[Withdrawal of drug addicts from opiates using Limoge-type electrotherapy. Evaluation of 400 treatments].
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Biomedical subjects
Publications and source records attributed to J Tignol.
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A comparative study of spontaneous dyskinesias and neuroleptic-induced dyskinesias was made in 270 elderly subjects of a retirement home in France. Females were found to have twice the incidence of dyskinesias (27%) than did males (12%) (p = .04). In addition, 18% of the patients who had not received neuroleptics had dyskinesias; however, 42% of those who had received neuroleptics had dyskinesias. This difference is significant at the p = .0001 level. These results are discussed in terms of the general phenomena of central nervous system degeneration in the elderly.
Spontaneous dyskinesia among institutionalized elderly are much more frequent than previously thought. On 270 patients of a retirement home 63 (23.3%) exhibit a buccolinguofacial dyskinesia. Average age is 81.8. Frequency is twice higher among women (26.7%) than in men (15.2%), and twice and half higher if patients were given neuroleptics (42.4% versus 18%).
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The authors point out clinically the risks of desinhibition in psychiatry. The classical risk of suicide by suppression of inhibition with melancholic patients is well known and prevented. The main risk for neurotic patients is that of trying to get desinhibition by means of toxicomanic behavior essentially though alcoholism. As far as psychoses are concerned, the risk seems to be mainly that the psychiatrist might misunderstand the concept of desinhibition and make a wrong utilization of desinhibitory treatments. At last, the "institutional" desinhibition constitutes a misunderstanding for psychopathic personnalities.
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