Different ways of moving ahead after analysis: Changes in experiential dimensions.

Within research on psychoanalysis, the common model of analytic change conceptualizes it as structural reorganization and development of self-analytic function. The present article takes as its point of departure analytic patients who, in follow-up interviews, do not present their experience of change according to this common model. Instead of categorizing analysands as being either successful or unsuccessful cases, the article aims to develop concepts of change that pertain to the experiential domain. Themes in the self experience of three former patients are explored. The data is gathered through follow-up interviews. The interviews were conducted with an analytic approach, which provides data on transference themes. Data from the interviews is not intended to provide empirical support for outcomes, but provides material from which concepts of change can be explored and discussed. The three cases illustrate three distinct psychic dimensions: safety, meaningfulness and sameness. All the cases have in common that they show, as described by Modell (1990), a containing transference in the follow-up interviews. Based on the postulated dimensions of self-experience, and with the view that containing transference is a common theme, it is further argued that, despite showing object-dependency, these informants have undergone an experiential change that is of existential significance. This is a kind of change that, it may be argued, is beyond a structural one; one that may be conceptualized as a precondition for the kind of change assumed by the main analytic model. To develop a self-analytic function, the patient may first need to develop a containing one. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Identification with paternal attributes and its relationship to the son's personality and drug use.

The purpose of this study was to examine the main and interactional effects of paternal identification on a son's personality and drug use. An Identification Index of degree of father–son personality similarity was generated by comparing the independent responses of 228 father–son dyads to a set of personality scales reflecting major dimensions of personality functioning. Results indicated that identification by itself was not highly correlated with the son's personality and drug use. However, identification as an interactional variable (in a statistical sense) combined with paternal traits to have an effect on the son's personality. More specifically, youngsters who identified with fathers who have positive traits were more likely to possess these traits themselves. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alglucerase enzyme replacement therapy used safely and effectively throughout the whole pregnancy of a Gaucher disease patient

We present the case of a woman with Gaucher disease who was being given alglucerase as enzyme replacement therapy. She was found to be pregnant: the treatment was continued. She gave birth to a healthy son after a spontaneous vaginal delivery at term.     

Legends of the fall: A movie analysis.

This legend is the story of 3 brothers and how their childhood abandonment by the mother leads to complications, and ultimately defeat, in all Oedipal endeavors. All 3 brothers fall in love with the same woman, who is clearly an Oedipal substitute and is herself parentless at a young age. The 4 make object choices based more on a need to rework the original trauma than to secure an Oedipal victory. The rivalry between the 2 oldest brothers is fierce, and there is even an estrangement between the father and oldest son. But ultimately the childhood bonds of love and devotion prevail, and there is a reconciliation in which the most aggrieved oldest son truly becomes his brother's as well as his father's keeper. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The transformative effects of illness

In "The Soft Core" Arturo Vivante examines the bonds between a middle-aged son and his aging father. Years of habit that had solidified into accustomed but uncomfortable ways of behaving and interacting with each other are altered when the father's stroke evokes a tumultuous range of emotions in the son, leading him, in the end, to feel compassion, not just for his father but also for himself. Vivante shows the reader that illness has the ability to transform an individual who is willing to reexamine and reevaluate the meaning he or she gives to life. This process, however, is not an easy one, as it is often undertaken as in the story, when the individual fears the death of self or of a loved one. The suffering, though, can transform. The self-awareness gained leads to a more gentler way of being, and compassion results. This compassion is borne of understanding, recognition, and appreciation that the frailties of human nature exist in each of us. Recognizing and applying this to all manner of relationships in our lives is the wisdom that compassion gives to our existence.     

Effects of a playgroup experience on mother–son and father–son interaction.

Compared the mother–son and father–son interaction of 6 toddlers who were completely homereared with the parent–child interactions of 6 male toddlers who were participants in a daily 3-hr playgroup. Interactions were videotaped in a semistructured laboratory setting. The first observation was made immediately before the beginning of the playgroup experience, with subsequent observations being made after half of the toddlers had been in a playgroup for 3 and 6 mo. Although there were no differences in the playgroup and homecare toddlers before the playgroup experience, significant differences were found after the playgroup experience. The playgroup toddlers became proportionally more active in their parent–child interactions. They also became more responsive to the interaction initiations of their parents. Significant differences were also found in parental behavior as a function of the playgroup experience. The parents of the playgroup children became significantly less dominant. In addition, some differences were found in mother–child and father–child interaction independent of the playgroup experience. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of son preference on the contraceptive use and fertility of Sri Lankan women

The effect of moderate son preference on family size is analysed using data from the 1982 Sri Lanka Contraceptive Prevalence Survey whose respondents were followed-up in the 1985 Sri Lanka Contraceptive Survey. Reported reproductive intentions on desire for additional children were not always reflected in overall contraceptive use. Complicating factors were the use of modern and traditional methods and the role of induced abortion. Longitudinal observations of the 1982-85 period relating women's individual reproductive behaviour to their intentions show no consistent behavioural difference between those with and without sons. However, at any given parity, the proportion reporting at least one additional child born during the intersurvey period was higher among those women who intended to have at least one additional child than among those who wanted to stop childbearing. This analysis suggests that son preference finds expression more through reproductive intentions than through actual fertility behaviour in the follow-up period.     

Review of Identity's architect: A biography of Erik H. Erikson.

Reviews the book, Identity's architect: A biography of Erik H. Erikson by Lawrence J. Friedman (see record 1999-02567-000). The historian Lawrence Friedman's biography of Erik Erikson is useful in understanding some puzzling aspects of Eriksonian psychology. To begin, let us note an important biographical detail revealed by Friedman. As Coles' biography of Erikson had noted, and as many of us had known, Erik and Joan Erikson had three children: Kai, a sociologist; Jon, an artist; and Sue, a psychologist (Coles, 1970, p. 404). Friedman reveals that they also had a fourth child named Neil, who suffered from Down's syndrome, and was given away to institutional care right from his birth. This son, who died at the age of 21, was effectively abandoned by the Eriksons. That a great psychoanalyst who had become famous for effectively treating problem children had failed to give even the minimum parental care to his own mentally challenged son comes as a shock. For boldly revealing even the most negative aspects of his hero, Friedman may be recognized as an honest biographer and careful historian. But he deserves even more credit than that, for, in addition to providing factual details, he provides interpretive analysis showing how these facts helped shape some critical aspects of Erikson's theory of human development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Japanese family with paramyotonia congenita which has a mutation in the muscle sodium channel gene

We report here a Japanese family with paramyotonia congenita. The proband was a 42-year-old woman (case 1), who noticed muscle stiffness and weakness in the cold since the age of 7 years. These symptoms were alleviated by warming. Her eldest son (case 2) also experienced similar symptoms, while her younger son and daughter were healthy. Neurological examination in case 1 revealed mild weakness in facial and neck muscles. Cold-induced muscle stiffness and weakness were present. Electromyography showed myotonic discharges, intensified by cooling or repetitive exercise. The amplitude of the compound muscle action potentials was also reduced by the repetitive exercise and cooling. Serum chemistry including potassium and CK was normal. Molecular analysis of SCN4A (exon22-24) by SSCP and nucleotide sequencing revealed a C-to-T transition at nucleotide 3,938, causing a substitution of 1313methionine of threonine in case 1. This mutation was confirmed by PCR-RFLP with a mismatched primer; the proband (case 1) and her eldest son (case 2) had a heterozygous mutation, while the other family members did not. This is the first report that a mutation in SCN4A was identified in a Japanese family with paramyotonia congenita.     

Activation of hsr203, a plant gene expressed during incompatible plant-pathogen interactions, is correlated with programmed cell death

The purpose of this work was to describe methods of retaining participants in studies of inner-city populations, including the timing and intensity of contacts; and to describe the characteristics of participants who did not complete all follow-up interviews and/or return all peak flow diaries in the National Cooperative Inner-City Asthma Study. A cohort study design was used involving hospital emergency rooms and community clinics in seven major urban areas. Participants included 1337 4- to 9-year-old asthmatic children and their caretakers. Nearly 89% of participants completed 3-, 6-, and 9-month follow-up interviews. The 15% of participants who completed a baseline interview on the weekends were significantly more likely to complete follow-up interviews on a weekend. The percent of follow-up interviews conducted in person increased over time from 5% to 8%. The percent of participants with complete follow-up increased as the number of contact names increased (86% with zero contacts, 91% with two contracts; p = 0.03, test for trend). Participants who required at least four phone calls to complete the 3- and 6-month assessment were significantly more likely to be black, have higher participant stress, and have a smoker in the household (p < 0.05). Multiple logistic regression suggests that higher social support and lower parental stress were both predictors of completed interviews. Within our study sample of inner-city minority participants with asthmatic children, only a small proportion of participants missed any follow-up interviews. Increased caretaker stress, decreased social support, and inability to provide several alternate contacts were all predictive of retention problems. Having a flexible staff, computer tracking, and face-to-face recruitment appear essential to achieving nearly complete follow-up within a population historically difficult to follow.     

Response to urinary incontinence by older persons living in the community

PURPOSE: To investigate the responses to urinary incontinence (UI) of older persons living in the community. DESIGN: Detailed interviews were completed on a sample of 42 independent, community-dwelling persons who were at least 60 years of age. Nineteen participants reported UI, and their experiences are reported in detail. SETTING AND SUBJECTS: Subjects were recruited from 3 sources: volunteers who acknowledged having UI, those with known UI who were invited by their doctors to participate, and those who selected "Loss of bladder control" in a 20-card sort of common ailments. All interviews were conducted in a private setting at a seniors center or at participants' church or home. INSTRUMENTS: Twenty cards with a common ailment printed in large type and an interview schedule with questions relating to the ailment selected as having the most impact were used; demographic data were collected on a standardized form. METHODS: Interviews were recorded on audiotape and lasted from 20 to 60 minutes. These recordings were analyzed for themes with use of Ethnography software. MAIN OUTCOME MEASURES: Demographic and other data from the interview schedule were tabulated. The communication style of the 19 subjects with UI was analyzed to determine how freely they spoke about problems with bladder control to family and friends and their sources of information for managing urinary leakage. Analysis was done both by the researcher and a faculty member; an interrater reliability of 1.00 was achieved. RESULTS: There was little difference in the self-rating of health for those with or without UI. Subjects recruited by letters sent to doctors' patients ranked the impact of loss of bladder control higher than other subjects did. Of the 19 subjects with UI, 10 spoke freely to family and friends, but 9 seldom discussed the subject--and then only to a family member. Four of the 9 with a closed communication style reported no current source of information about UI or its management. CONCLUSION: Though UI had a major effect on the lives of these subjects, they were more willing to admit having "loss of bladder control" than "urinary incontinence." Communication style is related to prior sources of information about UI, but not its perceived impact on health. This relationship helps to determine the teaching methods that are most likely to influence elderly persons with UI who have either on open or closed communication style.     

Mourning the loss of a child who has not died.

This article presents material from the treatment of a woman who experienced her living son as dead. This fantasy is interpreted both as a response to and defense against the trauma of loss. Shattered expectations and insecure attachment immure her in a relationship in which hope leads repeatedly to affective dysregulation and crushing disappointment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mesocyclops longisetus effects on survivorship of Aedes aegypti immature stages in car tyres

We identified a family of 4 brothers with prostate cancer. The proband was the second son who was seen at the Department of Urology, Gunma University, Gunma, Japan, in May 1995, with a chief complaint of dysuria. The serum level of PSA was high, and a prostate needle biopsy revealed a moderately-differentiated adenocarcinoma. Subsequently, a total prostatectomy was performed. The family history revealed that the fourth son had been under treatment at the Saitama Cancer Center Hospital for prostate cancer since 1994. Therefore, the other 2 brothers became healthy male family members of the familial prostate cancer line, and their serum PSA levels were examined after obtaining their informed consent. Both had a high serum PSA level and biopsies revealed moderately-differentiated adenocarcinomas in both. Human leukocyte antigen class II gene typing was conducted on 3 of 4 brothers and 4 healthy family members who gave informed consent, and revealed the DRB1*0901-DQB1*0303 haplotype in the first, second and third sons. Familial prostate cancer is well documented in Europe and the US where the incidence of prostate cancer is high, but this is the first report of prostate cancer in 4 brothers in Japan.     

Social adjustment and familial schema.

2 groups of 50 male undergraduates each with good and poor social adjustment as determined by a questionnaire freely placed figures of a father, a mother, a son, and a daughter on a field. As predicted, Ss with poor social adjustment placed the son closer to the father, while Ss with good social adjustment placed the son closer to the mother (p     

Relational control in the employment interview.

This exploratory study compared communication behaviors and patterns in successful and unsuccessful initial recruiting interviews. Subjects were 28 university seniors interviewing for jobs with seven corporate recruiters who held interviews on campus. The interviews were videotaped and subsequently analyzed for applicant and interviewer behavior. Applicant behavior was significantly different when successful interviews were compared with unsuccessful ones. Unsuccessful interviews were approximately two-thirds as long as successful interviews. Successful applicants dominated the conversations more. When interviewers attempted to structure the conversation, unsuccessful applicants tried to structure the conversation in return. Successful applicants tended to be submissive when the interviewer dominated and to dominate when the interviewer was submissive. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Paternal determinants of female adolescent's marijuana use.

The purpose of this study was to examine the interrelationship of sets of paternal personality attributes, paternal–daughter relationship variables, and adolescent personality factors with adolescent daughters' use of marijuana. This was a follow-up of a previous study examining father–son factors related to son's marijuana use. Four hundred three female college students and their fathers took part in the study. Results indicated that, similar to the findings in the father–son study, paternal personality attributes and relationships are associated with the daughter's personality attributes, which in turn are related to her marijuana use. The results also showed that the father is more likely to act as an ameliorator with his daughter than with his son in reducing marijuana risk factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood mania: insights into diagnostic and treatment issues

Our study's objective was to clarify the nosologic status of children who satisfy diagnostic criteria for bipolar disorder. Using blind raters and structured psychiatric interviews as well as data from other instruments, we undertook studies from various vantage points, examining children with bipolar disorder to confirm the existence of the diagnosis in children and to clarify its clinical course and characteristics. We found that (1) bipolar disorder in children referred to our clinical center is not as rare as previously thought; (2) bipolar disorder in children commonly presents with attention-deficit hyperactivity disorder, which makes diagnosis difficult; and (3) bipolar disorder in children presents with a clinical picture considered atypical by adult standards, with irritability, chronicity, and symptoms of mania mixed with those of depression. Our data suggest that childhood bipolar disorder is more common than previously thought, but it may be difficult to diagnose because of comorbidity with attention-deficit hyperactivity disorder and a developmentally different presentation from adults.     

城镇污水处理厂项目应注意的问题

文章结合实例介绍了城镇污水处理项目的项目特征,论述了此类项目环评应注意的几个主要共性问题:工程选址方案比选、污水处理工艺选择、恶臭污染防治措施、污泥处置、中水回用,可为同行借鉴。     

Evaluation of patient improvement in a token economy treatment program.

Investigated various indices of improvement in 20 female chronic mental patients (mean age = 36 yrs) who were randomly assigned to a token economy treatment ward as compared with 20 control patients who received typical custodial treatment. All Ss were given standardized interviews consisting of 5 experimental tasks. Segments of the interviews were video-recorded and rated by naive raters on a 20-item questionnaire. Results indicate that the token-economy Ss were better oriented, had more skill in making business purchases and discriminations, and were better able to follow commands. Token economy Ss were rated as being more cooperative and communicative, more socially desirable, more appropriate in mood, and as exhibiting less psychotic behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The use of different fixatives and hydrophilic embedding media (Historesin and Unicryl) for the study of embryonic tissues

As part of a research project exploring ways through which we can understand the crying infant and its family, this study focuses on the experiences of fathers during labour and delivery of their infant. In a previous part of the project it was shown that fathers' negative experiences during the childbirth were correlated with the amount of crying in the infant during the first months after birth. The aim of the present study was to explore and interpret the experiences that fathers reported in an interview when the infant was between six months and one year of age. A hundred and nine fathers were interviewed. The interviews, which took place in the families' homes and with both parents present, were carried out in dialogue form with open-ended questions. The results reveal that complications during the delivery were significantly correlated with the amount of crying in the infant. Feelings of helplessness, of guilt and that staff behaviour had been negative were more common in the group of fathers who experienced the delivery as a negative event. 'Locus of control' seems to be the most relevant concept.