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Biomedical subjects

K Planansky

Publications and source records attributed to K Planansky.

11 recordsLinked to original sources

Psychotropic drugs and depressive syndrome in schizophrenia.

Lifelong records of schizophrenic illnesses were examined in order to compare the occurrence and characteristics of depressive syndrome in the pre-phenothiazine era and with neuroleptic treatments. It was found that a depressive syndrome similar to endogenous depressive psychosis develops spontaneously and independently of neuroleptic medication. The relationship of this endogenous syndome to the postpsychotic depression of other origin is discussed.

Adult↗

Depressive syndrome in schizophrenia.

A depressive syndrome, closely resembling melancholia, was found in a large proportion of chronic schizophrenic men. Depression was most prominent during acute psychotic phases and was characterized by a delusional core of worthlessness and guilt. The depressive syndrome may persist throughout the patient's psychotic life and appears to be an integral component of schizophrenic psychopathology.

Adult↗

Homicidal aggression in schizophrenic men.

In a sample of 205 hospitalized schizophrenics, 59 men were found who made verbal threats to kill or physical attacks some time during their illness. All homicidal aggression occurred during active phases of psychosis, typically in a setting of acute excitement and in recurrent illnesses. Paranoid diagnoses were overrepresented. Closely related females were the prime targets, suggesting a resentment of dependence on a woman. An impersonal, compulsive urge appears to be the motivating force leading to physical attacks.

Aggression↗

Preoccupation with death in schizophrenic men.

A systemic review of psychiatric histories of 205 hospitalized, schizophrenic men (veterans) revealed that 80 had expressed fear of dying, being killed, of no longer existing, or other evidence of preoccupation with death. These expressions of fear appeared either at the clinical onset of the psychosis, or during exacerbations, and often coincided with schizophrenic panic. The similarity of expressions of the fear among the patients was striking, and they were practically indentical from one exacerbation to the next. This consistency suggests that the fear of death stems from schizophrenic psychopathology rather than from individual situational influence. The explicitly stated preoccupation with death was quite common in this sample (40%), and contrary to expectation, was not limited to cases with favorable outcome.

Acute Disease↗

A survey of patients leaving a mental hospital against medical advice.

A consecutive series of 100 male psychiatric patients who requested release against medical advice during an 11-month period was compared with a control group consisting of a random sample of 100 patients admitted during the same period who did not submit such a request. The majority of those who submitted the request were alcoholics or schizophrenics. The authors found that a sizable number were either separated or divorced, were younger than patients in the control group, and were in more turbulent phases of their illness. A surprising finding was that 60 patients submitted the request while on an open ward.

Age Factors↗