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Biomedical subjects

F Pfäfflin

Publications and source records attributed to F Pfäfflin.

At least 19 recordsLinked to original sources
PubMed1995

[Expert assessment within the scope of legal social determination of the extent of economic responsibility of insurance for analytic psychotherapy].

Expert Opinions and Social Insurance Tribunal Rulings on the Scope of Medical Insurance Cover for Analytic Psychotherapy.--In Germany at present medical insurance cover is more or less automatic for a bone-marrow transplant costing anything up to 100,000 dollars--an operation where the death of the patients is by no means infrequent. In view of this state of affairs it is hard to comprehend the refusal on the part of insurance cover reviewers to approve ongoing cover for analytic psychotherapy beyond the 240-hour limit. In the case presented here, privately financed continuation by some 180 hours demonstrated that this prolongation and intensification of therapy was in fact essential to ensure the success of the treatment.

Expert Testimony↗
PubMed1995

[Educational reform in medical education--effects of the 8th revision of the medical approbation regulation on the psychosomatic/psychotherapy specialty].

Since the end of 1993 a draft of the 8th revision of the Educational Rules in Medicine (Arztliche Approbationsordnung) was published by the Federal Ministry of Health, suggesting substantial changes of ways and contents of medical education the consequences of which for university departments of psychosomatics and psychotherapy are discussed in this paper.

Curriculum↗
PubMed1994

[Not Available].

Explore the source record for details and available documents.

Euthanasia↗
PubMed1983

[Treatment of especially severe sex offenses].

"Therapy" is a currency with two different notations, as far as court practice is concerned. If the offences are of a minor nature, such as exhibitionism, the judge will usually expect the expert to mention the word, which prompts him to refer the delinquent to a therapist without delay, even if he is not at all hopeful that therapy may be successful. "Therapy" is an inflationary currency. In severe cases, its notation is correspondingly lower. This development has been promoted by the increasing division between forensic and therapeutic perspectives in psychiatry. The difficulties resulting therefore are discussed, taking the example of expertise and therapy of a patient accused of attempted murder as basis. Suggestions are advanced in what manner this division between forensic and therapeutic psychiatry could be avoided or even reduced in future.

Adolescent↗
PubMed1980

H-Y antigen in transsexuality, and how to explain testis differentiation in H-Y antigen-negative males and ovary differentiation in H-Y antigen-positive females.

H-Y antigen was determined in eight transsexual patients. Two of the four male-to-female transsexual patients typed as H-Y antigen-negative, while the other two typed as expected from their phenotypic and gonadal sex, namely H-Y antigen-positive. Of the four female-to-male transsexual patients, three typed as H-Y antigen-positive and one was H-Y antigen-negative, as expected. The presence of normal testes in H-Y antigen-negative males is assumed to result from a mutation of nucleotide sequences of the H-Y structural gene for antigenic determinants. Thus, an H-Y is produced with normal receptor-binding activity which can sustain the testis determination of the bipotent gonadal anlage. In the case of H-Y antigen-positive females with normal ovaries a deletion of the autosomally located H-Y structural gene is assumed. This deletion should affect sequences for repressor-binding (as was suggested for H-Y antigen-positive XX-males) and for receptor-binding activity of the H-Y antigen molecule. The resulting H-Y antigen is unable to bind to the gonadal receptor of the bipotent gonadal anlage. Thus an ovary is determined. The relevance of H-Y antigen for the aetiology of transsexualism is discussed.

Chromosome Deletion↗
PubMed1980

Changes in personality scores among couples subsequent to sex therapy.

Changes in personality scores and self-perception of 92 couples through sex therapy are reported. The sample included 52 couples with female symptoms (orgasmic dysfunction and vaginismus) and 40 couples with male symptoms (erectile dysfunction and premature ejaculation), who all completed therapy. One-year follow-up showed significant changes indicating a general increase of emotional stability and a reduction of neurotic tendencies in both partners.

Attitude↗