ABSTRACT
A longitudinal case study of a man who is suffering from obsessional compulsive disorder, who failed to respond to all possible treatments, including psychosurgery. We present his good response to the recommended dose of the anxiolytic Buspirone and its effect on the severity of his obsessive compulsive symptoms.
Subject(s)
Buspirone/therapeutic use , Obsessive-Compulsive Disorder/drug therapy , Adult , Affect/drug effects , Brain/surgery , Humans , Longitudinal Studies , Male , Obsessive-Compulsive Disorder/surgery , Prospective Studies , Psychiatric Status Rating ScalesABSTRACT
The present study examines the presence of specific occupational risk factors in a group of patients suffering from alcoholic liver disease compared with a group of patients with non-alcoholic liver disease. The first group was more dependent on alcohol, with fewer social or psychological alcohol-related problems. The majority of them were employed, although more likely to be employed in traditional 'high risk' occupations. They showed lower job satisfaction, and the total sum of all previously reported occupational risk factors was highly significant. This was the first empirical evidence in support of the importance of the specific occupational risk factors previously postulated.
Subject(s)
Alcoholism/psychology , Job Satisfaction , Liver Diseases, Alcoholic/psychology , Occupational Diseases/psychology , Adolescent , Adult , Aged , Alcoholism/rehabilitation , Female , Humans , Life Change Events , Liver Diseases, Alcoholic/rehabilitation , Liver Function Tests , Middle Aged , Occupational Diseases/rehabilitation , Personality Development , Rehabilitation, Vocational/psychology , Risk FactorsABSTRACT
A sample of patients (N = 134) with alcoholic liver disease was found to be significantly "health internal" (i.e., believe that their behavior plays a major role in determining subsequent health or illness) compared with a sample of patients with nonalcoholic liver disease on Health Locus of Control Scale. The patients with alcoholic liver disease did not differ significantly from those with nonalcoholic liver disease in the level of awareness of severity of their disease. Most patients in both groups agreed with their physician's ratings of the severity of their illness. The implications of these findings are discussed.
Subject(s)
Liver Diseases, Alcoholic/psychology , Perception , Severity of Illness Index , Adolescent , Adult , Alcohol Drinking/psychology , Awareness , Female , Humans , Male , Middle Aged , Self-AssessmentABSTRACT
Patients suffering from obsessional neurosis without other psychiatric diagnosis were examined with reference to the association of the mood disorders of depression, anxiety, and outwardly and inwardly directed irritability. All mood disorders were common, and many occurred together in individual patients, but anxiety was the most prevelant. Inwardly directed irritability was significantly related to the overall severity of obsessions, and to the degree of handicap or interference in everyday life experienced by the patient.
Subject(s)
Neurotic Disorders/psychology , Obsessive-Compulsive Disorder/psychology , Adolescent , Adult , Anxiety Disorders/complications , Anxiety Disorders/psychology , Depressive Disorder/complications , Depressive Disorder/psychology , Female , Humans , Irritable Mood , Male , Middle Aged , Neurotic Disorders/complications , Obsessive-Compulsive Disorder/complicationsABSTRACT
Eleven patients with primary obsessional neurosis were followed up after successful treatment. There was a significant association between reduction of interference of obsessions and anxiety. A stronger significant association was found between reduction of resistance to obsessions and irritability. These findings are discussed in the light of the current concepts of the phenomenology of obsessional neurosis.
