Overkge dr. med. H. I. Schou

Forfatteren er overlege ved Barne- og Ungdomspsykiatrisk avd., Haukåsen, Regionsykehuset i Trondheim.

Artikkelen er et foredrag holdt på XIII. Nordiske Terapikongress på Ullensvang 6.-9. august 1979.

I artikkelen dröftes noen variabler, både ved pasienter og terapiformer, som må stå til hverandre for å gi meningsfyllte terapier. Slike overveielser som bruk av disse variablene fordrer, vil også kunne gi grunnlag for effekt av psykoterapi-forskningen.     

J.L. Moreno,M.D.

You could call Moreno a composer of religion. He drew his religious and spiritual ideas from different sources and self-confidently created his world-view and an individual notion of God. In this article important stations of his religious biography are told and integrated. The abiding benchmark of Moreno’s religious thoughts is the message of Friedrich Nietzsche that god is dead. Moreno sees what a high price society pays for disposing of its gods too quickly and not in a consequent way: the price for an imperfect secularization. He does not accept that important issues like existential questions, sense and death or the position of man in the cosmos cannot be debated anymore. That is the reason why he claims a new theory of God. That is also the reason why he provides the axiodramatic scene to deal with those themes.     

Lithium discontinuers. II. Therapeutic outcome.

Eleven patients from a lithium-treated cohort of 64 patients with major affective disorder (DSM-III) were investigated after a mean of 6.7 years on lithium prophylaxis and reinvestigated 7 years later, at which point they had discontinued lithium for a mean of 2.3 years. Therapeutic outcome was compared in the 11 discontinuers and 20 continuers on lithium from the same cohort, matched for sex, age, and mental status on admission to the study. Ratings of psychopathology (CPRS) at the end of the 7-year follow-up period showed that the only significant difference between the patient categories was a higher frequency of reported autonomic disturbances and worry over trifles in the discontinuers. Daily doses of neuroleptic drugs were significantly higher in discontinuers than in controls by the end of the study. Alternative concomitant treatment outside conventional medicine was sought by 45% of the discontinuers, whereas no lithium-treated control reported the need for such additional therapeutic measures.