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Biomedical subjects

M H Hollender

Publications and source records attributed to M H Hollender.

At least 19 recordsLinked to original sources

Lies and liars: psychiatric aspects of prevarication.

The authors discuss the phenomenon of lying, a common psychic process that has received remarkably little scrutiny. The ubiquity of lying and others forms of deception suggests that they have "normal" aspects, but lying which is persistent or destructive to the quality of a person's life becomes pathological. Lying has many determinants, including developmental, biological, social, and psychodynamic. Antisocial, histrionic, narcissistic, borderline, and compulsive personalities have been associated with lying. The treatment of lying needs to be individualized according to the overall symptom complex in which it is embedded.

Adolescent

The age of sexual consent.

In 1899 the age of sexual consent in some American jurisdictions was 9 years. It has ranged from 7 to 21 years and at present the range is from 11 to 18 years. The age selected seems to be an arbitrary matter, the product of legislative compromise. The age of sexual consent should not be so early that little protection is provided for a child. Conversely, it should not be so late that a man can be held for statutory rape when the "victim" is fully capable of informed consent and readily acquiesced to a proposal or even invited a sexual relationship.

Adolescent

Double parricide--matricide and patricide: a comparison with other schizophrenic murders.

Two paranoid schizophrenic young men murdered their mother and father while acutely delusional. To delineate the characteristics of homicidal, particularly parricidal patients, these two patients are compared with one parricidal and six homicidal patients. Preliminary warning signs, the contributory role of family life to the psychopathology, and the occurrence of parricide in schizophrenia are discussed.

Adult

Recurrent pathological jealousy.

A 36-year-old man suffered from pathological jealousy during three marriages. The episodes involving delusions of infidelity were usually preceded by premonitory symptoms. At first, the patient responded by discontinuing his medication (a phenothiazine) so that he might remain vigilant. Later he came to recognize the premonitory symptoms as signals indicating a need for help, and he would request hospitalization. In the periods between his marriages he was never troubled by feelings of jealousy. The chief determinant of delusions of infidelity in this instance, as in three reported by Docherty and Ellis, seemed to be exposure to the mother's extramarital sexual relations. This case, in which three different wives were subjected to the same pattern of behavior, would seem to be an exception to the rule that if marital problems occur both partners are responsible for creating them.

Adult

The wish to be held and hold in couples.

Information pertaining to the wish to be held and to hold was gathered from 56 couples to answer the following questions: 1) What sex difference is there in the preference for being held or holding? 2) Which of the 2 meanings for the wish to be held is usually described? 3) Are men able to separate the wish for body contact as an end in itself from it as prelude to sexual intercourse? 4) Is disparity in body contact desires a cause of marital disharmony?

Adult

Pathological intoxication--is there such an entity?

Pathological intoxication appears as a diagnostic term in DSM-II and DSM-III, is defined in a psychiatric dictionary and is described in several textbooks. Still, is there really such an entity? Is the small amount of alcohol inbibed incidental rather than causal? It should be borne in mind that alcohol is the popular explain-all of our culture and as such is used as an excuse for everything from sexual indiscretions to well-planned "impulsive" acts. It is likely--and evidence is presented for this conclusion--that so-called cases of pathological intoxication are really dissociative reactions. The existence of pathological intoxication as an entity must remain in doubt unless the disorder can be reproduced under controlled conditions.

Adult

Funeral mania.

Funeral mania, as the term is used here, refers to a typical manic episode occurring within 1 week of the loss by death of an immediate family member. The case history of a patient manifesting this rare reaction is presented and discussed. Comments are also made on the relevant psychiatric literature. Although funeral mania is probably a psychiatric curiosity it merits attention because it serves to remind us, even at a time when genetic factors in manic-depressive illness are in the forefront, that we should not overlook the role of emotional trauma.

Adaptation, Psychological

The seductive patient.

Women referred to as hysterical personalities comprise the largest group of seductive patients. We will discuss (1) how to recognize them, (2) how they behave with physicians, (3) the reactions evoked by them, (4) what brings them to physicians, (5) what they are really seeking, and (6) how to cope with them. To supplement information obtained from patients seen in psychiatric practice, information was gathered from 15 practitioners representing surgical as well as medical specialties.

Female

Genital exhibitionism in women.

Historically, genital exhibitionism has usually been regarded as an exclusively male phenomenon. The authors present a case study of a female exhibitionist which is at variance with that contention. They offer a formulation of the psychodymanics of female exhibitionism, focusing on its pregenital, attention-seeking purpose. The findings from this case justify a critical reexamination of the traditional definitions of exhibitionism.

Adult

The wish to be held. A transcultural study.

In a previous study, it was noted that "a strong desire to be held or cuddled correlated with a general leaning toward openness in emotional expression." As is well known, some cultures foster openness, while others do not. This project was designed to assess the influence of cultural attitudes on the wish to be held. To do so, questionnaires were given to five groups of Asian women living in Kuala Lumpur, Malaysia. The most striking differences found were between two groups of Chinese women, one Chinese-educated, and the other, English-educated. The Chinese-educated group inhibited the expression of sensual needs. An English education overturned the traditional mode of response; women in this group scored highest in their wish to be held and lowest in their inclination to keep their body-contact desires secret. This study demonstrates that cultural as well as psychological forces exert a profound influence on the wish to be held.

Attitude

Wish to be held and wish to hold in men and women.

The present study focuses on the wish to be held and the wish to hold in men and women and is based on data collected from both a questionnaire and interviews. It was assumed that cultural sex-role stereotypes would influence the results. More specifically, it was postulated that men would find it easier to acknowledge and discuss their wish to hold rather than their wish to be held, but our data did not support this postulation. The chief differences between men and women were the trend for women to favor being held over holding and the much more sizeable group of women than men who were extremely high scorers on the body contact scale. Men, at least those who are psychiatric patients, can acknowledge their longings to be held, but the intensity of this feeling either does not reach the height attained by some women or, if it does, it is not reported.

Adolescent

Large state hospitals: problems and a solution.

Periodic outcries have focused attention on gross deficiencies in our large state hospitals. Shortages of psychiatrists, commonly attributed to insufficient funding, also may be due in part to lack of prestige and power, disadvantages of public practice and unrewarding relationships with involuntary patients. In spite of discouraging experiences for more than three decades, we continue to ask what can be done to improve large state hospitals and persist in thinking that a workable formula will be found. Logically this is most unlikely, and a better approach might be to raise a different question. I have suggested that we ask, "What can replace large state hospitals?" and to this question I have offered an answer.

Delivery of Health Care