Diagnoses of children and adolescents on initial presentation to a Nigerian outpatient psychiatry clinic.

Child and adolescent psychiatry is an underdeveloped specialty in Nigeria, relegated by more entrenched cultural systems, such as traditional healers and syncretic churches, to merely an auxiliary role in child mental health care. Little is therefore known about the epidemiology of childhood disorders as encountered in psychiatric settings. We reviewed the outpatient psychiatric clinic's patient register at the Psychiatric Hospital of Uselu in Benin City, Nigeria, over a twenty-four week period. Fifty-three patients who presented in the twenty-four week index period had definite diagnoses indicated in the register. Of these, 68% had diagnoses denoting significant behavioral disturbances that would motivate their visit to allopathic hospitals after other, more culturally sanctioned healers were of little help. Our findings are compared with similar studies in other cultures.

The AIDS prevention magic show: avoiding the tragic with magic.

Teenagers are a crucial target group for interventions concerning acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV). Experimenting with their burgeoning sexuality and increased ability to obtain drugs, they are prime candidates for AIDS prevention and education strategies. The intervention described in this paper is a 30-minute magic show, presented by Cyrus (or Iris) the Virus, a sinister but entertaining character portrayed by any health educator willing to spend a few hours learning the magic tricks. The tricks explain why sharing needles and choosing sexual partners based on appearance alone can result in AIDS. Cyrus also uses magic to communicate the ways that AIDS is not transmitted, how to refuse sex, and how to use condoms correctly. The show, as well as increasing the audience's knowledge about HIV, attempts to induce behavioral change by increasing participants' perceived self-efficacy--a predictor of healthful behavior. Still in its pilot phase, the show has been seen by 281 students ages 10-15 years. Viewers rate the show highly, and preliminary analysis suggests that perceived self-efficacy has been significantly improved.