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G Victor

Publications and source records attributed to G Victor.

22 records · Page 2Linked to original sources
PubMedDate not supplied

Aortic dissection and Turner's syndrome: case report and review of the literature.

Cardiovascular abnormalities are frequently encountered in patients with Turner's syndrome. These include coarctation of the aorta, aortic root dilatation, bicuspid aortic valve, atrial and ventricular septal defects. Aortic dissection is a rare but devastating complication of Turner's syndrome that usually occurs in adulthood. We report a case of Turner's syndrome with coarctation of the aorta and chronic aortic dissection, and review the relevant literature. There have been 21 prior reported cases of aortic dissection in patients with Turner's syndrome. Possible etiologic factors contributing to the occurrence of aortic dissection in this syndrome are protean. They include the presence of cystic medial necrosis, coarctation of the aorta, bicuspid aortic valve, aortic root dilatation, and hypertension, although cases of aortic dissection and Turner's syndrome have been described in patients without any risk factors. As our knowledge of the natural history of congenital heart defects and risk factors for aortic dissection in Turner's syndrome is limited, periodic cardiac evaluation of these patients may be warranted. Early recognition and treatment of this potentially lethal complication of Turner's syndrome is essential.

Adult↗
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Interpretations couched in mythical imagery.

Conventional guidelines favor terse, mundane, unambiguous phrasing of interpretations, and the use of fanciful interpretations is rare in psychoanalytic literature. Some theoreticians have advocated interpretations that have multiple meanings and evoke primitive sensory and emotional responses. The latter functions can be served by metaphorical and especially by mythical interpretations, and their use in analytic therapy is suggested. Mythical interpretations tend to help the patient experience and express the forbidden and irrational; they imply that the therapist has a deep understanding of the patient. These effects are attributable to the psychodynamic determinants of myths and their cultural functions. Mythical interpretations further tend to provide implicit gratification to the patient, foster regression, and influence the patient's perception of and response to the therapist. Indications for use have yet to be worked out beyond preliminary speculations, and countertransference possibilities appear substantial. All of these considerations bear on the therapist's discretionary use of mythical interpretations.

Countertransference↗