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Introduction

Despite a significant number of studies devoted to the relationship between depression and religiosity, the diagnosis of depression in religious patients is complicated due to the insufficiently studied psychopathology and the peculiarities of the patient’s experiences.

Objectives

To determine the specific features of psychopathology and phenomenology of depression, masked by a “religious facade”, for timely diagnostics and prevention of suicidal behavior.

Methods

One hundred and fifteen religious (orthodox) inpatients (41 male, 74 female) with depression (F31.3, F31.4, F 32.1., F 32.2, F 33.1, F 33.2 according to ICD-10) were examined. Psychopathological method, HAM-D, SIDAS and statistical analysis were applied.

Results

Five types of depression were specified, which differed in psychopathological structure and content of the religious experiences. Overvalued ideas of guilt and sinfulness were predominant in melancholic depressions, ideas of God-forsakenness and the loss of “living” faith - in apathetic. Depressions with overvalued doubts whether the right faith and confession has been chosen accompanied with anxiety, melancholy and apathy. It should be specially mentioned apathetic and melancholic depressions characterized by “spiritual hypochondria” with specific cenesto-hypochondrical symptomatology. Melancholic depressions characterized by high suicidal risk prevailed (65%) over the other depressions.

Conclusions

Depressions masked by a “religious facade” often are not recognized due to specifical content, which results in lack of timely diagnostics and creates a high risk of suicidal behavior.

Disclosure

No significant relationships.

It appear for some that by the principle of indentification and the imagos, maintaining visits between imprisoned parents and their children constitutes a factor of transmission of criminal behaviours. However, an obviousness lets appear in comparison with clinical reality, the way in which because of imprisonment, exclusion generates trauma because of the institution of the vacuum as well on the side of the parents imprisoned as of that their children. A reality brought back for us to the psychic clinic, confronting us with the way in which paradoxically, the image of the imprisoned relative, allows at the same time this parent, to return to his/her child the symbol of the taboo, but also to avoid collapse in the sidereal vacuum by the door of the anxiety and more seriously that of the depression. Maintaining these visits also allows both the parent and his child to keep their place and to maintain the link beyond the walls.

Question

Does the restriction of the links between the imprisoned parents and their children constitute the warranty of the safeguarding of the construction of personality of the children?

Hypothesis

It ostruct the symbolization of the taboo and support the emergence of the risk of depression, sometimes leading to suicidal behaviours.

Goal

To elaborate in the clinical care of patients in detention methods allowing to prevent suicidal risks.

Method

clinical observation and psychoanalytical clinical talks

Population

population in prison and their immediate entourage

Results

In progress.

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Depressions with religious experiences

Fragmentation of the Link and Psychic Bursting in the Principle of the Reclusion: Importance of the Meetings Between Parents and Children for Subjects in Prison.

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Depressions with religious experiences

Fragmentation of the Link and Psychic Bursting in the Principle of the Reclusion: Importance of the Meetings Between Parents and Children for Subjects in Prison.