Biomedical subjects

D Alliani

Publications and source records attributed to D Alliani.

7 recordsLinked to original sources

PubMed1992

Interactive typology in depression according to cognitive theory and systemic theory.

Both systemic and cognitive theories agree upon the importance of early learning in the development of depressive personality. The two theories disagree upon the meaning they give to the early experiences. According to cognitive theory the emotions bound to a significant and not reparable loss turn themselves into a pursuit of autonomy in order to prevent further grieves. In the grown-up person if autonomy is not reached or is lost, a depressive episode will rouse. According to the systemic theory, children learn emotions and behaviours of a depressed parent. The child also learns by himself or through the healthy parent the feeling of importance/inability to help. The grown-up person will make use of the depressed behaviour when he will feel unable to face by himself critical life events or to elice to care or attention by the partner.

Adult↗

PubMed1992

The relational history of the family with a schizophrenic member.

Coherently with the systemic view, the authors consider the family interaction patterns in schizophrenia. Some typical redundant behaviours in the family system appear to be typical of the schizophrenic family. The authors investigate the family system and story through the international literature. Special emphasis in this work is placed upon the modalities of weaning from the parental figures, the conjugal bind of the parents and the interactive patterns with grandparents. In order to study these binds and according with many authors a fictitious family history is reported.

Adult↗

PubMed1992

Relationship patterns in "folie à deux".

"Folie à deux" is characterized by the communication of delusional ideas from one subject to other ones who have been living closely with him for a long time, usually his relatives. Before illness shows, there is a leader-follower relationship between partners, who are lacking of external sources of pleasure and are socially or culturally isolated. The dominating partner usually is a paranoic subject who strongly needs his ideas to be accepted by other people, while the dominated partner is a dependent subject who shares the other one's ideas in order to get pleasure from him and who is not able to criticize these ideas because of the lack for external influences. The two partners project hostility into the external world because, if the dominated partner does not share the other one's ideas, hostility will be projected into him and he will become very anxious. Interpersonal mechanisms in "folie à deux" are similar to those which take place in brainwashing, hypnosis and psychotherapy.

Humans↗

PubMed1992

Interactive typology of the hypochondriacal patient.

Many authors agree on the idea that the affective and behavioural characteristic of a certain type of family encourages the use of the body as a primary means of communication with others. This way of communicating has usually been acquired during childhood and later, in the adult life, it appears again in the different social contests. Some authors like Alby, Levy, Baker, Parker, Lipscombe, Marcelli, Bianchi and others focus on this type of family interaction and the single characteristic of the personalities of each family member. These authors describe some relationship patterns used by hypochondriac patient such as: avoiding unpleasant situations, blaming others, adopt a sick-role as a way of controlling the relationship between existential events and somatic symptoms; relationship with physicians and the need to confirm her/himself.

Anxiety↗

PubMedDate not supplied

The complexity of psychiatric comorbidity: a conceptual and methodological discussion.

Comorbidity is widely used in psychiatry, although few studies have considered the conceptual and methodological problems deriving from the transposition of this term from medicine to psychiatry. Comorbidity should be defined as two or more diseases, with distinct aetiopathogenesis (or, if the aetiology is unknown, with distinct pathophysiology of organ or system), that are present in the same individual in a defined period of time. In psychiatry, comorbidity is often an artefact for several reasons: (a) different assessment methods; (b) improper utilisation of the term comorbidity to indicate the association of symptoms instead of diseases; (c) number and characteristics of hierarchical exclusion rules used in classification systems; (d) nosologic classification in disorders (a generic term) instead of syndromes (a more precise concept, that allows clinicians to consider the hierarchy and the qualitative specificity of symptoms); (e) excessive splitting of classical syndromes into small disorders with inappropriate and overlapping boundaries; (f) too frequent revision of the diagnostic criteria, that changes diagnostic threshold; (g) number of clinical entities considered. Biological and psychological hypotheses that investigate the complexity of comorbidity findings are here presented; it is underlined that comorbidity should be the epidemiological descriptive starting point to build hypotheses that must be clear and rigorously defined, with specified usefulness and limits. Finally, the hypotheses should be tested with specific methodologies.

Comorbidity↗

PubMedDate not supplied

[Evolution of the concept of human death over the course of time. I].

In a brief history of the various religions, ideologies, theories about the "afterlife" and burial rituals that have identified peoples in their evolution from tribal to modern society, an attempt is made to identify the mutually interactive parallel concepts of life and death.

Burial↗

PubMedDate not supplied

[Evolution of man's concept of death over time. II].

Durkheim's sociocultural theories about suicide form the basis for an analysis of current sociocultural conditions as possible causal elements for the alleged recent increase in adolescent suicides.

Adolescent↗