South African Journal of Psychiatry - Volume 12, Issue 2, 2006
Volume 12, Issue 2, 2006
Source: South African Journal of Psychiatry 12 (2006)More Less
Extracted from text ... Growing mental health burden Mental disorders are a large and growing component of the global disease burden with about 13% of all disability-adjusted life years (DALYs) due to neurological and psychiatric disorders, and depression, accounting for 51.9 million DALYs or 3.4% of the global burden of disease, the most common psychiatric disorder and the leading nonfatal condition. Alzheimer's disease and other dementias account for 17.1 million DALYs, while schizophrenia, bipolar disorder and panic disorder account for another 11.6 million DALYs, 9.7 million DALYs and 4.5 million DALYs respectively. These are some of the findings in the Disease Control Priorities ..
Author Jonathan Spencer JonesSource: South African Journal of Psychiatry 12 (2006)More Less
Extracted from text ... interview interview interview interview interview Call for excellence in research and publishing `The South African Journal of Psychiatry has a long history and my intention is to build vigorously on its strengths!? So says Professor Werdie van Staden, psychiatrist and philosopher attached to the Department of Psychiatry at the University of Pretoria and Weskoppies Hospital, and the incoming editor of the SAJP. Van Staden, who takes over the editorship from Professor Robin Emsley, psychiatrist at Tygerberg Hospital, says that the SAJP has a key role to play in the local psychiatric scene and that it can best achieve this ..
Author Mike Ewart SmithSource: South African Journal of Psychiatry 12, pp 6 –8 (2006)More Less
Extracted from text ... editorial Marriage and mental health Some form of marriage has been a feature of human societies throughout history. Typically, the individuals concerned have been expected to make public their new status, and to accept the community's right to demand conformity with rituals and taboos surrounding this social contract. But vast and uncontrolled changes in the nature of marriage are taking place in today's South Africa. The proportion of marriages ending in divorce rises inexorably. Serial marriages have become perhaps almost the norm, and cohabitation outside marriage is widespread. Cohabitators make no social contracts of the type mentioned above. Meanwhile, ..
Author J.P. de V. Van NiekerkSource: South African Journal of Psychiatry 12 (2006)More Less
Extracted from text ... Changing the editorial guard Scientific journals simply cannot be successful unless they have competent, dedicated and vigorous editors. The South African Journal of Psychiatry has been fortunate to have had such a person at the helm since 1997. We now bid Robin Emsley farewell as he hands over the reins to his successor. Robin Emsley has epitomised the requirements of an excellent editor. Firstly he is highly respected in his field and is well known to his colleagues in South Africa, Africa and beyond. This is necessary because the editor has to call on colleagues for favours such as ..
The evolution of antipsychotic medication : a long-acting, injectable formulation of a second-generation antipsychotic : editorialAuthor Piet OosthuizenSource: South African Journal of Psychiatry 12, pp 10 –11 (2006)More Less
Extracted from text ... 10 articles Schizophrenia remains one of the most devastating illnesses known to man: not only does it commonly strike young people at the threshold of their productive life, but its deteriorating, relapsing course over many years results in great emotional and financial cost to patients, carers and society at large. The introduction of the first antipsychotics raised hopes that we would be able to cure this terrible disorder; however, time has shown that, although effective against the positive symptoms of the disorder, the first-generation antipsychotics do very little to relieve other symptoms of schizophrenia and often exacerbate some of ..
Source: South African Journal of Psychiatry 12, pp 12 –14 (2006)More Less
Polygamy is defined as a marital system in which a man is married to more than one woman at the same time. This article reviews 210 articles from the literature. The aim is to place polygamy in a cultural context and suggest family therapy approaches to psychological and other stresses that may arise from these relationships. Polygamy is accepted and legally practised in many cultures worldwide. It may have both beneficial and deleterious psychosocial consequences for individuals involved in such relationships. Some of the issues arising in such multiparental families can be addressed by relational therapies, if those therapies are based on what is culturally acceptable.
Author C.W. Van StadenSource: South African Journal of Psychiatry 12, pp 16 –21 (2006)More Less
Reductionist and non-reductionist philosophers and mental health professionals have debated about what and where the self is. In this article I deploy a neo-Fregean theory to clarify the process by which: (i) the self becomes so susceptible to this debate; and (ii) the self presents so variably in personal experiences. Accordingly, the self can be either estranged or well equipped, depending on the position it occupies in relations, whether in the conceptualisation or in the personal experiences of the self.
Source: South African Journal of Psychiatry 12, pp 22 –25 (2006)More Less
<I>Backround and aims.</I> Hypoxia at altitude may lead to mental changes resembling dissociative symptoms. This study examined whether hypoxia precipitates dissociative states in normal subjects and whether quantitative electroencephalographic (EEG) changes occur. <br><I>Methods.</I> Dissociative symptoms and EEG changes were examined in a hypobaric chamber. <br><I>Results.</I> No dissociation was noted. EEG slowing accompanied hypoxia, replicating previous findings.
Prevalence and risk factors for psychiatric morbidity among tertiary hospital consultants in NigeriaSource: South African Journal of Psychiatry 12, pp 26 –36 (2006)More Less
<I>Objective.</I> To determine the prevalence of psychiatric morbidity among consultants in a tertiary health care institution in Ilorin, Nigeria, and the sociodemographic and work characteristics that may be associated with poor mental health. <br><I>Method.</I> This was a cross-sectional study involving use of the 30-item general health questionnaire (GHQ-30) and a questionnaire on sociodemographic/work-related factors. <br><I>Data source.</I> Consultants in the employ of the University of Ilorin Teaching Hospital. <br><I>Data analysis.</I> Data were analysed using the Statistical Package for Social Sciences version 11.0 (SPSS 11.0). Frequency distribution, cross tabulation, and chi-square analysis were obtained, with level of significance set at 5%. <br><I>Result.</I> Fifty-four consultants responded satisfactorily to the questionnaires (response rate 69.2%); 10 (18.5%) scored 4 and above on the GHQ-30 (i.e GHQ-positive) and were therefore considered to have psychiatric morbidity. No socio demographic or work-related factors had any significant association with morbidity. <br><I>Conclusion.</I> Teaching hospital consultants are as likely as any other occupational group to develop psychological morbidity, possibly owing to the role of inherently dominant factors. Regular organisation of stress management workshops/seminars and hospital management-consultant interactive forums is advocated.