RESUMO
Although the definition of a mental disorder has remained essentially the same from Diagnostic and Statistical Manual of Mental Disorder, Third Edition, Revised (DSM-III-R) through DSM-IV to DSM-IV-TR, the account of the paraphilias has changed continually. Although the definition in all the DSMs explicitly rules out deviant sexual behavior as sufficient for labeling someone as having a mental disorder, deviant sexual behavior counts as sufficient for all the paraphilias in DSM-III-R. In DSM-IV, the account of all the paraphilias is made consistent with the definition. In DSM-IV-TR, mere deviant sexual behavior is not sufficient for being classified as having a paraphilia, but immoral deviant sexual behavior is. Thus, in DSM-IV-TR, only those paraphilias that involve immoral deviant sexual behavior are inconsistent with the definition, but deviant sexual behavior by itself does not count as a mental disorder.
Assuntos
Transtornos Mentais/psicologia , Princípios Morais , Filosofia Médica , Manual Diagnóstico e Estatístico de Transtornos Mentais , Identidade de Gênero , Humanos , Transtornos Mentais/classificação , Transtornos Mentais/diagnóstico , Transtornos Parafílicos/diagnóstico , Transtornos Parafílicos/psicologia , Escalas de Graduação Psiquiátrica , Comportamento SexualAssuntos
Diretivas Antecipadas , Tomada de Decisões , Eutanásia Passiva , Testamentos Quanto à Vida , Direito a Morrer , Idoso , Encefalopatias , Lesões Encefálicas , Doença Crônica , Estudos de Avaliação como Assunto , Humanos , Jurisprudência , Cuidados para Prolongar a Vida , Prontuários Médicos , Competência Mental , Apoio Nutricional , Estado Vegetativo Persistente , Papel do Médico , Qualidade de Vida , Doente Terminal , Consentimento do Representante Legal , Recusa do Paciente ao Tratamento , Suspensão de TratamentoAssuntos
Humanos , Comissão de Ética , Consultoria Ética , Morte Encefálica , Neonatologia/ética , Relatos de Casos , Ética Médica , Estados UnidosRESUMO
In order to characterize the onset and evolution of early cognitive changes that accompany bilateral electroconvulsive therapy (ECT), the performance of 13 ECT-treated and 16 psychiatric control patients on a battery of neuropsychological tests administered daily was compared. These tests included: Digit Symbol, spokes, letter cancellation, and short-term memory tests. While both groups improved on all tests, performance of ECT patients vs. controls on letter cancellation tests diverged significantly (p < 0.005) after three ECTs. The authors speculate that this finding reflects an alteration in attentional processes caused by bilateral ECT.
