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Biomedical subjects

G H Seidler

Publications and source records attributed to G H Seidler.

8 recordsLinked to original sources
PubMed1995

[Structure and structural disorder].

One of the central tasks of psychodynamic diagnosis, next to determining intrapsychic conflicts, central relational patterns, and subjective forms of experiencing is assessing the psychic structure or the structural disorder. This article develops the structure term from object relationship theoretical, ego-psychological, and self-psychological concepts of psychoanalysis. This "Structure of the self in the relationship to others" thus obtained is described with six structural criteria (self-perception, self-control, defence, object perception, communication, attachment). In order to be able to distinguish the extent and the quality of structural disorders four structure levels of integration based on psychoanalytic experience in the out-patient and the in-patient setting are differentiated. A basis for an operationalization is then made; it is made in the system OPD (Operationalized Psychodynamic Diagnostics). First studies regarding practicalibility and reliability are promising.

Communication↗
PubMed1990

[Rumpelstilzchen on the couch--an ensemble of shame, identity and father themes].

The fairy-tale "Rumpelstiltsken" is investigated as to its hidden meaning. A method, already described in the literature, is applied which allows conclusions about the hidden meaning to be drawn on the basis of the fairy-tale's place and handling with the history of literature. The hidden meaning found for "Rumpelstiltsken" lies in the question as to how individuation is possible in a symbiotic mother-child relationship. The answer is given in the fairy-tale in that a third person is introduced, who is, however, not involved in the symbiosis. A metapsychological concept of shame is then formulated on the basis of this understanding of "Rumpelstiltsken".

Child↗
PubMed1986

[Psychosocial adjustment of paraplegics].

The present article is concerned with the description and discussion of the results from an investigation on 34 paraspastic of paraplegic male patients. Data on the quality and intensity of functional impairment of the bladder and the intestine and on disorders with regard to the sexual sphere as well as on their psychosocial compensation were obtained in a semi-structured interview of up to four hours duration. Subsequently the data were evaluated with the aid of descriptive statistics. Predominant were two modes of coping with the handicap: Young paraplegics and paraspastics suffering from a traumatic lesion overcame their functional deficits by means of instrumental compensation and almost all of them--after passing through a course of institutionally prescribed developmental steps--achieved a readjustment both with regard to their relationship with the opposite sex and to their professional career. Older handicapped whose lesions were caused by disease persisted in resignation or hypochondriac concentration upon their state of health and were socially isolated.

Adaptation, Psychological↗
PubMed1985

[Psychosocial processing of disease exemplified by multiple sclerosis. Results of an empirical study of 27 males].

First, some details about the symptoms of Multiple Sclerosis and about theories concerning pathophysiology and etiology are described. After that, results of an enquiry into psycho-social coping mechanisms of 27 male patients living with Multiple Sclerosis are shown. In detail: To 85% of these patients micturation problems were a well-know experience. "Urging need to micturate" made it impossible for these patients to participate in public life and brought social isolation for them. A feeling of helplessness and impotence was caused by the symptom of unnoticed incontinence. No patient were divorced because of Multiple Sclerosis, but it seemed that some patients did not marry because of first symptoms of the disease. Changes in sexual functioning of these male patients depended upon the way of coping with sexuality generally by them, and was not merely a constant physiological defect. An investigation was also carried out about the length of time between first symptoms and the correct diagnosis, between the time of correct diagnosis and the time the patient was informed, as well as an investigation about the mourning process itself. For a better understanding of a patient having to cope with a chronic disease it is recommend to take into consideration also his premorbid life history.

Adaptation, Psychological↗
PubMed1985

[Psychiatric and psychological aspects of Fahr syndrome].

The following article reports findings concerning a man who first developed symptoms in his late twenties that were later diagnosed as bilateral basal ganglia calcification. The man, now 53 years of age, shows symptoms of an alteration of his personality with despondency and nearly a total loss of drive. Earlier clinical reports assumed that the man's condition was due to a deterioration of his intelligence. The findings presented here, however, show that he had a normal IQ, and that the supposed deterioration of intelligence was only due to his loss of drive.

Basal Ganglia Diseases↗
PubMedDate not supplied

[Collection of relevant data in psychoanalytically oriented inpatient psychotherapy--The Tiefenbrunn Documentation System].

We inform about development of the Tiefenbrunn documentation system for inpatient psychotherapy. Aims and scaffolding of the system and some difficulties to make the system run are outlined. The newly developed instruments are sketched. Patients received a questionnaire concerning their social situation and their family of origin. At the same time therapists indicate symptoms, diagnosis, work ability, prognosis, pretreatments and chronification (diagnosis sheet I) and results of treatment (diagnosis sheet II) when patients leave. During treatment complementary therapy (as e.g. massage etc.) is documented. From 1988 on we have 230 variables on every patient in our computers. Actual and further use of the system is described.

Data Collection↗
PubMedDate not supplied

[Operationalized Psychodynamic Diagnosis in a trial--results of multicenter acceptability and practicability study].

During a multicentric field trial involving 134 diagnosticans from 16 centres in a first phase and 38 diagnosticans from 5 centres in a second phase a preliminary version of the manual "Operational Psychodynamic Diagnosis (OPD)" was tested. Focussing on feasibility, practicability and interrater-reliability the different axes of the new system were assessed as comparatively easy to use. The goodness of fit for diagnostic categories and the confidence in the diagnostic process showed a sufficient acceptance of the system. The percentage and chance-corrected inter-rater-reliability coefficients were acceptable for the most axes. It could be demonstrated that interrater-reliability depends on the degree of experiences with the OPD approach. Therefore a systematic training is necessary to use the system.

Adult↗