Subject(s)
Antisocial Personality Disorder/genetics , Attention Deficit Disorder with Hyperactivity/genetics , Criminal Psychology , Adult , Antisocial Personality Disorder/prevention & control , Attention Deficit Disorder with Hyperactivity/complications , Child , Follow-Up Studies , Humans , Male , Probability , Social Control, FormalABSTRACT
There exists in the literature a group of nonorganic psychoses which appear to have no obvious relationship to either schizophrenia or affective illness. Diagnostic terminology to classify these atypical psychoses has been varied, although features in common can be identified. For example, they often are associated with antecedent personality problems, acute onset, florid and mixed symptomatology, brief duration, and full remission with a return to premorbid level of functioning. Case material reflecting these types of psychoses is presented here, and is discussed with reference to the nosologic status of these atypical psychoses.
Subject(s)
Psychotic Disorders/diagnosis , Adult , Diagnosis, Differential , Female , Humans , Male , Neurocognitive Disorders/diagnosis , Prognosis , Psychiatric Status Rating Scales , Psychotic Disorders/classification , Psychotic Disorders/psychology , Recurrence , Schizophrenia/diagnosis , Schizophrenic PsychologyABSTRACT
For many decades clinicians have recognized the importance of some nonorganic psychoses that have no obvious relationship to either schizophrenia or affective illness. These atypical psychoses are characterized by sudden onset, florid and fluid symptoms, brief duration, remitting outcome, and a pattern of recurrences. They are presumed to be caused by major stress or characterologic defects or both. Systematic investigations into these conditions have been comparatively sparse. This report reviews the literature concerning these remitting atypical psychoses, proposes descriptive criteria for their recognition, and makes suggestions for further research.
Subject(s)
Psychotic Disorders/diagnosis , Affective Disorders, Psychotic/diagnosis , Humans , Longitudinal Studies , Manuals as Topic , Psychotic Disorders/classification , Schizophrenia/diagnosisABSTRACT
In 1978 the Ontario Mental Health Act was revised to contain more specific and objective criteria for involuntary admission to hospital and treatment. The new requirements have elicited critical and pessimistic comments from psychiatrists and other physicians in Ontario. Two recent cases, described in this paper, indicate that the changes in the law have not obstructed good clinical care and treatment and may, in fact, be salutary to the management of patients who are involuntarily admitted to hospital.
Subject(s)
Commitment of Mentally Ill/legislation & jurisprudence , Forensic Psychiatry/legislation & jurisprudence , Adult , Bipolar Disorder/therapy , Female , Humans , Informed Consent/legislation & jurisprudence , Male , Mentally Ill Persons , Middle Aged , Ontario , Physician-Patient RelationsSubject(s)
Antipsychotic Agents/administration & dosage , Psychotic Disorders/drug therapy , Acute Disease , Administration, Oral , Biological Availability , Chlorpromazine/administration & dosage , Clinical Trials as Topic , Dose-Response Relationship, Drug , Double-Blind Method , Haloperidol/administration & dosage , Humans , Injections, Intramuscular , Injections, Intravenous , Intestinal Absorption , Loxapine/administration & dosage , Thiothixene/administration & dosageABSTRACT
Society often considers violent people to be mentally ill, and a significant number of patients exhibit violent behavior. For the assessment of violent individuals, a thorough understanding of the complex biopsychosocial causes of violence is required. This paper critically reviews recent investigations of the multiple causes of violence to clarify those aspects that can be helpful to clinicians in their inquiries.
Subject(s)
Violence , Aggression/psychology , Alcohol Drinking , Attention Deficit Disorder with Hyperactivity , Chromosome Aberrations , Chromosome Disorders , Epilepsy/complications , Family , Genetics, Behavioral , Humans , Learning , Pharmaceutical Preparations , Psychoanalytic Theory , Social Class , Socioeconomic Factors , TelevisionABSTRACT
Bleuler's 1911 monograph on schizophrenia is an attempt to redefine Kraepelin's dementia praecox making use of contemporaneous somatogenic and psychogenic theories of illness, and is best appreciated in its proper historical context. Currently there is confusion about Bleuler's concept of schizophrenia, arising in part from inherent textual difficulties and compounded by inaccurate representations of his account. This conceptual confusion may be reflected in diagnostic uncertainty today, and in the renewed interest in nosology and diagnostic rigor that characterizes much of the literature on schizophrenia at the present time.
