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Depersonalization↗

Clinical consequences of chronic primal scene exposure.

The author presents a phenomenological survey of the symptomatic, characterological, and transference manifestations observed in five male and five female patients who had spent the first three to twelve years of their lives in the parental bedroom. While chronic primal scene exposure is seen in these cases as not having produced any single specific psychopathological sequelae, certain sexual disturbances, split self-representation phenomena, etc., seem to have been primarily (though not solely) determined by these early exposures.

Adult↗

Imaginary companions in childhood and adult creativity.

Case material is presented to illustrate the thesis that the ability to create an imaginary companion during childhood is an early expression of the special ego aptitudes found in creative individuals in adult life. Such "companions" allow these children to attempt to master creatively a variety of narcissistic mortifications suffered in reality and to displace unacceptable affects. In creative adults who had imaginary companions in childhood, the early fantasies serve as an organizing schema in memory for the childhood traumata. Stimuli in adult life which evoke the earlier traumata may revive the original imaginary companion fantasies. These then serve as nodal bases for the creation of specific adult works of art.

Adult↗

[Use of sleep deprivation for the purpose of treating protracted depressive states].

Sleep deprivation therapy was used in 30 patients with protracted, resistant depressive phases within the framework of manic-depressive psychosis. All patients demonstrated some improvement, which lasted from several hours up to 3 days. Changes in the state were mainly expressed in mood swings and to a less extent to the sphere of thinking and motor acts. A course of sleep deprivation (6-8 nights without sleep with an interval of 2-7 days) was administered to 19 patients, of them 7 patients demonstrated a stable improvement. Recording depressive symptomatology by the scale of intensity showed significant positive changes according to the following parameters: mood, thinking, motor acts, interests, sociability. The highest effect was seen in patients with melancholic pictures and significantly worse in depressive-anxious and depressive-obsessional syndromes.

Adult↗