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At least 397 records · Page 22Linked to original sources
PubMed2003

[A consideration through the support to resident diabetic patient and care-giver].

Our hospital is a National General Hospital with 585 beds. We began the visiting care service from 1990 and four visiting staffs are working at present. The number of targets was 69 in 2002 including 32 patients over 70 years old and 20 care-givers over 70 years old. Visiting care has been conducted to a 72-year-old female with diabetes since July 2000. The patient is in bedridden condition and at the beginning of visiting, she was taking oral medication but the condition was worsen by poor glycemic control and changed to insulin injection from June 2002 after admission to the hospital repeatedly. The patient undergoes the measurement of blood sugar daily and takes meals with 1,200 to 1,400 kcal prepared by her husband. The care-giver is a 71-year-old husband. He was an "all-work, no-play" type of person and had never done the housework, but he started to manage both housework and nursing because of bedridden of his wife. He is a reticent theorist, hates illogical behavior, and does not swayed by other opinions. He has accepted the things which need new knowledge and techniques such as measurement of blood glucose and insulin injection. However, for meals, he only bought side dishes and placed them. Care such as keeping the patient clean was in a same state. The patient consulted and admission to the hospital repeatedly because conditions were not stable. Visiting nurse supported daily life of patient and care-giver especially in nutrition instruction to continue home life. As the result, attitude and behavior toward nursing of care-giver were changed and the patient could continue home life. Therefore we reported here.

Activities of Daily Living↗
PubMedDate not supplied

[Punishment--"the work of God"--forensic accounts of crime and punishment].

INTRODUCTION: This paper deals with coincidental deaths of persons previously engaged in violent behaviour. In victimology, violent deaths rest on legal authorities and public prosecutor. In some cases the clearance of circumstances is "sui generis", as a consequence of "vis maior". However, in some cases, depending of circumstances, perpetrators are uncovered without further investigations. CASE REPORT: This paper presents some of the most interesting cases from our Forensic practice: infanticides, "jealousy" killing, other murders. All crimes were recovered and sanctioned. History is full of cases like these described. Man is the only primate who kills and tortures other men. Nothing can fill the soul as hatred. Hatred is stronger than love. Love can easily lead to hate. Man is afraid of being killed, but often acts like a victim. The man proves himself worthy through his life, not death.

Forensic Medicine↗
PubMed2003

Margo and me. Gender as a cause and solution to unmet needs.

This paper presents a six-year analytic treatment that began when Margo was five and a half years old. Unable to get the love and attention that her older brothers received, Margo sought repair by deciding to be both a boy and a girl. Before a solid gender identity could emerge, I needed to facilitate her development and help her obtain a cohesive sense of self that would include ego integration of feelings and object relationships. Margo's bi-gender solution crystallized a fundamental struggle and conflict with identity, and served to repair feelings of narcissistic injury, cope with extreme feelings of love and hate and good and bad objects, quell annihilation anxiety, and repair a sense of ego disintegration.

Child, Preschool↗
PubMed2004

Attitudes toward Arabs of Israeli children exposed to missile attacks: the role of personality functions.

BACKGROUND: This study examines the attitudes toward Arabs of Israeli children who were exposed to missile attacks during the Gulf War as related to exposure, early and present functioning, and appraisal of chances for peace. METHODS: A semi-structured interview assessed the attitudes, symptoms, defenses and prosocial behavior of 82 children who had been directly exposed to the missile attacks. RESULTS: The attitudes were not related to the displacement of the family during the war. A very negative attitude was associated with more problems with behavior modulation during the preschool years, an increase in externalizing and posttraumatic symptoms, and more immature defenses. A balanced attitude was associated with age, fewer symptoms, more mature defenses, and more prosocial behavior. CONCLUSION: Individual vulnerabilities in the face of traumatic experiences could lead to posttraumatic responses that may shape children's social attitudes and behaviors. The resolution of inter-group conflict requires implementation of psychotherapeutic and socio-educational interventions to transform hate and fear into empathy and hope.

Arabs↗
PubMed2004

Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis.

Fagerstom Test for Nicotine Dependence (FTND) has often been used as a measure of physical dependence on nicotine. In this study, we aimed to verify the usefulness of FTND and Heaviness of Smoking Index (HSI) in a sample of Turkish smokers and present relationship among interrelated items in our Turkish version of FTND by factor analysis. One hundred sixty nine smokers, 104 (61.5%) males, 65 (38.5%) females smoker were administered the Turkish translation of FTND. Fifty-two current smokers selected randomly from 169 were administered the questionnaire for test- retest reliability analysis. The Turkish version of FTND had moderate reliability (Cronbach alpha: 0.56). One FTND item (question 3: hate- most to give up) performed poorly on construct reliability tests. Factor 1 was loaded by questions 1 (first cigarette after awakening), 4 (number of cigarettes per day), 5 (smoking status during the first hours), 6 (smoking if ill), 2 (refrain from smoking in forbidden places) and factor 2 was separately loaded by question 3. Question 3 did not have significant correlation with the total score and the response to this question was significant between test and retest. The Turkish version of FTND may become a measuring tool in the assessment of smoking cessation programs. However, question 3 must be used attentively and preferably an explanation should be made to enable a clear understanding of the question to the Turkish smokers as they take the test.

Adult↗
PubMed2003

[A consideration through the support to resident diabetic patient and care giver].

Our hospital is a National General Hospital with 585 beds. We began the visiting care service from 1990 and four visiting staffs are working at present. The number of targets was 69 in 2002 including 32 patients over 70 years old and 20 care-givers over 70 years old. Visiting care has been conduced to a 72-year-old female with diabetes since July 2000. The patient is in bedridden condition and at the beginning of visiting, she was taking oral medication but the condition was worsen by poor glycemic control and changed to insulin injection from June 2002 after admission to the hospital repeatedly. The patient undergoes the measurement of blood sugar daily and takes meals with 1,200 to 1,400 kcal prepared by her husband. The care-giver is a 71 year-old husband. He was an "all-work, no-play" type of person and had never done the housework, but he started to manage both housework and nursing because of bedridden of his wife. He is a reticent theorist, hates illogical behavior, and does not swayed by other opinions. He has accepted the things which need new knowledge and techniques such as measurement of blood glucose and insulin injection. However, for meals, he only bought side dishes and placed them. Care such as keeping the patient clean was in a same state. The patient consulted and admission to the hospital repeatedly because conditions were not stable. Visiting nurse supported daily life of patient and care giver especially in nutrition instruction to continue home life. As the result, attitude and behavior toward nursing of care-giver were changed and the patient could continue home life. Therefore we reported here.

Aged↗
PubMedDate not supplied

E-mail use in the radiology workplace.

E-mail is a wonderful tool. But, like any tool, it can be misused. The proper use of e-mail by an administrator, manager, or technologist can provide a wonderful communication tool not just for customers and colleagues. Bulk e-mail-especially those developed in HTML, which can include visually appealing fonts and graphics-has an unrealized potential in radiology. Just be sure it doesn't qualify as the hated "spam," or important colleagues and customers will feel abused rather than helped. Finally, use words and phrases in an e-mail that can enhance collaboration and build positive relationships. E-mail can help win friends and influence others in meaningful and positive ways. It can be a useful strategy to facilitate positive interactions and gain support.

Electronic Mail↗
PubMed2006

[Prevention of osteoporosis by foods and dietary supplements. Milk basic protein (MBP) increases bone mineral density in young adult women and perimenopausal women].

Milk has beneficial effects on bone health than other food sources. Recent in vitro and in vivo studies have shown that milk whey protein, especially its basic protein fraction (milk basic protein: MBP), contains components capable of promoting bone formation and inhibiting bone resorption. We tried to examine the effect of MBP on bone mineral density (BMD) and markers of bone metabolism in healthy young adult women and perimenopausal women. In the healthy young women study, we found that MBP increased BMD, by promoting bone formation and inhibiting bone resorption. In the healthy perimenopausal women study, we also found that MBP increased BMD, primarily by inhibiting bone resorption, while maintaining bone formation. Thus, bone remodeling balances become positive that leads to maintenance or increase of bone formation. MBP supplementation could be effective for bone health in a wide range of generation especially those who hate to drink milk.

Adult↗
PubMed1981

[Fear of the mad.].

The author shows us that, apart from a physical fear that we may experience at times, there exists a more subtle and destructive fear of the insane which determined - and still determines in many circumstances - the attitudes and even the policies which we advocate in regard to the mentally ill. The fear of being overcome, of being consumed by the avidity, the hate, and the projective identification which exist in the psychotic. In the face of this fear we have developed a series of rather inadequate and inefficient defense mechanisms which range from the denial of insanity to institutiona-lization and include all forms of activism and intolerance. In the end, however, this fear must not create in us a state of helplessness nor an oppressive reaction of omnipotence. Perhaps all that is necessary is simply to continue to listen to oneself and others?

English Abstract↗
PubMedDate not supplied

[Aggression homicide and rejection homicide: a communicative classification of homicide].

Based on a 10-year sample of homicides (n = 50), the hypothesis was tested that it is possible to differentiate between aggression and rejection homicide. The aggression homicide results from the offender/victim relationship, which is no longer accepted for some reason. In contrast, in the rejection homicide the offender radically strives for a goal which can only be reached if the victim is eliminated. Based on forensic-psychiatric expert opinions (n = 50), the case analyses yielded 31 aggression homicides and 18 rejection homicides, one case could not be classified. Aggression homicides differed significantly from the rejection homicides with regard to their main motives. Hate in quarrel (n = 8), violent occupation of the victim (n = 7), delusions (n = 5), revenge (n = 3), self-defence (n = 2), and jealousy (n = 1) characterized the aggression homicides, whereas rejection homicides were dominated by economic motives (n = 14). Two offenders intended to get rid of the victim and one offender wanted to rescue a third person. From a forensic-psychiatric point of view, the pertinent statistical data (social data, diagnosis, criminal responsibility) are reported and the significance of the differentiation between aggression homicide and rejection homicide for medico-legal or criminological case profiling and for the prognosis of the risk potential is discussed.

Adolescent↗
PubMed1990

[Johann Lucas Schönlein (1793-1864), a researcher and clinician].

From 1833 to 1840, Johann Lucas Schönlein, a native of Bamberg, Germany, was Professor of Internal Medicine at the newly created University of Zurich, Switzerland. His career and professional personality are described succintly in this paper. Schönlein was a most successful clinical teacher. He was the first German professor to teach at Würzburg, 1819-1832) clinical percussion and auscultation. On the other hand, he obviously hated writing and publishing. His 3 important discoveries, all made during his years in Zurich, were published on a total of 3 printed pages: so-called typhoid crystals in patients' stools (1836), "peliosis rheumatica" (1837), and - most important - the causative agent of favus (1839), a fungus later named Achorion schoenleinii. This was the first instance of a human disease that could be clearly attributed to the action of a micro-organism.

Dermatomycoses↗
PubMed1979

On the psychology of the aging woman. Depression in late mid-life: change or repetition? Another chance for working through.

A woman of 58 came for psychotherapy for the first time suffering from a depressive reaction precipitated by two mid-life events: the marriage of her daughter and the realization that her own cherished marital dream would never be fulfilled. She had postponed coming to terms with the disappointments of her marriage as long as she had had other objects. When these objects were lost, and the distance she had maintained to handle her feelings was threatened, she sought help. There was suggestive evidence that a collusive marital system had sustained an unsatisfactory relationship for 35 years. Her husband was described as an obsessive-compulsive character. His traits were both needed, feared, and resented by the patient, representing the rejected part of herself and aspects of her hated grandmother. Mrs. A. had character traits and a developmental history which supported a diagnosis of primitive hysterical personality. (This type has been described by Zetzel (1968) as "the so-called good hysteric.") The paucity of object relationships in her life, her poor work habits, her inability to tolerate affects were striking. The patient had identified with a pathological mother in a family dominated by rejecting and depreciating attitudes. The patient's use of the defense mechanisms of splitting, projection, and withdrawal as ways of dealing with ambivalence significantly interfered with her self-object differentiation and her capacity for intense emotional or physical intimacy. She could only love men whom she rescued or protected, a pattern consistent with the fact that she could not relate to equals or superiors. Yet she was unable to draw on a good identification with a nuturing mother, so as to really be able to give. There was too much hurt and uncontrolled anger when she was in the superior position with the kind of man who could not meet her dependency needs. Feeling unprotected, she had married a "strong" man, who she expected would meet her narcissistic and dependency demands. He was inhibited and controlled and could neither need nor be needed by her during his active work life. This led to immediate disappointment of her conflicting conscious and unconscious expectations. She wanted him to be strong and ideal, yet to need her and never oppose her. Hence, there was a failure to establish a mature or satisfying marital relationship. She turned to her children for comfort, particularly her daughter, becoming depressed when her daughter married. She found gratification by staying busy tutoring and teaching underprivileged children. In the course of treatment her depressive symptoms disappeared. She felt hopeful, capable of being believed in, and able to cope as a result of the therapist's functioning as her uncritical ally. After she resumed living with her husband she began to acknowledge an ambivalence toward her cherished, confidante daughter and in some ways reversed her previous splitting of husband and daughter. The mean husband became a kindly saint and the darling daughter became a critical, spiteful queen...

Adaptation, Psychological↗
PubMed1988

A woman's attempt at a perverse solution and its failure.

The Programme Committee of the Montreal Congress asked the author to present a case of perversion connected with traumas. Rather than speak about erotization of the effects of the trauma (death or castration anxiety transformed into a source of pleasure) the author relates the first 18 months of analysis of a young woman whose important narcissistic trauma, the result of an inadequate early relationship with her mother, is camouflaged by an avidity for sexual excitations. The aim is to transform narcissistic pain which cannot be worked through into sexuality for which release is possible. Sexuality becomes a means of expressing feelings of hate, revenge and triumph over the primary object. The ensuing perverse solution--an attempt to slip into the primal scene by identification with the sadistic penis--does not succeed. The author advances certain hypotheses concerning the mother-daughter relationship which seem to explain this failure and to explain too the absence of a stable perverse organization in women. There follows a longing to return to the womb, in the shape of the fantasied destruction of the contents of the mother's belly, expressed as the fantasy of the end of the world, and which the author labels as 'the archaic matrix of the Oedipus complex'.

Borderline Personality Disorder↗
PubMed1987

A controlled study of Tourette syndrome. II. Conduct.

To assess conduct in Tourette syndrome (TS), 47 controls, 246 TS patients, 17 attention-deficit-disorder (ADD), and 15 ADD patients with minor tics or a family history of TS (ADD 2(0) TS) were compared for the following behaviors: running away from home, lying, stealing, starting fires, vandalism, being in trouble with the law, fighting, shouting at parents or peers, attacking others, lack of respect for adults, short temper, hurting animals, feeling full of hate, being unable to stop fighting, and problems with drugs and alcohol. With the exception of running away from home and being in trouble with the law, TS patients were significantly different from controls in all other behaviors. When the components were combined for a total conduct score, only one (2.1%) of the controls had a score greater than 13, and he had TS. By contrast, 35% of the TS patients had scores greater than 13 (P less than .0005). The correlation coefficient between the total conduct score and ADD score was .48. Although the presence of ADD was an important factor in determining conduct in TS, other factors such as depression and compulsive behavior also played a contributing role. There was little correlation between the total conduct score and the number of tics. It is estimated that among non-economically disadvantaged children, 10%-30% of conduct disorder may be due to the presence of a TS gene.

Adolescent↗
PubMed1986

Psychodynamic factors in the development of drug dependence.

In this article we have brought to bear on the complex problem of substance dependency the psychodynamic perspective: a model that views the problem from the inner experience and psychological structure of the individual drug user. Chronic drug dependence has been associated with a range of personality styles and psychopathologic conditions but most frequently with character disorder and vulnerability to depression. Regardless of specific symptoms or personality styles, certain characterologic features are repeatedly observed to characterize substance-dependent individuals. These include problems in affect management, narcissism, object relations, judgment, and self-care. These developmentally and structurally determined problems generally predispose individuals to drug dependence because they are the basis of the distresses that are relieved by drug-taking; they specifically predispose to drug dependence because, in various ways, the taking of drugs and the experience of their effects are syntonic with existing modes of defense, adaptation, and self-concept. The actual vulnerability to substance dependency can vary considerably both between individuals and for the same individual at different times. For many, a necessary precipitating event involves a severe crisis in which usual adaptive capacities are diminished and narcissistic vulnerability is intense. Once drug taking is initiated in a susceptible state and the user has experienced adaptive benefit from the experience, a variety of other processes are set in motion that often lead to the state of dependency. These processes include both regressive effects that can exacerbate the original character problem and progressive effects that promote stable functioning. In both cases, however, this may interfere with further maturation of character, particularly when onset of use occurs in adolescence. Dependency involves the gradual incorporation of the drug effects and their experienced need into the defensive structure building activity of the ego itself. Undoing a dependency involves dealing with the unconscious and conscious components of this outcome. The user must be able to relinquish behaviors and drug effects that have come to be experienced as a valued (even if also hated) part of the self-capacity to function, cope, and be comforted in distress.

Affect↗
PubMed1987

The two-woman phenomenon.

A distinct type of phenomenon that has not been previously noted as such is named and described. Men who present a two-woman phenomenon retain a commitment to wife and marriage while loving another woman. Conflict arises only when one of the women has to be relinquished. It is postulated that many men with this pattern of loving have experienced a traumatic childhood and an oedipal conflict which defensively involved two maternal objects in fantasy or reality. One mother was hated, the other loved. This dynamic is one possible determinant leading to the two-woman phenomenon.

Conflict, Psychological↗
PubMedDate not supplied

[Awareness of death and interpersonal relations in induced abortion].

So far no research has been carried out into the way in which women come to terms with abortion. There are four levels of experience. First, normal psychological experience, with feelings of guilt, reproach, stability, indifference; deeper awareness is suppressed with the aid of forms of defense such as scientific objectivism, positivism, and reductionism. This level is sociopsychologically well documented. Second, breakthrough of destructive deep awareness, with chaos and panic, revulsion and hate-this level is being researched by psychoanalytic methods. Third, acceptance of existential reality, experiencing guilt at having been party to killing a child. Fourth, responsibility and a feeling of guilt toward the dead child; it is here that the interhuman relationship is fulfilled, because the mental image of the child becomes like and independent being. Only at this point does full awareness of death occur. "He who knows the invisible, which has no material substance, but nevertheless an effect, is a physician."

Abortion, Induced↗
PubMed1979

[Pulmonary function in dogs submitted to bilateral cervical vagotomy (author's transl)].

A study of the effects of cervical vagotomy on pulmonary function in two groups of dogs was done: the first group had been vagotomized and submitted to spontaneous breathing and the second had been vagotomized and submitted to mechanical ventilation. pH, partial pressure of carbonic acid in arterial blood (PaCO2), partial pressure of oxygen in arterial blood (PaO2), plasmatic bicarbonate (HCO-3), alveolar arterial oxygen difference (P(A-a)O2) while the patients breathed room air and 100% O2 and pulmonary shunting didn't change after vagotomy. There was no difference between these two groups. Hemodynamic parameters like oxygen content difference (C(a-v)O2) between arterial and venous blood, heart hate (FC), mean blood pressure (Pam) and capillary hydrostatic pressure (Pcp) didn't change after vagotomy. None of these parameters were different between the two groups.

Animals↗