Search PubMed⌕ Search

Biomedical subjects

U Rauchfleisch

Publications and source records attributed to U Rauchfleisch.

At least 55 records · Page 3Linked to original sources
PubMed1979

[Transsexualism and its therapy].

After a review of the historical development of ideas about transsexualiam and the discussion of possible somatic and psychological causes of this condition, the results of explorations of 12 male and 6 female transsexuals who desired a hormonal and surgical approximation to the opposite sex are reported. Two of the nine patients whose chromosomes were examined were found to suffer from Klinefelter's Syndrome. From the personal history it was apparent that 8 of the 12 male transsexuals had difficulty in identifying with an absent, alcoholic or brutal father. The wish to be a member of the opposite sex could be traced in 10 of the 12 male and all 6 female transsexuals to the first five years of life. 7 of the 12 male transsexuals and 3 of the 6 female transsexuals were found to have attempted suicide or to have had suicidal tendencies in the past. In 9/12 male transsexuals and 5/6 female transsexuals the "change of sex" operation was considered to be indicated. The average age at operation was 28 for the male transsexuals and 26 for the female transsexuals. The follow-up studies were done 2 months to 3 years after operation for the male transsexuals (average 1, 7 years) and 2 to 3 3/4 years post operatively (average 2, 9 years) for the female transsexuals. 7/8 of the male transsexuals from whom we have katamneses and both female transsexuals reported that they felt subjectively better than before the operation. The present legal situation concerning the registration of change of name and sex in various countries is described.

Adolescent↗
PubMed1979

[Comparative catamnestic investigations concerning the psychological effects of sterilisation (author's transl)].

In a comparative catamnestic study the emotional working-through of sterilisation in 3 groups of 33 women was examined (duration of catamnesis: 10-12, 5, 2 years). Whereas in all the 3 collectives the upper lower class (according to Bolte) is represented the most frequently (58% in the 1st and the 2nd, 52% in the 3rd), as far as the lower middle class is concerned there is a higher fraction in the 3rd collective (p less than 0,05) and of the middle class there is a higher fraction in the collectives 1 and 2 (p less than 0,05). Women with a higher income (p less than 0,01) and with a better school and professional (p less than 0,05) training are overrepresented in the 2nd and 3rd collective. In the 3rd group only 6% indicated a religious bond, in comparison to 55% in the 1st and 49% in the 2nd group (p less than 0,01). Women of the 2nd and the 3rd collective were in comparison to those of the 1st group older (p less than 0,01) when they were sterilised, and had less children (p less than 0,05-0,01). In the 3rd group there were more divorced women (18%) in comparison to 3% in the 2nd and 0% in the 1st group (p less than 0,01). Concerning the indication for sterilisation medical-psychiatric causes were preponderant with 42% in the 1st group in comparison to 24% in the 2nd and 18% in the 3rd group (p less than 0,01), whereas in the 2nd group (61%) the social indications were predominant. The immediate cause for sterilisation was represented in the 2nd and the 3rd collective preponderantly by the desire to replace the hormonal contraceptives (p less than 0,01). The 1st collective mainly used insecure contraceptive methods before the operation, the 2nd and 3rd principally hormonal methods (p less than 0,01). In the 1st group it was mainly the insecurity of the method, in the 2nd and the 3rd there were more frequent side effects or contraindications (p less than 0,01), which caused the dissatisfaction with the anticonceptive method. The 3 groups differed significantly concerning the catamnestic evaluation of sterilisation. 100% of the last, 94% each of the 2nd and 3rd were satisfied concerning the sterilisation. To the question of working-through of sterilisation concerning psychic, somatic and especially sexual effects, most of the women in all the 3 groups responded favourably.

Adult↗
PubMed1976

E1Socio-economic data concerning the early childhood and the actual life-situation of psychiatric out-patients.

By means of a standarized social psychiatric questionnaire which was developed from the AMP-system and which forms the basis for a standardized case history used in our outpatient clinic, a random sample of 500 ambulant patients from the years 1970 and 1971 were examined concerning their socio-economic data. Patients of the age group of 20-24 years were overrepresented (p less than 0,05) as well as patients of the lower socio-economic classes and patients whose parents were less than 20 years old at the time of the patients' birth. The structure of the family in childhood showed significant differences concerning patients with different social contacts and different diagnoses. Patients who grew up in big families have themselves a relatively large number of children and vice versa (p less than 0,01). A significant correlation (p less than 0,01) consists also between the number of siblings of the patients and the socio-economic class they belong to: Patients from the underprivileged socio-economic classes mostly grew up in big families.

Adult↗
PubMedDate not supplied

[Attempt at a psychoanalytic approach to "concept art"].

In a short review the development of psychoanalytic explorations in art from "pathography to psychobiography" is given. Chasseguet-Smirgel's critique on a limitation to looking for connections between the biography of the artist and his work is discussed as well as Eissler's proposal of an "endopoetic approach". The characteristic of most of the psychoanalytic publications is their orientation on the psychoanalytic conflict-model. New impulses to psychoanalytic interpretations of art were given by ego-psychology. The author tries to understand the artistic creations of "Concept Art" which appeared in the late Sixties, by the psychoanalytic model. It can be shown that especially in these productions which made their theme the "idea" and which are characterised by a degree of abstractness which had not been known before the ego-psychological approach seems to be the most adequate one. Ego performances manifest themselves in these works of concept art at an extreme intensity while the conflictual material of the id is reduced to a minimum or is totally eliminated. The concept artist is not only showing us a mirror of the pathology of our time, but is also giving us ways to overcome these problems. The hypothesis is formulated that concept art is giving us responses to three main problems of our time which is makes it's theme and by doing so tries to solve: it is dealing with the fear of a common psychic disintegration, especially with the danger of outbreaks of aggressive impulses. Moreover single central ego-functions are demonstrated by the concepts to the recipient and he has (actively) to discover them. Lastly the communicative function of art is formulated in concept art in such a radical way as has not been known before. In some of the artistic concepts the recipient is not only meant to reflect upon them, but is also forced to communicative actions.

Art↗
PubMedDate not supplied

[Counseling male adolescents with homosexual orientation and their parents].

In counseling of adolescents with a homosexual orientation and their parents we are not only confronted with the typical conflicts of this developmental phase as those between autonomy and dependence. Moreover we are concerned with specific problems which--because of the coming out--result for the adolescent himself as well as for the whole family system. It is important in such counseling that the following three questions are considered: the characteristic tendencies of separation of the adolescent and the parental reactions to it, the parental acceptance of the homosexual orientation of their son, and the coming out process for the adolescent and the family as a whole.

Adaptation, Psychological↗