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Biomedical subjects

G Kockott

Publications and source records attributed to G Kockott.

53 records · Page 3Linked to original sources
PubMed1976

[Electroencephalographic changes in transsexualism (author's transl)].

The study's goal was the examination of the hypothesis that transsexualism develops on a diminution of sexual drive which itself is a result of temporal lobe dysfunction. 28 transsexuals were examined. More than 30% of this group showed pathologic findings in EEG recordings. Most of the pathological findings were situated in the temporal region. Four transsexuals with pathologic EEG findings mentioned a brain injury in their personal history. In all but one case this injury had taken place after manifestation of transsexual behavior. There was no correlation between depressed sexual drive and pathologic electroencephalographic changes. Generally genetic male transsexuals showed a diminuation of sexual drive only by taking estradiol. This is interpreted as a hypogonadotropic hypogonadism. The electroencephalographic findings in 9 or 28 cases of transsexualism with an increase of epsilon-waves mostly in the temporal region are discussed in the context of single case studies and regarded as a reference to temporal lobe dysfunction. This dysfunction is interpreted as a biologic factor in the etiology of transsexualism.

Adult↗
PubMed1975

Systematic desensitization of erectile impotence: a controlled study.

Results of a study conducted to assess the therapeutic effectiveness of systematic desensitization of erectile impotence are described. Three groups of eight patients each were formed. They were treated with systematic desensitization or conventional medication and general advice, or put on a waiting list. Therapeutic effects were investigated on the behavioral, subjective, and physiological levels. There were no significant differences among the three groups except on the subjective level. On this level, after therapy the systematic desensitization group rated feelings in sexually arousing situations as associated with significantly less anxiety than the other two groups. Systematic desensitization used alone as a treatment for erectile impotence shows only limited therapeutic effect. The unimproved patients were later treated using a modification of the Masters and Johnson technique. Early results suggest that this technique may be superior to systematic desensitization alone.

Adult↗
PubMed1975

[The use of the brief psychiatric rating scale (BPRS) by overall and gorham for the diagnosis of acute paranoid psychoses: evaluation of a german translation of the BPRS (author's transl)].

A German translation of Overall and Gorham's "Brief Psychiatric Rating Scale" (BPRS) has been used to select patients with acute paranoid psychoses for a drug trial and to evaluate the results of the treatment. The BPRS proved very useful in screening, and as a reliable method to judge the global therapeutic outcome. The total score showed a high degree of interrater reliability; it also reflected a marked decrease of psychopathological symptoms at the end of the trial. Interrater correlation coefficients were lower than 0.7 in 9/16 items. This may be due to the somewhat unprecise and ambigous formulation of several items. The average BPRS profile of patients with "paranoid-hallucinatory schizophrenia" were similar to those published by French authors for the corresponding diagnosis.

Acute Disease↗
PubMedDate not supplied

Sexual disorders in nonacute psychiatric outpatients.

One hundred schizophrenics and 58 patients with an affective psychosis who were in relatively stable condition and were being treated as outpatients, as well as 30 patients receiving dermatological treatment, were questioned in a semistructured interview about their sexual history. Forty-nine percent of schizophrenics, 36.2% of those with affective disorders, and 13.3% of control patients had a sexual dysfunction. The most frequent form experienced by psychiatric patients was hypoactive sexual desire disorder. Underlying causes were presumed to be multifactorial in most cases (expert rating). The patients most frequently affected by sexual dysfunctions were schizophrenics on neuroleptic medication, whereas schizophrenic patients not on any medication had fewer dysfunctions and control patients were only minimally affected. Neither the nature of the psychopharmaceuticals nor the dose level had a specific influence on the frequency of sexual dysfunctions.

Adult↗
PubMedDate not supplied

[Impotence].

"Impotence" is a vague term for a variety of sexual dysfunctions in the male, such as libido disturbance, erectile impotence, dyspareunia and a number of ejaculatory problems. They are very rarely caused and maintained by any single factor. Usually a combination of organic and psychic factors is involved; the symptoms may give some indication as to what factors are dominant. Organic and surgical treatment should be considered cautiously and should have a clear indication. Frequent psychic causes are partnership or personality problems and the so-called vicious circle of performance anxiety. Sexual counselling is often all the therapy needed, especially when sexual knowledge is inadequate or when relative trivial partnership problems are involved. The kind of psychotherapy offered depends on the main problem: partner therapy, therapy directed at the control of personality problems, or therapy based on the Masters and Johnson method may be indicated.

Counseling↗