Researchers at the University of California, San Diego (UCSD) School of Medicine suggest that psychiatrists may need to approach the treatment of psychiatric patients from a new direction -- by understanding that individual's behavior and decision-making are based on an attempt to reach an inner equilibrium. In an upcoming paper in the journal Dialogues in Clinical Neuroscience, Martin Paulus M.D., professor in UCSD's Department of Psychiatry, cites the complex affective, cognitive and behavioral phenomena that come into play during decision-making.
Paulus compiled a body of growing evidence in the October 26 issue of the journal Science, that demonstrates how human decision-making is inextricably linked to an individuals' need to maintain a homeostatic balance.
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Psychic Equilibrium and Psychic Change:
Check it -----> !!!
Jung was hip to all that stuff. Not so much of a quack now huh..?
Loss of Self-Cohesion in Terminal Illness
The study of the emotional problems that arise in a patient with terminal illness has occupied a growing area of interest in psychiatry and other mental health disciplines. The work of Elizabeth Kubler-Ross (1969) and others (Rothenberg, 1961; Schwartz and Karasu, 1977; Hertzberg, 1972) has delineated the expectable responses in the dying patient. Kubler-Ross has outlined what she considers to be a prototypic progression in stages of denial, anger, bargaining, depression, and acceptance. The major focus of writings about therapy with the dying patient has been on problems of anger and depression which arise as part of the anticipatory grief or mourning process. Many suggestions have been made regarding therapeutic strategies to unblock the mourning process and encourage its natural progression. This paper will suggest a framework for psychotherapy with the dying patient based on Kohut's (1971) self-psychology.
--Allan Tasman, M.D.
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