P M Cameron, S Kline, M Korenblum, A Seltzer, F Small
{"title":"II. A method of reporting formulation.","authors":"P M Cameron, S Kline, M Korenblum, A Seltzer, F Small","doi":"10.1177/070674377802300108","DOIUrl":"https://doi.org/10.1177/070674377802300108","url":null,"abstract":"<p><p>The authors present a method of reporting and evaluating a formulation. The reporting of a formulation includes a summary introduction, biological considerations, psychosocial considerations and hypothesis construction. Three sample formulations are scrutinized and specific critical evaluations offered. The subsequent reformulations are presented.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840659","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":"Treating sex offenders.","authors":"F L Nichols","doi":"10.1177/070674377802300121","DOIUrl":"https://doi.org/10.1177/070674377802300121","url":null,"abstract":"","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"71-2"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840662","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":"Estrogens, dopamine and dyskinesias.","authors":"A Villeneuve, P Langlier, P Bédard","doi":"10.1177/070674377802300119","DOIUrl":"https://doi.org/10.1177/070674377802300119","url":null,"abstract":"Dear Sir: Current theories on the functioning of the extrapyramidal system suggest the existence of a balance between doparninergic and cholinergic influences. Tardive dyskinesia is usually observed after long-term administration of neuroleptics. During treatment of Parkinson's disease with L-DOPA, neurological manifestations similar to tardive dyskinesia can be observed. Agents decreasing dopaminergic activity, such as various antidopaminergic drugs and brain amine-depleting agents like tetrabenazine and reserpine, have been shown to have some beneficial effect on tardive dyskinesia, thus indicating the critical role of dopamine receptors in the pathogenesis of this neurological side effect (1,7,11-14). L-DOPAinduced dyskinesias can also be controlled by the administration of antidopaminergic drugs such as the neuroleptics (5,10).","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"68-70"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11421292","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 use of electroconvulsive therapy.","authors":"M R Eastwood, S Stiasny","doi":"10.1177/070674377802300105","DOIUrl":"https://doi.org/10.1177/070674377802300105","url":null,"abstract":"<p><p>Electroconvulsive therapy is a treatment procedure in psychiatry which has frequently come under considerable critical scrutiny. This paper describes its use mainly in a postgraduate institute of psychiatry and, for comparative purposes, two other types of psychiatric facilities in Toronto. The treatment is given conservatively, varying to hospital, and is prescribed for 11 percent of patients at a postgraduate institute. However, it is used largely for those with depressive disorders as recommended in standard textbooks. Diagnosis and age are the key variables affecting ECT prescription. It is suggested that ECT practice is effective by and large and now efforts should concentrate on making it efficient.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840768","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":"Indian people and community psychiatry in Saskatchewan.","authors":"W B Fritz","doi":"10.1177/070674377802300101","DOIUrl":"https://doi.org/10.1177/070674377802300101","url":null,"abstract":"<p><p>A discrepancy is identified between the increase in inpatient admissions and of outpatient contacts of Treaty Indians in Saskatchewan from 1967 to 1976. This is the reverse of the trend in the non-Treaty Indian population, and represents a contradictory effect to the intention of the Community Psychiatry Program of the province's government. No major diagnostic differences were at statistically significant levels, which might have accounted for the higher inpatient admission rates and the relatively lower outpatient contact rates of Treaty Indians. This is an interesting example of the use of governmental statistics and a promising one for the identification and solution of problems in health care delivery.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840762","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":"Diazepam addiction: a case report.","authors":"P Agrawal","doi":"10.1177/070674377802300106","DOIUrl":"https://doi.org/10.1177/070674377802300106","url":null,"abstract":"<p><p>A case of addiction to Diazepam is reported. Severe withdrawal symptoms such as tremulousness, irritability, increased psychomotor activity, generalized muscle cramps, photophobia, retro-orbital pains and insomnia are described. Visual hallucinations, illusions, and paranoid features are also present in this case. Detoxification and management were accomplished by gradual withdrawal and the addition of another tranquilizer, anticonvulsant and muscle relaxant. The author reviews other such reports of abuse and addiction in the literature which call for wide recognition of the addictive properties of Diazepam and for restrictions on its indiscriminate prescription by physicians.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"35-7"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840656","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":"Frontal lobe lesions.","authors":"P Cakuls, R Finlayson","doi":"10.1177/070674377802300120","DOIUrl":"https://doi.org/10.1177/070674377802300120","url":null,"abstract":"tissues. Science 197: 657-659, 1977. 9. Raymond, V., Beaulieu, M., Labrie, F., Boissier, J. R.: \"Potent antidopaminergic activity of estradiol at the pituitary level on prolactin release.\" (Submitted for publication). 10. Tarsy, D., Parkes, J. D., Marsden, C. D.: Methoclopramide and pimozide in Parkinson's disease and levodopa-induced dyskinesias. J Neurol Neurosurg 38: 331-335, 1975. II. Tarsay, D., Baldessarini, R. J.: The tardive dyskinesia syndrome. In: Clinical Neuropharmacology, Vol. I. Klawans, H. L., Ed. Ch. 2, pp. 29-61, New York: Raven Press, Pub!., 1976. 12. Villeneuve, A., Boszorrnenyi, Z.: Treat-","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840661","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":"Stresses associated with career success for women.","authors":"M D Whitfield","doi":"10.1177/070674377802300102","DOIUrl":"https://doi.org/10.1177/070674377802300102","url":null,"abstract":"<p><p>In recent years, more women have pursued careers in business and the traditionally male professions. Those that have succeeded live with a high degree of environmental stress. Since some of them are now consulting psychiatrists it is important that the psychiatrist be able to differentiate difficulties which have a cultural basis from those stemming from individual psychodynamics. Cultural stresses have been reviewed under three headings: inaccurate stereotypes; inadequate cultural supports; and role overload. It has been suggested that contact with her peer group is extremely important for this type of woman patient. The peer group provides both support and a frame of reference within which individual problems may be understood.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840663","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":"Sodium amytal in the diagnosis of chronic pain.","authors":"R P Shoichet","doi":"10.1177/070674377802300405","DOIUrl":"https://doi.org/10.1177/070674377802300405","url":null,"abstract":"<p><p>The diagnosis of chronic pain cases is now an important problem for psychiatrists and many authors have presented strong evidence for the influence of psychological factors in chronic pain conditions. The author is reporting his experience with 75 consecutive out-patient consultations. Many of the patients were foreign-born and had significant language difficulties. The main diagnostic technique described is the use of sodium amytal given intravenously over a 45 minute-period while the patient is examined physically and psychologically; his responses noted during light, midrange and deeper levels of sodium amytal sedation. Most patients fell comfortably into one of the following diagnostic groups: psychogenic regional pain, organic pain, mixed group (organic plus psychogenic regional pain), and malingering. The author suggests that sodium amytal helps to overcome language barriers, reduces the time required for proper assessment and allows the patient and the examiner to appreciate more precisely, the level of pain and the limits of physical performance as well as permitting an effective exploration of important psychodynamic issues.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 4","pages":"219-28"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11869243","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":"Insanity defence in Canada.","authors":"S N Akhtar","doi":"10.1177/070674377802300421","DOIUrl":"https://doi.org/10.1177/070674377802300421","url":null,"abstract":"Dear Sir: This is in response to Dr. Nichol's appeal for comments or suggestions regarding the difficulties in treating sex offenders within the Canadian Penitentiary Service. It is an accepted therapeutic principle, applying to all branches of Medicine and not only to Psychiatry, that treatment cannot be dissociated from the environment where the disease developed, or the social matrix that contributes to pathogenesis. Psychiatric conditions are, more than any other conditions, usually and closely related to social circumstances. They cannot be treated in a social vacuum. Thus, when it comes to Psychiatry, the therapeutics principle becomes practically a dogma; no psychiatric condition could be treated without a thorough knowledge and possibly the manipulation of contributing social stressors. This cannot be done in a closed system while the system itself feeds the pathology, if not produces it. Treating sexual offenders in a closed environment with the concomital increase of sexual frustrations, the use of homosexuality as a valve to relieve sexual needs, the inmate to inmate manipulation to obtain sexual favours, sometimes via violence, thus increasing the equation sex-violence for individuals who are already prone to violence and the foisting of multiple other regulations against the","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 4","pages":"274-5"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11869252","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}
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