[Expert opinion on neuroses].
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Biomedical subjects
Publications and source records attributed to G Mentzel.
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Four different types of transpiration which are to be found in psychophysic disturbances as well as in healthy are specified in correspondence to four basic forms of conflict life. Statistically a significant relation was proved between three of these types of transpiration and three of the personality structures. Some ideas about the behavioristic context of transpiration are discussed on the background of examples from the cynological literature in lack of others.
The symptomatology of workaholism (work addiction) was presented in the form of a questionnaire and compared with other forms of addiction, especially alcoholism. Then a case was used as example to illustrate the development of the illness and its psychodynamics. The therapy procedure was also briefly explained. Moreover the psychodynamics of workaholism (work addiction) are described, once again in comparison to other addictions. Finally the author gives general guidelines for therapy.
A diagnostic key and glossary of psychiatric illness are arranged in a new order with the numbers 300-308, along with a suggestion for the integration of psycho-vegetative disorders with psychic or physical symptoms. They are represented from neuroses and psychosomatic illness in a narrow sense which are also arranged in a new sequence. A statistic of examination of 500 patients demonstrates the diagnostic distribution with the new scale. This new structure enable a new systematic for diagnosis.
The structure of patients' specific expectations as to their "rehabilitation cure" in a psychosomatic rehabilitation clinic is demonstrated by means of a statistical study over 100 patients. Thereafter a collective of 500 patients of such a clinic is discribed in detail as to symptoms complained, duration of symptoms, prognosis, and psychotherapeutic results. At last, a review is given following up the further development of 247 rehabilitation patients; this review is prooving the effectiveness of group psychotherapy in the treatment of these patients.
Based on quotations from Freuds writings on the actual neurosis and quotations from Schultz-Henckes writings on neurasthenia and nervousness, the psychodynamics of psychovegetative disturbances are demonstrated through an examplatory case. In a first attempt the symptoms are categorized, a classification is proposed, and the differential diagnosis is reflected. Next a report is given about the special defence-mechanism known as repression, the highly strained ego-ideal, and the importance of the triggering situation in relation to the etiology. Psychodynamic hypothese about psychovegetative disturbances are supported through therapeutic experiences.