Psychiatr. pro Praxi, 2005; 1: 7-10
Aggression (aggredere = go against) is a multidimensional overall term, which includes simple forms of irritation and anger, through complicated complexes of hostile aggressive behaviour up to violence. “Aggredi” = “ad gredi” and it means “to walk”, “to get closer to someone”, “to get into contact”. It is not clear from a primary sense of the word, which feelings, motivations and aim is the aggression, as a “mutual getting closer”, connected with. Whether it is a positive contact or a destructive attack (Frielingsdorf). Growing violence in both public and private life, wars, national...
Psychiatr. pro Praxi, 2005; 1: 11-17
The overview article deals with procedures during an initiation of psychodynamic psychotherapy. Announcement of the patient, the first interview, history concerning conversation, assessment of curability, formulation of an agreement on the therapy and finally the initiation of systematic psychotherapy represent individual steps, which are distinguished above all due to didactical reasons. Admittance, or refusal of the patient should not be based on the impressive approach and intuitive attitude due to the well-known unreliability of these measures. The overview article is a contribution to professionalization of judgements in these fields.
Psychiatr. pro Praxi, 2005; 1: 18-25
Narcissistic personality disorder is a pervasive pattern of grandiosity, need for admiration and lack of empathy. Persons with narcissistic personality disorder can be very vulnerable to threats to their self-esteem. They may react defensively with range, disdain, or indifference but are in fact struggling with feelings of shock, humiliation, and shame. Narcissism may also develop through unempathic, neglectful, and/or devaluating parental figures. The child may develop the belief that a sense of worth, value, or meaning is contingent upon accomplishment of achievement. Parents failed to adequately mirror an infant’s natural need for idealization....
Psychiatr. pro Praxi, 2005; 1: 26-30
The presented overview is focused on medication by anti-depressives during pregnancy and lactation and on pharmacotherapy of anxiety disorder and insomnia in these periods. It comprehensively maps known data from publications dealing with therapy by anti-depressives. Relatively new clinical data obtained during ambulant treatment of patients are reported together with experience gained at Prague Psychiatric Center (PCP). The article may serve as an advise material for a psychiatrist during intervention in a case of a pregnant or breast-feeding woman.
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