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Medium 9781780490977

6 - Psychoanalytic Theory of Anxiety: Proposals for Reconsideration

Karnac Books ePub


Psychoanalytic theory of anxiety: proposals for reconsideration

Edward Nersessian

It is important to keep in mind that from its inception, psychoanalytic theory has been about unconscious conflict. From early on, in Studies in Hysteria (1895d), Freud writes, “The patient's ego had been approached by an idea which proved incompatible, which provoked on the part of the ego a repelling force of which the purpose was defence against the incompatible idea.” While his understanding of the adversaries involved in conflict changed, and he repeatedly modified the concept of anxiety, psychic conflict remained the central most important element of Freud's theory. Similarly, the proposition that a symptom is the outcome of a struggle between opposing urges and the establishment of a compromise dates back to the early days of Freud's discoveries. By 1900, with the publication of The Interpretation of Dreams (1900a), he essentially laid the foundations of a theory based on conflict, defence, and compromise, using dreams as a template for all mental functioning.

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Medium 9781609945176

Ten Growing the VA

Longman, Phillip Berrett-Koehler Publishers ePub

Gary Nickel never liked to talk about his experiences in Vietnam. It’s only recently that his wife, Terry, has gotten some details out of him about why he’s started screaming in his sleep and locking his hands as if he is choking someone. He told her about an incident at the giant Bien Hoa Air Base twenty miles northeast of Saigon, where his job was to load and unload aircraft. One time he noticed that just after this plane landed, all the men who had been aboard jumped off puking. Inside the aircraft, Nickel discovered the rotting head of a U.S. soldier stuck on a post.

Gary told her, too, about his flashbacks to the many times during the Tet Offensive when he shook in bunkers while under mortar attack. After much objection about “not wanting to be pegged” with a mental illness, Gary at last relented to his wife’s insistence that he seek treatment for post-traumatic stress syndrome and now takes pills prescribed by a private physician to treat it. But that’s not his greatest medical need. Gary also suffers from Parkinson’s disease, a degenerative disorder of the central nervous system that impairs motor and cognitive skills. Parkinson’s is most often found among the elderly, but Gary was only fifty-six when he was first diagnosed, and he degenerated quickly.

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Medium 9781780644394

1 Principles of Antimicrobial Stewardship

LaPlante. K.; Cunha, C.; Morrill, H. CABI PDF


Principles of Antimicrobial


Cheston B. Cunha*

Rhode Island Hospital, Providence, Rhode Island, US


Antimicrobial Stewardship (or Antibiotic

Stewardship) Programs (ASPs) have become the mechanism to optimize antimicrobial therapy within hospitals. There are many components of an ASP and these require the support and enthusiastic participation of the Infectious Disease Division, one or more

Infectious Disease-trained Doctors of Pharmacy

(PharmD), the Pharmacy Department, Microbiology

Laboratory, and Infection Control (IC). These components should be organized under an ASP Program

Director, an Infectious Disease clinician, with the requisite interpersonal, diplomatic, and organizational skills to assure ASP implementation and coordination to achieve its goals (Doron and

Davidson, 2011; Hand, 2013) There is no pro forma structure for ASP programs as each hospital has its own ASP challenges. Each ASP, under the leadership and guidance of the Infectious Disease

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Medium 9781936227037

4. Raymond Procunier and Robert H. Schnacke

Turner, William Berrett-Koehler Publishers ePub

Ray Procunier deserved to be considered a First Amendment villain. He authorized and defended the oppressive California prison censorship rules in Procunier v. Martinez. But he got a chance to redeem himself, and he rose to the occasion.

The occasion was provided by Robert Schnacke, a federal district judge in San Francisco. Schnacke, like so many judges, was a former prosecutor. While a U.S. Attorney, he had even prosecuted a sedition case in the McCarthy era, charging writer John Powell with having accused the U.S. military of using germ warfare in the Korean War. Schnacke was a crusty, conservative Republican known to be hostile to civil liberties cases. But he had a maverick streak as well, perhaps evidenced by his being caught in a noontime police raid of the Market Street Cinema adult theater in the Tenderloin.

Procunier and Schnacke were two curmudgeonly old-timers who found themselves on opposite sides of a very difficult First Amendment issue: whether prison officials can prohibit news organizations from televising executions. No American execution has ever been televised.

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Medium 9780253206909

5. Salvation and Suicide

David Chidester Indiana University Press ePub

Revolutionary suicide was imagined as a way of life and as a way of death within the worldview of the Peoples Temple. Appropriating the term from the Black Panther Minister of Defense Huey Newton, Jones came to understand revolutionary suicide as the single, ultimate focus of action that promised to resolve the tensions of classification and orientation that animated that worldview. Newton had suggested the term in his book, Revolutionary Suicide, as a liberating antidote to the pervasive disease of “reactionary suicide,” the hopeless, helpless submission of blacks in America to the forces of racism that had deprived them of human dignity and had driven many to drugs, alcohol, despair, and death. Revolutionary suicide was a radical attempt to maintain human dignity by fighting the forces of oppression even to death. In this strategy, Newton proposed, the revolutionary did not bare his throat to the oppressor, but nevertheless did recognize and accept, following the Revolutionary Catechism, that “the first lesson a revolutionary must learn is that he is a doomed man.”1 Revolutionary suicide embraced the certainty of death in the militant struggle for liberation against the overwhelming forces of oppression.

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Medium 9780253018182

2 Genealogies of Pragmatism

Deborah Whitehead Indiana University Press ePub

From the very beginning, pragmatism has been an essentially contested concept.

Richard Bernstein, “American Pragmatism: The Conflict of Narratives”

“PRAGMATISM IS A RECONSTRUCTION,” John Stuhr has said, a reconstruction of philosophy, experience, and community. As such, it is “piecemeal, multiperspectival, uncertain, and always unfinished”:

As criticism, pragmatism faces forward and identifies itself as the future of philosophy. It is instrumental: a criticism of the present on behalf of possibilities for the future inherent in the present; an inquiry into today in the service of more enduring and extensive values tomorrow. At the same time, as criticism, pragmatism also faces backward and presents itself as the history of the future of philosophy. It is genealogical: a history of the present on behalf of future possibilities that are not inherent or imagined in this present; a detection of the past and its effects in a struggle against today’s supposedly more enduring and extensive values.

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Medium 9781855754027

CHAPTER NINE: Developing skills: practice, observation, and feedback

Karnac Books ePub

Anthea Millar

“Not everything that is faced can be changed, but nothing can be changed until it is faced”

(James Baldwin)

Neela is doing her first observed practice session on a supervision training. As her peers and tutor observe her work she's nervous and uncertain, as if her years of experience as a counsellor are turning to dust. She fears being judged as incompetent and a fraud. She reproaches herself: surely as a counsellor of some professional standing she should already know what to do.

Neela's experience may resonate for you. Certainly I can relate to it. Enrolling on a supervision training could be seen as a statement that we have achieved a certain level of practitioner competence. So, when practice is exposed to observation and feedback, we might feel there is much more to lose than on our core practitioner trainings, and be startled to revisit old feelings of inferiority, shame, and confusion. Yet, there is no running away from it: being observed in practice, and experiencing feedback is a fundamental part of effective supervision education.

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Medium 9781576752333

5. The Benefits of Leaderful Practice

Raelin, Joseph A. Berrett-Koehler Publishers ePub

WHY SHOULD ANYONE ATTEMPT TO BUILD A LEADERFUL COMMUnity? What are the consequences of leaderful practice? Why do we expect leaderful practice to produce beneficial outcomes?

Leaderful behavior is inherently collaborative. It is control by the many rather than from the few. For most problems in our era, two heads are better than one. So, it should come as no surprise that leaderful practice is in the eyes of this writer a more effective approach to community leadership than the classic alternative of “being out in front.” It builds capacity to take mutual action. It ignites the natural talent in people to contribute to the productiveness and growth of the community.

Those people in a community who are encouraged to fulfill their potential are often inclined to dedicate some of that potential to their organization, if given a chance. In turn, such a contribution can have “bottom line” business effects, whether in established or in start-up organizations. A study at Cap Gemini Ernst & Young’s Center for Business Innovation, for example, found that a principal reason for new companies failing to exceed their IPO prices was their inability to engage employees in corporate goals and provide a satisfying work environment. A Gallup survey found that the most “engaged” workplaces (those that involved people in doing quality work, in fulfilling their talent, in demonstrating compassion and commitment to employees’ growth), compared to the least engaged, were 50 percent more likely to have lower turnover, 56 percent more likely to have higher-than-average customer loyalty, 38 percent more likely to have above-average productivity, and 27 percent more likely to report higher profitability.1

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Medium 9781623491109

10. A Birth, a Death, and the Move to Town, 1896

Margaret Lewis Furse Texas A&M University Press ePub

Chapter 10


Within a six-year period from 1896 to 1902, James B. Hawkins, Ariella, their son Frank, and his wife Elmore were all gone. Ariella’s death in 1902 swept away the last but one of the Hawkinses who had come to Texas from North Carolina in the 1840s. Only Frank’s sister, Virginia Hawkins Brodie of Henderson, North Carolina, was still living (see appendix for more about the antebellum children). The story of the Hawkins Ranch then continued through the lives of Frank and Elmore’s five children.

The event that took these young children—my mother Meta and her four siblings—away from the Ranch House and brought them permanently to town occurred on April 3, 1896: the sudden death of their mother at the birth of their baby sister. The new baby was named Elmore for her mother but was always called “Sister.”

Rowland Rugeley witnessed this event as a boy of seven. Even later in life it was a painful memory for him, but he described to me what happened.

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Medium 9781935249207

2 Making Improvements That Matter

White, Stephen Solution Tree Press ePub


Making Improvements That Matter

T he pathology of American schools is that they know how to change. They know how to change promiscuously and at the drop of a hat. What schools do not know how to do is to improve, to engage in sustained and continuous progress toward a performance goal over time.

—Richard Elmore

SEPTEMBER 18, 3:00 P.M. The school improvement leadership team was made up of extraordinary educators, and the September update was a celebration of a focused effort across KCHS to implement each item on the action plan: increasing the emphasis on explaining reasoning in mathematics; making activities, remediation, and mentoring as accessible and inclusive as possible for the entire student body; and advancing the rigor, thinking, and quality of academic performance in reading and language arts, especially for at-risk students. Everything appeared to be on track. Driven by the data from table 1.1 (page 7), Kelly County High School’s thirty-first annual school improvement plan was beginning to take shape with developed goals for math, reading/language arts, and student well-being.

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Medium 9780253012517

2. On Expansion

Peter Wake Indiana University Press ePub


On Expansion

Baby Suggs grew tired, went to bed and stayed there until her big heart quit. Except for an occasional request for color she said practically nothing—until the afternoon of the last day of her life when she got out of bed, skipped slowly to the door of the keeping room and announced to Sethe and Denver the lesson she had learned from her sixty years a slave and ten years free: that there was no bad luck in the world but white-people. “They don’t know when to stop,” she said, and returned to her bed, pulled up the quilt and left them to hold that thought forever.

—Toni Morrison, Beloved 1

Divided Jesus

The imperative to spread the word of the master comes after the Resurrection. The risen Jesus commands of his disciples,

Go into all the world and preach the gospel to the whole creation. He who believes and is baptized will be saved; but he who does not believe will be condemned. And these signs will accompany those who believe: in my name they will cast out demons; they will speak in new tongues; they will take up serpents, and if they drink any deadly thing, it will not hurt them; they will lay their hands on the sick, and they will recover. (Mark 16:15–18)

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Medium 9781605099224

Thirteen Voices Lost and Found

McAfee, Barbara Berrett-Koehler Publishers ePub



Not until we are lost
do we begin to
understand ourselves.

Henry David Thoreau


In the winter of 2009 my good friend and recording engineer, Matthew Zimmerman, called to invite me into a remarkable project that was being recorded at his studio, Wild Sound. A twenty-four-year-old composer named Karly Wahlin was seeking a producer for a collection of ten of her classical piano pieces, and Matthew knew I was the person for the job.

Karly lives with a genetic condition called “Rett syndrome.” Rett, which mostly affects girls, makes it impossible for Karly to walk on her own, speak, control her movements, and even breathe in a relaxed way. She experiences seizures, vision problems, digestive issues, and orthopedic problems. Every day Karly struggles to live in her body in ways that most of us cannot imagine. Nonetheless, she and her wise music therapist, Karen Bohnert, found a way for her to write music one laborious note at a time. Each song takes a year to complete. When I heard a rough recording of her music, I was touched by the beauty, wit, and purity of her musical “voice.” I wholeheartedly said yes to producing her record.

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Medium 9780253006875

9. Who Owns the Past?: Constructing an Art History of a Malian Masquerade

Joanna Grabski Indiana University Press ePub



Since the 1980s anthropologists have paid increasingly more attention to issues of ethnographic authority, fieldwork reciprocity, and the way that collaboration through interviews profoundly shapes the production of scholarly narratives.1 This chapter focuses on the critical role that interviews have played in my field research and in the writing of an art history of youth association masquerades in Mali.2 My analysis considers the ways that interviews are both collaborative and cumulative processes. I examine my interviews with various individuals and groups and look at the ways that my casual conversations, as well as more formal taped interviews with men and women performers and with male blacksmith-carvers, have been instrumental in the production of an art history of this art form. These collaborations represent different but intersecting domains of knowledge and experience that have each contributed in critical ways to shaping, reshaping, and extending the scholarly narrative about these masquerades.

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Medium 9780874252255

Activity 9: Territory Management Style

Phillip Faris HRD Press PDF


Territory Management Style 




• To enable participants to examine their own approach to managing their 


• To provide feedback on the participant’s territory management style 

• To stimulate a general discussion about territory management style 



1. Ask participants to complete the Territory Management Questionnaire, 

Handout 9.1. 

2. Give a brief explanation of the three territory management styles (see 

Handout 9.2). 

3. Distribute Handout 9.2 and ask participants to predict their territory  management profile. 

4. Draw the profile graph in Handout 9.4 on a flip chart. Ask participants their  predicted score for each style and then record their scores on the flip chart. 

5. Distribute Handout 9.3 and instruct participants to score their territory  management profile. 

6. Distribute Handout 9.4 and have participants plot their actual scores on the 

Profile Graph. Then review the Style Analysis section in Handout 9.4. 

7. Ask participants their actual scores and then plot them on the flip chart next  to their predicted scores. 

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Medium 9781780490953

Chapter Five: Suffering

Marcus, Paul Karnac Books ePub



“The more one suffers,” said Soren Kierkegaard, “the more, I believe, one has a sense of the comic. It is only by the deepest suffering that one acquires the authority in the art of the comic” (1988, p. 47). Freud, like Kierkegaard, was no stranger to suffering. For example, he had debilitating personal neuroses; in his forties he had psychosomatically originating medical difficulties, such as depression and heart palpitations that fostered a superstitious conviction that he would die at age fifty-one; he had jaw cancer, first diagnosed in 1923, followed by many mutilating surgeries for it (the disease ultimately killed him, although he actually died via doctor-assisted suicide with morphine); living in Nazi-occupied Austria until he emigrated to England in 1938, he and his beloved daughter Anna were interrogated by the Gestapo (four of Freud's sisters were murdered in concentration camps). Thus, Freud certainly had the necessary painful life experiences that are the fertile breeding ground for the development of tragicomic attunement. In particular, he manifested an ironic, sarcastic, and witty tragicomic form of humour to better cope with his anguish, hardships, and personality limitations. Here are five Freud samplers:

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