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Biomedical subjects

S W Miles

Publications and source records attributed to S W Miles.

8 recordsLinked to original sources

Asperger's syndrome and aminoaciduria: a case example.

An 18-year-old male, originally diagnosed as suffering from infantile autism but with a developmental history and clinical picture in keeping with Asperger's syndrome, and showing current signs of impairment of higher cerebral functioning, is presented. The subject and several males of his family present behavioural disturbances of an enduring type. An aminoaciduria was discovered in the subject and his father. A possible relationship between the metabolic disturbance and the neurological and behavioural disturbance is raised. Mechanisms for this relationship are discussed, including sporadic hyperlysinaemia.

Adolescent

Eating attitudes.

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Anorexia Nervosa

Eating attitudes in an adolescent schoolgirl population.

One thousand five hundred and fourteen Auckland school girls in the age range 13 to 17 were given an eating attitudes test. Fourteen percent of this large population produced a score on that test of greater than 30 which has been claimed to be indicative of potential eating disorder. We view this incidence with alarm and make commentary on the social process of coupling the thin feminine body ideal with success.

Adolescent

Psychoendocrine interaction in anorexia nervosa, and the retreat from puberty: a study of attitudes to adolescent conflict, and luteinizing hormone response to luteinizing hormone releasing factor, in refed anorexia nervosa subjects.

Seventeen young women suffering from anorexia nervosa underwent LHRF infusion, and repertory grid psychometric measures, soon after they had regained ideal body weight. Those who had regained normal LH responsiveness showed repertory grid evidence of increased adolescent conflict compared to those who failed to respond to LHRF. Certain other clinical variables which might account for this finding were excluded, and the hypothesis that amenorrhoea in anorexia nervosa is partly explicable as a psychobiological defence against adolescent conflict is supported.

Adaptation, Psychological

Liaison psychiatry in a general hospital.

An analysis of referrals to the psychiatric liaison service, Auckland Hospital showed that 1.56% of hospital admissions were referred. Females were referred more frequently as were separated, divorced, widowed and unemployed people. Adjustment disorder and affective disorder were the more common diagnoses, but a wide range of diagnostic types were seen. The service dealt with two-thirds of cases without recourse to other psychiatric resources.

Adjustment Disorders

The borderland of anorexia nervosa: relationship of weight loss and amenorrhoea to body image measures.

The attitudes to body image of a group of nursing students were measured by a form of the repertory grid. These responses are compared with responses of low weight and refed anorexia nervosa subjects. A high incidence (20 percent) of self-reported amenorrhoea associated with dieting and weight loss was present in the nursing student group. Those subjects reporting such an experience were demonstrably different from both the remainder of the nursing student group and the anorectics. Major findings were the personal perception of themselves as more feeling and sexual despite a continuance of an apparent desire for a belly thinner than that actually perceived. These distinctions may reflect important psychological conflicts operative in development or continuance of anorexia nervosa.

Adult