scholarly journals Paraphilias and paraphilic disorders: diagnosis, assessment and management

2014 ◽  
Vol 20 (3) ◽  
pp. 202-213 ◽  
Author(s):  
Jessica Yakeley ◽  
Heather Wood
Keyword(s):  
Diagnostic Category ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Sexual Offences ◽  
Paraphilic Disorder ◽  
Know How ◽  
Dsm 5 ◽  
Treatment Services ◽  
Paraphilic Disorders

SummaryWe outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce, particularly for individuals presenting with legal paraphilias or those who are committing paraphilic sexual offences but who have not been convicted.LEARNING OBJECTIVESBe able to diagnose a paraphilic disorder according to DSM-5 criteria.Understand the epidemiology, comorbidity and theories of aetiology of paraphilic disorders.Know how to assess the need for disclosure if the patient presents with illegal paraphilias.

Which types of feedback do CBT students in training value most?

2019 ◽  
Vol 12 ◽  
Author(s):  
Alexandra Bonney ◽  
Sharon Pettit
Keyword(s):  
Written Feedback ◽  
List Type ◽  
Type Number ◽  
Behaviour Therapy ◽  
Know How ◽  
Online Study ◽  
Video Recordings ◽  
Educational Literature ◽  
Cognitive Behaviour ◽  
Training Courses

AbstractFeedback is regarded as a highly important component in improving work and learning; despite this, there is a lack of research into what feedback types and characteristics cognitive behaviour therapy (CBT) students value. The aim of this current research was to identify which types of feedback are valued most by CBT students during training. Using a budgeting methodology, students were asked to ‘purchase’ feedback types they valued the most in their learning. This was achieved by using budgets of different sizes to distinguish between necessities and luxuries as part of an online study. Out of nine types of feedback provided during CBT training, the written feedback on full session video recordings of their own therapy was identified as most valuable to students’ learning. Written feedback on full session video recordings is highly valued by CBT students. This arguably justifies the workload involved for training courses in providing detailed formative feedback on therapy recordings.Key learning aims (1)To know which aspects of feedback are prioritized by CBT students during training.(2)To explore these preferences using a budgeting paradigm from broader educational literature.(3)To help supervisors and trainers know how to prioritize if time and resources are stretched.

Liaison psychiatry: pathology medical-psychiatric concomitant to the cognitive impairment

2011 ◽  
Vol 26 (S2) ◽  
pp. 384-384
Author(s):  
A.I. Ledo ◽  
J. Coullaut-Valera ◽  
I.M. Sanchez ◽  
A. Soto ◽  
I. Lopez
Keyword(s):  
Internal Medicine ◽  
Cognitive Impairment ◽  
Informed Consent ◽  
Observational Study ◽  
Neuropsychiatric Symptoms ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Liaison Psychiatry ◽  
Dsm Iv

Objectives1Determine the prevalence of cognitive impairment in the population to study.2Determine treatment antidemential more prescribed in the population to study.3Determine the drugs more associated with the treatment antidemential.4Determine what is the pathology psychiatric more associated with cognitive impairment.5Determine the profile patient with cognitive impairment.MethodA retrospective and observational study. Sample size of 2628 patients. The criterions for inclusion were: persons admitted to the HCUV in 2006–2010, assisted by the service of liaison psychiatry hospitalized and that gave the informed consent. Was carried out valuation neuropsychological (MMS and CDR). Diagnostic as DSM-IV-TR.ResultsThe prevalence of cognitive impairment was 15.2%.The specialties that most requested the service of psychiatry at link were: internal medicine: 31.6%; Traumatology: 11.9%; 83.6% had been hospitalized for somatic reasons 9,6% for psychiatric reasons. The most common psychiatric pathology was Delirium 32.9%; Adaptive Disorder 30.7%, Cognitive Impairment 15.2%. Out of the 15.2% of patients with dementia, 85% receives specific treatment with at least a drug antidemential. The most used was Citicoline85,3%. In 71% observed concomitantly neuropsychiatric symptoms:Agitation(63,2%), anxiety(6,7%). The main associated treatments were Tiapride(70,1%) and Quetiapina and (21,9%).ConclusionsThe prevalence of cognitive impairment in patients of liaison psychiatry hospitalized in the HCUV is high, 15%. The frequency grows up with age increases as well as the related medical pathology. In the specific treatment have been used mainly:Donepezilo, Rivastigmine [3] Memantine. The evolution of the patients was favorable in 88,9%.

Avoidant/restrictive food intake disorder: what do we know so far?

2019 ◽  
Vol 25 (2) ◽  
pp. 90-98 ◽  
Author(s):  
Laura Coglan ◽  
John Otasowie
Keyword(s):  
Food Intake ◽  
Psychosocial Functioning ◽  
Service Planning ◽  
Learning Objectives ◽  
List Type ◽  
Treatment Approaches ◽  
Stunted Growth ◽  
Know How ◽  
Dsm 5 ◽  
New Diagnosis

SUMMARYAvoidant/restrictive food intake disorder (ARFID) was a new diagnosis in DSM-5 and is due to be included in ICD-11. However, confidence in making the diagnosis seems to be low among clinicians. Furthermore, there is no national consensus on care pathways for ARFID and therefore patients tend to be managed across core child and adolescent mental health services, specialist eating disorder services and paediatric services. If not adequately treated, ARFID can result in stunted growth, nutritional deficiency and impaired psychosocial functioning. Research and guidelines for managing this disorder are scarce, owing to low rates of diagnosis. This article aims to improve clinician confidence in the use of ARFID as a diagnosis and explores current consensus on treatment approaches, in order to progress future service planning for this complex and diverse patient group.LEARNING OBJECTIVES•Gain an improved knowledge of the diagnostic criteria for ARFID•Know how to distinguish ARFID from other eating disorders•Understand the current consensus on treatment approaches for ARFIDDECLARATIONS OF INTERESTNone.

Other Specified Paraphilic Disorders

2019 ◽  
pp. 217-278
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Recent Literature ◽  
The Other ◽  
Paraphilic Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Paraphilic Disorders ◽  
The One

Abstract: The Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has a category of disorders termed “other specified paraphilic disorders” (OSPD). The DSM-5 diagnostic criteria for these disorders are contradictory, on the one hand referring to symptoms characteristic of a paraphilic disorder and, on the other hand, referring to symptoms that do not meet the full criteria for any of the disorders in the paraphilic disorders class. In this chapter, paraphilias meeting diagnostic criteria for OSPD are presented and discussed. Telephone scatologia, necrophilia, and zoophilia are briefly discussed, and the recent literature on these topics is reviewed.

Paraphilic Disorders

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Treatment Modalities ◽  
Sexual Sadism ◽  
Paraphilic Disorder ◽  
Dsm 5 ◽  
Sexual Masochism ◽  
Paraphilic Disorders ◽  
Diagnostic Work ◽  
The Individual ◽  
Pedophilic Disorder

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism

scholarly journals Mixed features in bipolar disorder

CNS Spectrums ◽  
2016 ◽  
Vol 22 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Eva Solé ◽  
Marina Garriga ◽  
Marc Valentí ◽  
Eduard Vieta
Keyword(s):  
Bipolar Disorder ◽  
Diagnostic Category ◽  
Specific Treatment ◽  
Unipolar Depression ◽  
Manic Symptoms ◽  
Dsm 5 ◽  
Increased Risk ◽  
Mixed Features ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Mixed affective states, defined as the coexistence of depressive and manic symptoms, are complex presentations of manic-depressive illness that represent a challenge for clinicians at the levels of diagnosis, classification, and pharmacological treatment. The evidence shows that patients with bipolar disorder who have manic/hypomanic or depressive episodes with mixed features tend to have a more severe form of bipolar disorder along with a worse course of illness and higher rates of comorbid conditions than those with non-mixed presentations. In the updated Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5), the definition of “mixed episode” has been removed, and subthreshold nonoverlapping symptoms of the opposite pole are captured using a “with mixed features” specifier applied to manic, hypomanic, and major depressive episodes. However, the list of symptoms proposed in the DSM–5 specifier has been widely criticized, because it includes typical manic symptoms (such as elevated mood and grandiosity) that are rare among patients with mixed depression, while excluding symptoms (such as irritability, psychomotor agitation, and distractibility) that are frequently reported in these patients. With the new classification, mixed depressive episodes are three times more common in bipolar II compared with unipolar depression, which partly contributes to the increased risk of suicide observed in bipolar depression compared to unipolar depression. Therefore, a specific diagnostic category would imply an increased diagnostic sensitivity, would help to foster early identification of symptoms and ensure specific treatment, as well as play a role in suicide prevention in this population.

Solar Corona Investigation by the Coronal Line Photometer at Lomnický Peak

1994 ◽  
Vol 144 ◽  
pp. 431-434
Author(s):  
M. Minarovjech ◽  
M. Rybanský
Keyword(s):  
Solar Corona ◽  
Time Resolution ◽  
Active Regions ◽  
High Time ◽  
High Time Resolution ◽  
List Type ◽  
Type Number ◽  
Coronal Line ◽  
Global Cycle

AbstractThis paper deals with a possibility to use the ground-based method of observation in order to solve basic problems connected with the solar corona research. Namely:1.heating of the solar corona2.course of the global cycle in the corona3.rotation of the solar corona and development of active regions.There is stressed a possibility of high-time resolution of the coronal line photometer at Lomnický Peak coronal station, and use of the latter to obtain crucial observations.

The LDE-Type Flare Occurrence (1969-1993)

1994 ◽  
Vol 144 ◽  
pp. 279-282
Author(s):  
A. Antalová
Keyword(s):  
Time Series ◽  
Fourier Analysis ◽  
Sunspot Cycle ◽  
List Type ◽  
Type Number ◽  
Solar Cycles ◽  
Type Iv ◽  
Long Duration ◽  
Cycle Maximum ◽  
Flare Index

AbstractThe occurrence of LDE-type flares in the last three cycles has been investigated. The Fourier analysis spectrum was calculated for the time series of the LDE-type flare occurrence during the 20-th, the 21-st and the rising part of the 22-nd cycle. LDE-type flares (Long Duration Events in SXR) are associated with the interplanetary protons (SEP and STIP as well), energized coronal archs and radio type IV emission. Generally, in all the cycles considered, LDE-type flares mainly originated during a 6-year interval of the respective cycle (2 years before and 4 years after the sunspot cycle maximum). The following significant periodicities were found:• in the 20-th cycle: 1.4, 2.1, 2.9, 4.0, 10.7 and 54.2 of month,• in the 21-st cycle: 1.2, 1.6, 2.8, 4.9, 7.8 and 44.5 of month,• in the 22-nd cycle, till March 1992: 1.4, 1.8, 2.4, 7.2, 8.7, 11.8 and 29.1 of month,• in all interval (1969-1992):a)the longer periodicities: 232.1, 121.1 (the dominant at 10.1 of year), 80.7, 61.9 and 25.6 of month,b)the shorter periodicities: 4.7, 5.0, 6.8, 7.9, 9.1, 15.8 and 20.4 of month.Fourier analysis of the LDE-type flare index (FI) yields significant peaks at 2.3 - 2.9 months and 4.2 - 4.9 months. These short periodicities correspond remarkably in the all three last solar cycles. The larger periodicities are different in respective cycles.

Discussion following the presentation by F. Deubner

1977 ◽  
Vol 36 ◽  
pp. 69-74
Keyword(s):  
List Type ◽  
The Sun ◽  
Type Number ◽  
Harmonic Motion ◽  
Locally Excited ◽  
Long Period ◽  
Coherent Wave ◽  
Short Period ◽  
Global Modes

The discussion was separated into 3 different topics according to the separation made by the reviewer between the different periods of waves observed in the sun :1) global modes (long period oscillations) with predominantly radial harmonic motion.2) modes with large coherent - wave systems but not necessarily global excitation (300 s oscillation).3) locally excited - short period waves.

Prominences and Solar Activity

1979 ◽  
Vol 44 ◽  
pp. 357-372
Author(s):  
Z. Švestka
Keyword(s):  
Solar Activity ◽  
Solar Cycle ◽  
List Type ◽  
Type Number ◽  
Flare Loops ◽  
Filament Activation

The following subjects were discussed:(1)Filament activation(2)Post-flare loops.(3)Surges and sprays.(4)Coronal transients.(5)Disk vs. limb observations.(6)Solar cycle variations of prominence occurrence.(7)Active prominences patrol service.Of all these items, (1) and (2) were discussed in most detail and we also pay most attention to them in this report. Items (3) and (4) did not bring anything new when compared with the earlier invited presentations given by RUST and ZIRIN and therefore, we omit them.

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