{"title":"[Family psychotherapy in medical institutions of the Instituto del Servicio de Seguridad Social de los Trabajadores del Estado].","authors":"H Serrano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The evolution of family therapy in Mexico is briefly reviewed. It is considered that the reach of this method is limited in institutions due to the lack of qualified psychotherapists with the different orientations of this speciality. The illness, as a sign of family imbalance within the humanistic concept, acquires an even if the treatment is given to the marital couple, the adolescent or the child. Family therapy helps in marital disagreements, behavior problems, anorexia, reactive depression, drug addictions, alcoholism and many other problems. The ISSSTE population has a stable location and is more or less homogeneous; in it family therapy is stimulating and possible; even though the institution imposes certain limitations to family therapy, the enthusiasm for this therapeutic method prevails.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"173-7"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12102182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Treatment of epileptic crisis with chlorazepate dipotassium. Clinical study of 48 patients with the determination of serum levels of nordiazepam].","authors":"F Rubio-Donnadieu, J Gutiérrez, T Flores","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>48 patients with several types of seizures (following the international classification of epileptic seizures), were studied. Dipotassium chlorazepate was administered as a secondary antiepileptic drug. The cases were selected due to the severity of their seizures. The therapeutic results were evaluated with a daily record of seizures and attempt was made to correlate the serum levels of nordiazepam with the clinical results.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3 Suppl","pages":"317-23"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11252024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Individual psychotherapy. Institutional psychotherapy: Theoretical-clinical aspect].","authors":"G Huerta Valadez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At the Clínica Hospital Vasco de Quiroga, in Morelia, satisfying results were obtained using a psychotherapeutic approach that included abreaction of conflicts, exercise of directive authority, an attitude to relieve the patient of his guilt, advising, orienting and persuading the patients. This approach includes establishing rapport, obtaining information about the problem, elaborating a diagnostic impression, orienting oneself towards individual psychotherapy, and evaluating how frequently the sessions will be held, according to the therapist's affective neutrality, time available and capacity to listen.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"101-4"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12101174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Psychotherapy for children. Theoretical and practical approach].","authors":"E Riquelme","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The vicissitudes of institutional outpatient child psychiatry and the lessening of psychotherapeutic work due to the great amount of patients are described. It is mentioned how adolescents have been treated in groups and individually, and how family therapy was introduced. Play therapy has not been used due to the described time limitations. The handling of the environment surrounding the child is described, with basis on behavioral schemata; when the case requires it is focused psychoanalytically, in order to produce long-standing intrapsychic changes. It is remarkable how well adolescents accept group therapy, which helps their formation during the life stage they are going through.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"167-72"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12102181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Individual psychotherapy. Institutional approach].","authors":"J L Ramos Ramos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In traditional psychiatric institutions, illness tends to become chronic: several psychiatric schools try to present this. One of them refers to institutional psychotherapy, which will vary according to the patient's pathology, the therapist's objectives, the structure of the institution and the patient's and therapist's ideology. The author describes a phenomenological-existential approach as opposed to the psychoanalytic approach, and classifies the types of therapy he applies in the institutional setting.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"75-8"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12102185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Individual psychotherapy. Theoretical-practical aspect of institutional psychotherapy].","authors":"F Pérez Beltrán","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author explains the characteristics of the psychiatric outpatient population in Hermosillo and mentions that these do not allow for the use of traditional psychotherapy. He underlines the importance of the affective ties of the patient with the institution (based on previously formed stereotypes). The author describes also several short therapy techniques, such as persuasion, suggestion, brief psychotherapy and group psychotherapy (for which special training is required). He tells of his experience using psychotherapy with psychiatric medication in an institution.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12102187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Individual psychotherapy. Theoretical-clinical aspect. An institutional approach].","authors":"G León Manzano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author proposes that in institutions the orthodox way of observing the patient psychotherapeutically has to be changed by concepts of brief therapy; for this it is required to understand the dynamics of the patient and his response to treatment. Other important points in relation with the above are the institution (locale, furniture and paramedical personnel) and the time available to approach the patient. The author states that to achieve a good therapeutic result in a short time there are three requisites for the therapist: personal analysis, supervised clinical experience and training in psychodynamics.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3","pages":"93-5"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12102189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Serguienko, A González-Quevedo, N González Pérez, L Simón y Cantón, G Marín Fernández
{"title":"[Possible role of acetylcholine-acetylcolinesterase in the etiopathogenesis of epilepsy].","authors":"N Serguienko, A González-Quevedo, N González Pérez, L Simón y Cantón, G Marín Fernández","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Of the results obtained by numerous investigators in the study of the acetylcholine-acetylcholinesterase system, it is quite clear that it is altered significantly in the convulsive state. In the present work, a study of the acetylcholinesterase activity (AChE) in serum was made in 53 patients with different type of epilepsy during the intercritical period. A significantly high increase in the enzymatic activity (p less than 0.001) was found, compared with that of the controls, unrelated with the probable etiology of the process nor with some symptoms. We observed, nevertheless, a tendency towards diminished enzymatic activity with an increase of the severity of the electroencephalographic picture, and we interpreted this as a compensating effect. The AChE activity in serum and cerebrospinal fluid of a group of epileptic patients subjected to stereotaxic operations was studied before and after surgery, observing a significantly diminished activity of AChE in serum (p less than 0.001) after surgery. This asserts the hypothesis of the compensating increase of the AChE activity in serum, which tends to normalize once some of the factors producing the decompensation are eliminated.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3 Suppl","pages":"303-16"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11568716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Speech and swallowing evaluation in the differential diagnosis of neurologic disease.","authors":"J A Logemann, B Boshes, E R Blonsky, H B Fisher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Examination of the speech mechanism (the vocal tract) frequently provides information about certain neurologic lesions. The speech, swallowing and respiratory patterns of patients with cerebellar, upper motor neuron, lower motor neuron and extra-pyramidal lesions (parkinsonism) were studied, 10 of each category. The patient's lingual, labial and velar movement was examined cineradiographically during production of four short speech samples and the oral, through esophageal structures, during chewing and swallowing. Videotape, with simultaneous voice recording, and 16 mm. film were used. Oral, pharyngeal and esophageal transit times during swallowing were determined. These quantified tests reveal distinctive differences in vocal tract physiology between patient groups. The specific physiologic patterns characteristic of each neurological lesion were discussed and illustrated with films. Each patient group in this study exhibited a distinctive profile distinguishing it from every other. The results also indicate that if only a portion of these studies was completed, the disorder might be erroneously classified. The findings emphasize the need for complete and detailed physiologic studies of the speech and swallowing of patients with neurologic lesions, as an aid to accurate diagnosis.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3 Suppl","pages":"71-8"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11817803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stabilization of the thalamocortical motor system by cerebellar stimulation.","authors":"R N Johnson, R N Englander, S R Quint, G R Hanna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Epilepsy typifies instability in a complex control system. We have previously identified parameters of the thalamocortical motor system of the cat which correlate with epileptiform activity and are controlled by common anticonvulsants. This study is concerned with the control of such parameters by cerebellar stimulation, potencially promoting stability within the motor system. Under computer control, stimuli were delivered to both ventrolateral thalamus and cerebellar cortex, with multichannel recording of evoked responses obtained from sensorimotor cortex. Cortical evoked responses were plotted as an excitability curve (mean response amplitude as a function of pulse interval) or a family of threshold curves (mean response amplitude as a function of stimulus amplitude at various fixed intervals). The present study reveals that cerebellar epidural stimulation can reduce both the height and duration of the excitability curve, as well as increase the response threshold and reduce the saturation level of the threshold curve. The degree and direction of these parameter changes are dependent on the frequency, polarity, and amplitude of cerebellar stimulation, with the amount of parameter change exceeding that achieved by monotoxic doses of anticonvulsants. These data suggest that control of parameters related to excitability and threshold in the thalamocortical motor system may be the means by which cerebellar stimulation accomplishes control of clinical seizures.</p>","PeriodicalId":35515,"journal":{"name":"Neurologia-Neurocirugia Psiquiatria","volume":"18 2-3 Suppl","pages":"291-302"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11819316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}