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Biomedical subjects

B Mäulen

Publications and source records attributed to B Mäulen.

18 recordsLinked to original sources

[How physicians experience their illness. The vulnerable healer].

The reports of sick physicians presented here, cover a wide range of suffering, perception of illness, the struggle to regain health, and efforts to come to terms with fate. In many cases, writing serves as a means of more readily coping with relevant problems, but also of helping others. In his own personal experience of the "dark side" of modern high-performance medicine, many a doctor comes to recognize what is lacking from comprehensive care. Such a lack is often balanced by family, friends, self-help groups, but also by the application of alternative methods and the search for spiritual answers. Acceptance of his role as patient is initially difficult for the physician, and he frequently gets little help from his medical care-provider who may himself be uncertain and prejudiced. Those treating sick physicians should be better informed about the psychological processes of coping with illness, and should learn to handle emotional upsets with patience. More than any other group of patients, sick physicians wish to have a say in the diagnostic and therapeutic processes. As a result of this, a number of sick physicians discover a new type of medicine, and become reformers of their own specialty, while others experience a higher quality of life after recovering from their illness.

Adaptation, Psychological↗

[Not giving up prematurely. Rehabilitation instead of early pensions for officials with psychosomatic and addiction problems].

Many chances for a competent psychosomatic and dependence treatment for government employed people are still being overlooked. One-sided somatic fixation, premature urge for a permanent pension and indulgence are important contributing factors. There is, however, clear evidence that a sufficient in and/or out-patient treatment has a very favourable impact on the course of illness. The different therapeutic methods and their combination in a private psychosomatic hospital, which treats many government officials, are outlined and a clinical example is presented. Physicians in the public health sector are in the a singular position of helping to avoid premature pensioning and to keep the expenses caused by premature pensioning of people in government service low by means of informed and dedicated action.

Ambulatory Care↗

An aeronautic suicide attempt (3). Suicide and self-destructive behavior in aviation.

Approximately 2-3% of all fatal air accidents may be attributed to suicide, and in many other accidents in aviation there are grounds for inferring that self-destructive or suicidal behavior was involved. Narcissistic personality traits are of paramount importance for the choice of this suicide method. Precursors include undetected depressions, alcoholism, and family problems of pilots.

Accident Proneness↗

[Adult children of alcoholics. A new diagnostic group with reference to general practice and clinical aspects].

UNLABELLED: FUNDAMENTAL CONSIDERATIONS: Adult children of alcoholics have, in recent years, become identified as a specific group with often characteristic patterns of health disorders. MAJOR POINTS: Those involved have a three- to four-fold greater risk of developing a dependence themselves than the general population. They are more likely to marry partners who are also dependent and have an above-average propensity toward separation and divorce. Most members of this group have adopted a specific role within the family they come from: for example that of the whipping boy, family hero or fool. Of therapeutic importance is the recognition of one's own involvement through parent dependence and to develop an awareness of specific areas of disorder, for example, in a partnership, self-identity crises, emotional blockades and the risk of becoming dependent oneself. CONCLUSIONS: Therapists with experience of habit-forming disorders and social family work can develop specific activities within the general practice, psychosocial counseling centers, and even in detoxication services. The new self-help groups of adult children of alcoholics are very helpful.

Alcoholism↗