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Biomedical subjects

T R Payk

Publications and source records attributed to T R Payk.

At least 19 recordsLinked to original sources

[Psychological and psychopathological aspects of cardiac pacemaker implantation (author's transl)].

Several examinations made clear that patients with cardiac pacemakers are able to react in the three following ways: In most cases we see a regain of joy of living and mental performance caused by the regulation of heart-action and the normalization of the physical strength. Most patients seem to be anxious and labile in the first postoperative phase until some weeks later the previous state of emotional stability is obtained again. Many other patients are not able to adapt themselves to the pacemaker in a satisfactory manner; depressions, fears, dependences, lability, and uncomfortable feelings continue. In some cases we see intensive affective reactions even to a psychotic degree. An accurate and continous psychological care based upon an intact doctor-patient-relation might lead to an accelerated and improved adaptation to the pacemaker.

Adaptation, Psychological

[Psychosomatic diseases in urology].

As in other medical fields there also exist psychosomatic diseases in urology which appear in the form of functional disturbances. Besides alterations of the diuresis, mainly an irritable bladder, symptoms of enuresis, urinary retention and additionally symptoms of chronic prostatitis and disturbances of sexual potency. In order to explore the psychic etiology usually a psychiatric examination is necessary with the aim to start adequate treatment.

Anuria

[Treatment of pain with psychotropic drugs (author's transl)].

30 patients suffering from therapy-resistant chronic pain were divided into three groups according to drive and mood: I. psychomotor inhibition combined with depressive mood, II. agitation and depressive mood, III. agitation combined normal mood. The psychopharmacological treatment of pain showed sufficient results, when the drugs were directed to the target symptoms "agitation", "lack of drive", and "depression". The differentiated administration of activating or sedative antidepressants and neuroleptics caused reduction or absence of pain while the routine administration of neuroleptics (i.e. chlorpromazine) was less effective.

Antidepressive Agents

[Robert Schumann as a patient in Bonn-Endenich].

Although there exists a voluminous biographic literature on Robert Schumann, there are only few informations on the last 2 years of his life, which he spent in the sanatorium Endenich near Bonn/Rh. Schumann, suffering from a recurring psychosis since 1833 at least, had been received there after a suicidal attempt on March 4th, 1854. His physical and psychical state deteriorated permanently and Schumann died on July 29th, 1856, somatically and mentally disordered. Up to now there exists no clear diagnosis, but there is every reason to believe that Schumann was suffering from a schizophrenic psychosis, combined with a cardiac and circulatory disease.

Famous Persons

[Disorders of time perception in endogenous psychoses].

Already in the normal state of health often there are alterations of subjective time experience both as acceleration and delay of the lapse of time. These impairments of time perception are more important in the psychopathological field. Except during organic brain disease disturbances of time experience are observed especially during endogenous psychoses. Depressed men usually feel an unpleasant extension of subjective time experience. In schizophrenia there is a specific distorsion of time, characterized by troubles of the biographic orientation, by magic connexion-thinking with regard to time, or by a "collapse" of the chronological order. Somatic as well as psychological conditions seem to cause these disturbances.

Adult