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Biomedical subjects

W F Pritz

Publications and source records attributed to W F Pritz.

9 recordsLinked to original sources

Comparisons of psychopathological phenomena of 422 manic-depressive patients with suicide-positive and suicide-negative family history.

Psychopathological symptoms of 342 manic-depressive patients with a family history (FH) of manic-depressive illness (MDI) and suicide (FH-S-positive group) were compared with 80 manic-depressive patients with a family history of MDI but without suicide (FH-S-negative group). Frequencies of suicide tendencies, attempted suicides, rage, angry mania and delusions were evaluated. In contrast to the FH-S-positive group where suicide tendencies and attempted suicides were more frequent, the FH-S-negative group revealed a higher frequency of delusions. There was no difference between the groups concerning rage and angry mania. Comparisons regarding suicide tendencies, attempted suicides, rage, angry mania and diagnostics referring to depressive, manic, subdepressive and hypomanic phases showed no difference between the sexes.

Anger↗

Psychopathological considerations on the semantic confusion between mood and affect.

The discussion is anchored in the transcultural, organismic pervasive character of psychopathologically relevant depressive and manic reality construction; it attacks, however, the exclusion of these mood states from the normal behavior repertory. The hypothesis is advanced that both phenomena represent inborn dialectical logical instruments of evolution-like human identity creation and maintenance. Therefore, from a psychotechnical viewpoint, mood is a meta-concept in regard to all experiential, communicative, self-defining facets of human polythematic existence to which emotion-related linguistic labels can be affixed.

Affective Symptoms↗

Bipolar mood disorders: an affected sibling study. II. Symptom correlations.

Part II of the affected sibling study raises questions of symptom correlation (incidence of delusions, states of confusion, suicide tendencies and attempts, hallucinatory episodes, hypochondriac attitudes, angry manias, and depressive stupor) in mood disorders. The investigated sample (307 sibling groups, 701 hospitalized patients; selection principle: at least 1 sibling showing a bipolar or manic axial syndrome) directs our attention to the possibility that the multiplicity of specific manic and depressive syndromes derives not only from the genetic complexity of the mood-producing system but mirrors the full range of human behavior. Moods must be conceptualized as interpretative metalanguages with respect to the entire wealth of behavioral object languages.

Anger↗

[Family anamnestic study of 89 suicides following release from inpatient psychiatric treatment].

This study was prompted by other large, family-history oriented studies which showed that there is no correlation between frequencies of suicide and psychosis. A multidimensional, neuro-psychiatric diagnosis program was performed on 89 cases of suicide after hospital discharge . (The time-span of the study was between June 1, 1969 and August 31, 1980.) Primarily, however, this study was oriented on family history, particularly concerning suicides and endogenous psychosis. In 69.7% of the cases a suicide-positive family history was established. In 56.2% of the suicide cases (N = 89) the simultaneous appearance of endogenous psychosis and suicide is undoubtedly significant (chi 2 = 22.94; df = 4; p less than 0.01). These findings, unique in the literature, are explained by the extraordinary good source of information in an epidemiologically clearly defined region (Bundesland Salzburg). The scant data material in many typical suicide studies concerning familial history of suicides can be explained by the lack of primary information. It is likely that studies which examine suicides in the total population would also find, by employing suitable methods, a high percentage of suicide-positive family histories. From this it is concluded that the role of genetic factors in suicides is in need of revision.

Adolescent↗

Bipolar mood disorders: an affected sibling study. I. Genetic background and course of illness.

The study uses the 'affected (and hospitalized) siblings method' to investigate aspects of correlation in the psychopathology of bipolar mood disorders. In part one, age of onset, duration of phases, and course of illness are the points of interest. The sample includes 307 sibling groups (701 hospitalized individuals). The incidence of pure or schizoaffective type mania in at least 1 sibling has been the criterion for selection. The genetic background is also presented and the question is raised whether double tainting is the rule rather than the exception. The hypothesis that schizophrenic syndromes and mood disorders develop from separate genetic pools is supported. Strong evidence against the unipolar/bipolar dichotomy is presented. The investigation brings the breadth of the cyclothymic spectrum and inhomogeneity with respect to the course of bipolar disorders into perspective.

Adolescent↗

Mood-congruent/incongruent dichotomy. The need for an advanced mood concept.

Initially, some arguments are brought forward why, at the present state of differential diagnosis, it is useful to apply the term schizo-affective disorder. The basic considerations concern the consequences of the semantic confusion between mood and affect and how this affects differential diagnosis of functional psychoses. The view is maintained that from an action theoretic model mood states have to be conceptualized as differing forms of pragmatics of reality creation and self-interpretation (in other words, as multilogic of self-observation, self-protection, self-repair, and of the relativistic and reflective structure of inter- and intrapersonal communication). The concept of mood congruency/incongruency is meaningful only as a metaconcept in regard to emotional connotation, perceptive operations, cognitive processes, nonverbal expressions, autonomic parameters, and so on.

Bipolar Disorder↗