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Results for “Psychological rigidity”

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At least 91 records · Page 5Linked to original sources
PubMed1979

A prospective study of the rehabilitation of the above-knee amputee with rigid dressing. Comparison of immediate and delayed ambulation and the role of physical therapists and prosthetists.

Twenty-four above-knee amputees (AKA) treated with rigid plaster dressings were randomized to receive ambulation on pylon within 24 hours of surgery or at time of suture removal. Casts were applied by physical therapists in half of each group, and by a prosthesist in the other half. There were no statistically significant differences among the groups with respect to age, sex, stump length, gait characteristics and wound healing. Time to prescription of final prosthetis was similar in all groups. Specifically, there was no delay in the group ambulated immediately. The immediate ambulators did have significantly greater stump pain requiring more analgesia than the group ambulated after suture removal. Patients with case applied by physical therapists used their prostheses more than patients with cases applied by prosthetists. There was no detectable difference among treatment groups with regard to participation in therapy, acceptance of prosthesis, and psychological status. Recommendation for management of AKA's include: use of rigid dressing; ambulation on pylon after suture removal; utilization of physical therapist for application of rigid dressings and alignment of pylon.

Adolescent↗
PubMed1985

The psychological aspects of artificial nutritional support.

Patients receiving artificial nutritional support are subject to ongoing psychological stress. They are often physically ill, are required to follow a rigid dietary regime and, by necessity, are involved in an ongoing relationship with members of the treating team. This paper presents examples of the clinical problems and discusses the role of the psychiatrist as a member of the multidisciplinary team.

Adult↗
PubMed1986

Effects of lithium on visual perception in manic-depressive patients without acute symptomatology.

Within a psychological theory of depression it is postulated that lithium influences the rigid and irregular patterns of psychic processes characterizing the premorbid state of patients with affective psychoses. Visual perception as a basic psychic function was, therefore, investigated in 16 patients, under long-term lithium treatment (= A), after 6 weeks of placebo (= B), after 6 weeks of reinstituted lithium (= A'). Series of clear, masked, and mixed stimuli (4 digit numbers) were presented tachistoscopically. It was found that lithium raises the perceptual threshold for all kinds of stimuli. Under lithium total performance for masked, i.e. complex stimuli was significantly changed, though not unidirectionally, if these stimuli were presented mixed with clear stimuli in randomized order. This finding of a lithium-induced increased variance of total performance, implying recognition and resolution of complex stimuli, was confirmed by a replication study in 6 patients having participated in the main study and being reexamined under continuous lithium medication without a placebo period. It is concluded that lithium modifies visual perception, and that possibly it influences the individual's expectancy towards the next stimulus during repeated exposures of mixed simple and complex targets.

Adult↗
PubMed1992

Enforced Intermaxillary Fixation (IMF) as a Treatment of Obesity.

Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by Itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.

Journal Article↗
PubMed1990

Psychological assessment of catatonic schizophrenia.

Probably due to the rarity of the disorder and the general inability of catatonic patients to cooperate with standardized assessment, no data exist documenting the psychological features associated with catatonic schizophrenia that may appear on psychological tests. This study utilized standard assessment techniques to examine clinical hypotheses regarding the psychogenic correlates of catatonic conditions from the performance of one man on psychological tests. In accordance with previous theory, test findings indicated frequent constriction, rigidity, and negativism in conjunction with compulsive traits. Experiences of cognitive and self-fragmentation were juxtaposed with a formal, mechanistic body ego; disorganization and discontinuity were countered with attempts at self-cohesion. Depressed feelings and human interest were apparent, although interpersonal relatedness was frequently characterized by an avoidant, distancing style.

Adult↗
PubMed1973

Comparison of stretch reflexes and shortening reactions in activated normal subjects with those in Parkinson's disease.

The stretch reflexes and shortening reactions evoked in six normal subjects during reinforcement were compared with those recorded from patients with Parkinson's disease. Although the responses to stretch and shortening of triceps were similar in both groups, they differed in the biceps muscle. In Parkinson's disease increasing muscle stretch of biceps was associated with increasing reflex activity, whereas the reverse relationship occurred in the activated normal subjects. The biceps EMG during sinusoidal stretching comprised two peaks in the activated normal group, a phenomenon not seen in Parkinson's disease. It is postulated that this response in the activated normal group is due to activation or reinforcement engaging long-loop reflexes. It is concluded that the rigidity of Parkinson's disease is not simply an exaggeration of the stretch reflexes found in normal man but differs in that the effects of flexor reflex afferent nerve fibres are submerged by group Ia afferent activity, and that some long-loop reflex pathways are no longer operative in Parkinson's disease.

Electromyography↗
PubMed1992

Personality of patients with Sudeck's atrophy following tibial fracture.

Patients with reflex sympathetic dystrophy are often considered by physicians and allied health personnel as having a peculiar personality. In medical literature they are frequently described as anxious and depressive, emotional, nervous and irritable patients with neurovegetative instability. A review of the literature on psychological research in this field is not always illuminating. Hypochondria and hysteria, whether or not accompanied by depression, are frequently reported to be typical traits, whereas other findings point more in the direction of psychosis. Increased anxiety, emotional lability and lowered self-esteem are psychological entities that are regularly encountered. The present study includes 42 cases of severe reflex sympathetic dystrophy. Except for the 7 cases of Sudeck atrophy of the hand and wrist, the localization was always in the foot or ankle. The majority of patients had a history of fractures or orthopedic procedures on the lower limbs as a causative factor. In addition to an interview, two questionnaires and a projective test (Rorschach) were used in the personality assessment. While the Rorschach test did not reveal any findings that could be considered as typical of our study population, we did observe different frequency distributions for the personality traits "self-satisfaction", "rigidity" and "somatization".

Humans↗
PubMed1988

[Prognostic value of psychological characteristics in the evolution of borderline arterial hypertension].

Psychodiagnostic screening, using the MMPI test, was carried out in 130 individuals with marginal arterial hypertension (MAH) and 87 normotensive subjects. Individuals with MAH showed anxiety, inner tension, rigidity, a tendency to absorption in disease, and fixation on health. Lowered SMAL fourth-scale profile in MAH individuals may serve as a psychological indicator of a risk of essential hypertension.

Adult↗