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   2004| April-June  | Volume 46 | Issue 2  
    Online since February 20, 2009

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A Study of Risk Factors in Recidivistic Criminals
SC Tiwari, SC Gupta, Seema Shukla, Shipra Srivastava, Mamta Pandey, Amit Maurya, Aditya Kumar
April-June 2004, 46(2):156-165
A study was carried out under the aegis of Indian Council of Medical Research, New Delhi with objectives to identify psychosocial, physical, psychiatric, anthropometric and psychometric risk factors in recidivistic criminals, which could predict a future recidivistic criminal. The paper presents study observations on 250 experimental, 250 control-1 and 250 control-2 subjects. Experimental and control-1 subjects were recruited from district jails of Uttar Pradesh and control-2 from the community. Pretested Semi-structured proformae, Verghese and Beig Symptoms Checklist, International Personality Disorder Examination module, Hostility and Direction of Hostility Questionnaire, Rorschach Ink Blot Test and Standard Anthropometric instruments were used to collect data on study probands. All the three groups were compared using Analysis of Variance and Chi-Square Test. The results highlight a number of psycho-social, psychiatric, psychometric and anthropometric factors which were found to have significant association with recidivistic criminal behaviour. The findings would not only help in identifying future recidivistic criminals but can also be used for legal, judicial, interventional and corrective purposes.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  2,348 78 -
Concept And Management of Treatment Resistant Schizophrenia (TRS)
Nitesh Painuly, Nitin Gupta, Ajit Avasthi
April-June 2004, 46(2):125-134
Treatment resistance in schizophrenia is a fairly common problem faced by psychiatrists worldwide. The concept and definition of Treatment Resistant Schizophrenia (TRS) is still far from satisfactory. Data suggests the presence of biological factors underlying TRS. Second generation antipsychotics are advocated for patients with TRS. However, till date, clozapine remains the treatment of choice. Evidence for other pharmacological measures and ECT is accumulating. Psychosocial interventions do form an integral component of management of TRS. It can be concluded that, with advances in sychopharmacology, TRS needs to be better researched and managed in the future.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  895 278 -
Dissociative Disorder Presenting as Catatonia
P Sarkar, B Patra, FA Sattar, K Chatterjee, A Gupta, T Walia
April-June 2004, 46(2):176-179
Three cases of dissociative disorder presenting with catatonia are described. Catatonia is generally believed to be associated with schizophrenia. However, many other conditions are also known to cause catatonia. A brief review of literature is provided. All the cases improved rapidly with a few ECTs. This report aims to highlight the presentation of dissociative disorders with catatonia. It also seeks to bring to notice the need to avoid lumping all non-organic catatonics under the rubric of schizophrenia so as to ensure proper treatment.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  1,013 135 -
Computer Ethics and Cyber Laws to Mental Health Professionals
BN Raveesh, Sanjay Pande
April-June 2004, 46(2):99-103
The explosive growth of computer and communications technology raises new legal and ethical challenges that reflect tensions between individual rights and societal needs. For instance, should cracking into a computer system be viewed as a petty prank, as trespassing, as theft, or as espionage? Should placing copyrighted material onto a public file server be treated as freedom of expression or as theft? Should ordinary communications be encrypted using codes that make it impossible for law-enforcement agencies to perform wiretaps? As we develop shared understandings and norms of behaviour, we are setting standards that will govern the information society for decades to come.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  798 119 -
Body Dysmorphic Disorder : An Unusual Presentation of Schizophrenia
Amul Patel, Himanshu Sharma, Yogesh Thakker
April-June 2004, 46(2):180-181
Although body dysmorphic disorder is a psychiatric disorder in its own right, rarely it can be a variant of a variety of psychiatric syndromes like schizophrenia, mood disorders, OCD etc. Following is an unusual case report of a female patient who presented with body dysmorphic disorder later diagnosed as having schizophrenia.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  801 98 -
The Flynn Effect : An Alert to Clinicians
Chittaranjan Andrade, N Jamuna
April-June 2004, 46(2):166-168
Every 30 years or so, there is an increase of approximately 10-20 points in the population IQ; this appears to be a universal finding. Known as the Flynn effect, it is regarded as a largely artefactual situation because there is no evidence for a true transgenerational increase in intelligence. The Flynn effect makes problematic, the use of IQ tests to compare individuals across generations and the use of IQ tests, the norms of which were obtained in previous decades. The Flynn effect is important to India because IQ test results have many legal and financial implications. Regrettably, most tests that have been standardized for use in India have norms that are decidedly outdated. Restandardization of important IQ tests is urgently required.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  647 241 -
Efficacy and Tolerability of Aripiprazole in Patients with Schizophrenia and Schizoaffective Disorders
RK Chavda, L Laxmi, BS Nair, K. Gandewar
April-June 2004, 46(2):150-155
Before the 1990s, treatment of psychoses centred on conventional agents whose tolerability was limited by extrapyramidal symptoms (EPS). The past decade has seen the emergence of newer generation of antipsychotic agents. These agents provide better negative symptom efficacy, less impaired cognition and lower risk of extrapyramidal syndromes. Aripiprazole, a new atypical antipsychotic drug, displayed efficacy similar to risperidone and haloperidol in numerous clinical trials. Aripiprazole does not cause significant prolactin elevation and is associated with a low rate of clinically significant weight gain compared with other atypical antipsychotics. Aripiprazole is a study drug for treating schizophrenia and has a novel pharmacologic profile. Aripiprazole provides a new treatment option with limited adverse effects for patients in need of antipsychotic therapy. The present study is a 4-week, open-labelled, randomized postmarketing clinical study conducted using aripiprazole as the study drug. Fixed doses of 15mg of the drug were administered throughout the study. A total of 249 patients with a primary diagnosis of schizophrenia or schizoaffective disorder were randomized. Efficacy measures included the Positive And Negative Syndrome Scale (PANSS) total, PANSS positive, PANSS negative and general psychopathology. Patients were evaluated for efficacy parameters at the end of 2nd week and also at the end of study. Unlike the other antipsychotics, aripiprazole was not associated with significant EPS, increase in body weight or increase in QTc interval. Aripiprazole, effective against positive and negative symptoms, is a safe and well-tolerated potential treatment for schizophrenia and schizoaffective disorder.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  752 111 -
Geriatric Out-Patients With Psychiatric Illnesses in A Teaching Hospital Setting - A Retrospective Study
Gurvinder Pal Singh, BS Chavan, Priti Arun, Lobraj , Ajeet Sidana
April-June 2004, 46(2):140-143
The number of geropsychiatric outpatients is on an increase in North India.Such patients visit many clinics for treatment of their problems. Not much research has been done in this part of the country in assessing the clinical profiles of such patients. As such the present study was undertaken to assess the sociodemographic characteristics and the pattern of psychiatric and physical disorders in the elderly outpatients. A single institutional retrospective study of 3 years was designed. Data was collected year wise and reconfirmation of diagnoses was done using ICD-10 criteria. A total of 181 completed case records of elderly outpatients aged 60 years and over were included in this study. The case records had a printed, semi-structured format; complete and reliable information was available in all the records.Data obtained was analysed using frequency distribution. Results showed that Mood disorders(48.07%), Neurotic, stress related and somatoform disorders (15.47%) and Organic,including symptomatic, mental disorders (14.36%) were the most common psychiatric disorders in these patients. Medical comorbidity was a significant finding of this study as physical diagnosis was present in most of these patients (56.35%). Conclusion on the results reaffirm that there is a high prevalence of Mood disorders and Neurotic, stress-related and somatoform disorders in elderly outpatients. Adequate measures to detect these psychiatric disorders and medical comorbidity in elderly outpatients by specialized geropsychiatric services are needed. Planning of mental health services for the aged is the demand of the current scenario in our country.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  727 128 -
An Analysis of Suicide Attempters Versus Completers in Kerala
P.N. Suresh Kumar
April-June 2004, 46(2):144-149
This study attempted to differentiate suicide attempters from completers based on their psycho-socio-demographic profile. Suicide attempters admitted to Govt. Medical College, Kozhikode during the period of 1st January to 31st December 2001 were evaluated using a specially designed proforma and for the same period, data of completers were collected using retrospective chart review. The parametric and non-parametric variables between these two groups were compared using appropriate statistics. Both attempters and completers in male gender were in the age of forties and females were in thirties. There was over representation of young females, married and housewives among the victims. In male and female victims, hanging was the commonest method followed by poisoning in males and self-immolation in females. Poisoning was the commonest mode in male attempters and drug over dose in females. Many of the differences in the psycho-socio-demographic profile of suicide attempters and completers reported from western countries could not be replicated in the present study. However comparison of our findings with studies from India and other developing countries shows many similarities.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  651 192 -
A New Mental Health Act for India : An Ethics Based Approach
Jaydip Sarkar
April-June 2004, 46(2):104-114
Full text not available  [PDF]  [PubMed]
  634 177 -
Schizophrenia Research : Indian Scene in Last Decade
Ajit Avasthi, Gagandeep Singh
April-June 2004, 46(2):115-124
Full text not available  [PDF]  [PubMed]
  573 234 -
Demographic And Clinical Correlates of Substance Abuse Comorbidity in Schizophrenia
Tapas K Aich, Vinod K Sinha, Christoday R. J. Khess, Shailja Singh
April-June 2004, 46(2):135-139
Seventy patients of schizophrenia were divided into two groups based on the presence or absence of substance abusing history in them. Two groups were compared on various socio-demographic and clinical variables. Thirty-eight (54.3%) patients could be diagnosed as having comorbid alcohol/substance abuse/dependence. Seventeen (24.3%) of them were poly-substance abusers. Comorbid substance abusers were predominantly represented by positive syndrome while non-abusers by negative syndrome. In contrast to the report by the most western researchers, most patients in the present study with a diagnosis of substance abusing schizophrenia were married. Similar study from a developing country is rare in the existing literature.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  595 150 -
Depression - The Proteus of Medicine
A Venkoba Rao
April-June 2004, 46(2):169-173
Depression is discussed as a disease of antiquity with suitable contemporary references also. The prevalence of this disorder, which at a given time constitutes 121 millions world-wide is mentioned. Among the types of depression, comorbid depression forms an important one. Classical depression forms the visible part of the depression iceberg while somatic and other life contextual situation forms the submerged part. Somatic manifestations per se do not carry diagnostic weightage unless the core features of depression are elicited. Non-recognition of somatic manifestations result in under-diagnosis and under treatment of the disorder.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  569 130 -
Why we Should Opt for a New Mental Health Act, and not Tinker with the Old One?
AK Kala
April-June 2004, 46(2):96-98
Full text not available  [PDF]  [PubMed]
  447 211 -
Aripiprazole Induced Severe Parkinsonian Symptoms
Lok Raj, Divay Mangla
April-June 2004, 46(2):174-175
Among the next generation of antipsychotics, aripiprazole is the molecule, which has been defined to have a special mode of action, which is the stabilization of the dopamine system. Different studies have found the incidence of extrapyramidal symptoms (EPS) with this antipsychotic to be very much insignificant. Studies done so far have reported the incidence of extrapyramidal side effects to be equal to that caused by placebo: here is a case report of a 19 years old female patient suffering from schizophrenic illness, who developed severe EPS in the form of marked rigidity, tremors, drooling of saliva, masked face, significant hypokinesia and difficulty in maintaining straight posture after receiving 20 mg of aripiprazole per day. This led to severe disturbance in her routine functioning and the EPS disappeared within a week after stopping the medicine and administration of anticholinergic drug.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  505 88 -
Information Technology and Mental Health Care
T. S. Sathyanarayana Rao, BN Raveesh
April-June 2004, 46(2):93-95
Full text not available  [PDF]  [PubMed]
  432 78 -
Wilson's disease Presenting with Neuropsychiatric Manifestations.
Rajesh Jacob, VG Srivatsa
April-June 2004, 46(2):182-182
Full text not available  [PDF]  [PubMed]
  360 56 -
The Saience of Medicine
M Thirunavukkarasu
April-June 2004, 46(2):184-184
Full text not available  [PDF]
  318 45 -
Notes, News and Announcements

April-June 2004, 46(2):185-186
Full text not available  [PDF]
  265 74 -
Indian Journal Of Psychiatry

April-June 2004, 46(2):91-92
Full text not available  [PDF]
  283 48 -
Asylums and Authors
Haque Nizamie
April-June 2004, 46(2):183-183
Full text not available  [PDF]  [PubMed]
  247 39 -