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Biomedical subjects

P Joraschky

Publications and source records attributed to P Joraschky.

4 recordsLinked to original sources
PubMed1991

[Psychological disorders masked as physical symptoms. Problems in the diagnosis of masked depression].

In unclear clinical pictures, the diagnosis "masked depression" is often made, and forms the basis for anxiolytic and antidepressive drug treatment. What is required, however, is a positive diagnosis of a functional syndrome with predominance of a depressive symptomatology. This diagnosis is not simply based on vegetative symptoms, but also has to include psychological and psychodynamic criteria. This consideration of the patient's subjective reality is necessary for a stable therapeutic alliance, especially since therapy is a long-term undertaking.

Affect↗
PubMed1990

[Dysmorphophobia in dentistry].

Patients suffering from dysmorphophobia with symptoms involving the masticatory system, i. e. teeth, mouth and jaws, were subjected to comprehensive examinations in close cooperation with the psychiatric profession. In rare cases the problem underlying the urgent desire for treatment in difficult patients is a disease known as dysmorphophobia. The signs of this disease that become evident in the dental office and the specific personality features of the patients affected are described and demonstrated in three typical case reports. Our experience has shown that irreversible and isolated dental manipulations are to be avoided. An interdisciplinary treatment objective (besser: approach?) integrating dental treatment into a greater therapeutic context is proposed.

Adolescent↗
PubMed1989

[Delusions of parasitic skin infestation in elderly dermatologic patients].

In a study on 21 patients, who had been treated at the Erlangen Dept. Dermat. for delusion of parasitosis during the last 17 years, we compiled catamnestic data, evaluated the personality profiles, and focussed upon the interrelations between the clinical symptoms, the outcome of various psychological tests, and the course of the disease. Our sociographic results agreed well with those of earlier studies (i.e. social isolation, conflicts in or loss of partnership and sexuality). Nearly half of the patients complained about depressive moods which, however, could not be psychometrically proved. In every fifth patient, we detected a propensity to paranoia both clinically and psychopathometrically, indicating the development into paranoic delusion. In general, the patients' aggressiveness was found rather low. Nor were there any hints for organic psychosyndromes in the majority of the patients. We conclude that delusion of parasitosis usually represents a solitary phenomenon of primary psychosis, which can largely be regarded as a monosymptomatic hypochondriac disorder. Successful treatment with neuroleptic drugs depends on a confidential interrelation between patient and physician.

Adult↗