[A case of Münchausen syndrome].
Presented patient was many times admitted to gynaecological wards and surgically treated with irreversible results. The complaints were mainly related to specific psychological disturbances.
Adult↗
Biomedical subjects
B Loza
Publications and source records attributed to B Loza.
[Suicidal attempts among young people hospitalized in the department of psychiatry of the Medical Academy in Lublin in 1990-1997].
Based on clinical assessment of the case histories, the results of a retrospective suicidal research of 66 patients between the ages of 15 and 25 years who were hospitalised in Psychiatric University Hospital in Lublin between 1990 and 1997 were presented. In the paper the analysis was performed of clinical and sociodemographic aspects, significant from suicidal point of view, such as: the psychiatric diagnosis, reasons for suicidal attempts, the means of realization of the suicidal attempts, somatic conditions, alcohol and substance abuse, months of suicidal attempts, months of hospitalisations, duration of hospitalisation, repetition of suicidal acts, suicidal family history, negative interactions in family system, gender, current occupation, education, and marital status. In the examined group, six main reasons of suicidal attempts were selected, such as: 1) delusions (28% patients of the whole group), 2) hallucinatory behaviour (16% patients), 3) situational disorders (17% patients), 4) acute reactions (17% patients), 5) insight disorders (17% patients), 6) depressive disorders (11% patients). The differences between the psychotic group (with a prevalence of males) and the non-psychotic group (with a prevalence of females) proved to be significant. When taking into account the method of the suicide, there was a marked difference between the group of males (prevalence of "hard" methods, mainly hanging themselves) and the group of females (prevalence of "soft" methods, mainly drug intoxications). In the majority the families, systems of mutual interactions were disordered. The exacerbation of suicidal acts was registered in autumn-winter period. Psychoactive drug abuse was a malignant predictor of suicidal behaviour (mainly among males).
Adolescent↗
[A case of serotonin syndrome].
A minority of patients treated with serotonergic agents develop a fulminant and potentially life-threatening illness characterized by changes in mental status, restlessness, myoclonus, hyperreflexia, tremor, shivering, incoordination, hyperthermia, diaphoresis and diarrhea. This condition of serotonergic hyperstimulation is called the "serotonin syndrome". The author describes an adverse response in a patient given fluoxetine and lithium. A 61-year-old woman presented to casualty exhibits nearly all of the diagnostic criteria proposed by Sternbach [17].
Antidepressive Agents↗
[A case of phantom syndrome].
The author discussed a case of the phantomatic syndrome. The paper suggests a close connection between the social stress and biological predispositions for the occurrence of the phantomatic syndrome. Some data making the grounds for concluding psychological mechanisms determining the onset were also considered. Attention was drawn to the fact that different mental mechanisms developed for the purpose of dealing with the conflict which took predominant positions in distinct stages. The phantomatic syndrome can be treated as an initial form of psychosis. The therapy of the phantomatic syndrome involves the following phases: (1) pharmacotherapy, (2) psychotherapy and sometimes (3) surgical procedure (e.g. plastic surgery operation) is required.
Adult↗