Some observations suggesting preservation of skilled motor acts despite drug-induced stress.
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Biomedical subjects
Publications and source records attributed to H Heimann.
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Numerous studies have confirmed the importance of recent "life events" in triggering a psychiatric episode, whereas the so-called predisposing effect of past events is less well known. The present study analyzes the results of a retrospective documentation of the AMDP anamnestic forms in hospitalized patients. In order to avoid the influence of the evolution of psychopathology in itself, only first episode patients were included. The sociodemographic data and the life events were analyzed separately for three diagnostic groups: schizophrenias, neurotic/reactive depressions, nondepressed neurotics. The most significant result was the loss of a parent before 15 years of age in the group of depressed patients; this difference was confirmed by matching the groups for age sex, marital status and profession.
Proceeding on the assumption that the AMDP system represents a standardization of the language of clinical observation, a language uniting the objective and the subjective or better, the observed and the experienced, the difference is demonstrated between the situation of today's researcher in the presence of such a language and the situation of Kraepelin for whom the significance of the words employed in describing an ill person was not challenged yet. It is emphasized that Kraepelin, founder of an etiological nosology in psychiatry, tried to develop another point of view, that of a pathophysiology surpassing his original and monocausal conception of psychic troubles. In the present situation this pathophysiological aspect in psychiatry is realized only in its first elements in the psychophysiology of psychic troubles. The investigation of some results of psychophysiological research in schizophrenia and depressive illness shows us that something non-specific from the nosological point Of view can provide us with the base of such a pathophysiology of psychic troubles, a proposition expressed by Kraepelin already in 1905.
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