By John DiBaise
An excessive, streamlined evaluate for the gastroenterology board exam
Gatroenterology and Hepatology Board overview: Pearls of knowledge, 3e is a special query and single-answer assessment for gastroenterology in-service and board tests. The publication positive factors approximately 3,500 questions with basically the right kind resolution supplied, reinforcing the reply scholars have to consider on examination day. Emphasis is put on distilling key proof and medical pearls crucial for examination success.
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Additional info for Gastroenterology and Hepatology Board Review: Pearls of Wisdom (3rd Edition)
27), on the contrary negative reports seem to use words to replace things, words which then become the real location of bodily modification. In other words, if ‘‘the object takes over from the words’’ for the former, this order is inverted for the latter: the logic of discourse only matters, words being really treated as things. This results in this paradoxical situation where the condition of organs only fits the words actualized in complaint, speech becoming the only possible projective surface of the somatic.
What we have here is therefore less a symptom than a sign, experienced differently according to the psychical economy within which it takes place. We must however immediately stress that, in the cases that we encountered, labeled ‘‘negative reports,’’ one of the four proposed paradigms cannot be effectively maintained: that of hysteria. If certain personality traits sometimes show its very specific defense arrangements, the main characteristics of the reported disorders indeed seem to have nothing in common with it, as evidenced by their monotony and banality.
24 2 Problems 2. Various paths to tackle this wide-scope problematics, never discussed in want of confrontation with the necessity of multiple off-center shifts. The first one consists in an attempt to tightly elaborate a theoretical reflection, as close as possible to clinical experience to which specific questions are asked and which helps assessing exactly the gap between the concrete collected material and what seems to be an ‘‘obligatory way of thinking’’. It is difficult to do so, not only because of the multiple registers to refer to (somatic depression, thymic disorder field, narcissism, masochism, psychosomatic sphere), but also because of a dual hindrance: the one of an almost total exteriority of this theoretical grafting to the existing corpus, the one of maintaining an uneasy distance from the Freudian as well as from the patients’ discourse.
Gastroenterology and Hepatology Board Review: Pearls of Wisdom (3rd Edition) by John DiBaise