Acting up and Physical Illness

Temporal Patterns and Emerging Structure

Datos Bibliográficos

ID8333571
AutoresJames W Hull (New York Hospital-Cornell Medical Center, Westchester Division), Jean Okie (New York Hospital-Cornell Medical Center, Westchester Division), Beverly Gibbons (New York Hospital-Cornell Medical Center, Westchester Division), Daniel Carpenter (0000-0002-5694-3927, New York Hospital-Cornell Medical Center, Westchester Division)
Año1992
Volumen40
Número4
Páginas1161-1183
Fecha de publicación1992-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of the American Psychoanalytic Association (JOURNAL)
Identificadores de la revistaISSN: 0003-0651 • E-ISSN: 1941-2460
EditorialSAGE Publications (PUBLISHER • US)
DOI10.1177/000306519204000409
PMID1430763
OpenAlexW2149080361
IdiomaEN
Citas recibidas1
Referencias citadas3

Many psychoanalytic writers have viewed acting out and somatization as alternate routes for the discharge of uncontained aggressive impulses in borderline patients. In order to investigate this empirically, we tracked the occurrence of two related behaviors—acting up and physical illness—over the course of one patient's long-term hospitalization. Daily scores on these variables were analyzed using a time series procedure. Results indicated that as treatment progressed, acting up and physical illness became more synchronized, and this occurred just prior to symptom remission. Material from psychotherapy suggested that these behavioral changes were associated with the patient's increased ability to verbalize aggressive impulses in the context of fantasy and memory

Cognition · Cognitive psychology · Physical illness · Clinical Reasoning and Diagnostic Skills · Health Policy Implementation Science · Heart Rate Variability and Autonomic Control · Neuroscience · Psychology