The Psychiatric quarterly
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The Psychiatric quarterly · Sep 2012
Review Case ReportsPsychiatric illness and facebook: a case report.
There is relatively little content available addressing the use of social media, such as Facebook in psychiatric populations. There has been significant growth of various social media websites in the last 10 years, such as Facebook, and yet little is written about their overall impact on this population. ⋯ Furthermore, this is a unique example in current literature of an overall positive interaction and social improvement of this patient in large degree due to his use of Facebook. Physicians themselves must be very cautious in their interaction with patients online and especially via social media, while acknowledging that social media can serve as a spring board for more reclusive patients into greater societal integration.
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The Psychiatric quarterly · Sep 2012
ReviewBorderline personality disorder and depression: an update.
To review the literature related to recent temperamental and biological findings on borderline personality disorder (BPD) and major depression, the close link between the two disorders, and the latest therapeutical findings on BPD, focusing on the conditions of co-morbidity between depression and BPD. The National Institutes of Health's PubMed database was used to identify indexed studies on BPD, depression and the co-morbidity between the two. Only studies published between 2000 and 2011 were assessed. ⋯ Psychotherapy and new antipsychotics are the topics of current major interest of research. The therapeutic targets in the case of co-morbidity are BPD features associated with depressive symptoms, thus influencing prognosis. A global assessment is, in fact, fundamental for a successful therapy for the treatment of the several aspects of a complex psychopathological phenomenon.
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Although previous studies seem to indicate that alexithymic individuals have a deficit in their ability to recognize emotional stimuli, none had studied the relationship between alexithymia and verbal and non verbal abilities and their possible role in emotion recognition. The aim of the present study is to further investigate the relationship between alexithymia and emotion recognition ability. ⋯ Participants were shown black and white slides depicting facial expression of the following emotions: anger, sadness, disgust, surprise, happiness and fear. Compared to low alexithymic participants, and, more importantly, taking verbal IQ into account, high alexithymic and low alexithymic participants did not differ in emotion recognition.
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The Psychiatric quarterly · Mar 2011
The relationship between the medical director and the executive director: guidelines for success.
The positional leadership of mental health care organizations commonly is in the hands of an executive director who has had administrative experience, but who may or may not have had clinical experience. The medical director of the mental health organization is a psychiatrist who reports to the executive director despite their different backgrounds and areas of expertise. ⋯ The situation has some similarities (and significant differences) with that described by Gabarro and Kotter in "Managing Your Boss" (1993). A series of guidelines to enhance the potential success of the medical director in this supervisor/supervisee relationship is presented.
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The Psychiatric quarterly · Mar 2009
Review Case ReportsDelirious mania and malignant catatonia: a report of 3 cases and review.
Delirious mania is often difficult to distinguish from excited catatonia. While some authors consider delirious mania a subtype of catatonia, the distinction between the two entities is important as treatment differs and effects outcome. It appears that as catatonia is described as having non-malignant and malignant states, the same division of severity may also apply to delirious mania. ⋯ The patients are amnestic, may lose control of bowel and bladder, but still respond to atypical antipsychotics and mood stabilizers. However, with increasing progression of the disease course and perhaps with an increasing load of catatonic features, delirious mania may convert to a malignant catatonic state (malignant delirious mania) which is worsened by antipsychotics and requires a trial of benzodiazepines and/or ECT. Three case reports are presented to illustrate the diagnostic conundrum of delirious mania and several different presentations of malignant catatonia.