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October-December 1993
Volume 35 | Issue 4
Page Nos. 1-236
Online since Friday, February 20, 2009
Accessed 13,447 times.
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Index - Subject & Author |
p. 1 |
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| EDITORIAL |
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Challenges in General Hospital Psychiatry |
p. 191 |
K Kuruviila
PMID:21743641 |
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| ARTICLES |
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Psychological and Sociodemographic Correlates of the Irritable Bowel Syndrome |
p. 193 |
Priti Arun, JN Vyas, RR Rai, Kirshna Kanwal, Chandra Shekhar Sushil
PMID:21743642Thirty patients with the Irritable Bowel Syndrome (IBS) were evaluated for personality profiles and psychiatric morbidity. In comparison with normal controls, these patients were more neurotic, showed more anxiety and had a higher incidence of neurotic depression, anxiety neurosis and alcoholism. IBS was found to be more common in young, urban males and sedentary workers. |
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Personality Profiles of Coronary Cases |
p. 197 |
D Saldanha, DS Goel, SP Rathee, ML Chawla
PMID:21743643Fifty coronary heart disease cases along with an equal number of controls, matched in age and educational levels were studied using Middlesex Hospital Questionnaire, Somatic Inkblot Series I and Command Hospital Questionnaire. They were between 20 and 55 years of age. Obsession and somatic personality traits measured on SIS variables were found to be statistically significant in coronary cases compared to controls. However the subject belief in the philosophy of "Karma " when measured on command hospital questionnaire did not show any difference between the two groups. |
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A Study of Somatization Disorder in an Industrial Hospital |
p. 200 |
G Hariharan, AN Ramakrishnan, N Mathrubootham
PMID:21743644A group of psychiatric outpatients who satisfied the DSM-IIIR criteria for Somatization Disorder (n=33) were compared with a group of other Somatisers (n=32). The results show that somatization disorder was found predominantly in females. Their mean age was 31 and they had a lower income and poor educational level, with more life events and stress in the family. The main symptoms were gastrointestinal, cardiopulmonary, pain and conversion followed by menstrual and sexual symptoms. They were more extroverted, neurotic and anxious depressed with significant basic neurotic traits. These results are discussed. |
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Geriatric Patients Attending a General Hospital Psychiatry Clinic |
p. 203 |
GS Bhogale, CY Sudarshan
PMID:21743645238 case records of all the patients aged sixty years and above who visited psychiatry departments of two general hospitals during a three year period were retrospectively analyzed. The mean age of sample was 67 years; 43.7% of patients had functional psychosis. 55.8% of the functional cases had paranoid features. 43.28% of the sample had at least one associated physical illness, the majority of the patients had a caring spouse, were from joint or extended families and had some education and at least part time occupation. |
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General Hospital Psychiatry : Psychiatric Certificates |
p. 206 |
Gopala P Sarma
PMID:21743646A retrospective analysis of 70 cases referred for certification revealed that they accounted for less then 1% of total
cases. Criminal cases constituted 50% and the rest were service and civil cases. There was no psychiatric problem
detectable in 10% of the cases; 7% were for travel concessions. All the certificates issued in service matters were
in favor of employees. |
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Suicide Attempts by Agricultural Chemicals |
p. 209 |
Takeshi Sato, Masashi Takeichi, Tomihide Hara
PMID:21743647Forty three patients (42%) used agricultural chemicals as a method of suicide over nine and a half years (from Oct. 1981 to March 1991), and most cases were reported in June (agricultural activity) and December (year's end). The highest prevalence was inpatients in their fifties (34.9%). 58.1% of these patients who committed suicide were farmers or had no fixed occupation. Main precipitating factor was difficulties in interpersonal relationships (30.9%), and the largest number of patients (25.6%) were diagnosed as having manic-depressive psychosis, depressed type. |
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Physical Morbidity with Unmodified ECT - A Decade of Experience |
p. 211 |
Prathap Tharyan, PJ Saju, Sunil Datta, Jacob K John, K Kuruvilla
PMID:21743648Recent recommendations for the routine use of modified ECT prompted an audit to be undertaken to determine the incidence of musculoskeletal complications occurring in patients who received ECT at our centre from 1980 to 1990. Of the 13,597 treatments given, 98% were unmodified, due to the lack of availability of anesthetists. Musculoskeletal complications occurred in less than 1% of treatments and were of little clinical significance. However, modified ECT was associated with significantly greater frequency of potentially fatal complications such as cardiac arrest. The findings of this audit indicate that unmodified ECT administered by a trained team does not result in significant musculoskeletal morbidity and may be preferable to modified ECT in the absence of trained anaesthetic personnel. The decision to routinely recommend modified ECT in developing countries should await scientific debate with due consideration of the complications, resources, ethics, practicality and cost as well as the consequences of such a recommendation on clinical practice. |
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Psychotherapy Programme for Psychiatry Residents at NIMHANs - 1. A Descriptive Account |
p. 215 |
C Shamasundar, Mathew Verghese, RR Raguram, Sanjeev Jain, Satish Girimaji, Shekhar Seshadri, Shoba Srinath, Somanath Chatterji, TG Sriram
PMID:21743649A formal, mandatory psychotherapy training programme for psychiatry residents at NIMHANS was started in 1983. It has made qualitatively encouraging progress. It has also focussed on issues demanding attention in the years to come. This paper is a descriptive account of the programme. |
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Delusional Parasitosis of Body Orifices - A Cultural Variant? |
p. 218 |
TN Srinivasan, TR Suresh, Vasantha Jayaram, Peter M Fernandez
PMID:21743650Predominant or specific involvement of the eyes, ears, nostrils, mouth, anus and urethra (the body orifices) has not previously been reported in the literature on delusional parasitosis. Their involvement in the cases reported here is discussed in the context of the Hindu religio-cultural belief system which attaches special significance to these organs in the personal quest for physical, mental and spiritual purity. The involvement of the ears, in particular, appears to be influenced by native healing methods. |
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Senior Medical Students Attitude Towards Psychiatry : Relationship with Career Interest |
p. 221 |
John P Alexander, N Kumaraswamy
PMID:21743651Using the Senior Medical Student Questionnaire, the attitudes towards psychiatry and the career interest in psychiatry of 146 final year medical students were obtained. The results indicated that, on the overall merits of the field of psychiatry and role definition and functioning of psychiatrists, students had a favorable opinion. Many students considered that career and personal rewards in psychiatry are limited. Analysis of the relationship between career interest and attitudes showed that on many items students with a greater career interest in psychiatry had more favorable opinions. However, there was evidence to suggest that students with greater career interest in psychiatry were equally concerned about the low career and social rewards in psychiatry. |
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Delusional Parasitosis in Leprosy |
p. 225 |
Sabita Shome, Rakesh Chadda, M Ramam, MS Bhatia, RK Gautam
PMID:21743652A patient with leprosy along with delusional parasitosis is describeeLNeuritic manifestations of leprosy appear to have a triggering effect in the development of delusions. |
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Genital Self Mutilation |
p. 226 |
D Saldanha
PMID:21743653A case of genital self mutilation in schizophrenia is described and its psychopathology discussed. |
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Fluoxetine in Trichotillomania - A Therapeutic Dilemma |
p. 228 |
MS Bhatia, S Shome, RK Gautam
PMID:21743654Trichotillomania is an impulse control disorder which has been reported to respond to fluoxetine. A patient thus treated who, however, developed drug induced alopecia is reported.
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Multiple Personality : Fallout of Communal Disharmony |
p. 230 |
RK Chadda, Saurabh
PMID:21743655A young unmarried Muslim female presented with the secondary personality of a married Hindu woman following the Hindu - Muslim riots. It is proposed that multiple personality can occur as a reaction to insecurities generated by traumatic events. |
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Behavioral Management of Hypochondriasis |
p. 232 |
JM Revar
PMID:21743656In general medical practice, hypochondriasis is present in 3 to 14 percent of patients. This condition is reported as being resistant to treatment. In this paper, behavioral intervention in an adult male with hypochondriasis is outlined The management involved progressive relaxation, behavioral counseling and bibliotherapy. |
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| BOOK REVIEW |
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Facets of Substance Abuse : An Update |
p. 234 |
| Rajat Ray |
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| NON-INDEXED ARTICLE |
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News and Notes |
p. 234 |
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| BOOK REVIEW |
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Aids Prevention : The Socio Cultural Context in India |
p. 235 |
| Jacob K John |
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Corrections |
p. 235 |
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Miscellaneous |
p. 236 |
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