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April-June 1994 Volume 36 | Issue 2
Page Nos. 47-204
Online since Friday, February 20, 2009
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EDITORIAL |
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Learning from Others Mistakes |
p. 47 |
K Kuruvilla PMID:21743668 |
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INVITED ARTICLE |
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Rehabilitation in Psychiatry : An Overview |
p. 49 |
PS Gopinath, Kiran Rao PMID:21743669 |
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TILAK VENKOBA RAO ORATION |
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Psychoimmunology and Functional Psychoses : The Indian Scene |
p. 61 |
SC Tiwari PMID:21743670 |
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ARTICLES |
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Level of Anxiety and Dissociation in Patients with Conversion and Dissociative Disorders |
p. 67 |
Vivek Katoch, Harsh Prem Jhingan, Shekhar Saxena PMID:21743671State Trait Anxiety Inventory and Questionnaire of Experiences of Dissociation were administered to an unbiased sample of sixty patients, including twenty seven patients with dissociative disorder, twenty four with conversion disorder and nine with both these diagnoses, using DSM III criteria. The differences in anxiety scores and level of dissociation among the three diagnostic groups were not statistically significant. The finding that a substantial proportion (15%) of patients had both diagnoses and the lack of difference in levels of anxiety and dissociation in the three groups suggests that these two diagnoses are closely related. |
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Electromyograph Feedback : Treatment Outcome in Anxiety Neurosis |
p. 70 |
A Abraham, V Kumaraiah PMID:21743672Twenty two clients were assessed before and after ten sessions of Electromyograph [EMG] feedback assisted relaxation on both psychological and physiological measures. Results demonstrated significant decreases in the symptom scores and anxiety, as seen on the self-report measures. The clients were found to be significantly less anxious on the Hamilton's Anxiety Rating Scale. Though there was a significant reduction in resting EMG levels, there was no significant decrease in the GSR of the clients. Clients could acquire feedback control as well as self-control. |
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The Correlates of the Syndrome of Depression in Schizophrenia |
p. 74 |
Anna Tharyan, K Kuruvilla PMID:21743673A depressive syndrome as identified by subjectively volunteered dysphoria occurred in 17.4% of a group of 45 DSM III-R schizophrenics, studied initially in a medication free state. Among the 24 patients who could be followed up for six months, another 25% developed depressive symptoms while on treatment. Mild depressive syndromes occurred more frequently in older patients, in association with retained insiglu and lower negative symptoms scores. While depressive symptoms occurred both in the medicated and unmedicated state, depressed medicated schizophrenics differed from non-depressed medicated schizophrenics on variables of total medication dosage, presence of extrapyramidal symptoms and insight. |
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Development of Motivation Scale - Clinical Validation with Alcohol Dependents |
p. 79 |
Teresa Neeliyara, S.V Nagalakshmi PMID:21743674This study focusses on the development of a comprehensive multi-dimensional scale for assessing motivation for change in the alcohol dependent population. After establishing face validity, the items evolved were administered to a normal sample of 600 male subjects in whom psychiatric illness was ruled out. The data thus obtained was subjected to factor analysis. Six factors were obtained which accounted for 55.2% of variance. These together formed a 80 item five point scale and norms were established on a sample of 600 normal subjects. Further clinical validation was established on 30 alcohol dependent subjects and 30 normals. The status of motivation was found to be inadequate in alcohol dependent individuals as compared to the normals. Split-half reliability was carried out and the tool was found to be highly reliable. |
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Psychiatric Complications of Chloroquine |
p. 85 |
MS Bhatia, SC Malik PMID:21743675Sixty patients with chloroquine induced psychiatric complications are reported in the present series. Psychosis was the most common complication followed by anxiety state and seizures. The maximum number of patients were between the ages of 6 and 10 years and females (70.0%) outnumbered the males (30.0%). Headache and sleeplessness were found to be more common amongpatients developing psychiatric complications of chloroquine. The symptoms disappeared within 2 to 21 days after the discontinuation of chloroquine. |
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Diagnostic Characteristics of Child Psychiatric Service Utilizers |
p. 88 |
Rakesh Khanna, Brij Mohan Singh PMID:21743676Sex, age and diagnostic characteristics of a consecutive series of first contact children seen over a period of one year at a psychiatric center was analyzed Most of (he referrals were for male adolescents. "No diagnosis on Axis I" was quite common, especially in the younger age group; most of them had mental retardation. "Hysteria " was uncommon, and this was the only category which was slightly more common in girls. Manic depressive psychosis was the most common disorder among adolescents. |
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Electroconvulsive Therapy in Catatonia Associated with Pneumothorax |
p. 91 |
Ninan Thomas, TR Suresh, TN Srinivasan PMID:21743677Recent advances in the method of application and monitoring of Electroconvulsive therapy (ECT) has facilitated its use even in the presence of serious physical illness. This case report b of a patient in catatonic stupor who developed an acute respiratory crisis, and in whom the use of ECT led to quick recovery not only from the psychiatric state but also helped recovery from the medical illness. The report highlights the need to use ECT, if indicated, in the presence of serious medical illness without hesitation. |
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Acute Psychotic Disorder and Hypoglycemia |
p. 93 |
SK Singh, JK Agrawal, AS Srivastava, VK Bhardwaj, Sarat B Bose PMID:21743678A variable array of neuroglycopenic symptoms are frequently encountered in the hypoglycemic stage, but acute psychotic disorders are quite rare. A fifty five year old female presented with an acute psychosis following oral sulfonylurea induced hypoglycemia without preceding features of adrenomedullary stimulation. This case report suggests that an acute and transient psychotic disorder may be an important neuroglycopenic feature and its early recognition protects the patient from severe hypoglycemic brain damage in a state of hypoglycemia unawareness. |
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CORRESPONDENCE |
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Restraining Psychiatric Patients |
p. 95 |
Ajit V Bhide PMID:21743680 |
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Akhtar & Jagawat Reply |
p. 95 |
Sayeed Akhtar, T Jagawat PMID:21743679 |
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Dependence on Gul : An Indigenous Compound Containing Tobacco |
p. 96 |
Sayeed Akhtar, Christoday R J Khess PMID:21743681 |
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Physical Morbidity and Unmodified ECT |
p. 97 |
BN Gangadhar, N Janakiramaiah PMID:21743683 |
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Tharyan et al Reply |
p. 97 |
Prathap Tharyan, PJ Saju, Sunil Datta, Jacob J John, K Kuruvilla PMID:21743682 |
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NON-INDEXED ARTICLES |
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News & Notes |
p. 99 |
K Kuruvilla |
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Miscellaneous |
p. 100 |
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Index - Author & Subject |
p. 199 |
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