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The marital system of the hysterical individual.

The purpose of the present article is to supplement the considerable body of clinical literature that focuses on hysterical behavior from an individual perspective. Based on findings from a total sample of 16 couples, this paper accomplishes this task in a threefold manner. First, the characteristic type of individual who selects and is selected by the hysterical individual as a life partner is described. Second, the type of relationship these two individuals typically develop, which promotes and reinforces severely maladaptive behavior on the part of both is delineated. Third, a number of specific recommendations regarding psychotherapy for this type of relationship are proffered.

Attitude↗

Why do some psychiatric patients somatize?

A study was made of a series of 139 outpatients referred by the medical and surgical services of a general hospital for evaluation by the psychiatry unit. In accordance with established criteria, this population was divided into somatizers (56) and non-somatizers (75), and the socio-demographic and clinical characteristics of both groups were comparatively analyzed. The results show that the group of somatizers was younger, had more histrionic personality traits and more stress factors related with alterations in interpersonal relationships or death or disease of relatives. It is emphasized that somatization is poorly known by psychiatrists--whose diagnostic criteria practically omit these aspects--and by other physicians, in spite of its importance and frequency.

Adolescent↗

Anorexia nervosa in children: a follow-up study.

Thirty children seen between 1954 and 1970 with the diagnosis of anorexia nervosa were contacted between five and twenty years after initial treatment. Patients outcomes in terms of education, weight in adulthood, medical problems, marriage, psychiatric treatment, and recurrence of anorexia were surveyed. Results corroborate those of earlier studies suggesting that adjustment in adulthood is related to personality type.

Adaptation, Psychological↗

Some psychological characteristics of patients with anorexia nervosa whose weight has been newly restored.

A preliminary study has served to demonstrate that patients with primary anorexia nervosa whose weight has been newly restored to normal, and who are currently involved in individual and family psychotherapy, are significantly characterized by having very low self-esteem, by being highly sensitive to social interactions and by being 'obsessoid'. It is suggested that, in therapy, specific behavioural approaches to these problems may usefully complement other psychotherapeutic endeavours.

Adolescent↗

A case of brief psychotherapy.

The six-month psychotherapeutic treatment of a 29-year-old woman with a hysterical personality is described. Criteria for selection of patients suitable for brief psychotherapy and the various applications of this technique are discussed. Aspects of the psychopathology of the hysterical personality are described and related to that of the patient presented, whose sexualized transference exemplifies the important task of 'focusing' this form of treatment.

Adult↗

The changeling myth and the pre-psychology of parenting.

Most European cultures, especially in rural areas, and until recently, routinely used ritual magic procedures to protect new-born children and their mothers from fairies, demons, and other supernatural beings. There seemed general recognition that this was a hazardous period for mother and child even if the dangers were seen as external, rather than internal (Hastings, 1910; Krappe, 1930). In this paper, several of these legends will be recounted, which illustrate a number of recurring themes which are of considerable interest to the student of human development. It is proposed that the changeling legend explained, by attribution to supernatural forces, such pathological developmental problems as early failure of attachment, rejection, projective and identificatory problems, and or course, the developmental process in which many of these issues are subsumed, the separation-individuation process (Mahler et al., 1975). A case is presented which illustrates important elements of the legend and an attempt is made to show how the legends may be understood in the light of developmental theory.

Folklore↗

Token therapy.

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Adult↗

The hallucinations of widowhood.

227 widows and 66 widowers were interviewed to determine the extent to which they had hallucinatory experiences of their dead spouse. The people interviewed formed 80.7% of all widowed people resident within a defined area, in mid-Wales, and 94.2% of those suitable, through the absence of incapacitating illness, for interview.Almost half the people interviewed had hallucinations or illusions of the dead spouse. The proportion of men and women who had these experiences was similar. The hallucinations often lasted many years but were most common during the first 10 years of widowhood. Social isolation did not affect the incidence of hallucination, nor was it related to the incidence of known depressive illness. There was no variation within cultural groups and there was no variation with place of residence, whether this was within town, country, or village, or within England and Wales.Young people were less likely to be hallucinated than those widowed after the age of 40. The incidence of hallucination increased with length of marriage and was particularly associated with a happy marriage and parenthood. Members of the "professional and managerial" group were particularly likely to be hallucinated, while widows of "non-manual and sales workers" were the ones least likely to be hallucinated. The incidence was greater with hysteroid than obsessoid people. It was unusual for the hallucinations to have been disclosed, even to close friends or relatives.These hallucinations are considered to be normal and helpful accompaniments of widowhood.

Adult↗

Hysteria.

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Affective Symptoms↗

Non-organic acute upper airway obstruction: description and a diagnostic approach.

We describe 3 cases of upper airway obstruction in which no organic cause could be identified. All 3 patients presented with severe dyspnea and stridor. Direct laryngoscopy and bronchoscopy failed to demonstrate any lesion. Flow-volume loops showed a pattern of severe variable extrathoracic airway obstruction with a decreased peak inspiratory flow and an increased ratio of the forced expiratory flow at 50% vital capacity to the forced inspiratory flow at the same lung volume. Plethysmographically measured airway resistance was normal in the 2 patients for whom it was obtained. We believe a functional etiology should be added to the possible causes of acute upper airway obstruction. This entity can readily be identified by the marked discrepancy between inspiratory flow limitation and airway resistance.

Adult↗