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Biomedical subjects

D Hönigl

Publications and source records attributed to D Hönigl.

3 recordsLinked to original sources

[Theories on etiopathogenesis of psychoses in childhood and adolescence].

OBJECTIVE: A focused review of a selected part of research on phenomenology of psychoses in children and adolescents is provided. Especially the differences to psychoses in adults are examined. Hallucinations and delusions are illustrated in context to the stage of development. RESULTS: The symptoms of the childhood psychotic disorder differ qualitatively and quantitatively from the adult form. Interpretation of symptoms has always to be set in relationship to developmental age. Delusions and hallucinations are referred to the stages of development according to Piaget. A possible explanation for the fact that symptoms vary strongly according to developmental age is provided. DISCUSSION: The insight for the development of psychotic symptoms from the background of child developmental stages will be increased. But many questions about the specific clinical picture of childhood psychoses still remain to be answered.

Adolescent↗

Basic symptoms and their contribution to the differential typology of acute schizophrenic and schizoaffective disorders.

One hundred and fifty male inpatients - 128 patients with DSM-IV schizophrenia and 22 patients with DSM-IV schizoaffective disorder - were investigated, over the course of their acute psychosis, on whether there were differences in the extent of basic symptoms (measured by the Bonn Scale for the Assessment of Basic Symptoms) according to their diagnostic subtype. Another aim was to find out if the diagnostic subtypes could be discriminated by means of basic symptoms and if clusters gained from basic symptoms were in accordance with the diagnostic subtypes. Differences in basic symptoms were found between the subtypes, but a clear discrimination of diagnostic subtypes by means of basic symptoms could not be achieved. There was indication that patients with prominent delusions or auditory hallucinations reported more basic symptoms than patients with exclusively prominent disorganization.

Acute Disease↗

[Self-injury behavior].

BACKGROUND: Self-damage is defined as intentional injury of the own body. Patients with this disorder often consult and deceive surgeons. In case of factitious disease the diagnosis of self-injurious behavior can be difficult. METHODS: A literature review on self-injuring behavior was done with special emphasis on its clinical presentation in surgical departments, its psychodynamic background and the therapeutic consequences. RESULTS: Self-damaging behavior is most frequent in adolescent females. Both a disturbed relation with the own body and with fellow-beings is the problem of all patients. Deprivation, physical or sexual abuse are common in the biography of these patients. The feelings of internal emptiness and unbearable psychic tension are the immediate psychodynamic causes of the self-damaging act. Psychotherapeutic strategies are aimed at learning to express emotions in a better way, to care for the own body, and to establish confidential and stable relationships. CONCLUSIONS: The knowledge of the psychodynamic background facilitates the therapeutic approach to patients with self-injuring behavior.

Adolescent↗