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Biomedical subjects

M E Garralda

Publications and source records attributed to M E Garralda.

58 records · Page 4Linked to original sources

The psychoses of epilepsy and the functional psychoses: a clinical and phenomenological comparison.

Sixty-nine patients, each with a combined diagnosis of epilepsy and psychosis, were compared with 53 patients with a diagnosis of functional psychosis. The epileptic affective patients often lacked convincing psychotic features; ECT and lithium were rarely prescribed; only three showed evidence of bipolarity. The epileptic schizophrenic patients were judged to have the better premorbid personality; experienced more paranoid delusions and delusions of reference, and showed less catatonic features than the functional schizophrenic patients. The course of the epileptics' illness was more variable. The concept that the schizophrenia-like psychosis associated with epilepsy is a distinct nosological entity is supported, but not the suggestion of a relationship between affective psychosis and epilepsy.

Adult↗

Diagnostic accuracy in presenile dementia.

A follow-up study of patients diagnosed as suffering from presenile dementia has revealed a high incidence of erroneous diagnoses. Of 52 patients discharged from hospital with this diagnosis, information was obtained 5-15 years later on 51. Eighteen were alive and the diagnosis was rejected in 16 (31 per cent). Possible reasons for the mistaken diagnoses are discussed.

Aged↗

Living with chronic renal failure.

We describe our impressions gained in the process of systematic interviewing of children with chronic renal failure. In spite of improved techniques of medical treatment in recent years, many of these children and their families remain under considerable strain. This is caused by anxieties about the child's general prospects for the future, problems in accepting the illness and treatment, particularly with a late onset of the condition, and multiple hospital admissions with occasional life-threatening incidents. In spite of their less serious nature, chronic features such as poor growth and urinary incontinence seem to be particularly worrying for many children and their parents. We feel that it is worth considering how to improve the supports for these families, helping parents to be more aware of community facilities that are available, and striving to improve communication between the different agencies (hospital, general practitioners, schools, etc.) involved.

Adaptation, Psychological↗

Psychiatric adjustment in children with chronic physical illness.

Improved medical treatments for children with chronic illness have resulted in better survival rates as well as more morbidity and use of medical resources by ill children. Increasingly, interest is being directed at the implications of illness for the child's quality of life and psychiatric adjustment.

Child↗