[Puerperal psychosis and adoption psychosis. Psychosis of desire?].
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Biomedical subjects
Publications and source records attributed to J Guyotat.
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The author reports on his experience as Balint group leader, either with only psychiatrists, or with both G.P.s and psychiatrist. After recalling what is precisely meant by "Balint group" he emphasizes: 1. The shift from psychotherapeutic attitudes towards systematizes psychotherapies. 2. The psychodynamic of psychotropic drug prescription as it appears in the clinical cases reported by the group members. 3. The way a psychiatrist may use his "personal deficiencies" to understand a peculiar case. 4. The special features of psychotic patient care by the G.P.s and the deriving relationship problems with the psychiatrist.
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The author distinguishes inhibition as a symptom from inhibition as a processus in the three following situations: a) Antidepressants and melancholic inhibition: the action on inhibition is studied referring to Kielholz classification of antidepressants. The author points out the risk of suicide by suppressing inhibition. b) Antidepressants and chronical psychoses: the author compares effects of antidepressants and stimulating neuroleptics in these syndroms. He thinks that with the two types of psychotropic drugs, one can obtain a desinhibitory effect. But antidepressants can be better used in paranoid personnalities, loss of ego boundaries, and some schizophrenic-like syndroms, when neuroleptics seem to be more desinhibitory in hebephrenics. The author stresses the depressive core in these psychotic personnalities. c) The antidepressant effect has been studied in neurotic depressions. The author describes essentially cases with reinforcement of inhibition as a negative therapeutic reaction by antidepressants. It deals with neurotic depressions evoluting on narcissic personnality back ground.
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