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Biomedical subjects

T Haenel

Publications and source records attributed to T Haenel.

35 records · Page 2Linked to original sources

[Superstition, faith, delusion].

The superstitious person makes use of various projective mechanisms and establishes a connection between two events or between an object and an event which are not causally related. Superstition can be understood as a narcissistic attempt at compensation by persons lacking self-confidence, who feel themselves to be under an existential threat. Religious belief can be defined as a commitment to an ultimate meaning in life. Absolute faith requires hope, in fact genuine faith is unthinkable without hope. A prerequisite, an underlying emotional substrate, of the development of faith is trust, in the sense of basic trust. A characteristic of genuine religious belief is orthopraxy, the practical application of faith in this world. The integrity of religious belief is in itself vulnerable, since, unlike delusion, it can be modified. Delusion is a disturbance of thought content which is maintained with absolute conviction. The deluded person is not capable of doubting or correcting the false belief. Transition from faith to superstition and vice versa is often fluid. Superstition can be the starting point for delusional ideas. It must be distinguished from delusion and in most cases it is easy to do so. The superstitious person feels secure in his world, while the deluded person breaks out of this security and places himself outside the community, outside the society that supports him.

Delusions↗

[Personality of patients with dermatologic artefacts].

35 female patients with dermatological artefacts being treated in the University Skin Clinic Basel have been investigated by a dermatologist, a psychiatrist, and a psychologist. The testpsychological examination with the Color Pyramid Test and the Rosenzweig Picture-Frustration Test yielded a striking uniform picture: The patients showed strong intrapsychic tension, severe depressivity, inhibition of aggression, affective inhibition, low frustration tolerance, weak ego-integration (with tendencies to break outs of impulses) and autoaggressive tendencies. These results point to a depressive and schizoid-narcissistic personality-structure. The manipulations at the skin have different functions: by causing pain to themselves the patients try to feel their body-boundaries and to avoid fragmentations in the body-self; on the tactile level emotional experiences of early childhood should be (re)-activated; the artefact should draw the attention of the surroundings to the emotional suffering of the patient. Concerning therapy, it is important that the doctor to whom the patients come first is ready to offer therapeutic talks. In these discussions the situation in which the artefact was done, with its psychodynamic background, should be explored and the therapist should help the patient to find other ways than artefacts to articulate his needs.

Adult↗

[The suicide problem in Stefan Zweig's works].

The life of the Vienna-born writer Stefan Zweig, whose centenary will be on November 28th, 1981, is portrayed in the light of some external data. His works - mainly novellas - in which the theme of suicide plays a central role, are briefly presented, and his preference for describing psychological borderline and extreme states is stressed. One of his first poems and his last one - more than forty years lie between them - are discussed with reference to his depression and suicidal tendencies. Zweig, who at least since the First World war had been periodically suffering from depressions, was looked after and in a sense also treated by his first wife Friderike von Winternitz, until he had to leave his home in Salzburg in 1935. In 1939, he divorced from his wife and married his sickly secretary, Lotte Altmann, who suffered from asthma and depression. After prolonged stays in England, North and South America he settled in Petropolis near Rio de Janeiro in Brasil, where he spent the last months of his life. Zweig was the second son of a dominating, self-willed mother and a dignified, almost "motherly" father. He felt his childhood to have been constricted and hemmed in. His narcissism, which has played an essential role in relation to his suicide, has its roots in his childhood. Direct as well as indirect hints at suicide were not lacking during the last two years of Zweig's life, which were increasingly filled with depression and anxiety. The preface to his autobiography "The World of Yesterday" may be interpreted as an indirect announcement of suicide. On February 22nd, 1942, Zweig committed suicide together with his second wife in Petropolis.

Austria↗

[Psychiatric aspects in the starting and ending of chronic dialysis].

Various symptoms are discussed which are of importance in patients undergoing maintenance dialysis for chronic renal failure, such as depression, organic brain syndrome, ambiguity regarding a chronic "incurable" disease, sexual dysfunction and suicidal behaviour. A number of criteria that should be considered at the beginning and termination of regular dialysis treatment are described. Six case reports of selected patients with chronic renal failure and psychiatric problems are discussed. For psychiatric reasons one female patient was not started on maintenance dialysis. One of the patients, a female, did well on maintenance dialysis. One patient died due to medical complications for which treatment was withheld. Two patients decided to quit maintenance dialysis with their doctor's approval. One patient committed suicide unexpectedly.

Depression↗

[History of the Psychiatric Outpatient Clinic of Basel].

On the fourth of June 1923 the Psychiatric out-patient clinic was opened in the city of Basle as an administratively affiliated, but locally separated department of the Psychiatric University Hospital. The first head of the Psychiatric out-patient clinic was Jakob Klaesi, who was a head-physician in the Friedmatt at the same time. The life and work of the various directors of the out-patient clinic are mentioned. Developmental tendencies in the Psychiatric out-patient clinic--which moved 1977 into the general Hospital (Kantonsspital)--and the various diagnoses with the course of time are discussed.

History, 20th Century↗

[The psychological behavior of tumor patients with agranulocytosis under conditions of isolation].

31 patients with severe leukopenia, including 27 with neoplastic diseases, were treated in a germfree isolator system for a total of 767 days. For this purpose the patients were informed of their diagnosis. Deprivation syndromes as well as aggressive and regressive behaviour patterns were the most common psychological reactions to isolation. In no instance was the isolation terminated because of psychological complications. A variety of factors are of particular importance in the guidance of isolated cancer patients: confidence in medical treatments, adequate information about the disease and therapeutic goals, firm human interrelationships and active participation of the patient in the therapeutic program. These are principles which can also be applied in the psychological approach to cancer patients in general.

Adult↗