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Postconcussional disorder and loss of consciousness. 脑震荡后精神错乱，失去意识。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
S D Anderson
{"title":"Postconcussional disorder and loss of consciousness.","authors":"S D Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postconcussional disorder (PCD) has been described in the psychiatric, neurological, neuropsychological, and rehabilitation medicine literature for many years. PCD has recently been introduced into DSM-IV, appearing in an appendix that contains a number of proposals for new categories and axes that were suggested for possible inclusion in DSM-IV. There are some major difficulties with the proposed criteria for PCD. This article explores some of these difficulties, particularly focusing on the criteria of loss of consciousness (LOC). A review of the literature demonstrates that LOC is not necessary for PCD to occur. The major difficulty with the DSM-IV criteria is the definition of concussion. The article suggests that, instead, the criteria for mild traumatic brain injury, as defined by the American Congress of Rehabilitation Medicine, may be more appropriate.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"493-504"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962069","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}
引用次数: 0
Trading forensic and family commitments. 交易法医和家庭承诺。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
A J Kearney, T G Gutheil, M L Commons
{"title":"Trading forensic and family commitments.","authors":"A J Kearney,&nbsp;T G Gutheil,&nbsp;M L Commons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This pilot study explores the balancing of conflicting family and forensic commitments among forensic experts. Drawing upon consumer preference theory and behavioral economics, the authors devised an instrument to elicit choices between upholding family commitments and professional commitments. The instrument was administered to 15 forensic experts, and the data were used to construct trading functions for each individual. These functions were examined to reveal the decision-making process behind balancing conflicting sets of commitments. The study also examined the relationship between the trading functions and each participant's attitude toward the role of the expert witness, as well as some personal characteristics.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"533-46"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19964472","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}
引用次数: 0
Data collected to test hypotheses about psychological trauma. 收集数据以检验关于心理创伤的假设。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
J Goodwin
{"title":"Data collected to test hypotheses about psychological trauma.","authors":"J Goodwin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 3","pages":"422-3"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19853492","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}
引用次数: 0
Guttmacher lecture at the 1994 AAPL meetings. 古特马赫在1994年苹果会议上的演讲。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
J Kroll
{"title":"Guttmacher lecture at the 1994 AAPL meetings.","authors":"J Kroll","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 1","pages":"144-5"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19856897","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}
引用次数: 0
Genetics, antisocial personality, and criminal responsibility. 基因，反社会人格，和刑事责任。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
S H Dinwiddie
{"title":"Genetics, antisocial personality, and criminal responsibility.","authors":"S H Dinwiddie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is now substantial evidence that heritable biological factors play a role in the genesis of repetitive antisocial behavior. The differing conceptual frameworks of behavioral genetics and the law are described, and the implications that current research in behavioral genetics may have for assigning responsibility for unlawful behavior are discussed.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 1","pages":"95-108"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19857621","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}
引用次数: 0
Capacity to consent to voluntary hospitalization: searching for a satisfactory Zinermon screen. 同意自愿住院的能力:寻找满意的津纳蒙屏幕。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
N G Poythress, M Cascardi, L Ritterband
{"title":"Capacity to consent to voluntary hospitalization: searching for a satisfactory Zinermon screen.","authors":"N G Poythress,&nbsp;M Cascardi,&nbsp;L Ritterband","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Half a decade ago, the Zinermon court announced the need for clinicians to evaluate the competence of people with mental illness to consent to voluntary hospital admission, but the court did not specify the test of capacity that mental health professionals should use. As has occurred in other areas dealing with legal competence, there is a need for the field to develop standardized assessment procedures for evaluating capacity to consent to voluntary hospitalization. Both theoretical and practical considerations suggest that these procedures should be modeled after what S. K. Hoge has termed a \"weak\" model of consent. This and other studies of the ability of mentally ill persons to understand disclosed information suggest that their level of understanding may be assessed optimally with measures that utilize recognition rather than recall response elicitation formats.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"439-52"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962066","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}
引用次数: 0
Tales of the crypt for psychiatrists: mourning, melancholia, and mortuary malpractice. 精神科医生地窖的故事:哀悼、忧郁和太平间的渎职。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
S Eth, G B Leong, T R Garrick
{"title":"Tales of the crypt for psychiatrists: mourning, melancholia, and mortuary malpractice.","authors":"S Eth,&nbsp;G B Leong,&nbsp;T R Garrick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Death awaits all, leaving in its wake relatives and friends affected by the loss of a loved one. Immediately following death, the funeral process begins, resulting in permanent burial in a cemetery. This report investigates the dysfunctional interactions between grief-stricken relatives and mortuaries that are associated with civil litigation for negligence. Psychiatric evaluations of 25 bereaved plaintiffs from nine separate lawsuits were performed. In addition, medical records and legal pleadings were reviewed as sources of additional information. General themes from the clinical material are identified and illustrated by two cases. Surviving relatives are in an acute state of emotional turmoil, rendering them exquisitely sensitive to lapses in expected routine and perceived disrespect toward the decreased. These issues are intensified when the circumstances of the death were traumatic, when the relationship with the deceased was ambivalent, when specific cultural and religious factors are present, and when the influence of litigation is felt. If the burial process is disrupted, civil suits for negligence may be filed that exacerbate grief and challenge the psychiatrist's efforts to resolve diagnostic ambiguity in the face of emotionally charged cultural and religious practices.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"483-92"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962068","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}
引用次数: 0
A comparison of treatment of paraphilias with three serotonin reuptake inhibitors: a retrospective study. 三种血清素再摄取抑制剂治疗性偏离的比较:一项回顾性研究。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
D M Greenberg, J M Bradford, S Curry, A O'Rourke
{"title":"A comparison of treatment of paraphilias with three serotonin reuptake inhibitors: a retrospective study.","authors":"D M Greenberg,&nbsp;J M Bradford,&nbsp;S Curry,&nbsp;A O'Rourke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Treatment of the paraphilic disorders using behavioral, cognitive, pharmacological, and social interventions has been shown to have limited success with poorly motivated or noncompliant patients. Researchers have speculated on the role of the serotonergic system in the paraphilic disorders. Recent anecdotal studies have reported successful results with the selective serotonin reuptake inhibitors (SSRIs) in the treatment of the paraphilic disorders. This retrospective study evaluates and compares the effectiveness of three SSRIs in a group of paraphilics (N = 58). The individual effectiveness of fluvoxamine, fluoxetine, and sertraline were examined and compared. Results found that the severity of fantasies decreased and that there were no significant differences in the reported efficacy between fluvoxamine, fluoxetine, and sertraline. Although double blind placebo crossover studies are still needed to assess the efficacy of these agents, this study further supports the growing body of literature on the potential use of these drugs in the treatment of the paraphilias.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"525-32"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19963922","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}
引用次数: 0
Posttraumatic stress disorder, pulp fiction, and the press. 创伤后应激障碍，低俗小说，还有媒体。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
F Nesbit
{"title":"Posttraumatic stress disorder, pulp fiction, and the press.","authors":"F Nesbit","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 4","pages":"547"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19964473","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}
引用次数: 0
Use of legal terms in will contests: implications for psychiatrists. 遗嘱争议中法律术语的使用:对精神科医生的启示。
The Bulletin of the American Academy of Psychiatry and the Law Pub Date : 1996-01-01
D J Sprehe, A L Kerr
{"title":"Use of legal terms in will contests: implications for psychiatrists.","authors":"D J Sprehe,&nbsp;A L Kerr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article reviews legal concepts involved in challenges to wills and how wills are influenced by psychiatric testimony. The outcome of litigation in certain landmark cases and in cases from the extensive experience of the first author is discussed. Clarifications of legal terms of art such as \"lucid interval,\" \"testamentary capacity,\" \"undue influence,\" and \"insane delusion\" are offered. Pre-death psychiatric evaluations are becoming increasingly important in an aging population more susceptible to mental impairment.</p>","PeriodicalId":76615,"journal":{"name":"The Bulletin of the American Academy of Psychiatry and the Law","volume":"24 2","pages":"255-65"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19776580","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}
引用次数: 0
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