Biomedical subjects
Publications and source records attributed to R Schors.
The Arbeitsgemeinschaft Basisdokumentation presents the DKPM-Basisdokumentation, which is conceptualized as a uniform modul of a documentation system for the routine-like use in the in-patient psychosomatic and psychotherapy. We outline possibilities of use, aspects of the data security and the data access as well as some practical presuppositions.
Two groups of patients with psychogenic pain syndromes were compared: in one group, pain was the sole major clinical complaint; in the other symptoms of depression also presented in addition to the pain. In both groups, the patient considers himself to be physically ill, despite the absence of organic findings. On the basis of the clinical examples, the psychodynamics of chronic pain is discussed with respect to primary and secondary epinosic gain, conscious and unconscious processes involving personal loss, proffered offences, desires and affects. In the absence of depressive symptoms, the psychological organization of pain can be understood as a substitution. Such a situation leads to a "stabilization" of the symptom and more prolonged chronicity than when depression presents at the same time, since in these patients, referral for psychotherapy is delayed.
In our sample of psychotherapy outpatients (n = 562) age, gender and education do not influence satisfaction measured by questionnaire. Patients with low satisfaction showed more depressive symptoms, conflict reactions, psychotic/borderline symptoms and come into therapy more often. Patients with higher satisfaction showed to be more hysteric and had more psychosomatic symptoms. Indication for therapy depends more on (dis)satisfaction than on diagnosis. Dissatisfaction with a certain area affects indication for therapy less than statistically evaluated types of answers. Those types (satisfaction or dissatisfaction with all areas) are interpreted as a sign of psychological dedifferentiation. Satisfaction is a subjective phenomenon and does not depend on objective facts.
An empirical investigation (questionnaire) of satisfaction with the professional, financial and sexual situation, relationships and life in general of psychotherapy out patients (n = 562) showed high dissatisfaction with all areas. Life satisfaction showed to be the lowest, financial satisfaction was comparably high. Two main types were found by statistical analysis: one showed satisfaction in all areas, the other one showed dissatisfaction in all areas, both types covering approximately 40% of the sample. The other three types and the antitypes are of lower importance. Satisfaction with relations is a necessary, but not sufficient condition for life satisfaction, professional and sexual satisfaction is also of albeit lower importance.
In this investigation 82 patients with various head traumas are examined with respect to time and duration of retrograde, congrade and anterograde amnesia, especially the dependence of their duration on the severity of trauma. The more severe the trauma, the longer the duration of all forms of amnesia, the retrograde being the shorter whether there is a loss of conscience (congrade amnesia) or not. A tendency of amnesias to shrink could only be examined following mild brain trauma and occurred seldom. Our findings suggest that short amnesias have less tendency to shrink than long ones. The distribution of amnesias support cybernetic memory models. As a consequence of our findings we give recommendations for the clinical evaluation of patients with head-brain trauma.
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L 929 mouse fibroblasts were cultured as monolayers with different amounts of sodium fluoride, corresponding to those used therapeutically. Proliferation of the cells was inhibited in the logarithmic phase of cell growth. There was no change in the protein concentration in the cells, but the concentration of hydroxyproline containing substances in the cells increased while that of hexuronic acid containing substances decreased. The changes in proliferation and in the concentrations of hydroxyproline containing substances and hexuronic acid containing substances were statistically significant. Although the findings cannot be explained in detail it can be concluded that at therapeutic concentrations sodium fluoride has a definite action in contact with the fibroblast, the typical connective tissue cell. This dose dependant action corroborates clinical experience.