South African Journal of Psychiatry - Volume 9, Issue 2, 2003
Volume 9, Issue 2, 2003
Source: South African Journal of Psychiatry 9 (2003)More Less
Extracted from text ... 26 n e w s news news news news news news news news Today more and more people are becoming aware of the intricate and intimate link between one's mental states and physical wellbeing. Statistics cited in Time Magazine, Febru a ry 2003 state that after a heart attack your risk of dying from cardiovascular disease is 4-6 times greater if you also happen to suffer from depre s s i o n . H e a rt disease also worsens if it occurs alongside depre s s i o n . R e s e a rch has ..
Challenges to the current provision of mental health services and development of psychiatry in Africa : editorialAuthor Fred N. KigoziSource: South African Journal of Psychiatry 9, pp 27 –28 (2003)More Less
Extracted from text ... 27 e d i t o r i a l The history of the development of mental health services in Africa falls into four phases, firstly the pre-colonial phase, with care being under the traditional and spiritual healers, then the rise of asylums for mainly custodial confinement, followed by modern large asylum-like mental hospitals during and soon after the colonial period, and most recently the decentralisation of mental health care and adoption of World Health Organisation recommendations and the Alma Ata concept by integrating mental health into general health care during the last two decades or so. The concept ..
Author M.D. LucasSource: South African Journal of Psychiatry 9, pp 29 –32 (2003)More Less
<I>Background.</I> Subjective memory and concentration difficulties are frequently expressed in modern society and, if sufficiently worrying, may elicit a medical consultation for elucidation. When a clear explanation cannot be given, a neuropsychological assessment may be a useful tool. <br><I>Method.</I> The present naturalistic study recruited 20 patients who reported cognitive difficulties for which a medical explanation could not be found. Each subject underwent a clinical interview and neuropsychological assessment in order to identify the nature and severity of the problem, and to identify a possible cause of these complaints. <br><I>Results.</I> Several possible explanations were documented but mood disturbance was considered the most likely reason for the identified cognitive difficulties. <br><I>Limitations.</I> This was a naturalistic study with a specific sample, and consequently generalisability may be reduced. <br><I>Conclusion.</I> Even in episodes of mild depression cognitive difficulties occur that may be presented to neurologists rather than psychiatrists. In such instances the patient is at risk of not receiving the appropriate treatment for his or her mood disorder.
Fluvoxamine in the treatment of trichotillomania, obsessive compulsive disorder and major depression - a case reportSource: South African Journal of Psychiatry 9, pp 33 –34 (2003)More Less
Extracted from text ... 33 a r t i c l e s R Verster, MB ChB, DMH University of the Free State, Bloemfontein M Matjane, MB ChB, MMed (Psy) 3 Military Hospital, Bloemfontein Trichotillomania (TTM), an impulse control disorder, and obsessive compulsive disorder (OCD) have been studied as variants of the same spectrum of disorders.1, 2 Arguments for and against this have been published.3 Other common problems that OCD and TTM share are high co-morbidity rates with other disorders4-6 and the treatment resistance experienced when TTM occurs as a single entity or in conjunction with OCD.4, 7 Multiple treatment regimens for TTM ..
Source: South African Journal of Psychiatry 9, pp 35 –51 (2003)More Less
Extracted from text ... 35 COMPARATIVE BENEFITS OF ATYPICAL ANTIPSYCHOTICS DIANA P MORRISON Lothian Primary Care Trust in Edinburgh, Scotland; University of Edinburgh, Department of Psychiatry, Scotland, UK Atypical antipsychotics are used to treat both positive and negative symptoms of schizophrenia. Treatment of the acute phase focuses on the control of positive symptoms while long term treatment builds on these achievements and also incorporates relapse prevention, control of negative symptoms, minimisation of adverse events and compliance. Improving quality of life and psychosocial integration are important and achievable goals. Comparative studies of the efficacy, tolerability and safety of atypical antipsychotic agents show that their profiles ..
Author Robert M. KaplanSource: South African Journal of Psychiatry 9 (2003)More Less
Extracted from text ... To the Editor: In their review of the South African Society of Psychiatrists (SASOP) during the apartheid years, Gillis and Nash1 state that there is little evidence of abuse committed by individual members. However, psychiatrists treating soldiers during compulsory military service 'aroused concern'. The article has a glaring omission, namely the role of South African Defence Force (SADF) psychiatrists in the so-called Aversion Project in which conscripts were subjected to appalling treatment (including electric shock and sex change surgery) to 'cure' homosexuality, drug abuse and allegedly antisocial attitudes. These activities amount to psychiatric mistreatment of the worst order, comparable ..