ABSTRACT
O objetivo do presente artigo é analisar a estreita relação entre o fenômeno das automutilações e a problemática dos limites, tendo como ponto de partida o ataque à pele como condição de possibilidade para essa prática. A pele remete à sensorialidade e às primeiras noções de eu, tendo como função proteger nossa individualidade e fundamentar nossa troca com o outro. Ela contém uma premissa de integração, constituindo-se como uma fronteira que marca os limites da própria existência. Nas automutilações, a agressão à pele denuncia um prejuízo na construção da diferenciação entre sujeito e objeto, deixando em evidência uma confusão nos limites do sujeito. Nossa hipótese é a de que o recurso ao corpo, mais especificamente o ataque à pele, nas automutilações, surge como uma tentativa de contenção do eu em momentos nos quais o sujeito sente que pode haver o risco da perda da integridade narcísica.
Resumos This paper analyzes the close relationship between self-mutilation and the problem of limits, understanding the attack on the skin as a condition of possibility for this practice. The skin, which leads us to sensoriality and the first notions of self, acts to protect our individuality and support our interactions with the Other. It contains a premise of integration, constituting a boundary that marks the limits of existence itself. In self-mutilations, the attack on the skin reveals a loss in the the differentiation between subject and object, revealing a confusion in the subject's limits. The text posits that the recourse of the body, by attacking the skin, in self-mutilations, emerges as an attempt to contain the self in moments when the subject feels at risk of losing their narcissistic integrity.
Cet article analyse la relation étroite entre le phénomène d'automutilation et le problème des limites, en comprenant l'attaque de la peau comme une condition de possibilité de cette pratique. La peau, qui renvoie à la sensorialité et aux premières notions de soi, agit pour protéger notre individualité et soutenir nos interactions avec l'Autre. Elle contient une prémisse d'intégration, constituant une frontière qui marque les limites l'existence elle-même. Dans les automutilations, l'atteinte à la peau révèle une perte dans la construction de la différenciation entre sujet et objet, témoignant d'une confusion dans les limites du sujet. Le texte postule que le recours au corps, en attaquant la peau, dans les automutilations, émerge comme une tentative de contenir le soi dans les moments où le sujet sent en danger de perdre son intégrité narcissique.
El objetivo de este artículo es analizar la estrecha relación entre el fenómeno de las automutilaciones y el problema de los límites, teniendo como punto de partida el ataque a la piel como condición de posibilidad para esta práctica. La piel se refiere a la sensorialidad y a las primeras nociones del yo, teniendo como función proteger nuestra individualidad y fundamentar nuestro intercambio con el otro. Contiene una premisa de integración, constituyendo una frontera que marca los límites de la existencia misma. En las automutilaciones, la agresión a la piel revela una pérdida en la construcción de la diferenciación entre sujeto y objeto, evidenciando una confusión en los límites del sujeto. Nuestra hipótesis es que recurrir al cuerpo, más específicamente atacar la piel, en las automutilaciones, aparece como un intento de contener al yo en momentos en los que el sujeto siente que puede haber riesgo de pérdida de la integridad narcisista.
ABSTRACT
This paper is based on the theory of"internal diseases will be presented externally"in Traditional Chinese Medicine, combined with the idea of syndrome differentiation and grasping the main symptoms, and proposes the concept of"virtual special disease". It is extracted from ancient books and expert experience, and it is believed that it is widespread and can be tested by clinical practice. The application of virtual syndrome to diagnosis can achieve the purpose of simplifying the complexity TCM syndrome differentiation. On the one hand, it provides a new exploration for enriching the TCM syndrome differentiation system; on the other hand, it provides new ideas for supplementing the biological research of syndromes and developing the diagnosis of integrated traditional Chinese and Western medicine.
ABSTRACT
Psychological suboptimal health status is an intermediate state between mental health and mental disease.Without timely intervention,psychological suboptimal health may develop into serious diseases that pose a threat to human physical and mental health,such as depression,anxiety disorders and high blood pressure.This review summarizes the scientific concepts,diagnostic Criteria,intervention and pharmacological research of psychological suboptimal health from the perspective of both modern medicine and traditional Chinese medicine and proposes possible solutions to existing problems in order to contribute to the identification,diagnosis,prevention and treatment of psychological suboptimal health.
ABSTRACT
OBJECTIVE: To investigate how sexual identity is structured and also to investigate the relationship between sexual identity, choice of sex object and sexual difference. METHOD: Semi-structured interviews were held with seven adult patients who were born with sex differentiation disorders: Two had 5-alpha-reductase type-2 deficiency and five had congenital adrenal hyperplasia. CONCLUSIONS: Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sex object, genders of partners or sexual practices.
OBJETIVO: Interrogar como se estrutura a identidade sexual. Investigar as relações entre identidade sexual, escolha de objeto sexual e diferença sexual. MÉTODO: Aplicamos entrevista semi-estruturada em pacientes com distúrbios da diferenciação sexual: 2 com deficiência da 5 alfa redutase tipo 2 e 5 com Hiperplasia Adrenal Congênita. CONCLUSÕES: Sexo é trauma. Identificação masculina, feminina ou outras não implicam no sexo do objeto de escolha, gênero dos parceiros ou práticas sexuais.
OBJECTIF: Ce travail a pour but d'analyser la façon comment l'identité sexuelle se structure, ainsi que d'investiguer les rapports entre l'identité sexuelle, le choix de l'objet sexuel et la différence sexuelle. MÉTHODE: Entrevue semi-dirigée de patients porteur de troubles de différenciation sexuelle: Deux patients porteurs du déficit 5-alpha réductase type 2 et cinq patients porteurs d'hyperplasie congénitale des surrénales. CONCLUSION: Le sexe est un traumatisme. L'identification masculine, féminine ou autre n'implique pas le sexe de l'objet du choix, le genre des partenaires ou les pratiques sexuels.
OBJETIVO: Interrogar como se estructura la identidad sexual. Investigar las relaciones entre identidad sexual, elección de objeto sexual y diferencia sexual. MÉTODO: Fueron aplicadas entrevistas semiestructuradas en pacientes con trastornos en la diferenciación sexual: 2 con deficiencias de la 5 Alpha Redutase tipo 2 y 5 con Hiperplasia Adrenal Congénita. CONCLUSIÓN: Sexo es trauma. Identificación masculina, femenina u otras no implican en el sexo del objeto de elección, el género de los compañeros (partenaires) o prácticas sexuales.
Subject(s)
Humans , Gender Identity , Sex DifferentiationABSTRACT
[Objective] To study the effect of vascular endothelial growth factor(VEGF)on proliferation of human bone marrow derived mesenchymal stem cells(h-MSCs)and its chondrogenic differenciation and to provide a basis for the tissue engineering technology of articular cartilage.[Method]The hMSCs were cultured in vitro as usual and its passage was induced the by medium containing 800 ng/ml or 1600 ng/ml the VEGF MSCs the cultured in the medium containing 10 ng/ml the TGF ?-1 which the had multiple the biological efficacies the to enhance the proliferation the of MSCs the and to the inhibit the activities of the inflammatory factors,acted as a positive control.The induced MSCs were used to observe its proliferation and differenciation.The synthesis of chondrocyte extracellular matrix in different induce-factor was measured by immunohisto-chemical staining.[Result]MSCs cultured wit different induced factors proliferated well,MSCs induced by VEGF medium showed a well growth activity and chondrogenic differenciation,but MSCs cultured in TGF?1-containing medium induced more chondrocyte matrix than that in VEGF medium.[Conclusion]VEGF induces chondrogenic differentiation of MSCs in vitro,but MSCs cultured in TGF?1 medium induces more chondrocyte matrix.It is suggested that VEGF acts as donor of inducer message cartilage repair by MSCs.
ABSTRACT
The paper introduced the literatures on "identification of cause according to syndrome differenciation" in Song,Jin and Yuan dynasties.Some typical books about cold attack,such as Shang Han Zong Bing Lun,Nan Yang Huo Ren Shu,Shang Han Fa Wei Lun and Shang Han Ming Li Lun,which can fully reflect the fact that the TCM theory of "identification of cause according to syndrome differentiation" developed well in that period.
ABSTRACT
Malignant mixed mullerian tumor (MMMT) of the uterus are uncommon tumor and highly malignant containing epithelial and stromal components which is classified as homologous or heterologous based on the nature of sarcomatous component. It is highly malignant and the prognosis is poor due to frequent metastasis and recurrence, which most patients were associated with postmenopausal status. We experienced one case of malignant mixed mullerian tumor of uterus with neuroendocrine differenciation. So we report this case with a brief review of literature.