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Results for “Dissociative Disorders”

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At least 649 records · Page 36Linked to original sources
PubMed1985

Family violence: principles of intervention and prevention.

The dispersal of clinical and research information on family violence among many subspecialties has obscured the multidimensional nature of the problem and the need for clinicians in all settings to develop a coherent approach to family violence. Through an interpretive review, the author discusses specific mental health contacts that necessitate the exploration of family violence. Failure to do so may lead to underdiagnosis of dissociative disorders and overdiagnosis of depressive disorders in victims. The author also discusses three types of interventions--verbalization, violence-prevention strategies, and advocacy and support--that are useful with victims, abusers, and other family members as well as with "battered professionals" who handle these cases, and describes a comprehensive intervention program.

Aged↗
PubMed1996

Shoplifting and robbery in a fugue state.

The case of a 26-year-old Chinese woman with a history of benzodiazepine dependence and shoplifting who committed an act of robbery is presented. The various aetiological factors implicated in this complicated case are discussed in the light of the recent literature.

Adult↗
PubMed1989

Organic affective disorder and vascular dysregulation in systemic lupus erythematosus.

A case is reported in which an exacerbation of systemic lupus erythematosus presented as an organic depressive disorder with psychotic features. Brain imaging using regional cerebral blood flow techniques demonstrated vascular dysregulation in the left frontal lobe of this patient. The implications for understanding the pathogenesis of psychiatric disorders in lupus are discussed.

Adolescent↗
PubMed2003

Models of response to childhood sexual abuse: their implications for treatment.

Childhood sexual abuse (CSA) has been linked to adult mental health problems and indicators of severity of psychiatric illness. There exist large, unexplained individual differences in the presentation of mental health problems following CSA. Complex statistical methodologies allow researchers to examine models of response to CSA and its impact on mental health. Two early models are presented and critiqued. Two more recent models are then presented. It is concluded that whereas no single variable can, on its own, account for individual variation in symptom development, empirically tested models point toward a complex interaction between abuse-related factors, interactions with others (e.g., responses to disclosure, attachment), and individual factors (e.g., attributions, emotion-focused coping) as mediators and moderators of outcome. The implications of increased understanding of the complex interaction of these factors in understanding clinical presentations and in the formulation of treatment plans are explored.

Adaptation, Psychological↗
PubMed1991

Affect logic.

Explore the source record for details and available documents.

Affective Symptoms↗
PubMed1995

Neurologic abnormalities in murderers.

Thirty-one individuals awaiting trial or sentencing for murder or undergoing an appeal process requested a neurologic examination through legal counsel. We attempted in each instance to obtain EEG, MRI or CT, and neuropsychological testing. Neurologic examination revealed evidence of "frontal" dysfunction in 20 (64.5%). There were symptoms or some other evidence of temporal lobe abnormality in nine (29%). We made a specific neurologic diagnosis in 20 individuals (64.5%), including borderline or full mental retardation (9) and cerebral palsy (2), among others. Neuropsychological testing revealed abnormalities in all subjects tested. There were EEG abnormalities in eight of the 20 subjects tested, consisting mainly of bilateral sharp waves with slowing. There were MRI or CT abnormalities in nine of the 19 subjects tested, consisting primarily of atrophy and white matter changes. Psychiatric diagnoses included paranoid schizophrenia (8), dissociative disorder (4), and depression (9). Virtually all subjects had paranoid ideas and misunderstood social situations. There was a documented history of profound, protracted physical abuse in 26 (83.8%) and of sexual abuse in 10 (32.3%). It is likely that prolonged, severe physical abuse, paranoia, and neurologic brain dysfunction interact to form the matrix of violent behavior.

Adolescent↗
PubMedDate not supplied

Child sexual abuse. 1: Definitions, incidence and consequences.

It is estimated that over 6600 children under the age of 16 years are sexually abused each year in England and Wales (NSPCC, 1990). Of these incidents, 78% involve female children and 22% male children. The effects on the child range from self-mutilating behaviour and dissociative disorders to suicide. Consequently, nurses caring for victims of sexual abuse need to be aware of the trauma involved.

Adolescent↗
PubMed2005

Visual art therapy's unique contribution in the treatment of post-traumatic stress disorders.

This paper describes visual art therapy as an integrative and unique approach, which is most appropriate for the multidimensional treatment of post-traumatic stress disorder (PTSD). The unique contribution of visual art therapy in the treatment of PTSD is expressed in three major areas: (1) working on traumatic memories, (2) the process of symbolization-integration, and (3) containment, transference and countertransference. Two case descriptions of traumatized patients treated in visual art therapy are presented.

Art Therapy↗
PubMed2004

The paradox of "detachment disorders": binding-disruptions of dissociative process.

This case is discussed in the contexts of affect theory, attachment theory, and dissociative experience. Dissociative adaptations to living that become entrenched resistances during psychotherapeutic inquiry give way to a scrupulous attention to the characteristics of dissociative experiencing. Somatosensory free association and appreciation of experiential aspects of depersonalization, derealization, and dissociative amnesia open new areas of negotiation between patient and therapist. Paradigms from infant attachment and adult attachment research parsimoniously explicate psychodynamic formulations. "Conflicted interest" and "conflicted disinterest" are proposed to flesh out appreciation of the child's inner experience during Type A and Type C attachment experiences. The Type D attachment style is consistent with a dissociative phenotype. The concept of "isolated subjectivity" can help explain the extent to which individuals both know and don't know about their experience, in the same moment, and without conscious conflict or anxiety.

Affect↗