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Biomedical subjects

G Ehle

Publications and source records attributed to G Ehle.

17 recordsLinked to original sources

[Acid erosions of tooth surface. 2. Oral complications in patients with psychogenic eating disorders].

The increasing morbidity of the psychosomatical eating disorders demands more attention by the general practioners. The origin of the anorexia nervosa and bulimia nervosa and the clinical picture are described. The consequences of the acid erosion at the teeth are shown with illustrations. The cooperation between the psychotherapist and the dentist has a positive influence on the long therapy of the patients.

Acids↗

[Results of long-term treatment with depot neuroleptics in schizophrenic patients].

An examination was instituted to determine the effectiveness of maintenance therapy involving depot neuroplegics in out-patient after-care during an average follow-up of six years. At the time of examination, 172 patients treated with Depot-Lyogen showed statistically significant lower relapse and rehospitalisation rates, a reduction of the productive schizophrenic symptoms, and improved chance of rehabilitation, compared with 55 patients without treatment. In 22% of the 270 patients on Depot-Lyogen, there were early extrapyramidal side-effects, in 4.7% late dyskinesis, and in 4.3% depressive symptoms relating to medication. 35% of the patients did not receive consistent maintenance therapy. The improvement of after-care is discussed.

Dose-Response Relationship, Drug↗

[Experiences with intended dynamic group psychotherapy in the complex therapy of schizophrenic patients].

Intention, setting (6 weeks intensive therapy, 2 years follow meetings) and premise for a integration of dynamic intended group psychotherapy (H ö c k) of schizophrenics in a psychiatric ward are discussed. The attitude of both therapeuts intending phases of group process hat to be taken into account as for the transference and the ego-disturbance of schizophrenics as for the dynamic evoked in the ward. (Supervision!)

Adult↗

[Interplay of social, intrapsychological and biological factors for the etiopathogenesis of anorexia nervosa].

Intergroup-comparison and hierarchical cluster analyses (method Lance and Williams, x2-test, t-test, p less than 5%) of 170 facts at biological, psychodynamic and social level in 35 patients suffering from anorexia nervosa and 30 patients suffering from postpill-amenorrhea confirm the close relations of these levels for aetiopathogenesis. Postpill-amenorrhea can be taken as hypothalamic dysfunction (overpressing of LH-RH-release after anticonceptives) and therefore as a model for the biological disturbance at anorexia nervosa. Cluster analyses resulted in a division into 3 groups: one group of anorexia nervosa (C) with deep biological disturbances; a main group of anorexia nervosa (B) and the group of postpill-amenorrhea (A). In cluster C are combined early age of onset, rigidity-type in hormonal tests, EEG-changes, psychopathic personality in MMPI and strongest disturbed social interactions. In cluster B are neurotic profile in MMPI combined with severe biological and social difficulties. 13 out of 30 showing anorectic-like behaviour during adolescence are even more disturbed as the other postpill-amenorrhea patient in cluster A. Regressions analyses could not confirm a dependence between loss of weight and some endocrine functions.

Adolescent↗

[Psychodiagnostic findings in anorexia nervosa and post-pill amenorrhea].

Anorexia nervosa is originated from disturbances at various points of the cortico-hypothalamo-hypophyseal axis. 65 patients suffering from anorexia nervosa or post-pill-amenorrhea were classified by cluster-analysis with 174 marks of the social, psychodynamic and biological levels. The different psychodiagnostic characteristics (470-F-Test, Hamilton-Depression-Scale, Beck-Depression-Scale, Giessen-test) are discussed according to the 3 clusters.

Adolescent↗

[Structure of anorexia nervosa].

The author presents her findings in social, psychodynamic and biological fields of 35 patients suffering from anorexia nervosa and 30 patients suffering from post pill amenorrhoea. Both groups show a decreased response to LH-releasing hormones, a prolonged time of acrale reheating and pathological responses to the administration of insulin and adrenalin. The disturbances are more severe in the group of anorectic patients and are discussed as signs of a dysfunction of the cerebro-hypothalamic-pituitory axis. The psychodynamics of the patients and the educational style of the parents (EBF 70, Böttcher) show similarities between both groups.

Adolescent↗

[The anorexia nervosa syndrome].

The syndrome of anorexia nervosa may be conditioned through a disturbance in the function of the cerebral-hypothalamic pituitary axis on different places. Besides of the discussion of psychiatric, endocrinological and neurophysiological papers our findings of 30 patients are presented. We found distinctions in the grade and character of the vegetative and endocrine disturbances, in the educational style of the family as well as in the final inducement to falling ill and in the psychodynamics of these patients which became cases of anorexia nervosa during or after the puberty. A complex therapeutic concept based on the intended dynamic group psychotherapy (H ö c k) is represented.

Adolescent↗

[Vegetative parameters under the effect of ouabain (g-strophanthin) in endogenous depressive patients. 1. The salivation rate].

In 7 healthy test persons and in 17 endogenous depressive patients the salivations rate was measured in a survey investigation with the SHP-test. The salivation rate of healthy test persons is constant. In endogenous depressive patients it develops a diminishing of depression depth under treatment with Ouabain (g-Strophanthin) between the 6th and the 12th day which is connected with reduction of the drive diminishing and the restauration of mood. The effective salivation rate is gaining. Possible principles of the influence of Ouabain are discussed.

Depression↗

[Dangerous side effects of lithium therapy].

A report is made on two cases of a pharmacogenic delirium as a result of combined lithium-haloperidol therapy, and on one case of lithium-induced diabetes insipidus renales with second-degree high pressure. Also, the development of a hydrocephalus internus male-resorptivus through lithium is discussed. In all patients there was a possible disposition due to old age or cerebral injury. Based on their effect on synaptic transmission the potentiating effect of lithium and haloperidol is discussed. Under the influence of Na-K stimulated ATPase and, thus, of active transport and adenylcyclase a basic mechanism of lithium therapy and its side-effects is seen.

Adult↗