Parents' understanding of children's needs for medical care often differs from that of physicians. This study was made to learn how mothers would respond to particular symptoms and particular circumstances involving their children. Findings are presented and the implications discussed.
HAS broad psychiatric and social implications, which can be studied by both clinical and epidemiologic methods. This pa¬ per reports an epidemiologic study of suicide in the capital of Chile, Santiago, for the years 1961-62. It includes data not available earlier, plus more detailed analysis.Data on suicide in Chile have been available in the 1964 Demographic Yearbook of the United Nations (1) and in a report by C. R. Fuentes (2). According to the yearbook, the rate of suicide in Chile for 1960 was 3.4 per 100,000. Fuentes reported that Chilean men committed suicide more frequently than Chilean women, that Chilean women used poisoning as their method more frequently than Chilean men, and that suicide rates in the country in¬ creased during the spring and summer.We obtained our basic data from the Instituto Medico Legal and the Asistencia Publica in Santiago. The institute provided data on sui¬ cides, while the Asistencia Publica was the source of the data on serious suicidal attempts.
This paper postulates that abnormalities of consciousness can play an important role in the psychopathology of suicide and also as major factors leading to self destruction. Five cases, chosen both from the literature and from personal clinical experience, are presented to illustrate how consciousness disturbances can lead to suicide. The concept of passive attention of William James is considered as highly relevant, not only during sleep mentation but also during consciousness abnormalities. It would appear that this mechanism produces a substantial restriction in the capacity to see alternatives other than suicide as a solution to solve conflict situations. It is suggested that further clinical investigation should be devoted to this aspect of the psychopathology and phenomenology of suicide.
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