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Biomedical subjects

H Schepank

Publications and source records attributed to H Schepank.

At least 55 records · Page 3Linked to original sources
PubMed1987

[Social support and psychogenic disease. Results of an epidemiologic field study].

Within the framework of an Extensive epidemiological field study on the prevalence of psychogenic illness among the "healthy" population of a large city, the question of social network and stressful personal experiences was asked in order to test a hypothesis. The results showed that people who suffer more intensely from psychogenic symptoms (psychoneuroses, psychosomatic illnesses, manifestations of character neurosis) clearly often lack a protective network of close reference persons.

Adult↗
PubMed1984

[The Mannheim Cohort Project--prevalence of psychogenic diseases in cities].

For the purpose of our research project the term 'psychogenetic disorders' covers psychoneuroses , character neuroses in a broader sense, and functional-vegetative as well as psychosomatic affections. So far information concerning basic descriptive-epidemiological data, especially the frequency of occurrence and the dependence upon demographic variables of the above mentioned disorders, is insufficient and controversial. Even less satisfactory is our information on the progress of these disorders. The specific difficulty with the diagnostic apperception of these disorders in particular requires field research within the entire population. Only by means of such a very expensive procedure can valid information on the true prevalence or incidence of the above mentioned disorders be obtained. Moreover, for a follow-up design each test subject must be examined several times by highly qualified experts, each examination requiring his personal presence. The "Mannheimer Kohortenprojekt" involves six hundred test subjects, two hundred each born in 1935, 1945, and 1955, selected at random from the 'normal' general population. They were examined with the aid of a structured interview schedule oriented on psychoanalytic principles and with other instruments (lists of complaints, inventories of life events, FPI-tests, etc.). Results from the first three-year investigation period include: Out of the total of six hundred test subjects twenty-five per cent are "cases". Women are significantly in the majority. Apparent is an obvious connection between different types of complaints and the social class of the test subject. Identified disorders show correlations with life events on the one hand and with early childhood disturbances on the other.

Adult↗
PubMed1980

EEG differences in neurotic as compared with normal twin pairs.

The resting EEGs of 17 twin pairs originally traced through one neurotic co-twin (10 monozygotic and 7 dizygotic pairs aged between 18 and 63 years) have been described and compared with the neuroticism scores (Schepank, 1974) of these twins. EEG comparison according to the customary visual criteria failed to show any consistent EEG differences between monozygotic co-twins, whereas dizygotic pairs often showed EEG discordance. Computerized time-domain (interval-amplitude) analysis failed to show a higher degree of EEG discordance between neurotic MZ co-twins than between co-twins in 25 adult nonneurotic male MZ pairs (age range 18--33; mean age 22.9 years). There were no significant correlations between EEG differences and differences in the neuroticism score among ten MZ pairs traced through a neurotic co-twin. It is concluded that the individual and genetically determined EEG pattern is manifest even in the face of the long-lasting psychological alterations observed in neurotics.

Adolescent↗
PubMedDate not supplied

[Discordance analysis of monozygotic twin pairs. Case study on psychogenesis].

We performed a discordance-analysis on six pairs of identical twins. They were selected from a large series of neurotic patients who came to visit one of two psychoanalytic outpatient departments. The results of this elaborate case studies are discussed here. The classical twin methods usually will help to clear the question of naturenurture-relation. Contrary to this the aim of discordance-analysis is to proof specific environmental factors which influence development of neurotic illness. The application of this method is rarely possible, because several conditions have to be fullfilled: The patients have to be identical twins; they must be available and willing to undergo psychoanalytic interview; apart from this they must present discordant neurotic complaints.--By a very exact analysis of the early childhood influences we can draw conclusions about psychogenesis of neutotic illness in later life. This method owns extraordinary advantages because of the existence of a control person with identical genetic outfit.

Adolescent↗
PubMedDate not supplied

[Psychotherapy motivation and psychotherapy acceptance. Initial results of the Mannheim intervention study].

In our controlled longitudinal study of a representative high-risk sample of psychogenically impaired individuals, within a multidimensional model of mental health, the variables "life event", "social support" and "personality" are examined concerning their analysis of variance and their interdependence. We assume that a therapeutic influence on the variable "personality" causes a modified risk of becoming psychogenically impaired, and intend to prove this in terms of the altered maturity of defenses, the improved ego-functions, but also in terms of the improvement of the social network and the rarer constellation of critical life events. The modified effect on the variable "personality" is a differential offer of psychoanalytic therapy. By means of our instruments of investigation we tried to clarify if the acceptance of psychotherapy offered to resp. the motivational situation of our probands in regard to a psychotherapy covariates with certain sociodemographically or depth psychologically measurable personality patterns. There was a trend towards accepting the offer of therapy in case of high psychical and socio-communicative psychogenic impairment and in case of relatively high frankness on the FPI scale. The acceptance of an offer of therapy correlated highly significantly with the frankness scale of the Bond questionnaire extended for several defense items. The implications of this finding are discussed.

Cohort Studies↗
PubMedDate not supplied

[Japanese methods of psychotherapy and their socio-cultural determinants. Impressions from Japan together with a report on the IV Congress of the International College of Psychosomatic Medicine, Sept. 5--9, 1977 in Kyoto].

Impressions of a congress-visiting-journey through the highly-industrialized far-east Japan are the background for description of specific Japanese Psychotherapeutic-technics f.i.: the Morita-therapy, Naikan-therapy and the Fasten-therapy. To the analytically trained Psychosomatic-specialist of western mentality those medical applications appear rather bewildering if not frightening. Their psychodynamic and their effectiveness become more understandable regarding the social-cultural conditions in modern Japan founded and grown on a tradition thousands of years old. Psychoanalysis can't prosper there. During the congress of the ICPM (International College of Psychosomatic Medicine) in Kyoto it became evident to the author by visits to clinics and above all by experience of typical Japanese travelling impressions, how much just psychotherapy and it's special drive-dynamical intentions are to a major degree depending on social-cultural development, the norms of value, the religion and the philosophy of a society.--Nippon is unique--strange and fascinating.

Congresses as Topic↗