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Biomedical subjects

W Janzarik

Publications and source records attributed to W Janzarik.

At least 19 recordsLinked to original sources

[Analysis of criminal acts and forensic evaluation of psychiatric deviance].

The psycho-scientific diagnosis transposed to legal terms defines and limits the extent of the psychic disturbances that have to be considered in the test of criminal responsibility. The analysis of the criminal act that has to be carried out on this basis is of decisive importance. It must place particular emphasis on the automatic nature of structural orientations and their regulation by de-actualization. The psychopathological reference system proposed by Sass can be used to measure the severity of psychic deviance ("abnormality")--the different forms its manifestation can take are treated separately in detail--against acute psychosis and against delusion as two basic patterns of psychopathology. If a severe abnormality is confirmed the analysis of the offence that has to be undertaken independently of psychopathological comparisons must be centred on orientations that are contrary to automatically criminal action. These can be respected or overcome by decisions for which the perpetrator can bear the responsibility, or restricted or negated by psychic impairment. Before the author's concluding remarks on the place of such considerations in the enforcement of disciplinary proceedings, some examples of severe psychic abnormality are treated in detail. They are found more frequently in sexual offenders and those involved in drug-related crimes than in other groups of offenders.

Commitment of Persons with Psychiatric Disorders↗

[How is delusion possible in psychopathologic terms?].

Delusion is understood to mean inter-subjectively disconcerting convictions with a tendency toward subjective certainty that lose their disconcerting character when made the object of psychiatric analysis in the knowledge of their independence from mental disorder. The perceptions from which delusions arise are dynamically charged according to their role in the structural context. The realization pressure that burdens the perceptions and is intensified in psychotic constitutions is a precondition for the delusion. The failure of derealization brought about by the psychotic disorganisation of the structure is also a requirement. Based on a case study, considerations arising out of the initial stages of schizophrenic delusion are extended to other forms of delusion and to the conditions for chronification.

Adult↗

[Life change event--life history--life plant: psychopathologic and forensic aspects].

The life history approach-obsolete in biological psychiatry but given a new lease of life in psychology-embraces perspectives for the future. In clinical psychopathology it is advisable to limit consideration of the life history to past events and processes. Readiness for the future and development are more appropriately dealt with in the framework of the life plan, where life movement are concentrated and where most disturbances occur. The criminal life plan and the effect of life events are used to illustrate this point.

Adolescent↗

[Heuristic and empirical approaches in psychiatry].

Scientific investigations with their realistic orientation have brought about an increase in our knowledge about details in psychiatry. Despite these gains, their actual contribution to psychiatric cognition has been modest. They have been unable to conceptually grasp the role of personal components which are decisive for our discipline. They have also been unable to produce those connections which organize what is supposed to be the object of our concerns. The psychopathological reflections which are employed here rely on the heuristic approach. The example of idiopathic, and especially, the affective psychotic syndromes, makes clear the need to apply heuristic approaches.

Brain↗

[Psychopathologic aspects of the course of idiopathic psychoses].

This contribution to a symposium on our ability to affect the course of psychiatric illnesses deals with psychopathology and uses a syndrome-oriented approach. The core of the idiopathic syndromes consists of the bipolar affective psychoses, including the predominantly affective-psychotic psychoses of the schizoaffective borderland. The underlying dynamic constellation is determined by restriction and expansion, whereas schizophrenic phenomena arise when the dynamic becomes unstable. One can differentiate between the central affect-psychotic type, the purely depressive dysphorias, and the schizophrenic syndromes which are complicated by a dynamic insufficiency and a structural change and which are normally no longer completely reversible. The real psychotic core of the idiopathic syndromes on which the thymotropic drugs act, lies in the derailments of the psychic dynamic of the three types: restriction, expansion and instability. Within the structural-dynamic framework the psychotic derailments and personality with its biographical and situational background are closely linked. The cope and limitations of the treatment of the idiopathic syndromes are discussed from a structural-dynamic viewpoint.

Bipolar Disorder↗