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R R KOEGLER

Publications and source records attributed to R R KOEGLER.

18 recordsLinked to original sources

DRUGS, NEUROSIS AND THE FAMILY PHYSICIAN.

Many of the milder emotional disturbances, especially those which manifest themselves by vague physical symptoms, can be treated by physicians who are not psychiatrists. The stronger tranquilizing drugs, such as chlorpromazine, are not suited for most non-psychotic patients. If a patient is sick enough to require chlorpromazine, he should be referred to a psychiatrist. The newer antidepressant drugs are also mainly for severely depressed patients, and they also need a psychiatrist's care. There are many patients, however, who will respond to a mild tranquilizer, such as meprobamate, plus 10 to 20 minutes of discussion with the physician. Those who do not show definite improvement within ten interviews should be referred for psychiatric consultation. Most of the beneficial effects of drugs in non-psychotic patients are related to the attention and interest of the physician who prescribes them, and he should always take a few minutes to discuss the patient's problems with him.

Antidepressive Agents↗

Effects of perceptual training at three age levels.

Children 6, 7, and 8 years old were first tested for their ability to reverse figure and ground and then given special training in this skill. Although all the children's ability improved greatly with practice, the initial differences between the age groups were still apparent both immediately and 1 month after training.

Aging↗

Wanted: a biochemical test for schizophrenia.

Recent discoveries and refinements in technique in the field of biochemistry have led to renewed interest in the idea that a test can be developed for the diagnosis of schizophrenia. Studies directed toward that goal have included investigations of biological amines, carbohydrate metabolism, epinephrine metabolism, serotonin, taraxein and ceruloplasmin. No conclusive evidence of any biochemical abnormality in schizophrenia has been found. Although careful studies in adults have failed to confirm a theory that ceruloplasmin levels are abnormally high in schizophrenia, the surmise that it might be true in schizophrenic children was investigated, since constitutional factors seem to be very important in this condition. Thirty-four schizophrenic children and a control group of 13 "behavior problem" children were investigated. No difference was found between the two groups in serum content of copper, ceruloplasmin or ascorbic acid.

Adult↗

Diagnosis of schizophrenia in young children.

Schizophrenia can be discovered in pre-school children by observation of: Social indifference; uneven and intermittent motor or physical development; irregularity in speech development with tendency toward infantile speech; early fear of falling or rising, giving way to obsession with jumping and falling; excessive interest in spinning toys and circular motility; and preoccupation with body periphery-hands, feet and hair.When the physician observes these symptoms, or is consulted about them by the parents, clinical appraisal in consultation with a pediatric psychiatrist will usually suffice for diagnosis. Early treatment-before school age-is important for the child's future development.

Child↗