[School-refusal and social-withdrawal in the clinical setting at a psychiatric medical institution].

Fifty two outpatients, who showed signs of school-refusal-withdrawal at the Shiga Prefectural Psychiatric Institution have been analyzed according to their age, gender, ICD-10 diagnosis, medical evolution, and total number of consultations. A total of 61.5% of the population were male, and they showed a higher average and a wider range of age than female patients. According to the ICD-10 diagnosis, 67.3% were in the group of F40-48 neurotic, stress-related and somatoform disorders, and 11.5% were in the group of F30-39 mood [affective] disorders. Twenty five % of the patients were assumed to have show medical improvement, and 42.3% of the patients continued to have further consultations. This article discusses the possible role of psychiatric medical institutions in supporting cases of school-refusal and social-withdrawal.

[Disulfiram-induced delirium: a case report].

There are occasional reports from Europe and North America of disulfiram-linked psychosis. But there are rare reports from Japan, because disulfiram and cyanamide are used as antidipsotropic agent in clinical practice and the former is not administered so frequently as the latter in Japan. The authors described delirium in a patient who was a 50-year-old male alcoholic. He gradually showed memory impairment, disorientation, impaired judgment and delusion. One month prior to his delirium, disulfiram 200 mg/day was administered. The clinical symptoms of delirium and slowing of the EEG in the diffuse region resolved 20 days after discontinuation of disulfiram.