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Biomedical subjects

R T Rada

Publications and source records attributed to R T Rada.

At least 37 records · Page 2Linked to original sources

Issues in developing quality aftercare clinics for the chronic mentally ill.

Two large aftercare clinics were established to provide treatment and rehabilitative care for a chronic mentally ill population requiring neuroleptic drugs. The clinics have evolved rapidly and expanded their service over the past 3 years but have required constant monitoring and modification in order to provide quality as well as quantity care in the community setting. These modifications are described and the importance of further community-based investigation in the rehabilitation and treatment of the chronic mentally ill is stressed.

Aftercare↗

Thiothixene in the treatment of geriatric patients with chronic organic brain syndrome.

Thiothixene was used in a four-week double-blind placebo-controlled study of 42 geriatric patients with chronic organic brain syndrome (psychotic or nonpsychotic). The results, according to several rating measures, showed no significant difference between placebo and thiothixene. Side effects were mild and few. These data support the safety of thiothixene therapy for geriatric patients; however, there is no conclusive evidence of its efficacy in the treatment of chronic organic brain syndrome.

Aged↗

Alcoholism and the child molester.

This study shows a high association among drinking, alcoholism, and child molestation. Forty-nine percent of the child molesters were drinking at the time of commission of the offense, and 34% were drinking heavily, defined as 10 or more beers or the equivalent. The alcoholism rate for the group was 52% based on the MAST or 33% based on the more stringent Pokorny shortened version of it. An interesting and unexpected finding was a statistically significantly lower incidence of drinking at the time of commission of the offense in male-child molesters compared with female-child molesters. In addition, the male-child molesters had a definitely lower alcoholism rate compared with female-child molesters. The importance of these findings for treatment programs is emphasized.

Adult↗

Depression and the reintegration phase of acute schizophrenia.

The authors found moderate to severe depression in 60% of a group of schizophrenic patients experiencing acute decompensations (N=30). The course of the depression was followed over an 8-week period8,during which patients were treated with depot fluphenazines. There was a statistically significant reduction in depression that closely paralleled the correction of the cognitive disorder. The authors discuss problems in identifying and quantifying depression during acute schizophrenic decompensation and suggest that the Hamilton scale anxiety/depression factor and the BRPS depression factor may be useful diagnositc tools.

Acute Disease↗

Alcoholism and forcible rape.

Data collected from detailed autobiographies of 77 convicted rapists revealed that 50 percent of them were drinking at the time of the rape and that 35 percent were alcoholics. This strong association between alcoholism and forcible rape highlights the importance of follow-up treatment programs for the alcoholic sex offender; such programs should focus on adequate control of his drinking behavior as well as on his sexual adjustment.

Adult↗

Aphasia and the expert medical witness.

Psychiatrists have recently been criticized from within and outside the profession for rendering professional opinion in instances where their qualifications are inadequate. In forensic psychiatry, the problem of predicting dangerousness is a notable example. The forensic psychiatrist may also be called to testify as to the present or future competency of the aphasic patient. It therefore behooves the medical expert to be fully aware of the new developments within the field of aphasiology so that in cases involving aphasia the best combined expert testimony can be rendered the court.

Aphasia↗