[The family of coronary patients].
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Biomedical subjects
Publications and source records attributed to G Campailla.
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The authors have isolated, by means of factorial analysis on a specimen group of 86 stroke patients, a group of 23 subjects who showed, to a significant extent, lapses in concentration, intellectual fatigue and memory deterioration, and have therefore considered them as being subject to psycho-coronary syndrome. From the comparison made with the other coronary-thrombosis victims in this research, these subjects appeared to be attended to by authoritarian physicians, had been hospitalized for a greater length of time, had remained absent from work for longer, and had accepted restrictions upon their physical activity and habits by both their doctor and family. Furthermore, they showed a remarkable level of self-depressive tendencies and fear of improbable relapse, not corresponding to the severity of the stroke. The factorial analysis has thus allowed us to evidentiate the reality of the psycho-coronary syndrome as a clinical condition.
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Any form of intervention carried out with various means that cannot be put off may be described as urgent. The differences between urgency in psychiatry and in general medicine are recalled. A distinction is drawn between real psychiatric, real pseudopsychiatric, and psychiatric pseudourgency due to pathomimesis. The first category includes cases of anxiety crisis, suicidal tendency, widespread pathological depression, and mental confusion, the second those in which the main psychotic symptom masks a somatic disease, and the third cases brought into being by the patient because his ambient, family or precarious economic position offer no other solution to his problem than the mimicking of a disease and its dramatisation to the point of an emergency. General hospital should deal with psychiatric urgency in cooperation with psychiatric divisions or clinic, since resort may have to be made to resuscitation centres, toxicological laboratories, intensive cares departments, cardiology departments, etc. Emergency patients can be handled at the out-patient level, or by means of a short period of hospitalisation.
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