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Ageing and mental problems in the family context.

Family doctors have substantially contributed to extending life expectancy beyond the biblical allocation of three score years and ten, and, ironically, we may now find ourselves having to cope with problems in the aged for which our training has not adequately equipped us. The topic of mental disorders in the aged provides for discussion of various relevant issues in geriatric care such as diagnostic problems and difficulties (seen not only in their psychiatric context, but also in their medical and social contexts); difficulties in management; the significance of losses sustained in later life, both within the context of the family and in other support systems; the general practitioner's role in management; and, finally, the attitude of the doctor toward the aged.

Aged↗

[The psychic situation in diabetics].

After a survey of literature the results of an investigation concerning the presence of neurotic evidences in diabetics are demonstrated. Altogether 55.4% of the examined patients gave suspicious references to adequate psychic disturbances. After discussion of the findings possible consequences for the diabetological practice and the basic care are explained.

Adolescent↗

Late paraphrenia.

This article reviews the historical development of the concept of late paraphrenia. Studies that attempt to define symptoms, demographics, and risk factors for late-onset paranoid disorders are reviewed. Differences between late-onset schizophrenia and early-onset schizophrenia are highlighted. Current research on potential brain abnormalities in these disorders is examined critically.

Aged↗

[The many-colored picture of endocrine crisis in clinical practice--psychological symptoms in hormonal emergencies].

Four case reports from a general practitioner's daily work illustrate the problem of endocrine crises hidden by psychiatric symptoms. Psychologic and psychiatric problems in a GP's office are very frequent; endocrine crises are very rare, but with high consequences for the patient. Optimal coordination and cooperation between psychiatric and somatic clinicians and investigation are necessary for optimal education of future physicians.

Addison Disease↗

[The concept of madness in Talmudic literature and its commentaries].

In spite of their spatial and temporal dispersion, the talmudic literature and its commentaries proceed from a fundamental unity. On one hand, the definition of madness are, a priori, extremely rigid; originally, they were exemplaries, quoted to resolve practical problems. On the other hand, the handling of these definitions requires a very important suppleness in the jurisprudence of legal implications of madness. Obviously, the dialectics of the rabbis show the care to respect the personal life of the individual and the spiritual life of the community. And if these conceptions have still an application nowadays, that is because the Talmud speaks of the mad and not of the mental ill without any cross-checking between the socio-legal model of madness and the medical model.

Deafness↗

A practical approach to the management of psychoses.

The importance of differentiating between the organic and functional psychoses is stressed. The salient features of the different types of functional psychoses are discussed and the management of the psychoses is approached from biological, psychological and sociological angles at the same time. Corroboration of history by concerned relatives or friends is deemed indispensable.

Community Psychiatry↗