摘要:

This article is a contribution to the psychopathology of communication. Using the communication model of orienting behavior the pathological phenomena of delusion, suicide attempt and suicide are dealt with in a communication-theoretical framework. On this basis, the relationship of delusion to suicide attempts and to suicides is examined. The results are that delusion and suicide attempt are subject to a communicative principle, whereas suicide is subject to an anticommunicative principle. Our numerous observations that the act of suicide leading to death is never carried out in a state of delusion are interpreted within the framework of the communication model presented here.

ISSN:0254-4962    

DOI:10.1159/000283896

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

In the distribution of their serum groups the totality of 48 patients with paranoid psychoses of late onset is characterized by failure of the well-known markers of manic-depressive or schizophrenic illness. However, when differentiated psychopathologically, the haptoglobin (Hp) type 2–2 as a risk factor of cyclothymic psychoses is found to be significantly overrepresented in the patient group with a cyclic axis syndrome. On the other hand, an excess of Hp 1–1 can be observed and statistically confirmed in comparison with the population level among the patients offering a schizophrenic axis syndrome or resting unclassified. Possibly, the Hp serum groups play a role in the bioregulation of emotionality. The ‘noncyclic’ group does not show the marker traits of process psychoses, but in this sampüng there is, in contrast to the ‘cyclics,’ a higher concentration of the immunoglobulin G serum level on the statistical border line, which perhaps is caused by destructive factors. The results correspond with the special state of the examined psychoses basing on biological determinants of diff

ISSN:0254-4962    

DOI:10.1159/000283897

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

Delusion, attempted suicide and suicide are represented as phenomena of pathological communication by means of system theory. On this basis the longitudinal observation and treatment of 158 syntonically delusive manic depressives is reported and classified. Here five typical courses of illness can be formulated in terms of communication pathology. The consequences which follow directly from this seem to be of particular interest for therapeutic measures in social psychiatry.

ISSN:0254-4962    

DOI:10.1159/000283898

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

In 8 endogenously depressed and 9 schizophrenic patients, the excretion of urinary free cortisol was measured. The endogenous depressives exhibited a significantly (p < 0.01) higher excretion of free cortisol (X = 122 µg/24 h or X = 68 µg/24 h) when compared to schizophrenics. This finding, earlier reported by others, suggests a hypothalamic-pituitary-adrenocortical activation in endogenously depressed patient

ISSN:0254-4962    

DOI:10.1159/000283899

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

Significantly more individuals with human leucocyte antigens (HLA) A9 and B27 have been identified in the group of chronic paranoid schizophrenics with early onset of the disease. It is known that individuals with HLA B27 have a markedly increased risk to fall ill from arthropathies (i.e. Bechterew’s disease). Generally, it seems extremely rare that arthropathies and schizophrenia occur together in the same person. In 16 chronic paranoid schizophrenics with HLA B27 no form of arthropathy and in 288 arthropathic patients no case of schizophrenia could be detected (evidenced in a psychiatric case register). Furthermore in 131 arthropathic patients with HLA B27 no psychiatric disease (except one feebleminded and one with alcohol problems) could be identified. On the other hand, in the group of arthropathic patients without HLA B27 the incidence of psychiatric diseases was 5 times higher than in the group with HLA B27 and so comparable to the morbidity of the normal population. It is conceivable that HLA B27 is a ‘genetic marker’ for arthropathy as well as for a defined subgroup of schizophrenia. These data agree with the hypothesis that schizophrenia and arthropathies are mutually exclusive in one indiv

ISSN:0254-4962    

DOI:10.1159/000283900

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

100 records of divorced inpatients were compared with 100 records of married inpatients after having been matched according to sex, age and social background. Almost 50% of the divorced patients were hospitalized within the first year after their divorce, i.e. this is the period which should be concentrated on when taking preventive measures. The most frequent duration of the marriage was between 5 to 10 years whereas in the population it was only between 3 and 5 years. This suggests that divorces after only a few years of marriage do not have such traumatic effects. The diagnoses of psychopathic personality, alcohol and drug dependence, attempted suicide and neurotic and reactive depressions were more frequently made with divorced that with married patients. Affective psychosis and cerebral-organic illnesses, however, were not so often found. The divorced patients being hospitalized within the first year after their divorce could be divided into two subgroups. The first subgroup comprised patients with frequent diagnosis of personality disorders and attempted suicide who were hospitalized for the first time after their divorce and needed only a short-term stay in hospital. In the second subgroup were patients who had already been hospitalized before their divorce – frequently with the diagnosis of schizophrenia -; that means they became recidivous after their divorce and needed a long-term stay in hospital. Social problems were especially relevant with divorced patient

ISSN:0254-4962    

DOI:10.1159/000283901

出版商:S. Karger AG    

年代:1981

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000283902

出版商:S. Karger AG    

年代:1981

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000283903

出版商:S. Karger AG    

年代:1981

数据来源: Karger