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At least 253 records · Page 14Linked to original sources

Psychosomatic aspects of hyperprolactinemia.

A review of some recent studies on the psychosomatic aspects of hyperprolactinemia is presented. Women seem to be more prone to suffer from the behavioral effects of prolactin than males. Women with hyperprolactinemic amenorrhea rated themselves significantly more hostile, more depressed and more anxious than women with amenorrhea only and other control groups. Hyperprolactinemic males did not rate themselves more hostile and depressed than matched controls. Psychological distress and hostility appear to remit upon treatment with bromocriptine. Postpartum patients matched for prolactin levels with hyperprolactinemic women showed significantly less depression and anxiety but about the same levels of hostility. Hostility, depression and loss of libido may coexist in the same hyperprolactinemic patient but they may be also present independently.

Adaptation, Psychological↗

The curandero's apprentice: a therapeutic integration of folk and medical healing.

The author discusses alternative methods for dealing with folk illness in psychotherapy. Two case reports are presented that describe psychotic Mexican-American patients who were successfully treated with an approach that integrated curanderismo, the Hispanic concept of healing, and traditional therapy. The author discusses ethical aspects of this integrated approach and suggests that cultural considerations can be successfully incorporated into a treatment plan of optimum benefit for the individual patient.

Adult↗

Childbirth-related psychosis and familial symbiotic conflict.

The authors present 3 cases of childbirth-related psychosis in young women to illustrate an interpersonal psychodynamic pattern that may contribute to such reactions. In each instance, the woman is the submissive partner in a symbiotic relationship with her husband and/or mother. The baby's presence threatens the symbiotic equilibrium of these relationships and leads to the dominant partner's overt or covert aggression against the woman, which precipitates the psychosis. A personal or family history of psychosis may increase the woman's vulnerability to becoming psychotic in this situation.

Adult↗

CSF and plasma beta-casomorphin-like opioid peptides in postpartum psychosis.

The authors measured opioid receptor-active components in the CSF of 11 women with postpartum psychosis, 11 healthy lactating women, and 16 healthy women who were not lactating. Activity that eluted with 0.2 M acetic acid 0.7-0.9 times the total volume of the column (fraction II activity) was significantly higher in the CSF of both healthy and psychotic women in the puerperium than in that of the lactating women. Very high levels of fraction II activity were seen in four psychotic patients. Material from these patients was further characterized by electrophoresis and high-performance liquid chromatography: The material migrated as bovine beta-casomorphin. Receptor-active material with the same characteristics was also found in the plasma of these four patients. The authors conclude that certain cases of postpartum psychosis are associated with the occurrence in plasma and CSF of unique opioid peptides probably related to bovine beta-casomorphin.

Adult↗

Thyroid function in psychosis following childbirth.

Postpartum thyroiditis has been suggested as a cause of psychosis following pregnancy. However, 30 hospitalized psychotic postpartum women and 30 control subjects matched for age and time since delivery showed no significant differences in thyroid function or the presence of thyroid antibodies.

Adolescent↗

Psychiatric syndromes linked to reproductive function in women: a review of current knowledge.

Four psychiatric syndromes related to reproductive function in women have been identified: postpartum depression, premenstrual syndrome (PMS), post-hysterectomy depression, and involutional melancholia. The authors review what is known about these syndromes and conclude, first, that postpartum depression comprises three separate syndromes, the most severe of which is most likely a variant of primary affective disorder. Second, research into the syndromal nature, biology, and treatment of PMS is still in its infancy due to a variety of methodological difficulties. Third, the rate of depression among women during the involutional period or following hysterectomy for benign pathology is not higher than it is at other times.

Depressive Disorder↗

Self-mutilation in a new mother: a strategy for separating from her infant.

A primiparous mother, aged 25 years, first presented for treatment when her infant was three months of age. A comprehensive case history disclosed that the mother had experienced two prior full-fledged psychotic episodes requiring hospitalization. During treatment, the mother underwent an abortion and burned her face with kitchen chemicals. This case history reveals a pattern of self-mutilating behavior whenever the mother is confronted with events threatening imminent separation or individuation.

Abortion, Induced↗

Mental health care by a family oriented general practice team.

The mental health aspects of integrated comprehensive family care at a neighbourhood health centre in an underprivileged community include: (1) mental health promotion in high risk groups, (2) early intervention at stressful periods of the family cycle, including physical disease and reaching out to identify unfelt needs, (3) direct aid to patient and family through prevention, restoration or maintenance, depending on patient potential, and (4) attempts to isolate the patient's condition, at worst, and prevent harmful effects on the family environment. The medical team physician, medical worker and public health nurse achieved successful management of psychiatric problems through dynamic role division among its members with planned intervention of different modes and at various levels.

Affective Symptoms↗

II. A method of reporting formulation.

The authors present a method of reporting and evaluating a formulation. The reporting of a formulation includes a summary introduction, biological considerations, psychosocial considerations and hypothesis construction. Three sample formulations are scrutinized and specific critical evaluations offered. The subsequent reformulations are presented.

Adult↗