Subject(s)
Mental Recall , Personality Development , Stress Disorders, Post-Traumatic/psychology , Violence , Adolescent , Child Abuse/diagnosis , Child Abuse/psychology , Child Abuse, Sexual/diagnosis , Child Abuse, Sexual/psychology , Child Abuse, Sexual/therapy , Female , Humans , Life Change Events , Male , Psychoanalytic Theory , Psychoanalytic Therapy , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/therapyABSTRACT
A case of conjoined twins diagnosed prenatally by ultrasound is presented. The pathologist's report, the ultrasonographic differential diagnosis, management of delivery and a summary of the literature are included.
Subject(s)
Abnormalities, Severe Teratoid/diagnosis , Twins, Conjoined , Adult , Diagnosis, Differential , Female , Humans , Infant, Newborn , Male , Pregnancy , Prenatal Diagnosis , Twins, Conjoined/pathology , UltrasonographyABSTRACT
Some of the adaptive coping styles of children with craniofacial anomalies are discussed. Three cases of children with microtia are described to illustrate developmental pathways used in adapting to their deformities. The complexity of the chronic medical and psychological challenges these children face is illustrated and discussed. In contrast to previous frameworks dealing with the problems of deviance and stigmatization, we use a psychological historical framework, drawing an analogy to Handlin's work on immigration. These children are born into a world that considers them strange and abhorent. They can be considered aliens entering a society of normal, non-disfigured people. The craniofacial center is conceptualized as a "naturalization" office where highly valued health care professionals are counted upon to reconstruct facial appearance and function. An enduring attachment and bonding process to the staff takes place, and the center becomes of considerable importance to the craniofacial patient's identity. The craniofacial patient often has to carry the pain of social isolation and stigma. Physicians caring for these children should be cognizant of their coping styles; so that development can be directed to move away from deviance to successful "immigration into the country of normals" and adaptation to life.
Subject(s)
Adaptation, Psychological , Ear, External/abnormalities , Adolescent , Child , Defense Mechanisms , Ear, External/surgery , Female , Humans , Male , Physician-Patient RelationsABSTRACT
Vertebral artery occlusion developed in a young adult shortly after he had performed neck manipulations during yoga movements. Yoga exercises are a rare cause of acute medullary or cerebellar infarction.
