首页 > 最新文献

Jefferson Journal of Psychiatry最新文献

英文 中文
Book Review: Lessons of War 书评:战争的教训
Pub Date : 1900-01-01 DOI: 10.29046/jjp.006.2.013
R. Koshes
{"title":"Book Review: Lessons of War","authors":"R. Koshes","doi":"10.29046/jjp.006.2.013","DOIUrl":"https://doi.org/10.29046/jjp.006.2.013","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"41 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":"129229356","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}
引用次数: 0
Conversion Disorder in a Depressed Patient: The Analysis of Paralysis 抑郁症患者的转换障碍:麻痹的分析
Pub Date : 1900-01-01 DOI: 10.29046/jjp.016.1.002
Michael A. Chen, David S Im
Pat ients present ing with neurologic and pseudoneurologic symptoms present both a diagnostic and treatment challenge. This case report describes the ER course ofa man who presented wi th aphonia and paralysis, his medical clearance, transfer to the psychiat ric ER and subsequent recovery. Th e history qf conversion disorder and its characteristics are briefiy reviewed, and the etiology qf thi s patient 's symptoms and a discussion qf effectioe treatment pla ns are discussed. Although the conce pt of conve rsion symptoms dates at least to th e ancient Greeks and was discussed by Freud and Breu er in Studies on Hy steria ( I) in the la te 1890's, it has been an in cr easingly infrequent (although not rare) diagnosis. In cont rast to most other DSM diagnoses , unconscious processes or conflicts a re implicated in the development of conve rsion disorder. Conversion di sorder generally involves a symbolic relationship between an underlying psychological conflict and disturbed physical functioning. "Classic" symptoms include paralysis, aphonia , seizures, malcoordination, dyskinesia, blindness , anesthesia, a nd parasthesias. The disorder has been most com monly described in rural women of lower socio -economic status. The following case des cribes a welleducated man wh o was brou gh t to the Emergency Department after becoming acutely unresponsive (with paralysis and aphonia), and highlights his subse q ue n t course in th e emerge ncy se t t ing .
出现神经系统和假神经系统症状的患者对诊断和治疗都提出了挑战。本病例报告描述了一名以失音和麻痹为表现的男子的急诊过程,他的医学检查,转移到精神科急诊室和随后的康复。本文简要回顾了转换障碍的历史及其特点,并讨论了该患者症状的病因和有效的治疗方案。虽然转换症状的概念至少可以追溯到古希腊,并且在19世纪90年代后期由弗洛伊德和布鲁尔在《癔症研究(I)》中讨论过,但它已经越来越不常见(尽管不是罕见)。与大多数其他DSM诊断相比,无意识过程或冲突与转换障碍的发展有关。转换顺序通常涉及潜在的心理冲突和受干扰的身体功能之间的象征性关系。“典型”症状包括麻痹、失语、癫痫、协调失调、运动障碍、失明、麻醉和感觉异常。这种疾病最常见于社会经济地位较低的农村妇女。下面的案例描述了一个受过良好教育的人,他在变得极度迟钝(瘫痪和失音)后被送到急诊科,并强调了他在急救过程中出现的问题。
{"title":"Conversion Disorder in a Depressed Patient: The Analysis of Paralysis","authors":"Michael A. Chen, David S Im","doi":"10.29046/jjp.016.1.002","DOIUrl":"https://doi.org/10.29046/jjp.016.1.002","url":null,"abstract":"Pat ients present ing with neurologic and pseudoneurologic symptoms present both a diagnostic and treatment challenge. This case report describes the ER course ofa man who presented wi th aphonia and paralysis, his medical clearance, transfer to the psychiat ric ER and subsequent recovery. Th e history qf conversion disorder and its characteristics are briefiy reviewed, and the etiology qf thi s patient 's symptoms and a discussion qf effectioe treatment pla ns are discussed. Although the conce pt of conve rsion symptoms dates at least to th e ancient Greeks and was discussed by Freud and Breu er in Studies on Hy steria ( I) in the la te 1890's, it has been an in cr easingly infrequent (although not rare) diagnosis. In cont rast to most other DSM diagnoses , unconscious processes or conflicts a re implicated in the development of conve rsion disorder. Conversion di sorder generally involves a symbolic relationship between an underlying psychological conflict and disturbed physical functioning. \"Classic\" symptoms include paralysis, aphonia , seizures, malcoordination, dyskinesia, blindness , anesthesia, a nd parasthesias. The disorder has been most com monly described in rural women of lower socio -economic status. The following case des cribes a welleducated man wh o was brou gh t to the Emergency Department after becoming acutely unresponsive (with paralysis and aphonia), and highlights his subse q ue n t course in th e emerge ncy se t t ing .","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"22 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":"131358298","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}
引用次数: 1
In Response: The Ideal Psychiatry Residency Training Program 回应:理想精神病学住院医师培训计划
Pub Date : 1900-01-01 DOI: 10.29046/jjp.006.2.012
A. Tasman
There is little to be added in th e way of specifics to J ames Deming's review of the necessary ingredients for an ideal Resid ency T rain ing Program (I ). He not only reviews the specific issues wh ich must be add ressed regard ing the " nuts and bolts" of training, but also emphas izes th e need for ph ase specificity of bo th clinical and didactic ex periences and th e need to view residency training fr om a developmental perspective. Rather than comment specifica lly on th e points Deming raises, I would like to address other ingred ients in residency training which are to be value d in th e ideal program. With th e exp losio n of kn owledge in the field over the last several decades, tra ining directors and facul ty, as well as t ra inees, are faced with enormous co nce r ns about how this infor ma tio n can be most usefull y present ed and integrated. My own bias places this task under th e rubric of needing to learn an appreciat ion for process. T his phenomenon is often discu ssed primari ly from th e perspective of psych otherapy practice , but I mean something di ffe rent here . T he biopsychosocial model encompasses a view th at in understand ing th e individual, we must be prepared to understand th e processes with in that person from biologic, intrapsychic, interpersonal, familial , and environmental points of view. The ideal training program shou ld not on ly provide a set of cli nica l and didactic experiences which cover this knowledge, but a lso provide a means within which these varying levels of observation and understanding of a patient can be integrated. I find that this integration occurs most effec t ive ly in th e supervisors office, when a resident presents case material and is helped to put together what is seen clinically, what is experienced by th e physician , and wha t is known about psychopathology from a variety of points of view. It is th erefore essential, in order for this process to occur optimally, that th e supervisors ha ve the requisite appreciation for process and capac ity to integrate different levels of understanding. Departments of Psychiatry rarely feature a monolithic approach to understanding psychopathology, although th ere are excep tions . It is important in the choice of those individuals who are selected for supervision, that attention be paid to the particular interests and teaching skills of faculty members. It is essential to have super visors who not o nly have a specific area of expertise in psychiatric knowledge and practice , bu t also the capacity to
詹姆斯·戴明(james Deming)对理想的弹性训练计划(I)的必要成分的回顾,在具体方面没有什么可补充的。他不仅回顾了关于培训“具体细节”必须强调的具体问题,还强调了临床和教学经验的阶段特异性的必要性,以及从发展的角度看待住院医师培训的必要性。与其对戴明提出的这些观点进行具体评论,我更想谈谈住院医师培训中的其他要素,这些要素在理想的项目中是有价值的。随着过去几十年来该领域知识的积累,培训主任和教师以及学员都面临着如何最有用地呈现和整合这些信息的巨大挑战。我个人倾向于把这个任务放在需要学会欣赏过程的标题下。这种现象通常主要是从心理治疗实践的角度来讨论的,但我在这里指的是不同的东西。生物心理社会模型包含了这样一种观点,即在理解个体时,我们必须准备好从生物、心理、人际、家庭和环境的角度来理解这个人的过程。理想的培训计划不仅应该提供一套涵盖这些知识的实践和教学经验,而且还应该提供一种方法,使这些对患者的不同程度的观察和理解能够整合在一起。我发现这种整合在主管办公室发生得最有效,当住院医生提交病例材料并被帮助将临床所见,医生所经历的,以及从各种角度对精神病理学的了解放在一起时。因此,为了使这一过程达到最佳状态,管理者必须对过程有必要的认识,并有能力整合不同层次的理解。精神科很少采用统一的方法来理解精神病理学,尽管也有例外。在选择受监督的个人时,注意教师的特殊兴趣和教学技能是很重要的。导师不仅要在精神病学知识和实践方面具有特定领域的专业知识,而且要有能力
{"title":"In Response: The Ideal Psychiatry Residency Training Program","authors":"A. Tasman","doi":"10.29046/jjp.006.2.012","DOIUrl":"https://doi.org/10.29046/jjp.006.2.012","url":null,"abstract":"There is little to be added in th e way of specifics to J ames Deming's review of the necessary ingredients for an ideal Resid ency T rain ing Program (I ). He not only reviews the specific issues wh ich must be add ressed regard ing the \" nuts and bolts\" of training, but also emphas izes th e need for ph ase specificity of bo th clinical and didactic ex periences and th e need to view residency training fr om a developmental perspective. Rather than comment specifica lly on th e points Deming raises, I would like to address other ingred ients in residency training which are to be value d in th e ideal program. With th e exp losio n of kn owledge in the field over the last several decades, tra ining directors and facul ty, as well as t ra inees, are faced with enormous co nce r ns about how this infor ma tio n can be most usefull y present ed and integrated. My own bias places this task under th e rubric of needing to learn an appreciat ion for process. T his phenomenon is often discu ssed primari ly from th e perspective of psych otherapy practice , but I mean something di ffe rent here . T he biopsychosocial model encompasses a view th at in understand ing th e individual, we must be prepared to understand th e processes with in that person from biologic, intrapsychic, interpersonal, familial , and environmental points of view. The ideal training program shou ld not on ly provide a set of cli nica l and didactic experiences which cover this knowledge, but a lso provide a means within which these varying levels of observation and understanding of a patient can be integrated. I find that this integration occurs most effec t ive ly in th e supervisors office, when a resident presents case material and is helped to put together what is seen clinically, what is experienced by th e physician , and wha t is known about psychopathology from a variety of points of view. It is th erefore essential, in order for this process to occur optimally, that th e supervisors ha ve the requisite appreciation for process and capac ity to integrate different levels of understanding. Departments of Psychiatry rarely feature a monolithic approach to understanding psychopathology, although th ere are excep tions . It is important in the choice of those individuals who are selected for supervision, that attention be paid to the particular interests and teaching skills of faculty members. It is essential to have super visors who not o nly have a specific area of expertise in psychiatric knowledge and practice , bu t also the capacity to","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"164 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":"124605006","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}
引用次数: 0
HIV-Positivity, AIDS, and The Military Psychiatry Residency Experience hiv阳性,艾滋病和军事精神病学住院医师经验
Pub Date : 1900-01-01 DOI: 10.29046/jjp.009.2.003
R. Koshes
Psychiatry residents in the military work with a diverse population qf HIV-positive and AIDS patients who are in various stages in their illnesses, military careers, and acceptance ofthe disease process. In this circumstance, the military psychiatry residen t must be a clinician, administrator, andpatient advocate. Additionally, the militaryresident must uphold Department qf Defense regulations which mandate that soldiers be both physically and emotionallyfit to peiform their duties. This paper describes the unique role of the military psychiatrist in working with HIV-positive and AIDS patients in the militarysetting.
军队中的精神科住院医师与各种各样的hiv阳性和艾滋病患者一起工作,这些患者处于疾病、军事生涯和疾病接受过程的不同阶段。在这种情况下,军队精神科住院医师必须是临床医生、行政人员和病人的倡导者。此外,军队居民必须遵守国防部的规定,要求士兵在身体和情感上都适合履行职责。本文描述了军队精神病学家在军队环境中与艾滋病毒阳性和艾滋病患者一起工作的独特作用。
{"title":"HIV-Positivity, AIDS, and The Military Psychiatry Residency Experience","authors":"R. Koshes","doi":"10.29046/jjp.009.2.003","DOIUrl":"https://doi.org/10.29046/jjp.009.2.003","url":null,"abstract":"Psychiatry residents in the military work with a diverse population qf HIV-positive and AIDS patients who are in various stages in their illnesses, military careers, and acceptance ofthe disease process. In this circumstance, the military psychiatry residen t must be a clinician, administrator, andpatient advocate. Additionally, the militaryresident must uphold Department qf Defense regulations which mandate that soldiers be both physically and emotionallyfit to peiform their duties. This paper describes the unique role of the military psychiatrist in working with HIV-positive and AIDS patients in the militarysetting.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"10 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":"122126354","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}
引用次数: 0
Psychodynamics: The State of the Art 心理动力学:艺术的现状
Pub Date : 1900-01-01 DOI: 10.29046/jjp.011.2.013
R. Hall
Whither psych odynamic psychotherapy in th e era of managed ca re? This is th e ce nt ral qu estion raised (and a nswere d) in a new text ed ited a nd, in part , au t ho red by H a rveyJ. Schwartz, MD . In his introduction, Schwar tz says, "T his book is int ended as an inv itation. An invit at ion to ge t to know how a number of psych oa nalyt ic psychi atri s ts think abou t th eir patien ts, th eir work, a nd in th e process, th em selves." His book , however, ends up being a grea t deal more t ha n th a t. The ea rly cha pters ent itled " Bas ic Conce p ts " serve as a n in troducti on to th e hist ory and th eory of psychod ynamics. The heart of th e tex t deals with th e a pp lication of psych odyn a mic principl es to va rious current ly recogni zed diagn osti c en t it ies. In taking this approach , Schwartz makes th e case ove r a nd over th at psychodynamic psychotherapy has a br oad er ap plica tion th rou gh ou t th e who le ran ge of psych iatric illnesses th an most resi dent s wou ld have im agined. He see ms to be saying " . .. yes , mos t of us agree th a t psychodynamic psycho th erapy is im porta n t a nd th e tran smi ssion of it s core concepts shou ld be preserved , but how ca n we apply th e techniq ues to spec ific t rea t ment se tt ings and clin ical synd romes?" By havin g th e variou s cont ributors res po nd within very specific d iagnost ic areas , Schwartz has chose n to mee t th e qu estion head-on . In th ese central chapters, th e biases of th e ind ivid ual a ut ho rs cer tain ly show through but overa ll we a re presen ted wit h a wealth of informative and, more importantly, useful mat erial. The latter chap te rs deal wit h a few spec ia lty a reas including int errupt ion s in treatment , resea rch a nd psychodyna mics, a nd th e psych ology of prescribing a nd taking me d ica t ion. In th e book 's final chapte r, "A Recommended C urriculum for Psychodyna mic Training," Allen T asm an sums up th e importance of th e issu e at hand when he says, "At sta ke is our vision of th e futu re psychi atrist. " From a resid ent 's poin t ofview, this last cha p te r should pr obably be read first. The qu estions he ra ises are, " Do we think th e fu ture psychi atrist should / will be a n applied neu robi ologist who sho uld know onl y th e indications for explora to ry psych otherapy, so as to mak e a ppropriate referrals to psych ologists and socia l workers as many neurologist s and fa mily practition ers now do? Do we think that th e re marka ble new knowled ge of neurobiology . .. , will render
在管理时代,心理动力心理疗法能走向何方?这是在一篇新编写的文章中提出(并回答)的最重要的问题,部分原因是由哈佛大学的研究人员撰写的。施瓦茨博士。施瓦茨在前言中说:“这本书的结尾并不是一份邀请。邀请他们去了解一些精神分析学家是如何思考他们的病人,他们的工作,以及在这个过程中,他们自己的。”然而,他的书最终远比这本书的内容要丰富得多。前两章被称为“基本思想”,是对心理动力学的历史和理论的一个很好的介绍。这本书的核心是讨论心理动力学原理在各种目前公认的诊断中的应用。在采用这种方法时,施瓦茨证明了心理动力学心理疗法的应用范围比大多数住院医生想象的要广泛,因为它可以广泛应用于那些患有精神疾病的人。他看见女士在说“……是的,我们大多数人都同意精神动力心理疗法是重要的,它的核心概念应该被保留,但我们如何将这些技术应用于具体的治疗方法和临床症状呢?”通过将不同的贡献者分配到非常具体的诊断领域,施瓦茨选择了正面解决这个问题。在这些中心章节中,人们的偏见和偏见当然会贯穿始终,但总的来说,我们提供了丰富的信息,更重要的是,有用的材料。后一章涉及几个具体的领域,包括治疗、研究和心理动力学中的中断,以及处方和服用药物的心理学。在这本书的最后一章“精神动力训练推荐课程”中,艾伦·T总结了这个问题的重要性,他说:“关键是我们对未来精神科医生的看法。”从居民的角度来看,这最后一段应该先读。他提出的问题是,“我们是否认为未来的精神科医生应该/将是一名应用精神科医生,只知道探索心理治疗的适应症,以便像许多神经科医生和家庭医生现在所做的那样,适当地转介给心理学家和社会工作者?”我们是否认为这是神经生物学中引人注目的新知识……,将呈现
{"title":"Psychodynamics: The State of the Art","authors":"R. Hall","doi":"10.29046/jjp.011.2.013","DOIUrl":"https://doi.org/10.29046/jjp.011.2.013","url":null,"abstract":"Whither psych odynamic psychotherapy in th e era of managed ca re? This is th e ce nt ral qu estion raised (and a nswere d) in a new text ed ited a nd, in part , au t ho red by H a rveyJ. Schwartz, MD . In his introduction, Schwar tz says, \"T his book is int ended as an inv itation. An invit at ion to ge t to know how a number of psych oa nalyt ic psychi atri s ts think abou t th eir patien ts, th eir work, a nd in th e process, th em selves.\" His book , however, ends up being a grea t deal more t ha n th a t. The ea rly cha pters ent itled \" Bas ic Conce p ts \" serve as a n in troducti on to th e hist ory and th eory of psychod ynamics. The heart of th e tex t deals with th e a pp lication of psych odyn a mic principl es to va rious current ly recogni zed diagn osti c en t it ies. In taking this approach , Schwartz makes th e case ove r a nd over th at psychodynamic psychotherapy has a br oad er ap plica tion th rou gh ou t th e who le ran ge of psych iatric illnesses th an most resi dent s wou ld have im agined. He see ms to be saying \" . .. yes , mos t of us agree th a t psychodynamic psycho th erapy is im porta n t a nd th e tran smi ssion of it s core concepts shou ld be preserved , but how ca n we apply th e techniq ues to spec ific t rea t ment se tt ings and clin ical synd romes?\" By havin g th e variou s cont ributors res po nd within very specific d iagnost ic areas , Schwartz has chose n to mee t th e qu estion head-on . In th ese central chapters, th e biases of th e ind ivid ual a ut ho rs cer tain ly show through but overa ll we a re presen ted wit h a wealth of informative and, more importantly, useful mat erial. The latter chap te rs deal wit h a few spec ia lty a reas including int errupt ion s in treatment , resea rch a nd psychodyna mics, a nd th e psych ology of prescribing a nd taking me d ica t ion. In th e book 's final chapte r, \"A Recommended C urriculum for Psychodyna mic Training,\" Allen T asm an sums up th e importance of th e issu e at hand when he says, \"At sta ke is our vision of th e futu re psychi atrist. \" From a resid ent 's poin t ofview, this last cha p te r should pr obably be read first. The qu estions he ra ises are, \" Do we think th e fu ture psychi atrist should / will be a n applied neu robi ologist who sho uld know onl y th e indications for explora to ry psych otherapy, so as to mak e a ppropriate referrals to psych ologists and socia l workers as many neurologist s and fa mily practition ers now do? Do we think that th e re marka ble new knowled ge of neurobiology . .. , will render","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"23 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":"127433706","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}
引用次数: 0
A Resident Initiated Prite Review Course: Trials and Tribulations 居民发起的私人审查课程:考验和磨难
Pub Date : 1900-01-01 DOI: 10.29046/jjp.011.1.015
D. Metzler, D. L. Kinsey, L. R. Dickson, M. Hyatt
The expe rie nce of developing a review course to study for th e Psychia t ry Residen t 's In-T ra ining Exam (PRITE) is d iscussed. Resid ents in our program felt that th e review course was usefu l with re sp ect to th e following: studying for the PRIT E; future study for National Boa rds; and learning of new mat eri al. The Psychi atry Resident 's In-T ra ining Exam (p RITE) was developed in 1979 as a mechanism to assess the knowledge ba se of psychiatric resid ents in a sta ndardized format (1,2,3). The exa m was origina lly designed to simulat e th e Am erican Board of Psychiat ry and Ne urology (ABPN) examina t ion, PART I, a nd has ga ine d widespread acce ptance despite questions ab out it s ability to accurat ely tes t or reflect the know ledge of th e exa minee (1,4,5) . Principles derived from a syst em for se lf-educa t ion of resid ents publ ish ed by Taylor and Torrey (6) were a pplied to a review course developed at thi s inst it u t ion to improve th e knowledge base of each resid en t with th e goal of incr easing pe rforma nce on th e PRITE a nd, ultimately, ABPN exa m Part I. This pap er discusses the review course from its conception to fina l eva lua t ion with views offered from th e organize rs, th e resid en cy direct or, a nd th e resid ents tau ght by thi s method . It was hypoth esized th at most participants would feel th at th e review course was useful in stu dying for th e PRITE exa m and th at those who had ac t ive ly particip ated (i.e., mad e a handout or gave a lect ure) wou ld feel th e review course was more useful th an th ose who were pa ssive participants.
讨论了为精神科住院医师培训考试(PRITE)开发复习课程的必要性。我们项目的居民认为复习课程在以下方面是有用的:为PRIT e学习;国宝鸟的未来研究;精神科住院医师入职培训考试(RITE)于1979年开发,作为一种以标准化格式评估精神科住院医师知识基础的机制(1,2,3)。该考试最初是为了模拟美国精神病学和神经病学委员会(ABPN)的第一部分考试而设计的,尽管人们对其准确判断或反映考生知识的能力存在疑问,但该考试已经得到了广泛的接受。原则来源于系统本身lf-educa t离子渣油树人出版伊什埃德·泰勒和托里(6)被应用于评估课程开发thi s本月它u t离子来改善每个渣油的知识库在t和持续增加的目标pe rforma th e PRITE nd指标,最终,ABPN的穰m i这pap er部分讨论了复习课程从概念到国际泳联l eva lua t离子与th e组织视图提供rs, th e渣油cy直接或,居民们用这种方法进行教学。假设大多数参与者会觉得复习课程对准备PRITE考试有用,而那些没有积极参与的人(例如,收到讲义或进行讲座)会觉得复习课程比那些被动参与者更有用。
{"title":"A Resident Initiated Prite Review Course: Trials and Tribulations","authors":"D. Metzler, D. L. Kinsey, L. R. Dickson, M. Hyatt","doi":"10.29046/jjp.011.1.015","DOIUrl":"https://doi.org/10.29046/jjp.011.1.015","url":null,"abstract":"The expe rie nce of developing a review course to study for th e Psychia t ry Residen t 's In-T ra ining Exam (PRITE) is d iscussed. Resid ents in our program felt that th e review course was usefu l with re sp ect to th e following: studying for the PRIT E; future study for National Boa rds; and learning of new mat eri al. The Psychi atry Resident 's In-T ra ining Exam (p RITE) was developed in 1979 as a mechanism to assess the knowledge ba se of psychiatric resid ents in a sta ndardized format (1,2,3). The exa m was origina lly designed to simulat e th e Am erican Board of Psychiat ry and Ne urology (ABPN) examina t ion, PART I, a nd has ga ine d widespread acce ptance despite questions ab out it s ability to accurat ely tes t or reflect the know ledge of th e exa minee (1,4,5) . Principles derived from a syst em for se lf-educa t ion of resid ents publ ish ed by Taylor and Torrey (6) were a pplied to a review course developed at thi s inst it u t ion to improve th e knowledge base of each resid en t with th e goal of incr easing pe rforma nce on th e PRITE a nd, ultimately, ABPN exa m Part I. This pap er discusses the review course from its conception to fina l eva lua t ion with views offered from th e organize rs, th e resid en cy direct or, a nd th e resid ents tau ght by thi s method . It was hypoth esized th at most participants would feel th at th e review course was useful in stu dying for th e PRITE exa m and th at those who had ac t ive ly particip ated (i.e., mad e a handout or gave a lect ure) wou ld feel th e review course was more useful th an th ose who were pa ssive participants.","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":"129967742","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}
引用次数: 0
Rome to Cologne 从罗马到科隆
Pub Date : 1900-01-01 DOI: 10.29046/jjp.004.2.010
J. Sarnoff
{"title":"Rome to Cologne","authors":"J. Sarnoff","doi":"10.29046/jjp.004.2.010","DOIUrl":"https://doi.org/10.29046/jjp.004.2.010","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"44 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":"133362573","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}
引用次数: 1
First-Known Hypnopompic Hallucination Occurring In-Hospital: Case Report 首例院内发生的催眠幻觉:病例报告
Pub Date : 1900-01-01 DOI: 10.29046/JJP.020.1.005
Paul Ballas D.O.
Despite the high prevalence of hypnopompic hallucinations in the community, to our knowledge there are no reports that have been published in the English literature of these phenomenon observed by staff in the hospital setting. Psychiatric or neurological evaluation often ensues if a patient reports hallucinations in other circumstances, but when they are reported in connection with sleep, further evaluation is rarely performed because such events are common in the general populace. Our report emphasizes the distinction between hypnopompic and hypnagogic hallucination as an ongoing feature of life that someone is aware of, which we believe to be the case for normal persons who have them, and a similar hallucination occurring for the first time in someone who is unaware of it, at least unable to remember it. In the latter instance, we suggest careful interview for symptoms of a sleep disorder. Hypnagogic (prior to sleep onset) and hypnopompic (upon arousal from sleep) hallucinations are both phenomena that occur in normal people and symptoms that are characteristic of narcolepsy (1, 2). They are a common occurrence, experienced by almost everyone at least once and have also been shown to be associated with the use or withdrawal from certain medications, specifically, tricyclic antidepressants, opiates, and donepezil (3-5). Although hypnopompic and hypnagogic hallucinations are generally considered to be normal phenomenon, they have increased incidence in several psychiatric and neurologic disorders (6). One study of over 14,000 subjects revealed that people with anxiety, depression, or bipolar affective disorder have a two-fold increase in experiencing hypnopompic or hypnagogic hallucinations at least once weekly. The same study showed that people with adjustment disorders have a 1.5fold increase in experiencing these phenomenon at least once weekly (6-8). The notion that such phenomena are normal may be part of the reason behind the wide variation in the literature with regard to their lifetime incidence (hypnopompic 6-13%, hypnagogic 25–38%) (4, 9-11). Over 50 percent of people who experience them have no
尽管催眠幻觉在社区中非常普遍,但据我们所知,在英语文献中还没有发表过由医院工作人员观察到这些现象的报告。如果患者报告在其他情况下出现幻觉,通常会进行精神病学或神经学评估,但如果报告的幻觉与睡眠有关,则很少进行进一步评估,因为此类事件在普通民众中很常见。我们的报告强调了催眠幻觉和催眠幻觉之间的区别,催眠幻觉是一种人们意识到的持续的生活特征,我们认为正常人有这种情况,而类似的幻觉第一次发生在没有意识到的人身上,至少不能记住它。在后一种情况下,我们建议仔细面试睡眠障碍的症状。入睡前的幻觉和入睡后的幻觉都是发生在正常人身上的现象,也是发作性睡病的典型症状(1,2)。它们很常见,几乎每个人都至少经历过一次,也被证明与某些药物的使用或停药有关,特别是三环抗抑郁药、阿片类药物和多奈哌齐(3-5)。虽然催眠和临睡幻觉通常被认为是正常现象,但它们在一些精神和神经疾病中的发病率有所增加(6)。一项对14,000多名受试者的研究显示,患有焦虑、抑郁或双相情感障碍的人每周至少出现一次催眠或临睡幻觉的几率增加了两倍。同一项研究表明,患有适应障碍的人每周至少经历一次这种现象的几率增加了1.5倍(6-8)。认为这种现象是正常的,这可能是文献中关于其终生发病率差异很大的部分原因(催眠6-13%,催眠25-38%)(4,9 -11)。有过这种经历的人中,超过50%的人没有
{"title":"First-Known Hypnopompic Hallucination Occurring In-Hospital: Case Report","authors":"Paul Ballas D.O.","doi":"10.29046/JJP.020.1.005","DOIUrl":"https://doi.org/10.29046/JJP.020.1.005","url":null,"abstract":"Despite the high prevalence of hypnopompic hallucinations in the community, to our knowledge there are no reports that have been published in the English literature of these phenomenon observed by staff in the hospital setting. Psychiatric or neurological evaluation often ensues if a patient reports hallucinations in other circumstances, but when they are reported in connection with sleep, further evaluation is rarely performed because such events are common in the general populace. Our report emphasizes the distinction between hypnopompic and hypnagogic hallucination as an ongoing feature of life that someone is aware of, which we believe to be the case for normal persons who have them, and a similar hallucination occurring for the first time in someone who is unaware of it, at least unable to remember it. In the latter instance, we suggest careful interview for symptoms of a sleep disorder. Hypnagogic (prior to sleep onset) and hypnopompic (upon arousal from sleep) hallucinations are both phenomena that occur in normal people and symptoms that are characteristic of narcolepsy (1, 2). They are a common occurrence, experienced by almost everyone at least once and have also been shown to be associated with the use or withdrawal from certain medications, specifically, tricyclic antidepressants, opiates, and donepezil (3-5). Although hypnopompic and hypnagogic hallucinations are generally considered to be normal phenomenon, they have increased incidence in several psychiatric and neurologic disorders (6). One study of over 14,000 subjects revealed that people with anxiety, depression, or bipolar affective disorder have a two-fold increase in experiencing hypnopompic or hypnagogic hallucinations at least once weekly. The same study showed that people with adjustment disorders have a 1.5fold increase in experiencing these phenomenon at least once weekly (6-8). The notion that such phenomena are normal may be part of the reason behind the wide variation in the literature with regard to their lifetime incidence (hypnopompic 6-13%, hypnagogic 25–38%) (4, 9-11). Over 50 percent of people who experience them have no","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"91 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":"130578019","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}
引用次数: 0
A Case of Conversion Catatonia Misdiagnosed for 24 Years 转换性紧张症24年误诊1例
Pub Date : 1900-01-01 DOI: 10.29046/JJP.008.1.005
P. Wiener
Catatonia is a synd rome whose etiology may be both diverse and di fficul t to subs tantiate . Ms. H. is a 45-year-old black female wit h 18 previous psychiatr ic hospital izations beginning at age 21 . A common characteristi c to all hosp ital izations was a catatonic presentation (i.e ., the patient was mute with marked muscul ar rigidity; sh e would refuse to eat or fo llow orders) . In ea ch of her previous 18 hospitali zations, the patient was thought to be psycho tic. It was found that each ca ta to nic episode co u ld be related to a severe psychological stressor. The patient 's illness never involv ed delusio ns, hallucinations o r disturbances in thought form. Upon d etailed evaluation of thi s pat ien t 's hi sto r y she was found to have symp toms co nsistent wit h conversion di sorder. I report here the identification of a conversion d isorder presenting as recurrent episodes of catatonia. Intramuscular lorazepam was fou nd to be repea tedly success fu l in resolving the ca ta tonic sta te .
紧张症是一种病因多样且难以确定的综合征。h .女士是一名45岁的黑人女性,从21岁开始就有18次精神病住院经历。所有医院的一个共同特征是紧张性表现(即患者沉默,肌肉明显僵硬;她会拒绝吃东西或拒绝别人的点餐。在她之前的18次住院治疗中,每一次都被认为是精神病患者。研究发现,每一次心脏病发作都可能与严重的心理应激源有关。病人的疾病从未涉及妄想、幻觉或思想形态紊乱。在对这部分病人进行详细评估后,发现她的症状与转换障碍相一致。我在这里报告一个转换障碍的识别,表现为反复发作的紧张症。肌内劳拉西泮多次成功地解决了紧张状态。
{"title":"A Case of Conversion Catatonia Misdiagnosed for 24 Years","authors":"P. Wiener","doi":"10.29046/JJP.008.1.005","DOIUrl":"https://doi.org/10.29046/JJP.008.1.005","url":null,"abstract":"Catatonia is a synd rome whose etiology may be both diverse and di fficul t to subs tantiate . Ms. H. is a 45-year-old black female wit h 18 previous psychiatr ic hospital izations beginning at age 21 . A common characteristi c to all hosp ital izations was a catatonic presentation (i.e ., the patient was mute with marked muscul ar rigidity; sh e would refuse to eat or fo llow orders) . In ea ch of her previous 18 hospitali zations, the patient was thought to be psycho tic. It was found that each ca ta to nic episode co u ld be related to a severe psychological stressor. The patient 's illness never involv ed delusio ns, hallucinations o r disturbances in thought form. Upon d etailed evaluation of thi s pat ien t 's hi sto r y she was found to have symp toms co nsistent wit h conversion di sorder. I report here the identification of a conversion d isorder presenting as recurrent episodes of catatonia. Intramuscular lorazepam was fou nd to be repea tedly success fu l in resolving the ca ta tonic sta te .","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"55 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":"131768530","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}
引用次数: 7
Implementation of a Computer-Based Communication System for Psychiatry Residents 精神科住院医师电脑通讯系统之实施
Pub Date : 1900-01-01 DOI: 10.29046/jjp.014.2.001
Lieberman, Z. Daniel
In order to encourage different kinds ofcommunication among residents who werelocated at a number qfgeographically separate sites, a computerized communication system was implemented. Priority was placed on both ric/messqf'features and easecfuse. Residents wereable to send private email.j oin public conferences, and access databases ofinformation. The system was initially usedtry a large number ofresidents, and usage patterns are described. The introduction to information technology that residents gainedfrom thesystem led to othercomputerprojects, and an interest in the resources ofthe Internet.
为了鼓励分布在不同地理位置的居民之间进行不同形式的交流,我们实施了一套计算机化的通信系统。优先考虑ric/messqf的特性和easecfuse。居民可以发送私人电子邮件。参加公开会议,访问信息数据库。该系统最初在大量居民中使用,并描述了使用模式。居民从系统中获得的信息技术的介绍导致了其他计算机项目,并对互联网资源产生了兴趣。
{"title":"Implementation of a Computer-Based Communication System for Psychiatry Residents","authors":"Lieberman, Z. Daniel","doi":"10.29046/jjp.014.2.001","DOIUrl":"https://doi.org/10.29046/jjp.014.2.001","url":null,"abstract":"In order to encourage different kinds ofcommunication among residents who werelocated at a number qfgeographically separate sites, a computerized communication system was implemented. Priority was placed on both ric/messqf'features and easecfuse. Residents wereable to send private email.j oin public conferences, and access databases ofinformation. The system was initially usedtry a large number ofresidents, and usage patterns are described. The introduction to information technology that residents gainedfrom thesystem led to othercomputerprojects, and an interest in the resources ofthe Internet.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"1165 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":"134521082","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}
引用次数: 0
期刊
Jefferson Journal of Psychiatry
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1