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Results for “Compulsive Personality Disorder”

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At least 1,009 records · Page 56Linked to original sources
PubMed1989

The psychology of postponement in the medical marriage.

Many physicians' marriages are characterized by a strategy of postponement. The demands of medical training, the rigors of establishing a practice, and the expectations of colleagues are often used as excuses to avoid emotional intimacy in the marital relationship. Attention to the needs of the marriage is regularly postponed until some indefinite point in the future, resulting in considerable covert marital discord. The psychology of postponement ultimately proves to be a psychology of avoidance, growing directly out of the compulsive personality traits of most physicians and their preference for work over family life. Preventive measures are suggested to address the physician's tendency to avoid issues of marital intimacy.

Adult↗
PubMed1989

[Extrapyramidal syndrome after cardiocirculatory incompetence].

A 43 year-old woman suffered a cardio-circulatory arrest with a post-anoxic coma during 24 hours. This was followed by and akinetic-hypertonic syndrome. There was also dystonia of both hands and of right big toe. After and initial mutism, the patient spoke with dysarthria, a monotonous weak voice of poor timbre and low vocal volume. She had in addition mood disturbances with indifference to her condition and compulsive activity. Extrapyramidal syndromes after ischemic anoxia are rare, when compared to their relative frequency after carbon monoxide poisoning. Early CT scan with contrast can identify symmetrical and bilateral lenticulocaudal high densities and MRI is also useful for the diagnosis.

Adult↗
PubMedDate not supplied

[Personality structure and mental anorexia. A study using projective technics].

A sample of 73 females suffering from mental anorexia is examined. All were subjected to the Rorschach test. It emerges that the anorexic patients in the sample are basically characterised by hysterical or obsessive type personality structures. They have no structural traits definable as paradigmatic of the syndrome. The only feature connotating all subjects of the group consists of conflictual situations with regard to the maternal figure.

Adult↗
PubMed1989

Coexisting obsessive compulsive disorder and alcoholism.

Fifty patients with the diagnosis of alcohol dependence or abuse who were admitted to a university-based alcohol rehabilitation program were screened for obsessions and compulsions. Six percent (3) of the patients met DSM-III-R criteria for obsessive compulsive disorder (OCD), which is three times the lifetime prevalence for OCD found in the general population. The diagnosis of OCD is easily overlooked, so screening questions should be asked of all alcoholics during the routine clinical interview. Identifying those patients with dual diagnoses is important because treatment of the underlying OCD should improve overall clinical outcome.

Adult↗
PubMed1989

[Compulsion, ego organization and treatment procedure. On the treatment of a patient with chronic compulsive symptoms].

On the basis of a case study, it is shown that traditional approaches to understanding what have been labeled compulsive neuroses are insufficient if the illness is based on a prestructural disturbance. Classical treatment techniques are contraindicated in such a case, and analytical approach oriented toward a response to the structure of the ego is appropriate in its place.

Ego↗
PubMed1989

[Compulsive neurosis and adolescence. The therapeutic process in an adolescent patient with compulsive neurosis].

The central anxiety of the young woman patient with compulsive neurosis who fears condemnation for sexual and aggressive desires unfolds within the context of the transfer relationship. It is shown here that the integration of the isolated and suppressed expressions of instinctual representatives and self-aspects is made possible through the acceptance of super-ego transfer. It is decisive for the process that the patient is sure that the therapist cannot be destroyed or seduced. The result of the achievement of integration is not only that the compulsive symptoms disappear but that the real task of adolescence as a struggle toward the integrated self and its own values comes to the fore.

Adolescent↗
PubMed1977

Double-blind controlled study in phobias and obsessions.

A double-blind between-patient study is described which was aimed at assessing the efficacy and tolerability of clomipramine (Anafranil, Geigy Pharmacetuicals) in clinically depressed patients with obsessive-compulsive and phobic psychopathological traits. Twenty patients of either sex aged between 18 and 65 years were randomly allocated to treatment with clomipramine (50 mg twice daily) or to treatment with an identical placebo. Patients were assessed at the commencement of the study and at two-weekly intervals over the six-week duration of the trial. By the methods of assessment used, clomipramine proved to be highly statistically significantly superior to placebo.

Adult↗
PubMed1986

Differential diagnosis and diagnostic systems in schizophrenia.

Diagnosis and prognosis are critical issues confronting psychiatry. In order to answer the fundamental questions concerning the origin and development of schizophrenia, we must first be clear about what it is. We must be able to separate the illness of schizophrenia from other disorders (see Fig. 1). We have attempted in this article to examine some of the illnesses that may resemble schizophrenia and make its discrimination difficult. We hope that by discussing these disorders and their similarities to schizophrenia the important issues and dilemmas have become clearer and more readily understood by the clinician. Future studies assessing the validity of diagnostic systems for schizophrenia may have to rely on features other than cross-sectional symptoms and longitudinal course. Such characteristics as pharmacologic responsivity and genetic transmission and the development of biologic markers may be the prospective cornerstones for validating the diagnosis of schizophrenia.

Bipolar Disorder↗