Indian Journal of Psychiatry: Table of Contents

Table of Contents

July-Sept 1996
Volume 38 | Issue 3
Page Nos. 118-277

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EDITOR SPEAKS

	A Common Minimum Programme Needed in Post-Graduate Training in Psychiatry	p. 118
	K Kuruvilla PMID:21709848
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ARTICLES


	Psychosis in Relation to Epilepsy - A Clinical Model of Neuro - Psychiatry	p. 120
	Amresh Kumar Shrivastava PMID:21584119
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	Learner Centred Learning or Teacher Led Teaching : A Study at A Psychiatric Centre	p. 133
	Pratima Murthy, Santosh K Chaturvedi, Shivaji Rao PMID:21584120 This study attempted to identify the attitudes of psychiatric trainees and their trainers towards formalized teaching programmes, using a structured proforma. Both the trainers and trainees did see eye to eye on several aspects of training. A majority of the respondents felt that teaching programmes were indeed useful but opted for fewer programmes, with more variety, broader coverage, interdisciplinary involvement and small group discussions. However, there were some significant differences of opinion between the trainees and trainers, suggesting a reappraisal and suitable alterations in teaching systems so that it may mutually satisfy both the trainees and the trainers.
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	Characteristics of Mental Morbidity in A Rural Primary Heath Centre of Haryana.	p. 137
	Jugal Kishore, VP Reddaiah, Vinay Kapoor, JS Gill PMID:21584121 The prevalence of mental morbidity including comorbidity with physical illnesses in a rural primary health centre is very high. Most common entitites in the diagnostic group according to DSM-IU-R were mood disorders (28%), somatoform disorders (27%), and anxiety disorders (17.6%). Majority of them presented with somatic symptoms. There were significant differences in rates for mental disorders when age (particularly 35-44 years), marital status, types of family, and females operated for tubectomy were analysed. The study emphasises the need for effective mental health care to the rural community through primary health centres.
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	Familial Suicide	p. 143
	Sadanaandan K.E. Unni PMID:21584122 Seven completed suicides in a family of lower socioeconomic status and suburban domicile in Pondicherry are reported. The presence of bipolar affective disorder in the family members and the absence of exogenous factors are illustrated by utilising both family history method and family study method. The details collected formed the basis for the terminology 'familial suicide'. The management of the index case, one of the only three surviving male members of the family, who presented with suicidal ruminations and depressive features, is described.
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	Capgras Syndrome and Organic Brain Dysfunction	p. 148
	MS Bhatia, Pradeep Agrwal, SC Malik PMID:21584123 Capgras Syndrome was described in the late nineteenth century but its exact pathogenesis is still a source of controversy. Some believe its origin is due to psychodynamic factors whereas others have found the evidence of a generalized or localized brain lesion. We report three cases of Capgras Syndrome occurring in association with frontal lobe lesion.
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	Principles of Transactional Analysis	p. 154
	Eric Berne PMID:21709849 Transactional analysis is part of a comprehensive system of individual and social psychiatry. It offers an indigenous approach to group therapy by making maximum therapeutic use of the tmsactions which continually lake place between those present. These transactions are analyzed into exteropsychic, neopsychic and archaeopsychic components, called colloquially Parent, Adult and Child, respectively. These components manifest themselves as complete ego states which reproduce the ego states of parental figures or are autonomous, or are revivals of fixated archaic ego states from childhood. Patients are instructed in the principles of structural and transactional analysis through the use of the clinical material in the group proceedings. They can then proceed to the more advanced phases of game analysis and script analysis with the therapeutic goal of attaining social control. They are then able to conduct their relationships with others in an autonomous way at their own options, and are no longer victims of unconscious, uncontrolled compulsions to exploit or be exploited.
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	An Epidemiological Study of Drug Abuse in Urban Population of Madhya Pradesh	p. 160
	R Ghulam, I Rahman, S Naqvi, SR Gupta PMID:21584124 The present epidemiological survey was carried out to estimate the prevalence and pattern of drug abuse in urban population of Madhya Pradesh because such studies were lacking from this state. In the population of 5326, we found that 38.6% were current users. In order of frequency, the drugs used were - tobacco (36.8%), alcohol (26.5%), painkillers (9.8%), cannabis (4.1%), tranquilizers (2.4%) and opium (1.6%). Among tobacco users, 52.4% were using gudakhu.
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	Gender and Psychopathology in Obsessive Compulsive Disorder	p. 166
	Christoday R. J Khess, Sayeed Akhtar, Tushar Jagawat, Sanjukta Das, Alpana Srivastava PMID:21584125 The gender difference in OCD was studied in 52 patients attending the psychiatric OPD and it was found that 35 (67.30%) patients were males compared to 17 (32.70%) females, which constituted 0.72 % and 1.03% of the male and female patients attending the OPD during the study period, respectively. Hence, inspite of the male preponderance in the study sample, it might not reflect the true prevalence of the disorder in the community. The age of onset for males was lower than that for females, but it did not reach statistical significance. The mean duration of illness for the entire sample was 7.48΁7.66 years. The mean duration was found to be significantly longer for females compared to males. The females had higher obsessive, compulsive and total scores on YBOCS indicating a more severe psychopathology. All female patients had compulsions compared to 25.71 % males who had no compulsions. Females had increased frequency of obsessive rumination with obsessions of dirt and contamination along with compulsive washing. An interesting finding was that obsessive imagery with obsessions of sex and religion along with repeating rituals were found exclusively in males. A high celibacy rate was found amongst the males. There was no difference in the family history between the males and females.
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	A Computerised Axial Tomographic Study of Poststroke Major Depressive Disorder	p. 172
	Rajeev Kumar, Sunil Datta, Chandran Gnanamuthu, K Kuruvilla PMID:21584126 32 right handed patients who had developed stroke within six months prior to the study and were free from aphasia and impaired level of consciousness were subjected to detailed neurological and psychiatric evaluation. 30 of them also had CT scan of brain. 9 among the 32 patients (28.I %) had major depression as per DSM III R criteria and 5 among them (15.6%) fulfilled the criteria for major depression with melancholia. Occurrence of depression was not related to the age or sex of the patient or duration or type of stroke. Radiological evidence for stroke was present in 25 out of the 30 who had CT Scan. Though there was no correlation between presence of depression and the involvement of a particular hemisphere, MDD was more prevalent in those who had left frontal and right or left subcortical lesions.
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	Psychogeriatric Patients - A Sociodemographic and Clinical Profile	p. 178
	K. M. R Prasad, KN Sreenivas, MV Ashok, D Bagchi PMID:21584127 This retrospective study aimed to explore the sociodemographic and clinial profile of patients aged 60 years and above attending the psychiatric services of NIMHANS. Two hundred and sixty-five such patients utilized the services during one year. Preliminary analysis of the data revealed that nearly three-fourths of the patients were between 60 and 69 years of age. The family support was adequate for most of the patients. Psychoses made up two-thirds of the sample (nonorganic psychoses = 43% and organic psychoses = 22%). The difference in the distribution of organic and nonorganic psychoses between the two sexes was significant (p=0.01485); men had significantly more organic psychoses than women and the latter had more nonorganic psychoses than the former. It was found that about 70% of the sample had associated physical disorders. The implications are discussed.
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	Effect of Fluoxetine and Bromocriptine on Craving Occurring During Withdrawal from Alcohol	p. 182
	Sudipto Chatterjee, Mohan K Isaac PMID:21584128 Craving is an integral element in the understanding of alcohol dependence. Recent human and animal research implicates the serotonergic and dopaminergic systems in the mediation of excessive alcohol consumption. In this study, a cue-based approach was used to qualify and quantify craving occurring during acute withdrawal from alcohol. Fifty alcoholics were given either placebo, bromocriptine or fluoxetine in a randomised double-blind fashion and craving was sequentially measured over the next 15 days. Both fluoxetine and bromocriptine significantly attenuated total craving scores without similarly affecting withdrawal symptoms. The results suggest the importance of neurotransmitters in mediating craving. The significance of these data in the light of various behavioural and neurochemical models have been discussed.
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	Kleptomania Presenting with Major Depressive Disorder : A Case Report	p. 190
	RC Sharma PMID:21584129 A 35 year old, married, educated woman of well to do economic condition who was referred by court for psychiatric opinion was found to suffer from "Kleptomania" with "recurrent major depressive disorder." The patient had been stealing and hoarding (at times giving away when caught) defective and useless objects for the past 3 years .mostly during periods of depression and had been arrested twice for stealing. Her kleplomanic symptoms improved moderately when her depression lifted with antidepressants.
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LETTERS TO THE EDITOR


	Psychotropic Drugs : Whats in a Name?	p. 192
	Chittaranjan Andrade PMID:21709850
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	Fluoxetine Induced Acute Dystonia	p. 193
	MS Biradar, SP Chaukinath, SS Bhairwadgi
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NON-INDEXED ARTICLES


	Index - Subject & Author	p. 273

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