Acting up and Physical Illness

Temporal Patterns and Emerging Structure

Dados 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)
Ano1992
Volume40
Fascículo4
Páginas1161-1183
Data de publicação1992-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of the American Psychoanalytic Association (JOURNAL)
Identificadores do periódicoISSN: 0003-0651 • E-ISSN: 1941-2460
EditoraSAGE Publications (PUBLISHER • US)
DOI10.1177/000306519204000409
PMID1430763
OpenAlexW2149080361
IdiomaEN
Citações recebidas1
Referências 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