Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 7 de 7
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Psychiatr Q ; 89(1): 157-168, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28643049

RESUMO

Popular media often portray people with a mental illness as being aggressive, violent, and incarcerated as a result of their behavior. Despite exaggeration in the media, risks for some aggressive behaviors are in fact higher in individuals with schizophrenia. This is often the case with influence of comorbid substance use disorders. It is essential that mental health professionals are aware of treatments that may help with attenuating and treating behaviors that contribute to violence, aggression and incarceration. This paper reviews violence and incarceration in individuals with schizophrenia as well as recommendations, guidelines and benefits for the use of clozapine in this population. Clozapine remains one of the most underutilized evidence-based medications available in the psychiatric arena in the United States. It is a viable and recommended option in the forensic population and it may be helpful on the path to recovery as well as bring substantial savings to the criminal justice system.


Assuntos
Agressão/efeitos dos fármacos , Antipsicóticos/uso terapêutico , Clozapina/uso terapêutico , Direito Penal , Criminosos , Esquizofrenia/tratamento farmacológico , Violência/prevenção & controle , Humanos
2.
Int Rev Psychiatry ; 29(1): 21-24, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27609129

RESUMO

This commentary describes the author's experience working at two separate detention centres during her fellowship. She initially describes her experience performing forensic evaluations. The terms 'competency to stand trial' and 'criminal responsibility' are defined. It then describes the author's experience working in an inner city and suburban detention centre. The two environments and patient demographics are compared to a traditional inpatient or outpatient community setting. Fictional patient encounters, based on an amalgamation of actual patients, are discussed.


Assuntos
Psiquiatria Legal , Competência Mental , Transtornos Mentais/diagnóstico , Prisioneiros , Adulto , Psiquiatria Legal/educação , Psiquiatria Legal/legislação & jurisprudência , Psiquiatria Legal/métodos , Humanos , Masculino , Maryland , Competência Mental/legislação & jurisprudência , Prisioneiros/legislação & jurisprudência , Prisioneiros/psicologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-26941836

RESUMO

BACKGROUND: Childhood abuse has been implicated as an environmental factor that increases the risk for developing schizophrenia. A recent large population-based case-control study found that abuse may be a risk factor for schizophrenia in women, but not men. Given the sex differences in onset and clinical course of schizophrenia, we hypothesized that childhood abuse may cause phenotypic differences in the disorder between men and women. METHODS: We examined the prevalence of childhood physical abuse in a cohort of men and women with schizophrenia and schizoaffective disorder. Specifically, we examined differences in positive, negative, cognitive and depressive symptoms in men and women who reported a history of childhood physical abuse. We recruited 100 subjects for a single visit and assessed a history of childhood physical abuse using the childhood trauma questionnaire (CTQ) and clinical symptoms and cognition using the brief psychiatric rating scale (BPRS), the calgary depression scale (CDS) and the repeatable battery of the assessment of neuropsychological status (RBANS) for cognition. RESULTS: Ninety-two subjects completed the full CTQ with abuse classified as definitely present, definitely absent or borderline. Twelve subjects who reported borderline abuse scores were excluded. Of the 80 subjects whose data was analyzed, 10 of 24 (41.6 %) women and 11 of 56 (19.6 %) men reported a history of childhood physical abuse (χ(2) = 4.21, df = 1, p = 0.04). Women who reported such trauma had significantly more psychotic (sex by abuse interaction; F = 4.03, df = 1.76, p = 0.048) and depressive (F = 4.23, df = 1.76, p = 0.04) symptoms compared to women who did not have a trauma history and men, regardless of trauma history. There were no differences in negative or cognitive symptoms. CONCLUSIONS: Women with schizophrenia and schizoaffective disorder may represent a distinct phenotype or subgroup with distinct etiologies and may require different, individually tailored treatments.

5.
Ann Clin Psychiatry ; 27(4): 253-6, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26554366

RESUMO

BACKGROUND: Clozapine is a second-generation antipsychotic that has been shown to reduce suicidal ideation and suicidal behaviors in patients with schizophrenia. However, it is underutilized because of its serious side effects. METHODS: We describe 3 patients with a history of suicide ideation and attempts who were successfully treated and maintained in the community without suicidal tendencies while taking clozapine. All 3 patients, men in their 20s, discontinued clozapine because of side effects and subsequently committed suicide. We also review the literature on clozapine's effects on suicidality. RESULTS: In these 3 cases, suicide followed abrupt discontinuation of clozapine or transition to another antipsychotic. CONCLUSIONS: This case series is the first of its kind to document the risk of suicide when clozapine is discontinued. The decision to discontinue clozapine should be made carefully, especially because clozapine is considered the treatment of last resort for patients with treatment-resistant schizophrenia and suicidal ideation. We stress the importance of minimizing the risk of abrupt clozapine discontinuation and recommend further evaluation of suicide ideation and attempts when clozapine is discontinued.


Assuntos
Antipsicóticos/efeitos adversos , Clozapina/efeitos adversos , Esquizofrenia/tratamento farmacológico , Suicídio , Adulto , Evolução Fatal , Humanos , Masculino , Risco , Adulto Jovem
6.
Gen Hosp Psychiatry ; 35(5): 576.e1-2, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23174460

RESUMO

We report the case of a young man diagnosed with schizophrenia who presented with stalking behaviors that may have been caused by problematic use or participation in social media networks (SMN). We review the possible role of SMN in the formation of his romantic delusion and offer suggestions for clinicians around incorporation of SMN questions into assessments. It is imperative to identify populations at risk of SMN-related stalking behaviors to stratify mental health resources and interventions. Additional studies are needed to further clarify the role of SMN in psychotic disorders.


Assuntos
Transtornos Psicóticos/etiologia , Mídias Sociais , Humanos , Masculino , Transtornos Psicóticos/psicologia , Perseguição/etiologia , Perseguição/psicologia
7.
Virtual Mentor ; 11(1): 3-5, 2009 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-23190478
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...