Deprivationsforschung und Psychiatrie

Kempe, P.; Gross, Jacquelyn T.

doi:10.1007/978-3-642-67416-7_11

Cited by 1 publication

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“…Worin besteht nun aber das Unerträgliche der Situation, in der sich jene Patienten befinden? Bei der Beantwortung dieser Frage kann es weiterhelfen, wenn wir uns vergegenwärtigen, daß das vollausgebildete Guillain-Barre-Syndrom eine existentielle Extremerfahrung bedeutet, die sich in dieser spezifischen Ausformung in kaum einer der bekannten Zustände klinischer und sensorischer Deprivation (14) wiederfindet:…”

Section: Diskussionunclassified

Psychische Veränderungen bei intensivbehandelten Patienten mit akutem Guillain-Barré-Syndrom - tiefenpsychologische Aspekte des Kommunikationsverlustes und seiner Bewältigung*

Weiß¹

1991

Fortschr Neurol Psychiatr

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Ten patients who had been hospitalized with acute Guillain-Barré-syndrome (GBS) were monitored during their course of treatment and were asked in short intervals through semi-structured interviews how they experienced their illness. States of anxiety were especially evident at the initial phase of the disease, during the dissemination and maximum intensity of paralysis. In contrast, depressive symptoms were primarily noticeable during the phase of remission. As a rule, the degree of anxiety correlated in intensity and duration with the degree of severity of the neurological deficit. Five patients experienced a temporary derealization, among those, three patients showed productive-psychotic symptoms (optical and acoustical hallucinations, delusional reactions). Frequently, dreams were reported, which were associated with elementary experiences of anxiety and in part took on an overwhelming realistic character. Finally, the psychic changes are interpreted in context with the extreme condition of the disease which does not only signify a situation of forced dependence and regression for the patient but also results in--through loss of mobility and communication (cranial nerve dysfunction, artificial respiration)--a fundamental change in the perception of reality.

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Section: Diskussionunclassified

Psychische Veränderungen bei intensivbehandelten Patienten mit akutem Guillain-Barré-Syndrom - tiefenpsychologische Aspekte des Kommunikationsverlustes und seiner Bewältigung*

Weiß¹

1991

Fortschr Neurol Psychiatr

View full text Add to dashboard Cite

show abstract

Deprivationsforschung und Psychiatrie

Cited by 1 publication

References 95 publications

Psychische Veränderungen bei intensivbehandelten Patienten mit akutem Guillain-Barré-Syndrom - tiefenpsychologische Aspekte des Kommunikationsverlustes und seiner Bewältigung*

Psychische Veränderungen bei intensivbehandelten Patienten mit akutem Guillain-Barré-Syndrom - tiefenpsychologische Aspekte des Kommunikationsverlustes und seiner Bewältigung*

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