ABSTRACT
A perspective is delineated on the dimension of the future in the psychoanalytic situation. Clinical manifestations are presented of the tension between actuality and potentiality that characterizes the treatment situation. This tension, an aspect of the intersubjective field that exists between patient and analyst, involves the analyst's hopes, expectations, anticipations, sense of purpose, and therapeutic intent, facets of the analyst's subjectivity that affect the clinical process. The question of the patient's individuality and autonomy is raised in the context of the notion of the "true self." To understand potentiality in the clinical situation, it is argued, the intersubjective emphasis on the inevitable mutual influence between analyst and patient must be complemented by a view of the self as emerging from within and gaining coherence through the unfolding of inherent dispositions and potentialities.
Subject(s)
Psychoanalytic Therapy/trends , Adult , Forecasting , Humans , Male , Professional-Patient Relations , Transference, PsychologyABSTRACT
A case of visceral leishmaniasis in a 39-year-old woman is presented. It is the first case in Denmark, in an otherwise healthy person. The patient was infected on a short holiday in Malta.
Subject(s)
Leishmaniasis, Visceral , Adult , Denmark/epidemiology , Female , Humans , Leishmaniasis, Visceral/diagnosis , Leishmaniasis, Visceral/drug therapy , Leishmaniasis, Visceral/immunology , Malta , TravelABSTRACT
The article presents a model for organized prenatal care in a district of 45,000 people. General practitioners, midwives and an obstetrician share responsibility for pregnant women in the region. The general practitioners have primary responsibility for the prenatal care, but all the pregnant women are offered consultation with the midwife twice and with the obstetrician once during the pregnancy. The midwives give general information on pregnancy and birth, and also take part in the ultrasonographic screening program. The obstetrician provides individual care to women with risk pregnancies, or in the event of complications. This system offers similar prenatal care to all pregnant women in the area without interfering with their personal wishes.
