摘要:

Neurological soft signs are considered to be non-localizing findings and clinical neurodysfunctional correlates of schizophrenia. Sensory signs in 21 chronic schizophrenic patients were compared with those of healthy subjects. The schizophrenic patients differed significantly from the controls in graphesthesia testing; there was no clear-cut impairment of other somatic sensory modalities. The graphesthesia learning effect was weaker in the patient group. No unequivocal correlation could be found between psychopathology or course variables and dysgraphesthesia. The authors hypothesize that an impairment in graphesthesia testing may reflect a working memory deficit in schizophrenics.

ISSN:0254-4962    

DOI:10.1159/000284939

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

A patient with posttraumatic stress disorder (PTSD) had several episodes of catatonia in the past 44 years. These episodes were characterized by a sudden onset of intense excitement, mild pyrexia, often moderate elevation of serum creatinine phosphokinase and the development of a full catatonic state. We could not relate the symptomatology exhibited to any one of the accepted etiologies of catatonia. We assume, following careful evaluation of the clinical picture, and thorough biochemical and imaging work-up, that in this case the catatonic states represented an overwhelming psychic response to associated traumatic recollections, bringing to extreme the avoidance, numbness and motor responses usually encountered in PTSD.

ISSN:0254-4962    

DOI:10.1159/000284940

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

Self-ratings are very practical and economical procedures to measure the severity of depression in intraindividual comparisons. They are sensitive to change induced by therapy and provide findings concerning the global result of therapy and its time course, which are similar to data based on ratings by psychiatrists. Due to their practicability, self-rating procedures contribute to an exact description of the time course of depression in multiple measurement designs. However, the limitations of the validity of self-rating procedures should not be neglected.

ISSN:0254-4962    

DOI:10.1159/000284941

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

Delusions of pregnancy in males are bizarre delusions that are rare in occurrence. Variables in characterization of such delusions include organic factors, neuroendocrine abnormalities, sexual identity confusion, misinterpretation of mechanical factors, and wishes for another baby. In this report we describe a persistent delusion of pregnancy in a 43-year-old man with chronic schizophrenia in the background of poor sexual adjustment.

ISSN:0254-4962    

DOI:10.1159/000284942

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

Although the psychosexual development of patients with Klinefelter’s syndrome is often delayed, the sexual identity is generally male. This paper reports on a 56-year-old patient whose initially good psychosocial integration gave way to a transsexual development with a meanwhile clearcut female sexual identity as the consequence of a personal crisis situation. This case report illustrates the interaction of biological and psychodynamic etiological factor

ISSN:0254-4962    

DOI:10.1159/000284943

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

The case of a young female patient is described who presented symptoms of transsexualism; surgical intervention was considered. Admitted to the hospital after having become depressed and suicidal, a thorough examination and observation revealed the presence of multiple personality disorder (MPD). Even though transsexualism and MPD represent two different conditions, there are many similarities between them. The possibility of MPD should be considered in every case of transsexualism.

ISSN:0254-4962    

DOI:10.1159/000284944

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

The aim of this study was to evaluate the presence of personality disorders (PDs) in 40 patients with obsessive-compulsive disorder (DSM-III-R criteria) from the Medical School of Botucatu (UNESP), São Paulo, Brazil. It is a case-control study. Patients were 24 women and 16 men, 16–68 years old, referred to our outpatient psychiatric service for treatment. Controls were 40 nonpsychiatric outpatients matched to the cases by sex, age and marital status. The instrument used was the Portuguese version of the Structured Interview for DSM-III-R Personality Disorders (SIDP-R). All interviews (n = 80) were made simultaneously by 2 raters, with independent scoring, so that the interrater reliability of the instrument could also be assessed (kappa statistics). The consensual axis II diagnoses in the OCD group were: avoidant (52.5%, k = 0.80), dependent (40%, k = 0.84), histrionic (20%, k = 0.83), paranoid (20%, k = 0.74), obsessive-compulsive (17.5%, k = 0.86), narcissistic (7.5%, k = 1.00), schizotypal (5%, k = 0.65), passive-aggressive (5%, k = 0.79) and self-defeating (5%, k = 0.55). At least one PD diagnosis was made in 70% of the patients, while only 6 controls had a PD diagnosis (p < 0.01). A great deal of diagnostic overlap was found in the OCD group (57.5% had two or more PDs), especially between avoidant and dependent PDs. The features of these two PDs may be secondary to the OCD. The study also suggests that there is not a close relationship between OCD and obsessive-compulsive personality disorder (OCPD). Patients with OCPD or even 3 or 4 O-C traits had significantly less insight into their obsessions and compulsions (p < 0.0

ISSN:0254-4962    

DOI:10.1159/000284945

出版商:S. Karger AG    

年代:1995

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284946

出版商:S. Karger AG    

年代:1995

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284947

出版商:S. Karger AG    

年代:1995

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284948

出版商:S. Karger AG    

年代:1995

数据来源: Karger