scholarly journals Categorization of bodily sensations in psychodermatological disorders

2020 ◽  
Vol 40 (4) ◽  
pp. 75-84
Author(s):  
Anastasia A. Ermusheva ◽  
Marina G. Vinogradova ◽  
Aleksander Sh. Tkhostov
Keyword(s):  
Mental Disorders ◽  
Cognitive Processes ◽  
Health Anxiety ◽  
Clinical Manifestations ◽  
Somatic Symptoms ◽  
Bodily Experience ◽  
Method Choice ◽  
Making Sense ◽  
Healthy State ◽  
Bodily Sensations

Background. Categorization is one of the cognitive processes that ensure objects definition based on selected key features. Studying the aspects of categorization of bodily sensations allows to investigate the making sense of bodily sensations which seems promising in the context of exploring pathological bodily sensations. Objective: to study the aspects of categorization in psychodermatological disorders. Design. The study involved 113 patients with mental disorders with complaints of pathological bodily sensations (63 patients with psychodermatological disorders: delusional infestation (n = 33), neurotic excoriation (n = 30); 50 patients with depression with somatic symptoms). There were used the “Short Health Anxiety Inventory” and the psychosemantic method “Choice of descriptors of intraceptive sensations” with instructions: to choose bodily sensations of the healthy state, to classify sensations according to their similarity. Results. In psychodermatological disorders, health anxiety was lower in comparison to depression with somatic symptoms. The analysis of bodily sensations categorization of the healthy state revealed a significantly smaller descriptors number from classes of general somatic sensations, dynamics sensations, exteroceptive sensations and pleasant bodily sensations in psychodermatological disorders. In bodily sensations classification two general categories of bodily experience were distinguished: bodily sensations associated with the illness experience and bodily sensations of habitual functioning. Conclusion. Although there were the differences in health-anxiety and specificity of clinical manifestations in patients with mental disorders with complaints of pathological bodily sensations, the comparability of categorical structures of bodily experience was described, which manifested itself in features of general categories of bodily experience in psychodermatological disorders and depression with somatic symptoms.

scholarly journals CATEGORISATION OF BODILY SENSATIONS IN PATIENTS WITH EXCORIATION DISORDER WITH IMPULSIVE ACTIONS

2020 ◽  
pp. 187-203
Author(s):  
Maria G. Vinogradova ◽  
Anastasia A. Ermusheva
Keyword(s):  
Clinical Symptoms ◽  
Somatic Symptoms ◽  
Emotional States ◽  
Bodily Experience ◽  
Personal Significance ◽  
Health Related ◽  
Bodily Sensations ◽  
Characteristic Features ◽  
Objective Description ◽  
Excoriation Disorder

Relevance. Categorization, being one of the main cognitive processes, is involved in the perception and comprehension of objects with meaning, depending on the personal significance. Exceptional subjectivity of bodily experience makes it important to explore its structuring and mediating with sign through the analysis of bodily sensations categorisation in patients with complaints of pathological bodily sensations. Objective: description of specific characteristic features of categorization of bodily sensations in patients with excoriation disorder with impulsive actions. Methods and Sample. 15 patients with excoriation disorder with impulsive actions (mean age 47±17 years) and 50 patients with depression with somatic symptoms (mean age 42±13 years) took part in the study. They were asked to perform psychosemantic test “Choice of intraceptive sensations descriptors” for describing all bodily sensations and health-related bodily sensations. Results. Patients with excoriation disorder with impulsive actions, when categorizing all bodily sensations and health-related bodily sensations, chose descriptors of actions with the skin and descriptors of negative emotional states. Significant differences were found in the choice of descriptors of emotional states. Their number was less in patients with excoriation disorder with impulsive actions in comparison with patients with depression with somatic symptoms who demonstrated a variety of choices of descriptors of different classes in response to both instructions of the test. Conclusion. Bodily sensations categorisation study allowed to discuss the features of bodily experience in general and health-related bodily experience. In excoriation disorder with impulsive actions the bodily sensations categorisation was characterized by an attribution of actions with skin and emotions to bodily experience. The characteristics of bodily sensations choices in patients from different groups allowed to associate features of bodily sensations categorisation with clinical symptoms of these mental disorders.

scholarly journals A de novo variant in CASK gene causing intellectual disability and brain hypoplasia: A Case Report and Literature Review

2021 ◽  
Author(s):  
Ying Zhang ◽  
Yanyan Nie ◽  
Yu Mu ◽  
Jie Zheng ◽  
Xiaowei Xu ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Mental Disorders ◽  
De Novo ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
De Novo Mutation ◽  
Loss Of Function ◽  
Bioinformatics Analyses ◽  
Whole Exome ◽  
De Novo Variant

Abstract Background：The pathogenic variation of CASK gene can cause CASK related mental disorders. The main clinical manifestations are microcephaly with pontine and cerebellar hypoplasia, X-linked mental disorders with or without nystagmus and FG syndrome. The main pathogenic mechanism is the loss of function of related protein caused by mutation. We reported a Chinese male newborn with a de novo variant in CASK gene. Case presentation：We present an 18-day-old baby with intellectual disability and brain hypoplasia. Whole-exome sequencing was performed, which detected a hemizygous missense mutation c.764G>A of CASK gene. The mutation changed the 255th amino acid from Arg to His. Software based bioinformatics analyses were conducted to infer its functional effect.Conclusions：In this paper, a de novo mutation of CASK gene was reported. Moreover, a detailed description of all the cases described in the literature is reported.CASK mutations cause a variety of clinical phenotypes. Its diagnosis is difficult due to the lack of typical clinical symptoms. Genetic testing should be performed as early as possible if this disease is suspected. This case provides an important reference for the diagnosis and treatment of future cases.

scholarly journals Chronic back pain and mental disorders

2019 ◽  
Vol 11 (2S) ◽  
pp. 17-24
Author(s):  
B. A. Volel ◽  
D. S. Petelin ◽  
D. O. Rozhkov
Keyword(s):  
Back Pain ◽  
Mental Disorders ◽  
Chronic Back Pain ◽  
Negative Impact ◽  
Clinical Manifestations ◽  
Somatoform Disorder ◽  
Socioeconomic Indicators ◽  
Post Traumatic Stress ◽  
High Prevalence ◽  
Post Traumatic

Chronic back pain is a significant biomedical problem due to its high prevalence and negative impact on quality of life and socioeconomic indicators. Mental disorders play a substantial role in the genesis of chronic pain. This review discusses the issues of back pain comorbid with depressive, anxiety disorders, post-traumatic stress disorder, and somatoform disorder. It also considers the features of the clinical manifestations of pain associated with mental disorders. There are data on the neurobiological relationship between pain and mental disorders and on the personality traits of patients with chronic back pain.

Management of Somatic Symptoms

2014 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale
Keyword(s):  
Clinical Presentation ◽  
Health Anxiety ◽  
Management Strategies ◽  
Somatic Symptoms ◽  
Conversion Disorder ◽  
Effective Management ◽  
Patient Interaction ◽  
Step Care ◽  
Physician Patient

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.

Management of Somatic Symptoms

2018 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale
Keyword(s):  
Clinical Presentation ◽  
Health Anxiety ◽  
Management Strategies ◽  
Somatic Symptoms ◽  
Conversion Disorder ◽  
Effective Management ◽  
Patient Interaction ◽  
Step Care ◽  
Physician Patient

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.

Gender Dysphoria

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Gender Stereotypes ◽  
Gender Dysphoria ◽  
Gender Identity Disorder ◽  
Clinical Manifestations ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Sexual Reassignment Surgery

In the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), gender dysphoria (GD), previously known as gender identity disorder, is defined as distress or impairment in psychosocial, occupational, educational, or other areas of life due to a perceived disagreement between a person’s assigned gender, natal gender, and the gender currently experienced or expressed for at least 6 months. The DSM-5 mentions that one’s experienced gender may be outside of binary gender stereotypes. Diagnostic criteria are different for GD in children and in adolescents/adults. This review covers the definition, epidemiology, etiology/genetics, clinical manifestations, and studies/tests/treatments related to GD. Tables list the diagnostic criteria for GD and definitions of common terms. This review contains 2 tables and 30 references Key words: DSM-5, gender dysphoria, sexual reassignment surgery

Do functional somatic symptoms and health anxiety play a role in psychosis development?

2019 ◽  
Vol 121 ◽  
pp. 112
Author(s):  
Martin Rimvall ◽  
Cecilia Pihl Jespersen ◽  
Lars Clemmensen ◽  
Anja Munkholm ◽  
Anne Mette Skovgaard ◽  
...  
Keyword(s):  
Health Anxiety ◽  
Somatic Symptoms

The theory of symptom complexes, mind and madness

2019 ◽  
Vol 30 (2) ◽  
pp. 227-239 ◽  
Author(s):  
Mauricio V Daker
Keyword(s):  
Twentieth Century ◽  
World War Ii ◽  
Mental Disorders ◽  
Clinical Manifestations ◽  
World War ◽  
Mental Symptom ◽  
Early Twentieth Century ◽  
Disease Entities ◽  
The Mind

Kahlbaum’s seminal approach to symptom complexes, as opposed to disease entities, is still relevant. Many psychopathologists have approached mental symptom complexes without prejudging them as necessary physical deficits or diseases, favouring a broader dimensional and anthropological view of mental disorders. Discussions of symptom complexes gained prominence in psychiatry in the early twentieth century – through Hoche – and in the period leading up to World War II – through Carl Schneider. Their works, alongside those of Kraepelin, Bumke, Kehrer, Jaspers and others, are reviewed in relation to the theme of symptom complexes, the mind, and mental disorders. A particular feature of symptom complexes is their relationship to aspects of the normal mind and how this affects clinical manifestations. It is further suggested that symptom complexes might offer a useful bridge between the psychic and the biological in theories of the mind.

From mental disorders to social suffering: Making sense of depression for critical theories

2018 ◽  
Vol 22 (4) ◽  
pp. 477-496 ◽  
Author(s):  
Domonkos Sik
Keyword(s):  
Mental Disorders ◽  
Critical Theory ◽  
Social Suffering ◽  
General Argument ◽  
Making Sense ◽  
Critical Theories ◽  
The Social ◽  
Normative Basis ◽  
Clinical Description ◽  
The Relationship

This article aims at grounding critical theories with the help of psy discourses. Even if the relationship between the two disciplines has always been a controversial one, the article argues that therapeutic knowledge that accesses empirical forms of social suffering may offer important insights for critical theory. This general argument is demonstrated by complementing the theories of Bourdieu and Habermas with a clinical description of depression. First, the limitations of the capabilities of these influential theories in terms of how they can be used to conceptualize the variety of social suffering are introduced. Second, the psy discourses on depression are reviewed to identify and highlight latent references to the social. Third, by combining models of depressive suffering and various distortions of integration, an extended normative basis is elaborated. Instead of solely criticizing inequalities or distortions of communication, those social constellations are criticized that trap actors by producing a homogenous pattern of suffering.

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