Biomedical subjects
Publications and source records attributed to E Rentrop.
Beginning with a historical introduction the author gives an overview over the different forms of psychotherapy used for torticollis. A special reference is given to psychoanalytic concepts. The different etiological concepts of this disease imply corresponding heterogeneous forms of therapy.
Although in many cases of idiopathic spasmodic torticollis emotional problems play an important role in symptom onset their influence on the course of the disease seems little. In some cases however psychotherapy is indicated. Working through the basic neurotic problems may lead to an improvement of the torticollis.
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Beginning with a pathophysiological and historical introduction the author gives an overview over the different forms of psychotherapy used for torticollis. A special reference is given to psychoanalytic concepts. The different etiological concepts of this disease imply corresponding heterogeneous forms of therapy.
The paper presents the results of the psychoanalytic investigation of 23 patients, who wanted a penile prosthesis because of psychogenic impotence. Unconscious motivations and the basal neurotic phantasies are demonstrated on the ego-psychological and drive oriented level. Usually surgeons and patients neglect the psychodynamic basis and complications of the symptom. The indication for the operation of patients suffering from psychogenic impotence has to be qualified.
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Only in static forms of idiopathic spasmodic torticollis should the cervical spine be X-rayed for differential diagnosis. There is no indication for cranial roentgenograms. CAT of the skull may occasionally help in distinguishing idiopathic from symptomatic-striatal forms. Repeat films of the skull and the cervical spine contribute nothing to diagnosis.
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