South African Psychiatry Review - Volume 5, Issue 3, 2002
Volume 5, Issue 3, 2002
Author Christopher P. SzaboSource: South African Psychiatry Review 5 (2002)More Less
Extracted from text ... EDITORIAL South African Psychiatry Review - August 2002 1 Parental alienation syndrome nocents for the purposes of a self-satisfying agenda that appears to relate to power, control and vengeance. Such an agenda need not necessarily be a conscious one. Many questions regarding PAS remain unanswered, not least of which is "why ?" The answer may lie in PAS not so much being a syndrome as a pattern of behaviour, symptomatic of an underlying condition, manifesting in a situation specific manner. It is commonly accepted that most alienators are women. 3 This may be more a function of the legal ..
New mental health legislation in South Africa - principles and practicalities : a view from the Department of Health : updateAuthor Melvyn FreemanSource: South African Psychiatry Review 5, pp 4 –8 (2002)More Less
The Mental Health Care Act has been passed by parliament. There are a number of changes from the Mental Health Act (Act 18 of 1973) and this article outlines the basic principles of the new legislation and several of the procedural modifications which follow. The legislation has a strong human rights focus and addresses problems relating to current abuses of people with mental disabilities. The success of the legislation will be dependent on the commitment of all role-players to implement both the spirit and the letter of the law, and stakeholders are requested to become partners with the Department of Health in this important endeavour.
Author David A. KibelSource: South African Psychiatry Review 5, pp 9 –18 (2002)More Less
An evolutionary approach to depression, aims to understand psychopathological phenomena that arise from evolved molecules, emotional value systems, brain structure, and social strategies, interacting with the modern social world. I hope to show how this approach may help us, to make sense of the differing symptoms and forms of major depression and make valid empirical predictions. This suggests that core depressive symptomatology may be rooted in emotional systems, evolved to nurture, dominate, adapt to loss and defeat and be sensitive to threats and safety. It focuses on the consequences of failure to turn off the threat/defence system (HPA- axis) as the final common pathway to depression. The key role of serotonin in these processes is explored. Finally this paper offers suggestions for therapeutic interventions, based on an understanding of these interactions.
Source: South African Psychiatry Review 5, pp 19 –25 (2002)More Less
Background : Bulimia nervosa (BN) is occurring with increasing frequency among adolescents. Yet, few studies have undertaken to detail the clinical presentation, or investigate different treatments for adolescents with BN. <br>Objective : In this article, we 1) review our current knowledge of BN in adolescents, both in terms of clinical presentation and treatment possibilities, and 2) describe a cohort of adolescent bulimics in terms of eating pathology and comorbidity. <br>Subjects : Twenty-seven consecutive referrals for adolescent BN to The University of Chicago Hospitals are presented here (mean age=16.2 yrs, sd+1.4). These patients are among the first to be evaluated for participation in an ongoing randomized controlled trial of two psychosocial treatments. <br>Measures : Eating pathology was measured with the Eating Disorders Examination (EDE), while the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) was used to establish comorbid psychiatric diagnoses. <br>Results : Our findings indicate that this cohort is quite diverse in terms of ethnicity and family environment. Rates of comorbid depression are much higher in our cohort than in a comparable sample of adult BN. In most other respects, the clinical presentation of BN in our sample of adolescents appears to be similar to that in adults. <br.Conclusion : Comorbidity and adolescent developmental status are two obvious factors that should be taken into account in the evaluation of effective treatments for adolescent BN.
Author David WyldeSource: South African Psychiatry Review 5, pp 26 –28 (2002)More Less
Extracted from text ... LECTURE South African Psychiatry Review - August 2002 26 Celebrating difference: a co - ordinate model of schooling facilities. There is another blocker, to girls particularly, very seldom put under the spotlight, which I would like to comment on. FINDINGS We live in a moment of our history of profound opportunity to address gender equity issues because we are surrounded by findings, and, "the facts are always friendly". Firstly, the Human Rights Watch published a report in March 2001 entitled "Scared at School: Sexual Violence Against Girls in South Africa." This report evidenced amongst many conclusions that: "Sexual violence and ..