RESUMO
Pica is the developmentally and culturally inappropriate eating of nonnutritive substances for at least 1 month. Herein, we present the case of a male patient that suddenly showed behavioral changes including aggressiveness, withdrawal, and perceptional disturbances at the age of 12. About 7 years later, pica symptoms emerged additionally. Neither pharmacotherapy nor electroconvulsive therapy led to success. Magnetic resonance imaging showed bilateral sclerosis of the hippocampus. The therapy with carbamazepine, clozapine, diazepam, and zinc finally improved the symptoms including the pica symptoms.
Assuntos
Encefalopatias/complicações , Hipocampo/patologia , Pica/complicações , Transtornos Psicóticos/complicações , Adulto , Encefalopatias/patologia , Humanos , Masculino , Pica/patologia , Transtornos Psicóticos/patologia , EscleroseRESUMO
This study investigated psychodynamically relevant dimensions in female depressive patients with and without deliberate self-harm (DSH). DSH is often observed in depressive patients and frequently shows a correlation with personality disorders. Forty female depressive patients with and without DSH were investigated after recovery from acute depressive pathology by means of "operationalized psychodynamic diagnostics" (OPD). Patients with DSH had a significantly lower level of integration in the OPD dimension "structure," and their "interpersonal relationships" showed dysfunctional interaction patterns. They also had a significantly higher rate of personality disorders. These results underline the significance of aspects of personality structure in female depressive patients with DSH, and enable a deeper understanding of their dysfunctional defense strategies, the connections with underlying disturbed affect regulation, and vicious circles in the therapeutic transference-countertransference relationship. OPD has been shown to be a useful tool for empirical research into therapeutically relevant dimensions of personality.
Assuntos
Transtornos do Humor/diagnóstico , Transtornos do Humor/psicologia , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Transtornos do Humor/complicações , Personalidade , Transtornos da Personalidade/complicações , Escalas de Graduação Psiquiátrica , Comportamento Autodestrutivo/complicaçõesRESUMO
Until the end of the 20th century Forel (1848-1931) was seen as an important neuroanatomist, a fighter against alcoholism, a researcher on ants and the author of Die sexuelle Frage. Forel's racist and eugenic views have been forgotten. Without losing sight of his merits, this article focuses on his attitude to eugenics, and will show that eugenic thinking--based on his main principles--permeated his work.