[Post-traumatic neuroses and their treatment. Significance of Dogmatil (sulpiride)].
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After some brief remarks on the pathogenesis of vasomotor cephalea, the properties of the antiaminic drug BC 105 (Sandomigran) are described and the results reported of using it in 171 patients suffering from cephalea of three types: vasomotor cephalea in 50 cases, vasomotor cephalea with associated neurosic component in 26 cases, and post-traumatic cephalea in 95 cases. In the first two types, the positive results obtained confirm the usefulness of BC 105 in basic treatment of vasomotor cephalea. In post-traumatic cephalea which is a notoriously difficult therapeutic problem, the results obtained, although only partially positive, are worthy of the fullest consideration.
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This paper studies the effects of the war on the civilian and military lebanese populations from 1975 to 1987. A review of the literature on war psychiatry is presented as an introduction in order to estimate its applicability to Lebanon, and it seems that all the morbid conditions described in the different wars are to be found in Lebanon. A study on the military population was undertaken, focusing on the comparison of the morbid conditions before and during the war. It shows that war has led to a decrease of malingering and generalized anxiety disorders but to an increase of neurotic and psychotic reactions. A comparison of these conditions with those found in Vietnam shows a greater proportion of generalized anxiety and post-traumatic stress disorders among Marines in Vietnam. The milicians of the Lebanese Forces differ from the Lebanese Army soldiers by a higher proportion of antisocial personality disorders and anxiety neuroses. Among the civilian population war does not seem to have significantly modified in-patient morbidity in the main psychotic, affective and neurotic diagnostic categories. Drug abuse whose frequency has considerably increased during the war is studied in detail. In conclusion, the author analyzes the factors having contributed to the relative psychological resistance of the Lebanese population.
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Inhibition is a normal neuro-physiologic regulation phenomenon which antagonizes the dangerous aspects of excitation and which facilitates the adaptation of man to his surroundings. Inhibition becomes neurotic: -- when it fails in its normative-connection with excitation. -- when accompanied by anxiety, -- when the subject cannot control it, -- however without blocking all the psychic functions as the psychotic inhibition does. Accompanying symptoms diversify its ways of expression. Contemporary to trauma in neurasthenia, it proceeds from early trauma in psychasthenia and in hystero-phobic neuroses. For some authors, it may be innate, perhaps hereditary. It appears particularly severe, because it lasts when the symptomatology has disappeared during the analytic therapy and it seems to resist more than the excitation to chemotherapies.
Invisible environmental contaminants are those contaminants that possess environmental and/or medical invisibility. Recent studies indicate: (1) that these contaminants can and do have traumatic psychological effects on those individuals who have been exposed to them and (2) that there is a remarkable uniformity to these traumatic affects as they have been found in the various invisible exposures that have been studied to date. The common denominators in all of these situations is the invisibility of the involved contaminants. The adverse psychological effects of the invisible contaminants are as follows: (1) experienced uncertainty, (2) adaptational dilemmas, (3) hypervigilance, (4) nonempirical belief systems about the exposure, and (5) traumatic neuroses. This paper will: (1) review the data that documents the occurrence of psychological effects of the invisible environmental contaminants, (2) present an adaptational model that explains the manner in which these psychological trauma develop, and (3) examine the clinical and public policy implications of these findings.
We compared a random sample of Australian Vietnam veteran inpatients suffering from Post Traumatic Stress Disorder (PTSD) (N = 13) with veteran inpatients with other neurotic diagnoses. Those with PTSD had experienced substantially higher levels of combat stress, were more likely to have manifested conduct disorder in childhood, and had poorer work adjustment. Only three had been diagnosed as having traumatic or war neuroses by their original treating psychiatrist in the Veterans Affairs Department. Post traumatic stress disorder (or war neurosis) has possibly been under-diagnosed by treating psychiatrists in the Veterans Affairs Department, especially in the pre-DSM-III era.
The publication of DSM-III introduced the diagnosis Post-Traumatic Stress Disorder (PTSD), thus providing, for the first time, a framework for studying the consequences of extremely stressful events. Previously, traumatic neuroses had attracted a wide variety of labels - as wide as the experiences that produced them. Competing explanations in psychological and biological terms have characterised the approach to these disorders, and social and legal issues have added to the confusion. In recent years, psychosocial issues have tended to dominate the literature in relation to PTSD. While acknowledging the importance of such phenomenological and psychosocial approaches, this paper seeks to redress the balance by focusing on a biological perspective.
Having supported psychiatric investigation into the psychosomatic aspects of "war neurosis" since 1931, the Josiah Macy, Jr., Foundation published five volumes on combat fatigue and its prophylaxis, recognition, treatment, and administrative aspects during World War II. The five volumes were as follows: "War Neuroses in North Africa," by R. R. Grinker and J. P. Spiegel (1943); "Psychiatric Experiences of the Eighth Air Force," by D. W. Hasting, D. G. Wright, and B. G. Glueck (1944); "How Can the Flight Surgeon Better Treat Anxiety?" by D. D. Bond, and "Notes on Men and Groups Under Stress of Combat," by D. G. Wright (a single volume, 1945); "Personality Disturbances in Combat Fliers," by N. A. Levy (1945); and "Observations on Combat Flying Personnel," by D. G. Wright (1945). The author corresponded with Drs. Spiegel, Grinker, Glueck, and Levy about the circumstances leading to these monographs, and has combined their reminiscences and observations with a brief historical view of psychiatric practice in the U.S. Army Air Force during the war. This review contrasts two therapeutic philosophies concerning combat fatigue, and comments on the lack of more modern psychiatric data about combat flying.
In the decades after the introduction of the Bell telephone in 1876, a variety of otological and neurological disorders were described as an effect of the sustained use of the telephone. Telephone accidents giving rise to symptoms of traumatic neurosis were conceived of as being caused by electric current, by acoustical trauma or by an emotional shock, reflecting the general discussions concerning the aetiology of traumatic neurosis. With regard to the evidence documenting the anxiety aroused by the experience of the new telecommunicative medium, the disappearance of the phenomena of telephone trauma can be attributed to the habituation to this experience in the process of civilization.