摘要:

It has been said that the delusion of world destruction (Weltuntergangserlebnis) in schizophrenia is closely related to Christian culture, and is less frequent in Oriental than in Western countries. Schizophrenic inpatients with delusions of world destruction treated at the Universitäts-Nervenklinik, Tübingen, FRG, were compared with corresponding inpatients at Keio University Hospital and allied hospitals in Japan. As a result, in West Germany, there were 7 (4.7%) patients with delusions of world destruction among 150 schizophrenic patients, accounting for 5.3% of all 131 patients with some delusion. In Japan, 5 (2.8%) of 178 schizophrenic patients had such delusions, accounting for 3.0% of all 166 patients with some delusion. There was no statistically significant difference between the two countries. These incidences were similar to those reported by Kranz (5, 3 and 8% in 1886, 1916 and 1946, respectively) and by Huber and Gross (5.8%). Accordingly, it seems that, although the delusion of world destruction, as a form of world catastrophe, is rare, it occurs among schizophrenic patients at a rather constant incidence, irrespective of the culture or area.

ISSN:0254-4962    

DOI:10.1159/000284609

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

Schizophrenics, anxiety neurotics, and nonpatient control subjects were asked to identify the emotion expressed in partial (upper-middle-lower) and full facial expression of four negative emotions: sadness, fear, anger and disgust. Groups did not differ in the ability to identify emotions from partial facial expressions, however, schizophrenics were significantly poorer than anxiety neurotics and controls in identifying emotions from full facial expressions.

ISSN:0254-4962    

DOI:10.1159/000284610

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

The aim of this study was to compare the evolution of psychotic patients in Algeria and in France. In 1975, 105 patients were selected in Algeria and 237 in France. Ten years later, in 1985, all these patients were interviewed. In 1985, we investigated for each subject the evolution of the following parameters: sex, age, DSM-III axis 1 and 5, marital status, social welfare work, and treatment variables. Our results indicate that the improvement of the psychosocial adaptation (DSM-III axis 5) is slightly better in Algeria than in France. Medical and social support seems to be quantitatively less important in Algeria.

ISSN:0254-4962    

DOI:10.1159/000284611

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

97 nonpsychotic consecutive day patients were diagnosed by the axis 1 and 2 in the DSM-III and DSM-III-R system, and their treatment response during their stay was measured by the Health Sickness Rating Scale. The interrater reliability was equally good for both diagnostic systems. On axis 1, there were only minor differences between DSM-III and DSM-III-R. On axis 2, the frequency of schizotypal disorder was reduced by 40% and the frequency of histrionic disorder by two-thirds. The number of schizoid disorders increased from zero to five. Of the DSM-III schizotypals who lost this diagnosis in DSM-III-R (n = 8), 4 got a new diagnosis of schizoid personality and 4 maintained their borderline diagnoses. In DSM-III-R there was a sharper demarcation between patients with severe and nonsevere personality disorder with regard to treatment outcome, indicating an increased validity of these categories. There was also a sharper demarcation between borderline versus histrionic and schizotypal, and between schizotypal and schizoid diagnoses.

ISSN:0254-4962    

DOI:10.1159/000284612

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

The problem of the relationship between obsession and delusion is dealt with from descriptive, anthropoanalytical and purely phenomenological points of view. The main differential aspects are focused. The phenomenological concept of the progressive fading of the ‘feeling of Ego activity’ is proposed as the functional bias at the basis of the continuum linking obsessive symbolic awareness to delusional perception.

ISSN:0254-4962    

DOI:10.1159/000284613

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

Electrodermal activity and self-report of affect were recorded from schizophrenic patients with their relative absent and present, at index admission and on two subsequent occasions after discharge. It was hypothesised that it would be possible to discriminate at index admission patients who relapsed in the subsequent 2-year period from those who remained well, and that these differences would be stable over time and independent of illness episode. The former hypothesis was supported in part, but not the second. The results did not support electrodermal hyperactivity as a stable, enduring vulnerability marker.

ISSN:0254-4962    

DOI:10.1159/000284614

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

In music therapy, joint musical improvisation of therapist and subject provides the framework for a spontaneous and intimate, non-verbal interaction. This study shows that such an interaction can be used to reveal the subject’s capacity for emotional contact with another person, the nature of this contact and how well it is sustained. We examine the musical interaction in first music therapy sessions using a model of analysis specially developed for this study. A comparison between 15 schizophrenics, 15 depressed patients and 15 clinically normal controls revealed significant differences. The findings, which take into account subjects’ musical background and perceptual functioning, have implications for the diagnostic use of music therapy in adult psychiatry.

ISSN:0254-4962    

DOI:10.1159/000284615

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

Thirty women admitted to hospital for cholecystectomy were compared with a healthy community control group. Univariate comparisons showed that patients had significantly more social problems, manifested greater psychological distress and reported poorer social support. Logistic multiple regression analysis indicated that patient status was best predicted by manual occupational class and the interaction between employment and presence/absence of young children. The findings are discussed within the framework of illness behaviour.

ISSN:0254-4962    

DOI:10.1159/000284616

出版商:S. Karger AG    

年代:1989

数据来源: Karger

摘要:

A case is described who exhibited lycanthropy during an acute psychotic illness. During a short period she experienced herself as four different species of animal, an occurrence not previously reported. The phenomenon of lycanthropy is most appropriately regarded as a delusion, but the abnormal subjective experience is stressed, not just the falsely-held belief.

ISSN:0254-4962    

DOI:10.1159/000284617

出版商:S. Karger AG    

年代:1989

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284618

出版商:S. Karger AG    

年代:1989

数据来源: Karger