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2.
Article in Spanish | MEDLINE | ID: mdl-2075846

ABSTRACT

Eight women and one man affected by the denominated "Dressing Disorder" are described. We show, analyze and discuss their social and demographic features, antecedents, onset and course, acquiring behaviours and its consequences, diagnosis, gnosographic features, results of the psychodiagnostic tests, evolutive relationships with the psychiatric diagnosis and treatment undergone. By the light of these data we propose a pathogenic scheme which remarks the importance of the Depression and Bulimia as precipitations or causative factors, because they give use to a low self-esteem and a use of anomalous defense mechanisms which origin the altered acquiring behaviours. Criteria for its diagnosis are proposed and more appropriate denominations are discussed.


Subject(s)
Clothing , Disruptive, Impulse Control, and Conduct Disorders , Adolescent , Adult , Bulimia/complications , Depression/complications , Diagnosis, Differential , Disruptive, Impulse Control, and Conduct Disorders/etiology , Female , Humans , Male , Middle Aged , Models, Psychological , Psychological Tests , Self Concept , Socioeconomic Factors
3.
Article in Spanish | MEDLINE | ID: mdl-2220438

ABSTRACT

Present and classic observations allow us to relate the obsessive-compulsive disorder (OCD) with different structural and functional anomalies, disorders and neurological findings which let us elaborate etiopathogenic and therapeutic hypothesis. From this and from our experience in the study about soft neurologic signs (SNS) in psychiatry, we explored 20 patients with OCD (DSM-III), compared with 28 phobic disorders and 20 healthy controls, following a SNS protocol and picking up demographic and clinical variables. We besides administered intellectual efficiency exams (WAIS) and neuropsychological tests (Benton/Bender), blind to the SNS exploration. The OCD group showed a higher global incidence of SNS, and especially more alterations in movement's coordination in upper extremities and balance with a trend to show more anomalies in dominance-laterality. This higher incidence of SNS didn't correlate with age, familiar or personal psychiatric history, indicators of neuropsychological impairment and pharmacotherapy. Men with OCD showed more SNS than women did, and as men have higher schooling rates, we found a relationship between SNS and schooling. OCD group showed a trend to be more intelligent than healthy controls, reaching significant higher scores in verbal than in manipulative scales. This lower manipulative score could relate with SNS, suggesting a possible concordance or significant relation with neurobiologic hypothesis, but not supporting neuroevolutionary and organic impairment theories as OCD etiopathogenesis.


Subject(s)
Neuropsychological Tests , Obsessive-Compulsive Disorder/physiopathology , Educational Status , Female , Humans , Intelligence , Male , Models, Neurological , Models, Psychological , Movement , Neurologic Examination , Obsessive-Compulsive Disorder/etiology , Phobic Disorders/physiopathology
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