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Serious complications of routine ritual circumcision in a neonate: hydro-ureteronephrosis, amputation of glans penis, and hyponatraemia.

A 13-day-old infant developed bilateral hydroureteronephrosis, severe hyponatraemia, hyperkalaemia, and acidosis, as a result of urethral damage following circumcision. The hydroureteronephrosis and biochemical abnormalities normalized after resolution of the penile injury. Conclusion. Infants with urinary retention following circumcision may develop hydro-ureteronephrosis and electrolyte disturbances. An awareness of the potential dangers of circumcision may help to limit its complications.

Ceremonial Behavior↗

Cultural issues.

Central Australian Aborigines have a wide variety of medical illnesses which differ in incidence and severity from elsewhere in Australia. Coinciding with this are a range of cultural considerations that directly affect the management of these conditions. This article is an attempt to relate some of these cultural considerations to explain the outcome of these illnesses in the Aboriginal population.

Australia↗

[Anatomia sacra. Religiously motivated interventions on human or animal bodies].

Controlled surgery in the interior of human or animal bodies in classical antiquity was allowed only under certain circumstances. Bloody animal sacrifice and its rules for the interpretation of entrails as well as the rare examples of 'ritual anatomy' presented a religious framework for the opening of bodies. Greek mythology provided several examples of medical operations, for example, the Caesarean section, transplantations and plastic surgery. Great cultic significance was given to organ votives or reproductions of human inner organs which were offered in temples ex voto or with request for their curing. The anatomical knowledge transported along with these offerings represents a separate tradition different from the state of anatomical knowledge found in medical literature of the period.

Anatomy↗

Family traditions.

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Adaptation, Psychological↗

Suicide in Jewish legal and religious tradition.

While God's primordial warning that He will require a reckoning for the blood shed by suicide has lost nothing of its admonitory and deterrent purpose, Jewish law, as it developed in the course of time, in actual practice takes cognizance only of two kinds of suicide: One that is permissible, by reason of its motivation, and that may in given situations even be highly laudable; and one that is the outcome or symptom of mental disturbances or otherwise legally excusable. Nor is the law relating to suicide the only instance where Jewish jurisprudence succeeded in neutralizing threats of divine punishment by an embarras de richesse of human justifications.

Bible↗

[Aspects in the psychological development of children from the Maghreb].

Studies on the psychological development of the Maghreb child, from the psychomotor as well as the emotional points of view, are still quite rare, as is literature and research on the Maghreb child's family and environment. This article synthesizes various data, while identifying what is generally unknown or misunderstood about the Maghreb. This is namely the case of information surrounding the Islam faith. Also, by raising questions about the female child, the author examines one of today's major sociocultural and political problems in Islamic countries: the female citizen of tomorrow in a changing world--an issue which the author considers essential to any endeavour in the field of mental health.

Adolescent↗

[Who heals the healer? Shaman practice in the Himalayas].

The question has been put before: By which means or intervention does the shaman or faith healer effect his healing results? A new answer is attempted in this article in which a concrete example is being described and analysed: What do the shamanic healers of the Northern Magar in NW Central Nepal do, when confronted with a complicated birth? As neither medication or herbal treatment, nor any massage or obstetric manipulation is employed (methods well applied by the local midwife), the healing séance of the shaman has to be classified as a psychological manipulation of the patient. This is based on three elements: ritual acts during the séance; performance of mythical chants; and the presence of an audience. As for the chanted myths, it may be stressed that they relate stories which allude to the actual situation of the patient, insofar as their protagonist is in a similar situation as herself--only much worse. This overdramatisation permits the listening patient to first identify with and then to dis-identify from her mythical similé and to anticipate a happier end for herself than that related in the myth, which is always violent and tragic. The mechanism of healing (in our case: a successful birth) ensues from a gradual process of disidentification of the patient from the mythical heroine. This observation may be confirmed, if one compares the Magar case with similar ethnographic facts from other regions, both in Nepal and elsewhere. The described process of healing, effected through shamanic treatment, invites to a new comparison between this form of practice and that of Western psychoanalysis.

Ceremonial Behavior↗

Sadistic ritual abuse. An overview in detection and management.

Sadistic ritual abuse, including satanic cult abuse, is emerging as a syndrome among people with severe dissociative disorders, including multiple personality disorder. This article discusses the essential features that compose the clinical picture of sadistic ritual abuse in adults, adolescents, and children. Particular attention is paid to the differences between adolescents who may have been victimized by adults in sadistic and ritualized ways and disenfranchised "teenage dabblers" who may temporarily adopt a ritualized lifestyle as a way of expressing or acting out. The article also covers guidelines for appropriate medical, pharmacologic, and referral interventions. The controversy surrounding sadistic ritual abuse is discussed thoroughly, and primary care physicians are advised of the current status of understanding and validation in this area.

Adolescent↗