[Psychotherapeutic intervention with families after multiple suicides]. / Mehrfachsuizide als Argument für Postvention.

Every suicide must be seen as tragedy. The amount of that tragedy is sometimes extraordinary. For example, when families experience multiple suicides. The consequences should be, by enhanced postvention to prevent a PTSD-like syndrome and to consider more often the administration of SSRI in persons bereaved by suicide. When manifest phases are prevalent, substances like lithium are recommendable. The importance of psychotherapy and psychosocial intervention has to be emphasized.

[Automated percutaneous lumbar diskectomy (APLD): the early and late changes in the CT with a clinical correlation]. / Automatisierte perkutane lumbale Diskektomie (APLD): Früh- und Spätveränderungen im CT mit klinischer Korrelation.

In 52 out of 162 patients treated, CT changes were measured at early and late stages and correlated with clinical findings. Reduction in height of discs was measured by digital radiography. During early stages 9.6% showed gas collections peripherally and 3.8% centrally. Early and late examination showed uniform reaction in the area of the prolapse: no changes (type I), return to normal findings (type II), diffuse reduction of a broadly based lesion (type III), reduction in focal changes based on a broad lesion (type IV). Early results: 94.3% type I, 3.8% type III, 1.9% type IV. Late results: 55.7% type I, 3.8% type II, 21.2% type III, 19.3% type IV. Maximal reduction of the height of the disc of 10% occurred in 32.6% of cases. There was no meaningful correlation between CT appearances and clinical status.

[Cerebellar ataxia in three generations with apparently dominant inheritance (author's transl)]. / Zerebellare Ataxie in 3 Generationen mit anscheinend dominantem Erbgang

The clinical features and genetic inheritance of cerebellar ataxia, presumably of the Holmer type, are described in a family with four affected members over three generations. Two of these cases were severly affected, whilst the remaining two cases were probably of a relatively mild form. The pitfalls in diagnosis are discussed and the dangers of incorrect diagnosis pointed out.

[The genesis of religious delusions--a "Karel Gott delusion"]. / Zur Genese religiöser Wahninhalte--ein "Karel Gott-Wahn"

In one case the psychodynamic cause of believe and (religious) delusion is discussed: the Kohut's conception of the primary narcissism seems to explain it. In spite of this common source profound differences were found. In delusion the are: loss of tradition, incapability of dialogue, disharmony with the environment, loss of trust and independence.