Pub Date : 1978-04-01DOI: 10.1177/070674377802300306
U Sreenivasan
The literature on primary anorexia nervosa in the male is reviewed and the case histories of 3 new patients are reported. Most surveys comment on the rarity of the syndrome in the male, with the sex ratio in the range of 1 in 10 to 1 in 20. The patients reported here had certain features in common. All the mothers and fathers were overweight, but obesity was marked only in the fathers, who also showed moderate to severe degrees of alcoholism. The mothers were oversensitive, insecure individuals, and the marriages suffered in proportion to the severity of the husband's alcoholism. Preoccupation with food was observed on home visits. There was overt mutual hostility between each father and anorexic son; the boys showed pronounced obsessional traits in their personalities. Dieting in order to ameliorate real or feared obesity was a first step in the development of the syndrome in each boy. In the past 3 years an equal number of boys and girls (new patients) have been referred for treatment in the psychiatric unit. Speculative reasons for this are discussed.
{"title":"Anorexia nervosa in boys.","authors":"U Sreenivasan","doi":"10.1177/070674377802300306","DOIUrl":"https://doi.org/10.1177/070674377802300306","url":null,"abstract":"<p><p>The literature on primary anorexia nervosa in the male is reviewed and the case histories of 3 new patients are reported. Most surveys comment on the rarity of the syndrome in the male, with the sex ratio in the range of 1 in 10 to 1 in 20. The patients reported here had certain features in common. All the mothers and fathers were overweight, but obesity was marked only in the fathers, who also showed moderate to severe degrees of alcoholism. The mothers were oversensitive, insecure individuals, and the marriages suffered in proportion to the severity of the husband's alcoholism. Preoccupation with food was observed on home visits. There was overt mutual hostility between each father and anorexic son; the boys showed pronounced obsessional traits in their personalities. Dieting in order to ameliorate real or feared obesity was a first step in the development of the syndrome in each boy. In the past 3 years an equal number of boys and girls (new patients) have been referred for treatment in the psychiatric unit. Speculative reasons for this are discussed.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 3","pages":"159-62"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849199","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}
Pub Date : 1978-04-01DOI: 10.1177/070674377802300307
T Kalman, G M Warner
The case of a 23-year-old patient treated with haloperidol, imipramine, and benztropine mesylate is presented to illustrate an unusually severe reaction to the abrupt cessation of neuroleptic medication. In addition to the description of the withdrawal reaction, a possible explanation of the clinical phenomenon is offered.
{"title":"Protracted vomiting following abrupt cessation of psychotropics: a case report.","authors":"T Kalman, G M Warner","doi":"10.1177/070674377802300307","DOIUrl":"https://doi.org/10.1177/070674377802300307","url":null,"abstract":"<p><p>The case of a 23-year-old patient treated with haloperidol, imipramine, and benztropine mesylate is presented to illustrate an unusually severe reaction to the abrupt cessation of neuroleptic medication. In addition to the description of the withdrawal reaction, a possible explanation of the clinical phenomenon is offered.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 3","pages":"163-5"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849200","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}
Pub Date : 1978-04-01DOI: 10.1177/070674377802300304
E M Coles, D J Cooke
On passe en revue la littérature concernant la croyance qu'un comportement anormal puisse être causé par les phases de la lune ou soit en relation avec celle-ci. On conclut qu'il n'y a eu aucune démonstration satisfaisante, c'est-à-dire sans équivoque et répétée, d'une corrélation entre les phases de la lune et une conduite anormale, mais que ce concept n'est peut-être pas défini d'une manière assez adéquate pour permettre une telle démonstration.
{"title":"Lunacy: the relation of lunar phases to mental ill-health.","authors":"E M Coles, D J Cooke","doi":"10.1177/070674377802300304","DOIUrl":"https://doi.org/10.1177/070674377802300304","url":null,"abstract":"On passe en revue la littérature concernant la croyance qu'un comportement anormal puisse être causé par les phases de la lune ou soit en relation avec celle-ci. On conclut qu'il n'y a eu aucune démonstration satisfaisante, c'est-à-dire sans équivoque et répétée, d'une corrélation entre les phases de la lune et une conduite anormale, mais que ce concept n'est peut-être pas défini d'une manière assez adéquate pour permettre une telle démonstration.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 3","pages":"149-52"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849197","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}
Pub Date : 1978-04-01DOI: 10.1177/070674377802300301
B J McConville
{"title":"Where has the patient gone?","authors":"B J McConville","doi":"10.1177/070674377802300301","DOIUrl":"https://doi.org/10.1177/070674377802300301","url":null,"abstract":"","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 3","pages":"133-5"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849194","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}
Pub Date : 1978-04-01DOI: 10.1177/070674377802300308
R C Hunter
It has been suggested that clinical states from grudgingness and habitual bitterness through to delusions of persecution are best resolved by forgiving. The process of forgiving requires that previously unacknowledged impulses, particularly aggressive ones, are accepted in oneself and others. If the therapist is aware of this, he can, in the transference, reinforce the patient's good introjects by providing a non-judgemental, acceptant model for the patient and thereby facilitate the adoption of the forgiving attitude. Sometimes habitual forgiving can occur as a reaction formation, and should be dealt with as such.
{"title":"Forgiveness, retaliation and paranoid reactions.","authors":"R C Hunter","doi":"10.1177/070674377802300308","DOIUrl":"https://doi.org/10.1177/070674377802300308","url":null,"abstract":"<p><p>It has been suggested that clinical states from grudgingness and habitual bitterness through to delusions of persecution are best resolved by forgiving. The process of forgiving requires that previously unacknowledged impulses, particularly aggressive ones, are accepted in oneself and others. If the therapist is aware of this, he can, in the transference, reinforce the patient's good introjects by providing a non-judgemental, acceptant model for the patient and thereby facilitate the adoption of the forgiving attitude. Sometimes habitual forgiving can occur as a reaction formation, and should be dealt with as such.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 3","pages":"167-73"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849201","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}
Pub Date : 1978-03-01DOI: 10.1177/070674377802300218
R A Remick
{"title":"Acute brain syndrome associated with ECT and lithium.","authors":"R A Remick","doi":"10.1177/070674377802300218","DOIUrl":"https://doi.org/10.1177/070674377802300218","url":null,"abstract":"","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"129-30"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849187","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}
Pub Date : 1978-03-01DOI: 10.1177/070674377802300220
F G Sommers
Dear Sir: Link et al. in their study "Moral Judgment And Moral Conduct In the Psychopath"t managed to confirm something well known to clinicians. The authors appear perplexed by" ... the anomaly that psychopaths are capable of relatively mature moral judgment while also being capable of committing reprehensible offences." Coincidentally, in the same issue Barker and McLaughlin reporting on "The Total Encounter Capsule"tt and describing the same patient population studied by Link et al. state:
{"title":"Moral judgment and conduct in psychopaths.","authors":"F G Sommers","doi":"10.1177/070674377802300220","DOIUrl":"https://doi.org/10.1177/070674377802300220","url":null,"abstract":"Dear Sir: Link et al. in their study \"Moral Judgment And Moral Conduct In the Psychopath\"t managed to confirm something well known to clinicians. The authors appear perplexed by\" ... the anomaly that psychopaths are capable of relatively mature moral judgment while also being capable of committing reprehensible offences.\" Coincidentally, in the same issue Barker and McLaughlin reporting on \"The Total Encounter Capsule\"tt and describing the same patient population studied by Link et al. state:","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"131"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849188","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}
Pub Date : 1978-03-01DOI: 10.1177/070674377802300204
J Beitchman, K Bell, S Simeon
The value and extent of epidemiologic investigations of adult psychopathology is contrasted with the paucity of similar data in child psychiatry. Some findings from American and British sources on the epidemiology of childhood psychopathology are noted but it is not known whether these findings would also be true in the Canadian setting, and what little Canadian data are available are not readily comparable with much of these foreign data. Using both the D.S.M.II diagnostic schema and the child's symptoms as the definition of type of disorder, the relationship between type of disorder and demographic variables among 96 children attending a Canadian Regional Treatment Centre was investigated. The results indicate that, in general, the relationship between type of disorder and age is consistent with reports from American and other foreign studies. No significant associations between social class and type of disorder could be discerned. The analysis of sex and type of disorder produced somewhat contradictory results. Using symptom data, the possibility of changing patterns of symptom expression (toward increased proportion of externalizing symptoms) among girls is raised. If the reference point is diagnosis rather than symptom type, the results are more consistent with expected notions of neurotic disturbances being more common among girls, and conduct problems being more common among boys, but the possibility of sex stereotyping on the part of the diagnosing physician cannot be ruled out. Finally, it is suggested that population studies are needed to investigate further the relationships between childhood psychopathology and demographic variables.
{"title":"Types of disorders and demographic variables in a Canadian child psychiatry population.","authors":"J Beitchman, K Bell, S Simeon","doi":"10.1177/070674377802300204","DOIUrl":"https://doi.org/10.1177/070674377802300204","url":null,"abstract":"The value and extent of epidemiologic investigations of adult psychopathology is contrasted with the paucity of similar data in child psychiatry. Some findings from American and British sources on the epidemiology of childhood psychopathology are noted but it is not known whether these findings would also be true in the Canadian setting, and what little Canadian data are available are not readily comparable with much of these foreign data. Using both the D.S.M.II diagnostic schema and the child's symptoms as the definition of type of disorder, the relationship between type of disorder and demographic variables among 96 children attending a Canadian Regional Treatment Centre was investigated. The results indicate that, in general, the relationship between type of disorder and age is consistent with reports from American and other foreign studies. No significant associations between social class and type of disorder could be discerned. The analysis of sex and type of disorder produced somewhat contradictory results. Using symptom data, the possibility of changing patterns of symptom expression (toward increased proportion of externalizing symptoms) among girls is raised. If the reference point is diagnosis rather than symptom type, the results are more consistent with expected notions of neurotic disturbances being more common among girls, and conduct problems being more common among boys, but the possibility of sex stereotyping on the part of the diagnosing physician cannot be ruled out. Finally, it is suggested that population studies are needed to investigate further the relationships between childhood psychopathology and demographic variables.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"91-6"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849192","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}
Pub Date : 1978-03-01DOI: 10.1177/070674377802300206
F Allodi, M Cohen
The authors examined physical health in relation to length of psychiatric hospitalization. One hundred and three consecutive patients admitted to an Ontario psychiatric hospital were studied for age, sex, marital status, living arrangements, previous psychiatric hospitalizations, psychiatric diagnosis and length of stay. The patients were classified as physically healthy, with minor or with major illness present. Physical health was found to have a significant association with length of psychiatric hospitalization. Healthy patients tended to stay a shorter period of time (1–3 days) and those with major illness stayed longer (greater than 21 days). As expected, marital status and psychiatric diagnosis were also associated with length of stay; married persons stayed for shorter periods and those with functional and organic psychoses stayed longer. The direct association between physical health and length of hospitalization has not been reported before and, in considering the role of the mental hospital, psychiatrists and administrators should be constantly aware of the physical health needs of psychiatric patients.
{"title":"Physical illness and length of psychiatric hospitalization.","authors":"F Allodi, M Cohen","doi":"10.1177/070674377802300206","DOIUrl":"https://doi.org/10.1177/070674377802300206","url":null,"abstract":"The authors examined physical health in relation to length of psychiatric hospitalization. One hundred and three consecutive patients admitted to an Ontario psychiatric hospital were studied for age, sex, marital status, living arrangements, previous psychiatric hospitalizations, psychiatric diagnosis and length of stay. The patients were classified as physically healthy, with minor or with major illness present. Physical health was found to have a significant association with length of psychiatric hospitalization. Healthy patients tended to stay a shorter period of time (1–3 days) and those with major illness stayed longer (greater than 21 days). As expected, marital status and psychiatric diagnosis were also associated with length of stay; married persons stayed for shorter periods and those with functional and organic psychoses stayed longer. The direct association between physical health and length of hospitalization has not been reported before and, in considering the role of the mental hospital, psychiatrists and administrators should be constantly aware of the physical health needs of psychiatric patients.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"101-6"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11850353","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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