The Disabilities of Chronic Schizophrenia—their Nature and the Factors Contributing to their Development

1980 ◽  
Vol 136 (4) ◽  
pp. 384-395 ◽  
Author(s):  
D. G. Cunningham Owens ◽  
Eve C. Johnstone
Keyword(s):  
Patient Care ◽  
Cognitive Functioning ◽  
Present State ◽  
Mental State ◽  
Chronic Schizophrenia ◽  
Neurological Status ◽  
Physical Treatment ◽  
Historical Factors ◽  
Behavioural Performance

SummaryFive hundred and ten patients receiving long-term in-patient care for schizophrenia were examined in terms of their current mental state, cognitive functioning, neurological status and behavioural performance. The abnormalities of these areas of their present state were related to historical factors, personal details, the features of the illness at its worst and physical treatment received. Significant associations between the present state and historical factors were few and mainly concerned time and the features of the illness at its worst. Current abnormalities were not related to past physical treatment, but highly significant correlations were found between the impairments of the four areas of the present state. It is concluded that these impairments are likely to be an integral part of the disease.

Deficits of Chronic Schizophrenia in Relation to Long-Term Hospitalisation

1986 ◽  
Vol 148 (5) ◽  
pp. 509-516 ◽  
Author(s):  
P. John Mathai ◽  
P. S. Gopinath
Keyword(s):  
Mental State ◽  
Hospital Care ◽  
Disease Process ◽  
Chronic Schizophrenia ◽  
Neurological Status ◽  
Social Conditions ◽  
Manic Depressive ◽  
Duration Of Illness ◽  
Current Behaviour

Eighty chronic schizophrenic and 16 manic-depressive psychotic patients conforming to Research Diagnostic Criteria were examined in terms of their mental state, cognitive functioning, current behaviour, and neurological status. They comprised out-patients, day-care patients, and long-stay in-patients belonging to two mental hospitals with different social conditions. Assessed deficits were not significantly related to record variables such as age, duration of Illness, duration of hospitalisation, or treatment received. Analysis of the different groups of patients reveals that long-term hospital care has had little effect on the deficits of chronic schizophrenia, and suggests that these are integral features of the disease process.

The Significance of Stupor in the Long-Term Outcome of Chronic Schizophrenia

1989 ◽  
Vol 155 (3) ◽  
pp. 352-355 ◽  
Author(s):  
J. C. Rigby ◽  
S. M. Wood ◽  
R. H. S. Mindham
Keyword(s):  
Psychiatric Hospital ◽  
Mental State ◽  
Chronic Schizophrenia ◽  
Favourable Outcome ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Chronic Schizophrenic ◽  
Schizophrenic Patients ◽  
Similar Sample

The admission records of 271 long-stay chronic schizophrenic patients, resident in a large psychiatric hospital, were examined in order to identify those who had presented in stupor at the onset of their illness. Twelve patients were found (ten men and two women). When compared, in terms of current mental state and behaviour, with a similar sample of schizophrenics in whom stupor had been absent, significant differences between the two groups were detected, with those presenting in stupor demonstrating a less favourable outcome.

Institutionalization and the Defects of Schizophrenia

1981 ◽  
Vol 139 (3) ◽  
pp. 195-203 ◽  
Author(s):  
Eve C. Johnstone ◽  
D. G. Cunningham Owens ◽  
Aviva Gold ◽  
T. J. Crow ◽  
J. Fiona Macmillan
Keyword(s):  
Mental State ◽  
Disease Process ◽  
Chronic Schizophrenia ◽  
Cognitive Tests ◽  
Duration Of Illness ◽  
Cognitive Behavioural ◽  
Discharged Patients ◽  
Neurological Functioning ◽  
Behavioural Performance ◽  
Integral Feature

SummaryPatients conforming to the Feighner criteria for schizophrenia who had been discharged from hospital were traced after 5–9 years. They were assessed in terms of mental state and cognitive, behavioural and neurological functioning; the results of these assessments were related to information obtained from casenotes. The findings of this study of 120 discharged patients were compared with those of an earlier study of 510 in-patients with schizophrenia. When factors of age and duration of illness were taken into account there was no difference between the two groups in terms of positive or negative schizophrenic features or behavioural performance, although the in-patients performed less well on cognitive tests. This study indicates that the deficits of chronic schizophrenia are an integral feature of the disease: process, and that any effects of institutionalisation are relatively small.

Competitive Capacity and Modernization of the Russian Economy

2004 ◽  
pp. 4-34 ◽  
Author(s):  
E. Yasin ◽  
A. Yakovlev
Keyword(s):  
Present State ◽  
Transition Economy ◽  
Adaptive Model ◽  
Russian Economy

Having analyzed the present state of the Russian economy the authors come to the conclusion that the only reasonable goal of its modernization is achieving high competitive capacity of production. External and internal competitive capacity is analysed in detail basing on broad statistics as well as competitive capacity of institutions and their changes, the adaptive model of transition economy. According to the authors implementation of competitive capacity policy as a national idea should take into account long-term perspective.

Long-term stability of fusiform dilatation of the internal carotid artery following surgery adjacent to the circle of Willis: report of 2 cases

2020 ◽  
pp. 1-4
Author(s):  
Madeline B. Karsten ◽  
R. Michael Scott
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Arachnoid Cyst ◽  
Pediatric Patients ◽  
Internal Carotid ◽  
Imaging Finding ◽  
Neurological Status ◽  
Suprasellar Region

Fusiform dilatation of the internal carotid artery (FDCA) is a known postoperative imaging finding after craniopharyngioma resection. FDCA has also been reported following surgery for other lesions in the suprasellar region in pediatric patients and is thought to be due to trauma to the internal carotid artery (ICA) wall during tumor dissection. Here, the authors report 2 cases of pediatric patients with FDCA. Case 1 is a patient in whom FDCA was visualized on follow-up scans after total resection of a craniopharyngioma; this patient’s subsequent scans and neurological status remained stable throughout a 20-year follow-up period. In case 2, FDCA appeared after resection and fenestration of a giant arachnoid cyst in a 3-year-old child, with 6 years of stable subsequent follow-up, an imaging finding that to the authors’ knowledge has not previously been reported following surgery for arachnoid cyst fenestration. These cases demonstrate that surgery involving dissection adjacent to the carotid artery wall in pediatric patients may lead to the development of FDCA. On very long-term follow-up, this imaging finding rarely changes and virtually all patients remain asymptomatic. Neurointerventional treatment of FDCA in the absence of symptoms or significant late enlargement of the arterial ectasia does not appear to be indicated.

Telemedicine in patient care of long‐term transplant survivors

2021 ◽  
pp. 25-32
Author(s):  
Catherine J. Lee ◽  
Mihkaila Wickline ◽  
Mary E.D. Flowers
Keyword(s):  
Patient Care

scholarly journals Understanding the Links between Inferring Mental States, Empathy, and Burnout in Medical Contexts

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 158
Author(s):  
Naira Delgado ◽  
Helena Bonache ◽  
Moisés Betancort ◽  
Yurena Morera ◽  
Lasana T. Harris
Keyword(s):  
Adverse Effects ◽  
Patient Care ◽  
Emotional Exhaustion ◽  
Mental State ◽  
Perspective Taking ◽  
Healthcare Professionals ◽  
Mental States ◽  
Empathic Concern ◽  
Personal Accomplishment ◽  
Personal Distress

It is generally accepted that empathy should be the basis of patient care. However, this ideal may be unrealistic if healthcare professionals suffer adverse effects when engaging in empathy. The aim of this study is to explore the effect of inferring mental states and different components of empathy (perspective-taking; empathic concern; personal distress) in burnout dimensions (emotional exhaustion; depersonalization; personal accomplishment). A total of 184 healthcare professionals participated in the study (23% male, Mage = 44.60; SD = 10.46). We measured participants’ empathy, the inference of mental states of patients, and burnout. Correlation analyses showed that inferring mental states was positively associated with perspective-taking and with empathic concern, but uncorrelated with personal distress. Furthermore, emotional exhaustion was related to greater levels of personal distress and greater levels of inferences of mental states. Depersonalization was associated with greater levels of personal distress and lower levels of empathic concern. Personal accomplishment was associated with the inference of mental states in patients, lower levels of personal distress, and perspective-taking. These results provide a better understanding of how different components of empathy and mental state inferences may preserve or promote healthcare professionals’ burnout.

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