(Diaz, 2017, p.42 )
This essay demonstrates just how strong the need for a “good object” parent is, and how it motivates children to hold on to illusions, despite the overwhelming crush of reality. A "Good Object" is a parent or parent-like figure who fulfills the parenting role, including being interested in, and respectful of, the childs developmental needs. When the writers first elaborate fantasy was disproved, he did not give up fantasizing, because his need for a parent continued to be great, so he assumed that there was a second America where his good father resided. For a full description of the libidinal ego and the exciting object see Celani, 2010, pp. 58–115. Intense relationships between the ego structures
The relationship between the two split off part-selves and their respective part-objects is intense because they were created out of enormous need, pain and desire. The intense need of the child for a good, loving object cannot be described in a more powerful way that the preceding quote by Diaz. He notes that his desperation was fueled because he was lost, he needed help learning English and needed an escape from his violent father. He was seeking a new father that would right all the wrongs that he had suffered. On the other side of the split is the childs antilibidinal ego, which is intensely motivated to force the rejecting object parent to become a good object, and own up to the mistakes they have made by rejecting their child.
A rhinolith is a stone present in the nasal cavity. The word is derived from the roots rhino- and -lith, literally meaning "nose stone". It is an uncommon medical phenomenon, not to be confused with dried nasal mucus. A rhinolith usually forms around the nucleus of a small exogenous foreign body, blood clot or secretion by slow deposition of calcium and magnesium carbonate and phosphate salts. Over a period of time, they grow into large irregular masses that fill the nasal cavity. They may cause pressure necrosis of the nasal septum or lateral wall of nose. Rhinoliths can cause nasal obstruction, epistaxis, headache, sinusitis and epiphora. They can be diagnosed from the history with unilateral foul-smelling blood-stained nasal discharge or by anterior rhinoscopy. On probing, the probe can be passed around all its corners. In both CT and MRI a rhinolith will appear like a radiopaque irregular material. Small rhinoliths can be removed by a foreign body hook. Whereas large rhinoliths can be removed either by crushing with Lucs forceps or by Moores lateral rhinotomy approach. Signs and symptoms
Rhinoliths present as a unilateral nasal obstruction. Foul-smelling, blood-stained discharge is often present. Nosebleed and pain may occur due to the ulceration of surrounding mucosa. Management
They are removed under general anaesthesia. Most can be removed through anterior nares. Large ones need to be broken into pieces before removal. Some particularly hard and irregular ones may require lateral rhinotomy. References


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