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Biomedical subjects

A Tatossian

Publications and source records attributed to A Tatossian.

5 recordsLinked to original sources

[A 15 years' follow-up of use of lithium at the Department of Psychiatry of Marseille University. Data concerning the follow-up of 205 patients].

The authors report descriptive data from a follow-up study of 205 patients taking lithium therapy and treated at the Department of Psychiatry (Marseille, France), during a 15 years period (1972-1987). Methods of investigation consisted in a detailed examination of their hospital and clinic case notes and in medical interviews of psychiatrists in charge of patients. 25 features have been selected in order to precise clinical and biological characteristics of patients: Diagnosis (INSERM, ICD9), family history of psychiatric disorders, illness course, salt used, serum and erythrocytes lithium levels, dose maintenance, additional medications, psychological and physical side effects, compliance with medication and clinical response.

Adult

A multivariate analysis of red blood cell membrane transports and plasma levels of L-tyrosine and L-tryptophan in depressed patients before treatment and after clinical improvement.

The purpose of this study was to examine whether biological variables, such as erythrocyte membrane transports and plasma levels of monoamine precursor amino acids (tyrosine, tryptophan and phenylalanine), exhibit a particular pattern relatively to DSM-III depressive subgroups (dysthymic disorders, major recurrent depression and biopolar depression), when they are treated synthetically by a stepwise discriminant analysis. We conducted two tests in 97 subjects (64 depressed patients vs. 33 controls): the first before any antidepressant treatment, and the second after pharmacotherapy and clinical improvement. Our results clearly indicate a satisfying homogeneity for the controls and bipolar depressed patients as opposed to dysthymic disorders and major recurrent depression in both tests. The most informative biological variables are the erythrocyte membrane transports before treatment, tryptophan parameters after clinical improvement. Evidence is provided that multivariate analysis constitutes an interesting approach in biological psychiatry.

Adult

[Transsexualism].

According to the literature, the transsexual phenomenon can be assessed as a distinct psychiatric illness. Transsexualism, a rare but spectacular disorder, realizes a gender identity reversal raising questions regarding systems of psychiatric diagnosis, nosology and treatment. A better clinical knowledge of this "experiment" and its follow-up allow studying processes contributory to marked deviation of gender identity and furthering concepts of development of masculinity and feminity. Current research deals with hypotheses that can be stated as testable propositions about underlying dynamics in various fields: learning factors, psychoanalytic components and psycho-biological data. Focusing on the early infantile development and the environmental influences reflects a variety of non specific psychogenetic precursors. The treatment of "gender dysphoria syndrom", i.e. hormonal treatment, sex-reassignment surgery and psychotherapic processes, aims towards réduction of psychic pain and social adjustment in the cross-gender role. Transsexual phenomenon largely overlaps the psychopathological area; beyond surgical and medical aspects, social implications and legal positions refer to an ethical problem.

Adult

[Psychological factors in the etiology of cancers: methodological problems (author's transl)].

There is a multiplicity of etiological factors in human cancer; psychic factors are probably neither the most important nor the most constant. Nonetheless, owing to the potential infinity of psychological variables, it is necessary to formulate hypotheses in an operational manner. The casuistic method allows a thorough clinical study of objective events, of the manner in which the patient lives them and, especially, of what they mean to him. Such an approach, however, has shortcomings which must be accepted: it cannot administer proof of the hypotheses it advances. The superiority of prospective methods over retrospective methods seems indisputable for there is no evidence that personality traits are not modified by the fatal threat of a serious illness. This criticism also holds for the modified retrospective methods, the so-called predictive methods. Research focussed on particular cancers with a study of limited psychological variables seems desirable.

Humans

[Vagrancy: psychological and psychopathological aspects].

The authors, after defining the words "vagrancy" and "vagrant", explore their semantical field and try to specify differences in respect of neighbouring words, often confused with them. An historical sketch of vagrancy, from antiquity to the present era, is depicted. There after, the authors state the evolution of theories of vagrancy, from the biological, psychological, psychiatrical and sociological points of view. The last part of the paper considers psychopathology of vagrancy, specially in psychoanalytical and phenomenological approaches, and problems of rehabilitation.

Adult