[Depressive symptoms diagnosis and treatment of schizophrenia and schizophrenia spectrum disorders in Russian clinical practice].

A cohort study of depression in schizophrenia and schizophrenia spectrum disorders was conducted in four Russian regional mental health services with the use of simultaneous one-day census on October 20, 2011. The total number of patients in this study was 1269: 753 patients were receiving outpatient treatment, 143 patients were served in day clinics and 373 patients were in-patients in psychiatric hospitals. Depressive symptoms were present in 6.

Use of insight in child analysis.

The role of insight in working with a preadolescent girl, who was engaged in a seven-year analysis, is examined from the perspective of therapeutic action. The patient's use of insight, within the context of a transference neurosis, contributed substantively to changes in the depth of object relations, modulation of affect, return of development to its anticipated pathways, marked reduction of obsessive-compulsive symptomatology, and profound flowering of intellectual development.

Detours in adolescent development. Implications for technique.

Dora's six-year analysis began when she was sixteen. In presenting this material, I shall focus on coordinating the technical demands of working analytically during a period of intense developmental change. This affords us an opportunity to examine the adolescent's use of analytic interventions both for work with neurotic conflicts and to facilitate development.

Termination in midadolescence.

At the start of the terminal phase, the patient wrestled with the conflict of whether to leave treatment and establish himself as a self-reliant young man or cling to the analyst, who represented, ambivalently, significant protective power. The resolution of the transference neurosis during the termination phase of a six-year analysis in this midadolescent bore a strong resemblance to work with adults.

Special symbols in early female oedipal development: fantasies of folds and spaces, protuberances and concavities.

The authors present three examples, from the observation of pre-latency girls, of the use of anatomic regions for symbolic purposes. In the two cases, the first interdigital fold became the locus for castration anxiety; and in the other, the laryngeal prominence and jugular notch served as the focus for symbolic displacement of psychosexual concerns. The employment of these particular symbols, to the best of the authors' knowledge, has not been reported previously in the literature.