[Sex education from the historical and mental health viewpoint].
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Biomedical subjects
Publications and source records attributed to W Spiel.
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An attempt is made to define "emotional reactions", a disease concept in child and adolescent neuropsychiatry which encompasses all processes of psychogenic origin. Emotional reaction, which is defined as psychophysical perturbation of short duration induced by trauma or some other event, is distinguished from neurotic reaction, one of the forms of an unconscious psychodynamic process, and from abnormal personality development, which encompasses all factors affecting psychological development, i.e. deprivation, stimulation, as well as abnormal field and environmental conditions. The differentiation between these 3 processes, which are based on entirely different psychodynamic patterns, has diagnostic and, of still greater importance, therapeutic implications.
Puberty and adolescence as important periods of youth are described in their form and relationship to society. The essential contents of this developmental period are: 1. breakthrough of ego-development, 2. awareness of genital sexuality, 3. conquest and keeping of the place one belongs in society. The manifestations of these developmental phases are shaped by biological somatic, psychological and social factors which have changed during the course of time in a more or less rapid or slowly progressive way. Crises during the most significant developmental periods of the youngsters reflect also the crises of the society.
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The author, by starting from the definitional delimitation of psychotherapy and education, gives a brief description of the history of pedopsychotherapy from early beginnings through to the present time. This particular form of therapy has become varied in both its theories and methods. The present trend of development of pedopsychotherapy is characterized by patient-oriented multidimensional treatment of mental disease rather than classical analysis. An exact separation of education and psychotherapy is presently made for didactical reasons only, but is no longer possible in actual practice.
An attempt is made in this paper to describe a syndrome consequent upon extreme psychogenic shock situations, which has been observed in a number of children. This syndrome is characterized by panic, flight, and anxiety during the actual event, which are followed by a relatively prolonged period of exclusion from consciousness of painful memories. Besides, there may be observed neurotic symptoms manifesting themselves in a decrease in proficiency level, refusal to establish contacts with other people, and mental digestion of the events. Assimilation of the events by intensive psychotherapy seems to be possible within about six months. Also discussed in this paper is the problem of actual neurosis and the origin of preconscious repression.
The general principles in the treatment of the disordered, is the change from segregation to social integration. The allocation of financial resources is necessary for the needed conditions, that means, that instead of the traditional institutions but mostly the ambulatory institutions, an early apprehension therapy should be financed. The seriousness in the treatment next to the specific facilities for the disordered, is the individual psychic help needed in regard to the secondary psychic problems, as a result of his disorder, also the socialization of the disordered should be advanced. Social organizations for disordered, as well as the parents of disordered children have a very important task, but the organizations can only fullfill the work in cooperation with a municiple care system.
In the submitted study a short historical review intends to point out the roots and mode of formation proceeding the new medical branch "Neuropsychiatry for children and juvenils", trying to emphasize interdisziplinary work as basic point of conception. Aspects in regard to the development of higher human functions will be discussed in the second part of the paper, whereby the common approach of Neurophysiologist and psychoanalytical oriented Psychologist accentuated is. In connection with the therapeutical consequences of such physio- and psychological development consideration questions regarding the neuropsychiatric welfare service for children and juveniles will be taken.
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