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\"Good fish get dull but sex is always fun.\" So say the Mehinaku people of Brazil. But Thomas Gregor shows that sex brings a supreme ambiguity to the villagers' lives. In their elaborate rituals—especially those practiced by the men in their secret societies—the Mehinaku give expression to a system of symbols reminiscent of psychosexual neuroses identified by Freud: castration anxiety, Oedipal conflict, fantasies of loss of strength through sex, and a host of others. \"If we look carefully,\" writes Gregor, \"we will see reflections of our own sexual nature in the life ways of an Amazonian people.\" The book is illustrated with Mehinaku drawings of ritual texts and myths, as well as with photographs of the villagers taking part in both everyday and ceremonial activities.

No detailed description available for \"Anxious Pleasures\".

The now available unabridged correspondence between Freud and Abraham leads to a re-evaluation of the significance of Abraham's work. The author proposes the thesis that clinical observations by Karl Abraham of the ambivalence of object relations and the destructive-sadistic aspects of orality have an important influence on the advancement of psychoanalytical theory. The phantasy problem of the Wolf Man and the question of the pathogenic relevance of early actual, or merely imagined traumata led Freud to doubt the validity of his theory. He attempted repeatedly to solve this problem using libido theory, but failed because of his problematic conception of oral erotics. The pathogenic effect of presymbolic traumatizations cannot be demonstrated scientifically because of the still underdeveloped brain in the early stage of the child's development. Consequently, the important empirical evidence of a scientific neurosis theory could not be provided. A revision of the theory of the instincts thus became necessary. With Abraham's clinical contributions and other pathologic evidence, Freud was, with some reservation, forced to modify his idea of oral erotics by ascribing to it a status of a merely constructed and fictive phase of oral organization. A solution was eventually facilitated via recognition of non-erotic aggression and destruction, thereby opening libido theory to fundamental revisions. Driven by the desire to develop a scientific theory, Freud initially had, in his first theory of the instincts, assumed a strongly causal-deterministic view on Psychic Function. His third revision of theory of the instincts, Beyond the Pleasure Principle including the death instinct hypothesis, considered the hermeneutic aspect of psychoanalytic theory, which had previously existed only implicitly in his theory. Further development of the death instinct hypothesis by Melanie Klein and her successors abandoned quantitative-economic and causal-deterministic principles, and instead focused on the practical utility of the psychoanalytic theory.

This article focuses on Freud’s view that the case of Sergei Pankejeff, commonly known as Wolf Man, is an example of an unsuccessful religious sublimation. Freud focuses on the efforts by Sergei’s mother and his nurse to educate him in the Christian faith. He points out that, although these efforts were successful in making him into a piously religious boy, they contributed to the repression of his sexual attraction to his father, the arrest of his psychosexual development, and to an obsessional neurosis reflected in blasphemous thoughts and compulsive acts of religious piety. The authors suggest, however, that there was one feature of his early religious behavior that reflected a successful religious sublimation and explain why it was successful. They conclude that even small children may experience a successful religious sublimation.

This study explores the extent to which primary care physicians serve as gatekeepers for the treatment of psychosocial problems and the extent to which they have contact with social workers. We also attempted to identify physician variables related to gatekeeping and amount of contact with social workers. Data from a national study of the role of primary care physicians in Israel were used. About one-third of the physicians had regular contact with social workers, one-quarter had contact less often, and about onethird almost never had contact. Variables associated with gatekeeping for psychosocial problems included having a large caseload, specializing in family medicine, practicing in a rural location, and being under age 55. Variables associated with social work contact were affiliation with the largest health maintenance organization and specialization in family medicine.

1. Recent studies reveal that OCD occurs at rates of 25 to 60 times greater than previous estimates. 2. Currently, biological theories of causation have been cited by multiple researchers. 3. Behavioral therapy and medication therapy have emerged as treatments of choice in OCD.

One study suggests that death inspires a fear of sex in the insecure. Subjects were tested for neuroticism--\"a measure of emotional instability or a deficit in self-worth,\"--and then were asked to answer questions on their beliefs about death. The subjects deemed most neurotic found the physical aspects of sex least appealing.