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Biomedical subjects

R Klussmann

Publications and source records attributed to R Klussmann.

At least 19 recordsLinked to original sources
PubMed1999

[Ongoing conflict situations and physical disease].

In most cases psychosomatic patients are not vitally threatened. Nevertheless almost half of the emergency patients have got psychical disturbances (e.g. neurotic heart disease, states of hyperventilation or vertigo). A reason is not only the personal development of early childhood. More often the problems are to be found within strained relations. The physical illness can be conceived as an (unconscious) attempt to master a conflict or loss, as narcissistic reparation, as adaption-effort or even as self destruction Selye's theory of stress presents the linkage between the organ pathology and the influence of the psychosocial situation. Examples of medical cases explain these correlations.

Adaptation, Psychological↗
PubMed1989

[Postoperative status of the duodenal ulcer patient. Review and personal studies].

Studies into the postoperative situation of duodenal ulcer patients have shown psychic factors to play a role in the context of both surgical achievement and the possibility of postoperative symptoms. These insights were supported by the authors' own investigations of vagotomised patients, primarily in the context of recordable factors of damage in early childhood. Postoperative results were worse in patients who had suffered severe trauma in early childhood. No answer has so far been found to the question for the relationship between hereditary factors and disorder of personality, primarily in the context of recurrence and development of new symptoms some time after surgery.

Adult↗
PubMed1989

[Life after urostomy. A retrospective study].

The study reported, which was based on a questionnaire and psychological tests, examined cystostomy patients with respect to the work-up and acceptance of their altered body. It was noted that 30% of the patients judged their situation as good, and 25% could accept the cystostomy, but a great many has to live with sexual disturbances, reduced social mobility, increased dependence, and psychic consequences; some had to give up their jobs. Sex, earlier psychosomatic diseases, developmental disorders in early childhood, which influence the personality, significantly affect the acceptance of the stoma. The problems are discussed. Suggestions are made, which include a plan for a holistic therapy.

Adaptation, Psychological↗
PubMed1987

[Syndrome shift following resection of a pathologic intestine and construction of an anus praeter: a comparison of ulcerative colitis, Crohn disease, rectal cancer and familial polyposis].

Postoperative changes of symptoms were studied in 347 patients with Crohn's disease, ulcerative colitis, carcinoma of the rectum, and familial polyposis. A semi-standardised psychosocial questionnaire and a list of complaints, according to v. Zerssen, were used as tools of investigation. The incidence of postoperative disease in patients with Crohn's disease and ulcerative colitis, within the first year from surgery, was higher with significance than that recorded from carcinoma and polyposis patients within the same period of time. Problems relating to identification of syndrome shift are discussed in some detail. The need is stressed for postoperative psychosomatic attention to the patients concerned.

Adenomatous Polyposis Coli↗
PubMed1985

[Inflammatory intestinal diseases from the organic and psychosomatic viewpoint].

The importance of psychiatric factors in Crohn's disease and ulcerative colitis is well recognized. This fact is demonstrated with two characteristic medical histories based on the psychoanalytic interview. The question of vicissitudes of symptoms following proctocolectomy is discussed on the basis of own investigations. The last part of the paper shows problems of patients with permanent colo- and ileostomy.

Adult↗
PubMed1984

[Uristoma and the psyche].

Patients with ileal conduit urinary diversion have a changed body image. They have to cope with this problem. The inner-psychic solution may be mature or pathological. The physician and the nursing staff are confronted with questions concerning the psychic integration of the stoma. Possibilities of support and help are discussed.

Adaptation, Psychological↗
PubMed1981

[The gout patient and his illness role].

Within a psychosomatic research program of gout 41 patients suffering from this disease were explored with the psychoanalytic interview and examined with the Giessen-Test. The remarkable findings concerning the illness behavior depend on the narcissistic personality of the gouty patient. Besides the wellknown mutual relationship between heredity and nutrition within the aetio-pathogenesis of gout psychodynamic conditions must be considered as additional factors for clinical manifestation of hyperuricemia.

Feeding Behavior↗
PubMed1980

[Sexual identity of gout patients].

Most of the gouty patients are men. It is very rare that menstruating women suffer from gout. Within a research program 41 male gouty patients were explored with the psychoanalytic interview and with other methods. It was surprising that most of them had almost no possibility for a normal identification with their fathers. The emotional ties to their mothers were on the other hand close and intimate. Further relations as to the family situation and to the present social status are pointed out. In addition to the uricosuric effect of oestrogen psychodynamic facts in the sense of latent homoerotic characteristics are discussed for the explaination of the fact that most often men are affected from gout.

Gender Identity↗
PubMed1979

[Psychosomatic medicine in the Munich medical outpatient clinic (author's transl)].

An outpatient clinic therapeutically situated between hospital and office of the general practitioner is to a particular extent suitable for research, teaching, diagnosis and treatment of psychosomatic diseases. The increasing importance of psychosomatic medicine, which is firmly rooted as a compulsory subject in the licensing regulations and as an insurance benefit as part of causal psychoanalytical psychotherapy, has also become better known to wide circles of the population. Our investigations emphasize the activities and problems of the psychosomatic advisory department of the Medical University Hospital in Munich.

Adolescent↗