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[Experiences with the Berlin Procedure for the Diagnosis of Neuroses-Self-Evaluation in symptom oriented detection of markers in the diagnosis of neuroses].

The 'Berliner Verfahren zur Neurosendiagnostik' (BVND-SB) contains scales for complaints and personality traits and can be used for diagnostical and differential diagnostical classification of neuroses. Its structure is related to symptoms, which is compared with a syndrome orientated construction strategy. The factorially validated scales were mentioned. They can be used for description of symptomatology. A diagnostical screening contains 3 scales. The single-scales allow a description of syndromes based on profiles at the same symptom-area. The BVND-SB can be used as an economic instrument for diagnostical purposes.

Arousal↗

[Choice of symptoms in neuroses. Hysterical and obsessive-phobic neuroses].

This publication is a first attempt to verify our hypothesis that symptom choice in the classical neuroses depends on a disequilibrium between assimilation and accommodation, in the Piagetian sense, of reflective thinking. Results of tests derived from classical paradoxes of Western thought, from genetic psychology and from a neuropsychological test of the habituation of the alpha-blocking response support the following hypothesis; the reflective thinking of hysterical patients appears dominated by a primacy of assimilation and that of obsessional patients by a primacy of accommodation.

Alpha Rhythm↗

[Visceral neuroses: clinical approaches to the problem].

Visceral neuroses are regarded as psychosomatic pathology represented by functional symptom complexes common for both psychic (personality, psychopathologic disorders of anxietyphobic, affective, hypochondriac spectrum) and somatic pathology. Two hundreds fourteen patients: 67 with hyperventilation syndrome (HVS), 77 with Da Costa syndrome (DCS), 70 with irritable bowl syndrome (IBS) have been studied. The study suggest that visceral neuroses represent a group of independent diseases. In contrast to converse neuroses, a topical projection (respiratory, cardiovascular system, gastrointestinal tract, etc.) of visceral neuroses reflects not only a psychosomatic disorder's specificity but also the course and prognosis regularities inherent to them. HVS course is wavy with periodic exacerbations and incomplete remissions, DCS one is phased (remissive), IBS is chronic without distinct phases and intervals. HVS and DCS are comorbid to milder psychic (personality and anxiety phobic disorders) and somatic pathology. IBS is associated with not only more severe mental disorders (overvalued, hypochondriac, affective) but also with chronic somatic diseases (alimentary system).

Adult↗

[Study results and prospects in the pathogenesis of neuroses].

An attempt is made to highlight the modern state of investigations concerning the experimental neuroses, to show new branches in studying pathogenesis of neuroses. A new concept is substantiated on a participation of the cerebral circulatory hypoxia at neuroses. Is demonstrated a high efficiency of prophylaxis and therapy of neuroses using the anti-oxidants of anti-hypoxic action.

Animals↗

[The clinical pathomorphosis of neuroses].

Comparison of data on neuroses in a selective group of patients which were treated in day hospital in 1988 (226 patients) and in 1996 (244 individuals) was made. In this period there was an increase of both the number of 16-20 year old patients (from 1,0 to 13%) and of women (from 58.9 to 81.2%) as well as occurrence of the group (18.9%) of unemployment patients (they were absent in 1988). In the structure of the forms of neuroses diagnosed according to ICD-9, there was a decrease of neurasthenic and obsessive-phobic forms (from 50.0 down to 30.3% and from 12.4 down to 7.4%, respectively) as well as an increase of depressive neuroses (from 19.5 to 54.4%). Moreover, the depressive symptoms were more often included in all forms of neuroses. Combinations of different psychogenic influences and especially psychogenic multifactorial situations with displacement of significance from family-personal to social-economic factors play increasingly important role in pathogenesis of different neurotic disorders.

Adolescent↗

An Operationalized Multisymptomatic Model of Neuroses (OMMON): toward a reintegration of diagnosis and treatment in behaviour therapy.

Experimental results from a sample of 216 patients with four different "symptom-neuroses" show that 65% to 90% of these patients have different combinations of multiple symptomatology. With a background of these data, we present an Operationalized Multisymptomatic Model of Neuroses (OMMON), based on self-rating assessment of these patients on 4 symptom scales. Individual ratings on each scale are dichotomized into (+) or (-) results with regard to defined cut-off points and the model is derived from their 16 mathematically possible combinations. Subsequent analysis of these data (from a single test application) with our Varying Cut-Off Point Assessment (VACOPA) leads to hypotheses regarding causal symptom interactions and prediction of symptom changes over time, easily evaluated by repeated test application. In treatment research the model seems suitable to: (a) build more homogeneous diagnostic groups; (b) operationalize varying degrees of "neurotic" disturbance, from "normal" via "client" to "patient"--independently of existing illness theories; (c) support prognoses of individual developments within and without treatment; (d) specify treatment aims and optimal sequences of interventions; (e) monitor predicted outcome; (f) reconsider earlier apparently contradictory outcome studies; (g) evaluate theoretical concepts regarding "neurotic" symptom formations in neuroses, psychoses, and psychosomatic disturbances. For treatment purposes, OMMON should only be used together with "clinical" hypotheses; its prognostic potential can be increased by additional application of our Operationalized Multivariate Model of Motivation (OMMOM). All three diagnostic approaches may be used for mutual evaluation.

Adolescent↗