Mental health articles

OF mental health care and mentally ill

February, 2013

Aetiology of vaginismus

Aetiology of vaginismus Psychoanalytic explanations Classic psychoanalytic theory considers vaginismus to result from unresolved psychosexual confl icts in early childhood. Women with the condition have been characterized as fi xated or regressed to the pre-oedipal or oedipal stages. According to Abraham (1956), in less severe cases, women are not able to transfer their libidinal energy […]

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Managing behavioural disturbances in dementia

Whilst some problems emerge directly out of the neurological damage caused by the underlying pathology (e.g. hallucinations in Lewy body dementia), often it is not clear why people with identical degrees of cognitive impairment might present in radically different ways. In addition to neurological damage it is important to think about the person who has […]

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Treatment of paedophilia

Treatment of paedophilia Social constraints One way in which society has dealt with issues of paedophilia has been to try to control – not treat – the actions of paedophiles. A number of laws have been instituted to facilitate this process in the UK, including: The Sex Offenders Act 1997 : lists all people convicted […]

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Modern diagnostic criteria of paedophilia

DSM-IV-TR defi ned paedophilia as ‘recurrent intense sexual urges and sexually arousing fantasies involving sexual activity with a prepubescent child or children’ and that the person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal diff i culty. In addition, the perpetrator has to be at least 16 […]

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paedophilia symptoms

Paedophilia Sexual relationships between adults and children are not new. Across the ancient world, there are clear examples of what would now be referred to as paedophilic relationships, particularly involving young boys. In Greece such relationships were seen as contributing to the boy’s education; in Rome, the relationship may have been more focused on the […]

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Treatment of vaginismus

Treatment of vaginismus Psychological approaches One way of reducing anxiety associated with the sexual act is through the use of sensate focus techniques, with a gradual progression to genital touching. However, the most common treatment of vaginismus involves systematic desensitization together with the use of graded dilators. This may be conducted in combination with education, […]

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Risk factors for child mental health problems

The presence of risk factors can alert the GP to probe more carefully for the symptoms of a psychiatric disorder in a child with a non-specifi c presentation. Important family factors include parental physical and mental disorder and domestic violence. The risk may be mediated through a number of routes: parenting may be suboptimal, children […]

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Anxiety disorders in older adults

Anxiety disorders are as common in older adults as they are in younger populations (10–15%) with substantial numbers presenting to primary care (10–18%). There is evidence that anxiety disorders are recognised and treated even less often than depression, with the physiological symptoms (Box 15.5) being frequently over-investigated. Generalised anxiety disorder and specifi c phobias are […]

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Alcohol withdrawal states Withdrawal syndrome

Not every heavy drinker will suffer a withdrawal syndrome, but, for most who do, it is unpleasant Onset: three to six hours after last drink Duration: fi ve to seven days Common withdrawal symptoms: headache, nausea, vomiting, sweating and tremor. Generalised (grand mal) convulsions may occur during withdrawal Delirium tremens This occurs in about 5% […]

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Classifi cation of alcohol-related disorders

Acute intoxication:  at low doses, alcohol may have stimulant effects, but these give way to agitation and, ultimately, sedation at higher doses. ‘Drunkenness’ may be uncomplicated or may lead to hangover, trauma, delirium, convulsions or coma Pathological intoxication:  a state in which even small quantities of alcohol produce sudden, uncharacteristic outbursts of violent behaviour Harmful […]

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