[Manifestation of resistance at desensibilization in subnarcosis (author's transl)].
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Narcoanalysis, used as a diagnostic tool, seems to permit a more rapid and deeper psychological examination. Therapeutically, it seems to enhance results, without having more specific effects than other forms of psychotherapy in any neuropsychiatric condition. The mechanisms of action of narcoanalysis remain unclear: maybe it frees repression or other mechanisms may have a role. The authors wish to study what happens to the ego functions during narcoanalysis. They wish also to learn how affective inhibition disappears and how traumatic events may be integrated in the ego.
BACKGROUND: The drug-assisted interview appears to be declining in psychiatric practice. This decline may be due in part to complexities in the use of barbiturates, which have a narrow therapeutic index. METHOD: Five patients who had depression and/or posttraumatic stress disorder underwent drug-assisted interviews for which midazolam and pulse oximetry monitoring were used. RESULTS: The midazolam-pulse oximetry technique resulted in consistent and easily monitored levels of conscious sedation. Midazolam was judged comparably effective to amobarbital and easier to use. CONCLUSION: A simple, safe, and effective technique for drug-assisted interviewing for which midazolam and continuous pulse oximetry monitoring are used is described.