Freud summarizes three important character types he encountered in his clinical work: patients who see themselves as exceptions; patients who are wrecked by success; and patients with a strong sense of guilt. For those who see themselves as exceptions, they resist analysis due to a fantasy that they deserve special treatment due to past disadvantages. Those wrecked by success fall ill when their dreams come true due to an inability to process momentous events. Patients with a strong sense of guilt engage in criminal fantasies or acts as a form of self-punishment arising from their unresolved Oedipus complex. These insights help clinicians understand patients' resistance and differentiate between neuroses and other disorders.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales, Cardiff (1996).
His thesis was titled 'Oedipus Redux: D.H. Lawrence in the Freudian Field.'
These clinical notes should be of use to both theorists and practitioners of psychoanalysis in the tradition of Sigmund Freud and Jacques Lacan.
Shiva Kumar Srinivasan has a PhD in English Literature and Psychoanalysis from the University of Wales at Cardiff.
These clinical notes describe the differences between the 'desire of the subject' and the 'desire of the symbolic Other' in Lacanian psychoanalysis by inverting the conventional subject-object distinction within a theory of the subject.
The theoretical goal here is to identify the forms of libidinal excess that are generated in the act of speech in analysis; and then relate this excess to a theory of stability.
Such an exercise should be of interest to central bankers like Mark Carney of the Bank of England who must not only work out a theory of stability; but must also ponder on the ontological differences between stability at the levels of the individual, the institution, and the macro-economy as a whole.
These ontological differences matter, I argue, lest central bankers forget the importance of the 'fallacy of composition' in economic theory. This fallacy cautions us to avoid the conflation of micro-economic phenomena with macro-economic aggregates while doing economic theory.
These notes also draw a compelling analogy between the forms of libidinal regulation that characterizes clinical interventions in Lacanian psychoanalysis with the role played by counter-cyclical policies in monetary theory and practice in the attempt to regulate interest rates by central bankers.
The burden of the argument here is to show that while the stabilization of systemically important stakeholders in necessary, it is not sufficient. What is required are regulatory mechanisms that will serve a protective function (even if stakeholders act out their conflicts in the symbolic) like circuit breakers that regulate trading in stock exchanges.
These notes conclude by describing psychic mechanisms like 'alienation, separation, and traversing the phantasy' that constitute not only the Lacanian theory of the subject, but also the clinical trajectory that represents the end of analysis.
These notes should be useful not only to clinicians but also to those interested in formulating a theory of stability that is informed by the ideological concerns and clinical themes of Lacanian psychoanalysis.
Needless to say, these notes on the need for a psychoanalytic approach to stability are dedicated - for what they are worth - to Gov. Mark Carney of the Bank of England.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales, Cardiff (1996).
His thesis was titled 'Oedipus Redux: D.H. Lawrence in the Freudian Field.'
These clinical notes should be of use to both theorists and practitioners of psychoanalysis in the tradition of Sigmund Freud and Jacques Lacan.
Shiva Kumar Srinivasan has a PhD in English Literature and Psychoanalysis from the University of Wales at Cardiff.
These clinical notes describe the differences between the 'desire of the subject' and the 'desire of the symbolic Other' in Lacanian psychoanalysis by inverting the conventional subject-object distinction within a theory of the subject.
The theoretical goal here is to identify the forms of libidinal excess that are generated in the act of speech in analysis; and then relate this excess to a theory of stability.
Such an exercise should be of interest to central bankers like Mark Carney of the Bank of England who must not only work out a theory of stability; but must also ponder on the ontological differences between stability at the levels of the individual, the institution, and the macro-economy as a whole.
These ontological differences matter, I argue, lest central bankers forget the importance of the 'fallacy of composition' in economic theory. This fallacy cautions us to avoid the conflation of micro-economic phenomena with macro-economic aggregates while doing economic theory.
These notes also draw a compelling analogy between the forms of libidinal regulation that characterizes clinical interventions in Lacanian psychoanalysis with the role played by counter-cyclical policies in monetary theory and practice in the attempt to regulate interest rates by central bankers.
The burden of the argument here is to show that while the stabilization of systemically important stakeholders in necessary, it is not sufficient. What is required are regulatory mechanisms that will serve a protective function (even if stakeholders act out their conflicts in the symbolic) like circuit breakers that regulate trading in stock exchanges.
These notes conclude by describing psychic mechanisms like 'alienation, separation, and traversing the phantasy' that constitute not only the Lacanian theory of the subject, but also the clinical trajectory that represents the end of analysis.
These notes should be useful not only to clinicians but also to those interested in formulating a theory of stability that is informed by the ideological concerns and clinical themes of Lacanian psychoanalysis.
Needless to say, these notes on the need for a psychoanalytic approach to stability are dedicated - for what they are worth - to Gov. Mark Carney of the Bank of England.
Karen Horney's theory: Neurotic, Neurotic Needs,Coping Strategies, Self Theory and Womb envy.
Slides are made for educational purpose only.
Reference is included at the end of the slides.
Karen Horney's theory: Neurotic, Neurotic Needs,Coping Strategies, Self Theory and Womb envy.
Slides are made for educational purpose only.
Reference is included at the end of the slides.
Essays On Breast Cancer. PDF Breast cancer: IntroductionHeather Hotovec
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Assignment 1: Discussion—Television Character
Television provides us with many interesting examples of interpersonal and neurotic behaviors. In this assignment, you will delve into the life and actions of some of your favorite television characters and analyze them using Horney’s coping strategies.
Interestingly, Horney’s three coping strategies for one’s neurotic needs correlate very well with three of Adler’s different personality types:
· Horney’s moving-toward strategy—Adler’s getting or leaning type
· Horney’s moving against—Adler’s ruling or dominant type
· Horney’s moving away from—Adler’s avoiding type
Using Horney’s theory of coping with neurotic needs with three different interpersonal orientations, select a TV program of your choice containing a character that Horney would identify as exhibiting neurotic behaviors. As you watch a full episode of this show, focus on this character and tally each instance of moving-toward, moving-against, and moving-away behavior.
Research Horney’s theory using your textbook, the Internet, and the Argosy University online library resources. Based on your research, respond to the following:
· Discuss this character’s neurotic needs and trends.
· What do you think has happened in his/her life that has led to these behaviors?
· In addition to general life events, how has gender and culture influenced the character’s neurotic needs and behaviors?
· How do these interpersonal orientations impact the way this character interacts with others and develops relationships?
Write your initial response in 4–5 paragraphs. Apply APA standards to citation of sources.
By Saturday, July 18, 2015, post your response to the appropriate Discussion Area. Through Wednesday, July 22, 2015, review and comment on at least two peers’ responses.
Assignment 2: Case of Anna O
One of the very first cases that caught Freud’s attention when he was starting to develop his psychoanalytic theory was that of Anna O, a patient of fellow psychiatrist Josef Breuer. Although Freud did not directly treat her, he did thoroughly analyze her case as he was fascinated by the fact that her hysteria was “cured” by Breuer. It is her case that he believes was the beginning of the psychoanalytic approach.
Through your analysis of this case, you will not only look deeper into Freud’s psychoanalytic theory but also see how Jung’s neo-psychoanalytic theory compares and contrasts with Freud’s theory.
Review the following:
The Case of Anna O.
One of the first cases that inspired Freud in the development of what would eventually become the Psychoanalytic Theory was the case of Anna O. Anna O. was actually a patient of one of Freud’s colleagues Josef Breuer. Using Breuer’s case notes, Freud was able to analyze the key facts of Anna O’s case.
Anna O. first developed her symptoms while she was taking care of her very ill father with whom she was extremely close. Some of her initial symptoms were loss of appetite to the extent of not eating, weakness, anemia ...
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff (1996).
This book review explores the relationship between psychoanalysis and history.
It makes a case for why historians should be interested in psychoanalysis; and explains why the quest for freedom as an existential or historical state is mediated by negation in the Freudian theory of subjectivity.
This review should be of interest to historians, psychoanalysts, and students of the human sciences.
Running head WOLFGANG KOHLER’S CONTRIBUTION TO PSYCHOLOGY .docxjeffsrosalyn
Running head: WOLFGANG KOHLER’S CONTRIBUTION TO PSYCHOLOGY 1
WOLFGANG KOHLER’S CONTRIBUTION TO PSYCHOLOGY 3
1ST Peer review
Max Wertheimer was a resilient young man. His father ran a business college in Prague where him and his family lived without controversy. That was, until his family was forced out of Germany due to the growing threat of Nazism. Before this, though, Max was able to obtain a traditional education, against his fathers wishes, and take many classes before focusing on philosophy and psychology. When studying at the University of Berlin, Wertheimer worked in the Phonogram Archives. Which was basically a library of music samples recorded onto wax cylinders originating from a vast array of countries. Music had an immense influence on the establishment of Gestalt psychology because of the use of melodies to teach its concepts. For example, a melody exists due to the organization of the notes, not because of the notes on their own-a key theory in Gestalt psychology.
After conducting research on music produced by a Sri Lankan tribe, the effects of brain injuries on speech and language comprehension, and the mathematical thinking abilities of native peoples, Wertheimer moved on (largely by accident) to study apparent motion This would not only make him famous, but shine light onto the legitimacy of Gestalt psychology. While traveling by train, he noticed that parts of the landscape that were further away appeared to be traveling with the train. He deduced that this perception of moving objects that were clearly not in motion had to be originating in his brain. He then set up shop at the University of Frankfurt where he invented a tachistoscope and tested this phenomenon, later dubbed the phi phenomenon. Thus, designating the official start of Gestalt psychology.
This discovery was much more than just that. Wertheimer attempted to find the physiological causation for the phenomenon and was able to rule out several, older previous explanations. Although the true reasoning behind the phi phenomenon has yet to be discovered, the research that took place in pursuit of that truth paved the way for the branch of psychology as a whole. It is interesting to think where (or if at all) Gestalt psychology would be today if Wertheimer had slept on that train and continued with his vacationing instead.
References
Kardas, E. P. (2014). History of psychology: The making of a science. Belmont, CA: Wadsworth Cengage Learning
2nd Peer review
For our final Explore Discussion, I am choosing to write about Alfred Adler’s individual psychology. One of the most interesting things about Adler’s childhood is that he was a sickly child and almost died at age 4, which was actually the reason he chose to pursue a doctorate degree. “He did survive and vowed to become a better doctor than the one who treated him” (Kardas, 2014, p. 385). I thought this quote deserved recognition as it sho.
PLEASE READ THE ASSIGNMENT BEFORE TAKING IT ON. WIILLING TO PAY FOR.docxsarantatersall
PLEASE READ THE ASSIGNMENT BEFORE TAKING IT ON. WIILLING TO PAY FOR ENTIRE CLASS DONE NOT PER ASSIGNMENT. FOLLOW RUBRIC AND HAVE THE PAPERS INTO ME ASAP. NO PLAIGERISM, INCLUDE CITATIONS, AD BE IN PROPER APA FORMAT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Assignment 1: Discussion—Television Character
Television provides us with many interesting examples of interpersonal and neurotic behaviors. In this assignment, you will delve into the life and actions of some of your favorite television characters and analyze them using Horney’s coping strategies.
Interestingly, Horney’s three coping strategies for one’s neurotic needs correlate very well with three of Adler’s different personality types:
Horney’s moving-toward strategy—Adler’s getting or leaning type
Horney’s moving against—Adler’s ruling or dominant type
Horney’s moving away from—Adler’s avoiding type
Using Horney’s theory of coping with neurotic needs with three different interpersonal orientations, select a TV program of your choice containing a character that Horney would identify as exhibiting neurotic behaviors. As you watch a full episode of this show, focus on this character and tally each instance of moving-toward, moving-against, and moving-away behavior.
Research Horney’s theory using your textbook, the Internet, and the Argosy University online library resources. Based on your research, respond to the following:
Discuss this character’s neurotic needs and trends.
What do you think has happened in his/her life that has led to these behaviors?
In addition to general life events, how has gender and culture influenced the character’s neurotic needs and behaviors?
How do these interpersonal orientations impact the way this character interacts with others and develops relationships?
Write your initial response in 4–5 paragraphs. Apply APA standards to citation of sources.
By
Saturday, July 18, 2015
, post your response to the appropriate
Discussion Area
. Through
Wednesday, July 22, 2015
, review and comment on at least two peers’ responses.
Assignment 2: Case of Anna O
One of the very first cases that caught Freud’s attention when he was starting to develop his psychoanalytic theory was that of Anna O, a patient of fellow psychiatrist Josef Breuer. Although Freud did not directly treat her, he did thoroughly analyze her case as he was fascinated by the fact that her hysteria was “cured” by Breuer. It is her case that he believes was the beginning of the psychoanalytic approach.
Through your analysis of this case, you will not only look deeper into Freud’s psychoanalytic theory but also see how Jung’s neo-psychoanalytic theory compares and contrasts with Freud’s theory.
Review the following:
The Case of Anna O.
One of the first cases that inspired Freud in t.
These clinical notes explain the role played by conflicts as a causative factor in the psychoneuroses and war neuroses in Freudian psychoanalysis.
The Freudian theory of conflict, I argue, is useful not only to clinicians, but also to central bankers who are trying to formulate a theory of stability and stabilization.
What psychoanalysis makes available for these central bankers is a formal theory of the subject that incorporates the structure and function of the unconscious.
It also explains the macro-economy of the symptom given that clinicians have a lot of exposure to neurotic forms of instability.
The main wager in these clinical notes is that it will make possible a theoretical discussion between psychoanalysts and financial analysts in order to develop a comprehensive theory of stability.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
These clinical notes summarize the main points raised by the Lacanian analyst Robert Samuels on the question of analytic technique.
These clinical notes should make it possible for both beginners and clinicians to relate Freudian concepts with Lacanian terms like the real, the imaginary, and the symbolic more effectively.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This review sets out the importance of a special issue of Umbr(a) #1, 1998, on 'Identity and Identification' from the Center for Psychoanalysis and Culture at SUNY, Buffalo for students of law, management, and business.
It explains how a Lacanian theory of the subject can make it possible to manage in a 'psychoanalytically informed manner' by making a case for incorporating the insights of Lacanian psychoanalysis in the mainstream professions.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This review essay on Sigmund Freud's 'Group Psychology and the Analysis of the Ego' describes how an understanding of psychoanalysis can further the reader's ability to situate and intervene in the context of group dynamics.
It lists the differences between individual and group psychology before describing the dangers of crowds and the contagion effect before setting out the structure and forms of identification between members in groups.
The main argument in the essay is that groups should guard against regression to more primitive forms of organizational life that Freud characterized as crowds and herds that are subject to the contagion effect.
In instances of such regression, groups will be able to repair themselves more effectively if they are psychoanalytically informed.
That is why this review essay on Freudian psychoanalysis is aimed at not only analysts but to an audience of bankers, economists, and social scientists.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This book review describes the theoretical challenges involved in incorporating the Lacanian model of the subject within mainstream American ego psychology (given the huge amount of philosophical knowledge that Lacan assumes in his readers).
It will be of use to clinicians, literary critics, and philosophers who want to engage with Lacanian theory and practice.
This paper analyzes what Sigmund Freud was trying to do both as an an analyst and as a writer in his autobiography of 1925. It describes Freud's compositional ratio, fantasies in writing about psychoanalysis, early life, the Freudian clinic, the Freudian subject, and concludes that reading Freud is still the best way to learn psychoanalysis.
Shiva Kumar Srinivasan has a Ph.D. in literature and psychoanalysis from the University of Wales at Cardiff, UK (1996).
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’
This series of 'clinical study notes' summarize the main points raised in important psychoanalytic texts.
They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
These clinical notes describe the main points raised by Jacques-Alain Miller of the University of Paris VIII in the first Paris/Chicago psychoanalytic workshop on the analytic cure on July 25, 1986.
Miller starts by addressing common misconceptions about Lacanian theory and practice before explaining the structure, the techniques, and the forms of interpretation that constitute the analytic clinic.
Miller concludes by explaining why the definition of the analytic cure is not reducible to the biological model of adaptation or the invocation of borderline categories. The most important challenge of psychoanalysis will always be to explain hysteria.
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’ These clinical study notes summarize the main points raised in important psychoanalytic texts. They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
These clinical notes summarize the main arguments in Jacques-Alain Miller's Paris-New York Workshop of 1988 titled 'A and a in Clinical Structures.'
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’ These clinical study notes summarize the main points raised in important psychoanalytic texts. They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Freud on Character-Types
1. 1
CLINICAL NOTES
ON CHARACTER-TYPES
Sigmund Freud (1916). ‘Some Character-Types Met With in Psychoanalytic Work,’
Art and Literature, translated by James Strachey, edited by Albert Dickson (London:
Penguin Books, 1990), Penguin Freud Library, pp. 291-319.
These clinical notes summarize the main features of three important character-types
that Sigmund Freud encountered in his clinical work.
These character-types were described in three different essays that Freud published
in Imago in 1916.
These essays have been brought together in this volume under the aegis of the title
mentioned above. They were translated into English in 1925.
Freud begins with the observation that analysts are usually focused on the patient’s
symptoms and the clinical entity that they are treating with in the clinic. So, in that
sense, it is a bit unusual for him to write essays on ‘character-types.’
Nonetheless, he felt that he had important insights that he wanted to share because
they had implications not only for his theory of the neuroses, but also for his theory
of the subject.
The reason that Freud invokes for talking about the patient’s character is related to
the ‘resistance’ that patients put up in the course of the analysis.
In order to make sense of why patients resist the treatment, Freud is forced to
analyse their character.
Or, to put it simply, Freud describes ‘resistance’ to the treatment as akin to a
character trait.
Needless to say, the patient is not always aware of these character traits. The analysis
activates aspects of the patient’s character of which he is not consciously aware.
2. 2
The three character-types comprise the following:
Patients who consider themselves to be ‘exceptions’;
Patients who have problems in not only coping with failure, but more importantly
with success;
And those who commit crimes or misdeeds out a ‘sense of guilt.’
These clinical notes will describe all the three character-types and identify what
exactly constitutes the insight that Freud wants to share with his readers and fellow-
clinicians.
The main challenge in the treatment is to get the patient to engage with reality even
if it means that he has to give up on the pleasures that he is accustomed to.
This is however easier said than done.
Freud compares this task to that of the educator who must get his students to
renounce the immediate gratification demanded by their instincts in order to gain
something more valuable through the process of education.
Analysis is like a form of ‘after-education’ in so far as it seeks to further this process.
The treatment can only be carried out to the extent that the patient is willing to re-
shape his instincts.
Ideally, the patient must learn to sublimate his neurosis within the analytic situation
through the process of free-association without either dropping out or acting out
repressed conflicts.
However, every now and then, Freud would encounter a patient who considered
himself an ‘exception’ to the rules of analysis.
These patients wind up telling Freud that life has been difficult for them and it is not
fair on his part to expect them to go through the paces of analysis like just about any
other patient.
The first essay then is a description of patients of this order and the approaches that
Freud felt might be suitable for handling them.
What do such patients have in common?
Freud points out that all these patients feel that they have suffered a disadvantage
by the fact that they were subject to a neurotic affliction from early childhood.
These patients were able to put up with congenital defects in their lives, but not with
contingent factors (which they feel could have been avoided had they known better).
3. 3
In other words, they can’t come to terms with the fact that they have a neurosis.
Freud invokes a literary analogue for patients like this. The literary character that he
has in mind is none other than Shakespeare’s Richard III.
This character was haunted by the fact that he was not good looking in the way that
monarchs are supposed to be. So he decided that it was better to be a villain rather
than seek to be a lover. This was his excuse for bad behaviour.
Freud examines the famous soliloquy from Richard III in which the latter
enumerates his faults. This generates a ‘fellow-feeling’ in the audience.
While they do not condone his bad behaviour, they begin to feel that they at least
know why he is the way that he is.
Richard’s fantasy is that he must be treated as an exception because that would be
Nature’s way of making ‘reparations’ for his physical short-comings.
Such a fantasy however is not reducible to Richard III.
Freud’s larger point is that most of us have fantasies like that.
When such a fantasy gets a patient in its grip, it makes it much more difficult for the
analysts to overcome the resistance to the treatment.
Patients of this character-type will make some demand or the other on the analyst.
If the analyst concedes the demand, then, it is tantamount to recognizing the
patient’s need to be treated as an exception.
Freud last point in the context of the fantasy of exception is that it not only afflicts
monarchs like Richard III, but is commonly found amongst women.
It can even mediate the relationship between daughters and their mothers.
The existential burden of this fantasy of being treated as an exception amounts to
nothing less than daughters blaming their mothers for giving birth to them as
women rather than as men.
Hence, the importance of this character-type; it not only explains resistance to the
treatment, but also the propensity of patients of this type to be demanding.
It is also finally a clue to how daughters relate to their mothers.
The second essay explains why some patients are ‘wrecked by success.’
4. 4
This may seem rather counter-intuitive since Freud had already staked out a
position in which the neuroses are explained as a reaction to frustration, i.e. failure.
How can both success and failure both be invoked to explain why patients fall ill?
Is Freud having it both ways?
The significance of this essay is precisely the fact that what causes the patient to fall
ill is not success or failure per se, but the affective load on the neurotic subject.
So some patients fall ill of failure; others of success.
While it is not difficult for the reader to understand why somebody might fall ill of
failure, it is much more difficult to get around the possibility that success might also
lead to an illness.
What Freud means by ‘wrecked by success’ is not related to stress induced by too
much work.
What Freud has in mind is more akin to falling ill more or less at the moment of
success.
The neurotic subject falls ill when his dreams suddenly or unexpectedly come true.
This may even lead to a situation when he renounces success or is not able to make it
his own.
These then then are just different ways of saying that the neurotic subject is not able
to work-through momentous events in his life even if they could change things for
the better.
Freud invokes case-based examples to substantiate his point.
There is the case of the woman who finally managed to get her lover to agree to
marry her only to find that she falls inexplicably ill when he agrees to do so.
5. 5
Then there is the case of the academic who fell ill of a melancholia when he was
recognized as worthy of being his teacher’s successor.
In both these cases, ‘the illness followed close upon the fulfilment of a wish’ and
made it difficult for the subjects concerned to perform in good health.
Freud also invokes a literary analogue in this context – Lady Macbeth.
Freud points out that in her pursuit of ultimate power, Lady Macbeth showed no
signs of weakness at all.
But, after the murder of King Duncan, she inexplicably comes undone.
Why did Lady Macbeth suddenly weaken?
Freud doesn’t pretend to know the answer to this difficult question, but he cites it as
instance of being ‘wrecked by success.’
Freud makes the same point in his reading of Ibsen’s Rosmersholm in which Rebecca,
the female protagonist, throws away a marriage proposal from her lover, Rosmer,
even though she had to intrigue and get her rival out of the way in order to get
closer to him.
When Rosmer proposes, she feels unworthy of being his wife and tells him as much.
What is interesting in these examples is the propensity in the neurotic subject to
throw away the success for which he or she might have worked really hard.
It is therefore important, Freud argues, to relate these actions to the residual guilt from
the subject’s Oedipus complex that has not been adequately dissolved in the context of
individual development.
Both internal and external forms of frustration then can induce illness in the neurotic
subject.
The former is related to success; and the latter, to failure in the conventional sense of
the term. Both, as mentioned above, can make inordinate demands on the psyche.
The third essay explains what Freud means by the term ‘sense of guilt.’
It would not be a stretch to say that like the previous insight, this is an important
discovery in psychoanalysis.
The conventional assumption is that guilt arises out of a criminal act or a misdeed of
some sort. The Freudian position is the exact opposite of that.
Freud locates the origins of guilt in the Oedipus complex.
6. 6
Both the fantasy and reality of criminal behaviour is an attempt to relieve the sense
of guilt that is endemic to the neurotic subject.
In neurotics, the sense of guilt always pre-exists an act that is worthy of inducing guilt.
So when neurotics commit a misdeed, they feel less and not more guilty.
That is because the misdeed or criminal act not only gives them a reason to feel
guilty, but it also constitutes a form of ‘self-punishment.’
It is not widely known that in almost all types of neurotic behaviour – whether or
not it actually culminates in a criminal act or a misdeed in the real world – there is a
preoccupation with fantasies of self-punishment.
This fantasy of self-punishment is related to the neurotic pre-occupation with getting
ahead of the father or the mother.
Furthermore, all neurotic patients suffer from a constitutive form of ‘ambivalence’
towards their parents. That is, these neurotic subjects both love and hate or like and
dislike their parents.
Neurotic suffering and the chronic sense of guilt in those who have not dissolved
their Oedipus complex is related to the inability to resolve this ambivalence once and for
all.
Freud differentiates between those who commit crimes because they are anti-social
(i.e. sociopaths) and those who have fantasies of committing them.
This is analogous to the difference between perversion and the neuroses.
Freud considered the neuroses to be the ‘negative of the perversions’ because while
neurotics merely fantasize about sexual acts, perverts wind up committing those
acts.
Likewise, most neurotic patients will have conscious or unconscious fantasies of
committing criminal acts or misdeeds to reduce their levels of guilt from the
Oedipus complex.
It is therefore important for clinicians to be able to differentiate between the neuroses
and the perversions (including narcissistic disorders) to make sense of whether the
sense of guilt is related to imaginary or real acts.
Needless to say, narcissistic subjects will not have much by way of the sense of guilt.
7. 7
These three essays have been chosen for summary in this series of clinical notes
because they bring together Sigmund Freud’s counter-intuitive insights on the
fantasies of exceptions, success, failure, and the ‘sense of guilt’ in neurotic patients.
Reading these essays will not only help clinicians to situate the fantasies of their
patients, but make them more effective in differential diagnosis as well.
While these may be important insights for those who are not at all acquainted with
psychoanalysis; they were, as Freud points out, anticipated by the German
philosopher Friedrich Nietzsche in his essay ‘On the Pale Criminal.’
SHIVA KUMAR SRINIVASAN