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Biomedical subjects

H Dietrich

Publications and source records attributed to H Dietrich.

At least 127 records · Page 7Linked to original sources

[Taphophobia and resurrection mania].

There are two rare psychopathological phenomena: The fear to be buried alive (taphophobia) and the delusion to rise again from the grave (delusion of resurrection). These cases are given as illustration. Taphophobia is counted among the neuroses, the delusion of resurrection is a cardinal symptom of the psychosis "phantastic paraphrenia" Both states are rooted in unconscious fears and and wishes in man, especially in superstition. The theoretical concept behind these psychopathological phenomena is twofold--using an eclectic open system of interpretation--taphophobia is seen in the light of psychoanalysis, delusion of resurrection is explained in terms of the psychiatric thinking of K. Leonhard.

Adolescent↗

[Hatred and change of love into hatred from the psychiatric nosological aspect (author's transl)].

Pathological hatred affects belong to the paranoic reactions, paranoic developments and paranoid psychoses. The normal hatred affect helps as a means to the end of removing the object of hatred. The passion of hatred is an affect swinging between a feeling of triumph and a feeling of impotence and the cardinal symptom of a paranoic neurotic development. Hatred becomes monomania when the affect degenerates maniacally (e. g. queruousness) or perversely (e. g. misogyny). In catathymic mania, hatred is projected on to the "pursuer". The metamorphosis of love into hatred is historically and dynamically behind all normal and pathological manifestations of hatred.

Adult↗

[Delirium metabolicum and rigid involutional depression in older age].

A melancholic-schizophrenic mixed psychosis is described in a 64-year-old man. It was diagnosed as a 'rigid (or catatonic) involutional depression' (Medow, 1922), showing besides hypochondriacal, nihilistic and micromanic delusions, a transient delusional syndrome of 'Delirium metabolicum' (Mendel, 1902), with zo-anthropy. An attempt was made to avoid the differential diagnostic classification of that clinical picture into involutional melancholia (296.0) and paranoid psychosis of involutional age (197.1) which, as in so many psychoses of the older age groups, is quite inadequate. Thus the psychopathological phenomena of the psychosis, which after all are the only reliable data, were attributed on the one hand to the senile deterioration and slight but demonstrable arteriosclerosis of the brain, and on the other hand, to the conspicuous premorbid characteristics which correspond to an anankastic psychopathy with a depressive-inadequate basic mood. It was considered as likely that the Delirium metabolicum represented an exogenous (organic) psychotic syndrome, and that the precipitation of the psychosis as well as its development into an enfeebled endstate was due to an organic brain lesion, while the catatoniformpsychomotor phenomena and the melancholic stupor were crystalisations of traits in the premorbid personality.

Age Factors↗

[Placental changes in diabetes mellitus with special reference to villi maturation disorders. (Morphological findings and severity of the disease)].

The placentas of 30 cases of diabetes mellitus were examined. The degree of severity of the disease was classified according to the schema of White. Related to the gestation period different degrees of severity of diabetes mellitus revealed nearly the same weight of the placentas. Similar relations were found referred to the height of the placenta-child-index. Implantation lesions occured in 56, 7% of all cases, most of these in cases with strong diabetes mellitus. The greater number of lesions were insertion anomalies of the cord. All placentas-showed disturbed circulation by dominance of disturbed blood supply. A relation to the degree of the severity of the disease wasn't provable. Very often we found villi necrosis and proliferations of the syncytiotrophoblast. Also we could see alterations of the villi vessels and a compensatory angiomatosis. 83,3% of diabetes cases showed disturbed maturation of the villi; the grade of these changes could not be referred to the degree of severity of this disease; it was merely a ramification block. The authors point out that in diabetes mellitus the degree of danger to the pregnancy does not depend on the severity of the maternal disease. It is always necessary to have a sufficient metabolic condition.

Angiomatosis↗

[Late destinies of anancastic psychopaths].

Anancastic Psychopaths differ from obsessive compulsive neurotics as they fulfill the second part of Schneider's formula: They are people under whose abnormality society suffers. Their asocial or antisocial impulses are in the sphere of either indecency and perversions or in aggressive outbreaks. Special manifestations are: stubborness, irascibility; willful- and self-destruction; or tendencies of becoming sadistically dangerous to the public. Because of aggressive inhibition, secretivness and denial of instinctive impulses they carry on outwardly an uneventful life. In some cases around the age of 50 defence mechanism break down and there occur manifestation of symptoms. Well known late destinies of psychopaths (Kahn) are: saturation, pseudo victory, resignation and suicide. In this paper two new examples are added: signs of breakdwon of resources in life at an earlier age and divorce. Two cases of Anancastic Psychopaths illustrate the compulsive syndrome and the obligatory outcome of their destiny.

Age Factors↗