Between self-stigma and the will of recovery... Difficulties in accepting a psychiatric diagnosis - case study. / Pomiedzy self-stygma a wola zdrowienia... Trudnosci z akceptacja diagnozy psychiatrycznej ­ studium przypadku.

The consequence of social exclusion of the mentally ill patients is often a worsening of the course of the disease and prognosis. The psychiatric diagnosis is very important for the so-called labeling, which is one of the stages of the stigma process, and it also has a lot of social implications. The purpose of this work is to take look at the issue of psychiatric diagnosis, especially the diagnosis of paranoid schizophrenia and its consequences for the patient's social functioning. The authors of the article have reviewed the literature on the importance of psychiatric diagnosis in the context of self-stigmatization of mental illness and have presented, based on medical records, a clinical case of a patient who had significant difficulties in accepting the diagnosis of paranoid schizophrenia. The stigma of mental illness is the reason of subjectively experienced suffering for people with psychiatric diagnosis and their relatives, but it is also relevant to public health. Psychiatric diagnosis has significant social consequences, which is why it is so important that the process of diagnosis is not a routine activity for psychiatrists, free from ethical reflection.

[Mental disorders in a female patient with childhood sexual abuse--schizophrenia or complex PTSD]. / Zaburzenia psychiczne u pacjentki wykorzystywanej seksualnie w dziecinstwie--schizofrenia czy objawy zlozonego PTSD (CPTSD).

The paper presents the definition, synonyms of child sexual abuse and a short overview of the current knowledge about long-term effects of that kind of trauma. The case of a female patient with diagnosed schizophrenia and a history of being sexually abused in childhood who was hospitalised at The Department of Psychiatry in Lublin is described. Sexual abuse of the child is prolonged, repeated trauma, thus another probable diagnosis--Complex PTSD is discussed. The diagnosis of PTSD includes the symptoms that result when a person experiences a short-lived trauma. However, chronic trauma like child sexual abuse continue for months or years at a time and a new diagnosis called Complex PTSD describes the symptoms of long-term trauma.

[The psychometric properties of the Proverb-Metaphor Test]. / Wlasnosci psychometryczne Testu Przyslowie-Metafora.

UNLABELLED: Abstract thinking belongs to intellectual abilities of the highest level of the evolutionary development, thanks to which operations such a classification, systematisation and comparison are possible. AIM: An analysis of the psychometric properties of the Proverb-Metaphor Test (TPM) which has been used in the German speaking countries since 2001. The TPM was subject to the process of translation--retranslation--travesty in order to be adapted to clinical conditions in Poland. MATERIAL: 60 patients of the Department of Psychiatry, Medical University of Lublin with diagnosed paranoid schizophrenia (according to ICD-10 criteria). METHODS: PANSS and TPM was carried out amongst 15 patients at the beginning of the hospitalisation (the first stage of the research) and among all persons during the remission of syndromes (the second stage). The WAIS-R (PL) was used in the second stage. RESULTS AND CONCLUSION: 1. The TPM is a reliable instrument, of high criteria propriety. 2. The evaluated test is a relatively homogeneous research tool. 3. The TPM is, thanks to its simple construction and the short carrying out time, a practical method of abstract thinking evaluation. 4. The TPM may be a useful instrument enabling long term prognosis.

[Psychopharmacotherapy of mood disorders during pregnancy and lactation]. / Psychofarmakoterapia zaburzen afektywnych w okresie ciazy i laktacji.

The aim of the second part of our work associated with psychopharmacotherapy during pregnancy and lactation is to present current guidelines of expert-groups concerning the rules of treating affective disorders and actual data about the spreading of these disorders pre- and perinatal effects of drugs used, the classification of antidepressants and mood stabilizers according to FDA and the safety of these medications for the breast fed newborn.

[Psychopharmacotherapy of anxiety, obsessive-compulsive and sleep disorders during pregnancy and lactation]. / Psychofarmakoterapia zaburzen lekowych, obsesyjno-kompulsyjnych oraz snu w okresie ciazy i laktacji.

The aim of the third part of our work, associated with psychopharmacotherapy during pregnancy and lactation is to present guidelines of expert--groups concerning the current rules of treating anxiety, obsessive--compulsive and sleep disorders and actual data about spreading of these disorders, pre- and perinatal effects of drugs used and the classification of them according to FDA and the safety of these medications for the breast fed newborn.

[Psychopharmacotherapy of psychotic disorder during pregnancy and lactation]. / Psychofarmakoterapia zaburzen psychotycznych w okresie ciazy i laktacji.

The aim of our work based on the global literature-review is to present the guidelines of the psychopharmacotherapy during pregnancy and lactation recommended by various experts-groups as followed: 1. American Academy of Pediatrics, American Psychiatric Association, American College of Obstetricians and Gynecologists, The Maudsley Guidelines, Department of Psychiatry, Medical University of Mainz, Institute of Psychiatry and Neurology in Warsaw. In the first part the guidelines concerning to psychopharmacotherapy of psychotic disorders have been presented and actual data about spreading of these illnesses, pre- and perinatal effects of drugs used, the classification of neuroleptic drugs according to FDA and the safety of these medicines for the breast fed newborn.