Fortschritte der Neurologie-Psychiatrie
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Fortschr Neurol Psychiatr · Apr 1996
Review Case Reports[Dissection of the carotid artery and vertebral artery--diagnosis and therapy].
Carotid and vertebral artery dissections typically occur in young adults after major trauma, although they can arise spontaneously or after trivial injury. Many patients with carotid dissections have minor symptoms such as a subject bruit or Horner's syndrome. Cephalic pain is also frequent and often inaugural in carotid dissection. ⋯ Noninvasive imaging also allows prompt and reliable diagnosis. Our goal was to demonstrate the spectrum of neuroradiologic (CT, MR and angiographic) findings in craniocervical arterial dissection and compare the diagnostic utility of CT, MR, MR angiography. Clinical data imaging studies, and outcome were reviewed and compared with the results in four patients with carotid artery dissection.
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In this study delusion is regarded from the aspect of a phenomenology of imagination. Delusion as an experience of fictitious actualities is interpreted as the attempt of a psychotic person, to find a sense of existence in view of the threat by mental illness. After explaining the philosophical fundamentals, imagination is considered to be the dynamic origin of delusion and hallucinations. The discussion of psychopathological and clinical problems is followed by a demonstration of further phenomenological and hermeneutic approaches.
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Fortschr Neurol Psychiatr · Mar 1995
Review[Validity of the neuroethological model of obsessive-compulsive disorder].
In the aetiology and pathogenesis of obsessive-compulsive disorders (OCD) multiple factors play a role. Among biographic, genetic and behavioral factors, biological mechanisms seem to be of relevance. Some authors have proposed a neuroethiological model. ⋯ This review article addressed the question as to whether brain imaging studies support this theory. Conclusions drawn from these studies must be viewed cautiously because findings are not consistent and because of methodological limitations. The validity of a neuroethiological model in OCD seems questionable.
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Fortschr Neurol Psychiatr · Nov 1992
Review[The new euthanasia-discussion from the psychiatric viewpoint].
The practice to kill terminally ill patients on their own demand has resulted in the Netherlands in a decriminalisation of active euthanasia which thus has fundamentally changed the way to deal with dying patients. Sooner or later this development will extend to other European countries as well as to the USA. Involuntary euthanasia of severely handicapped newborn children or of demented persons is propagated by the practical ethics of P. ⋯ The consideration of such ideas shows that in today's debate on euthanasia the issue is no longer the right of a few severely and terminally ill human beings to their "own death". Instead, the right to live of a large group of handicapped and "socially useless" or "unproductive" persons is at stake. This is the danger of today's discussion of euthanasia.
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Fortschr Neurol Psychiatr · Aug 1992
Biography Historical Article[Psychiatry and psychoanalysis--Eugen Bleuler's "dementia praecox or group of schizophrenias" (1911)].
Unlike many psychiatrists around 1900, Eugen Bleuler had a friendly, even partly affirmative attitude towards psychoanalysis. In his famous book "Dementia Praecox or Group of Schizophrenias" (1911) he emphasized the influence of psychoanalysis on his theory about schizophrenia. ⋯ Psychoanalysis seemed to him to be one of the most promising attempts to develop a systematic psychotherapy founded on a scientific psychology. In particular, Freud's hypothesis about the wish-fulfilling character of dreams influenced Bleuler's understanding of delusion and other symptoms of schizophrenia.