[Therapy course in a 5-year-old girl with psychogenic eating disorder].
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The psychotherapeutic treatment of two patients with hysterical disorder of walk showed the importance of problematical cases seminars for deranged therapist/patient relationship. The seminars effected on the collaborators attitude of the psychotherapeutic ward to the patients. The therapists were so emotional confined by faulty assurance of the diagnostic classification and by non-realistic expectations of rapid results, that the therapeutical treatment began to stop.
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In order to study the time-course of depressive neurosis, the author followed up 51 women living under the conditions of a prolonged psychotraumatic situation (the presence in the family of a child with infantile cerebral paralysis). Two variants of depressive disturbances formation closely associated with the premorbid characteristics of the patients' personality have been identified. It was shown that with passing years the neurotic disturbances led to a clinically homogeneous neurotic development of depressive nature. The author outlines the mechanism of the time-course of the given type of borderline disturbances, proceding from neurotic depressive reactions to depressive neurosis and further to a specific development of the personality.
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On the basis of a clinico-dynamical and paraclinical (mathematico-statistical, electrophysiological, experimental-psychological) study of 122 patients with the asthenical form of neurosis 2 main groups were distinguished: protracted asthenical neurosis and neurotical personality development. Different clinical varieties, common symptoms, typical for each form and the therapeutical-preventive measures are determined.