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Biomedical subjects

E M Steinmeyer

Publications and source records attributed to E M Steinmeyer.

51 records · Page 3Linked to original sources
PubMed1985

[Causal analytic studies on demonstration of neuroendocrine parameters in combined hypoglycemia test in depressive subgroups].

With the help of an analytical path structure model (causal analysis) the aim of the study was to elucidate further, in female patients with various depressive disorders, some correlations of causal interdependencies between changes both in basal secretion of anterior pituitary hormones and in their responses to the (combined) insulin tolerance test (ITT) with extraneous factors--such as age, deviation from ideal body weight (in percentage), severity of depression and score in the Newcastle Scale (NCS)--that may influence these abnormalities. In various depressive subgroups the strength of influence and the different importance of deviation from ideal body weight and basal growth hormone (GH) concentration (as exclusion criteria) for their neuroendocrine reactivity in the combined ITT was shown. The hypothesis that cortisol hypersecretion may be the primary disturbance and the other possible neuroendocrine changes such as blunted GH, cortisol and TSH responses to stimuli in some depressive patients all may be secondary to the (elevated) cortisol level could not be corroborated. The endogenous mono- and bipolar subtypes of major depressive disorders showed intimate connections between the various neuroendocrine functional systems and the above mentioned extraneous factors resulting in a narrowed variability and a stronger coupling in the reactivity of these hormonal functional systems, a condition which can be seen as analogous to experimental results at the psychophysiological level in these nuclear groups of depressed patients, whose psychopathological state is also characterized by similar limitations in their "degree of freedom" (Heimann).

Adult↗
PubMed1984

Psychotherapeutic effects by audiovisual heteroconfrontation in a case of anorexia nervosa.

After a short overview about the use of audiovisual methods in psychiatry and psychotherapy we present a single case study of a young woman suffering from anorexia nervosa. In a typical way the patient could not accept the idea that she had an emotional disorder and did not accept being admitted to hospital or to come as an outpatient to psychotherapeutic treatment. We used the method of audiovisual heteroconfrontation, i.e., she was confronted with the videotape of another patient suffering from the same disorder. After four sessions of confrontation she was extremely occupied with herself, she suffered more from her condition and was motivated to undergo psychotherapy. Finally, the process of heteroconfrontation is discussed.

Adult↗
PubMed1975

[Presentation of information for the diagnostic-therapeutic decision of the psychiatrist].

So far, little systematic work had been done to investigate how information regarding psychiatric cases should best be presented in order to facilitate important medical decisions. For each of three groups of diseases: (a) schizophrenic reaction, paranoid, (b) manic-depressive, depressed, and (c) anxiety neurosis, we have described four different cases, systematically varying both quantitatively and qualitatively the information in each description. Categorical judgement was given by 15 psychiatrists on a nine-step rating scale with regard to three dimensions. In order to investigate the constancy of the judgements, the method of scaled pair comparisons was used according to the law of comparative judgement. After examination of the adequacy of the scaling models, the following results, among others, were obtained from the scale scores: the discrimination of the two cases of psychoses was highly significant, that of the anxiety neurosis was not significant.

Anxiety Disorders↗
PubMedDate not supplied

Circumplex models for the similarity relationships between higher-order factors of personality and personality disorders: an empirical analysis.

Similarity relationships between personality factors and personality disorders (PDs) are usually described within the conceptual framework of the "big five" model. Recently, two-dimensional circumplex models have been suggested as alternatives, such as the interpersonal circle, the multifacet circumplex, and the circumplex of premorbid personality types. The present study is an empirical investigation of the similarity relationships between the big five, the 11 DSM-III-R personality disorders and four subaffective disorders. This was performed in a sample of 165 psychiatric inpatients. We tested the extent to which the relationships could be adequately represented in two dimensions and which circumplex model can be supported by the empirical configuration. Results obtained by principal-components analysis (PCA) strongly confirm the circumplex of premorbid personality, and to some extent the multifacet circumplex. However, the interpersonal circle cannot be confirmed.

Adolescent↗