Streptococcus agalactiae serotypes in the south west of Scotland.
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Biomedical subjects
Publications and source records attributed to J R Morrison.
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Birth order in 90 female patients with Briquet's syndrome was significantly earlier than the theoretical mean for a normally distributed population. In contrast, the birth order of 78 women with primary alcoholism did not differ from this mean. These results suggest an early environmental influence in the development of Briquet's syndrome in women.
Suicide occurred in 48 of 12,500 adult private psychiatric patients, representing 40,100 years of follow-up. Suicide rates (per 100,000 patients per year), computed from the diagnostic profile of all patients in the practice, were especially high for schizophrenia (411) and bipolar affective disorder (318). The rate of unipolar depression (42) was only slightly higher than that for the general population of San Diego County as computed from coroner's office data. Personality disorder, alcoholism, multiple diagnoses, and psychosis all were associated with increased risk of suicide. Coroner's office reports probably do not accurately reflect suicide risk in treated psychiatric patients.
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From my private practice I describe three patients with Capgras delusions, including a women successfully treated with lithium, and an adolescent boy. These patients constitute 0.3% of patients in the practice, 0.5% of inpatients, and 1.4% of psychotics.
Social factors in 48 adult patients who as children had had hyperactive child syndrome (HACS) were compared with those of 48 patients matched for age, sex and financial status who had never been hyperactive (non-HACS). The fathers of the HACS patients had been employed in lower work classifications; divorce was somewhat more common in HACS parents when the subjects were under 5 years of age. As adults, HACS patients had less education, lower work status and a higher rate of violence and legal problems. This group's greater adult social disability may result from a failure of parental control rather than a direct effect of their childhood hyperactivity.
Classification in psychiatry serves as a basis for communication within science, as a basis of information retrieval, as a descriptive system, as a source for the construction of theories, and finally as a basis for making predictions. Not only has research diagnostic criteria had significant importance to research, but they can now serve the clinician equally well as exemplified by DSM III.
The authors compared 48 adult psychiatric patients (27 men and 21 women) who had been hyperactive as children with two groups of patients who had not. Both comparison groups were matched for age and sex and the second was also matched for economic status. Although closer matching narrowed the gap somewhat, the formerly hyperactive subjects still showed significantly more personality disorder of all types, more sociopathy, more alcoholism, and less affective disorder than controls. Schizophrenia and drug abuse occurred no more often in these subjects than in the comparison groups.
650 psychiatric patients seen for the first time in San Diego on a private basis received a research interview that allowed a study of demographic and clinical characteristics. They were compared with 100 psychiatric patients seen in similar circumstances in Wisconsin. The 2 populations were remarkably similar in several respects.
The common psychiatric disorder Briquet syndrome (hysteria) has no specific treatment, but it can be managed effectively. Careful diagnosis and differentiation from other psychiatric and medical disorders is the important first step. Surgical intervention should be kept to a minimum; medicines are given cautiously and controlled carefully. The treatment of choice is supportive psychotherapy which ignores physical symptoms and encourages the patient to change the method she uses of coping with her environment.
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An investigation of family histories of bipolar affective disorder patients with and without an additional diagnosis of alcoholism showed that affective disorder was seen with equal frequency in both populations of relatives. Alcoholism was significantly more prevalent in relatives of the alcoholic probands than in the relatives of those who did not themselves have alcoholism. These data suggest that bipolar affective disorder and alcoholism may be transmitted independent of one another.
The number of cases of catatonic schizophrenia has decreased in the past 50 years, but a few patients with the syndrome are still seen. The author describes the excited and withdrawn types of catatonia, reviews some organic and psychiatric conditions that resemble them, and gives suggestions for making the differential diagnosis. He discusses the use of the barbiturate interview, ECT, and phenothiazines in treatment, using case examples.
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