Assuntos
Relações Interpessoais , Transtornos Mentais/terapia , Relações Profissional-Paciente , Teoria Psicanalítica , Terapia Psicanalítica , Meio Social , Contratransferência , Seguimentos , Humanos , Individuação , Transtornos Mentais/psicologia , Unidade Hospitalar de Psiquiatria , Transferência PsicológicaRESUMO
The authors in a one-week period examined inpatients at a large private psychiatric hospital to determine the prevalence of tardive dyskinesia. This population's characteristics are described and defined as different from those studied previously. Five of 90 patients (5.5%) who received neuroleptic drugs were judged to have tardive dyskinesia. The authors review the literature and discuss their findings.
Assuntos
Discinesia Induzida por Medicamentos/epidemiologia , Hospitais com Fins Lucrativos , Hospitais Psiquiátricos , Hospitais , Adulto , Antipsicóticos/efeitos adversos , Estudos Transversais , Discinesia Induzida por Medicamentos/etiologia , Humanos , Pessoa de Meia-IdadeRESUMO
The authors describe philosophical and logistical issues they encountered in opening a new unit in an existing, freestanding psychiatric hospital. The historical background of the hospital is described. Four principles were found essential in ensuring a smooth opening and providing consistent high-quality patient care: 1. Medical staff input on design of the new unit. 2. Careful selection of key personnel by the unit's chief of service. 3. Team meetings to develop unit concepts prior to opening. 4. Using patient feedback and criticism as a guide to change.
Assuntos
Arquitetura Hospitalar , Unidades Hospitalares/organização & administração , Hospitais Psiquiátricos/organização & administração , Transtornos Mentais/reabilitação , Hospitais com 100 a 299 Leitos , Humanos , Texas , Comunidade TerapêuticaRESUMO
The authors present a case of neuroleptic-induced supersensitivity psychosis in a manic-depressive patient. They discuss the clinical differentiation of such a withdrawal psychosis from schizophrenic decompensation.
Assuntos
Transtorno Bipolar/tratamento farmacológico , Flufenazina/efeitos adversos , Psicoses Induzidas por Substâncias/etiologia , Síndrome de Abstinência a Substâncias/etiologia , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Psicoses Induzidas por Substâncias/diagnóstico , Esquizofrenia/diagnóstico , Síndrome de Abstinência a Substâncias/diagnósticoRESUMO
Voicing perception for final stops was studied for impaired- and for normal-hearing listeners when cues in naturally spoken syllables were progressively neutralized. The syllables were ten different utterances of /daep, daek, daet, daeb, daeg, daed/ spoken in random order by a male. The cue modifications consisted progressively of neutralized vowel duration, equalized occlusion duration, burst deletion, murmur deletion, vowel-transition interchange, and transition deletion. The impaired subjects had moderate-to-severe losses and showed at least 70% correct voicing for the unmodified syllables. For the voiced stops, vowel-duration adjustment and murmur deletion each resulted in significant reductions in voicing perception for more than one-third of the impaired listeners; all normals showed good performance following neutralization of these cues. For the voiceless stops, large percentages of both listener groups showed decreased voicing perception due to the burst deletion, though a majority of both groups performed well above change even after the vowel-duration adjustment and the burst deletion. When the vowel off-going transitions were exchanged between cognate syllables in given pairs, the effect on voicing perception exhibited by many impaired- and all normal-hearing listeners implicated the vowel transitions as an important additional source of cues to final-stop voicing perception.
