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Biomedical subjects

P Ramos Gorostiza

Publications and source records attributed to P Ramos Gorostiza.

11 recordsLinked to original sources

[Personality and endogeneity in psychopathology].

Personality and endogenity built the background of available concept necessary to understand the different manifestations of mental illness. In spite of coming from different tradition, now a days both of them have converged. The object this study is ti reconstruct of genesis of these two concepts in a way there convergence could be understood. This convergence is not obvious but full of consequences. The concept of personality has had along way beginning with the origin of occidental thought. During the last century this concept has been drastically reduced according to the necessity of using it in a predetermined way. On the other way the concept of endogenity comes from the degenerationist theory and has deep roots in positivism. The convergence between personality and endogenity is produced understanding personality as biological conditioned and endogenity as vulnerability. This solution is clearly unsatisfactory leading to aporias and important difficulties as the nosological crisis we live now a days. One way to overcome this difficulty it is showed in Tellenbach work. Another solution as a future task should be based on changing the concept of mental illness creating the categories to think about it.

Depressive Disorder↗

[Persisting and late onset psychotic disorder due to consumption of ecstasy (MDMA)].

Let us present a case of recurrent paranoid psychotic episodes in a patient with a history of abuse of < > (MDMA: 3, 4-methylenedioxymethamphetamine), that persisted after a long withdrawal time, that, in our opinion, after an exhaustive differential diagnosis, may be attributed to that consumption. The carachteristics of this case are formally and naturally equivalent to those referred to in other papers about paranoid psychosis after abuse of MDMA, in which the sudden appearance, and the symptomatolgy of an intense feeling of threat and physical violence outstands, accompanied by abnormal corporal perceptions. In the case hereby presented, the withdrawal time is longer than that described in other publications. Even though in some authors' opinion this should be considered as comorbility or dual diagnosis, in our opinion enough facts exist suggesting that this is not a case of functional mental disorder but an organic disorder secondary to the neurotoxic effect of MDMA.

Adult↗

[Symptoms of psychopathology. Identification and interpretation].

INTRODUCTION: Updating psychopathology is currently viewed as being dependent on a readjustment that fits the ever increasing knowledge of cerebral physiopathology. Nevertheless, this recalibration cannot elude the apories of a medical semiology based upon the identification of correlates and injury as the reference of symptoms. Experience is proposed as the true field of psychopathological research, the totality concept being one of them. MATERIAL AND METHODS: The publications of those authors who have dealt with the concept of totality are reviewed in addition to the basis of each approach and its ties with each author's contribution to psychopathology. RESULTS AND DISCUSSION: We observe that the totality concept has been subjected to determinant procedures that are not capable of abiding to the demand of totality as a structure of experience. CONCLUSIONS: Meaningful relationships between totality and symptoms are considered as a possible alternative to positivism-oriented processes of identification.

Brain↗

[Psychopathologic manifestations in the sphere of subjectivity: disorders of self].

As much as it strives to be "scientific" psychiatry can not obviate its necessary bonds to the subjectivity of the subject. The attempt has been made to reflect the richness of manifestation of subjectivity by means of a formalization process based on the traditional concept of it. This has led to the concept of disorders of self (Ichstörungen). They are of central importance in clinical psychiatry and psychopathology, as can be seen in the attempts to conceptualize schizophrenia. However, the presumed degree of precisión reached runs parallel to the apartness of the fidelity to the effective vivification of the patient. This discord is interpreted as a fault in the conceptualization of the disorders of self and the possibilities originates by corporality point to the need to redefine, once again and in depth, the concept of subjectivity which is the foundation of psychiatry.

Defense Mechanisms↗

[A crucial moment of psychopathology: Heidegger's review of Jaspers' Psychology of the conceptions of the world].

From the current status of psychopathology abolition, in behalf of a reductionist and non-satisfactory empiricism that has overwhelmed psychiatry in a sterile paralysis, we question its origin, discovering in Jaspers the methodological problems that made him unable to assume obstacles and led us to the present situation. Matching Heidegger's review on Psychology of the conceptions of the world, we are tracing the criticism to that methodology, in an attempt to approach the model of a new empiricism for psychopathology that solves the current situation. We use this occasion to pursue the tracks followed by one of the confronted attitudes or another that we consider a psychopathology crossroad. We are investigating the consequences and alternatives derived for that new task in present time, once these methodological positions have been assumed.

Philosophy↗

Delusion as psychopathological metaphor.

The equivocity of the term delusion has led to it being considered a mere artifact. In this study, its meaning is considered as a psychopathological metaphor to be able to consider the relationships of man with the distorted reality. To do so, the meaning of the concept of man must be adequately understood, and based on this, observe the relationships that man establishes with reality. This relationship is always an aspiration to truth, although not exclusively as judicative as is usually understood. From this time, a series of apparently unconnected and rare psychopathological phenomena can be joined in view of the essentially veritative relationship. This relationship has been subjected to serious and deep philosophical considerations during the XX century and has left its mark on the psychopathological concept of delusion. This equivocity of delusion, finally dependent on a psychopathology that is understood in regards to an unsatisfactory idea of man, may be explained based on a better and more purified psycholopathological practice that is up-dated in regards to concepts of subjectivity and truth.

Delusions↗

[Secondary effects of lithium. Their evaluation].

A groupe of 52 patients in long-term lithium treatment were questioned about side effects. The K. Ghose questionnaire was used which contained 36 items. The most frequent complaints were hand-tremor, dry mouth, poor memory, polyuria, diarrhoea, weight gain. We hypothesize that apart from symptoms clearly demonstrated to be caused by lithium treatment (polyuria, hand-tremor, weight gain diarrhoea). Other complaints such as dry mouth, poor memory or skin eruptions occur frequently and they are also related to lithium.

Adult↗

[Status of child psychiatry].

This paper is a revision of the present situation of child psychiatry showing its confluence with general psychiatry through the epistemological unification as a biopsycho-social model. The psychopathological limitations of this process as empiricism are taken into account as well as its identity, which did not really exist till now. At the same time this identity supposes an orientation for the clinical, teaching and research action.

Child↗

[The tasks of psychiatry: the psychiatric experience].

This work pretends to show the necessity of psychiatry of knowing its grounds as medical knowledge in order to do justice to its history and to the concepts that have been traditionally used in the west way of thinking. By the idea of experience it is tried to search in psychopathology the motives of the transformation of psychiatry under the operative concept of 'life world'. The psychiatry tasks shall be those in connection with the development and appropriation of the ontological and methodological implications that the concept of 'life world' involves, always across a psychopathological theory.

Humans↗

[The understanding of psychopathology and the role of phenomenology. Contribution to a controversy].

The sense of psychopathology is interpreted as the development of a descriptive language, that allowed the approach to the psychiatric disease in the context of natural sciences. The phenomenology was introduced as a methodological tool for the improvement of this language. Since then this topic has been present in the foundations problems of psychiatry. In this paper the discussion is set towards the influence of phenomenology in psychopathology, as a controversy between two opposite points of view. The authors establish their own arguments about the limits of psychopathological knowledge and psychiatric experience.

Humans↗

[Autism and inter-subjectivity].

The concept of autism as a fundamental symptom of schizophrenia has been lacking of psychiatric eminence in the course of time, just because of its absence of univocal sense, and its extraordinary richness, hardly to be apprehended by deterministic procedures. However, the experience which it refers to, is still present in the daily clinical practice. In its attempt of apprehend this reference, the psychopathology has developed several concepts, as diverse and unspecific as "Praecoxfeeling", "self disorders", or "contact disturbances". In this paper, we start from "Intersubjectivity" as the viewpoint from which we try to comprehend the immediate experience of the Other as a whole. Finally, our purpose would be to offer an interpretation of autism that could serve as a comprehensive substrate for many of the manifestations of the schizophrenic condition.

Autistic Disorder↗