Thoughts on the limits of a mutual technique.
Thoughts on the limits of a mutual technique. Am J Psychoanal. 2018 Nov 19;: Authors: Frankel J Abstract Ferenczi's appreciation of the inherently mutual nature of the analytic encounter led him, and many who followed, to explore the value of mutual openness between patient and analyst. Specifically, Ferenczi saw the analyst's openness as an antidote to his earlier defensive denial of his failings and ambivalence toward the patient, which had undermined his patient's trust. My own view is that, while the analyst's openness with the patient can indeed help reestablish trust and restore a productive analytic process in the short term, it also poses long-term dangers. In certain treatments it may encourage "malignant regression", where the patient primarily seeks gratification from the analyst, resulting in an unmanageable "unending spiral of demands or needs" (Balint, 1968, p. 146). I suggest that an analyst's "confessions", in response to the patient's demand for accountability, can sometimes reinforce the patient's fantasy that healing comes from what the analyst gives or from turning the tables on his own sense of helplessness and shame by punishing or dominating the analyst. In such situations, the patient's fantasy may dovetail with the analyst's implicit theory that healing includes absorbing the patient's pain and even accepting his hostility, thus confirming the patient's fantasies, intensifying his malignant regressio...
CONCLUSION: In agreement with the patient, medical care should focus on a pain-free situation during the last phase of life and not on exhausting possible treatments to prolong life unnecessarily. Appropriate care at the end of life can be broader, and all 34 subthemes can be important in early healthcare planning. Significant differences between general practitioners and nurses deserve attention because patients and family members expect that healthcare providers will work together as a team. PMID: 30765289 [PubMed - as supplied by publisher]
HIGH blood pressure symptoms include headaches, chest pain and finding blood in your urine. But you could also be at risk of hypertension signs if your face has a distinctive feeling. This is the sign of high blood pressure you shouldn ’t ignore - it could even cause sudden death.
Conclusions: This technique is a safe option for isolated benign lesions of the ribs. It is more effective in patient recovery in the postoperative period and in the management of surgical pain. PMID: 30766639 [PubMed]
Conclusions: Ultrasonography could be helpful in identifying tennis players with painful shoulder having rotator cuff pathologies. However, the ability of the method to identify players having specific changes of the range of rotation of the glenohumeral joint is limited, with the exception of tennis players with ERD having SSP pathologies. PMID: 30766638 [PubMed]
Conclusions: Polish patients approve the ERAS protocol as modern perioperative care. Patients emphasize the need for preoperative counselling and painless recovery. PMID: 30766626 [PubMed]
Authors: Li C, Zhao Y, Zuo Y, Zhou Y, Zhang F, Liu S, Zhu Q, Chen J, Zhang W, Xu W, Gu Z, Li L, Li F, Tao W, Cao Y, Sun X, Jing H, Chen H, Zhang S, Dong Z, Liu J, Shi X, Hao W, Qiu G, Zhang W, Wu N, Wu Z Abstract OBJECTIVES: To evaluate the clinical efficacy of bisphosphonates treatment for spinal bone marrow oedema (BME) in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome. METHODS: SAPHO syndrome patients presenting to Peking Union Medical College Hospital from 2015 to 2016 were recruited. Patients were administered pamidronate disodium 1 mg/kg/d intravenously, for 3 days,...
Conclusion The SOS-WRIST questionnaire for identification of overuse wrist injuries in young athletes has good content validity. It can be used to promote awareness and timely treatment of overuse wrist injuries in young athletes. PMID: 30767690 [PubMed - as supplied by publisher]
CONCLUSION: These results suggest that reverse propulsion may redirect shoulder demands and prevent subacromial impingement, thereby preventing injury and preserving independent mobility for individuals with paraplegia. PMID: 30768378 [PubMed - as supplied by publisher]
DR. SAAD SHEBRAIN (Kalamazoo, Michigan): The finding of this study is that instillation of local anesthetic agents at the conclusion of laparoscopic appendectomy compared to placebo has a significant effect on reducing postoperative pain, opioid use and length of stay. The etiology of postoperative pain after laparoscopic surgery is complex and that could be partly explained by the induction of visceral trauma and inflammation and peritoneal irritation due to carbon dioxide pneumoperitoneum with stretching and parietal peritoneum.
DR. CHARLES E. LUCAS (Detroit, Michigan): The authors have presented a video assisted thorascopic pulmonary resection that they're utilizing for pain control a thoracic epidural versus an intraoperative intercostal block. They used historical controls, which is always a problem, but I believe that they're looking at the two groups in a very detailed manner resulted in them having 95 patients in each group that are similar. They demonstrated that the intercostal block utilizing their technique leads to lower pain scores in total.