cal diseases, human immunodeficiency virus) can occur and cycle in flare ups throughout the lifetime. Chronic illnesses , with their effect on the patient's symptoms, mood, and need for emotional and physical support, exert a burden on family members. Additionally, families influence a patient's psychological adjustment and management of the illness,… (More)
BACKGROUND Although the patient-centered medical home (PCMH) model is considered important for the future of primary care in the USA, it remains unclear how best to prepare trainees for PCMH practice and leadership. Following a baseline study, the authors added a new required PCMH block rotation and resident team to an existing longitudinal PCMH immersion… (More)
The CDC reports that among older adults, falls are the leading cause of injury-related death and rates of fall-related fractures among older women are twice those of men. We set out to 1) determine patient perceptions (analyzed by gender) about their perceived fall risk compared to their actual risk for functional decline and death and 2) to report their… (More)
Psychoanalytic understanding in its status as a hermeneutic activity is different from other forms of understanding. It is distinct, for instance, from psychodynamic psychotherapy, which may be able to establish itself as an empirical science. Empirical science deals with rules and establishes facts, while hermeneutic science deals with meanings, which… (More)
This paper is a reverie on the wish to be invisible and how it is played out in psychoanalysis. Beginning with a brief clinical case and its countertransference manifestations, the paper touches on invisibility in various aspects of analysis, ranging from publication to supervision. It emphasizes the unconscious determinants of the wish to be invisible.
A reexamination of the boundary concept and its applicability to different theoretical approaches to psychoanalysis reveals it to be of questionable usefulness in the present climate of psychoanalytic pluralism. In the light of clinical illustrations, it is suggested that an underlying problem with this concept may be a failure to discriminate between… (More)