Cases reported "Death"

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1/6. The psychological treatment of cancer: the patient's confusion of the time for living with the time for dying.

    It has been shown that it is possible to influence cancer growth by a form of intensive meditation, although it is not yet established whether it can be influenced to the point of cure. In working with these patients it has been observed that the course of the illness has often been influenced by the patient's confusion of the biologically appropriate time for living and the time for dying. Without recourse to any formal psychotherapy, the family physician aware of this reaction may be able to enhance the immune defences and increase the quality of life of such patients.
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ranking = 1
keywords = psychotherapy
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2/6. Characteristics of family background in bulimia.

    21 women consulting for bulimia were followed in individual psychotherapy and assessed for family background characteristics. Two sets of data are reported: objective data concerning the incidence of 'broken homes', i.e., with a history of separation or divorce or death of parents; subjective data concerning the image of the family and the identifications which are worked through in psychotherapy. Among our 25 bulimic patients, 13 patients came from 'broken homes' in which, in 9 cases, separations were so radical that it was impossible to maintain relationships with both parents; 12 patients came from close-knit families which in 6 cases were actually 'closed families' hiding massive internal tensions. The proportion of broken homes is significantly higher than in a population of 25 overweight patients without bulimia also undergoing individual psychotherapy. There exists a sharp discrepancy between the actual family failings and the wish of patients to maintain their 'family unit' fantasy. The hypothesis is made that the occurrence of bulimia may be related to the combination of a history of violent separations (or threats of violent separation) in the family, and the endless denial of these separations.
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ranking = 3
keywords = psychotherapy
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3/6. Childhood parent loss: developmental impact and adult psychopathology.

    A large number of cases in analytically oriented psychotherapy and psychoanalysis were studied to determine the developmental consequences of parent loss by death or continuous separation in childhood. The cumulative evidence from this data is that the meaning, impact, and consequences of parent loss on emotional development are determined both by the phase-sensitive issues impacted, as well as the unique interpretation by the child of the fantasied cause and effect of the loss event. Specific issues arising in treatment as a derivative of earlier parent loss are presented as they relate to developmental diagnosis, therapeutic alliance, transference, countertransference, mourning, and termination.
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ranking = 1
keywords = psychotherapy
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4/6. Group psychotherapy with the elderly: dealing with loss and death.

    Resolution of issues around loss and death are seen as an important developmental task for the elderly. Group psychotherapy can lessen social isolation and provide the opportunity to work on issues of loss and death in the here-and-now. An inpatient geriatric group conducted by the author is discussed.
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ranking = 5
keywords = psychotherapy
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5/6. Imposed termination of psychotherapy and its relation to death and mourning.

    For the psychotherapist unilaterally to impose a termination date to therapy is a manoeuvre not often discussed; but with some patients it may be the only way of forcing critical issues into the open. The patient's position is then analogous to that of a bereaved mourner or someone with a terminal illness, and a sequence of responses can be observed identical to that which occurs in those cases. A detailed clinical example illustrates this. There appears to be a specific developmental task common to all such situations which is called forth by them. Subjecting a patient to this is a drastic measure; the therapist's difficulty in deciding whether to do so is considered in relation to transference and counter-transference.
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ranking = 4
keywords = psychotherapy
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6/6. death, poetry, psychotherapy and clinical supervision (the contribution of psychodynamic psychotherapy to palliative care nursing).

    This paper explores one facet of a therapeutic relationship with a woman suffering from inoperable cervical cancer. The psychotherapy sessions were conducted in both hospital and the family home and continued on a weekly basis until final termination immediately prior to the woman's death. Through a "suspense structure' case study narrative, the writer, a nurse psychotherapist, describes the way in which the humanities, art and poetry can provide a means through which to understand seemingly incomprehensible feelings related to reviewing past events as a preparation for death. While no explicit critique is made of the twin psychoanalytical concepts of transference and countertransference, the occurrence is woven into the text. The essential nature of clinical supervision is illustrated in context. The author proposes that engagement in a therapeutic relationship with a dying person presents the worker with parallel struggles manifesting in elementary feelings which require discernment. The central recommendation of this paper is that the rich symbolic language and metaphors, redolent in art and poetry, be harnessed as a potent therapeutic tool. Throughout the discussion, the terms counselling and psychotherapy are used interchangeably.
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ranking = 10
keywords = psychotherapy
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