摘要:

The importance of adequate community facilities in the rehabilitation of chronic mental patients is stressed. In view of the common reluctance of relatives to accept this type of patient back home again, a residential programme was designed to obviate this problem. The rehabilitation unit described, achieved reintegration into the community of 36.1 % of the patients through the use of hostels and sheltered accommodation. In all, 58.4 % of the patients were discharged.Finally, inention is made of the advantages of the system, especially its economy, availability, and helpful collaboration of land‐ladie

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00844.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Data on schizoaffective illness, schizophrenia and affective disorders were gathered on first‐degree relatives of schizoaffective probands and matched controls (bipolars, unipolars and schizophrenics). The familial pattern of affective and schizophrenic subtypes of schizoaffective disorder resembled the familial pattern of affective and schizophrenic probands, respectively. The overall risk for the spectrum of schizoaffective and affective disorders was higher among relatives of schizoaffective‐manic as compared to relatives of schizoaffective‐depressive probands, although the difference fell short of significance. When tested for consistency with multiple threshold hypotheses of genetic transmission, schizoaffective illness did not qualify as either a more extreme form of affective illness nor as a disorder that occupies an intermediate position between bipolar and unipolar disorders or is genetically milder than affective disorder. The implications of diagnostic subtyping for genetic research in the major psychoses were disc

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00845.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Multiple threshold models of inheritance are applied to a large sample ofFranz Kallmann's(1938) pedigree data on schizophrenia. Paranoid and nonparanoid subtypes are represented in the models at different thresholds on a continuum of genetic‐environmental liability. Single major locus and multifactorial‐polygenic inheritance are ruled out as modes of transmission. These findings suggest that the paranoid‐non‐paranoid dichotomy cannot be used as a genetic threshold determinant in the population

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00846.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The authors present a study on 20 patients of uncertain diagnostic placement admitted to a neurological department.The patients are characterized by an atypical clinical neurological symptomatology and the absence of organic pathology. Through psychiatric examination and the Rorschach tests, which show some characteristic and constant aspects, the authors arrive at the diagnosis of depressive equivalents.It is emphasized that the Rorschach test offers a useful contribution to the often difficult diagnosis of these clinical pictures.

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00847.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The aim of this study was to investigate whether there is any correlation between negative experiences in early infancy and the later occurrence of psychiatric disorders.The subjects in this study were a cohort of 2,215 adoptees born 1930–1949. Information about the probands' early experiences has been obtained from the files of the Child Welfare Office, which include age at time of placement in the adoptive home and type of care before placement. 136 of the probands had been treated in a psychiatric department or mental hospital. From the case records a uniform classification of diagnoses was made. The analyses have been carried out in two steps; first as repeated univariate analyses and secondly as series of discriminant function analyses. Reactive neurotic depression was significantly correlated with placement at the age of 6–12 months, but with this sole exception there was no support for the hypothesis of a correlation between psychiatric disorders and early experien

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00848.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

A double‐blind comparison of doxepin versus desipramine was performed in carefully defined patients with research diagnoses of Primary Affective Disorder. While both drugs showed equal efficacy after 4 weeks, doxepin demonstrated a more rapid onset of action and surprisingly few side effects. Desipramine did not prove to be “activating” and did not worsen agitated depression. Although doxepin showed few autonomic side effects, it was nevertheless sedating, indicating that tricyclics with more anticholinergic effects are not necessarily more sedating

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00849.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Eleven geriatric chronic psychotic hospital patients were treated with monthly intramuscular haloperidol decanoate injections for 5 months. The first and second haloperidol decanoate dose was 20 times and thereafter 15 times the “optimal” oral haloperidol dose. The serum haloperidol concentrations were fairly stable during the whole month following parenteral administration. After the second and third injection the concentration was about twice as high as during oral treatment. No clinically significant changes were established in routine haematological or biochemical laboratory tests studied during the trial. No significant changes in serum prolactin levels were observed after parenteral haloperidol compared to the levels during oral treatment. No local or systemic side effects were observed during the trial. The psychiatric status of the patients was fairly constant during the whole study. Haloperidol decanoate was thus shown to be therapeutically effective and it can be administered safely to geriatric patie

ISSN:0001-690X    

DOI:10.1111/j.1600-0447.1982.tb00850.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY