RESUMEN
While every patient who talks about suicide should be taken seriously, some patients are more likely than others to commit suicide. The author discusses the personal, social, medical, and psychiatric factors associated with high suicide risk and suggests strategies for intervention+.
Asunto(s)
Suicidio/psicología , Adulto , Internamiento Obligatorio del Enfermo Mental , Trastorno Depresivo/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Primaria de Salud , Carencia Psicosocial , Factores de Riesgo , Suicidio/estadística & datos numéricosRESUMEN
The author discusses the DSM-III-R diagnostic criteria of narcissistic personality disorder in the context of Kernberg's and Kohut's observations and theorizing. He also describes other clinical manifestations of this disorder often mentioned in the literature but not included in DSM-III-R, and attempts to integrate these features into a comprehensive clinical description that distinguishes (1) features that are invariably present either emanating from the grandiose self or defensively protecting or covering up the grandiose self, and (2) features that become manifest episodically in the setting of narcissistic involvements with other people.
Asunto(s)
Narcisismo , Trastornos de la Personalidad/psicología , Humanos , Trastornos de la Personalidad/diagnósticoRESUMEN
Psychiatric iatrogenic disorders may be induced by drug therapy or by untoward developments in the patient-physician relationship. Physicians who are familiar with the adverse effects of prescribed medications may be able to prevent such drug-related iatrogenic disorders as tardive dyskinesia, the neuroleptic malignant syndrome, sudden death and drug dependence. Awareness of problems that may arise in the physician-patient relationship may prevent such outcomes as suicide, anxiety, hypochondriasis, invalidism and psychotic symptoms.
Asunto(s)
Enfermedad Iatrogénica , Trastornos Mentales/etiología , Antiarrítmicos/efectos adversos , Ansiedad/psicología , Muerte Súbita/etiología , Discinesia Inducida por Medicamentos/etiología , Humanos , Síndrome Neuroléptico Maligno/etiología , Relaciones Médico-Paciente , Trastornos Psicóticos/psicología , Psicotrópicos/efectos adversos , Trastornos Relacionados con Sustancias/etiología , Suicidio/psicologíaRESUMEN
Heterocyclic antidepressants have been used successfully in the treatment of migraine, enuresis and encopresis, peptic ulcer disease, irritable bowel syndrome, chronic pain, narcolepsy, sleep apnea and attention deficit disorder. The mechanism of their therapeutic effects in these conditions is still unclear. Serotonergic, noradrenergic, anticholinergic and antihistaminic properties and rapid-eye-movement sleep suppression have been implicated.
Asunto(s)
Antidepresivos/uso terapéutico , Antidepresivos Tricíclicos/uso terapéutico , Trastorno por Déficit de Atención con Hiperactividad/tratamiento farmacológico , Enfermedades Funcionales del Colon/tratamiento farmacológico , Encopresis/tratamiento farmacológico , Enuresis/tratamiento farmacológico , Humanos , Trastornos Migrañosos/tratamiento farmacológico , Narcolepsia/tratamiento farmacológico , Dolor/tratamiento farmacológico , Úlcera Péptica/tratamiento farmacológico , Síndromes de la Apnea del Sueño/tratamiento farmacológicoAsunto(s)
Trastornos Mentales/terapia , Readmisión del Paciente , Servicio de Psiquiatría en Hospital/estadística & datos numéricos , Adulto , Cuidados Posteriores , Chicago , Enfermedad Crónica , Terapia Combinada , Hospitales con 300 a 499 Camas , Humanos , Trastornos del Humor/terapia , Esquizofrenia/terapia , Factores SocioeconómicosRESUMEN
In an earlier study medical students were found to view psychiatry with considerable anxiety partly because of an underlying fear of contact with psychiatrists and mentally ill patients. After supervising medical students for several years, the present authors found that the students' reactions to psychiatric patients may include, besides fear, a variety of behaviors which seem to reflect a process of identification with the patient. In this paper they describe various patterns of this process and their effects upon student-patient interaction.
Asunto(s)
Educación de Pregrado en Medicina , Identificación Psicológica , Trastornos Mentales/psicología , Psiquiatría/educación , HumanosAsunto(s)
Psiquiatría Forense , Trastornos Mentales/diagnóstico , Adolescente , Adulto , Humanos , Illinois , Masculino , Trastornos Mentales/epidemiologíaAsunto(s)
Psicología del Esquizofrénico , Concienciación , Comunicación , Emociones , Alucinaciones , Humanos , Lenguaje del EsquizofrénicoRESUMEN
Sadism has been for a long time, among psychoanalytic and other writers, the subject of extensive theorizing and controversy. This paper takes a fresh look at the many dimensions (sexual, characterological, neurotic, psychotic, neurological) of this old aberrations.