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The Japanese journal of psychiatry and neurology最新文献

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Long-term follow-up study of 10 adolescent patients with sleep-wake schedule disorders. 10例青少年睡眠-觉醒障碍患者的长期随访研究。
The Japanese journal of psychiatry and neurology Pub Date : 1994-03-01 DOI: 10.1111/j.1440-1819.1994.tb02994.x
K Ando, T Hayakawa, T Ohta, Y Kayukawa, A Ito, T Iwata, T Okada
{"title":"Long-term follow-up study of 10 adolescent patients with sleep-wake schedule disorders.","authors":"K Ando,&nbsp;T Hayakawa,&nbsp;T Ohta,&nbsp;Y Kayukawa,&nbsp;A Ito,&nbsp;T Iwata,&nbsp;T Okada","doi":"10.1111/j.1440-1819.1994.tb02994.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb02994.x","url":null,"abstract":"<p><p>Therapeutic trials for sleep-wake schedule disorders have been described, but a long-term follow-up of adolescents with such disorders have not previously been reported. We investigated 10 adolescents with sleep-wake schedule disorders who had formerly received intensive treatment. The investigation was carried out with detailed questionnaires about current sleep conditions and social state. The follow-ups were obtained from 1.2 to 11.2 years after the initial treatment. Three cases have remitted, and six have improved in illness severity. All patients showed improvement in social adaptation. Improvement in the social adaptation level was greater than improvement in the illness severity level. More cases should be studied to learn what factors influence the prognosis of these disorders.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb02994.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18930259","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: 11
Hemodialysis for lithium intoxication: preliminary guidelines for emergency. 锂中毒的血液透析:急救的初步指南
The Japanese journal of psychiatry and neurology Pub Date : 1994-03-01 DOI: 10.1111/j.1440-1819.1994.tb02990.x
H Kasahara, T Shinozaki, K Nukariya, H Nishimura, H Nakano, T Nakagawa, S Ushijima
{"title":"Hemodialysis for lithium intoxication: preliminary guidelines for emergency.","authors":"H Kasahara,&nbsp;T Shinozaki,&nbsp;K Nukariya,&nbsp;H Nishimura,&nbsp;H Nakano,&nbsp;T Nakagawa,&nbsp;S Ushijima","doi":"10.1111/j.1440-1819.1994.tb02990.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb02990.x","url":null,"abstract":"<p><p>In Japan, 9 cases of severe lithium intoxication have been treated by hemodialysis so far, and the usefulness and indications of this procedure are not yet understood fully. We have recently experienced a case of lithium intoxication treated by hemodialysis. Considering this case together with those reported previously, we have prepared some preliminary guidelines for the application of hemodialysis to patients with lithium intoxication. The blood concentration of lithium, renal function, the severity of consciousness disturbance and clinical symptoms such as somatic complications are, of course, important indices for the application of this therapy. We think that the signs of intoxication and the time interval between the onset and the beginning of treatment also serve as useful indices for application of hemodialysis.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb02990.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18929683","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: 4
An autopsy case of PSP with astrocytic inclusions. 伴星形细胞包涵体的PSP尸检1例。
The Japanese journal of psychiatry and neurology Pub Date : 1994-03-01 DOI: 10.1111/j.1440-1819.1994.tb03001.x
T Inagaki, H Ishino, H Seno, C Yamamori, M Iijima
{"title":"An autopsy case of PSP with astrocytic inclusions.","authors":"T Inagaki,&nbsp;H Ishino,&nbsp;H Seno,&nbsp;C Yamamori,&nbsp;M Iijima","doi":"10.1111/j.1440-1819.1994.tb03001.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03001.x","url":null,"abstract":"<p><p>Argyrophilic glial cytoplasmic inclusions were observed in astrocytes (Astrocytic Inclusions) in a case of progressive supranuclear palsy (PSP). The inclusions were predominantly distributed in the lenticular nucleus and midbrain, but not in the cerebral cortex, white matter nor in the thalamus. When examined by double staining with Gallyas silver and GFAP, they resembled the neurofibrillary tangles (NFT) and were tau positive. The distribution of these inclusions was not related to that of NFT. These inclusions indicate that astrocytes were involved in the same pathological changes as NFT. Argyrophilic inclusions were also observed in oligodendroglias on Gallyas silver staining. They appeared coiled and located mainly in the cerebral and cerebellar white matter.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 1","pages":"85-9"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03001.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18929576","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: 2
Treating the mentally disordered criminal offender in a hospital setting. 在医院里治疗精神失常的罪犯。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03041.x
Y Nakatani
{"title":"Treating the mentally disordered criminal offender in a hospital setting.","authors":"Y Nakatani","doi":"10.1111/j.1440-1819.1994.tb03041.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03041.x","url":null,"abstract":"Abstract: The author outlines the legislation and treatment system for mentally disordered criminal offenders in Japan, and reviews the recent studies on the treatment of refractory patients in mental hospitals. Involuntary admission of patients referred by a public prosecutor or by a head of a correctional institution is problematic regarding the judgment criteria for admission and discharge, and imposes a burden on practitioners. The author outlines the main problems of the treatment of criminal offenders in a hospital setting: reaction to the hospital environment, lack of motivation for treatment, therapists' reluctance to treat these patients, absence of support for rehabilitation and uncertainty about future risk. Suggested measures for the solution of these difficulties include the role of the Psychiatric Review Board, the psychiatric evaluation system, and therapeutic skills pertaining to dangerous patients.","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"71-6"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03041.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18802378","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: 3
Law and ethics in psychiatry. Proceedings of the 8th Tokyo Institute of Psychiatry International Symposium. Tokyo, November 17-18, 1993. 精神病学中的法律与伦理。第八届东京精神病学研究所国际研讨会论文集。1993年11月17日至18日，东京。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01
{"title":"Law and ethics in psychiatry. Proceedings of the 8th Tokyo Institute of Psychiatry International Symposium. Tokyo, November 17-18, 1993.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"1-128"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18798780","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
Personality disorders: conceptual issues and responsibility. 人格障碍:概念问题和责任。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03033.x
H Sass, S Herpertz, I Houben
{"title":"Personality disorders: conceptual issues and responsibility.","authors":"H Sass,&nbsp;S Herpertz,&nbsp;I Houben","doi":"10.1111/j.1440-1819.1994.tb03033.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03033.x","url":null,"abstract":"<p><p>The historical roots of the concepts of abnormal personality, social deviance, delinquency and penal responsibility are described, demonstrating that former concepts of psychopathic personality often included negative social evaluations. Modern classification systems such as DSM-III-R and ICD-10 prefer a behavior-oriented definition of personality disorders, which increases reliability but may lead to a reductionistic and purely criteriological assessment of personality. A checklist for the assessment of personality disorders (AMPS) according to ICD-10 and DSM-III-R is presented, including four subaffective forms derived from the typology of personality disorders described by Kurt Schneider and Kretschmer. To justify statements of diminished legal responsibility or irresponsibility under the German Penal Code, a differentiation between psychopathological phenomena in personality disorders and pure social deviance is needed. The three notions of psychopathy, sociopathy and dissocial behavior are suggested to guide necessary decisions concerning prognosis and therapy chances.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"5-17"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03033.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18802375","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: 3
Ethical problems in psychiatric everyday practice. 精神科日常实践中的伦理问题。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03039.x
H Helmchen
{"title":"Ethical problems in psychiatric everyday practice.","authors":"H Helmchen","doi":"10.1111/j.1440-1819.1994.tb03039.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03039.x","url":null,"abstract":"<p><p>For the ethical evaluation of psychiatric decisions the will of the patient--apart from his welfare, of course--has gained special importance in recent years. It is constitutionally protected in the form of self-determination. Accordingly the physician can only act with the patient's consent. The capacity of the individual to consent may be impaired or suspended because of a mental disease. It is often difficult, however, to recognize this impairment, to assess its extent, to evaluate its current relevance and to draw the correct conclusions. This becomes important when the psychiatrist deals with a patient whose will is in opposition to his welfare. Difficulties for the physician may also result because his therapy, regardless of whether it is somatic therapy or psychotherapy or involves social measures, though aiming to remove the mental disturbance and with the ultimate objective of the patient regaining his lost autonomy in mind, may at times curtail the self-determination of the patient. These difficulties are illustrated by some examples with the objective to maintain our awareness of these issues in our everyday work.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03039.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18802377","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: 2
Reform of "hogosha" system and psychiatric practice in Japan. 日本“学社”制度改革与精神病学实践。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03047.x
H Shiraishi
{"title":"Reform of \"hogosha\" system and psychiatric practice in Japan.","authors":"H Shiraishi","doi":"10.1111/j.1440-1819.1994.tb03047.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03047.x","url":null,"abstract":"<p><p>In this paper, the author examines the current working and drawbacks of the \"hogosha\" system as set out in the Mental Health Law of 1988, and goes on to suggest a plan for reform. Critics point to two main problems with the current system. One is that the hogosha's powers infringe on the patient's human rights. The other is that the system places too heavy a burden on hogoshas in its efforts to protect the community from the patient. The author argues that the hogosha should retain the power to consent for admission for medical care and custody, but other responsibilities should be reduced. The author stresses that local mayors must be prepared to take their responsibilities seriously when they assume the role of the hogosha.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"117-24"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03047.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18798785","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: 3
Ethical issues in psychotherapy. 心理治疗中的伦理问题。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03036.x
M Nishizono
{"title":"Ethical issues in psychotherapy.","authors":"M Nishizono","doi":"10.1111/j.1440-1819.1994.tb03036.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03036.x","url":null,"abstract":"<p><p>The goal of psychotherapy is not only the dissolution of the symptoms, but also to attempt to bring about an improvement in adaptability and deepening the achievement of self-understanding. The nature of psychotherapy is based on the relationship between the therapist and patient. Such a goal and nature mean that some kinds of psychotherapy are beyond the medical model. In this paper ethical issues in psychotherapy are discussed as follows. 1) some complicated matters in informed-consent, 2) the hit or miss techniques of the poorly trained therapist, 3) the protection of privacy, 4) the sexual misconduct of therapists with patients, 5) special consideration for child-adolescent patients.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03036.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18798789","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: 3
Ethical issues in sexual misconduct by clinicians. 临床医生不当性行为的伦理问题。
The Japanese journal of psychiatry and neurology Pub Date : 1994-01-01 DOI: 10.1111/j.1440-1819.1994.tb03037.x
T G Gutheil
{"title":"Ethical issues in sexual misconduct by clinicians.","authors":"T G Gutheil","doi":"10.1111/j.1440-1819.1994.tb03037.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03037.x","url":null,"abstract":"<p><p>Sexual misconduct by clinicians in the form of sexual relations with patients has long been recognized as an ethics violation and an activity suitable for assessment by the ethics committees of institutions and local and national professional organizations. The issue can be examined from the vantage point of several types of duties which bear ethical implications; these ethical duties proceed from the following four notions in this area: Sexual misconduct represents a violation of professional ethics as a fiduciary breach, abuse of a power asymmetry, exploitation of vulnerability and use of undue influence. While objections to these criteria may be raised in terms of freedom of association and consent, the violation of ethical principles by sexual misconduct remains clear.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1994.tb03037.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18798790","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: 2
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