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Biomedical subjects

A Bleich

Publications and source records attributed to A Bleich.

At least 109 records · Page 6Linked to original sources
PubMed1987

Israeli adolescents and military service: encounters.

Problems of mental health during combat activities are well documented in Israel (Dasberg, 1976). Much less attention has been paid to the problems of the young soldier who enters army life in Israel. This paper delineates some areas of friction and vulnerability between the worlds of the youth and the military. These encounters are systematized into groups, creating the "Binary Model." This model, based on the authors' experience as clinicians in the I.D.F. Central Mental Health Clinic, helps in locating and treating young soldiers in crisis situations.

Adolescent↗
PubMed1987

Bereavement in combat.

Despite the obvious fact that loss and bereavement are an integral part of the war experience, surprisingly little has been written about bereavement and grief in combat. This article discusses reasons for the resistance to the concepts of loss and bereavement in military psychiatry, distinctive aspects of combat bereavement, factors that impede appropriate grieving in war, and, with the aid of case vignettes, the varieties of bereavement states seen in combat situations. The authors conclude that the clinical phenomena of grief run like a connecting thread through the various presentations of combat-related psychiatric syndromes, including post-traumatic stress disorders, and that more research in this area is called for.

Adult↗
PubMed1986

Use of a metaphor in the treatment of combat-induced posttraumatic stress disorder.

In this case of posttraumatic stress disorder, instead of interpretation, we used a metaphor that was indirectly yet concretely related to the patient's trauma. It subsequently became a symbol for other crucial events and situations in the patient's life. Mann's original approach to this type of patient had to be modified since the traumatic experience was not only too painful and isolated but also untouchable. The use of metaphor was thus a viable, indirect approach. Matching the metaphor to the therapeutic situation of patients with severe trauma, makes successful treatment possible where other approaches are excessively painful or almost impossible. The use of metaphor offers a solution to the therapeutic dilemma of too much resistance to brief therapy versus dependency-inducing long-term therapy for the patient suffering from posttraumatic stress disorder.

Adult↗
PubMed1986

Post-traumatic stress disorder following combat exposure: clinical features and psychopharmacological treatment.

Post-traumatic stress disorder may follow combat stress or civilian psychological traumata. In 25 retrospectively studied patients, symptoms were severe in terms of number of DSM-III items fulfilled, chronicity, and severity of psychosocial disability. Antidepressants had good or moderate results in 67% of cases treated, but major tranquilisers were much less effective; response to drug treatment was not clearly related to somatisation symptoms, significant depression, or panic attacks. Pharmacotherapy appeared to have had a positive impact on psychotherapy in 70% of cases.

Adult↗
PubMed1985

Elective mutism--an atypical antecedent of schizophrenia.

Elective mutism (EM) is a rare psychiatric condition of childhood involving refusal to speak in social situations. We herewith describe such a case which developed into a full-blown schizophrenic illness. This may be the first detailed report of such an outcome in the literature.

Adolescent↗
PubMed1985

Gilles de la Tourette syndrome and mania in an adolescent.

The case is presented of a twelve-year-old boy suffering simultaneously from Tourette Syndrome (TS) and a manic episode. The problems of this unique clinical association are discussed from the point of view of differential diagnosis, treatment, and possible biochemical basis. The case also illustrates the usefulness of the expanded concept of TS as a neuropsychiatric disorder with dysregulation of perceptual, motor, and cognitive functioning.

Bipolar Disorder↗