scholarly journals Remembering delirium

2002 ◽  
Vol 180 (1) ◽  
pp. 4-5 ◽  
Author(s):  
Simon Fleminger
Keyword(s):  
Mental Disorders ◽  
Visual Hallucinations ◽  
Organic Mental Disorders ◽  
Confusional States

Delirium is now the preferred term to describe acute confusional states and related organic mental disorders associated with acute impairment of consciousness (Gill & Mayou, 2000). No longer is delirium reserved for those states in which overactive behaviour, often with visual hallucinations, is dominant. To accommodate the broader usage, hypoactive states of delirium have been emphasised (Lipowski, 1990), particularly as these are the states most easily missed.

The comparative analysis of clinical and social characteristics of patients with schizophrenia and organic mental disorders receiving care in partial inpatient units

2021 ◽  
pp. 394-403
Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova
Keyword(s):  
Comparative Analysis ◽  
Mental Disorders ◽  
Psychiatric Care ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Social Characteristics ◽  
Organic Mental Disorders ◽  
Spectrum Disorders ◽  
Day Hospitals ◽  
Inpatient Units

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.

Organic Mental Disorders

1987 ◽  
pp. 141-169
Author(s):  
Ralph E. Tarter ◽  
Andrea M. Hegedus
Keyword(s):  
Mental Disorders ◽  
Organic Mental Disorders

Organic Mental Disorders andDSM-IV

1991 ◽  
Vol 148 (3) ◽  
pp. 396-396 ◽  
Author(s):  
ROBERT L. SPITZER ◽  
MICHAEL FIRST ◽  
GARY TUCKER
Keyword(s):  
Mental Disorders ◽  
Organic Mental Disorders

Sexual Addiction and Psychiatric Comorbidity

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Kamenskov
Keyword(s):  
Mental Disorders ◽  
Negative Symptoms ◽  
Mental Disease ◽  
Paranoid Schizophrenia ◽  
Psychotic Symptoms ◽  
List Type ◽  
Sexual Perversion ◽  
Dynamic Transformation ◽  
Organic Mental Disorders ◽  
Behavior Motivation

In order to create hypotheses about the relationship between the dynamic of paraphilia and the other mental disorders we conducted a study of 60 males with paraphilia. All the patients were distributed in 3 diagnostic groups:1.Paraphilia and organic mental disorders (dementia - 10%; organic asthenic disorder - 5%; syndrome of limbic epilepsy personality - 18,3%; organic pseudopsychopathic disorder - 26,7%).2.Paraphilia and schizophrenic disorders (paranoid schizophrenia - 15%; pseudopsychopathic schizophrenia - 10%).3.Paraphilia and mixed and other personality disorders - 15%.Results:Dynamic transformation of paraphilia (connection of new paraphilia’s forms to already existing) has been connected with the psychotic symptoms, convulsive attacks and increase of negative symptoms of schizophrenia, epilepsy and dementia (r=0.87, p=0.02 - canonical analysis).Abnormal sexual imaginations appear during manifestation of schizophrenia in puberty age. A syndrome of a metaphysical intoxication, delusional depersonalization coexisted with available sexual perversion. In sexually mature age of patients with schizophrenia, dynamic transformation of paraphilia was associated with increase of negative symptoms (in remission). Anabatic of schizophrenia correspond with a degree of aggression sexual perversion.New forms paraphilia of patients with epilepsy appear after repeatedly transferred convulsive attacks.In persons with other organic mental disorders, dynamic transformation of paraphilia was observed in cases of formation dementia against a background of the impairments of cognitive function, deterioration in emotional control, social behavior, motivation and prognosis.Conclusion:Dynamic transformation of paraphilia corresponds with a clinic and dynamic of mental disease: schizophrenia, epilepsy and dementia.

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