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Biomedical subjects

H Kulawik

Publications and source records attributed to H Kulawik.

At least 19 recordsLinked to original sources
PubMed1990

[Chronic depressive syndrome--characteristics and therapeutic possibilities].

The files of 322 patients with depressive syndromes in the period 1978-1987, covering 413 in-patient treatments, revealed therapeutic factors whose tendency is to lengthen the period of hospitalisation. There is no indication of therapeutic factors with a tendency to reduce the length of time spent in hospital. Lithium treatment was again shown to increase the hospital stay (chronicity of the overall disorder), others being (treatment with/Netofenazat), electric shock treatment during the initial disorder, and optimum simultaneous treatment with thymoleptics.

Adult↗
PubMed1986

[Chronification of neuroses--on the critical phase of the inpatient-ambulatory care transition].

The contribution deals with the critical transition from ward treatment and follow-up care as an outpatient. Patients with primary psychic maldevelopment are compared with those of a secondary psychic development. Changes in symptoms and personality were measured with a battery of tests during a pre-post follow-up study (intervals of eight weeks between tests). Special attention is paid to changes after discharge from hospital and deterioration, which was common among the patients with secondary psychic maldevelopment, is discussed.

Ambulatory Care↗
PubMed1986

[Treatment of atypical and neurotic depression].

Hitherto it has not been usual to talk in the German language about the therapy-oriented concept of two forms of the progress of atypical depression (Type A and Type V). The characteristic symptom of Type A is angst, together with phobias, physical complaints, etc. In Type V there are vegetative symptoms, often towards evening (Hypersomnia, difficulty in getting to sleep, increased appetite, increased weight, increased libido), accompanied by hysterical extrovert personality traits, and of intermittent occurrence. These clinical pictures are amenable to psychopharmalogical therapy. In conformity with the assumption of "somatic accommodation" treatment with antidepressives is recommended in the case neurotic depression, too, at least in the initial stages of treatment.

Antidepressive Agents↗
PubMed1982

[Appearance and handling of "primitive" defense mechanisms in group psychotherapy].

Encouraged by the demand aired by Soviet authors for the identification of "ineffectual forms of psychological defence" and their replacement by "more productive" one, we have taken an experiment lasting four weeks that we performed with an open dynamic group as an opportunity to discuss the appearance of defence mechanisms within the group. At the beginning of group-centered non-directive treatment so called primitive defence mechanisms (denial, idealisation, projection, regression) appeared. The absence of a normative structure in dynamic group-centered non-directive psychotherapy reactivates "primitive" anxieties and the corresponding defence mechanisms. The method of dealing with these defence mechanisms is finally described and explained.

Adult↗
PubMed1982

[Neurosis concept--sociology in the service of psychotherapy].

In view of the prevalence of neuroses (10% of the population are affected) the character of these disorders is considered critically. The more or less unconscious intrapsychic conflict situation and the use of transfer analysis for therapy are considered important. As an example the results of a screening action performed on 6,796 male subjects in Schwedt are tested in respect of their compatibility with the neurosis notion propounded by the authors. Relationships between the character "neurosis" and the variables "smoker", "body weight" and "physical activity" are discussed in respect of their consequences for choice of therapy.

Adult↗
PubMed1982

[A combination of psychotherapy methods. Interim assessment and reconsideration].

Subject of our investigation was to analyse the results of our applied psychotherapy with in-patients at the Charité in the decade from 1968 to 1978. Contrary to our theoretical considerations regarding the combination of methods the practical results proved the success to combine under the specific conditions at the Charité symptom-centered and personality-centered procedures. Concentrating on the personality-centered aspect of the therapy this combination is not just under the economic point of view more efficient, but is also prevents far more intensive the relapse-rate of neurotic disorders with our patients.

Hospitalization↗
PubMed1982

[Creative-work therapy as an essential method in the complex treatment of neuroses].

A specialized psychotherapy of neurotic developments should take aim at elucidating the more or less unconscious intrapsychic roots of these disorders. A clinical task in the medical psychotherapy is to facilitate and to promote the abilities of the patient to experience himself more adequate. We attribute to the experience a central role in the treatment. In this sense the creative work therapy is a valuable supplementing method in the group-psychotherapy by means of loosening instinctive impulses, making more transparent intrapsychic conflicts and facilitating to deal with these conflicts in a constructive way. This psychotherapeutic method furthermore stimulates the self-experience of the patient by improving his ways of communicating. By this better preconditions and stimulations for a constructive way of coping with the social milieu are created. Methods and techniques are represented in detail.

Humans↗
PubMed1982

[Combination of dynamic group psychotherapy with psychodynamic individual therapy].

Dynamic Group psychotherapy has proved to be suitable in the treatment of neurotic disturbances and has found extensive application in the GDR. Theoretical considerations and practical experience suggest the recommendation to combine the group work with individual psychodynamic treatment in narcissistic personality disturbances, in borderline personalities and in patients without an emotional embedding in a social community. The indication for such a combination is additionally considered to be present in long-lasting disturbances of the character.

Borderline Personality Disorder↗
PubMed1979

[Diagnosis and therapy of neurotic depressions].

The causes of depressive syndroms differ from case to case. Frequently, the cause of disease cannot be reliably determined from the cross-sectional picture alone. Rather, it is necessary to give careful consideration to heredity, longitudinal analyses, and psychodynamics. The etiopathogenesis of neurotic depressions is discussed for the four different forms of neurosis by reference to the classification of neuroses recommended in Bad Elster in 1969. To make the psychodynamics of neurotic depressions understandable, loss of object, oral regression, pathological narcissism, and defense against aggressions are used in the sense of metaphoric model concepts and discussed in detail. Psychotherapy and its principal objectives are not only discussed in respect to genuine neurotic depressions, but it is also shown how it can be made an integral part of a differently accentuated, predominantly somatic therapy.

Depression↗