One of th e more interesting patients I eva luate d as a first year Child Psychi at ry fellow was a homosexual yout h who made cross -d ressing an d dan cing in the street a ll night with fri ends th e focu s of his life. H e had a diffi culty wit h mood control th at was com plica te d by multiple placem ent failures a nd runaway episodes . The qu estion put to m e was how to effectively intervene in this situation give n th e socia l inst ability. In order to understand th e patient better I had to learn more about his socia l group a nd th e various problems ass ocia te d with it. What I had just hea rd from th e pat ient was a glim pse of life in a little-known " underg round" subcultu re th a t was so fas cinat ing a nd worrisome th a t I was tempted to in it ia te a researc h proj ect based upon it. I found a collabora tor to la unch a research proj ect intended to study th e need s of this group of patients a t high-risk of mental health difficulties. In the next few months we em ba rked on a n exe rc ise in a clinica l research project in Psychi a t ry. T he main problems we faced were those of th e d ifficulty in access ing members of a trans ient population as well as legal a nd e thica l hurd les ass ocia te d with wor king with homeless youth. The population to whi ch my patient belonged was hom el ess inner-city "s ex ual minority" homosexu al adolescen t mal es a lleged ly livin g in abando ned hou ses under th e un officia l supe rvision of unrelated adults who were de f acto " parents." T his is termed th e "H ouse" subculture ( I). The you th in qu esti on were reportedly " refugees" fro m th e supe rvision of offic ia l agencies du e to di scri mi nat ion a nd abuse allegedly suffe re d in placements (2). Mor eover, th ey we re a lso su pposed ly a liena ted fro m th eir families du e to rejection as a result of th eir sexual ori entation and practi ces . Therefore th ey were often a lone in a big city, young, a nd at risk for sex ua l a nd fin ancial ex ploi tation. Rep orted pr obl ems in this popula tion include ph ysical illn ess suc h as sexually t ran smitted di sea ses a nd AIDS, menta l health problem s such as depression an d suicide attempts, d ru g abuse (incl ud ing hormo ne abuse ), crimina lity such as forgery a nd cre dit ca rd frau d to suppo rt th emselves, a nd prostitu t ion a long with it s associa ted probl ems (1,3,4). O ne of th e most fas cina ting aspec ts of this gro up was th e subcu lture th at th ey have create d for themselves , cross-d re ss ing in fairl y wellorganized fashi on shows termed " ba lls" in whi ch " house s" com pe te aga ins t ea ch othe r, a kin to team sports. Repor ted ly memb ers of " ho uses" eng age in crimina l ac t ivity to support th e cos t of wardrobe, makeup, a nd th e "ba ll" its elf ( I). In re turn for th eir particip ation members of " houses" receive shelter, emotiona l suppor t, ca mara de rie, a nd so me sen se of acceptance ( 1,5). Wh at was apparen tly before I S
我在我的同事的儿童精神科工作的第一年遇到的一个比较有趣的病人是一个同性恋少年，他整晚和朋友们在街上变装和跳舞，结束了他生活的重心。他在情绪控制方面有困难，多次安置失败和逃跑事件使他的情绪控制变得更加复杂。摆在我面前的问题是，如何有效地干预这种情况，使社会保持稳定。为了更好地了解病人，我必须更多地了解他的社会群体，以及与之相关的各种问题。我刚刚从病人那里听到的是对一个鲜为人知的“地下”亚文化生活的一瞥，这个亚文化是如此的令人着迷和担忧，以至于我忍不住要在这个项目的基础上进行研究。我找到了一个合作者，启动了一个研究项目，旨在研究这群精神健康问题高风险患者的需求。在接下来的几个月里，我们似乎在精神病学的一个临床研究项目中进行了一个非常重要的研究项目。我们面临的主要问题是，很难接触到流动人口和合法人群，以及那些与无家可归的年轻人一起工作的人。我的病人所处的人群是那些不太属于市中心的“性少数群体”的同性恋青少年和男性，他们被指控生活在弃儿中，需要在官方监督下对那些实际上是“父母”的无关成年人进行监督。T他称为th e“H”亚文化(I)。据报道在曲esti你届“难民”〕th e挂表rvision办公室做事ia l机构du e di scri mi nat离子和滥用据称suffe再保险在配售(2)d。铁道部电动阀门,长达我们缩孔苏ppo ly liena泰德从th eir家庭du e拒绝由于th eir性ori entation和庭园。因此，在大城市里，她们往往是孤独的，年轻的，面临着性剥削和经济剥削的风险。代表这popula起跳过程中公关obl ems包括ph值ysical illn ess等性t运行smit di海ses和艾滋病、薄荷l健康问题如抑郁症一个d自杀企图,d俄文g滥用(包括ud ing hormo不滥用),crimina横如伪造nd cre说ca rd夫人d中rt th emselves, nd prostitu t离子与它长年代associa ted probl ems(1、3、4)。这一群体成长过程中最具中国特色的方面之一，是他们为自己创造的次文化，他们以一种组织有序的时尚形式出现在被称为“ba ll”的时装秀上，在这些时装秀上，“时装屋”们聚集在一起，互相攀比，就像团队运动一样。据报道，“谁用”的成员参与犯罪活动，以支持他们的服装，化妆，和“所有”的“所有”的elf的成本(1)。作为回报，他们的参与“房子”的成员得到庇护，情感上的支持，可以帮助，并因此获得接受感(1,5)。在美国之前，显然是一种支持性的亚文化，它取代了传统社会来支持弱势群体
{"title":"Difficulties Associated with a Clinical Psychiatric Study of a Transient Population","authors":"Stephen A. Zerby","doi":"10.29046/jjp.014.2.006","DOIUrl":"https://doi.org/10.29046/jjp.014.2.006","url":null,"abstract":"One of th e more interesting patients I eva luate d as a first year Child Psychi at ry fellow was a homosexual yout h who made cross -d ressing an d dan cing in the street a ll night with fri ends th e focu s of his life. H e had a diffi culty wit h mood control th at was com plica te d by multiple placem ent failures a nd runaway episodes . The qu estion put to m e was how to effectively intervene in this situation give n th e socia l inst ability. In order to understand th e patient better I had to learn more about his socia l group a nd th e various problems ass ocia te d with it. What I had just hea rd from th e pat ient was a glim pse of life in a little-known \" underg round\" subcultu re th a t was so fas cinat ing a nd worrisome th a t I was tempted to in it ia te a researc h proj ect based upon it. I found a collabora tor to la unch a research proj ect intended to study th e need s of this group of patients a t high-risk of mental health difficulties. In the next few months we em ba rked on a n exe rc ise in a clinica l research project in Psychi a t ry. T he main problems we faced were those of th e d ifficulty in access ing members of a trans ient population as well as legal a nd e thica l hurd les ass ocia te d with wor king with homeless youth. The population to whi ch my patient belonged was hom el ess inner-city \"s ex ual minority\" homosexu al adolescen t mal es a lleged ly livin g in abando ned hou ses under th e un officia l supe rvision of unrelated adults who were de f acto \" parents.\" T his is termed th e \"H ouse\" subculture ( I). The you th in qu esti on were reportedly \" refugees\" fro m th e supe rvision of offic ia l agencies du e to di scri mi nat ion a nd abuse allegedly suffe re d in placements (2). Mor eover, th ey we re a lso su pposed ly a liena ted fro m th eir families du e to rejection as a result of th eir sexual ori entation and practi ces . Therefore th ey were often a lone in a big city, young, a nd at risk for sex ua l a nd fin ancial ex ploi tation. Rep orted pr obl ems in this popula tion include ph ysical illn ess suc h as sexually t ran smitted di sea ses a nd AIDS, menta l health problem s such as depression an d suicide attempts, d ru g abuse (incl ud ing hormo ne abuse ), crimina lity such as forgery a nd cre dit ca rd frau d to suppo rt th emselves, a nd prostitu t ion a long with it s associa ted probl ems (1,3,4). O ne of th e most fas cina ting aspec ts of this gro up was th e subcu lture th at th ey have create d for themselves , cross-d re ss ing in fairl y wellorganized fashi on shows termed \" ba lls\" in whi ch \" house s\" com pe te aga ins t ea ch othe r, a kin to team sports. Repor ted ly memb ers of \" ho uses\" eng age in crimina l ac t ivity to support th e cos t of wardrobe, makeup, a nd th e \"ba ll\" its elf ( I). In re turn for th eir particip ation members of \" houses\" receive shelter, emotiona l suppor t, ca mara de rie, a nd so me sen se of acceptance ( 1,5). Wh at was apparen tly before I S","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130292025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children and Adolexcents of Distinction - Culturally Diverse Children and Adolescents: Assessment, Diagnosis, and Treatment by Ian A. Canino, M.D. and Jeanne Spurlock, M.D.","authors":"Broomes, R. Lloyda","doi":"10.29046/jjp.013.1.009","DOIUrl":"https://doi.org/10.29046/jjp.013.1.009","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134354749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vinobha Gorriah, Frank W. Favazza, Migdalia Fort-Ramirez
A 40 year old overweight male with a history qf bronchial asthma, hypertension, and "schizophrenia" was admitted.for int ractable bronchial asthma. H e did not have a historyofdrug or
{"title":"Steroid-Induced Psychosis Presenting as \"Alice in Wonderland\" Syndrome","authors":"Vinobha Gorriah, Frank W. Favazza, Migdalia Fort-Ramirez","doi":"10.29046/jjp.013.1.006","DOIUrl":"https://doi.org/10.29046/jjp.013.1.006","url":null,"abstract":"A 40 year old overweight male with a history qf bronchial asthma, hypertension, and \"schizophrenia\" was admitted.for int ractable bronchial asthma. H e did not have a historyofdrug or","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114972812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In 400 A.D. Sa int Macarius, th e Egypti an , expe rienced and described a bizarre perceptual ph en om en on (2) . Aft er a period of fas t ing, he visua lized "l itt le strangers" whi ch he beli eved were "dae mo ns like flies se tt ling on his mouth (2)." In 1726, J on athan Swift coine d th e term "lilliput ia n" in his sa t ir ica l boo k, Gulliver's Travels. He described th e inhabit ant s of th e land of Lilli pu t by wri ting, "I fe lt something aliv e movin g on my Leg, whi ch adva ncing ge n t ly forward ove r my Breast, ca me almost up to my C hin; whe n bending m ine Eyes downwa rd s as mu ch as I could , I perceived it to be a human C rea ture not six Inch es high , with a Bow an d Arrow in his Ha nds, a nd a Quiver a t his back (3) ." In 1909, Leroy ut ilize d th e term "li lliput ian" in th e descript ion of a spec ific type of perceptual ab norma lity (4) . Visu al hallucin ation s in which peopl e, a nimals, or objects appear red uced in size a re referred to as lilliputian hallucin ation s. H allucin ation s of th is type have been associa te d with variou s psychi atric cond it ions (4,5, 12, 14,15, 16), se nile dement ia (16), neurologic di sorders (810,17), toxi c met abolic sta tes (6,7), head trau ma ( 13), AIDS ( 13), and ophthalmologic di sorders ( I I). This ph en om en on ca n be pleasu rable (4) or terrifyin g (2) depending on th e con te nt of th e hallucination a nd the contex t in whi ch it is expe rience d.
公元400年，埃及人萨因特·马卡留斯(Sa int Macarius)经历并描述了一种奇异的感知，这种感知甚至出现在他身上(2)。经过一段时间的快速训练后，他想象出了“一群小陌生人”，他认为这些陌生人“像苍蝇一样飞在他的嘴上”。1726年，乔纳森·斯威夫特在他的小说《格列佛游记》中创造了“英国的小人国”这个词。他这样描述利利国的居民:“我感到有个活物在我腿上移动，它在我胸前向前移动，几乎快到我的下巴了;当n弯曲m线眼睛downwa rd年代μch,我认为它是一个人类C意图真正不是六英寸es高,蝴蝶结一个d箭在他哈,一个nd颤抖t(3)。”1909年,Leroy ut ilize d th e“李lliput伊恩”在一个规范的描述离子ific类型的知觉ab诺玛横(4)。视幻觉是指人、动物或物体在尺寸上出现红色缩小的幻觉，被称为小幻觉。这种类型的幻觉与各种精神疾病(4,5,12,14,15,16)、神经系统疾病(8,10,17)、中毒和代谢紊乱(6,7)、头部外伤(13)、艾滋病(13)、和眼科疾病(I I I)。这种幻觉可能是令人愉快的(4)，也可能是令人恐惧的(2)，这取决于幻觉的内容和经历幻觉的背景。
{"title":"Lilliputian Hallucinations and Marijuana Dependence in a Bipolar Patient","authors":"Matthew L. Bush M.S. Iv, Saurabh Gupta","doi":"10.29046/JJP.017.1.007","DOIUrl":"https://doi.org/10.29046/JJP.017.1.007","url":null,"abstract":"In 400 A.D. Sa int Macarius, th e Egypti an , expe rienced and described a bizarre perceptual ph en om en on (2) . Aft er a period of fas t ing, he visua lized \"l itt le strangers\" whi ch he beli eved were \"dae mo ns like flies se tt ling on his mouth (2).\" In 1726, J on athan Swift coine d th e term \"lilliput ia n\" in his sa t ir ica l boo k, Gulliver's Travels. He described th e inhabit ant s of th e land of Lilli pu t by wri ting, \"I fe lt something aliv e movin g on my Leg, whi ch adva ncing ge n t ly forward ove r my Breast, ca me almost up to my C hin; whe n bending m ine Eyes downwa rd s as mu ch as I could , I perceived it to be a human C rea ture not six Inch es high , with a Bow an d Arrow in his Ha nds, a nd a Quiver a t his back (3) .\" In 1909, Leroy ut ilize d th e term \"li lliput ian\" in th e descript ion of a spec ific type of perceptual ab norma lity (4) . Visu al hallucin ation s in which peopl e, a nimals, or objects appear red uced in size a re referred to as lilliputian hallucin ation s. H allucin ation s of th is type have been associa te d with variou s psychi atric cond it ions (4,5, 12, 14,15, 16), se nile dement ia (16), neurologic di sorders (810,17), toxi c met abolic sta tes (6,7), head trau ma ( 13), AIDS ( 13), and ophthalmologic di sorders ( I I). This ph en om en on ca n be pleasu rable (4) or terrifyin g (2) depending on th e con te nt of th e hallucination a nd the contex t in whi ch it is expe rience d.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128251812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Ramaswamy, S. Boust, P. Sattar, S. Bhatia, F. Petty
OBJECTIVE: To report a case of sudden cardiac death in a patient taking a combination of clozapine and lorazepam. CASE SUMMARY: A 31-year-old white man with schizophrenia was found dead at his apartment. His medication regimen included clozapine 500 mg at bed time, lorazepam 0.5 mg three times daily and levothyroxine 75 mcg once a day. Autopsy studies revealed cardiac hypertrophy, pulmonary congestion and edema. DISCUSSION: Clozapine therapy may cause cardiomyopathy and reduction in heart rate variability (HRV) indices. Benzodiazepines can reduce vagal tone and increase sympathetic activity. This combination can have an enhanced potential for sudden cardiac death. CONCLUSIONS: Clozapineinduced cardiomyopathy and arrhythmias from clozapine and/or lorazepam use may have contributed to this man's death.
{"title":"Sudden Cardiac Death with Clozapine and Lorazepam Combination","authors":"S. Ramaswamy, S. Boust, P. Sattar, S. Bhatia, F. Petty","doi":"10.29046/jjp.019.1.005","DOIUrl":"https://doi.org/10.29046/jjp.019.1.005","url":null,"abstract":"OBJECTIVE: To report a case of sudden cardiac death in a patient taking a combination of clozapine and lorazepam. CASE SUMMARY: A 31-year-old white man with schizophrenia was found dead at his apartment. His medication regimen included clozapine 500 mg at bed time, lorazepam 0.5 mg three times daily and levothyroxine 75 mcg once a day. Autopsy studies revealed cardiac hypertrophy, pulmonary congestion and edema. DISCUSSION: Clozapine therapy may cause cardiomyopathy and reduction in heart rate variability (HRV) indices. Benzodiazepines can reduce vagal tone and increase sympathetic activity. This combination can have an enhanced potential for sudden cardiac death. CONCLUSIONS: Clozapineinduced cardiomyopathy and arrhythmias from clozapine and/or lorazepam use may have contributed to this man's death.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128585827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[In Response to \"The neuroleptic treatment of schizophrenia: dosing strategies, depot preparations and novel medications\" by Alexander S. Young, M.D. (volume 13, 18-26)]","authors":"J. Longhurst, J. Cassar","doi":"10.29046/jjp.014.1.008","DOIUrl":"https://doi.org/10.29046/jjp.014.1.008","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124592207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Religion is now thefocus ofmore attention in psychiatry. This paper examines the lift ofthe fifth century monk, S imeon the Stylite, from a contemporary psychiatric perspective. S uch a retrospective examination presents dijficulties with regard to the diagnosis ofpossible psychotic phenomena. A f urther problem is trying to distinguish between a religious and a psychiatric interpretation qfparticular experiences. The authors outline the lift ofSimeon and some contemporary opinions. Theyagree with Kroll and deGanck that great caution is needed in the psychiatric interpretation and examination of an historical or religious lift . This paper details some qfthese dijficulties to help determine whether an understanding derivedfrom modern psychiatry is relevant to a different era.
宗教现在是精神病学关注的焦点。本文从当代精神病学的角度考察了五世纪的修士S imeon the Stylite的生活。这种回顾性检查在诊断可能的精神病现象方面存在困难。另一个问题是如何区分宗教和精神对特定经历的解释。作者概述了西蒙的生平和一些当代观点。他们同意Kroll和deGanck的观点，即在对历史或宗教提升进行精神病学解释和检查时需要非常谨慎。本文详细介绍了其中的一些困难，以帮助确定源自现代精神病学的理解是否适用于不同的时代。
{"title":"Saint Simeon the Stylite: a psychiatric examination of the life of a fifth century monk.","authors":"I. Leroi, J. Meagher","doi":"10.29046/JJP.014.2.003","DOIUrl":"https://doi.org/10.29046/JJP.014.2.003","url":null,"abstract":"Religion is now thefocus ofmore attention in psychiatry. This paper examines the lift ofthe fifth century monk, S imeon the Stylite, from a contemporary psychiatric perspective. S uch a retrospective examination presents dijficulties with regard to the diagnosis ofpossible psychotic phenomena. A f urther problem is trying to distinguish between a religious and a psychiatric interpretation qfparticular experiences. The authors outline the lift ofSimeon and some contemporary opinions. Theyagree with Kroll and deGanck that great caution is needed in the psychiatric interpretation and examination of an historical or religious lift . This paper details some qfthese dijficulties to help determine whether an understanding derivedfrom modern psychiatry is relevant to a different era.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122437222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The WorldHealth Organization estimatesthat over 100 millionpeople worldwidesuJferfrom depression, that three times as many may be aJfected (1). While major advances have occurred in our understanding qf the biological aspects of depression, the understanding qfpsychosocial causes of depression is still largely sketchy. Thus adequate intervention in dealing with this aspect of treatment qfdepression is scarce. This paper, divided into two parts, will review recent findings in psychosocial causes qf depression and suggest certain strategies.for intervention, speculate on the roles qfpoverty and the issues raisedby povertyon the rates ofdepression and suggest certain strategies.for intervention in the treatment ofdepression amongst thepoor.
{"title":"Depression and Poverty I. Psychosocial and Cultural Determinants","authors":"M. D. M. D. C. Ohuoha","doi":"10.29046/JJP.009.1.002","DOIUrl":"https://doi.org/10.29046/JJP.009.1.002","url":null,"abstract":"The WorldHealth Organization estimatesthat over 100 millionpeople worldwidesuJferfrom depression, that three times as many may be aJfected (1). While major advances have occurred in our understanding qf the biological aspects of depression, the understanding qfpsychosocial causes of depression is still largely sketchy. Thus adequate intervention in dealing with this aspect of treatment qfdepression is scarce. This paper, divided into two parts, will review recent findings in psychosocial causes qf depression and suggest certain strategies.for intervention, speculate on the roles qfpoverty and the issues raisedby povertyon the rates ofdepression and suggest certain strategies.for intervention in the treatment ofdepression amongst thepoor.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124141668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sign ificant progress has been made over the past decade in the use qfant ipsychotic medication. An improved understa nding ofneuroleptic side effects has led to the development qf new clinical strategiesfor dosing tradit ional medications. T raditi onal medicat ions have become widely used in depot preparations. Risperidone, a new medication with an improved side dfect profile, has recentl y become avai lable. Clozapine, a novel medication , has entered widespread use. Th e use of these new clinica l technologies is briefly discussed, along with the implications they hate for the role ofthe psychiat rist in community mental health setti ngs.
{"title":"The Neuroleptic Treatment of Schizophrenia: Dosing Strategies, Depot Preparations and Novel Medications","authors":"Young, S. Alexander","doi":"10.29046/JJP.013.1.003","DOIUrl":"https://doi.org/10.29046/JJP.013.1.003","url":null,"abstract":"Sign ificant progress has been made over the past decade in the use qfant ipsychotic medication. An improved understa nding ofneuroleptic side effects has led to the development qf new clinical strategiesfor dosing tradit ional medications. T raditi onal medicat ions have become widely used in depot preparations. Risperidone, a new medication with an improved side dfect profile, has recentl y become avai lable. Clozapine, a novel medication , has entered widespread use. Th e use of these new clinica l technologies is briefly discussed, along with the implications they hate for the role ofthe psychiat rist in community mental health setti ngs.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128177523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Looking back over C.'s records, I was struck by a phrase I had used to describe her, "She really seems at a loss as to what she should do with herself. " A more accurate appraisal might have reflected my own uncertainty as to how I could help C. Hospitalized eight times in eight years after serious suicide attempts, she had been treated with neuroleptics, antidepressants, psychotherapy, and been involved with a day program. Once again she was in the hospital , severely depressed following a suicide attempt. There was little the psychiatric establishment had not tried . So I taught her to knit.
look back over回顾;在看唱片的时候，我被自己用来形容她的一句话打动了:“她似乎真的不知道该怎么办。”更准确的评估可能反映了我自己对如何帮助c的不确定性。在严重自杀未遂后的8年里，她住院了8次，接受了抗精神病药、抗抑郁药、心理治疗，并参加了一个日间项目。她又一次住进了医院，因为自杀未遂而严重抑郁。精神病学机构几乎没有尝试过。所以我教她编织。
{"title":"The Webs we Weave: A Patient with Depression","authors":"M. Venezia","doi":"10.29046/jjp.003.2.008","DOIUrl":"https://doi.org/10.29046/jjp.003.2.008","url":null,"abstract":"Looking back over C.'s records, I was struck by a phrase I had used to describe her, \"She really seems at a loss as to what she should do with herself. \" A more accurate appraisal might have reflected my own uncertainty as to how I could help C. Hospitalized eight times in eight years after serious suicide attempts, she had been treated with neuroleptics, antidepressants, psychotherapy, and been involved with a day program. Once again she was in the hospital , severely depressed following a suicide attempt. There was little the psychiatric establishment had not tried . So I taught her to knit.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114407231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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