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The "Moi-peau"     
To construct a coherent identity, humans must distinguish what belongs to the external, perceived world from what belongs to their own inner world and the inner world of other individuals. Based on the theory developed by S. Freud and on work by ethologists, a number of psychoanalysts (J. Bowlby, R.A. Spitz, D.W. Winnicott, etc.) have underlined the importance of early tactile exchanges with the mother if a child is to become an autonomous individual who feels secure within what he or she perceives to be sound and reliable mental and physical boundaries. More recently, other psychoanalysts (E. Bick, W.R. Bion, etc.) have studied the fantasized mental structures that form the limits between an individual's inner mental space and the external world (including other individuals). As part of this theoretical psychoanalytical movement, Didier Anzieu, a French psychoanalyst, started to develop the concept of the "Moi-peau" in 1974. The "Moi-peau" designates a fantasized reality that a child uses during its early development to represent itself as "me", based on its experience of the body surface. The child, enveloped in its mother's care, fantasizes of a skin shared with its mother: on one side the mother (the outer layer of the "Moi-peau"), and on the other side the child (the inner layer of the "Moi-peau"). These two layers must separate gradually if the child is to acquire its own me-skin. D. Anzieu's work allowed dermatologists and other specialists, such as pediatricians, to focus on the quality of early tactile exchanges between a mother and her child, including the child with a chronic skin disorder. It also helped dermatologists to recognize patients with "borderline" states, which are particularly frequent in dermatology (ereutophobia, dysmorphophobia, tattooing, self-mutilation, artefacta dermatitis). These borderline patients are adults who, as a result of their mental conflicts, adopt defense mechanisms derived from both neurotic and psychotic functioning. Their complaints reflect difficulties with the solidity of their mental and physical limits: their real skin is metaphorically linked to the fantasized mental structure that delimits the individual mental space. Among other clinical characteristics, they have a "pathology of action" and frequently attack their own skin, paradoxically, in order to test the solidity and reliability of their own limits. Finally, D. Anzieu's work encouraged dermatologists to use psychotherapeutic approaches in parallel to classical dermatologic approaches, when necessary, and helped them better understand how psychoanalysts work with patients who have not yet acquired their own "Moi-peau". As a result, D. Anzieu was among the first to reconcile dermatologists and psychoanalysts.  相似文献   

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《Ibis》1944,86(3):389-405
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自课改以来.如何创造性地使用教材,一直是我们的一个研究课题。几年来,围绕“以学生发展为本”的目标,依据生物学课程标准,结合本地、本校的实际情况,大胆突破教材的内容编排,对所使用教材中的部分内容进行了重组、整合,从而解决了教材内容与学习时间、活动内容与活动场地等的矛盾,使课堂教学更加贴近实际,让学生在愉悦的学习氛围中主动获取新知。  相似文献   

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The division "Synergistes"   总被引:1,自引:0,他引:1  
Vartoukian SR  Palmer RM  Wade WG 《Anaerobe》2007,13(3-4):99-106
The "Synergistes" group of organisms are a phylogenetic cluster of Gram-negative anaerobes related to Synergistes jonesii, sufficiently distinct from all other phyla to be considered a distinct phylum or Division. They are widely distributed in nature although normally only a minor constituent of the bacterial community in each habitat. They have evolved to adapt to each habitat, and therefore exhibit a wide range of physiological and biochemical characteristics, although all cultivable taxa so far studied have the ability to degrade amino acids. They are found in the human mouth where they appear to be more numerous in tooth and gum disease than health. They have also been found in the human gut and soft tissue infections. Their role in human disease has yet to be established but improved knowledge of the characteristics that enable their identification should increase the likelihood of their recognition when present at diseased sites.  相似文献   

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I.P. Pavlov considered consciousness as an area of optimum excitability moving over the human cerebral cortex depending on the character of performed mental activity. Contemporary methods of computer analysis of electrical activity and brain thermal production have allowed to turn this metaphor into experimentally observed reality. It is shown that preservation of connections of cortical gnostic zones with verbal structures of the left hemisphere is the obligatory condition for consciousness functioning. These data reinforce the determination of consciousness as operation with knowledge, which by means of words, mathematic symbols and art images can be transmitted to other people. Communicative origin of consciousness creates possibility of mental dialogue with oneself, i.e. leads to the appearance of self-consciousness of the personality.  相似文献   

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"物种的形成"的教学设计   总被引:1,自引:0,他引:1  
1 教学目标 1.1 知识与技能1 1)阐明并解释物种、隔离等相关概念. 2)运用所学概念分析物种形成的过程. 3)概述物种形成的主要环节以及各环节对于物种形成的作用.  相似文献   

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24 families of probands with a high head circumference/height ratio greater than the 97th percentile were investigated for head circumference and height. It is concluded that "benign macrocephaly" represents rather the upper extreme of the normal distribution of head circumference than--as has been suggested by some authors--a discrete and autosomal dominant entity.  相似文献   

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