The status of epileptic patients in a developing African country: northwest Ethiopia

Of 1240 first-time consultations in the neuropsychiatric clinic of the Gondar College of Medical Sciences in an eleven-month period during 1985 and 1986, 152 patients came seeking relief from seizures. This paper deals with the origins and background of diagnostic, differential diagnostic, and therapeutic problems, and with problems of social rehabilitation. While in such a tradition-bound society certain hypotheses continue to have an unfavorable effect, there are unmistakable signs of positive change against a background of rapid social change. Conclusions are drawn for the better management of epileptic patients in developing countries.     

Self-esteem of adolescent girls as related to weight

The Rosenberg Self-esteem Scale was administered to 550 14- and 16-yr.-old (+/- 6 mo.) girls. Self-esteem scores were categorized by weight and weight by height. Scores on the Quetelet Index for obesity were correlated with self-esteem scores. Mean self-esteem of the low- and middle-weight by height group was significantly higher than the mean of the high-weight by height group. In analyzing weight alone, the self-esteem of the middle-weight group was significantly higher than the self-esteem of the high-weight group. The correlation of the obesity index and self-esteem indicated that as weight increased self-esteem decreased.     

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.