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Biomedical subjects

J Delahousse

Publications and source records attributed to J Delahousse.

At least 19 recordsLinked to original sources

[Affective dependency and primary alcoholism].

The relationships between dependency and alcoholism have been studied in two groups of male subjects. In the first group 41 subjects met Spitzer's criteria for primary alcoholism and the 50 subjects of the second group were healthy. All the subjects filled out two rating scales, the Interpersonal Dependency Inventory (IDI) and the Beck Depression Inventory (BDI) (shortened version). The alcoholics were divided into depressives vs non depressives by the means of the score of the BDI. Comparing to controls the alcoholics scored significantly higher on the IDI, but there were no differences for this scale between the two sub-groups of alcoholics (depressed alcoholics, non depressed alcoholics). Interpersonal dependency seems to be a characteristic of the alcoholic personality without influence of secondary depression.

Adult↗

[Ferjol's asthenia syndrome. Apropos of a case].

The authors report a case of Ferjol's asthenia (hypochromic anaemia due to deliberately induced bleeding) occurring in the post-partum period in a young primiparous woman. After describing their hesitations about the diagnosis, they briefly review this curious syndrome.

Adult↗

[What does the painful "organ" represent in hypochondriasis?].

Hypochondriac patients defy medical practice, misuse medical language and discourage medical classifications. Their peculiar use of medical knowledge impoverishes the relational dimension, obscures the personal history as if the patient wanted to hold, to control and to maintain some obscure object within his body. When this hypochondriac defence is not powerful enough, the psychiatric condition becomes much worse. There must be some serious necessity to substitute to the obscure object of desire, the object of a universal knowledge; this necessity may happen in selective conditions. The psychodynamic study of such cases leads to the following hypothesis: decompensation occurs when the patient is no longer able to maintain simultaneously two antinomic positions toward the other: to keep his place and to keep the object of his desire. Consequently, he tends to materialize this object, in which he believes, wanting simultaneously to keep it inside and to reject it outside. Of course, this fundamental misunderstanding about desire leads the patient to ask impossible questions to medicine: naming the object (no longer of desire but indeed of faith) and expelling it (so asks he, but he does not really want). This constitutes, of course, a religious use of medicine: it is impossible for our knowledge to have a universal meaning and to respond exhaustively about each peculiar history.

Conversion Disorder↗

[An apperture effect in hypochondria].

It is usual to consider hypocondriac patients as jailed in their own bodies; of course, this jail may be a protection against declared paranoiac or paranoid states. However, our experience has shown us that in certain cases, there are some possibilities of aperture if we feel ourself free enough with our medical identity and if we keep silent as long as the patient is not able to hear us. A step is then allowed to him. Our prudent remark concerns the story which is then gradually revealed: it is often the story of the secret of maternal suffering which is enclosed in his own body.

Adult↗