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

Hypnotherapy has many uses in pediatrics, and its value, not only as a adjunct but also as a primary therapy for certain conditions, justifies its inclusion in pediatric training programs. Suggestion and expectation have long been related to therapeutic outcomes in medicine, but not all physicians know how to apply them constructively and systematically in communication with patients. In pediatrics there is a tendency to overlook opportunities in which hypnosis might be the treatment of choice. Because children engage in imagination and fantasy easily without the cognitive inhibitions of adults, they are able to use hypnosis more readily than adults. More research into the imaginative skills of children may facilitate understanding of learning mechanisms and make it possible for professionals to prevent the loss of the natural imaginative capacities in children and, therefore, enhance the ability of mature members of society to use these skills. In addition to reduction of specific symptoms through hypnotherapy, children benefit by the sense of mastery which they acquire, a sense which is surely needed to overcome the feelings of hopelessness, loss of control, and depression induced by many diagnostic and therapeutic procedures in medicine.
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PMID:Some guidelines for uses of hypnotherapy in pediatrics. 8 Jul 83

Studying the contents of suicide notes might help to improve the understanding of individual cases whilst offering an opportunity to search for possible preventive guidelines. In a study in an Australian capital city, suicides for one year (1972-73) were investigated including the medical and psychiatric data where possible, and psychosocial circumstances in each case. The total number of suicides in the year was 135. Twenty-seven individuals left suicide notes of which 25 were available for examination. The mood as reflected in the notes was categorised in terms of depression and hopelessness, neutral affect and hostility. The affect was related to age, sex, marital status and method of suicide. The results are presented with examples of each category and are discussed with respect to their contribution to (i) understanding the cause of death, (ii) understanding the intention of the suicide, (iii) assisting the relatives in coping with the suicide, (iv) drawing attention to those factors where earlier intervention may have averted suicide.
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PMID:The significance of suicide notes. 27 Mar 39

Of 6 outpatients with chronic pain, 5 completed therapy based on a 3-part treatment package designed to provide symptom control, stimulus control and social system modification. Each of the components of the treatment package resulted in therapeutic change. A mean of 35.8 weekly hour long therapy sessions resulted in statistically significant decreases in pain, hopelessness, depression and analgesic medication intake. Generally, these improvements were maintained at 6 months and 1 year follow-up. This study is consistent with the notion that chronic pain is maintained by a combination of inter- and intrapersonal factors. A controlled comparison of this treatment program with other treatments for chronic pain is indicated.
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PMID:A pilot study of the treatment of outpatients with chronic pain: symptom control, stimulus control and social system intervention. 35 68

Developmental aspects of hopelessness were studied within a holistic-organismic framework. It is suggested that for an individual to become hopeless, cognitive-affective development and the development of the concept of time have to reach a certain level. The developmental readiness to experience hopelessness is considered necessary for an adolescent to present a clinical picture of depression similar to that of the adult.
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PMID:Developmental aspects of hopelessness. 44 99

A critical factor in the successful or unsuccessful life adjustment of the badly burned patient is his family's reaction to this chronic problem, its ability to support him, and to help him pursue the long course of treatment and its many associated problems, and to also help him navigate the social world into which he must go. The high incidence of emotional disturbance in families sustaining burn injuries makes it vital to deal effectively and in a sustained manner to assess the types of emotional disturbances which exist in these families and to see how they influence the responses to the injuries and to the long and arduous treatments that follow. Different patterns of adaptation occur, some much related to economic class and special types of psychiatric disorder in the family. Some reactions of chronic grief and intermittent helplessness and hopelessness may transcent all groups, but the ability to follow through in later care varies enormously, and is correlated with the overt depression of the mother. Several types of reaction are epitomized in the cases presented, along with directives for their management, and the interplay of social, somatic, and psychological factors which lead to these patterns will be delineated.
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PMID:Rehabilitating families with burned children. 45 67

Recent efforts to quantify various aspects of suicide ideation are described. The Suicide Intent Scale, Hopelessness Scale, and the Scale for Suicide Ideation all assess components of the individual's suicidal ruminations. Hopelessness seems to account for the bulk of the relationship between depression and suicidal intent. The Scale for Suicide Ideation seems to show promise as a predictive instrument, as a dependent variable in research on treatment efficacy, and as a tool for clinical assessment of suicide potential. Implications for further research and clinical practice are discussed.
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PMID:Cognitive aspects of suicidal behavior. 48 55

The paper discusses the importance of developing specific psychotherapeutic approaches for the different psychopathological syndromes. It is stated that whether Psychotherapy deserves to be considered a science and not as a mere art will depend upon the formulation of goals and strategies in more definitive way, setting aside the general formulas we have up to now. Narcisistic Depression is taken as an example of the possibility of a planned psychotherapy. The psychopathology of depression is reviewed, and it is stated that the syndrome occurs when the following four conditions are present simultaneously: a) Discordance between the Self-representation and the Ideal Ego. b) A pattern of thinking in which the logic of all or nothing is at work. c) Certain traits are taken as if they were the whole Self-representation. d) A mood of hopelessness and helplessness. Several strategies for dealing with these four conditions are presented.
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PMID:[Towards a programmed psychotherapy: narcissistic depression]. 54 56

Affects of hopelessness and helplessness may play an important role in the life history of cancer patients. Open communication with the patient is necessary in order to overcome these affects. The function of denial is discussed and depression is described as a necessary phase in coping with the disease. Depressions in cancer patients cannot be avoided through denial but should be adequately treated.
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PMID:[Psychosocial aspects in oncology]. 68 98

Depression in the elderly is difficult to classify and may be more of a symptom than a disease entity. The core problem with the elderly is inability to handle multiple losses. Feelings of helplessness and reduced self-esteem are significant. The resultant depression often appears mild but the risk of suicide cannot be ignored. The family physician is the key person in the diagnosis of depression. The close relationship between physical factors and depression may make differentiation difficult. Treatment involves a sympathetic but firm approach, particularly when dealing with the hypochondriacal patient. Regression in the elderly is a serious problem that requires staff teamwork. Reactivation techniques which combat feelings of helplessness and hopelessness are of particular importance. When the patient no longer responds well to appropriate drugs, electroconvulsive treatment may be of value. Family and marital therapy should not be overlooked. The nihilist has no place in geriatric medicine.
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PMID:Depression in the elderly. 75 71

A factorial study was made of ratings on 51 depressed female patients of IMPS items related to depression. Four separate depressive factors that involved: (1) loss of motivation and energy; (2) feelings of depression and hopelessness; (3) feelings of guilt and sin; and (4) retarded behavior were obtained. Neither the patient's age nor the endogenous-neurotic distinction appeared to be important. A comparison of these results with other factorial studies of depression was made.
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PMID:Varieties of depression. 81 91


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