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Vol. 50, 1988 Psychotherapy and Psychosom atics Official Organ of the International Federation for Medical Psychotherapy Founded 1953 as Acta Psychothcrapeutica ct Psychosomatica by E.A.D.E. Carp and B. Stokvis, continued by Th. Spocrri (1964-1974) Editor-in-Chief P.E. Sifneos, Boston, Mass. Editor-in-Chief for special publications H. Freybcrger, Hannover Associate Editor G. Fava, Bologna Editorial Board H. Benson, Boston, Mass. L. Birk, Newton, Mass. H.E. Book, Toronto. Ont. G. Christodoulou, Athens H. Davanloo. Montreal, Que. M. Dongier. Montreal, Que. F. Frankel, Boston, Mass. E. Gillieron. Lausanne J.A. Hartzuiker, Den Haag A. Heiberg, Oslo I. A.D. Hohbcrgcr. London Y. Ikemi. Fukuoka-Shi D. Jimerson, Boston, Mass. P. Knapp, Boston, Mass. S. Locke, Boston, Mass. D. Malan, London H. Musaph, Amsterdam T. Nadelson, Boston, Mass. J.C. Ncmiah. Hanover. N.H. R. Picrloot, Kortenbcrg J. Ruesch, San Francisco, Calif. J.J. Schildkraut, Boston, Mass. P.-B. Schneider. Pully T. Stewart, Boston, Mass.

S. Karger Medical and Scientific Publishers Basel München Paris London New York New Delhi Bangkok Singapore Tokyo Sydney Drug Dosage The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center (see Information for Readers and Subscribers ). Copyright 1988 by S. Karger AG, P.O. Box, CH- 4009 Basel (Switzerland) Printed in Switzerland by Thiir AG Offseldruck, Pratteln

Contents Vol. 50,1988 No. 1 Psychological Reactions to Ultrasound. Examination during Pregnancy Michelacchi, L.; Fava, G.A.; Grandi, S.; Bovicelli, L.; Orlandi, C.; Trombini, G.... 1 Therapy Results and Follow-Up of an Integrated Inpatient Treatment for Severe Cases of Anorexia nervosa Engel. K.; Wilfarth, B... 5 Psychogenic Pain and Psychological Variables: a Psychometric Study Valdes, M.; Treserra, J.; García, L.; de Pablo, J.; de Flores, T... 15 Thermographical Analysis of the Warmth of the Hands during the Practice of Self-Regulation Method (With 1 color plate) Ikemi, A.; Tomita, S.; Hayashida, Y... 22 Construct Validity of the Toronto Alexithymia Scale Bagby, R.M.; Taylor, G.J.; Parker, J.D.A... 29 Brief Dynamic Psychotherapy for Patients Presenting Physical Symptoms Nielsen, G.; Barth, K.; Haver, B.; Havik, O.E.; Molstad, E.; Rogge, H.; Skitun, M. 35 Application of Osgood s Semantic Differential to the Study of Psychotherapeutic Treatments Bovet, J.; Gillieron, E.; Spagnoli, J.; Meylan, D... 42 Book Reviews... 57 No. 2 Distribution of Alexithymic Characteristics within an Adult O utpatient Population Feiguine, R.J.; Jones, N.F.; Kassel, P.A... 61 Alexithymia: Relationship to Severity of Medical Illness and Depression Wise, T.N.; Jani, N.N.; Kass, E.; Sonnenschein, K.: Mann. L.S... 68 Dimensions of the Endangered Self in Anorexia nervosa. Empirical Study Based on Comparison with Normal Controls Engel. K.; Fuchs, M.: Meier, I.; Deneke. F... 72 Validation of the Toronto Alexithymia Scale with Substance Abusers Haviland, M.G.; Shaw, D.G.; MacMurray, J.P.; Cummings, M.A... 81 Alexithymia and Symbolic Function in the Obese Legorreta, G.: Bull, R.H.; Kiely, M.C... 88 Psychotherapeutic Outcome: Measuring Reliable Clinical Change Dormaar, M.; Dijkman, C.I.M.; devries, M.W... 95

IV Contents Life Changes Related to the Onset of Juvenile Rheumatoid Arthritis Keltikangas-Järvinen, L.; Pelkonen, P.; Kunnamo, 1...102 Toronto Alexithymia Scale: Relationships with Measures of Patient Self-Disclosure and Private Self-Consciousness Loiselle. C.G.; Dawson. C... 109 No. 3 The Dream of Unity of Psyche and Body: Has it Passed Us By? Interview with Professor Thure von Uexkuell...11? Clinical Process Studies on Anxiety and Aggressiveness Affects in the Inpatient Therapy of Anorexia nervosa Engel. K..: Meier. 1... 125 Our Varying Ability to Predict the Outcomes of Psychotherapy Sandeil. R...134 Comprehensive Assessment of Change in Patients Treated with Short-Term Dynamic Psychotherapy: An Overview. A 2-Year Follow-Up Study of 34 Cases Barth. K.; Nielsen, G.: Haver. B.; Havik, O.E.; Molstad, E.; Rogge. H.; Skätun. M..141 Strategies of Rehabilitation in the Day Hospital Ba, G...151 Experiences in the Psychotherapy of Rheumatoid Arthritis Lindberg, N.; Lindberg, E...157 Alexithymia: Subscales and Relationship to Depression Haviland, M.G.; Shaw, D.G.; Cummings, M.A.; MacMurray, J.P... 164 Book R e v ie w... 171 A nnouncem ent... 172 No. 4 Psychological Factors in the Treatment of Chronic Low Back Pain. Follow-Up Study of a Back School Intervention Julkunen, J.; Hurri, H.: Kankainen, J... 173 Chronic Illness Behavior and Noncompliance with Treatment: Pathways to an Interactional Approach Vandereycken, W.; Meermann, R... 182 12-Year Follow-Up Study of the Hamburg Short Psychotherapy Experiment: An Overview Meyer. A.-E.: Stuhr. U.; Wirth, U.: Rüster. P...192 Attempted Suicide in Psychiatric Outpatients with Concurrent Physical Illness Kontaxakis, V.P.; Christodoulou, G.N.; Mavreas, V.G.; Havaki-Kontaxaki, B.J.... 201 Patterns of Depression in Medical Patients and Their Relationship with Causal Attributions for Illness Karanci, N.A... 207 Cardiovascular Reactivity, Hostility, and Family History of Hypertension Jorgensen, R.S.; Houston, B.K... 216 Book Reviews...223 Author I n d e x...224

Ikemi/Tomita/Hayashida Plate I Fig. 1. Thermography of a trained subject at the beginning of the control period (A), at the end of the control period, when SRM was started (B), and at the end of SRM (C). Thermography of a beginner at the end of the control period when SRM was started (D) and at the end of SRM (E). Psychother Psychosom, Vol. 50 S. Karger, Basel