{"title":"Ethical issues in criminal forensic evaluation.","authors":"A Nishiyama","doi":"10.1111/j.1440-1819.1994.tb03040.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1994.tb03040.x","url":null,"abstract":"<p><p>Psychiatric practices have been widely intervened by third parties, so that absolute confidentiality cannot be demanded. Forensic psychiatry holds a distinctive position in such practices. Ethics in forensic evaluations rely on the role of the psychiatrist. That role must be provided not only within the relationship with the truster, but also with the evaluee. The latter relationship has seldom been discussed. It is not therapist-patient-relationship, leaving some therapist attitude. A warning (lack of confidentiality, etc.) is necessary before the evaluation. Despite all, psychiatric evaluations cannot be conducted without some reliance. It is important to inform the evaluee of the evaluator's opinion prior to the trial, and involve the evaluee in the process of the evaluator's recognition.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"48 Suppl ","pages":"63-70"},"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.tb03040.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18802376","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":"Proceedings of the 12th annual meeting of the Japanese Society for Psychiatric Diagnosis. Tokyo, Japan, October 24, 1992. Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"937-68"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18907982","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}
M Kurachi, S Yasui, R Shibata, M Murata, H Hagino, Y Tanii, K Kurata
{"title":"Changes in local cerebral glucose utilization and dopamine metabolism in the rat brain following acute administration of haloperidol.","authors":"M Kurachi, S Yasui, R Shibata, M Murata, H Hagino, Y Tanii, K Kurata","doi":"10.1111/j.1440-1819.1993.tb01842.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01842.x","url":null,"abstract":"<p><p>The effects of acute administration of haloperidol on local cerebral glucose utilization (LCGU) in 26 discrete regions of the rat brain were examined by the quantitative autoradiographic [14C] 2-deoxy-D-glucose technique and compared with the changes in dopamine (DA) metabolism in 13 brain regions examined by a high performance liquid chromatographic assay. A moderate dose (0.25 mg/kg) of acute haloperidol significantly reduced LCGU in a few brain regions; a high dose (1.0 mg/kg) reduced LCGU in 11 regions including the prefrontal cortex, thalamus and other subcortical structures, but not in the caudate putamen or accumbens nucleus. However, the levels of DA metabolite in the caudate-putamen, accumbens nucleus, prefrontal cortex, and medial thalamus were strikingly elevated with both doses of haloperidol. Thus, the changes in LCGU did not parallel presynaptic DA metabolism in terms of direction or distribution, and they might represent mainly the activities of postsynaptic sites.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"921-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01842.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19191230","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":"A study of borderline personality disorder from the viewpoint of ego functions.","authors":"Y Koga","doi":"10.1111/j.1440-1819.1993.tb01826.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01826.x","url":null,"abstract":"<p><p>Twenty-eight Borderline Personality Disorder patients (BPD) (by DSM-III-R) were compared with 19 neurotic patients by consulting clinical charts and an interview. The clinical features and ego functions were examined. The results brought this conclusion: (1) Disorders of ego functions of BPD covered a wide range, and were especially noted in object relations. Brief psychotic experiences, depressive experiences, and impulsiveness were the characteristics of the clinical features of BPD. An examination chiefly from the viewpoint of ego functions brought two more conclusions: (2) BPD could be partly included in the schizophrenia spectrum and the affective disorder spectrum, (3) BPD can be divided into two: (a) A Core Group with impulsiveness, (b) A Serious Group with impulsiveness, and brief psychotic experiences and/or depressive experiences.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"783-800"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01826.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192021","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":"Elevated serum LH and androgens in affective disorder related to the menstrual cycle: with reference to polycystic ovary syndrome.","authors":"H Matsunaga, M Sarai","doi":"10.1111/j.1440-1819.1993.tb01830.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01830.x","url":null,"abstract":"<p><p>The hypothalamo-pituitary-gonadal axis was studied in 12 young women with manic-depressive or psychotic symptoms which obviously fluctuated in association with the menstrual cycle, and also in 36 psychiatric patients with other diagnoses. The hormonal features frequently observed among these 12 cases were elevated basal LH (8 of 12 cases), decreased basal FSH (6 of 12), elevated serum testosterone (6 of 12), androstenedione (5 of 12) and/or dehydroepiandrosterone-sulfate (3 of 11). These abnormalities resemble those of polycystic ovary syndrome (PCOS). An ultrasonographical study revealed polycystic changes in 8 out of the 12 cases. In 10 cases clomiphene citrate was administered, and was effective in 8. In comparison with the pathophysiology of PCOS, a possible relationship was suggested between the psychiatric problems and the PCOS-like hormonal abnormalities in these cases.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"825-42"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01830.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192683","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}
Y Akasaki, I Nagatomo, Y Akasaki, M Nomaguchi, Y Akasaki, K Matsumoto
{"title":"Water intoxication in a schizophrenic patient with rhabdomyolysis.","authors":"Y Akasaki, I Nagatomo, Y Akasaki, M Nomaguchi, Y Akasaki, K Matsumoto","doi":"10.1111/j.1440-1819.1993.tb01831.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01831.x","url":null,"abstract":"<p><p>We report a case of water intoxication in a 54-year-old female schizophrenic patient with rhabdomyolysis. She had been admitted to a mental hospital, and treated with spiperone 6 mg daily. On August 3, 1992, the coma following a convulsion occurred. Laboratory data initially showed marked hyponatremia and hypochloremia with decreased serum potassium, and a gradual increase in serum creatine phosphokinase (CPK). The elevation in serum CPK with marked hyponatremia observed in the present patient was probably caused by excessive drinking of water. In this patient, the CPK elevation revealed the rhabdomyolysis.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"843-6"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01831.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192684","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":"Prodromal symptoms of relapse in schizophrenic outpatients: retrospective and prospective study.","authors":"Y Henmi","doi":"10.1111/j.1440-1819.1993.tb01824.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01824.x","url":null,"abstract":"<p><p>Of 61 schizophrenic outpatients in remission, 33 who had relapses within the past 20 months were retrospectively examined for prodromal symptoms of relapse. Four weeks prior to the relapse, 63.6% manifested 4 prodromal symptoms, which were somatic concern, feeling of tiredness, anxiety and depressive mood. Contrarily, with the GAS evaluation, no significant deterioration was recognized until one week before the relapse. Subsequently, a prospective observation of symptoms in 43 patients was conducted for 7 months to determine whether therapeutic intervention at the time of the manifestation of prodromal symptoms could be effective in the prevention of relapses and the improvement of outcome of relapses, and to consider the therapeutic use of this method.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"753-75"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01824.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18910135","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":"Sleep disturbance of end-stage renal disease.","authors":"M Yoshioka, T Ishii, I Fukunishi","doi":"10.1111/j.1440-1819.1993.tb01832.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01832.x","url":null,"abstract":"<p><p>Sleep disturbance of patients with end-stage renal disease was examined in a sample of 127 patients receiving hemodialysis (HD) therapy. The results indicate that sleep disturbance occurs quite often. Especially, there was a high incidence of sleep disturbance with prolonged HD therapy and with advancing age, and that somatic complications due to long-term HD indirectly influence sleep disturbance. On the effect of drug therapy, levodopa produced significant clinical effects on RLS compared to ordinary hypnotics. Carbamazepine equally tended to produce favorable clinical effects on RLS.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"847-51"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01832.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192685","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}
T Miyauchi, H Kishimoto, H Hagimoto, H Fujita, K Tanaka
{"title":"Computerized EEG and brain imaging studies in untreated schizophrenic patients: a report of seven cases.","authors":"T Miyauchi, H Kishimoto, H Hagimoto, H Fujita, K Tanaka","doi":"10.1111/j.1440-1819.1993.tb01835.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01835.x","url":null,"abstract":"<p><p>We undertook routine EEG, Z-map, CT and PET scans in seven acute untreated schizophrenics. Routine EEGs showed slower activity in only one case. However, the Z-map showed slower activity in all the cases. CT demonstrated brain atrophy in three of the cases, and PET revealed hypofrontality in two, right hypoparietality in four, and both conditions in one case. There was no relation between CT and PET or the Z-map. However, a significant increase in alpha 1 activity was demonstrated on the Z-map in cases who were found to be the parietal type on PET; this was not conspicuous in the frontal type on PET. Moreover, in three of the patients, the Z-map findings were similar to the lesion indicated on PET.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"869-80"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01835.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192687","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}
K Satoh, M Narita, T Someya, H Fukuyama, Y Yonekura
{"title":"Functional brain imaging of a catatonic type of schizophrenia: PET and SPECT studies.","authors":"K Satoh, M Narita, T Someya, H Fukuyama, Y Yonekura","doi":"10.1111/j.1440-1819.1993.tb01836.x","DOIUrl":"https://doi.org/10.1111/j.1440-1819.1993.tb01836.x","url":null,"abstract":"<p><p>A brain imaging study was conducted in the case of a catatonic type of schizophrenia (DSM-IIIR) by applying (i) positron emission tomography (PET) and (ii) single photon emission computed tomography (SPECT). A PET study using [18F]-2-fluoro-2-deoxy-D-glucose revealed a lower glucose utilization in the dorsal frontal and parietal lobes of both cerebral hemispheres. Correlative SPECT studies using [123I]-iodoamphetamine showed a diminished regional cerebral blood flow in similar regions of the cerebral hemisphere. A three-dimensional volume rendering method of the SPECT images (TITAN) identified the dorsal region of the fronto-parietal lobe as the most severely affected region. These patterns of deficits implicated the role of the dorsal frontal and parietal lobes in the pathogenesis of catatonic syndromes.</p>","PeriodicalId":77425,"journal":{"name":"The Japanese journal of psychiatry and neurology","volume":"47 4","pages":"881-5"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1819.1993.tb01836.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19192688","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}