ABSTRACT
By their very nature, disorders of sexual preference (ICD-10) or paraphilias (DSM IV) are bizarre patterns of sexual behaviour that have diverse manifestations and are of complicated sexual orientation. Some are harmless, others are sad, robbing sufferers and possibly their partners of loving sexual relationships. Psychopathology within this group of disorders may lead to criminal behaviour, ranging from infringement of decency to some of the most heinous crimes known. In a lifetime of practice no professional in any sphere of law or medicine will see a full cross-section of these conditions, as some are rare and they do not all present to one professional group. The nomenclature is confusing, with its Greek, Latin, French and Portuguese origins, together with eponymous terms. At least 40 different paraphilias have been named (Money, 1988) but these do not cover the full extent of the field.
Subject(s)
Forensic Psychiatry , Paraphilic Disorders , Humans , Male , Paraphilic Disorders/classification , Paraphilic Disorders/diagnosis , Paraphilic Disorders/etiology , Paraphilic Disorders/psychologyABSTRACT
A considerable level of physical morbidity (71.1% of cases) was found in 76 consecutive admissions to an alcoholism treatment unit. Sixteen patients (21.1%) developed complications during detoxification despite drug treatment. Complications were associated with a reported daily alcohol intake of greater than 35 units. The early detection and management of the physical complications of alcohol misuse remain important functions of alcoholism treatment units.
Subject(s)
Alcohol Drinking/adverse effects , Alcohol Withdrawal Delirium/etiology , Alcoholism/rehabilitation , Substance Abuse Treatment Centers , Adult , Alcoholism/complications , Chlormethiazole/therapeutic use , Erythrocyte Indices , Female , Follow-Up Studies , Humans , Liver Diseases, Alcoholic/etiology , Liver Function Tests , Male , Middle AgedABSTRACT
During the first six months of 1986, 294 consecutive victims of assault were examined to determine the patterns of injury. Forty-three victims were women aged 15-46 years (mean: 25 years). In comparison with the hospital catchment population, the unemployed were over-represented and the greater than 40 age range under-represented. Facial injury, especially bruising, was extremely common, affecting 88% of women and 84% of men. Some 56% of women had sustained a fracture compared to only 26% of men but facial lacerations were uncommon in female victims. Assailants were known to 75% of female victims, but only 25% of men, and females were four times more likely to be assaulted at home. 33% of women reported previous assault in comparison with 44% of men. Oral and maxillofacial staff should understand the likely social implications and be able to organise management of assault victims of which women form an important subgroup. Management may involve social workers and psychiatrists as well as other members of the family.
Subject(s)
Maxillofacial Injuries/epidemiology , Violence , Women , Adolescent , Adult , England , Facial Bones/injuries , Female , Hematoma/epidemiology , Humans , Male , Maxillofacial Injuries/psychology , Middle Aged , Skull Fractures/epidemiology , Socioenvironmental TherapySubject(s)
Spouse Abuse , Aggression , Alcoholism/complications , Child , Child Abuse , Child Development , Educational Status , Employment , Female , Humans , Jealousy , Male , Mental Disorders/complications , Psychopathology , Sexual Behavior , Social Conditions , Substance-Related Disorders/complications , Terminology as Topic , ViolenceSubject(s)
Alcoholism/rehabilitation , Patient Admission , Residential Treatment/trends , Adult , Aged , England , Female , Hospitals, Psychiatric , Humans , Male , Middle AgedSubject(s)
Spouse Abuse , Adult , Child Abuse , England , Female , Humans , Sexual Behavior , Socioeconomic FactorsSubject(s)
Erotica , Periodicals as Topic , Advertising , Age Factors , Humans , Male , Paraphilic Disorders , Publishing/standards , United KingdomSubject(s)
Spouse Abuse , Women's Rights , Female , History, 19th Century , Humans , Legislation as Topic , Social Class , United Kingdom , United StatesSubject(s)
Alcoholism/therapy , Adolescent , Adult , Crime , Employment , Humans , Mental Disorders/complications , Parents , Sexual Behavior , Substance-Related DisordersSubject(s)
Alcoholism , Adult , Alcohol Drinking , Alcoholism/complications , Alcoholism/epidemiology , Child , Female , Forecasting , Humans , Male , Middle Aged , United KingdomABSTRACT
One hundred battered wives were interviewed. All had bruising, often together with other injuries, such as lacerations and fractures, There was a high incidence of violence in the family histories of both partners, and of drunkeness and previous imprisonment among the husbands. Netherless, both husbands and wives had wide range of educational achievements. Mmost wives were subjected to repeated violence because they had no alternative but to return to the marital home; There was an association between wife battering and child abuse. Places of sanctuary are needed where a woman can take her children when violence is out of control.
