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Biomedical subjects

R Tatarelli

Publications and source records attributed to R Tatarelli.

At least 37 records · Page 2Linked to original sources

Drugs and human interactions.

Some reflections and hypotheses on drugs and human interactions are presented from a psychiatric-psychotherapeutic point of view. Considering the drug both as an agent and a relational mediator, an attempt is made to systematize the interactive whole of the intraindividual and interindividual effects activated by drugs. The hypothesis is presented that pharmacological effects on mind are prevalently due to an energic action and that this action is status-specific, in other words relative to a mental-relational good order of the individual in that particular moment of his history. Concerning the extra-pharmacological effects in therapeutic relations, the values assumed from the drug during the course of the interaction are different and variable, depending in the same individual (patient or therapist) on superimposition of several experiential and semantic orders. Finally some elements of drug relational psychology are introduced.

Behavior↗

[Target symptoms in the utilization of antidepressants].

The authors intend to bring their contribution to the controversial question of target symptoms in the use of antidepressants. An extensive literature is analyzed, and, for comparative purposes, only works in double blind are chosen that use a specific rating scale (H.D.R.S.) in such a way as to obtain results referable to homogeneous symptoms on the phenomenal level and therefore qualitatively comparable among themselves. Each item of the H.D.R.S. is compared to the target symptom only if the relative score shows a statistically significant decrease, not only in comparison to the length of treatment, but above all in comparison with other antidepressants. On the grounds of the data obtained from this methodology, it is postulated that the relation between the action of a drug and the positive response to treatment is not to be placed in comparison with phenomenal traits, but in comparison with psychopathological processes that would make up the effective targets of the action of a drug.

Adjustment Disorders↗

Stuttering and tics in twins.

A total of 63 twin pairs (22 MZ and 41 DZ), with one or both members affected by not organic stuttering and/or tics, have been drawn out of the Mendel Institute's twin file. Concordance of stuttering was observed in 10:12 MZ, but only in 2:19 DZ twin pairs; concordance of tics in 6:10 MZ and in 2:22 DZ twin pairs. Stuttering did not come out significantly associated either with other disturbances of language or with an IQ under the average; almost always it was possible to find out a precipitating factor. Significant relations between stuttering and tics could not be stated. Sex ratio, obtained regarding any affected subject separately, clearly turned in favour of males both in stuttering (32:12) and in tics (27:12). Stutterers and left-handers incidence in the families of stuttering subjects appeared significant in comparison with families of subjects with tics.

Adolescent↗

[Psychopedagogic counseling for twins and twin families (author's transl)].

In 1973 the Mendel Institute, within the specialized services it offers to Italian twins, instituted psychopedagogic counseling for twins and their families. This service is carried out in the intermediate field between neuropsychiatry and social work. Cases involving family and social maladjustment were referring for counseling. During the academic year 1973-1974, the service examined 96 cases, of which 58 involved problems of school retardation and 38 involved family maladjustment because of changed parent-twin relationships. The counseling service aimed at achieving improved family and school relationships by means of various therapeutic interventions. The psychopedagogic counseling, besides the immediate therapy, has permitted deeper study of maladjustment by means of analyses of the twins' condition as a possible additional cause of the maladjustment itself. Analysis of the cases in this limited sample would seem to indicate an indirect incidence of the twin situation per se (couple effect), somewhat emphasized by the family and social environment.

Adolescent↗

Suicide among the elderly in Italy: a descriptive epidemiological study (1969 to 1994).

Data regarding the elderly suicide trend in Italy between 1969 and 1994 were analyzed from an epidemiological point of view in order to verify hypotheses on suicide risk factors in old age. The data were obtained from the National Register of the Institute of Health (Italy) and were standardized at 1971 for age and sex. For the purposes of the study, only data for people aged 70 years and over were considered. The elderly suicide rate increased from 274 per 1,000,000 in 1969 to 354.7 per 1,000,000 in 1994 in males and from 59.7 per 1,000,000 in 1969 to 82.1 per 1,000,000 in 1994 in females. In the three macroareas (northern, central, and southern regions, indicated as N, C, and S), it is possible to observe different trends. In both genders, N and C rates are the highest in Italy (tending to be similar), while S rates are lower and distinct from the others. The most marked increase was observed in the S male rate, whereas N and C rates show a remission after the rate increase in 1980. The most important finding to emerge from this study is the interruption in the tendency for suicide rates to increase in recent years (dating back to the mid-1980s) and the nonuniformity of the nationwide distribution of suicides.

Aged↗

[Nosographic problems and clinico-phenomenal characteristics of psychoses in epilepsy].

A critical analysis is made of the published reports on the epidemiologico-clinical and etiopathogenetic aspects of psychoses in epilepsy. Having underlined the principal characteristics of this pathology together with the main methodological and descriptive problems which emerge from the studies examined, the paper concludes by stressing the need for an approach based on a multifactorial understanding of the causes of these psychoses. In operative terms it is also necessary to evaluate the role of the predominant risk factors in each individual case.

Affective Disorders, Psychotic↗