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[Compulsion, ego organization and treatment procedure. On the treatment of a patient with chronic compulsive symptoms].

On the basis of a case study, it is shown that traditional approaches to understanding what have been labeled compulsive neuroses are insufficient if the illness is based on a prestructural disturbance. Classical treatment techniques are contraindicated in such a case, and analytical approach oriented toward a response to the structure of the ego is appropriate in its place.

Ego↗

[The characteristics of the emotional disorders in patients with neuroses].

To study the structure of emotional disorders, 90 neurotic patients were examined. Analysis of the intensity and incidence of different emotions was made with the help of self-estimation cards. It has been established as a result that the structural basis of emotional disorders is formed by primary and secondary negative emotions. Different patterns of neuroses are characterized by specific structural features.

Adolescent↗

[Disadaptation of students with borderline mental disorders].

A clinico-epidemiological study was devoted to psychopathies and neuroses in students. Students from different institutes showed significantly different borderline psychotic disorders. Initial disturbances, as well as the underlying causes of neuroses and psychopathy were analyzed.

Adaptation, Psychological↗

[Clinical dynamics of hypochondriacal disorders and mechanisms of their reversal during psychotherapy].

A follow-up study of 18 patients hospitalized for hypochondriac disturbances revealed that in none of the cases was suggestive of a specific hypochondriac neurosis. A formed hypochondriac syndrome was observed at the stage of the neurotic development of the principal forms of neuroses: neurasthenia, neurotic depression, hysterical and obsessive neuroses. The mechanisms of eliminating hypochondriac fixation in all these clinical forms of neuroses are identical.

Adolescent↗

Overcoming neuroses: lay attributions of cure for five specific neurotic disorders.

This study was concerned with lay beliefs about the importance of 24 different contributors towards overcoming five neurotic disorders. In this study, subjects (n = 113) completed a questionnaire indicating how effective 24 factors were to overcoming five specific problems: social phobia, panic disorder, obsessive compulsive disorder, generalized anxiety and post-traumatic stress disorder. Factor analysis revealed almost identical clusters for each problem, and a factor structure very close to Furnham and McDermott (1994). Three factors emerged and were labeled self-reliance, seeking help, and external control. The perceived relevance of only seeking help differed significantly between problems, with seeking help rated as most important and self-reliance least important overall. Some individual difference factors (sex and religion) were found to predict certain factor attributions for specific disorders. Post-traumatic stress disorder was considered most in need of help and social phobia/panic disorder least. Females believed more in seeking help than males, who stressed external control more than females. Religious respondents rated external control more highly than nonreligious respondents. The clinical relevance of studying attributions for cure is also considered.

Adolescent↗

A tentative classification of "neuroses" based on behavioristic consideration of the pathogenetic mechanisms.

Pathogenetic mechanisms of "neuroses" were reconsidered based on a behavioristic framework which includes not only the traditional stimulus-response learning theory but also the concept of conflict proposed by Lewin. Most of the subtypes of "neuroses"--with the exception of panic disorder--were divided into two categories: conditioned fear-related disorders and conflict-related disorders. Phobias have been suggested to be caused by an escape or avoidance behavior motivated by an unconditioned or conditioned fear and obsessive compulsive disorder by an avoidance behavior motivated by a conditioned fear, while such disorders as posttraumatic disorder or hypochondriasis (nosophobia) were considered to be direct manifestations of conditioned fear. Generalized anxiety and depersonalization disorders were suggested to be caused by conflicts, but these conflicts seemed to persist even after the appearance of the symptoms. In contrast, appearances of conversion, somatization, somatoform pain, psychogenic fugue, or psychogenic amnesia were suggested to result in a temporary attenuation of the causative conflicts.

Anxiety Disorders↗