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R Sel

Publications and source records attributed to R Sel.

2 recordsLinked to original sources

Dissociation as complex adaptation.

In this article the general theory of complex adaptive systems, substantiated by non-linear dynamics, will be used to put the dissociative disorders into a theoretical framework and clarify their genesis and presentation. When a system is far out of equilibrium, dissipative structures may be formed ('order out of chaos', as Prigogine (1) has put it). These structures provide the starting point for further evolution and co-evolution of competing groups of functional schemata divided on a bifurcation surface. Complex adaptation is almost inevitable in a complicated system (such as the brain) driven by non-linear dynamics. Dissociation is thus regarded as a consequence of adaptation to a chaotic environment rich in contrasts. In a sufficiently complex environment a person with dissociative identity disorder is more adapted and thus more likely to occur than a 'normal' monopersonality individual.

Adaptation, Psychological

Myasthenia gravis associated with thymolipoma: a case report.

A 31-year-old patient with a 2-year history of myasthenia gravis underwent resection of a mass in the anterior mediastinum. On histological examination, the tumour proved to be a thymolipoma. The association of thymolipoma with myasthenia gravis is rare. To our knowledge this is the 12th case reported. It is however the first in which histological examination revealed the presence of germinal centres. The tumour measured 28 x 14 x 2 cm and weighted 340 gr. This is by far the largest thymolipoma associated with myasthenia gravis reported. As in all previously published cases, the myasthenia associated symptoms improved significantly after surgery. In this case improvement occurred within weeks. In general, benefit after thymectomy is delayed until months to years.

Adult