Biomedical subjects
Publications and source records attributed to G Hougardy.
There is a close connection between psychopathology and Culture. The conformity pressure plays a prominent part in the definition of what will be considered as a normal or pathological behaviour. By some examples (Stress, PTSD, Depression) are shown the specific difficulties encountered by psychopathology with regard to the prevention strategies.
Nowadays OCD are, from a diagnostic as well as mediatic viewpoint, a very trendy phenomenon; it is also interesting to note that it occurred together with the coming out of the SSRI. A danger however results of this state of things: on the one hand, the excessive medicalisation of troubles that mostly depend on a psychotherapic approach; on the other hand, the standardizing of a syndrome that, beyond its apparent unicity, encompasses very different psychopathologic entities, which have to be sorted out first, before choosing the most suitable therapeutic approach.
The length of psychiatric therapies is often underlined. It is impossible to decide on which form of therapy is indicated--long-term- or short-term therapy--by the consideration of nosography alone. The quality of the relationship between the patient and the therapist is the best factor which determines the choice of the most appropriated therapy; because of the subjectivity of such a criteria, one must take into account ethical perspectives.
Psychomotor retardation, which is noted from the simple observation of the patient during the interview, may be considered as the best predictor of the efficacity of the antidepressor drugs. The major depressive episodes without psychomotor retardation are the most frequently encountered in clinical practice: psychotherapy alone is here relevant, without utilisation of antidepressor drugs.
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The authors report their experience on a workshop centered on brief psychotherapy (the STAPP model defined by Sifneos) in a postgraduate training in psychotherapy. STAPP, its extensed frame of reference and its relatively 'easy' access to study of essential paradigms, seems to constitute a priviledged tool in training psychiatrists to-be to the fundamental psychodynamics processes involved in psychotherapy. Provided the transferential and countertransferential issues are adequately met with (in individual and group supervision), it is lived very positively by trainees as such and has, moreover, a positive carry-over in so-called supportive therapies.
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Porphyrias is a group of metabolic diseases with different clinical aspects. However, the following case suggests that psychodynamic assumptions might be considered to explain a part of the symptomatology.
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