{"title":"The early phase of treatment: an object relations approach.","authors":"D E Scharff","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 2","pages":"295-315"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12781620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual aversion versus hypoactive sexual desire: a diagnostic challenge.","authors":"Y Ponticas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Our work with women with sexual aversion documents the presence of marked sexual avoidance behaviors as specified in the DSM-III-R1 diagnostic criteria for this disorder. At the same time, we demonstrate the presence of normal sexual desire and capacity for orgasm in these women. These two findings offer support for a valid diagnostic differentiation between sexual aversion disorder and hypoactive sexual desire disorder. Inherent in the diagnosis and treatment of sexual aversion disorder is an appreciation by the clinician of the tremendous approach-avoidance conflict that exists in these patients. The behavioral and cognitive avoidance features, therefore, need to be elicited actively by the clinician during all phases of assessment and treatment. These features are not always offered readily by the patients for fear of having to relinquish these strategies and their related sense of control over the overwhelming anxiety that sexual intimacy can produce. Consequently, treatment is not always straightforward and successful.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 2","pages":"273-81"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12781619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of hypnosis with eating disorders.","authors":"M S Torem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reviews the literature on the use of hypnosis in the assessment and treatment of eating disorders. It proposes that patients with eating disorders ought to be investigated as to the underlying dynamics behind the eating disorders symptoms. Following a thorough assessment, a number of hypnotherapeutic techniques are explained and discussed, such as: general relaxation and calmness, guided imagery, teaching self-hypnosis, ego-strengthening, direct and indirect suggestions for healing and recovery, cognitive restructuring and reframing, symbolic guided imagery, age progression (\"back from the future\" technique), metaphorical prescriptions, age regression and abreactions, and ego state therapy. Verbatim examples of these techniques are given as illustrations of how to use them.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 4","pages":"105-18"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12463722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypnosis: lingering myths and established facts.","authors":"M S Torem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reviews some historical aspects of hypnosis, discusses and clarifies the lingering misconceptions and the established facts. Moreover, the paper clarifies the predominant school of thought regarding the issue of hypnotizability and the relevance of hypnotizability scales for research and clinical practice. The paper concludes with a review of using hypnosis as a diagnostic and therapeutic tool.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12718041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypnosis and its clinical applications in psychiatry and medicine-I.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 1","pages":"1-167"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12718042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personality style and hypnotizability: the fix-flex continuum.","authors":"H Spiegel, M Greenleaf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since Mesmer, there has been much confusion about the inter-relationship between an individual's degree of hypnotizability, the personality style of the individual and the importance of the therapeutic strategy. Empirical and experimental research supports the hypotheses that there are: 1) biopsychosocial components of hypnotizability on a continuum ranging from ecologically insensitive (not modifiable by external stimuli) to ecologically sensitive (very modifiable by external stimuli); 2) biopsychosocial components that can be measured to identify an individual's degree of hypnotic capacity and responsivity; 3) distinct personality styles which correlate with low, mid-range and high hypnotizability on a fix (ecologically insensitive)-flex (ecologically sensitive) continuum; and 4) different clinical syndromes which correlate with these categorical distinctions. We propose that measuring hypnotizability and personality style is a way to clarify diagnosis and choose appropriate treatment strategies to maximize existing biopsychosocial resources of an individual with a specific problem in a particular context.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12718045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of hypnosis in a family practice setting.","authors":"M E Hunter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For the Family Physician/General Practitioner, there are many locales in which hypnosis is a valuable adjunct to treatment. In this chapter the author describes some of the opportunities for using hypnosis according to the site of practice, rather than in the usual pattern of describing its use in each physiological system (e.g. digestive system, reproductive system) or division of medicine (pediatrics, gynecology etc.) The areas chosen are: the office examining room, the counselling or consulting room, the emergency room, the Intensive Care and Coronary Care Units, the case room, the operating room, the home visit, at the scene of an accident, and in the palliative care unit.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 1","pages":"87-99"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12718052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Building a psychiatric-medical liaison: observations of the process.","authors":"I Pisetsky, E Keram, D A Drossman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 3","pages":"149-63"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12582281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatric disorder and functional somatic symptoms as predictors of health care use.","authors":"G E Simon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data from Wave 1 of the National Institute of Mental Health Epidemiologic Catchment Area study were used to examine how functional somatic symptoms and other psychiatric disorders relate to use of health care. Panic disorder and functional somatic symptoms were strongly linked to use of general medical services while depression showed such a relationship only among females. Panic disorder and depression also showed strong association with use of mental health services, but functional somatic symptoms showed only a weak relationship. Multivariable models suggest that functional somatic symptoms lead to selective use of general medical services over mental health services.</p>","PeriodicalId":77337,"journal":{"name":"Psychiatric medicine","volume":"10 3","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12582284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}