Jefferson Journal of Psychiatry最新文献

{"title":"Difficulties Associated with a Clinical Psychiatric Study of a Transient Population","authors":"Stephen A. Zerby","doi":"10.29046/jjp.014.2.006","DOIUrl":"https://doi.org/10.29046/jjp.014.2.006","url":null,"abstract":"One of th e more interesting patients I eva luate d as a first year Child Psychi at ry fellow was a homosexual yout h who made cross -d ressing an d dan cing in the street a ll night with fri ends th e focu s of his life. H e had a diffi culty wit h mood control th at was com plica te d by multiple placem ent failures a nd runaway episodes . The qu estion put to m e was how to effectively intervene in this situation give n th e socia l inst ability. In order to understand th e patient better I had to learn more about his socia l group a nd th e various problems ass ocia te d with it. What I had just hea rd from th e pat ient was a glim pse of life in a little-known \" underg round\" subcultu re th a t was so fas cinat ing a nd worrisome th a t I was tempted to in it ia te a researc h proj ect based upon it. I found a collabora tor to la unch a research proj ect intended to study th e need s of this group of patients a t high-risk of mental health difficulties. In the next few months we em ba rked on a n exe rc ise in a clinica l research project in Psychi a t ry. T he main problems we faced were those of th e d ifficulty in access ing members of a trans ient population as well as legal a nd e thica l hurd les ass ocia te d with wor king with homeless youth. The population to whi ch my patient belonged was hom el ess inner-city \"s ex ual minority\" homosexu al adolescen t mal es a lleged ly livin g in abando ned hou ses under th e un officia l supe rvision of unrelated adults who were de f acto \" parents.\" T his is termed th e \"H ouse\" subculture ( I). The you th in qu esti on were reportedly \" refugees\" fro m th e supe rvision of offic ia l agencies du e to di scri mi nat ion a nd abuse allegedly suffe re d in placements (2). Mor eover, th ey we re a lso su pposed ly a liena ted fro m th eir families du e to rejection as a result of th eir sexual ori entation and practi ces . Therefore th ey were often a lone in a big city, young, a nd at risk for sex ua l a nd fin ancial ex ploi tation. Rep orted pr obl ems in this popula tion include ph ysical illn ess suc h as sexually t ran smitted di sea ses a nd AIDS, menta l health problem s such as depression an d suicide attempts, d ru g abuse (incl ud ing hormo ne abuse ), crimina lity such as forgery a nd cre dit ca rd frau d to suppo rt th emselves, a nd prostitu t ion a long with it s associa ted probl ems (1,3,4). O ne of th e most fas cina ting aspec ts of this gro up was th e subcu lture th at th ey have create d for themselves , cross-d re ss ing in fairl y wellorganized fashi on shows termed \" ba lls\" in whi ch \" house s\" com pe te aga ins t ea ch othe r, a kin to team sports. Repor ted ly memb ers of \" ho uses\" eng age in crimina l ac t ivity to support th e cos t of wardrobe, makeup, a nd th e \"ba ll\" its elf ( I). In re turn for th eir particip ation members of \" houses\" receive shelter, emotiona l suppor t, ca mara de rie, a nd so me sen se of acceptance ( 1,5). Wh at was apparen tly before I S","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130292025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Children and Adolexcents of Distinction - Culturally Diverse Children and Adolescents: Assessment, Diagnosis, and Treatment by Ian A. Canino, M.D. and Jeanne Spurlock, M.D.","authors":"Broomes, R. Lloyda","doi":"10.29046/jjp.013.1.009","DOIUrl":"https://doi.org/10.29046/jjp.013.1.009","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134354749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Steroid-Induced Psychosis Presenting as \"Alice in Wonderland\" Syndrome","authors":"Vinobha Gorriah, Frank W. Favazza, Migdalia Fort-Ramirez","doi":"10.29046/jjp.013.1.006","DOIUrl":"https://doi.org/10.29046/jjp.013.1.006","url":null,"abstract":"A 40 year old overweight male with a history qf bronchial asthma, hypertension, and \"schizophrenia\" was admitted.for int ractable bronchial asthma. H e did not have a historyofdrug or","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114972812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lilliputian Hallucinations and Marijuana Dependence in a Bipolar Patient","authors":"Matthew L. Bush M.S. Iv, Saurabh Gupta","doi":"10.29046/JJP.017.1.007","DOIUrl":"https://doi.org/10.29046/JJP.017.1.007","url":null,"abstract":"In 400 A.D. Sa int Macarius, th e Egypti an , expe rienced and described a bizarre perceptual ph en om en on (2) . Aft er a period of fas t ing, he visua lized \"l itt le strangers\" whi ch he beli eved were \"dae mo ns like flies se tt ling on his mouth (2).\" In 1726, J on athan Swift coine d th e term \"lilliput ia n\" in his sa t ir ica l boo k, Gulliver's Travels. He described th e inhabit ant s of th e land of Lilli pu t by wri ting, \"I fe lt something aliv e movin g on my Leg, whi ch adva ncing ge n t ly forward ove r my Breast, ca me almost up to my C hin; whe n bending m ine Eyes downwa rd s as mu ch as I could , I perceived it to be a human C rea ture not six Inch es high , with a Bow an d Arrow in his Ha nds, a nd a Quiver a t his back (3) .\" In 1909, Leroy ut ilize d th e term \"li lliput ian\" in th e descript ion of a spec ific type of perceptual ab norma lity (4) . Visu al hallucin ation s in which peopl e, a nimals, or objects appear red uced in size a re referred to as lilliputian hallucin ation s. H allucin ation s of th is type have been associa te d with variou s psychi atric cond it ions (4,5, 12, 14,15, 16), se nile dement ia (16), neurologic di sorders (810,17), toxi c met abolic sta tes (6,7), head trau ma ( 13), AIDS ( 13), and ophthalmologic di sorders ( I I). This ph en om en on ca n be pleasu rable (4) or terrifyin g (2) depending on th e con te nt of th e hallucination a nd the contex t in whi ch it is expe rience d.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128251812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden Cardiac Death with Clozapine and Lorazepam Combination","authors":"S. Ramaswamy, S. Boust, P. Sattar, S. Bhatia, F. Petty","doi":"10.29046/jjp.019.1.005","DOIUrl":"https://doi.org/10.29046/jjp.019.1.005","url":null,"abstract":"OBJECTIVE: To report a case of sudden cardiac death in a patient taking a combination of clozapine and lorazepam. CASE SUMMARY: A 31-year-old white man with schizophrenia was found dead at his apartment. His medication regimen included clozapine 500 mg at bed time, lorazepam 0.5 mg three times daily and levothyroxine 75 mcg once a day. Autopsy studies revealed cardiac hypertrophy, pulmonary congestion and edema. DISCUSSION: Clozapine therapy may cause cardiomyopathy and reduction in heart rate variability (HRV) indices. Benzodiazepines can reduce vagal tone and increase sympathetic activity. This combination can have an enhanced potential for sudden cardiac death. CONCLUSIONS: Clozapineinduced cardiomyopathy and arrhythmias from clozapine and/or lorazepam use may have contributed to this man's death.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128585827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[In Response to \"The neuroleptic treatment of schizophrenia: dosing strategies, depot preparations and novel medications\" by Alexander S. Young, M.D. (volume 13, 18-26)]","authors":"J. Longhurst, J. Cassar","doi":"10.29046/jjp.014.1.008","DOIUrl":"https://doi.org/10.29046/jjp.014.1.008","url":null,"abstract":"","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124592207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Saint Simeon the Stylite: a psychiatric examination of the life of a fifth century monk.","authors":"I. Leroi, J. Meagher","doi":"10.29046/JJP.014.2.003","DOIUrl":"https://doi.org/10.29046/JJP.014.2.003","url":null,"abstract":"Religion is now thefocus ofmore attention in psychiatry. This paper examines the lift ofthe fifth century monk, S imeon the Stylite, from a contemporary psychiatric perspective. S uch a retrospective examination presents dijficulties with regard to the diagnosis ofpossible psychotic phenomena. A f urther problem is trying to distinguish between a religious and a psychiatric interpretation qfparticular experiences. The authors outline the lift ofSimeon and some contemporary opinions. Theyagree with Kroll and deGanck that great caution is needed in the psychiatric interpretation and examination of an historical or religious lift . This paper details some qfthese dijficulties to help determine whether an understanding derivedfrom modern psychiatry is relevant to a different era.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122437222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and Poverty I. Psychosocial and Cultural Determinants","authors":"M. D. M. D. C. Ohuoha","doi":"10.29046/JJP.009.1.002","DOIUrl":"https://doi.org/10.29046/JJP.009.1.002","url":null,"abstract":"The WorldHealth Organization estimatesthat over 100 millionpeople worldwidesuJferfrom depression, that three times as many may be aJfected (1). While major advances have occurred in our understanding qf the biological aspects of depression, the understanding qfpsychosocial causes of depression is still largely sketchy. Thus adequate intervention in dealing with this aspect of treatment qfdepression is scarce. This paper, divided into two parts, will review recent findings in psychosocial causes qf depression and suggest certain strategies.for intervention, speculate on the roles qfpoverty and the issues raisedby povertyon the rates ofdepression and suggest certain strategies.for intervention in the treatment ofdepression amongst thepoor.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124141668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Neuroleptic Treatment of Schizophrenia: Dosing Strategies, Depot Preparations and Novel Medications","authors":"Young, S. Alexander","doi":"10.29046/JJP.013.1.003","DOIUrl":"https://doi.org/10.29046/JJP.013.1.003","url":null,"abstract":"Sign ificant progress has been made over the past decade in the use qfant ipsychotic medication. An improved understa nding ofneuroleptic side effects has led to the development qf new clinical strategiesfor dosing tradit ional medications. T raditi onal medicat ions have become widely used in depot preparations. Risperidone, a new medication with an improved side dfect profile, has recentl y become avai lable. Clozapine, a novel medication , has entered widespread use. Th e use of these new clinica l technologies is briefly discussed, along with the implications they hate for the role ofthe psychiat rist in community mental health setti ngs.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128177523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Webs we Weave: A Patient with Depression","authors":"M. Venezia","doi":"10.29046/jjp.003.2.008","DOIUrl":"https://doi.org/10.29046/jjp.003.2.008","url":null,"abstract":"Looking back over C.'s records, I was struck by a phrase I had used to describe her, \"She really seems at a loss as to what she should do with herself. \" A more accurate appraisal might have reflected my own uncertainty as to how I could help C. Hospitalized eight times in eight years after serious suicide attempts, she had been treated with neuroleptics, antidepressants, psychotherapy, and been involved with a day program. Once again she was in the hospital , severely depressed following a suicide attempt. There was little the psychiatric establishment had not tried . So I taught her to knit.","PeriodicalId":142486,"journal":{"name":"Jefferson Journal of Psychiatry","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114407231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}