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Agographobia-1.

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Adolescent↗

[Possibilities and limits of the psychopathological delimitation of psychoses].

On the basis of the analysis of delusional psychoses the author assumes that diagnosis of schizophrenia is justified only if there is a dissociative process which is the most typical for dementia praecox in the Kraepelinian sense and is revealed in delusional or autistic types of existence. Psychoses where a disssociative process is not established (for example, hysterical psychosis) do not belong to schizophrenia. The determination of a dissociative process is important not only for psychopathological research, but biological and psychogenetical one as well.

Acute Disease↗

[Clinical aspects and course of schizophrenia from the aspect of age].

On the basis of a study of 3500 schizophrenic patients the authors studied the age preference of 8 schizophrenic syndromes selected for this purpose. It was demonstrated that besides some syndromes typical of schizophrenia occurring in middle age (hallucinatory-paranoid, oneiroid, etc.) there are some syndromes which are most frequently encountered in adolescency and old age. It was also shown that the influence of age factors can be combined with the influence of sex. The age factors exert a certain impact on the formation of the type of disease and its sex distribution. The paper contains a description of special age forms of schizophrenia encountered in adolescency and in old age.

Adolescent↗

[Sex differences in body image of adolescents and significance for self esteem].

Previous findings show that the body image of adolescents is in the first place gender related. However, most studies primarily focus on body cathexis. The present study, which was conducted in the context of a multi-dimensional perspective, refers to the question of gender differences in the adolescent's body image. Furthermore, it examines what relevance the single components of the body image have for general self-esteem. Therefore, we tested 326 adolescents aged 13 to 16 using questionnaires. The results indicate that there is primarily evidence for gender differences, whereas age related differences can hardly be found: Female adolescents differ from their male counterparts for example in the following aspects: they have a higher body awareness, a higher dissatisfaction with their shape, a lower perceived athletic competence and stronger feelings of depersonalisation. However, considering the effect sizes, it becomes clear that the differences mainly come up to only a low extend. Besides, the individual body image profile is hardly suitable to determine the gender of the adolescents. Furthermore, using regression analysis it was shown that altogether the body image has the same relevance for males and females in order to predict self-esteem. Nevertheless, there are special body image components that help to predict body image for boys and girls differently. The results show that the body image of adolescents is gender-depending but not gender specific. So demand arises for investigating the determinants of the development of the adolescent's body image that go beyond the gender-variable.

Adolescent↗

[The state with the predominance of obsessive-compulsive disorders in the structure of childhood onset schizophrenia].

Sixty inpatients, aged 7 to 15 years, with obsessive-compulsive disorders (OCD) have been examined. The inclusion criteria comprised diagnostic ICD-10 criteria for OCD (F42), schizophrenia childhood type (F20.83) and neurotic-like schizophrenia (F21.3). Patients with organic CNS disorder signs and marked somatic pathology were excluded from the study. According to clinical features of the disease and its course (disease progressiveness), three OCD types have been determined: OCD in the structure of affective and neurotic-like spectra disorders (type 1); OCD in the structure of paranoid spectrum disorders (type 2); OCD in the structure of states with prevail of "acquired" affective and negative disorders (type 3). Consideration of OCD types in childhood schizophrenia and the disease course allows to predict severity of negative changes and remissions that facilitates an adequate determination of the patients' adaptive potential.

Adaptation, Psychological↗

[Consciousness disorders in focal lesions of the right and left cerebral hemispheres].

In the light of modern concepts of functional asymmetry in the human brain, the authors analyse paroxysmal conditions of changed consciousness which occurred in 160 patients with lesions of the hemispheres due to brain tumors (75 patients) and in epilepsy (85 patients). It is shown that certain forms of changed consciousness are characteristic of disorders of the right and left hemispheres in right-handedness. This clinical fact is taken as a basis for the assumption that in the formation of consciousness both hemispheres in different ways play a certain role and they provide different "formating" kinds of consciousness: the right hemisphere--a direct perception or a sensory perception of the environment and itself, the left--process of abstract perception based on speech, symbols, semantics.

Brain Neoplasms↗

[The burnout syndrome].

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Burnout, Professional↗