Language:
English
Pages:
XIV,439 S.
DDC:
131.342
Keywords:
Chirurgie (geneeskunde)
;
Patiënten
;
Stress
;
Psychoanalyse
;
Psychologie
;
Anxiety
;
General Surgery
;
Psychoanalysis Case studies
;
Stress, Physiological
;
Surgery Psychological aspects
;
Stress.
;
Psychoanalyse.
;
Verhalten.
;
Patient.
;
Operation.
;
Psychische Belastung.
;
Psychologie.
;
Fallstudiensammlung
;
Stress
;
Psychoanalyse
;
Verhalten
;
Patient
;
Operation
;
Psychische Belastung
;
Stress
;
Psychologie
Abstract:
"Only within the past twenty years or so have research workers in the human sciences begun to make systematic observations for the purpose of finding out how people feel, think, and behave at times when they are facing the threat of pain, serious injury, or death. About ten years ago I became acutely aware of the lack of cogent, dependable evidence. There were, of course, many controlled laboratory experiments purporting to deal with stress behavior, but almost all of them dealt with extremely brief exposures to threat stimuli or measured only peripheral aspects of emotional excitement. Such experiments provide behavioral data which are generally quite reliable but of dubious value for extrapolating to the conditions of actual life stress. In contrast to the tangential laboratory investigations were a large number of field studies of major disasters, focusing on the effects of prolonged exposure to powerful stress stimuli
Abstract:
But most of these studies proved to be extremely weak in precisely those respects where the laboratory studies were strong. Since major surgery involves a profound threat to body integrity as well as a variety of severe deprivations, it seemed likely that a great deal could be learned about the processes of normal adjustment to life stresses. From the findings presented in this book, the reader will be able to judge for himself the values and limitations of carrying out research with surgical patients. With the cooperation of the surgery staff in a general hospital, I was able to obtain pertinent data for a series of 30 intensive surgical case studies. In each of these cases, several regularities were noted concerning the sequence of stress responses, the most important of which involved a striking relationship between the degree of fear manifested before the operation and the degree of stress tolerance manifested after the operation
Abstract:
In order to test the apparent relationship and to obtain further correlational data bearing on the influence of preoperative information about the impending stressful events, a second study was conducted with a much larger group of subjects. Next, I participated in a psychoanalytic research project at Yale University, under which auspices I conducted the psychoanalytic treatment of a psychoneurotic woman. Shortly after her second year of the treatment, the patient developed an organic disorder in her leg, which, on advice of several physicians, required surgery. Detailed observational records were kept concerning this patient's emotional reactions, fantasies, and free associations during all psychoanalytic sessions. The records from the sessions immediately preceding and following the surgical operation proved to be an extraordinarily rich source of clues concerning unconscious psychological processes
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