Psychiatric New-Patient Clinic Non-Attenders

1975 ◽  
Vol 127 (2) ◽  
pp. 160-162 ◽  
Author(s):  
R. Whyte
Keyword(s):  
Psychiatric Treatment ◽  
Depressed Type ◽  
Manic Depressive Psychosis ◽  
Self Selection ◽  
Manic Depressive ◽  
The Family ◽  
History Of

SummaryNon-attenders at a psychiatric new-patient clinic were seen and interviewed six weeks after the missed appointment, as were a group of controls who did attend.The non-attenders were more likely to have had frequent changes of occupation or belong to families where this was the case with the family breadwinner; a history of court conviction; and a history of previous psychiatric treatment. They were less likely to have improved since referral to the clinic; and to have a diagnosis of manic depressive psychosis, depressed type.The findings are discussed. There appears to be some self-selection, the most treatable patients keeping their appointments.

Ernst Kretschmer

2018 ◽  
pp. 133-140
Author(s):  
Mario Rossi Monti
Keyword(s):  
History Of Psychiatry ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
Constitutional Type ◽  
Ernst Kretschmer ◽  
History Of ◽  
Point Of Reference

Ernst Kretschmer was an assistant to Professor Robert Gaupp in Tübingen. His contributions to the field of psychopathology can be reduced to two main themes: the first consists in the analysis of a particular form of delusion called “sensitive delusion of reference,” developed in his book Der Sensitive Beziehungswahn (The Sensitive Delusion of Reference) in 1918; the second concerns the construction of a constitutional typology which attempts to identify, on the basis of the temperamental and physical-constitutional characteristics of the subjects, all possible degrees and steps leading to the two major psychoses: manic-depressive psychosis and schizophrenia. While the somatic-based constitutional type now belongs to the history of psychiatry, the attention to the comprehensibility of the paths leading to the area of major psychoses remains an unavoidable point of reference for those who refuse to give up the attempt to introduce the dimension of subjectivity and understanding into the area of psychosis.

Mixed Affective States and the Natural History of Manic-Depressive Psychosis

1979 ◽  
Vol 134 (2) ◽  
pp. 153-160 ◽  
Author(s):  
C. M. H. Nunn
Keyword(s):  
Natural History ◽  
Random Sample ◽  
Alternative Model ◽  
Depressive Illness ◽  
Affective States ◽  
Manic Depressive Illness ◽  
Affective Psychosis ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
History Of

SummarySince neither the unipolar nor the bipolar theories of manic-depressive psychosis explain all its features, an alternative model was tested. The hypotheses are that mixed affective psychoses represent a superimposition on hypomania of a second type of depression which can sometimes develop from the depressive phase of manic-depressive psychosis, and that schizophrenia occurring in the course of a manic-depressive illness is an alternative to mixed affective psychosis.From an examination of the clinical histories of a random sample of people with bipolar manic-depressive psychosis, evidence was found to support both ideas.

The First Lithium Clinic in Hong Kong: A Chinese Profile

1992 ◽  
Vol 26 (3) ◽  
pp. 450-453 ◽  
Author(s):  
Sing Lee
Keyword(s):  
Hong Kong ◽  
Serum Level ◽  
Unipolar Depression ◽  
Chinese Patients ◽  
Laboratory Monitoring ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
High Prevalence ◽  
History Of

A study of 50 Chinese patients referred to the first lithium clinic in Hong Kong revealed a high prevalence of recurrent mania and rarely unipolar depression. A history of delusions and hallucinations, and re-diagnosis from schizophrenia to manic depressive psychosis, were common. Lithium was prescribed after 3.9 episodes of illness, and at a dosage of 1,191 mg despite a moderate serum level of 0.63 mmol/l. Laboratory monitoring was haphazard, and polypharmacy was common. This might pose unnecessary risks to some patients.

Lithium Toxicity and Mefenamic Acid

1987 ◽  
Vol 151 (6) ◽  
pp. 847-848 ◽  
Author(s):  
R. K. Shelley
Keyword(s):  
Elderly Patient ◽  
Cardiac Failure ◽  
Mefenamic Acid ◽  
Lithium Carbonate ◽  
Lithium Toxicity ◽  
Vulnerability Factors ◽  
Glomerular Function ◽  
Manic Depressive Psychosis ◽  
Manic Depressive ◽  
History Of

An elderly patient with bipolar manic-depressive psychosis, stabilised satisfactorily on lithium carbonate, developed acute symptoms of lithium toxicity shortly after commencing mefenamic acid. Vulnerability factors for the interaction may have included age, history of cardiac failure, and impaired glomerular function. It is hypothesised that the interaction may have been mediated by inhibition of prostaglandin activity.

Parent-Child Concordance with Respect to Sex and Diagnosis in Schizophrenia and Manic-Depressive Psychosis

1973 ◽  
Vol 123 (577) ◽  
pp. 653-658 ◽  
Author(s):  
Anne Powell ◽  
Nancy M. Thomson ◽  
David J. Hall ◽  
Linda S. Wilson
Keyword(s):  
Social Learning ◽  
Psychiatric Illness ◽  
Family Members ◽  
Psychiatric Research ◽  
Manic Depressive Psychosis ◽  
First Degree Relatives ◽  
Manic Depressive ◽  
The Family ◽  
Physical Attributes ◽  
Diagnostic Concordance

In the search for an explanation of the aetiology of psychiatric illness, the study of the family as a unit for psychiatric research is becoming increasingly necessary. That family members resemble one another in many respects seems an intuitively correct idea. Children resemble their parents in both physical attributes and temperament; the former is mainly attributed to heredity and the latter to an interaction of heredity and social learning. Previous psychiatric studies of the family have indicated two areas for further investigation: firstly, sex concordance, and secondly diagnostic concordance among psychiatrically ill first degree relatives. The literature relating to these areas is abundant, and the main conclusions are summarized below.

Epidemiological and clinical profiles of hospitalized female patients in the psychiatric hospital “Nuestra Señora Del Pilar” between 1912 and 1915

2016 ◽  
Vol 33 (S1) ◽  
pp. S621-S621
Author(s):  
C. Abad ◽  
M.L. Bouzán ◽  
A. Martín ◽  
M.T. Lanzán ◽  
O. Ortega ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Treatment ◽  
Senile Dementia ◽  
Female Patients ◽  
Manic Depressive ◽  
Rural Zone ◽  
History Of ◽  
Socio Economic Variables ◽  
Competing Interest ◽  
Secondary Information

IntroductionHospitalization is fundamental in the treatment of severe psychiatric disorders, at present and in the past. The Psychiatric Hospital “Ntra. Sra. Del Pilar de Zaragoza”, established in 1425, is one of the most ancient hospitals and with longest history of the country, one of the first centers to start considering as demented persons as another sick patient. This paper describes the sociodemographic and clinical characteristics of the patients admitted to the psychiatric hospital between 1912 and 1915.MethodWe developed a descriptive research, using secondary information sources (clinical histories) of patients hospitalized between 1912 and 1915. For data analysis was used software SPSS 10.ResultsWe reviewed 110 files and the most common diagnoses were senile dementia and manic-depressive psychosis. The mean of age was 42 years, and the predominant marital status was the single status (47%). We documented that in more than 60% of the cases, the precedence of the patients was from rural zone. El 75% of the patients had remained hospitalized during several years until their death. Only the 10% were discharged for improvement.ConclusionIt is important to understand the socio-economic variables of the female patients from a century ago to be aware of the evolution of psychiatry and psychiatric treatment and consequently of the profile of current patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Prevalence of Hereditary Antithrombin-III Deficiency in Patients with a History of Venous Thromboembolism

1985 ◽  
Vol 54 (04) ◽  
pp. 744-745 ◽  
Author(s):  
R Vikydal ◽  
C Korninger ◽  
P A Kyrle ◽  
H Niessner ◽  
I Pabinger ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Antithrombin Iii ◽  
Positive Family History ◽  
Normal Range ◽  
The Family ◽  
History Of ◽  
Antithrombin Iii Deficiency ◽  
Recurrent Venous Thrombosis ◽  
Antithrombin Iii Activity ◽  
Slight Deficiency

SummaryAntithrombin-III activity was determined in 752 patients with a history of venous thrombosis and/or pulmonary embolism. 54 patients (7.18%) had an antithrombin-III activity below the normal range. Among these were 13 patients (1.73%) with proven hereditary deficiency. 14 patients were judged to have probable hereditary antithrombin-III deficiency, because they had a positive family history, but antithrombin-III deficiency could not be verified in other members of the family. In the 27 remaining patients (most of them with only slight deficiency) hereditary antithrombin-III deficiency was unlikely. The prevalence of hereditary antithrombin-III deficiency was higher in patients with recurrent venous thrombosis.

Can a Narcissist Ever Marry?: James Fisher and The Uninvited Guest

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Brett Kahr
Keyword(s):  
Clinical Material ◽  
Couple Relationships ◽  
Cocktail Party ◽  
False Self ◽  
Winter's Tale ◽  
Pathological Narcissism ◽  
The Family ◽  
History Of ◽  
Marital Partners

Few books in the burgeoning field of couple psychoanalysis have garnered as much admiration as James Fisher's The Uninvited Guest: Emerging from Narcissism towards Marriage. In this memorial essay, the author pays tribute to the late Dr Fisher and to his perennial book which explores the ways in which pathological narcissism, among other factors, inhibit the development of spousal intimacy, often destroying partnerships entirely. The author describes the creative way in which Fisher drew upon great works of literature, most notably William Shakespeare's A Winter's Tale, and T. S. Eliot's The Cocktail Party, as well as long-forgotten clinical material from Fisher's predecessors at the Family Discussion Bureau (forerunner of the Tavistock Centre for Couple Relationships), in order to understand the ways in which marital partners struggle with false self couplings. The author assesses the importance of Fisher's contribution in the context of the history of couple psychoanalysis.

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