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At least 163 records · Page 9Linked to original sources
PubMed1989

An ethnomedical perspective of Anglo-American psychiatry.

Although psychiatry is part of Western biomedicine and its roots in neurobiology are widely appreciated, Anglo-American psychiatry addresses social behavior that is deviant and potentially stigmatizing and is said to uniquely engage in social control. Moreover, its concerns overlap and compete with those of other regulatory institutions of the state. For these reasons, the manner in which psychiatry operates is subject to challenge, criticism, and controversy. The author proposes that a look at psychiatry from the vantage point of ethnomedicine--the comparative study of medical systems--can enhance an appreciation of the current controversies in psychiatry and psychiatry's role as a medical institution.

Cross-Cultural Comparison↗
PubMedDate not supplied

[Incidence and importance of "non-cognitive" symptoms in dementia of the Alzheimer type: productive psychotic symptoms, depressive disorders and behavioral disorders].

A semi-structured interview was administered to the closest relatives of 50 patients with presenile or senile dementia of the Alzheimer type. The disturbances most frequently reported were: wandering/pacing (56%, cumulative percentage), aggressive behavior (44%) and - significantly related to more severe stages of dementia - apathy/loss of drive (58%), eating disturbances (46%) and disturbances of the sleep-waking cycle (32%). Depressive symptoms were observed in 58% of the patients, preferentially in the early stages of illness with preserved insight. Signs of paranoid delusions (46%), delusional misidentification (34%), visual (32%) and auditory hallucinations (16%) were encountered temporarily in a large number of patients. The importance of "non-cognitive" symptoms in Alzheimer's disease is underlined by their subjective significance for the caregivers.

Aged↗
PubMed1986

Genocide and mass destruction: doing harm to others as a missing dimension in psychopathology.

Psychology and psychiatry lose much of their common-sense credibility so long as they offer no way of defining execution of and participation in mass murder and genocide as pathological. This paper proposes an expansion of the standard classification system in psychopathology to include abuses and destruction of other people, so that persons who terminate the lives of others are defined as "disturbed."

Child↗
PubMedDate not supplied

Indices of social risk among first attenders of an emergency mental health service in post-conflict East Timor: an exploratory investigation.

OBJECTIVE: Little is known about the profile of patients treated in mental health services in low-income, post-conflict countries, especially in the post-emergency phase. We postulated that patients attending the first community mental health service in East Timor would be characterized not only by mental disturbance but by high levels of social vulnerability. METHOD: Drawing on existing methods and on consultations with East Timorese mental health staff, five social indicators were identified: dangerousness; inability to undertake life-sustaining self-care; bizarre behaviour; incapacitating distress; and social unmanageability. Adequate levels of interrater reliability (65-91%) were achieved in identifying these indicators from case notes. Forty-eight randomly selected case notes were analyzed to ascertain the prevalence of social risk factors as well as the referral source and broad diagnostic groupings. RESULTS: Major referral sources were the family, humanitarian agencies and the police. Twenty-nine percent met criteria for dangerousness; 42% for inability to undertake self-care; 58% for bizarre behaviour; 75% for distress; and 19% for unmanageability. Ninety-eight percent fulfilled at least one social indicator, with the modal score being 2. CONCLUSIONS: Although the approach to documentation and analysis was preliminary, the data suggest that a focus on social risk indicators may assist in determining those mentally disturbed persons in need of priority care in resource-poor post-conflict countries.

Adult↗
PubMed1975

The social construction of child abuse.

Research on child abuse has traditionally focused on incidence, causes, and prevention and treatment. One facet overlooked is that abuse is social deviance, and is the product of social labeling. Employing the perspective of labeling theory, this paper proposes that causes of abuse are products of social definitions applied by gatekeepers charged with identifying children injured by their caretakers. Gaps in our knowledge of child abuse are pointed out, and suggestions for empirical research are offered.

Adolescent↗
PubMed1977

Boarding schools: effects on the mental health of Eskimo adolescents.

Whether boarding schools undermine the mental health of Eskimo and Indian children has been a bitterly debated issue. The authors examined the effects of four representative boarding schools on 132 Alaskan Eskimo adolescents during their freshman and sophomore years. Forty-nine percent of the freshmen developed school-related social and emotional disturbances; 25% of these problems were judged serious. High levels of emotional disturbance were also found during the students' sophomore year. Although simple environmental changes may temporarily reduce the rate of disturbance among students, the long-term effects of boarding schools may still be deleterious.

Achievement↗
PubMed1975

Deliberate self-harm: clinical and socio-economic characteristics of 368 patients.

In this study 368 patients were interviewed after they had attended the Bristol Royal Infirmary Accident and Emergency Department following a non-fatal act of deliberate self-harm. There were twice as many women (247) as men (121), and two thirds of the patients were in the 15-35 age group. Ninety-five per cent had taken a drug overdose, most commonly one or more of the tranquillizers, antidepressants, hypnotics or analgesics. Seventy-eight per cent had taken drugs prescribed by a doctor. Half the patients mentioned interpersonal conflict as a major precipitating factor in the episode. A psychiatric diagnosis was completed for all admitted patients, of whom 52 per cent were considered to be suffering from neurotic depression, 29 per cent from personality disorder, 12 per cent from functional psychosis and 10 per cent from alcohol addiction. Almost half had deliberately harmed themselves on a previous occasion. The series showed a greater than average incidence of unemployment, overcrowded living conditions, divorce and antisocial behaviour. The implications of these findings for the clinical management and prevention of non-fatal deliberate self-harm are discussed.

Adjustment Disorders↗