Matches in SemOpenAlex for { <https://semopenalex.org/work/W2157495406> ?p ?o ?g. }
Showing items 1 to 93 of
93
with 100 items per page.
- W2157495406 endingPage "288" @default.
- W2157495406 startingPage "279" @default.
- W2157495406 abstract "UFE STORIES AND MEANINGFUL CONNECTIONS: REFLECTIONS ON A CUNICAL METHOD IN PSYCHIATRY AND MEDICINE PHILUP R. SLAVNEY and PAUL R. McHUGH* A basic method of reasoning in psychiatry and medicine seeks to understand the patient's complaints as the expressions of an individual in distress. Through knowledge of his history, personality, circumstances , relationships, and intentions we come to appreciate why the patient is thinking, feeling, and behaving as he is. This is a most natural way of reasoning about patients, and it leads almost inevitably to an explanation of distress that is presented in terms of an individual life story. A life story is a plausible, chronological, and coherent narrative that reconstructs the development ofthe present state of affairs. It starts at a certain time in the patient's life and draws together particular information about him into a linear perspective that makes his distress seem the logical and sometimes even the inevitable outcome of his past. As we assemble this narrative in the process ofhistory taking, examination, and treatment we have a growing sense of insight about the patient and his problems. At times in this process we can have a feeling of illumination, of a linkage between the patient's symptoms and life story that is immediate and convincing. The sense of conviction generated by the life-story method helps give us confidence in the face ofadifficult task, the psychotherapeutic task of helping another person to change his goals, beliefs, and behaviors. Yet despite the life story's power in the organization of clinical information and despite its support to us in the process of psychotherapy, we must ask the same questions ofit that we ask ofother methods ofreasoning in The authors are indebted to Jerome Frank and Frank Mondimore for their critical advice. * Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine. Address: Meyer 4-181, The Johns Hopkins Medical Institutions, 600 North Wolfe Street, Baltimore, Maryland 21205.© 1984 by The University of Chicago. AU rights reserved. 003 1-5982/84/2702-0382$01.00 PerspectivesinBiologyandMediane, 27, 2 ¦ Winter1984 | 279 psychiatry [I]: What are the assumptions that the method makes? What are its characteristic strengths and weaknesses? By what standards should its conclusions bejudged? Unless we can answer such questions about the life-story method we will not be able to use it within its limits, and we may not recognize that the method has a unique power to disarm criticism. Assumptions ofLife-Story Reasoning Our ability to construct a life story for die patient is based to a great extent on our capacity to make what Karl Jaspers called meaningful connections—empathically understood relationships between one psychic phenomenon and another. In its simplest form, the method of explanation derived from meaningful connections comprehends how feelings are provoked by events: grief by loss, homesickness by departure , happiness by fulfillment. By its extension we sense why the responses of a given individual are coherent for him, how they emerge from the nexus between his personality and the way in which he views his circumstances. Thus, we understand how a dependent person reacts with sadness when abandoned, or how a self-doubting one is rendered anxious by change. These linkages seem both natural and convincing, so that we appreciate them not only in the descriptions of people we know but also in the characters and stories of the world's imaginative literature . If this approach to understanding mental experiences and behaviors had stopped here, it might have generated relatively little interest among psychiatrists. A further step in its development was taken by Sigmund Freud, however, and in so doing he transformed and expanded it in a revolutionary way. Freud proposed that the mental life of consciousness, with its intentions , choices, and responses to actual events, was in large part the derivative of an unconscious and more basic realm. Thoughts, attitudes, and desires were seen to emerge into awareness only after modifications which served the function of disguising their original purposes and meanings. The text ofconsciousness had to be deciphered for its hidden meanings, and the explanation of conscious thoughts and behaviors had to be linked to events and processes in the unconscious realm. Since unconscious..." @default.
- W2157495406 created "2016-06-24" @default.
- W2157495406 creator A5082867625 @default.
- W2157495406 creator A5089415425 @default.
- W2157495406 date "1984-01-01" @default.
- W2157495406 modified "2023-10-17" @default.
- W2157495406 title "Life Stories and Meaningful Connections: Reflections on a Clinical Method in Psychiatry and Medicine" @default.
- W2157495406 cites W1500952698 @default.
- W2157495406 cites W1614549126 @default.
- W2157495406 cites W1618028391 @default.
- W2157495406 cites W198361329 @default.
- W2157495406 cites W1996546881 @default.
- W2157495406 cites W2052901254 @default.
- W2157495406 cites W2148227756 @default.
- W2157495406 cites W2417721035 @default.
- W2157495406 cites W639985403 @default.
- W2157495406 doi "https://doi.org/10.1353/pbm.1984.0052" @default.
- W2157495406 hasPublicationYear "1984" @default.
- W2157495406 type Work @default.
- W2157495406 sameAs 2157495406 @default.
- W2157495406 citedByCount "23" @default.
- W2157495406 crossrefType "journal-article" @default.
- W2157495406 hasAuthorship W2157495406A5082867625 @default.
- W2157495406 hasAuthorship W2157495406A5089415425 @default.
- W2157495406 hasConcept C11171543 @default.
- W2157495406 hasConcept C118552586 @default.
- W2157495406 hasConcept C121332964 @default.
- W2157495406 hasConcept C122980154 @default.
- W2157495406 hasConcept C12713177 @default.
- W2157495406 hasConcept C138885662 @default.
- W2157495406 hasConcept C139265228 @default.
- W2157495406 hasConcept C154945302 @default.
- W2157495406 hasConcept C15744967 @default.
- W2157495406 hasConcept C162324750 @default.
- W2157495406 hasConcept C163258240 @default.
- W2157495406 hasConcept C17744445 @default.
- W2157495406 hasConcept C187288502 @default.
- W2157495406 hasConcept C187736073 @default.
- W2157495406 hasConcept C199033989 @default.
- W2157495406 hasConcept C199539241 @default.
- W2157495406 hasConcept C2777278149 @default.
- W2157495406 hasConcept C2780451532 @default.
- W2157495406 hasConcept C2991968784 @default.
- W2157495406 hasConcept C41008148 @default.
- W2157495406 hasConcept C41895202 @default.
- W2157495406 hasConcept C542102704 @default.
- W2157495406 hasConcept C62520636 @default.
- W2157495406 hasConcept C77805123 @default.
- W2157495406 hasConceptScore W2157495406C11171543 @default.
- W2157495406 hasConceptScore W2157495406C118552586 @default.
- W2157495406 hasConceptScore W2157495406C121332964 @default.
- W2157495406 hasConceptScore W2157495406C122980154 @default.
- W2157495406 hasConceptScore W2157495406C12713177 @default.
- W2157495406 hasConceptScore W2157495406C138885662 @default.
- W2157495406 hasConceptScore W2157495406C139265228 @default.
- W2157495406 hasConceptScore W2157495406C154945302 @default.
- W2157495406 hasConceptScore W2157495406C15744967 @default.
- W2157495406 hasConceptScore W2157495406C162324750 @default.
- W2157495406 hasConceptScore W2157495406C163258240 @default.
- W2157495406 hasConceptScore W2157495406C17744445 @default.
- W2157495406 hasConceptScore W2157495406C187288502 @default.
- W2157495406 hasConceptScore W2157495406C187736073 @default.
- W2157495406 hasConceptScore W2157495406C199033989 @default.
- W2157495406 hasConceptScore W2157495406C199539241 @default.
- W2157495406 hasConceptScore W2157495406C2777278149 @default.
- W2157495406 hasConceptScore W2157495406C2780451532 @default.
- W2157495406 hasConceptScore W2157495406C2991968784 @default.
- W2157495406 hasConceptScore W2157495406C41008148 @default.
- W2157495406 hasConceptScore W2157495406C41895202 @default.
- W2157495406 hasConceptScore W2157495406C542102704 @default.
- W2157495406 hasConceptScore W2157495406C62520636 @default.
- W2157495406 hasConceptScore W2157495406C77805123 @default.
- W2157495406 hasIssue "2" @default.
- W2157495406 hasLocation W21574954061 @default.
- W2157495406 hasOpenAccess W2157495406 @default.
- W2157495406 hasPrimaryLocation W21574954061 @default.
- W2157495406 hasRelatedWork W1973935546 @default.
- W2157495406 hasRelatedWork W2004297081 @default.
- W2157495406 hasRelatedWork W2027998085 @default.
- W2157495406 hasRelatedWork W2032560097 @default.
- W2157495406 hasRelatedWork W2036320508 @default.
- W2157495406 hasRelatedWork W2059670296 @default.
- W2157495406 hasRelatedWork W2062485495 @default.
- W2157495406 hasRelatedWork W2115613291 @default.
- W2157495406 hasRelatedWork W2167013888 @default.
- W2157495406 hasRelatedWork W2293633609 @default.
- W2157495406 hasVolume "27" @default.
- W2157495406 isParatext "false" @default.
- W2157495406 isRetracted "false" @default.
- W2157495406 magId "2157495406" @default.
- W2157495406 workType "article" @default.