Canadian Psychiatric Association journal最新文献

{"title":"[The psychosocial adjustment of chronic mental patients form the Centre de Sante Mentale Communautaire].","authors":"L Gascon, M F Thibaudeau, R S Jean","doi":"10.1177/070674377802300203","DOIUrl":"https://doi.org/10.1177/070674377802300203","url":null,"abstract":"In view of the ever increasing number of abstracts being submitted, the Scientific Program Committee requests that the following instructions be strictly adhered to in submitting abstracts for consideration for presentation at the 28th Annual Meeting of the Canadian Psychiatric Association in Halifax, Nova Scotia, October 18, 19 and 20, 1978. i) Five copies are to be mailed to:DR. PETER HAYS, CHAIRMAN, SCIENTIFIC PROGRAM COMMITTEE, CANADIAN PSYCHIATRIC ASSOCIATION, DEPARTMENT OF PSYCHIATRY, UNIVERSITY OF ALBERTA, 1 134 CLINICAL SCIENCES BUILDING, EDMONTON, ALBERTA. T6G2G3 ii) Deadline for submission of abstracts is March 31, 1978. iii) First page of abstract should contain: a) Title b) All authors' names along with the one discipline (e.g. M.D., R.N., M.S.W., etc.) that they would wish listed in the program c) Time required for presentation i.e. 10, 15 or 20 min. (longer presentations are not ruled out but would have to be individually negotiated). d) Requirement for 35 mm. slide projector, if any. Provision of any other audio visual aids will be the responsibility of the speaker. iv) Abstracts should contain 300-600 words. Completed papers which are submitted will not be reviewed. v) As all future correspondence will be carried on with the individual who makes the submission, it would be advisable for the presenting author to submit the abstract. Unless otherwise indicated, it will be presumed that the first listed author will present the paper. It should be noted that it may be necessary to limit the number of presentations by anyone individual. PANELS, SYMPOSIA, DEBATES, FORUMS Any individual or group who has a suggestion for a \"special\" presentation of a current, topical, controversial subject, be it political, economic, academic or scientific, is requested to send as much detail as possible e.g. overall outline, abstracts, speakers, chairman, time required, etc. for assessment by the Scientific Program Committee for possible inclusion in the program. Deadline for submission of these is March 31, 1978. and five copies are required.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"83-9"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849191","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":"Speed in test performance in relation to depressive illness and age. (An appendix).","authors":"T E Weckowicz, R W Nutter, D G Cruise, K A Yonge, M Cairns","doi":"10.1177/070674377802300207","DOIUrl":"https://doi.org/10.1177/070674377802300207","url":null,"abstract":"The results of multivariate statistical tests indicate that depression specifically affects performance on speed tests in counterdistinction to power tests.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"107-9"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11850354","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 rehabilitation of psychiatric patients.","authors":"M Menuck","doi":"10.1177/070674377802300208","DOIUrl":"https://doi.org/10.1177/070674377802300208","url":null,"abstract":"The Costs of Psychiatric Disability It is estimated that in 1968 in the United States, psychiatric illness cost $21 billion, or 3.6 percent of the gross national product (17). This figure includes costs arising from direct treatment, medications public assistance, housing expenses, hospi~ tal building and maintenance, and research. By far the. greatest portion of the cost, however, anses from lost productivity as a consequence of illness. Of the estimated $21 billion, over half is attributed to schizophrenia, which is associated with more lasting disability than any other psychiatric illness. In 1976 the estimated cost had risen to $30 billion (46). Comparable Canadian figures are not available, but recent patterns of chronic psychiatric care in this country closely parallel changes in the United States, with the same rapid decline in hospital populations as chronic patients have been transferred to community-based programs for their continuing treatment (24). It may be assumed that proportional costs for rehabilitation in this country are comparable to those cited for the United States. The commitment to provide active re~abilitat.ion for disabled psychiatric patients, Instead of the benign neglect of bygone years, entails a heavy social cost in addition to the financial one. An editorial in the British MedicaLJournal, entitled \"Burden of Schizophrenia\" (11), points out that it. is the relatives, usually the parents, of discharged patients who bear the burden of their care while rehabilitation is being conducted. A poignant comment by one relative is quoted: \"You can put him in a","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"111-9"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11421847","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":"Home care treatment of acutely ill psychiatric patients. A one year follow-up.","authors":"F A Smith, F R Fenton, C Benoit, E Barzell, L Tessier","doi":"10.1177/070674377802300201","DOIUrl":"https://doi.org/10.1177/070674377802300201","url":null,"abstract":"This paper presents the results of one year of Home Care treatment of 77 acutely ill psychiatric patients. Home Care treatment was successful in 83.1% of 77 patients during the first year. Since only four patients failed during the second six months of treatment, hospitalization was effectively prevented, and not delayed, during the first year of treatment. Finally, a history of previous psychiatric hospitalization is not an accurate predictor of success or failure in the patients receiving Home Care treatment in this study. It appears more likely that the psychosocial supports available to the patient, and the relationship between the patient, his family and the Home Care treatment team, are more important in determining the success or failure of treatment at home.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849189","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":"Obsessionality and schizophrenia.","authors":"W A Birnie, S K Littmann","doi":"10.1177/070674377802300202","DOIUrl":"https://doi.org/10.1177/070674377802300202","url":null,"abstract":"While there is much reference to the relationship between obsessive-compulsive phenomena and the affective disorders (11,15,19,22) less emphasis is given to the co-existence of obsessive-compulsive phenomena and schizophrenia. However, Sullivan (23) has commented extensively on the relationship between obsessional states and schizophrenia, and described that the one condition may shift to the other and back again. Rosen (18) describes the occurrence of obsessive-compulsive symptoms in the prodromal phase or during the course of schizophrenia, and schizophrenic symptoms which supervene in a long-standing obsessional neurosis. Obsessions, as defined by Kolb (11) are ideas, emotions, or impulses that repeatedly and persistently intrude themselves into consciousness even though they are unwanted, and are so tenacious that they cannot be dispelled by conscious effort or influenced by logic or reason. Schneider (21) emphasizes that the person realizes that the instrusive thinking is senseless and illogical and Lewis (13) remarks that the essential element is the subject's wish to resist the impulse, and that the thinking is recognized by the subject as foreign and alien to him and that he has insight into this. Obsessional thinking is the hallmark of obsessional neurosis, which may be accompanied by compulsive behaviour. The anal character type as described by Freud (4),","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849190","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":"Group pharmacotherapy for withdrawn schizophrenic patients.","authors":"S B Payn","doi":"10.1177/070674377802300205","DOIUrl":"https://doi.org/10.1177/070674377802300205","url":null,"abstract":"A method is described in which regressed schizophrenic patients on maintenance doses of neuroleptics receive their prescriptions in a group setting. Guided by the therapist, they learn to experience the give-and-take of interpersonal relationships. The result is a shift from the patients' preoccupation with themselves towards an interest in other people. While only a few patients have improved sufficiently to be able to work, the group experience has helped most participants by leading them towards involvement with other people.","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 2","pages":"97-9"},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11849193","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 diagnosis of personality disorders: a pilot study.","authors":"K F Standage","doi":"10.1177/070674377802300103","DOIUrl":"https://doi.org/10.1177/070674377802300103","url":null,"abstract":"<p><p>A pilot study was carried out to see what levels of agreement on the diagnosis of the different types of personality disorder, described by Schneider, could be obtained by observers with different amounts of clinical experience. Audio-recordings of eight patients were examined by 10 raters, who represented three levels of experience. Two patients had the same diagnosis made by 80 percent of the raters and these cases seemed best described as \"typical\". In all the cases agreement was increased when a second choice diagnosis was permitted. Significantly greater agreement was recorded by clinical clerks than by psychiatrists or psychiatric residents, though this was probably due to their making use of fewer of the types. It seemed probable that some types were less likely than others to be used for a first choice diagnosis. It is recommended that the most typical patients be employed in research in the field of the personality disorders if high diagnostic reliability is required.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840763","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":"Family therapy and schizophrenia.","authors":"E M Waring","doi":"10.1177/070674377802300109","DOIUrl":"https://doi.org/10.1177/070674377802300109","url":null,"abstract":"<p><p>The early concepts of family influences in the development of schizophrenic illness have been reviewed. The empirical research which these concepts generated has failed in large measure to confirm many of these hypotheses, but has demonstrated reliable and valid differences between families of schizophrenics and those of patient and non-patient controls. However, these empirical findings have had little impact to date on family therapy as it is practised, and the failure to confirm theoretical concepts from psychoanalysis, systems, and communication theories has not led to a re-examination of family therapy and its theoretical basis. The author suggests that the empirical research on family influences in schizophrenia and particularly those factors which precipitate and perpetuate schizophrenic symptomatology can be applied to evaluation of schizophrenics and their families, specific family therapy with families of schizophrenics, and particularly suggest that evaluative research on the effectiveness of family therapy in schizophrenia will be necessary for family therapy to become more than a highly fascinating and experimental technique in the total management of schizophrenic patients.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"51-8"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840660","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 defense in Canada.","authors":"J Arboleda-Florez","doi":"10.1177/070674377802300104","DOIUrl":"https://doi.org/10.1177/070674377802300104","url":null,"abstract":"<p><p>The author has reviewed in this paper the difficulties in developing a more generally accepted test of criminal responsibility. Such difficulties are more clearly seen when studying the applicability of the criminal responsibility test in Canadian law, Section 16, which the author describes as a disguised M'Naghten rule. Finally it is agrued that, because of the strictures encountered in the application of M'Naghten, some alternative routes have been developed at the courtroom level, notably Section 215 of the Criminal Code which deals with provocation. Section 215 gives legal footing to emotional conditions, producing an impairment in an accused's ability to form intent.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840765","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":"I. Formulation.","authors":"S Kline,&nbsp;P M Cameron","doi":"10.1177/070674377802300107","DOIUrl":"https://doi.org/10.1177/070674377802300107","url":null,"abstract":"<p><p>The authors describe a systematic approach to the process of formulation. Four interlocking phases are considered. The longitudinal data collection evaluate the patient's developmental journey. The cross-sectional evaluation includes careful consideration of phenomenological and dynamic factors. The integrative evaluation of these factors permits the construction of both a dynamic and a phenomenological diagnosis. Finally, in hypothesizing a tentative prognosis, we attemt to predict the capacity and quality of a person's potential change and readjustment.</p>","PeriodicalId":9551,"journal":{"name":"Canadian Psychiatric Association journal","volume":"23 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/070674377802300107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11840658","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}