The majority of patients with epilepsy maintain seizure control during pregnancy. The apparently higher risk of seizures among women treated with oxcarbazepine and the more frequent increases in drug load in the oxcarbazepine and lamotrigine cohorts prompts further studies on relationships with pharmacokinetic changes. Risks associated with status epilepticus appear to be lower than previously reported.

No abstract

The report describes how the patients reacted to the information given them before the operation, their reactions following the operation, and their sexual behaviour before and after the operation. Patients who have undergone subcutaneous mastectomy with simultaneous insertion of implants have to cope with two different psychological factors: loss of the breast and sudden acquisition of an unfamiliar substitute. This study indicates that these factors may interfere with each other in a detrimental way. It may be better for patients if they are given opportunities to psychologically prepare themselves well in advance of the operation. Such preparation should include provision of full information and the opportunity to become familiar with the implants, as well as emotional counselling.

As part of a Swedish postgraduate training programme in psychotherapy, a qualitative approach based on psychodynamic criteria was used to evaluate the results of psychoanalytically-oriented individual psychotherapy. The study extended over six years and involved ten patients who had undergone two years of individual therapy. Based primarily on patient interviews prior to therapy and follow-up interviews some two to four years after the therapy had ended, the success of the therapy was rated by trainees in the programme and by the patients themselves. The Malan / Tavistock outcome scale for dynamic change was followed.