Mental health articles
OF mental health care and mentally ill
research report
Aetiology of transvestic fetishism
Aetiology of transvestic fetishism Biological factors There are surprisingly few studies of a biological cause of transvestism – and most are case studies rather than formal scientifi c studies. One such case, reported by Riley, involved a 72-year-old man who was treated with a drug known as selegiline, an MAOI which, among other actions, increases […]
Tags: Aetiology, fetishism, transvestic fetishism
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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 […]
Tags: Aetiology, vaginismus
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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 […]
Tags: behavioural, behavioural disturbances, dementia, disturbances
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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 […]
Tags: Criteria, diagnostic, diagnostic criteria, paedophilia
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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 […]
Tags: anxiety, anxiety disorders, disorders, older adults
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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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Managing alcohol dependence
Managing alcohol dependence Detoxification Alcohol dependence usually requires controlled withdrawal (detoxifi cation) with an attenuation therapy (such as a benzodiazepine), as abrupt cessation of alcohol can induce one of the withdrawal states (Box 14.5). Detoxifi cation is increasingly taking place in the community, but inpatient detoxifi cation is recommended for those at risk of suicide, […]
Tags: alcohol, alcohol dependence, dependence
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Recognising problem drinking
Recognising people with alcohol-related problems is diffi cult – probably less than 20% are known to their general practitioner (although problem drinkers consult their GP twice as frequently as those whose alcohol consumption is within the safe limits), and a large proportion are missed in accident and emergency departments. Recognition is particularly diffi cult among […]
Tags: drinking
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Alcohol-related problems
18,500 deaths a year in England and Wales are related to alcohol consumption 300 of these deaths are the direct result of alcoholic liver damage (the true fi gure is probably many times higher but is hidden by under-reporting on death certifi cates) Just over 1 in 1000 people die per year of an alcohol-related […]
Tags: alcohol
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Prevalence of alcohol-related problem
Prevalence of alcohol-related problems as follows: 1 As with any drug of addiction, there are four levels of alcohol use. Social drinking: only about 10% of the population are teetotal. 2 At risk consumption: this is the level of alcohol intake that, if maintained, poses a risk to health. The Health of the Nation gives […]
Tags: alcohol
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