[Peculiarities of psychosocial development in patients with endogenous depression].
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Biomedical subjects
Publications and source records attributed to O Bach.
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On three separate occasions, the authors taught at Gondar School of Medicine, attached to the University of Addis Ababa. They found that the neurological group of patients was determined by geographical rather than specifically tropical conditions, and that the psychiatric syndromes resembled those here, considerably influenced, however, by traditional rural medicine. The paper makes observations on comparative psychopathology.
The contribution deals with problems encountered during the psychiatric treatment of foreign patients, particularly with those from developing countries. It has been found that scope for socio- and psychotherapeutic treatment is very restricted and that the frequent necessity of returning these patients to their native countries leads to not unconsiderable conflicts. Questions of transcultural psychiatry are regaining importance in connection with increasing migration.
It is reported on the most important disease as a sequel of the intake of central-effective pharmaca (sedatives, hypnotics antiepileptics, analgesics and psychopharmaca). Psychopathological and neurological syndromes are described in detail.
The rehabilitative difficulties in part of the patients with schizophrenia are connected with premorbid disablements which lead to faulty social developments. An attempt is made to show by the example of some courses of diseases that the problems of these patients are largely similar; they are related to the patients entering the phase of vocational life, the establishment of appropriate partner relations and disturbed relations with the generation of their parents.
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Preliminary results obtained in epidemiological studies are reported. The data obtained shows extensive need for psychotherapy, with marked differences between urban and rural communities. Considerations on the present situation in psychotherapy are given and suggestions made for changes in the present system of treatment.
The authors report experience obtained with the use of Lyogen Depot in outpatient aftertreatment of schizophrenic psychoses. There has been observed a highly significant reduction in the number of relapses as compared with the time when this drug had not yet been available. A positive balance will be obtained especially in those cases in which it is possible for all patients to be systematically included in the dispensary treatment scheme.
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The present paper reports a model designed to optimize treatment of mental disorders. This model has as its basic principle the division into sections of the region to be cared for in addition to the restructuring of existing mental hospitals. The advantages of this model of sectionalisation are discussed in detail.
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