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Archives of Psychiatry and Behavioral Sciences最新文献

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Should We Use Lithium in Older People Mood Disorders? 老年人情绪障碍应该使用锂吗?
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0302001
D. Vm
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引用次数: 0
Deceptive Clinical Diagnosing of Malingering via Structured Inventory of Malingered Symptomatology 基于诈病症状结构化量表的诈病临床诊断
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0201009
Z. Cernovsky, J. Ferrari, J. Mendonça
This article provides illustrative case histories of patients with legitimate neuropsychological symptoms after their motor vehicle accidents (MVAs) who had been rejected as malingerers by the psychologist contracted by the car insurance company. The psychologist ignored the physical facts of the MVA (such as repeated major impacts) to instead blindly rely on the patient’s scores on the Structured Inventory of Malingered Symptomatology (SIMS). The SIMS was never properly validated on patients with neuropsychological symptoms such as the post-concussion syndrome or on patients with well documented causes of chronic pain: the test has scientifically very inept rates of false positives, i.e., of patients with legitimate symptoms falsely classified as malingerers. The SIMS contains many items inquiring about impaired sleep, depressive feelings, impaired memory or concentration, and other typical post-MVA neuropsychological symptoms such as tinnitus or impaired balance. That is, these items describe what is clinically known to be legitimate typical post-MVA symptoms: in an absurd manner, the endorsement of these SIMS items counts as “malingering” and alone causes the post-MVA patients to accumulate a score above the SIMS cut-off point of > 14, thus misclassifying them as malingerers. The more of these symptoms are experienced by the patient, the more likely is he or she to be classified as a malingerer.
这篇文章提供了一些在机动车事故(MVAs)后出现合理神经心理学症状的患者的说明性病历,这些患者被汽车保险公司签约的心理学家拒绝为装病者。心理学家忽略了MVA的物理事实(如重复的重大影响),而盲目地依赖患者在Malingered Symptomatology (SIMS)的结构化量表上的分数。SIMS从未在有神经心理学症状(如脑震荡后综合症)的患者或有充分记录的慢性疼痛原因的患者身上得到适当的验证:该测试在科学上的假阳性率非常低,即将有合理症状的患者错误地归类为装病患者。SIMS包含许多项目,询问睡眠受损,抑郁情绪,记忆或注意力受损,以及其他典型的mva后神经心理症状,如耳鸣或平衡受损。也就是说,这些项目描述的是临床上已知的合法的典型mva后症状:以一种荒谬的方式,这些SIMS项目的认可被视为“装病”,并单独导致mva后患者累积得分高于SIMS临界值> 14,从而将他们错误地归类为装病者。患者出现的这些症状越多,他或她就越有可能被归为装病者。
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引用次数: 3
Legal Stupidity 法律上的愚蠢
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0202009
James F. Welles
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引用次数: 0
Psychophysiology of Communication and Its Impact on Human Information Processing and Self-Regulation: A Case Study in Ukraine 交际心理生理学及其对人类信息加工和自我调节的影响:以乌克兰为例
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0201003
S. Boltivets, Dennis Relojo
The study presents the interdependence of education and health, the impact of education on students’ health, in particular the emergence of school neurosis, which was accompanied by motor breakdown, uncontrolled hyperactivity with attention deficit syndrome. The method and results of the medical-psychophysiological examination of a student on the device Nexus 10 are presented. The psych-physiological results of simulation of five laboratory-created mental states are given: the calmness of a student who relaxes without any cognitive tasks; reading a poem by the student by heart from the school curriculum; the solution of the cognitive task, which is a distinction and classification of seven images in colour and form (stress test, singing the song verse, singing a song with a positive visual and acoustic accompaniment.) The medical and psychological data obtained in the course of the tests testify to the need for a harmonious combination of three components of psychophysiological functioning in the students’ learning, which include the modes of silence, speech and singing; which include the efficiency and versatility, comfort and access for all children regardless of the actual level of intellectual development and health. The research covers the psychophysiological effects of the methodology, the results of medical-psychological examinations, comparison and analysis of equipment parameters of the five psychophysiological states of the student, the main of which is silence, speaking and singing.
该研究提出了教育与健康的相互依存关系,教育对学生健康的影响,特别是学校神经症的出现,伴随着运动障碍,不受控制的多动症和注意力缺陷综合症。介绍了在Nexus 10设备上对一名学生进行医学心理生理检查的方法和结果。给出了模拟五种实验室创造的心理状态的心理生理学结果:学生在没有任何认知任务的情况下放松的平静;从学校课程中背诵一首学生的诗;认知任务的解决方案,即从颜色和形式上对七个图像进行区分和分类(压力测试,唱歌词,在积极的视觉和声音伴奏下唱一首歌)。在测试过程中获得的医学和心理学数据证明,在学生的学习中,心理生理功能的三个组成部分需要和谐结合,包括沉默、说话和唱歌模式;其中包括效率和多功能性,舒适性和所有儿童的使用,无论其智力发展和健康的实际水平如何。研究内容包括方法的心理生理效果、医学-心理检查结果、设备参数的比较分析、学生的五种心理生理状态,主要是沉默、说话和唱歌。
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引用次数: 0
The Phenomenology of Homicide 凶杀现象学
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0101009
Siniša Franjić
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引用次数: 1
Ethical Decision Making in Marriage and Family Therapy: A Model for Supervisees 婚姻家庭治疗中的伦理决策:一个受监管者的模型
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0102002
K. Klostermann, T. Mignone, Emma Papagni
Family therapy can present unique challenges to therapists – clinically and ethically. Family members may have conflicting goals or secrets that have not been shared, but have serious implications for the family. Consequently, it is important for therapists to have a model for conceptualizing how to handle these complicated and often challenging situations. The purpose of this manuscript is to provide a simple ethical decision-making model which can taught to students and easily applied in practice.
家庭治疗在临床和伦理上对治疗师提出了独特的挑战。家庭成员可能有相互冲突的目标或没有分享的秘密,但对家庭有严重的影响。因此,对于治疗师来说,重要的是要有一个模型来概念化如何处理这些复杂且经常具有挑战性的情况。本文的目的是提供一个简单的伦理决策模型,可以教给学生,并易于在实践中应用。
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引用次数: 0
Age and Gender Specific Patterns of the Neuroleptic Malignant Syndrome 抗精神病药恶性综合征的年龄和性别特异性模式
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0202004
V. Velamoor, Z. Cernovsky
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引用次数: 1
Pseudobulbar Affect: Mysterious Disorder and Bizarre Behavior 假球影响:神秘的紊乱和怪异的行为
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0101001
A. Magbri, Eussera El-Magbri, Mariam El-Magbri
The author discussed a case of pseudobulbar affect following a traumatic brain injury with weakness on the right side of the body in a middle aged man. The case highlighted the under-treatment and under-diagnosis of PBA in various neurological disorders and how familiarities with diagnosis and treatment of PBA can make a dramatic changes in patients’ lives. The author also discussed the pathophysiology and the treatment of the condition. Research into the pathophysiology of the disorder along with cognitive and drug treatment are desperately needed to understand this mysterious disorder.
作者讨论了一例假性球的影响后,创伤性脑损伤和虚弱的身体右侧在一个中年男子。该病例强调了PBA在各种神经系统疾病中的治疗和诊断不足,以及熟悉PBA的诊断和治疗如何使患者的生活发生巨大变化。并对该病的病理生理及治疗进行了探讨。为了了解这种神秘的疾病,迫切需要对这种疾病的病理生理学以及认知和药物治疗进行研究。
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引用次数: 0
Quantifying Post-Accident Neurological Symptoms Other than Concussion 量化事故后除脑震荡以外的神经系统症状
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0201010
Zack Zdenek Cernovsky, Paul Victor Fayez Istasy, María Elena Hernández-Aguilar, Alejandro Mateos-Moreno, Y. Bureau, S. Chiu
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引用次数: 7
Bowel Dysfunction in Opiate Substitution Patients 阿片替代患者的肠功能障碍
Pub Date : 1900-01-01 DOI: 10.22259/2638-5201.0202006
G. Sidhu, Deborah Warren, Andrew Sidhu, K. Warren, Moira McDowall, Z. Cernovsky
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引用次数: 0
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Archives of Psychiatry and Behavioral Sciences
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