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Biomedical subjects

H Mester

Publications and source records attributed to H Mester.

At least 19 recordsLinked to original sources

[Dexamethasone suppression test in anorexia nervosa].

In patients suffering from anorexia nervosa (n = 20) a significant correlation was found between pathological DST results and weight loss. In this respect, patients with bulimic symptomatology do not differ from the main anorectic group. In addition, the correlation was unaltered by the length of the disease. These results are interpreted as indicative of secondary regulatory disturbances of the hypothalamic-hypophyseal-adrenal axis, whereas they are inconsistent with a close connection between anorexia nervosa and endogenous depression. As demonstrated by other authors, weight change exerts an influence on DST results in endogenous depression as well.

Adolescent↗

[Exhibitionism--a criticism of only biologically oriented interpretations of this sexual disorder].

Attempts at explaining exhibitionism as being a mere relic of an instinct which--characteristic of the earliest phylogenetic stages--reappears in a limited number of males, fail to recognize the nature of this sexual disorder which is so frequent in our civilization. Such an explanation not only remains vague and speculative but deserves criticism also for being incomplete. The organisation of exhibitionism is more complex than that. There is a striking resemblance to certain rituals of negative tropism. The motives of the delinquents originate in a deeply rooted disbelief in ever being recognized in their masculinity. Thus there are episodes when the genitals are practically utilized: After an humiliation for instance, the exposure of the genitals is employed to alleviate conflicts in connection with strong feelings of inferiority. By means of the phallic demonstration the person concerned attempts to regain his self-respect and to establish for himself the prestige of a normal of even superior male.

Arousal↗

[Phenomenology and history of the origin of exhibitionism].

Exhibitionism should not be misunderstood as a throw back into phylogenetically highly primitive "sexual advertising". The issue is also missed if one shares the widespread belief that at least some of the cases could be explained by an abnormally increased sexual drive. This sexual deviation mostly appears for the first time at the turn of the second to the third decade of life. The relatively close association with age is not conspicuous when we take a look at first police reports or at the sum total of culpable criminal offences. Only about one-tenth of the cases concern late delinquency beyond 35 or 40 years of age. More than 75% of the adult delinquents had married. Marriage practically never implied a turning-point within the sexual maldevelopment, perhaps also largely due to the specific choice of the spouse. It is more likely that the original conflicts are even aggravated as a result of the confrontation with the marriage partner. There is a sharp contrast between the general tendency on the part of the exhibitionists to follow a set behavioural pattern which is stereotyped and rather mechanical, on the one hand, and the wide variety of "victims" selected by many of these delinquents on the other. There is also a noticeable affinity to theft and misappropriation of property--a criminologically interesting aspect. Among the factors contributing to a lack of self-concept and deficient feeling of male identity, the following have been determined to act in combination with other negative influences: The delinquents grow up in a large family comprising many brothers and sisters, a highly significant factor being a predominance of boys among the siblings; often, there is no positive male reference person as would be represented by the father; or the patient is himself an illegitimate offspring. There may often be a physical malformation or handicap acting as a kind of social stigma. This can result in amplifying the subjective feeling of rejection or non-acceptance. Conflicts of the type of a dysmorphophobia were in far more than one-third of the examined 40 patients contributory to the prerequisites of sexual anomaly. Lack of confidence in one's own capacities is one of the main factors in preventing the delinquents from being professionally as successful as their fathers--which would offer a chance of raising their self-esteem. Self-limitation because of strong aggressive inhibition seems to be the main reason for the albeit slight deterioration in status-determined behaviour and hence social status.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

[The wish of a woman to alter her breast size - a contribution to dysmorphophobia].

The wish to have plastic surgery performed in order to reduce or augment the size of the breasts may be interpreted in practically all cases as a neurotic manoeuvre. The mere recording of the most important biographical data soon reveals how the patients in choosing their partners were lead to a large extent by internal principles. The pathological components of the relationships which these women establish with a man differ widely from the marital relationships among people with a different basic neurotic structure. That these differences can be shown in a relatively small number of case histories, only proves the prevalence of the internal principles which govern the biographic development. The biographies of the women who for cosmetic reason undergo plastic surgery of the breasts bear a remarkable likeness to one another and differ distinctly from the lifestyle which are prescribed by their unconscious conflicts to women with anancastic characters or manifest compulsive symptoms. The phenomenon of such a pathognomonic formula which develops into a "destiny neurosis", can be outlined only by the statistical description of external biographical events. Among the patients who wished to have the size of their breasts reduced, severe psychic disorders were significantly more frequent than among the women desiring surgery for the enlargement of their breasts. In the former group more than half the cases showed symptoms of either anorexia or bulimia. In these adolescents with severely increased impairment of their self concepts the way in which autoaggressive tendencies are to be put into action indirectly becomes particularly evident, namely by the surgeon's hand.

Adult↗

[Anorexia nervosa].

Explore the source record for details and available documents.

Anorexia Nervosa↗

[Biology of lapwing lice].

(1) An analysis of the correlation between the number of chewing lice appearing on the nestlings of lapwing and their age is presented (fig. 2). As soon as a few hours after hatching most of the birds are parasitized by at least two species of mallophaga. Specimens of Quadraceps rapidly increase in the total during the first week of the host's life. At this time they predominantly inhabit the down on the belly. On waders this genus is abundant and generally takes the dominant position in frequency, while members of the superfamily Amblycera remain scarce components in the simple communities constituted by the parasites (fig. 3). -- (2) Nothing is known about a niche overlap of Austromenopon and Actornithophilus. Probably some competition exists between these genera on a certain host, as the mean-times of numerous occurrence and of transmigration from a parent bird to the nestlings are different in the two species considered (fig. 1). Confident generalization are not permitted, however. (3) Quadraceps junceus is an habitual blood-feeder. Most females of this species are haemophagous when invading the nestlings but males select blood only occasionally. The difference in food preference shown by the sexes proved to be highly significant and may be innate. Hence, perhaps the females have to seek a blood meal before maturation of the eggs just as mosquitoes do. Actornithophilus swarmed from the corpus of its host immediately fro considerable distance. (4) In sporadic cases overcrowding of feather-lice occurs even on birds which show no signs of weakness or injury. So far such outbursts of a population have been found only on full-grown birds, however. Here an example is given concerning a lapwing's nestlings that had hatched the same morning. In turn, attention is drawn to the factors normally regulating the variation in the order of dominance among the parasites involved and limiting their population-size. As a rule juvenile birds possess larger populations of mallophaga than adults do (fig. 4).

Animals↗

[Incidence of Upupicola upupae in the crest of the hoopoe].

Hopoes belonging to waves of migrants through the Balearic Islands in August and September showed high rates of infestation by Upupicola upupae (77--85 p. c.). The parasite species was almost exclusively confined to the long and mobile feathers of the bird's crown. And at this time of the year the Mallophaga had put their egg cases on the crest feathers, too. A mean of 7 feather-lice was found at this localisation in 8 positive cases sampled. As some of the birds were moulting just these parts of their plumage, a relative high loss of the lice egg masses had to be expected. Evidently, in these cases, the lice didn't adaptively synchronise laying with the period during which moulting occurs. The wings of hopoes are conspiciously barred glossy-black and white. Here the relative dark coloured lice were sitting predominantly in a dark feather area. In these places they were much less visble than on a neighbouring white area. Thus the parasites hide themselves according to their colour.

Animals↗

[Induced "acarophobia"].

Although only ablut 240 cases of 'acarophobia' are on record in zoological and medical literature, it can be seen that this delusional syndrome without doubt leads to psychoses of association more frequently than any other mental disturbance. The literature contains many references, and the author can give two examples from personal esperience. At least every sixth patient suffering from delusions of parasitosis 'infects' relations. This really remarkable tendency to spread by psychological contagion on one or more dependent persons has been ignored by many writers. The supposition that such occurrences are very rare proves to be false. Sometimes the associated who acquired the symptons in an absolutely identical fashion seem to be more worried by the vermin they hallucinate than the initiators are. The number of patients constituting an affected group is following a Neyman distribution. Emphasis is laid on the finding that the proportion of consanguineous persons within the sample of patients who showed an induced delusion of parasitosis is by far less high than in other psychopathological forms of communicated insanity.

Female↗