South African Journal of Psychiatry - Volume 17, Issue 2, 2011
Volume 17, Issue 2, 2011
Author M.W. BohmerSource: South African Journal of Psychiatry 17, pp 34 –38 (2011)More Less
'If you talk about things you have not experienced, you are wasting your and other people's time. As you continue the practice of looking deeply, you will see this more and more clearly, and you will save a lot of paper and publishing enterprises and have more time to enjoy your tea and live your daily life in mindfulness.'
Psychotherapy has been viewed as a core clinical activity of psychiatrists. Is this still the case in our modern era, with more and more focus on pharmacotherapy? As we prepare for the Fellowship of the College of Psychiatrists of South Africa (FCPsych) to be the only exit examination to qualify as a psychiatrist in South Africa, it is prudent to reconsider this and related questions.
Profile of forensic psychiatric inpatients referred to the Free State Psychiatric Complex, 2004 - 2008Source: South African Journal of Psychiatry 17, pp 40 –43 (2011)More Less
Introduction. An accused found unfit to stand trial and/or not criminally responsible for his/her actions because of mental illness, is declared a state patient by the court.
Aim. The aim of the study was to analyse the biographical data and relevant particulars of forensic psychiatric inpatients who were admitted to the Free State Psychiatric Complex (FSPC) according to section 42 of the Mental Health Care Act (No. 17 of 2002), from 2004 to 2008.
Study design. A descriptive, retrospective study was conducted.
Method. One hundred and twenty forensic psychiatric inpatients admitted to the FSCP in terms of section 42 of the Mental Health Care Act during the period 2004 - 2008 were included in the study.
Results. The majority of the offenders were male (95.8%), unmarried (83.8%) and unemployed (81.5%). The median age was 32.5 years. Most of the offences against persons were of a sexual nature (45.8%). The main offence against property was vandalism (40.6%). Most of the patients in the study had a history of abusing substances such as alcohol (74%), cannabis (66.7%), tobacco (29.6%) and glue (6.2%). More than half (55.5%) of the forensic inpatients were diagnosed with schizophrenia, followed by mental retardation (10%) and bipolar mood disorder (9.2%). Fifty-eight per cent of the participants had received treatment for a mental illness prior to the crime, and 63% were also known to have poor compliance and to have defaulted from treatment in the past. Eighty per cent of the participants reported having family or friends willing to accommodate them upon discharge.
Conclusion. The majority of the crimes committed were against persons, with rape being the most common. Most of the participants were diagnosed with schizophrenia. The following factors that may influence the rehabilitation, management and training programmes for state patients were identified: active symptoms of a major mental illness such as schizophrenia, current substance abuse, a history of substance abuse, seriousness of the crime committed, medication compliance, a psychiatric history, and family or friends willing to accommodate the participant upon discharge.
Author Charles H. Van WijkSource: South African Journal of Psychiatry 17, pp 44 –54 (2011)More Less
Objective. The Brunel Mood Scale (BRUMS) has proved useful to assess mood states in a range of clinical settings. Its local utility is restricted by the lack of normative data from South Africa. This paper presents preliminary normative data for use of the BRUMS in the South African health care setting.
Method. Participants (N=2 200) ranging from 18 to 59 years in age, employed in the public sector and recruited during routine occupational health surveillance, completed the 24-item self-report BRUMS. They came from all South African race and language groups, and from all nine provinces.
Results. Significant differences were found between the scores of women and men, and their results are reported separately. Owing to the language-dependent nature of the BRUMS, results are also reported separately for respondents with English as their first language and those who had other South African languages as mother tongue. Norm tables with T-scores are presented for the full sample, and for the separate gender and language groups.
Conclusion. This study presents normative data for a sample of educated and employed South Africans from various backgrounds. Its brevity, and provisionally language-friendly nature, make it a useful measure for screening for psychological distress in the South African clinical health care context.
Source: South African Journal of Psychiatry 17, pp 56 –59 (2011)More Less
Forced normalisation is a paradoxical relationship between seizure activity and behavioural problems. A 20-year-old man with recurrent refractory tonic-clonic epilepsy experienced forced normalisation while on medication with multiple anti-epileptic drugs (valproate sodium, carbamazepine and topiramate). A reduction in the seizure burden correlated with sudden behavioural changes manifesting with aggressive outbursts and violence.
The case may help clarify the mechanism of forced normalisation while providing some helpful hints regarding the diagnosis and treatment of symptoms observed in recurrent refractory seizures.
Parenting style and conduct problems in children : a report of deliberate self-poisoning in a Nigerian child : case reportSource: South African Journal of Psychiatry 17, pp 60 –63 (2011)More Less
A correlation between unhealthy parenting styles and child psychopathology has been established. This case report describes how chronic harsh paternal parenting caused a young boy to deliberately poison himself with organophosphate chemicals (rat poison). This report is intended to stimulate the interest of physicians and psychiatrists in parenting style research and in how parenting style modification can be a therapeutic and preventive tool.
Author Bernard Janse Van RensburgSource: South African Journal of Psychiatry 17 (2011)More Less
To the Editor: In a recent issue of SAJP, Moosa and Jeenah concluded from their review of the 2008 applications for involuntary admission to Gauteng Mental Health Review Boards (MHRBs) that it would appear that in the 4 years since promulgation of the Mental Health Care Act (MHCA) there have been significant strides towards implementation of the procedures relating to involuntary admission and care of mental health care users by all stakeholders.