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At least 415 records · Page 23Linked to original sources
PubMed2000

[Reconstruction of mutism. Studies of subjective experiences of former patients with the modified Landfield categories].

OBJECTIVE: The subjective experience of catatonic patients was investigated with the repertory grid-technique after recovery from the acute state of disease and compared with non-catatonic schizoaffective and depressive patients. METHODS: The sample consists of 18 catatonic patients, 22 schizoaffective, 16 unipolar depressive, 8 unipolar manic and 23 patients with bipolar affective disorder as well as of 32 psychiatrically healthy orthopaedic controls. Interviews were held well before discharge. The contents of personal constructs was analyzed by means of modified Landfield categories. RESULTS: "Self" of catatonic patients did not differ significantly from the other groups. The "Idealself" of catatonic patients differed significantly in the categories "high self esteem" (from the controls and the non-catatonic group) and "high empathy" (from the controls). The "disease-self" ("In the acute catatonic state") was construed as isolated (lack of social contact). The results underline the importance of an active therapeutical interaction in the acute catatonic state. The modified Landfield Categories proved to be a useful psychodiagnostic instrument for the idiographic assessment of personality in particular, and for psychiatric therapy research in general.

Adult↗
PubMed2001

Selective mutism.

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Anxiety, Separation↗
PubMed1992

[A case of Cheyne-Stokes respiration with cyclic mutism during apneic period].

A 77-year-old man showed Cheyne-Stokes respiration (CSR) without a consciousness disturbance. In each apneic period of CSR, he became mute. In the apneic and mute state, he could open his mouth or protrude his tongue, but he could not breath or speak. In this patient, it was evident that not only phonation but also speech was under the control of respiration. Neuroimaging technique revealed an infarction in the right anterior cingulate gyrus and supplementary motor area as well as the entire perfusion area of the right middle cerebral artery. Marked atrophy of bilateral cerebral hemispheres was also observed. In this case, destruction of the right cingulate gyrus was thought to manifest occult functional fluctuation of the left cingulate gyrus influenced by the respiratory control mechanisms. This case suggested that the limbic system integrates the speech mechanism and the respiratory mechanism.

Aged↗
PubMedDate not supplied

[Deaf-mutism].

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Deafness↗