[Obituary for Prof. Dr. Hans-Joachim Bochnik].
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Biomedical subjects
Publications and source records attributed to W Richtberg.
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There are several reasons why the hearing impaired deserve special attention form the general practitioner: Their disability is not visible and therefore often goes unnoticed as an important additional diagnosis. Among older patients especially, there is a high proportion who are hard of hearing. These people suffer from very complex communication problems, which lead to many-sided difficulties in their daily lives and are the reason for their susceptibility to psycho-vegetative disturbances. Because of the difficulty of feeling one's way into the situation of the hard of hearing, their psychological-social suffering is often unrecognized or misunderstood by those around them. One of the aims of this contribution is to help the medical reader to better understand the psychological aspect of hearing impairment, and to recommend well-tried out methods for doctors dealing with deafened or hard of hearing patients.
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The following article concerns the 'maintenance' of drive and affects in normal and psychopathological cases. It will be demonstrated how the 'maintenance' of single mental though contents modifies the flux of consciousness and thus has a bearing on several cognitive functions. Another aspect of our study is pointed towards the use of patterns of behavior, which, on the one hand, can facilitate personal decisions and thus cause a widening of the individual's personal scope of freedom or, on the other hand, especially if strongly emotion-bound, can reduce the mental manoeuverability up to the point where the individual has lost his autonomy to these patterns as described above.
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States of agitation are frequent psychiatric emergency cases, which stem from very different biological, psychic and social constellations. Very often it is a question of a slipping expression of strong affects like fear, anger, pain and of excessive, reactive performances like flight, defence etc., which are built on top of the affects. Inner restlessness, which rises from unrestrained and disfigured drives, and the accompanying autonomic reactions of the affects promote the beginning of these states of agitation; whereas sensible expectations and clearly aimed absorptions of the drive do reduce the disposition to becoming agitated.
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