism spectrum disorder through his inner world, through the advantages that a person with ASD can have due to his characteristics. However, it cannot be said that there has been a complete change of the image: the old cliches, as a rule, manifest themselves at a more latent level of grammatical constructions and semiotic meanings.


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