Journal of Nervous and Mental Disease最新文献_第8页

The Kvetch: Assessment, Pathogenesis, and Treatment of Patients Who Are Clinically Impaired by Chronic Complaining. Kvetch：慢性抱怨临床损害患者的评估、发病机制和治疗。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-26 DOI: 10.1097/NMD.0000000000001717

Joel Yager, Jerald Kay

{"title":"The Kvetch: Assessment, Pathogenesis, and Treatment of Patients Who Are Clinically Impaired by Chronic Complaining.","authors":"Joel Yager, Jerald Kay","doi":"10.1097/NMD.0000000000001717","DOIUrl":"10.1097/NMD.0000000000001717","url":null,"abstract":"Abstract: Clinicians often encounter patients whose presentations are characterized by long lists of complaints about their biological, psychological, interpersonal, and social conditions. The problems on which the complaints are based are variably reality-based and variably modifiable. Some of these patients display chronic complaining as a core, distinguishing feature. Accordingly, the aims of this article are to consider excesses of chronic complaining as psychiatric phenomena, explore possible pathogenetic contributions, describe approaches for treating conditions marked by clinically pertinent chronic complaining, and suggest areas for future research. Based on clinical observations enhanced by selective narrative literature review, we delineate and differentiate four groups of patients: 1) situational complainers; 2) chronic complainers due to unidentified medical problems; 3) mood-induced chronic complainers; and 4) personality-driven pan-dimensional chronic complainers. The last-mentioned group consists of help-seeking versus help-rejecting subtypes, the latter including a subset we designate as malignant chronic complainers. Strategies for managing these patients begin with detailed assessment of all complaints, ascertaining reality-based contributions to the complaints, including those initiated by patients themselves. Management approaches use specific biopsychosocial techniques based on patient-centered particulars. Psychotherapeutic strategies center on compassionate, empathic witnessing. Specific tactics include attending to unresolved grief and trauma, behavioral activation, cognitive and narrative restructuring and reframing methods, mentalizing and imaginal approaches, and psychodynamic methods including attention to attachment issues and transference. Sources of countertransference reactions to these patients should be identified and can be addressed. The many questions raised by these patients' presentations merit further research.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"4-11"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond One's Attitude Toward the Self: The Role of Social Anxiety in Self-Stigma Among Individuals With Schizophrenia. 超越对自我的态度：社交焦虑在精神分裂症患者自我羞辱中的作用。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-10-06 DOI: 10.1097/NMD.0000000000001724

Adi Lavi-Rotenberg, Noa Frishman, Libby Igra, Eva Gilboa-Schechtman, Ilanit Hasson-Ohayon

{"title":"Beyond One's Attitude Toward the Self: The Role of Social Anxiety in Self-Stigma Among Individuals With Schizophrenia.","authors":"Adi Lavi-Rotenberg, Noa Frishman, Libby Igra, Eva Gilboa-Schechtman, Ilanit Hasson-Ohayon","doi":"10.1097/NMD.0000000000001724","DOIUrl":"10.1097/NMD.0000000000001724","url":null,"abstract":"Abstract: Self-stigma is associated with a variety of negative self-perceptions among people coping with schizophrenia, as well as with different aspects of social behaviors. We explored the associations between self-compassion, self-esteem, social anxiety, and self-stigma among people coping with schizophrenia. The baseline data of 56 adults with schizophrenia who were enrolled in a Metacognitive Reflection and Insight Therapy trial were used. Participants filled out self-report questionnaires measuring self-compassion, self-esteem, social anxiety, and self-stigma. Self-esteem and self-compassion were negatively correlated with self-stigma and social anxiety. Self-compassion was not found to contribute beyond self-esteem to the prediction of self-stigma. Importantly, self-esteem and social anxiety were found to mediate the effects of self-compassion on self-stigma. Thus, it seems that social variables, in addition to self-variables, may lead to the formation of self-stigma among people with schizophrenia. Therefore, alongside addressing self-esteem and self-compassion, integrating therapeutic elements related to coping with social anxiety into interventions would seem to be an important factor in reducing self-stigma among people with serious mental illness.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"28-32"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41236097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"The Demons Made Me Do It": When Delusions of Possession Lead to Attempted Inpatient Suicide. "恶魔逼我这么做"：当占有妄想症导致住院病人自杀未遂时。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001720

Jacob R Weiss, Monica Sharobeam, Justin Faden

引用次数: 0

Proximal and Distal Factors Distinguishing Between Individuals With Suicidal Ideation Only and Suicide Attempters. 区分仅有自杀念头的个人和自杀未遂者的近端和远端因素。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-23 DOI: 10.1097/NMD.0000000000001718

Jana Serebriakova, Georg Kemmler, Eberhard A Deisenhammer

引用次数: 0

Terminal Lucidity in a Pediatric Oncology Clinic. 儿科肿瘤诊所的晚期清醒。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-13 DOI: 10.1097/NMD.0000000000001711

Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott

{"title":"Terminal Lucidity in a Pediatric Oncology Clinic.","authors":"Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott","doi":"10.1097/NMD.0000000000001711","DOIUrl":"10.1097/NMD.0000000000001711","url":null,"abstract":"Abstract: The sporadic occurrence of unusually enhanced mental clarity before death has been documented over time and cultures, and reported in patients with and without neurodegenerative diseases, psychiatric disorders, and other neurocognitive deficits, as well as those with nonterminal and terminal conditions. Using a purposive sampling method via existing professional networks, clinical presentations of terminal lucidity in pediatric populations, as witnessed by pediatric oncologists and medical personnel, were solicited. We document clinical presentations suggestive of terminal lucidity in children, which were compiled by their attending physician at two large tertiary pediatric hospitals. Unanticipated and unexplained changes in mental clarity, verbal communication, and/or physical capability in the days and hours before the death of the pediatric patients were observed. Each patient's medical condition should not have allowed for such changes. The phenomenon known as terminal lucidity provides a conceptual framework for these deviations, although more systematic documentation and clinical research is required before definitive conclusions can be drawn.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"57-60"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

John Andrew Talbott Memorial Statement. 约翰-安德鲁-塔尔博特纪念声明。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001765

引用次数: 0

Videos for Psychiatric Education: Could Deidentification Technology Make it Possible to Use Video Recordings of Patients for Psychiatric Education? 用于精神科教育的视频：去身份化技术能否使病人的视频录像用于精神科教育？

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001742

Barbara Schildkrout

引用次数: 0

Correlates of Past Childhood Homelessness in a Nationally Representative Sample of US Adults. 在美国成年人的全国代表性样本中，过去儿童无家可归的相关性。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI: 10.1097/NMD.0000000000001730

Tanner J Bommersbach, Taeho Greg Rhee, Bin Zhou, Robert Rosenheck

{"title":"Correlates of Past Childhood Homelessness in a Nationally Representative Sample of US Adults.","authors":"Tanner J Bommersbach, Taeho Greg Rhee, Bin Zhou, Robert Rosenheck","doi":"10.1097/NMD.0000000000001730","DOIUrl":"10.1097/NMD.0000000000001730","url":null,"abstract":"Abstract: Limited empirical data have been available on the adult sequelae of childhood homelessness. Using nationally representative data from the National Epidemiologic Survey of Alcohol and Related Conditions-III, we compared a hierarchy of adults who were never homeless, those who were only homeless as children, and those who were homeless both as children and adults, hypothesizing greater adversity as one moved up the three-level hierarchy on sociodemographic, behavioral, and lifetime mental health diagnostic characteristics. As a further evaluation of the status of adults who were homeless as both children and adults, we compared this highest risk group to those who had been homeless only as adults. Individuals who experienced childhood homelessness were 46.9 times more likely than others to also experience adult homelessness. Testing the hierarchical hypothesis, compared with those who were never homeless, individuals who experienced homelessness only as children reported numerous associated disadvantages, including childhood sexual abuse/neglect, parental adversities, adult incarceration, psychiatric disorders, and low academic achievement/employment. Those reporting both child and adult homelessness, in contrast to childhood homelessness alone, additionally met the criteria for multiple substance use disorders, confirming our hierarchical hypothesis. Those reporting both child and adult homelessness also showed more numerous social and psychiatric problems when compared with those experiencing homelessness for the first time as adults. This study demonstrates how homelessness in childhood is associated with extensive social and psychiatric adversities in both childhood and adulthood.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"43-51"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symptoms and Main Differences Between a Psychopath and a Sociopath. 精神变态者和反社会者的症状和主要区别。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001728

Liana Spytska

{"title":"Symptoms and Main Differences Between a Psychopath and a Sociopath.","authors":"Liana Spytska","doi":"10.1097/NMD.0000000000001728","DOIUrl":"10.1097/NMD.0000000000001728","url":null,"abstract":"Abstract: The research relevance is predefined by the fact that, in modern psychology and psychiatry, the concepts of psychopathy and sociopathy are combined and interchanged. These are two concepts that describe different etiologies of the same mental health condition. The research aims to describe in detail the main manifestations and characteristics of personality disorders (psychopathy and sociopathy) in psychiatry and psychology. The research analyzes the main features and manifestations of sociopathy and psychopathy. It examines the work of psychologists, psychiatrists, neurologists, and neurosurgeons in helping sociopaths and psychopaths. The study also explores the challenges of treating antisocial personality disorders and identifies internal and external factors that influence the development of these conditions. In addition, the article emphasizes the behavioral differences between sociopaths and psychopaths, proposes various methods for integrated therapy, diagnoses the main aspects of these disorders, and highlights the importance of psychiatric care and psychotherapeutic interventions. The research is of theoretical and practical value for psychologists, psychoanalysts, and physicians who can help people with these pathologies of personal development.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"52-56"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which Symptoms Bridge Symptoms of Depression and Symptoms of Eating Disorders?: A Network Analysis. 哪些症状是抑郁症症状和进食障碍症状的桥梁？网络分析

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001715

Marieke Meier, Berta J Summers, Ulrike Buhlmann

{"title":"Which Symptoms Bridge Symptoms of Depression and Symptoms of Eating Disorders?: A Network Analysis.","authors":"Marieke Meier, Berta J Summers, Ulrike Buhlmann","doi":"10.1097/NMD.0000000000001715","DOIUrl":"10.1097/NMD.0000000000001715","url":null,"abstract":"Abstract: Depression is a common comorbid mental illness in eating disorders (EDs). Network theory focuses on interactions between symptoms, but findings from network analyses of EDs and depression need to be replicated to make reliable claims about the nature of symptomatic interplay. We used cross-sectional data of 366 online-recruited participants with clinically elevated ED symptomatology and constructed a regularized partial correlation network with ED and depression symptoms. To determine each symptom's influence, we calculated expected influence (EI) and bridge EI to identify symptoms that bridged symptoms of depression and ED. Concerns that others see one eat, fear of weight gain, and fear of loss of control over eating were especially important among the ED symptoms. Loss of interest and feeling sad were the key depression symptoms. Eating in secret and low self-esteem emerged as potential bridge symptoms between clusters. These findings regarding bridge symptoms partially overlap with prior network analyses in nonclinical and clinical samples. Future studies that investigate symptom interplay via a longitudinal design to deduce causality are needed.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"61-67"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0