The role of blood pressure, cortisol, and prolactine among soldiers injured in the 1991–1993 war in Croatia

Ninety soldiers with at least three months of combat exposure—60 injured soldiers (30 with permanent disabling and 30 with nondisabling injuries), 30 noninjured soldiers and 30 healthy controls—were interviewed and investigated with physiological (Prolactine, Cortisol, BP, Hb) and psychological tests (MMPI), IES-15 (Impact of Event Scale), PTSS (Post-Traumatic Symptom Scale). Their was related injuries had a different effect on the physiological stress response of the soldiers as reflected in the levels of prolactine, cortisol, hemoglobin and blood pressure. In a report of personality characteristics of the same soldiers, we demonstrated that the experience of posttraumatic stress was not dependent upon physical injury, but rather on the psychological appraisal of the situation. The results of the present article confirm earlier findings that the relationship between physiological and psychological consequences of trauma are complex, and that the perception of an event and the social context within which the traumatized soldier exists is as important as the event itself. The physiological response to the trauma varied greatly among the soldiers regarding the psychosocial impact of the consequence of the injury. So the anticipation of future possible trauma among less severely wounded soldiers (expected to go back to war) was followed by pathological stress responses. Trauma seems to operate somewhat independently from the overt conscious appraisal of the situation and relationship between psychological, psychosocial, and physiological aspects are interrelated in a multifactorial way. An integrative approach is therefore of great importance in assessment as well as in treatment of Posttraumatic Stress Disorder (PTSD). Editorial Note This historical article is being published for the first time. It is based on the Ph.D. thesis of Dr. Harry A. Teitelbaum for which he was awarded a doctorate by the University of Maryland in College Park in 1936. The dissertation was stored prior to publication and was not rediscovered until 1997. Teitelbaum’s work was performed during the early days of the development of knowledge regarding the mechanisms that regulate endocrine function. The understanding of the broad capability of interactions among endocrine glands was evolving. It was a field that Teitelbaum contributed to for several years, many of which were spent in collaboration with Horsley Gantt in his laboratory at Johns Hopkins. Although some of the experimental strategies and some of the wording of the report seem quaint today, the contribution of Teitelbaum’s research was solid and highly relevant to questions being asked at the time.     

The interaction between cohesive systems and dispersive systems: Creating the trigenerational therapeutic context

The author presents a model for research investigation and clinical use that deals with the interaction between cohesive and dispersive family of origin systems as reflected in marital and family interaction in nuclear families.From a paper presented at the tenth annual meeting of the American Family Therapy Association, June, 1988, Montreal, PQ, Canada.     

Commentary on reviews of “outcome” studies of family and marital psychotherapy

Reviews of the outcome literature in family and marital therapy are critically evaluated. The literature is equivocal in regard to the effectiveness of family therapy, particularly in comparison to alternative forms of treatment, so that statements to the effect that family therapy has demonstrated its general efficacy would not appear to be justified. Problems are identified which require solution before the efficacy of family therapy can be demonstrated.Paper presented at the 45th annual conference of the American Association for Marriage and Family Therapy, Chicago, Illinois, October 31, 1987.     

Intuition in family therapy: A short manual on post-modern witchcraft

Intuition is an important part of a mature clinician's work. Yet, it is a component of clinical work which is looked upon with suspicion, due in part to the Middle-Age's association between intuition and the work of witches. This paper describes a tenuous link between intuition, witches, and Carl Whitaker. Patterns for including intuition in family therapy are discussed.     

The Contribution of Neuroimaging to the Study of Language and Aphasia

New structural and functional imaging methods continue to be developed at a rapid pace. In the last 25 years, advanced imaging techniques have provided insights into how language is represented and processed in the brain and how it can be disrupted by damage to, or dysfunction of, various parts of the brain. Imaging studies have also yielded new information regarding how individuals recover language after stroke. We briefly review the strengths and weaknesses of the various radiological methods currently used to study language and aphasia.     

Triadic transferences of pathological family images

Traditionally, self-object and psychosexual transferences have been thought of as dyadic processes. This paper emphasizes the importance of seeing the triadic transferences that are contained within the more visible dyadic transferences. Triadic transferences are the partial recreation of replicas of pathological family images that were constructed from experiences with father-motherchild triads during childhood. Detecting them lessens the likelihood of therapeutic impasses occurring which resemble family of origin dyadic alliances. Childhood development and developmental arrest are discussed from a triadic perspective. In a healthy psychological family a triadic heterosexual family image is constructed which contains a triadic self and a resolved Oedipus.Revision of a paper presented at the 12th International Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions, Kyoto, Japan, July 20, 1990. A preliminary version, entitled Triadic Transferences, was presented at the 12th Annual Meeting of the American Family Therapy Association, Philadelphia, PA, June 21, 1990.The masculine gender form is used for convenience, but with the recognition that statements apply to both genders.     

Effects of the medical resonance therapy music® on haemodynamic parameter in children with autonomic nervous system disturbances

The present investigation is dedicated to the effects of the Medical Resonance Therapy Music^® (MRT-Music) on basic haemodynamic parameter in children with transient arterial hypertension due to disturbances of the autonomic nervous system with different degrees of initial sympatheticotonia. After the nuclear accident at Chernobyl many children developed blood pressure too high for their age norm. Having already observed a decrease in high blood pressure in pregnant women during Medical Resonance Therapy Music (Gerasimovich, Einysh, 1999; Gerasimovich, Sidorenko, 1995; Sidorenko, Tetiorkina, Korotkov, 1997) we studied the effects of the Medical Resonance Therapy Music^® (MRT-Music) on such children—with very positive results: the treatment with the music preparations demonstrated a clear sympatholythic effect and led the disturbed haemodynamic state back to its healthy age norm.