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11 recordsLinked to original sources
PubMed1982

Assessment of psychotherapy: reflections of a practitioner.

Granting both the importance and the difficulty of assessing psychotherapy, I express my dissatisfaction with the relevance of large-scale controlled trials to the realities of outpatient clinical practice. I suggest that surveys of their psychotherapeutic experience by practitioners may have, at least, complementary value. It has been my impression that psychotherapy often is an effective modality for the symptoms and turmoil associated with emotional crises. It can also be effective in improving the life quality of patients with physical defects and disablement, with problems of aging, and with schizophrenia. For personality disorders and problems of living, psychotherapy has a good deal to offer if treatment goals are reasonable. I have been less favorably impressed with the efficacy of psychotherapy for symptomatic psychoneuroses and the sexual dysfunctions. I conclude with a discussion of the puzzling unpredictability of psychotherapy.

Adult↗
PubMed1983

Report of an epidemiological field study about neuroses and psychosomatic disorders.

Our field study deals with a cohort investigation and a follow-up study of the age groups 1935, 1945 and 1955. The sample consists of 600 randomly selected Germans living in an industrial city (Mannheim/FRG). 200 subjects of each of the age groups are to be examined personally with regard to ICD diagnoses 300-307 (WHO, 8th rev.); these are: psychoneuroses, personality disorders, sexual deviations, alcohol and drug addiction, functional and other psychosomatic diseases. Preliminary countings from the first research check-up of the sample revealed 26% of cases with a clear predominance of females and statistically significant connections between actual disease and impairing or disturbing influences during early childhood.

Adult↗
PubMed2001

Freud's letters to Fliess. From seduction to sexual biology, from psychopathology to a clinical anthropology.

The author describes the development of Freud's theory of neurosis from 1892 onwards, starting with his distinction between the actual neuroses and the psychoneuroses and his discovery of a specific, sexual aetiology for both, until which point it remained limited to pathology. The problem of the aetiology of perversion, however, confronted him with a paradox within the theory of seduction: how can an infantile sexual pleasure produce unpleasure when it is remembered at the time of puberty? This problem could not be solved within the framework of the seduction theory because the sexuality of childhood was essential to this theory. For an answer Freud had to turn to biology. He considered that the transformation of an infantile pleasure into unpleasure presupposed an organic repression of non-genital sexual pleasure. This hypothesis of organic repression radically changed the anthropological claim of Freud's theory. As long as he was looking for a specific aetiology of neurosis and perversion, Freud's theory remained restricted to pathology. However, when he introduced infantile sexuality and its organic repression as universal organic processes, the strict distinction between normality and pathology could not be maintained. The author concludes that by turning to sexual biology, Freud transformed psychopathology into a clinical anthropology.

Freudian Theory↗
PubMedDate not supplied

[The role of a sanatorium-health resort factor in the complex treatment of patients with chronic prostatitis].

The results of two-step treatment of 62 patients with chronic prostatitis are presented. The first-step treatment was given at the clinic of the Urologic Research Institute of the RSFSR Ministry of Health, and the second step was completed at the Zheleznovodsk Urologic Clinic of the Pyatigorsk Research Institute of Health Resort Treatment and Physiotherapy. In addition to its medical aspect, treatment for chronic prostatitis has significant social implications, as chronic prostatitis mostly affects males of young or middle age, with the inflammation persisting for long periods of time and leading to sexual and reproductive disorders as well as psychoneuroses. Since chronic prostatitis is regarded as an inflammatory disease of infectious-immunologic etiology, with both parenchymal and interstitial tissues of the prostatic gland affected, the patients underwent antibacterial treatment, adjusted to the causative agent's sensitivity to antibacterial drugs, and the availability of physiotherapeutic procedures in hospital as the first stage of treatment. Those to whom further rehabilitation was indicated were referred to the Zheleznovodsc Urologic Clinic where they were given a treatment course making use of the natural factors: oral and external administration of mineral waters of the Smirnovsky and Slavyanovsky springs, mud treatments and physiotherapy where indicated. Treatment was designed to improve microcirculation in prostatic tissues, and used natural factors, capable of normalizing and activating systemic protective potentials. There were good results (considerably improved general condition, both subjectively felt and objectively documented) in 78%.(ABSTRACT TRUNCATED AT 250 WORDS)

Chronic Disease↗