VIEWS: 3 PAGES: 1 POSTED ON: 4/12/2010
746 25 September 1965 New Appliances BRITISH stant attention is not required, and the cot resuscitation trolley. I am also indebted to the Johnson, B. D. L. (1959). 7. Obstef. Gynaec. Brit. Emp., may be immediately converted into a modified Medical Director-General of the Navy for per- Kohorn, E. 66, 492. McVay, D. (1964). Lancet, 1, mission to publish this account I., and incubator. 312. Levis, R. D. (1961). Anaesthesia, 16, 371. Newland, M. C. (1962). Med. 7. Aust., 2, 701. I wish to express my appreciation to the staff REFERENCES Perinatal Mortality Survey (1962). Byit. med. 7., 2, of the Royal Naval Air Station, Kalafrana, Allen, L. A. (1962). St Atr. med. Y., 36, 281. 1187. Malta, for their assistance in constructing this Barrie, H. (1963). Lancet, 1, 650. Secher, 0. (1956). Lancet, 2, 341. - (1963). Ibid., 1, 29. ANY QUESTIONS ? of an entire interview is made, and this the learner plays back while with closed eyes he We publish below a selection of questions and answers of general interest. reclines on a couch. Claims have been made by prisoners, political and otherwise, that the effects of Future Functioning of Ovo-testes in explained, and the mixed nature of the cruelty, distress, and deprivation have been modified or obliterated by self-hypnosis and Hermaphrodite gonads, but not of sexuality, should be by auto-suggestion. Likewise pain due to stressed. The future management should be illness or to accident has been lessened or Q.-What is likely to be the future domi- indicated so far as possible, but without over- nant functioning of the ovo-testes in a child removed. burdening the anxious parents with details. Whether or not the selected technique for who is a true hermaphrodite with a histologi- These points have been made dogrnatically. cally proved ovo-testis on either side ? There Detailed management in these cases must take inducing self-hypnosis " works " depends on is no true uterus but a fusion of MiUlerian into account a variety of individual circum- its therapeutic suitability for the individual cords. There is a rudimentary vagina and stances in the patient and his family. patient. It can be of considerable therapeutic the usual slightly enlarged clitoris. The value, but like hypnosis it is not a panacea chromosome complement is XO. Since it nor is it a rapid form of treatment. In certain would seem that the tendency will be for the Septic Tank or Cesspit conditions, such as psychical impotence or ovarian portion to become dominant, would excessive smoking, results are easily observed it not be better to make the child as female Q.-W hat is the difference between a and the efficacy of the treatment is manifest as possible ? septic tank and a cesspit? Could sea water when the symptoms diminish or disappear. A be used instead of fresh water to feeling of confidence follows the fading of the A.-There is no mention of the age of tories draining into a cesspit tank?flush lava- symptoms and the restoration of normal func- the child or its sex of rearing, both of which tion, and this may give permanent relief. are relevant to any decision concerning sex A.-A septic tank is designed for the Usually the psychotherapist will help the assignment at the present time. Assuming liquefaction by anaerobic bacterial action of patient to understand why the symptoms that there is no very strong contraindication, the solid matter in sewage as the first stage developed in the first instance, but this is not the child should be made as female as possible in certain systems of sewage treatment. It always necessary. For more detailed infor- (from the description, she would appear to does not by itself purify sewage and further mation the B.M.A. Report, " The Medical be quite feminized externally). treatment is essential-i.e., aeration of the Use of Hypnotism,"' should be consulted. It is impossible to forecast what the future resulting liquid by percolation through filter functioning of this child's gonads might be, beds. RmEScz but by no means can it be assumed that the A cesspool (or cesspit) is a watertight tank Brit. med. 7. Suppl., 1955, 1, 190. testes will not function at puberty and result in which sewage accumulates pending its in a more or less marked degree of masculin- removal by pump or other means. It is not ization. It will probably be impossible satis- in any way a purification plant. Modified Measles and Immunity factorily to remove the testicular tissue only; Sea water could be used to flush Q.-A baby aged 8 months who had been therefore bilateral gonadectomy will have to lavatories draining to a cesspit, but its in contact with measles developed what be contemplated either now or at a later stage. corrosive action on unprotected metals such If gonadectomy is delayed the child will have as are found in the usual flushing apparatus seemed to be an atypical, modified form of to be carefully assessed longitudinally for should be borne in mind. the disease. If this were the correct diag- evidence of masculinization. Prepubertal nosis would such an attack confer immunity removal of the gonads will be followed by to measles? absent feminine pubertal development, and Self-hypnosis A.-Such an attack would confer will require hormone treatment at the right immunity. Modified measles is an active time, but gonadectomy is advisable in view Q.-What is the technique of self-hypnosis, infection which stimulates the patient's own of the appreciable risk of a neoplasm arising and how can patients easily be taught how to immune response. It does not matter in later life, particularly from the testicular use this? Can the patient practising self- whether the modification results from the tissue. It seems that vaginoplasty will be hypnosis determine if his technique is injection of gamma-globulin, from persisting required, but this may be left to a much later "working "? maternal antibody, or from the smallness of date because of the difficulty of achieving the infecting dose. a good growing vagina if treatment is carried A.-Hypnosis and self-hypnosis are of the out early. same nature. There are many techniques for The chromosome findings are interesting, the induction of either. They vary according but, especially if they are based on culture to the taste of those using them, and in all Radiation Dose from M.M.R. of peripheral blood, they may not reflect the the susceptibility of the mind to suggestion is Q.-Is it advisable for people aged 40-50 true picture, which may be one of mosaicism. increased. Auto-suggestion is akin to self- who have a history of several diagnostic x- As in all intersexes, it is essential to come hypnosis and is usually begun under the ray examinations in the past to submit them- to an early and firm decision about sex influence if not in the presence of another selves to annual mass miniature radiography? assignment. When the decision, which should person. be reached in consultation with the necessary Self-hypnosis is best learned through being A.-Annual mass miniature radiography is specialists, is communicated to the parents hypnotized by an experienced psychotherapist, no longer advised, not because of the radiation there should be no reservation, hedging, or who will select a technique fitted for the hazard, but because the results, except in doubt, and the parents should be explicitly patient. Later the learner (patient) recalls the groups with symptoms, do not warrant it. assured that sex inversion will not occur. procedure in private and repeats from The radiation dose received from a single This is a common, unspoken parental anxiety. memory, as near as may be, the words used by mass miniature exposure is, for all practical The reasons for gonadectomy should be the psychotherapist. Sometimes a recording purposes, negligible.
Pages to are hidden for
"ANY QUESTIONS "Please download to view full document