Torticollis spasmodicus and addiction

From a random sample of 49 patients suffering from torticollis spasmodicus and dependence on alcohol or medicaments, 6 have been selected and are discussed with i view to findings possible mutual influences between the disorders. In particular, premorbid accentuation of personality presented itself as a potential risk factor leading to both tortocollis and alcoholism. In various cases, the patient makes use of alcohol for self-treatment of extrapyramidal-motor symptoms. But such phenomenological developments are preceded by varied constellations of conditions, that have to be taken into account in the treatment.     

Envy, identification, and pride

The constituents of the complex affective experience of envy are delineated, and defenses against each of these constituents are explored. Attention is then called to a common, variably adaptive, and socially approved means of obviating or coping with envious feelings, involving a partial identification and culminating in the conscious experience of "being proud of." A conjecture is made regarding the kind of pathology most likely to interfere with this mechanism.