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Psycology » Neurosis: Part I

Treatment of patients

All neurotic disorders applicable guidelines below. Range of therapeutic interventions consists of three parts: a treatment aimed at relieving symptoms, the actions taken to address the problems, and measures aimed at improving patient relationships with others. When mild symptoms Supporting conversation as effective as anxiolytic drugs (Catalan et al. 1984). In more severe cases may require treatment with anxiolytics for several days, in order to reassure the patient and restore his sleep, but to prescribe these drugs for a long time is not recommended. There is no need

Adverse life events

Some general questions related to the study of adverse life events, discussed on p. 84-8 5, in this section we are only interested in their role in the etiology of neurosis. It is known that patients with a type of neurosis small affective disorder reported more adverse life events in the three-month period preceding the start of disorder than can recall for the same period of time control subjects (Cooper, Sylph 1973). However, as noted on page 85, many are experiencing adverse events without consequences such as the development of a mental disorder. Individuals may differ in their sensitivity

Environmental Factors

Accepted that poor housing conditions can create preconditions for the development of neurosis, either directly or through effects on family life. If this assumption is true, after the move, associated with clear improvement of living conditions, people should suffer less neuroses. Taylor and Chave (1964) examined those relocating to another city replaced the bad (and city) conditions on much better, and Hare and Shaw (1965) who (with similar results) moved to another residential area within the same city. None of these studies showed no decrease in the frequency of neuroses after the move. However, it is possible that positive


There is an assumption that neurosis is an expression of emotional distress inherent whole family, and not one person disorder, seek medical care and receiving treatment (identified patient). Although family problems are commonplace for patients with neuroses, in the above formulation of their overall value is almost certainly exaggerated, as the emotional complexity of other family members should rather be regarded as the result than the cause of neurosis given patient. This data is illustrated study Kreitman et al. (1970). Compared with control subjects wives

Forecast neuroses

This section is devoted to general factors affecting the prognosis of all types of neurosis, it will be also on the outcome of individual neurotic disorders discussed in this chapter. GENERAL QUESTIONS Forecast neuroses as a group of diseases should be considered depending on the level at which they are present healthcare system. Approximately 50% of persons aged 20-50 years who have neuroses were found in the survey population in certain regions will recover within three months (Hagnell 1970; Tennant et al. 1981a). Among patients with neuroses observed by general practitioners, about half recovery occurs throughout the year (Mann et al. 1981),


The etiology of neurosis is still not clear completely. In the most general terms, the facts are consistent with the idea that neuroses arise when the stress factors in human life outweigh his ability to cope with them, and the protective effect of maintaining his relationship. As the ability to withstand stress and predisposition to neurosis partly determined by genetic factors, are partly due to education. How has your education and what the impact of childhood events have a special meaning? On these issues there are many hypotheses, but little factual information. Currently, however, practical

Neuroses as a violation of learning

Learning theory models suggest mechanisms by which the experience of childhood and later life cause neurosis. There are two types of theory. Proponents of the first type, the position of which can be found on the example of works Mowrer (1950) and Dollard, Miller (1950), take some aetiological mechanisms proposed by Freud, and make an attempt to explain them in terms of learning mechanisms. So, while the displacement is treated as a kind of equivalent to avoidance learning, emotional conflict is equated to the conflict approach-avoidance, and the shift to associative learning. Although such parallels and Representat

Factors influencing a child

Experiences of childhood is widely believed that childhood experiences play an important role in the development of the adult neurosis. But this is largely a speculative idea, since scientific evidence would be required to carry out the simultaneous study of a large number of people who have had a child by different life experiences, examining their original at an early age, and then to adulthood. However, follow-up studies of children, based on long-term follow them, although carried out (see Sec. 20), but did not include the collection of detailed information on the early experiences of the child


In assessing the patient's condition neurosis necessary to make sure that not missed any primary cause, such as physical illness, depressive disorder, schizophrenia or dementia. The relative probability of each of these disorders varies depending upon the age of the patient. Even if at the first examination no signs of the presence of the primary causes have been identified, you should always think about it again when there is no improvement after adequate treatment. Assessing the likelihood of physical illness, we must constantly remember that stressful events are quite common and that their presence n

Causes of neuroses

This section is devoted to an analysis of the common causes of neuroses. Factors specific to the etiology of certain neurotic syndromes are discussed in the next section. GENETIC FACTORS Obviously, the propensity to develop neurosis detect psychological tests for neuroticism, is mainly due to genetic factors (see: Shields 1976 review). The trend of the autonomic nervous system to react to stressors, measured the degree of attenuation of galvanic skin response (Lader, Wing 1966), to some extent genetically determined. It is believed that both trends reflect a general predisposition to the development of neuroses. Studying patient families
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