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Biomedical subjects

J D TEICHER

Publications and source records attributed to J D TEICHER.

8 recordsLinked to original sources

ACUTE CATATONIC REACTION OF ADOLESCENCE.

In a study of 21 cases of catatonic schizophrenic reaction of adolescence, sexual conflict situations and stern religious orientation of the family were noted in most cases. Incest was a factor in four of the female patients and masturbatory guilt was a prominent reaction in the remainder. Sex education was mostly misinformation and threats of dire consequences for sexual activity. Fourteen of the cases involved broken homes for significant periods of childhood or adolescence. It was hypothesized that sexual conflict situations grew out of incompatible socio-cultural attitudes and normal adolescent psychological and physiological drives. We formulated the "defined body contact" technique as a means of facilitating the reversal of the catatonic behavior, which we saw as the primary device whereby the patient limited physical contacts. The contacts we used in this technique were defined explicitly and implicitly as non-sexual.The catatonic symptoms remitted in days to several weeks in 13 of the cases. Seven patients required electroshock therapy. Twenty of the 21 patients returned to their homes or to non-institutional residences. The length of hospitalization was materially influenced by the degree of readiness of the outside environment to accept the returnee.

Adolescent↗

Psychotherapy of adolescents.

Adolescence is a period marked by turmoil due to inner and outer pressures. Adolescent behavior is a way of coping with the many internal, biological changes and faulty control mechanisms. Adolescents have to live up to many social demands, which mostly demand that they grow up, And yet they have considerable doubts about their abilities. In this turmoil of inner and outer pressures, young people, finding it difficult to trust anybody, reject from adults the help they are seeking. The task of therapy is to facilitate the healthy maturation of the adolescent, to help him develop a concept of an independent self with increasing mastery of the integrating part of the personality, which modifies, selects, controls and coordinates inner drives and modifies those in conflict with external reality.

Adaptation, Psychological↗

The child's sexual life; a consideration of clinical implications.

A healthy sexual life begins in childhood, and the groundwork for later difficulties also begins in childhood. For the child, sexuality is a rather general, pleasurable excitation, not a specific genital stimulation. Excessive attention to the perineal area, operation upon or injury to the genital area and injections are vicissitudes which may have an unhealthy influence on later sexual development. Healthy and informed parental attitudes are the key here, just as they are in the normal exhibitionism, curiosity and intense emotional attachments to parents. Parents infect children, healthily or unhealthily, with their attitudes. In healthy growth exhibitionism and peeping become transformed in socially acceptable ways. In unhealthy growth, either perversions or strong reactions like over-modesty or shame result. Masturbation is common and transitory in most children. Parents, and especially pediatricians to whom parents turn, have a golden opportunity to direct healthy growth by being well informed about the infant and child's sexual growth and thus be enabled to advise upon or manage the common developmental phenomena with good commonsense and patience. Infants and children do not enter the world possessing the morals, standards or inhibitions of adults.

Adult↗

Normal psychological changes in adolescence.

It behooves physicians to be aware that adolescents are different people, that they have a vast capacity for change, that they often exhibit the sickest kind of behavior, which may be very frightening to us and to them. Physicians have to be able to wait and not become panicked by the turbulences, confusions, and contradictions that mark the adolescent's behavior; to keep in mind at all times that much of what is going on is relatively normal behavior in the drive toward maturation and adulthood; that the adolescent has to cope with his sexual drive which is continually frustrated, that he has to cope with the problems of emancipation from parental authority, that he has to cope with an aggressive drive to achieve and to dominate.Parents, too, have to be understanding and ready to render unselfish support, for they continue to be the source of strength and security, and even the source of healthy restrictions. Adults must be aware that the adolescent struggles with his conscience and its dictates, and we should look upon cliques, groups and clubs as a healthy assistance in the preservation of standards, ethics, and mores.

Adaptation, Psychological↗

Enuresis; a critical review of the symptom.

Enuresis is a symptom for which many kinds of treatments ranging the gamut of unscientific medical practices have been tried. To establish bladder control at the appropriate age is important because it means self-control, one of the foundations of a healthy personality. In most children with enuresis there has been no convincing demonstration of organic pathology of the urinary system. The cure of enuresis lies in the correction of psychological causal factors such as sibling jealousy, suppressed hostile feelings and sex difficulties. Routine urologic investigation of enuresis is unwarranted and unkind, unless there is a valid medical indication. Any therapeutic program for enuresis should center upon the child and not his bladder.

Child↗