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Biomedical subjects

B Mangold

Publications and source records attributed to B Mangold.

At least 37 records · Page 2Linked to original sources
PubMed1986

[The screaming baby. A family dynamic study on causes, sequelae and therapeutic possibilities in the crying baby].

The main goal of this paper is to point at the still unknown aetiology of the "screaming babies". To neglect the corresponding symptoms or to inadequately treat them mostly results in a derangement of the behaviour of the children even years afterwards, resulting in abnormal behaviour, psychosomatic symptoms or even retardation of development, as can be observed during psychotherapeutic treatment later on. Analyzing aetiologic factors will give hints for therapy, which enable us to help and support these children or their suffering parents. Since we believe that multifactorial reasons lead to the symptoms of the "screaming baby", the aetiologic aspect will be demonstrated on three levels: Neurophysiological aspects, dysfunction of the mother-child relationship and also family-dynamic aspects in the context of the family as a whole.

Child↗
PubMed1985

[Psychodynamic and family dynamic aspects of puberty crises].

Within the framework of psychotherapy with youth, family therapy occupied a significant part of entire therapy concept. While working with youth one is always confronted with the problem of differential diagnosis i. e. whether it is a "Phase-specific Problem" or an adolescent crisis or one must interpret symptoms as morbid pathological development requiring the help of physician or psychotherapist. However one should be aware of the danger of hastily tabelling a diagnosis on one side and minimising the importance of symptoms on the other side. In our opinion the physician or therapist runs a great risk of failure in therapy when he concentrates only on the problems of child and tries to solve them through medicaments of hospitalisation. The best possible chance of success lies in directing his attention and therapy towards the whole family. When therapist intends helping the parents he should set as a bridge between the generations and convince parents accept the inevitable growing up their children into adulthood.

Adolescent↗
PubMed1982

[Initial findings in a catamnestic study of 155 hospitalized children with behavioral and psychosomatic disorders].

In 1980 the Psychotherapeutic Department of the University Clinic for Pediatrics carried out a follow-up study on all children and adolescents with behavioral and psychosomatic disturbances who had come in as in-patient treatment between 1974 and 1979. 153 out of 150 questionnaires were returned and the statistical results may be considered representative of the entire patient group treated at the hospital. The minimal duration of the catamnesis is one year, the average duration is about three years. There is significant agreement between therapists and parents in their evaluation of the success of the therapy. Our article describes the therapeutic change in the children's symptoms in general and in comparison to the various diagnosis and also the change in different aspects of behavior. According to the parents, the therapy resulted in a significant and lasting improvement for 50% of the children; if we include the category "decrease in symptoms", the success rate goes up to 80%. Also described is the parents' point of view on the impact of the individual family's problems on the children' disturbances and on the development of family dynamics. As our Department lays special emphasis on family therapy the parents' attitude toward this aspect is interesting: according to the follow-up study, 50% of the parents consider family therapy to be one of the main reason for therapeutic success.

Adolescent↗
PubMed1982

[Psychosomatic pain syndrome of the skeletal system].

A fifteen year old girl was admitted to our hospital with intractable back pain since the last 5 1/2 years. The provisional diagnosis was M. Bechterew. Our patient attended school sporadically during this period, her regular activity was severely curtailed, and she was under continuous Benzodiazepin medication. Analysis of patient-physician relationship during the course of the disease revealed a psychogenic etiology of the present disease. An evaluation of family interactions gave further indications for the psychosomatic origin of the complaint. There was a characteristic familiar dysfunction as observed frequently in other families with psychosomatic disorders. Family therapy including psychotherapy of the patient in our psychosomatic unit for four weeks was followed by a complete resolution of symptoms in our patient and the patients father. The father was suffering for a number of years from a chronic gastrointestinal disorder of unknown etiology. The psychological development of our patient was favourable. She developed an autonomous behaviour stabilisation of her self-conscious and normal family interactions.

Adolescent↗
PubMed1981

[Psychosomatic of acute respiratory-distress from the point of view of family dynamic (author's transl)].

Attacks of respiratory distress occur mainly during the time of prepuberty and puberty. They are in close relationship to the difficulties of the pubertal reparation processes of these children especially the ones for autonomy and individuation. The symptom of acute respiration distress should be viewed as the leading symptom of a complex neurovegetative psychosomatic disturbance. The disturbed functions of various organ systems are discussed. Relationships and correlations to known syndromes like hyperventilation syndrome or normocalcemic tetany are discussed. The causes and pathogenetic factors which show up working diagnostically and therapeutically with the families of these children are described. These factors are of special value for the physician in charge in regard to differentialdiagnosis and treatment-planning. A short description of the most frequent family-dysfunction patterns shows that the disturbed development of autonomy is connected with these family problems.

Adolescent↗
PubMed1980

[Psychotherapy in pediatric practice (in psychosomatic diseases)].

Approximately 30-50% of the children in a pediatric practice have psychological problems. Their complaints can be due to organic or psychological causes and the appropriate treatment can obviously only be given if these are properly understood. The delineation of competence within the field of social-pediatric treatment should indicate when a pediatrician in his surgery would be competent to deal with the problems ansing. Using psychosomatic discases as a model, the possible methods of treatment as well as differences in diagnosis and therapy and their influence on the course and prognosis are shown. These experiences serve as the basis for the ensuing discussion as the methods and possibilities for an expansion of the psycho-social competence of the pediatrician.

Child↗
PubMed1976

[Etiology of psychosomatic diseases in childhood (author's transl)].

The etiology of psychosomatic diseases in childhood is discussed. At first the most frequent causes of psychosomatic diseases are briefly reviewed; then the fact is discussed in detail that psychosomatic diseases in childhood are only to understand if one pays attention to the disturbed interrelationship between parents and child. This context makes it necessary that the parents are included in the therapeutic approach. In regard to therapy it is very important to reinstitute the psychosomatic unity; this means, to distract the patient from his somatic symptom and confront himself with his own-personal problems. The appearance of a somatic disease is considered as an effective defense-mechanism and may be understood as an "escape into the disease".

Child↗
PubMed1976

[Cytogenetic and clinical investigations in trisomia 22 (author's transl)].

Since the introduction of new cytogenetic methods, as the "Pancreatin-Giemsa"-stain and similar methods, it is possible for the first time to determine the chromosomes of group G accurately. There are few cases reported in the literature with an additional small chromosome which could be associated with group G. None of those children presented the classical signs of a Down-Syndrome, therefore a trisomy 22 was discussed. This is the report of a female patient, on whom trisomy 22 was confirmed cytogenetically. So far it was only in a small number of cases possible to prove this thesis by cytogenetic studies. We compare our findings with previous reports of suspected or proven cases of trisomy 22.

Child, Preschool↗