Social comparisons, although often subconscious,
contribute to defi ning who we are. We constantly compare
ourselves to new acquaintances, neighbors, friends (often
through social media), professional colleagues, and people in
the media. Comparison allows us to identify ourselves: our self
image, intellectual and physical abilities, and fi nancial and
social standing.
Social comparisons, although often subconscious,
contribute to defi ning who we are. We constantly compare
ourselves to new acquaintances, neighbors, friends (often
through social media), professional colleagues, and people in
the media. Comparison allows us to identify ourselves: our self
image, intellectual and physical abilities, and fi nancial and
social standing.
"Reintegrating Returning Warriors and The Subtleties of PTSD: Practice, Research and Policy"
by Col Jeffrey Yarvis, Chief of Soldier Behavioral Health Service, Carl R. Darnall Army Medical Center, Washington DC
Hashimoto's thyroiditis (HT) is one of the most common human autoimmune
diseases responsible for numerous morbidity in women. Hashimoto’s disease
is also called Hashimoto’s thyroiditis, chronic lymphocytic thyroiditis, or
autoimmune thyroiditis. Hashimoto’s disease is at least 8 times more common
in women than men. Although the disease may occur in teens or young women,
it more often appears between ages 40 and 60. Your possibility of developing
Hashimoto’s thyroiditis increases if other family members have the disease.
It is an organ-specific T-cell mediated disease that affects the thyroid gland,
and genetics play a contributory role in its complexity. To date, significant
progress has been made in identifying and characterizing those genes involved
in the disease.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
A Critical Look at Clinical PsychologyThe .docxransayo
A Critical Look at Clinical Psychology
The DSM
“Patchwork of scientific data, cultural values, political compromises, and the material for making insurance claims”
The 1980 edition revision tried to mimic a biomedicine style
In Psychiatric diagnosis, etiology is rarely known
Reliability remains a big problem
The 1980 edition began to define conditions by listing symptoms. Revision was an effort to portray psychiatry as a branch of medicine which would boost credibility of the field and ensure financial viability. However in biomedicine, diagnosis are based on etiology > that is causes rather than symptoms. And they would then test for various causes of said symptoms. In psychiatric diagnosis, etiology, is rarely known. Ex. Schizophrenia (combination of things). Reliability remains a big problem with the DSM. Just because not every clinician may give the same individual the same diagnosis. -> could be due to cultural values, ethnicity or socioeconomic status.
Homosexuality
Multiple theories that classified homosexuality as a disease
Psychiatrist and psychoanalyst Edmund Bergler infamously wrote in a book for general audiences, “I have no bias against homosexuals; for me they are sick people requiring medical help... Still, though I have no bias, I would say: Homosexuals are essentially disagreeable people, regardless of their pleasant or unpleasant outward manner... [their] shell is a mixture of superciliousness, fake aggression, and whimpering. Like all psychic masochists, they are subservient when confronted with a stronger person, merciless when in power, unscrupulous about trampling on a weaker person”
On December 15, 1973, the Board of Directors of the APA declassified homosexuality per se as a mental disorder from the DSM-II
Judgements of Normality depend on social norms, cultural standards and local customs. Grief is another example. Talk about different cultures
Commercial for Cymbalta
Questions to ask after Video:
What are some things that you noticed within the video?
What are the explicit ideas expressed in this video?
What’s the overall message?
Political Economy of Clinical Psychology
1980’s revision involved “medicalization”
Adoption of the language of medicine. Including terms like: disease, symptoms, patient, syndrome, relapse, diagnosis and prognosis.
Introduction of managed care
Intrusion of pharmaceutical companies
Conflict of interest between pharmaceutical companies and psychiatrists
Drastic cuts in funds for mental health care
The 1980 revision of the DSM involved medicalization. Meaning they adopted the language of medicine to understand and describe psychological suffering. This language would include disease, symptoms, patient, syndrome, relapse, diagnosis and prognosis.So now that the field of psychiatry identified itself as a “medical” specialty, the research efforts concentrated on searching for biological bases of suffering and pharmaceutical treatments. Politica.
Abstract—Dermatitis artefacta is a self-inflicted dermatologic injury with underlying primary psychiatric condition. Precipitating factors ranges from simple anxiety to interpersonal conflicts and several personality disorders including obsessive compulsive disorder, depression and psychotic disturbances. The diagnosis of this entity is often missed. Herein, we are reporting a case of dermatitis artefacta with description of its various manifestations.
Depression not only affects your brain and behavior—it affects your entire
body. Depression has been linked with other health problems, including
cancer. Dealing with more than one health problem at a time
can be difficult, so proper
treatment is important.
"Reintegrating Returning Warriors and The Subtleties of PTSD: Practice, Research and Policy"
by Col Jeffrey Yarvis, Chief of Soldier Behavioral Health Service, Carl R. Darnall Army Medical Center, Washington DC
Hashimoto's thyroiditis (HT) is one of the most common human autoimmune
diseases responsible for numerous morbidity in women. Hashimoto’s disease
is also called Hashimoto’s thyroiditis, chronic lymphocytic thyroiditis, or
autoimmune thyroiditis. Hashimoto’s disease is at least 8 times more common
in women than men. Although the disease may occur in teens or young women,
it more often appears between ages 40 and 60. Your possibility of developing
Hashimoto’s thyroiditis increases if other family members have the disease.
It is an organ-specific T-cell mediated disease that affects the thyroid gland,
and genetics play a contributory role in its complexity. To date, significant
progress has been made in identifying and characterizing those genes involved
in the disease.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
A Critical Look at Clinical PsychologyThe .docxransayo
A Critical Look at Clinical Psychology
The DSM
“Patchwork of scientific data, cultural values, political compromises, and the material for making insurance claims”
The 1980 edition revision tried to mimic a biomedicine style
In Psychiatric diagnosis, etiology is rarely known
Reliability remains a big problem
The 1980 edition began to define conditions by listing symptoms. Revision was an effort to portray psychiatry as a branch of medicine which would boost credibility of the field and ensure financial viability. However in biomedicine, diagnosis are based on etiology > that is causes rather than symptoms. And they would then test for various causes of said symptoms. In psychiatric diagnosis, etiology, is rarely known. Ex. Schizophrenia (combination of things). Reliability remains a big problem with the DSM. Just because not every clinician may give the same individual the same diagnosis. -> could be due to cultural values, ethnicity or socioeconomic status.
Homosexuality
Multiple theories that classified homosexuality as a disease
Psychiatrist and psychoanalyst Edmund Bergler infamously wrote in a book for general audiences, “I have no bias against homosexuals; for me they are sick people requiring medical help... Still, though I have no bias, I would say: Homosexuals are essentially disagreeable people, regardless of their pleasant or unpleasant outward manner... [their] shell is a mixture of superciliousness, fake aggression, and whimpering. Like all psychic masochists, they are subservient when confronted with a stronger person, merciless when in power, unscrupulous about trampling on a weaker person”
On December 15, 1973, the Board of Directors of the APA declassified homosexuality per se as a mental disorder from the DSM-II
Judgements of Normality depend on social norms, cultural standards and local customs. Grief is another example. Talk about different cultures
Commercial for Cymbalta
Questions to ask after Video:
What are some things that you noticed within the video?
What are the explicit ideas expressed in this video?
What’s the overall message?
Political Economy of Clinical Psychology
1980’s revision involved “medicalization”
Adoption of the language of medicine. Including terms like: disease, symptoms, patient, syndrome, relapse, diagnosis and prognosis.
Introduction of managed care
Intrusion of pharmaceutical companies
Conflict of interest between pharmaceutical companies and psychiatrists
Drastic cuts in funds for mental health care
The 1980 revision of the DSM involved medicalization. Meaning they adopted the language of medicine to understand and describe psychological suffering. This language would include disease, symptoms, patient, syndrome, relapse, diagnosis and prognosis.So now that the field of psychiatry identified itself as a “medical” specialty, the research efforts concentrated on searching for biological bases of suffering and pharmaceutical treatments. Politica.
Abstract—Dermatitis artefacta is a self-inflicted dermatologic injury with underlying primary psychiatric condition. Precipitating factors ranges from simple anxiety to interpersonal conflicts and several personality disorders including obsessive compulsive disorder, depression and psychotic disturbances. The diagnosis of this entity is often missed. Herein, we are reporting a case of dermatitis artefacta with description of its various manifestations.
Depression not only affects your brain and behavior—it affects your entire
body. Depression has been linked with other health problems, including
cancer. Dealing with more than one health problem at a time
can be difficult, so proper
treatment is important.
Depresi adalah masalah kejiwaan yang paling sering pada pasien dengan penyakit ginjal kronis dan dapat memprediksi hasil pasien dan kematian. Depresi terkait dengan kehidupan yang penuh stres yang ditandai dengan banyak kerugian dan oleh ketergantungan, yang bahkan dapat menyebabkan bunuh diri. Meskipun sejumlah besar pasien dengan penyakit ginjal kronis dan beban ekonomi mereka mewakili, hanya beberapa dari pasien ini menerima diagnosis dan terapi yang memadai. Pedoman Diagnostik dan Statistik Mental kriteria Gangguan-IV untuk depresi besar dapat membantu dalam membedakan gejala uremia dan depresi. Farmakoterapi tersedia dan antidepresan (trisiklik antidepresan dan selective serotonin re-uptake) telah berhasil digunakan dalam berbagai penelitian. Akhirnya, ada kebutuhan untuk welldesigned lanjut, membujur studi, kelangsungan hidup untuk memperjelas hubungan yang lebih baik antara depresi dan berbagai tahap disfungsi ginjal.
Do any of the following phrases sound familiar It’s nothing to wor.docxblossomblackbourne
Do any of the following phrases sound familiar: “It’s nothing to worry yourself sick over,” “I was sick with worry,” or “Don’t stress yourself out”?
These are not just warnings or expressions about too much negative mental activity. What does it mean to worry to the point of sickness? What does it look like to stress yourself out? For you, it could be a bout with insomnia. For someone else, too much worry could result in an upset stomach. Yet for another, excessive stress for a long period of time could contribute to high blood pressure and heart disease.
The type of illness that results from too much stress depends on a variety of factors. Your age, gender, ethnic heritage, culture, and even geographical location all influence your response to developing stress-related illnesses. Some populations are more vulnerable to the effects of stress, just as some populations are more susceptible to certain diseases. Population-based health care focuses on assessing health needs, planning culturally sensitive prevention and intervention programs, and improving public health.
In this context, populations are groups of people defined by a common condition that perhaps need focused health education, prevention programs, or treatment. The following are some examples of populations:
Pregnant women
Military personnel returning from war
Those with low socioeconomic status
Those experiencing discrimination
Refugees
Those with asthma
The elderly
Those experiencing significant loss
Illegal immigrants
Those with cardiovascular disease
Adult survivors of childhood sexual abuse
Victims of crime
Those with serious mental illness
Whether it is poverty, grief, or discrimination, the variety of stressors that members of these populations might encounter does not vanish overnight. As a result, the persistence of stress can contribute to long-lasting illness or chronic disease, such as heart disease, stroke, cancer, diabetes, obesity, and arthritis. Seventy percent of all deaths in the United States are due to chronic disease. Fifty percent of Americans have at least one chronic disease. Chronic diseases are the most common and expensive diseases facing the world and since most chronic diseases have modifiable risk factors, most are preventable. The most common modifiable risks are poor diet, lack of exercise, and tobacco, alcohol, or drug use.
.
1. HASHIMOTO AND CANCER CLINICAL - PSYCHOLOGICAL
GRAPHOLOGICAL CORRELATION REVISION OF 202 PATIENTS
FRANCESCO MATOZZA MD, ADRIANA ORTIZ ,
1-Introduction:
Hashimoto Thyroiditis is an autoimmune disease which mostly affects women in an
approximated ratio 9:1 relationship with men.
Statistically the disease appears especially in 3rd, 4th and 5th decade of the life and can
be associated with other autoimmune disease like rheumatoid arthritis, diabetes, arthritis,
vitíligo , pernicious anaemia, endometriosis, psoriasis, etc
The most frequent symptoms are: fatigue and excessive drowsiness, intolerance to cold,
dry skin, dry and fragile hair, fragility of nails, pallor of skin, increased weight,
constipation, apathy and indifference, depression, sleep disorders, memory loss, attention
and lack of concentration.
Psychologically these patients appear to present a chronic emotional blockage which,
in the presence of other stress factors such as bereavement, marital or work-related
difficulties etc., endangers a negative mental attitude which activates the endocrine and
nervous system; this in turn alters the Immune System.
.
Clinical forms:
A) Sub clinical Hypothyroidism: T3 and T4, normal, TSH normal
Increase TPA and/or TGA.
B) Clinical Hypothyroidism:
Diminution of T3 and T4, increase TSH,
Increase TGA, and PTO.
Treatment Clinical Hypothyroidism: levotyroxine
2-Objective of the study:
The objective of the study is to evaluate if a relationship between cancer and Hashimoto
Thyroiditis exists; using handwriting analyses, personality profiles of the patients and
correlating them with clinical and laboratory studies.
2. 3-Material and Methods:
202 patients were included in this multicentric and multidisciplinary study of which: 162
patients (22-76 years of age) present Thyroiditis Hashimoto and cancer and 40 patients of
the same age group with Thyroiditis Hashimoto without cancer
20%
TH
TH y cancer
80%
The oncological patients were in different stages of the disease. And they were evaluated
from the point of view: clinical, radiological, graphological and laboratory tests
including, T3, T4, TSH, TPO, and TGA. The patients without cancer were evaluated by
the same means as the patients with cancer.
Distribution of the tumours
3. Hashimoto Thyroiditis Psychological aspects
Low self-esteem, Emotional instability,Affective disorders
Difficulty in recognizing their own affective needs
Depression ,Fear of any form of affirmation
Insecurity ,Rigidity,Perfectionism ,Self exigent
THE PATIENTS WITH HASHIMOTO THYROIDITIS:
Insatiable need for affection and addiction to work
Self-punitive ,Tendency to bradypsychia,Uni-polar depression
Excessive anticipatory preoccupation, Difficulty with confronting feelings of
aggressiveness.
It is important to state that the present of these personality traits is not a cause of
developing the disease.
Graphological findings
1) Direction. Falling lines or foxtails.
2) Pressure: irregular in all aspects.
3) Dimension: Narrow between letters, Inhibited and suspended.
4) Twisted and broken forms, especially in ascenders and descenders with spasmodic writing.
5) Trembling strokes, closed or congested. Tremors Hard to see with the naked eye.
6) Meaningless and unnecessary dots.
7) Strokes rigid in part or total. Squaring.
8) Angular handwriting.
9) Fireplace.
10) Triangular movements, especially in the ovals.
4. 11) Jagged -edged on two sides.
12) Middle zone always with extras, mainly ovals.
13) Movement direction: regressive and/or mixed.
14) Letters and/or Word endings missing or suspended.
15) Wide starting stroke comes from lower zone to the left.
16) Paraph circles.
17) Stroke that crosses out signature for no reason.
18) Lower zone crossed out with paraph for no reason.
) Angular paraph to the left.
PSYCHOTHERAPEUTIC TREATMENT
Of the psychotherapeutic treatments currently used most are psychoanalytic and of a
mental-behavioural nature.
Psychoanalysis reveals that these patients find difficulty in recognizing and addressing
their own aggressiveness and employs techniques which allow the liberation of their
repressed impulses.
From a more general point of view the controlled liberation of the repressed aggressive
emotional impulses is due to favour, considering that due to the frequent resistance that
can occur in the psychosomatic patients.
PROPOSED THERAPEUTIC FRAME: The therapeutic frame that we use considers
mental aspects as much as behavioural. This approach seeks to:
1- Identify the pessimistic thoughts and self-punishing feelings, confronting them with
constructive and positive alternatives grounded in reality.
2- To increase their social awareness of others in order to suppress the tendency in being
solely concentrated on themselves and their problems.
5. 3- To help patients identify factors in their lives which cause stress and to help them
organize their time and plan activities that are pleasurable.
4- Prioritizing personal development and to connect them with their own feelings.
5- To introduce the patient to exercises and muscle relaxation.
6- In highlighting the disease to the patient, it enables them to face up to difficult
situations
7- In enabling the patient to express fear and anxiety, it will promote resolution of any
real problems.
8- If a patient suffers body-image problems, we try to analyse and identify the distortion
in their own self-perception.
General conclusion:
The patients with Hashimoto Thyroiditis have the same personality profile of cancer
patients, namely Type C personality traits although vary graph logically in the intensity
of the observed variables. This personality is independent of the type of tumour, age, sex,
social status.
The evolution of the Hashimoto Thyroiditis is the following one:
1- Hashimoto Thyroiditis ------------------- Hashimoto Thyroiditis
2- Hashimoto Thyroiditis ------------ Another one autoimmune, AR, Psoriasis
3- Hashimoto Thyroiditis ------------- uterine fibroma. Ovarian cyst.
Breast dysplasia
4- Hashimoto Thyroiditis ---------------- ------- Malignant tumours (breast, ovarian,
Lung, colorectal, prostate, lymphoma etc
Clinical implications:
Women with Hashimoto Thyroiditis would have to take gynaecological and radiological
examinations like mammography, mammary Ultrasound, trans-vaginal US and
colposcopy at least once per year, since statistically they are more likely to develop
benign or malignant gynaecological disease due to the dysfunction of the immunological
system.
6. Patients with uterine fibrome, ovarian cyst and breast dysplasia should have exam T3,
T4, TSH, PT and ATG to exclude hashimoto thyroiditis.
The psycho diagnosis, handwriting analysis and the psychological treatment would be
indicated in patients with hashimoto thyroiditis with or without cancer
References
REFERENCES HASHIMOTO THYROIDITIS AND CANCER
1-Saitoh T, Matsushima T, Saito Y, Yamane A, Yokohoma A, Irisawa H, Handa H,
Tsukamoto N, Karasawa M, Kojima M, Nojima Y, Murakami H.
Hodgkin lymphoma presenting with various immunologic abnormalities, including
autoimmune hepatitis, Hashimoto's thyroiditis, autoimmune hemolytic anemia, and
immune thrombocytopenia.
Clin Lymphoma Myeloma. 2008 Feb; 8(1):62-4.
PMID: 18501091 [Pub Med - indexed for MEDLINE]
2-Troch M, Woehrer S, Streubel B, Weissel M, Hoffmann M, Müllauer L, Chott A,
Raderer M.
Chronic autoimmune thyroiditis (Hashimoto's thyroiditis) in patients with MALT
lymphoma.
Ann Oncol. 2008 Jul; 19(7):1336-9. Epub 2008 Mar 11.
PMID: 18334510 [Pub Med - indexed for MEDLINE]
3-Mellemkjaer L, Pfeiffer RM, Engels EA, Gridley G, Wheeler W, Hemminki K, Olsen
JH, Dreyer L, Linet MS, Goldin LR, Landgren O.
Autoimmune disease in individuals and close family members and susceptibility to non-
Hodgkin's lymphoma.
Arthritis Rheum. 2008 Mar; 58(3):657-66.
PMID: 18311836 [Pub Med - indexed for MEDLINE]
4-Cizmić M, Ignjatović M, Cerović S, Ajdinović B.
[Coexistence of Hashimoto's thyroiditis and papillary thyroidal carcinoma with papillary
carcinoma of thyreoglossal duct]
Vojnosanit Pregl. 2007 Oct; 64(10):714-8. Serbian.
PMID: 18041575 [Pub Med - indexed for MEDLINE]
5Costanzo M, Caruso LA, Testa R, Marziani A, Cannizzaro MA.
[Hashimoto thyroiditis. Possible cause or consequence of a malignant thyroid tumor]
Ann Ital Chir. 2006 Nov-Dec; 77(6):469-71. Italian.
PMID: 17343229 [Pub Med - indexed for MEDLINE]
6-Fierabracci P, Pinchera A, Campani D, Pollina LE, Giustarini E, Giani C.
Association between breast cancer and autoimmune thyroid disorders: no increase of
lymphocytic infiltrates in breast malignant tissues.
J Endocrinol Invest. 2006 Mar; 29(3):248-51.
PMID: 16682839 [Pub Med - indexed for MEDLINE]
7. 7. ALEXANDER, Franz. Principios fundamentales del abordaje psicosomático.
8- ALLENDE DEL CAMPO, Juan. Grafopatologia. Ed. Lasra.2007.
9-. CRISTOFANELLI, Pacífico: Grafología dalla scritura alla
personalità.Ed.Calderini.1996.
10. DELAY, Jean. Introducción a la medicina psicosomática. Ed. Masson et
Cie.Paris.1961.
11. DETTINIS, Luis: Grafología y homeopatía. Editorial Parra. Ecuador.1993.
12. FOGLIA, Pedro. Signos de enfermedad en la escritura. Ed. La Rocca.
Argentina.1996.
13. LURIJA, Aleksandr Romanovic. Neurologia del linguaggio grafico. Ed. Messaggero
Padova.1998.
14. MORETTI G: Scompensi anomalie della siche e grafología.Ed. Massaggero
Padova.1995
15. POSADA, Ángel: Grafología y grafo patología Ed. Paraninfo. España.1977
16-HANDWRITING ANALYSIS IN CANCER PATIENTS
Francesco Matozza M.D.-Consultant Oncologist, Rawson and Rivadavia Hospitals ,
Buenos Aires Prof. Adriana Ortiz–Consultant graphologist, Handwriting expert. ...
www.salutedonna.it/handwriting_analysis_in_cancer_patients.htm - 14k -
17 britishgraphology.org - The British Institute of graphology...
- Francesco Matozza quot;Handwriting Analysis and Cancerquot; Pat Church quot;How
Graphology Can Provide Extra Insight in Counsellingquot; Dor Gauthier quot;Dr Werner Wolffquot;
...
www.britishgraphology.org/magazine.htm - 37k -
18IPOS progr def A4_3-fare correz.qxp
Handwriting analysis in cancer patients. -. Oritz A, Matozza FS, Levy D ( Argentina). P
83. Somatic complaints and mental exposures. in Haematology/ Oncology: ...
www.ipos2006.it/IPOS_programme.pdf -
19 IMPORTANCIA DE ESTUDIOS GRAFOLOGICOS
Adriana Ortiz, es Licenciada en Grafología. Dr. Francesco Matozza, doctorado en
Medicina y Cirugía Universidad de Bologna. ...
www.farmasalute.it/speciali/prevenzionetumori/ESTUDIOSGRAFOLOGICOS.pdf
20-L’ IMPIEGO DELLA GRAFOLOGIA NEL TRATTAMENTO E FOLLOW UP
DEI ...
Dr. Francesco MATOZZA - M.N.52472 ... Vice Direttrice del dipartimento di
grafologia scientifica del “Centro Argentino de ...
www.farmasalute.it/speciali/prevenzionetumori/ESTUDIOSGRAFOLOGICOS2.pdf -
8. Adriana Ortiz is consultant graphologist and Vice Director of Centro Argentino de
Investigaciones Grafopatológicas. Buenos Aires Argentinaadrianaortizb@hotmail.com
Francesco Matozza M:D:medical oncologist and radiologist. Buenos Aires-Argentina
Frankmatozza@libero.it