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Biomedical subjects

M Kulenović

Publications and source records attributed to M Kulenović.

10 recordsLinked to original sources

Health status as geneologic burden in aging process.

UNLABELLED: Knowledge of modern molecular biology is leading to the idea that aging and diseases of the aged are two different entities. Healthy life is relatively limited by the specific number of chronic conditions which are present more in old age. Up to now the idea of aging as a process in relation to the individual, organ, tissue, cell or a molecule. There are only few studies on the influence of aging within a single family and even less of aging within several generations of the same family. Genealogic level is one way of getting into the process of family system and aging throughout time. The aim of the study was to determine the significance of genealogical burden with regard to the health status in examinees with different cognitive capabilities. The difference according to sex and age was not significant between the two groups. Health status of the examinees proband in both groups showed 34.4% healthy examinees in the group D and 65.3% in group G. The difference between the two groups was statistically significant. The difference of health status of parents (II. generation) was statistically significant in both groups. Morbidity of diseases was not statistically significant. Most of the ancestors from the grandmothers and grandfathers (III generation) died. (group G--97.5%, group D--100%). Statistically significant difference is present among the diseases of the circulatory system and those of digestive system in this generation. Data on the ancestors of the IV. generation showed that all the relatives died in both groups. CONCLUSION: The health status of the examinees with higher impairment in the test of cognitive capabilities is worse and they come from the families with worse health status.

Adult↗

Balint groups as a driving force of ego development.

This paper gives an overview of one of the main components in the process of Balint groups. The paper is based on the authors' research on the work of Balint groups and the study of literature which deals with the development of ego and the role of Balint groups in the development of participants' ego. This field is of great interest to the Balint movement and education in medicine. The special place in the discussions on the Balint method is given to the issue of benefit and the nature of influence of the Balint groups on participants. The Balint movement is of special interest for Croatia since it was perhaps among the first in the world to introduce Balint seminars as an official part of education of family doctors. The Croatian Society of Balint Groups as early as in 1970's became a part of the International Federation of Balint Groups. Professor Betlheim was Michael Balint's friend and his followers introduced the method not only in medicine but also in other professions: social work, pedagogy, psychology, sociology etc. The Balint's method is also very interesting and useful to stomatologists, orthopedists and physiotherapists. Croatian dentists joined the Balint Groups in 1983 and orthopaedists in 1987. These were the unique cases in the European context. The Balint groups are very efficient and necessary in the process of strengthening ego and selfawareness of these professionals. The paper also discusses the increase of the doctor's self-awareness and self-consciousness during the process of training in the Balint Groups. The Balint Groups only insist on the doctor-patient relationship and do not interfere with the unconscious of the doctor's preoccupations. The approach of Enid Balint strives to find harmony between the Balint's approach and the psychoanalytic approach to the object of the research. According to her understanding, the development of the group atmosphere is similar to the one in the family. The authors reach a similar conclusion in their research.

Ego↗

Balint groups in the postwar period in Croatia (with regard to medical and social conditions).

The author tried to present social circumstances in the postwar period in Croatia, a period similar to other situations occurring after a war. Family doctors, and especially psychiatrists, exerted themselves to be present in these situations, and also they were alert to the sufferings of human beings as a consequence of the war. New conditions, new relations, as well as the previous war actions in which the patients had participated, made psychopathologic morbidity rather different from that appearing during the war and before the war. The doctors had to adapt or innovate, with more or less skill, Balint techniques in order to achieve better treatment results. In this they undertook particular precautions not to jeopardize classical forms of treatment and to be always in collusion with continuity of medical development and social changes. The author presents this adequately, having in mind all the levels with which a patient comes into contact. And, finally, it is concluded that only two active subjects in a treatment can make this treatment successful.

Adult↗

Prolegomena for an anti-dictatorship campaign.

This work represents a derivative of a greater study in which adequate values should be given to the psychological component of dictatorship and tyranny within the framework of certain social conditions, economic possibilities of societies, and political events that begin and end all political differences and chaos. Society, economy, and politics are simultaneously the feeding places and hunting ground where ambitious individuals and suggestible masses meet. This "fortunate meeting" leads to dictatorship, which wouldn't be possible without these two psychological components. In our life we have become aware of the irresistible fascination between the masses and a future dictator who uses the masses for the encouragement of his own defenses embodied in narcissism, hatred, and personal will. However, we shouldn't forget that the dictator's characteristics and aspirations represent mostly the fragments of a frustrated childhood and extreme personal outrage and weakness. The author is not on safe ground while tracing the most convincing historical background to confirm his thesis about the appearance of the dictator and dictatorship, however neither can he find a firm stand for its prevention on these phenomena. On the contrary, these shoudn't be any delusions concerning our times and Middle-European conditions, because the appearance of a dictatorship is possible always and everywhere--just the colors are changed. Therefore, it is quite necessary to lead a permanent antidictatorship campaign. Why? Because dictatorship is always possible although it can appear in different forms and can be based on shrewd illusions. Group interests become the most obvious source of a dictatorial invasion. Today, nationalism, fed by the retardate religious remnants from the past, is on the offensive.(ABSTRACT TRUNCATED AT 250 WORDS)

Democracy↗

Institutional paranoia.

Taken separately, the concepts of institution and paranoia have no bearing on this work. They acquire their full new meaning as "institutional paranoia" only when they are taken together. Institutional paranoia is not a mental illness in the ordinary sense. It is a state, a condition, which exists in all associations and communities which have the same goal and concurrent intentions. The author's analysis of the problem is based on observation and monitoring of circumstances, discussions and content analysis, as well as on the use of questionnaires in several health institutions over a long period of time. He focuses his attention primarily on health, political, and economic institutions. The results of observation and analysis point to some interesting phenomena which require further study, regardless of their positive or negative outcome. With additional interventions, the content and dynamics of this process in institutions can contribute to the gradual diminishing of institutional paranoia, and sometimes its complete disappearance over a long time.

Group Processes↗

[Changes in relevant attitudes of nurses after one year of working with Balint groups].

The present study was carried out in the Popovaca Psychiatric Hospital and the examinees were nurses (N = 44) allocated to educative work in Balint groups. Authors discuss if any change may occur in the attitude towards some relevant notions during the one-year educative work in Balint groups. A graphic form of semantic differential was used as the measuring instrument. The findings of this study suggest that during the educational process the attitude towards notions "education", "doctor" and "myself" becomes more negative. The attitude towards the notion "patient" remains unchanged.

Adult↗