scholarly journals Practice Guideline for the Treatment of Patients with Delirium. Also includes Treating Delirium: A Quick Reference for Psychiatrists. By the American Psychiatric Association. Washington, DC: American Psychiatric Association. 1999. 64 pp. $ 22.50 ISBN 0-89042-313-X

2000 ◽  
Vol 24 (2) ◽  
pp. 78-78
Author(s):  
Adrian Treloar
Keyword(s):  
Practice Guideline ◽  
American Psychiatric Association ◽  
Washington Dc

scholarly journals Adaptive Functioning (AF) Evaluations of Foreign Nationals Facing Capital Punishment

2019 ◽  
Vol 34 (7) ◽  
pp. 1285-1285
Author(s):  
A Chacon ◽  
A Barragan ◽  
T Judd ◽  
D Safi
Keyword(s):  
Intellectual Disability ◽  
Developmental Disabilities ◽  
Death Penalty ◽  
Capital Punishment ◽  
American Psychiatric Association ◽  
Adaptive Functioning ◽  
American Association ◽  
Multiple Informants ◽  
Washington Dc ◽  
Intellectual And Developmental Disabilities

Abstract Objective The US Supreme Court ruled against the application of the death penalty to individuals with intellectual disability (ID) (Atkins v. Virginia, 2002). Diagnostic criteria for ID require subnormal adaptive functioning (AF) in addition to IQ test scores (American Psychiatric Association [APA], 2013). The American Association on Intellectual and Developmental Disabilities (AAIDD) (2010, 2012) and APA (2013) recommend using culturally sensitive approaches. Assessing AF in immigrants is a challenge because their cultural backgrounds are different than those of the standardization samples of United States AF measures. When typical AF measures are not appropriate, AAIDD (2010) offers guidelines about appropriate sources such as school, work, and medical records, prior psychosocial evaluations, and qualitative adaptive behavior interviews with multiple informants. However, defendants facing the death penalty are often raised in impoverished areas with a paucity of pertinent documentation. This study identifies and discusses issues related to the use of self-report, selection of respondents, questions, collateral information, and clinical judgment in AF evaluations of immigrants facing the death penalty. Case Description We present a case study of an AF evaluation of a Mexican national seeking ID exemption from capital punishment. Discussion We offer a framework for developing and judging the quality of an AF evaluation that adheres to the (AAIDD) (2010, 2012) and APA (2013) guidelines, and includes 1) strengths and limitations of adaptive functioning in relation to others of his age group and culture; 2) reliable evidence concerning the individual’s history in specific periods of time; 3) an account of the individual’s cultural and linguistic differences; and 4) an account for potential bias on the respondents’ side. References Atkins v. Virginia, 536 U.S. 304 (2002). American Psychiatric Association. Diagnostic and statistical manual of mental disorders. fifth ed. Washington, DC: APA; 2013. American Psychological Association. (2016). Revision of ethical standard 3.04 of the “Ethical Principles of Psychologists and Code of Conduct” (2002, as amended 2010). American Psychologist, 71, 900. Schalock, R.L., Borthwick-Duffy, S.A.,Bradley, V. J., Buntix, W.H.E.,.Coulter, D.L., Craig, E.M…..Yeager, M.H. (2010). Intellectual disability: Definition, classification, and systems of supports. (11th ed.).Washington, DC: American Association on Intellectual and Developmental Disabilities. doi:978-1-935304-04-3. Schalock, R.L., Luckasson, R.A., Bradley, V., Buntinx, W.H.E., Lachapelle, Y., Shogren, K.A…Wehmeyer, M.L. (2012). Intellectual disability: Definition, classification, and system of supports: User's Guide. Washington, DC: American Association on Intellectual and Developmental Disabilities.

scholarly journals The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia

2016 ◽  
Vol 173 (5) ◽  
pp. 543-546 ◽  
Author(s):  
Victor I. Reus ◽  
Laura J. Fochtmann ◽  
A. Evan Eyler ◽  
Donald M. Hilty ◽  
Marcela Horvitz-Lennon ◽  
...  
Keyword(s):  
Practice Guideline ◽  
American Psychiatric Association

A propósito de un caso: Primer episodio psicótico con síntomas de esquizofrenia.

2020 ◽  
Author(s):  
Celia Muñoz Cauqui ◽  
◽  
María Riesgo Arias ◽  
Ana Piña Baena ◽  
◽  
...  
Keyword(s):  
Clinical Practice ◽  
Practice Guidelines ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Clinical Guidelines ◽  
American Psychiatric Association ◽  
Salud Mental

DESCRIPCIÓN DEL CASO: Varón de 30 años sin antecedentes personales en salud mental. Consumidor de múltiples tóxicos (cannabis, heroína, cocaína, alcohol). Varios ingresos en Psiquiatría. Niega clínica psicótica anterior por consumo de tóxicos. Inicio de clínica hace varios meses sin consumo. EXPLORACIÓN PSICOPATOLÓGICA: Consciente, orientado, colaborador y abordable. Discurso coherente y fluido sin alteraciones en curso o forma. No alteraciones mayores del estado de ánimo. Autorreferencialidad. Ideación delirante de perjuicio con importante repercusión afectiva/ conductual. Alucinaciones auditivas (voces comentadoras). Nula conciencia de enfermedad. JUICIO CLÍNICO: Primer episodio psicótico con síntomas de esquizofrenia F23.2 según CIE-10 EVOLUCIÓN CLÍNICA: La evolución del paciente en un primer momento ha sido desfavorable debido a la escasa conciencia de enfermedad, falta de adherencia terapéutica y consumos puntuales de tóxicos con descompensaciones psicopatológicas posteriores. Se han realizado varios ajustes de tratamiento psicofarmacológicos declarando secundarismos (risperidona, olanzapina, paliperidona). En el último ingreso se inicia tratamiento con formulación inyectable de liberación prolongada mensual (Abilify Maintena 400 mg). Tras esto permanece estable psicopatológicamente, sin evidenciarse clínica psicótica productiva. Persiste el consumo puntual de cannabis con finalidad evasiva. CONCLUSIONES: La psicosis exotóxica se produce directamente por el consumo de un tóxico, aunque los síntomas psicóticos podrían persistir una vez eliminada el tóxico. Se asocian también a cambios bruscos en la conducta con irritabilidad, agresividad, alteraciones anímicas, fallos cognitivos, alteraciones del patrón del sueño, trastornos perceptivos (visuales, somáticos) y trastornos de la conciencia. Si bien en este caso habría que valorar evolución para realizar diagnosticar de Esquizofrenia. REFERENCIAS BIBLIOGRÁFRICAS: -APA Clinical Guidelines. American Psychiatric Association. Practice guidelines for the treatment of patients with schizophrenia. 2004Angermeyer et al. Schizophr Bull 1990; 16: 293–300. -NICE. Psychosis and schizophrenia in adults. Treatment and management. National Clinical Practice Guideline Number 178

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