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At least 379 records · Page 21Linked to original sources
PubMed1985

Crisis-oriented residential treatment as an alternative to hospitalization.

The La Posada program, a short-term alternative to hospitalization for acutely disturbed chronic patients, combines crisis intervention techniques with techniques developed in halfway houses to enhance independent functioning and counteract regressive, dependent behavior. Highly structured days involving a variety of approaches including group and individual therapy, therapeutic activities, expectations of appropriate behavior, and responsibility for ongoing treatment enable most clients to leave the program within nine days and to begin outpatient and day treatment before discharge. The program has proved to be a cost-effective and readily reproducible way of reducing hospital utilization by diverting patients directly or allowing early discharge to La Posada.

Adjustment Disorders↗
PubMed1999

Ferenczi's fatal illness in historical context.

In August 1932, Ferenczi was already manifesting symptoms of his fatal illness, pernicious anemia. This was diagnosed between September 20 and October 2 of that year, less than a month after the Twelfth International Psychoanalytic Congress in Wiesbaden. Despite seemingly successful treatment with injectable liver extract, he underwent an acute psychotic episode in March 1933, triggered by the neurological symptoms of his illness. These facts substantiate the subsequent claim of Freud and Jones that Ferenczi suffered from paranoia near the end of his life, but they do not support the commonly-held view that the writings and experiments in psychoanalytic technique of his last five years were symptomatic of a progressive mental illness.

Anemia, Pernicious↗
PubMed1981

Intervention in psychosocial decompensation of the elderly in poor neighbourhoods in Jerusalem.

In learning to understand the particular problems of old age, in focusing our attention on losses and decompensation, we developed an approach which was concrete and situational rather than (life-long) developmental. In most cases, brief crisis-orientated interventions were sufficient to reduce symptomatology and restore the patient to a healthier level of functioning. Such interventions involved not only the psychogeriatric team but other health and social agencies as well. More so than in other fields of psychiatry, psychogeriatrics concerns itself with a wide spectrum of psychosocial factors; thus the integration of the pyschogeriatric unit into the existing network of community services becomes and important concern.

Aged↗
PubMed1978

Psychiatric aspects of geriatric crisis intervention.

Data on 64 geriatric patients treated by the Psychiatric Crisis Team at the Jewish General Hospital were reviewed. A control group of non-geriatric patients was selected at random for comparison. The average age of the geriatric group was 69.4 years compared to 33 in the control group. Women predominated in the geriatric group. Precipitating factors were more easily delineated in the geriatric group. Physical illness, loss of a close relative and relocation were the most common precipitating events in the geriatric group. Depression, psychotic and neurotic, was the predominant diagnosis in the older group and schizophrenic psychosis in the control group. Compared to the control group, the geriatric patients were discharged sooner and were more easily managed. Only two geriatric patients required institutionalization. The study supports the value of prompt and comprehensive geriatric crisis intervention.

Aged↗
PubMed1987

DSM-III: problems in diagnosis of paranoia and obsessive-compulsive disorder.

The diagnoses of paranoia and obsessive-compulsive disorder are not adequately dealt with either conceptually or phenomenologically in DSM-III. A case of monosymptomatic hypochondriacal psychosis illustrating this point is presented. The question of whether this disorder should be diagnosed as paranoia, obsessive-compulsive disorder or an atypical affective disorder is discussed.

Adult↗
PubMed1993

Possible interaction between fluoxetine and pimozide causing sinus bradycardia.

Fluoxetine has been reported to have interactions with antipsychotics and other antidepressants with symptoms of toxicity of these drugs. We report a case of a possible interaction with pimozide which led to a potentially life threatening bradycardia. Careful monitoring should be done when these two drugs are prescribed at the same time, especially in the elderly and in patients with cardiac disease.

Aged↗