HYSTERIA – CASES

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When we look at these cases, we tend always to think of malingering; and our own values and ideas of morality lead us to make judgments about this behavior.

Let me give you an example which proved to be what we all might regard as a suitable solution to a difficult problem.

A husband came home and found his wife in bed with another man. Following an angry scene, he developed a paralysis of his right arm. The paralysis was a symptom of hysteria.

Psychotherapy revealed that it served two purposes. The man’s cultural background led him to believe that he should, as a man wronged, kill both his wife and her lover, but his own ethical standards would not accept this.

The paralysed arm prevented him from carrying out this unacceptable act and, at the same time, led his wife to feel guilty for having caused his paralysis.

In treating such a case it is important not to overcome his paralysis without giving him time to accept some other solution, otherwise he could have been forced into a corner where he had to carry out that action.

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Comments (0) May 15 2009

ANAEMIA – TYPES OF ANAEMIA

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There are many other types of anaemia where the red blood cells are reduced in number and these may be due to deficiency of other essential factors, or it may be due to an excessive breakdown of red blood cells due to chemicals or hereditary factors.

But iron deficient anaemia remains the commonest of the anaemias, and fortunately it is the easiest to treat.

A woman, during her reproductive life, is always potentially anaemic because the blood lost with each period not only represents the blood lost from the body, but also a loss of iron and therefore her intake of iron has to be adequate to make good this loss.

With a man, there is usually no loss of iron from the body except where he also may be losing blood, such as with bleeding haemorrhoids or a peptic ulcer which is slowly bleeding.

Iron is a fairly common constituent of many foods and it is rare for an inadequacy of intake to occur except where there may be poor absorption, or illness, leading to a reduced intake of food, poverty or the development of certain food fads.

All these factors may lead to a deficient intake.

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Comments (0) May 15 2009

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