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Biomedical subjects

K Foerster

Publications and source records attributed to K Foerster.

At least 37 records · Page 2Linked to original sources

[The so-called "compensation neurosis"--psychopathologic syndrome or obsolete concept?].

The problems of the muddy concept of "compensation neurosis" are demonstrated under different aspects. The following fields are discussed: terminological questions, clinical picture including psychodynamic reflections and approaches as to the course, the legal bases in the Federal Republic of Germany, in particular for the legal annuity insurance and accident insurance, and the expert's problems when giving his opinion. It is suggested no longer to use the vague and inexact formulation "compensation neurosis", but a detailed description of the symptom complex and the personality as well as the outer and inner situation should be strived after. Tasks of research are mentioned that still require to be tackled.

Germany, West↗

[The so-called accident neurosis--a controversial concept].

After a short presentation of the legal bases concerning the field of legal accident insurance in the F.R.G., the development of psychic syndromes after accidents is described. The fact is stressed that such a development is always the result of a concurrence of several factors: the personality of the person involved, the accident itself--whereby one has to point out that not the event is decisive, but its result--, the relation between the medical physician and his patient, the fact of being insured against accidents, as well as further effects originating from the patient's environment. In the second part, the problem of judging the causal connection of the psychic symptomatology and the accident is discussed in detail. In this connection the terminological problems are investigated, too. It is underlined that the term "accident neurosis" does not fit at all, because it only seems to be classifying, but in fact different psychic developments demonstrated here in detail, are enclosed in this term. It is suggested to avoid that notion in future. Finally, the problem of granting a pension is discussed; also the question what kind of psychic consequences an actually given pension may bring, and finally the problem of treatment for these difficult patients.

Adaptation, Psychological↗

[Fate of nonadmitted patients in a psychiatric university clinic].

148 patients rejected by the Psychiatric Hospital of Tübingen University in the course of six months, were investigated with regard to case history and catamnesis. It was found that 82% of such patients had to be hospitalised within 30 days after rejection, and that existing outpatient treatment facilities are rarely sufficient to prevent this. The group of rejected alcohol addicts is distinctly over-represented compared to the total number of patients admitted to the hospital. It is only with this group that we can suspect a "silent" selection. During the period of our study, 75 patients residing in the city of Tübingen and in its rural districts, were rejected, whereas 200 were admitted from far-off residential areas. Considering the existing treatment facilities, it would be sufficient to change the policy of admission in order to cope with the requirements of medical care of acutely ill patients residing in the city and rural districts of Tübingen.

Adult↗

[Reasons for inpatient admission to a psychiatric hospital and to a university clinic--a comparison].

The concrete reasons for a stationary admission in a psychiatric clinic and a psychiatric university hospital have been investigated. Evidential differences appeared at the age of the subjects and at the reasons for their admission: The psychiatric clinic admitted more agitated, desorientated, and intoxicated patients. More self-motivated addicts, calm persons suffering from delusions, and patients for diagnostic clarification, however, were admitted into the university clinic. Furthermore, the examination enabled to realize typical constellations between certain reasons for admission and the diagnoses. As to the duration of the treatment there were no important differences to ascertain between the two investigated clinics. Differences, however, were to realize when considering the duration of treatment according to the diagnoses.

Adult↗

Supportive psychotherapy combined with autogenous training in acute leukemic patients under isolation therapy.

The authors reports on psychotherapeutic observations and experience with 18 leukemic patients who had been treated temporally in a germ-free environment ('life island'). 14 patients were under psychotherapeutic treatment during which a supporting psychotherapy with additional learning of autogenous training was carried out. The results are discussed and the problems of the therapeutic team of a hematologic intensive-care unit are pointed out.

Acute Disease↗

Psychodynamic and social development of neurotic patients applying for disability compensation: a catamnestic study.

Neurotic illnesses in which the desire for compensation or pensioning complicates the picture must not always take an unfavorable course. Prognostic criteria allowing definitive projections for individual cases are not available. The award or denial of compensation--in a group comparison--has no influence on the neurotic symptomatology. There are no differences in the psychodynamic and social histories of those subjects who apply for a pension because of the inability to work and those who claim compensation following an external trauma. In one-fourth of the subjects who were examined in connection with accidental or war injury, conspicuous personality characteristics could be demonstrated for the time preceding the incident. Satisfactory therapeutic possibilities for the group of neurotic applicants for disability compensation or pensions are not yet available.

Disability Evaluation↗

HLA antigen frequencies in patients with Huntington's chorea and their relatives.

Twenty patients with Hungtington's chorea and 30 family members were typed for 30 antigens of the HLA-A, B, and C series. There was an increased frequency of HLA-BW 16, significant at the 1%-level. After correcting for multiple inferences, the association of HLA-BW 16 with Huntington's chorea was no longer statistically significant. There was also no reliable indication of coupling between HLA antigens and Huntington's chorea in the family studies.

Adult↗

[The concept of "drive" in German psychiatry (author's transl)].

Subject of this paper is the attempt to five a survey of the concept of "drive". Some approaches to a better understanding of drive are described: a general psychological way, a phenomenological-psychopathological way, a psychoanalytical way and a neurophysiological-neuropsychological way. The problem is discussed to seize the phenomenon of drive as a whole in contrast to the postulated numerous drives. Some clinical aspects are outlined. Finally, the suggestion is discussed to leave global characteristics as "drive" and better try--also in a clinical point of view--an exact recording in men of the drives as single phenomenons.

Drive↗

[On the etiology of syndromes of dementia (author's transl)].

Some new aspects of dementia are discussed. It is emphasized that the idea of dementia as a primary entity is obsolete. The following classification is proposed: dementia as a sign of a (still) unknown illness; dementia is a sign of a known, but not yet treatable illness and dementia as a sign of a known and also treatable illness. The differential diagnosis of the last group is described. Finally, some tests are proposed for the examination of demented patients to diagnose early treatable illnesses.

Alcoholism↗