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G Bertona

Publications and source records attributed to G Bertona.

3 recordsLinked to original sources

["Secrecy" in individual and family therapy].

After a reflexion about the etymology and the semantics of the word "secret", the author presents an historical review about the pathogenetic secret and its treatment, which has not been always the task of physicians or psychiatrists. Then, on the basis of the works of Ferreira and Watzlawick, the relationship between secret and myths are shown. In individual therapy, the secret may be considered to be a central place of the anal problematic. In family therapy, the analysis of secret implies not only to define the network of the concerned persons, but also the definition of the bonds between the secret and loyalties, the distribution of power, the alliances and the definitions of the private sphere (proper to each family) and of the protective function of the secret. The "secret" could supposed to be a potential meeting point between the representatives of different therapeutics views.

Confidentiality↗

[Massive heroin intoxication. Hemodynamic studies].

Acute hemodynamic changes during heroin overdose have not been frequently reported. We observed 2 male patients aged 24 and 21 years admitted in coma and shock and presenting severe mixed acidosis, with, respectively, pH 6.80, PaCO2 72 mm Hg, PaO2 70 mm Hg, BE -18 mEq/l, lactic acid 16.5 mmol/l, and pH 6.86, PaCO2 94 mm Hg, PaO2 46 mm Hg, BE -16 mEq/l, lactic acid 5.45 mmol/l. The hemodynamic data of the first patient showed a low output failure state associated with high filling pressures, suggesting biventricular heart failure. In the second case, clinically and radiologically marked pulmonary edema was associated with a hyperdynamic state and moderately elevated pulmonary artery pressure, but normal pulmonary capillary pressure. The possible pathophysiological mechanisms of those different, hemodynamic patterns are discussed.

Acidosis↗