摘要:

With the aid of a computerized system for content analysis, WORDS, the complete SchreberMemoirswas subjected to various multivariate reduction techniques in order to investigate the major content themes of this document. The findings included the prevalence of somatic concerns throughout theMemoirs, clear references to persecutory ideas and to Schreber's assumption of a redemptive role, complex encapsulated concerns about Schreber's relationship with God, a lack of any close relationship between sexuality and sexual transformation either to themes of castration or procreation, and the fact that neither sun, God, nor Flechsig was significantly associated with clusters concerning gender, sexuality, or castration. These findings are discussed in relation to psychodynamic interpretations furnished by prior investigators who employed different research methods.

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The analogy between the “failure-to-thrive” syndrome of childhood and a symptom complex seen in adult neurology is described. Adults presenting with a variety of central nervous system diseases occasionally seem to follow an unusual stereotyped course resulting in intractable weight loss, wide variations in temperature, and a tendency to intractable decubitus ulcerations in a setting of decreased levels of consciousness. Sudden death occurs unexpectedly. This syndrome can be observed following cerebral thrombosis, traumatic encephalopathy, degenerative central nervous system disorders, and encephalitis. The pathophysiology is thought to result from the random aggregate of lesions rather than a verifiable discrete hypothalamic deficit.

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

In order to examine issues relevant to the authority which patients bestow upon psychiatrists, the present authors constructed the Psychiatrist's Sphere of Influence Scale (PSIS). The PSIS is a 68-item Likert-type questionnaire which asks patients to specify the skills which they believe belong to the psychiatrist's authoritative domain. Patients being treated in day hospital (N= 82), inpatient (N= 113), and outpatient (N= 121) settings were individually administered the PSIS along with various discriminant and construct validity measures. The findings indicated that the PSIS is an internally consistent, factorially complex, relatively stable measure of the roles which are ascribed to psychiatrists. Neither the social desirability nor the agreement response set represents important contaminants of the PSIS. Moreover, individual differences on the PSIS appear to be predictable, within broad limits, from patients' positions in the social structure, their preferred styles of help seeking in hospital and therapy settings, and their generalized orientations toward power and authority. A tendency to blur the boundaries between “psychiatric” and “nonpsychiatric” roles appears to be concentrated among patients who are middle-aged or older, minimally educated, of lower socioeconomic status, inclined toward an authoritarian conception of the good patient and the good hospital, and who endorse traditional family role relationships. The implications of these findings for the manner in which psychiatrists exercise their authority were discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

An examination of the primary and secondary diagnoses of 1195 defendants admitted to an urban forensic service was carried out. This indicated that personality disorders dominated the referral patterns from the court. Of those conditions which could produce thought disorders, schizophrenia dominated. An analysis of the prevalence of schizophrenia among defendants charged with homicide in St. Louis revealed a rate of schizophrenia similar to that found in the general population. Organic brain syndromes resulted in a large proportion of assaultive behavior, and these cases also involved a large number of secondary diagnoses. Alcohol and drug abuse were the most common secondary diagnoses. In general, no correlation between psychiatric diagnosis and types of criminal activity was found.

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Methodological advances in drug assay techniques and their increasing availability have made the measurement of tricyclic antidepressant plasma levels more frequent and even fashionable. Plasma levels of tricyclics have been correlated with diagnosis, prognosis, clinical response, and side effects. But even in the area most extensively examined, the correlation between plasma level and clinical response, the results have been conflicting. Different studies have suggested that there is no relationship between plasma level and clinical response, as well as positive and negative correlations, and even a curvilinear relationship. On the basis of available evidence, it is impossible to define a therapeutic range of plasma levels that will be applicable to depressed patients as a group. For the moment, the problem of finding a suitable therapeutic dose for the individual patient remains of paramount importance. Studies to date suggest the need to take into consideration genetic factors, previous and present use of other drugs, the possibility that therapeutic failure might be a result of too high as well as too low a dose, as well as the possible relationship between high plasma levels and side effects. Also, since for the specific individual, the metabolism of different tricyclic antidepressants is similar, it may be useful to adjust dosages until a therapeutic one is obtained instead of immediately switching to another medication. Finally, although the usefulness of routine plasma level determination remains to be established, this technique may be indicated in cases of intractable depression and remains an important research tool.

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1976

数据来源: OVID