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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A description is first given of the relevance of emotional factors to present-day pathological processes. Pain may be indicative of various causes: consecutive symptom of an organic process, expression of a functional disorder, emotionally conditioned symptom. The vicious circle of pain and emotion (anxiety, aggression, depression) is demonstrated as exemplified by nonarticular rheumatism. Tension revolt and suppressed aggression play a fundamental role in the cervicobrachial syndrome.
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PMID:[The psychosomatics of pain, particularly in the cervicobrachial region (author's transl)]. 9 Nov 4

This paper has focused on the sense of helplessness as an essential component of a depressive reaction. By inference, a sense of mastery and ability to achieve goals seems essential for a sense of well-being. Both patients presented here revealed infantile fantasies that hampered their exercising this mastery, and the path to well-being was the analysis of these fantasies. The treatment plans differed, though, in the locus of the fantasies. In an object-related depression such as Mr. Janson's, the fantasy involved the inhbition of functioning--that is, the inability to express aggression--and the treatment aimed at removing the inhibition. In a narcissistic depression such as Miss Gaynor's, the helplessness was not due to inhibited functioning per se. Rather, her goals were unrealistic, unattainable, and based on unconscious fantasies. Here the aim of treatment was the development of more reality-adapted and attainable objectives and the concommitant internalization of a more realistic sense of her own worth. Thus the common denominator in both depressive reactions was a sense of helplessness, and the path toward increased self-esteem was by way of the development of a sense of mastery and competence.
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PMID:Object-related vs. narcissistic depression: a theoretical and clinical study. 11 26

Violence is a symptom of an underlying mental state such as a psychosis, a characterological problem, or brain dysfunction. Thus drugs used to treat aggression in man exert effects by their specific pharmacological actions (e.g., antipsychotic, anticonvulsant). Most literature to date has dealt with animals and human models of aggression and lacks conceptual clarity. Aggression differs from depression, a coherent clinical entity, in its etiological diversity and its paroxysmal or impulsive basis, and this may account for the relationship seen in literature linking violence to epilepsy; yet literature on anticonvulsants is equivocal with regard to beneficial effects on aggression. Lithium has been shown to have positive effects, although its mode of action is unclear. A variety of antipsychotic agents and minor tranquilizers have been mentioned. Central nervous system stimulants have been found useful to treat hyperkinetic syndromes in both children and adults where aggression is a symptom. Hormonal agents are discussed. Drug treatment of aggression should not obscure the need for verbal therapies, and social and environmental factors should always be regarded.
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PMID:Conceptual issues in the use of drugs for the treatment of aggression in man. 23 9

30 in-patients, 14 male and 16 female, aged 24-69 years (mean age 47.1 +/- 2.7) suffering from a moderately severe or severe depressive syndrome completed a new personality inventory, the KSP, on two separate occasions. The first-when they were depressed and had just been admitted to the hospital, the second when they were at home and in their customary situation. On the same test occasions the severity of their psychopathology was rated by means of the CPRS. A significant improvement in CPRS rating was ascertained on the second test occasion. In contrast only small changes occurred in the subscales of the KSP. The score referring to 'psychic anxiety' and to 'somatic anxiety' decreased slightly but significantly (p less than 0.05). The scores referring to 'social desirability' also showed a significant (p less than 0.01) slight decrease. Of particular note is that no significant differences were found in the 6 KSP subscales concerned with aspects of aggression, or in the factors which can be obtained from these subscales. Our findings amongst this population of non-psychotic depressed patients do not support the assumption that changes in the direction of aggression occur during depression.
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PMID:Variations in self-assessment of personality characteristics in depressed patients, with special reference to aspects of aggression. 26 99

With regard to the superimposed concept "psycho-somatic correlation" we describe the psychopathological mark "Alexithymia" and the related psychodynamic processes (object loss which cannot be mastered, together with following narcissistic insult and aggression defense). In the frame of the psychosomatic pathology are outlined the psychodynamic processes in patients suffering from functional gastrointestinal disorders, duodenal ulcer and ulcerative colitis. With regard to the superimposed concept "soma-to-psychic correlation" we describe the secondary-psychic reactions following the patient's perception of a failure of his bodily functions, namely: reactive anxieties and depression as well as dependency wishes and denial-work. The psychotherapeutic possibilities in psychosomatic patients concern the modifications of the classical psychoanalytic techniques, namely: psychoanalytically orientated group therapy, psychotherapeutic consultation, supportive psychotherapy on the one hand and the behavior therapy on the other hand. In contrast to it, in patients suffering from secondary-psychic reactions particularly the principle of the doctor's and nurses' emotional presence is indicated. However, the ability to realize the emotional presence function presupposes a special advanced training.
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PMID:[Psychosomatics in gastroenterology]. 34 4

Twelve children with severe chronic behavior disorders who benefited from treated with lithium carbonate over an extended period of time (6 to 33 months) are described. Behavioral features common to all included hostility, aggressiveness, and distractibility. Nine had cyclic mood swings, with periods of withdrawal and periods of manic excitement; six of these had neurovegetative disorders. These nine children may have manic-depressive disease of childhood. Three children had no cyclic symptoms, though their hostile and aggressive behavior was similar to that of the cyclic group; they responded similarly to lithium. Family histories were strongly positive for manic-depressive disease, depression, and alcoholism. A double-blind placebo-controlled crossover study in four patients supported the specific behavioral effect of lithium.
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PMID:Lithium carbonate treatment of select behavior disorders in children suggesting manic-depressive illness. 35 72

To compete successfully, one must be able to act aggressively in controlled, nondestructive, goal-oriented ways. Conflicts affecting aggressive behavior tend to interfere with competitive success. Depression, fear of success/competitive inhibition, and guilt are among the psychopathologic entities that affect the athlete's performance, whether he be a professional athlete or an amateur to whom athletic competition is a source of recreation and pleasure. It is important that all of those involved in the training and care of athletes be aware of emotional conditions that lead to injuries, both physical and psychologic, as well as those conditions that interfere with performance and effectiveness.
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PMID:Psychologic factors in competitive failures in athletes. 46 78

Pelvic pain was a prominent complaint among one third of 3,000 gynecology clinic patients. In 1.1% no causative disease could be found, and these patients failed to respond to routine therapy. Twenty of these patients who were studied minutely revealed some psychologic disorder including hysteria, passive-aggressive behavior, sociopathy, depression, and alcoholism. A strong tendency toward psychophysiologic disturbances in other systems was practically universal. Supportive psychotherapy, progressive relaxation training, and insight therapy were used. The greatest barrier to treatment success was refusal of patients to accept the psychologic factors in their total illness.
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PMID:Diagnosis and treatment of nonorganic pelvic pain. 47 38

When guilt feelings and self-accusations made their first appearance as symptoms of depression in Europe and Africa, as noted in a previous paper, this followed a period of heightened witchcraft beliefs in both locations and was sometimes first noticed in the form of voluntary witchcraft confessions, raising the question of a possible connection between the two types of change. Using the concepts of "group ego" and "group super-ego" to which Eric Wittkower has contributed, it is suggested that the heightened witchcraft beliefs were a defence against an individualizing change which would eventually lead to the inward turning to aggression and reproach and hence to the symptoms mentioned.
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PMID:Depression, witchcraft beliefs and super-ego development in pre-literate societies. 48 38

In this second part of a review of the psychoanalytic theory of depression the major themes of the theory, as they appear in the works of the major contributors, are discussed. It is difficult to approach the complexities and ambiguities of psychoanalytic theory in general, and the theory of depression in particular, without an historical perspective. Accordingly, the author decided to group the major themes of the theory under three headings: Instinct Theory, Structural Theory, Object Relations Theory. The themes included under Instinct Theory are constitutional factors, aggression and orality. Under the heading of Structural Theory those themes associated with the ego, with the concepts of narcissism and the self, and finally those associated with the superego are discussed. It is of note that under narcissism the work of both Kohut and Kernberg is considered, including its relevance to any investigation of depression. The concepts of object loss and object failure are discussed under the heading of Object Relations Theory. It is suggested that a psychoanalytic approach has much to offer both the clinician and the researcher in their attempts to develop a comprehensive theory to explain the protean manifestations of human depression.
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PMID:The psychoanalytic theory of depression. Part II--The major themes. 48 52


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