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Biomedical subjects

B M Segal

Publications and source records attributed to B M Segal.

16 recordsLinked to original sources

Steroid-responsive electromyographic abnormalities in polymyalgia rheumatica.

Prior to definitive diagnosis, electrodiagnostic studies are often requested in patients with polymyalgia rheumatica to evaluate complaints of muscle aching, tenderness, and weakness. These studies are generally normal, although rare reports of electromyographic abnormalities in polymyalgia rheumatica exist. Two patients with polymyalgia rheumatica and electrodiagnostic findings consistent with diffuse denervation are described. Following steroid treatment, both patients experienced impressive clinical and electromyographic improvement. To explain this improvement, we hypothesize a steroid-responsive microvascular arteritis resulting in ischemic damage to axons of motor nerve terminal branches.

Aged

Psychiatric services in Soviet general outpatient clinics.

The author believes that the first level of psychiatric care in the U.S.S.R.--the general polyclinics (outpatient clinics) and the medical-sanitary units--have not been adequately studied. He describes this level of care, which is considered useful and progressive in that the clinics are supposed to make psychiatric care available to the population, lighten the load placed on psychiatric facilities, and improve follow-up therapy. However, he also points out the shortcomings in this first level of psychiatric care in the U.S.S.R., including the bureaucratic nature of the system and the uneven quality of service the clinics render to various social groups in urban and rural areas.

Aftercare

Soviet psychotherapy: the tasks and methodological problems.

Soviet psychotherapy follows Western European traditional pre-psychoanalytical "rationalistic" methodology. On the other hand, Soviet therapists assign great importance to clinical diagnosis within the framework of the classical scheme of Kraepelin. Finally, methods close to behavior therapy, especially so-called "training" approaches, are popular.

Behavior Therapy

Soviet approach to the causes of neuroses.

Some Soviet therapists admit the role of latent (that is, sexual) conflicts and childhood experiences in the origin of emotional disorders. They also attempt to utilize the influence of the social environment in the "readaptation" of neurotics. However, these attempts are limited by certain ideological as well as practical restrictions.

Adaptation, Psychological

The theoretical bases of Soviet psychotherapy.

Beginning in the 1930's all Western psychologic theories, especially psychoanalysis, were labeled reactionary. Pavlov's theory remained as the sole "truly materialistic" basis for Soviet psychotherapy. Only in recent years has theoretical research shown signs of life. Certain concepts from cybernetics, information theory, and even social psychology are now used widely.

History, 20th Century

Dysthymia: an atypical protracted depression. A preliminary report.

The author reports on 86 cases of protracted disorders - without significant changed consciousness - which he named dysthymia. The clinical manifestations were characterized by peculiar emotional disorders, polymorphous autonomic and vascular shifts. These states occurred in the majority of cases after some somatic diseases in conjunction with other physical or psychological stresses in individuals with anxiety traits and 'neurocirculatory asthenia'. The first phase of the disease was accompanied by anxiety, restlessness, autonomic and vascular paroxysms, anorexia, insomnia and disturbances of other physiological functions. Subsequently dysphoric mood, somatic concerns, pseudoneurotic and neurotic syndromes appeared. The outcome of the disorders was either with slow practical recovery or with a relatively stable personality change in the form of weakened volition, a reduction of energy, and a narrowing of the 'zone of comfort' due to the impairment of homeostatic functions. Often hypochondriasis could develop on the background of such features. Dysthymia is viewed as a special entity which must not be included either in the group of neuroses or in the group of typical organic brain syndromes, or in the group of endogenous psychoses.

Acute Disease