Psychiatric Disturbance in Mentally Handicapped Patients

1980 ◽  
Vol 137 (3) ◽  
pp. 250-255 ◽  
Author(s):  
M. J. Craft ◽  
A. A. Schiff
Keyword(s):  
Brain Damage ◽  
Mental Illnesses ◽  
Mentally Handicapped ◽  
Psychiatric Disturbance ◽  
Fluphenazine Decanoate ◽  
Physical Handicap ◽  
Personality Adjustment ◽  
Organic Brain ◽  
Depot Injections

SummaryOne hundred and two mentally handicapped and severely mentally handicapped patients with behaviour disorders and superadded mental illnesses which, in most cases, had not responded adequately to oral medication, entered a 12-week study of fluphenazine decanoate depot injections. Some of the patients had the additional complications of epilepsy, organic brain damage, and physical handicap. Highly significant overall improvements occurred, irrespective of such factors as the patient's age, sex, degree of mental handicap, or co-existence of epilepsy, or brain damage. Hyperpyrexia was not encountered. Extrapyramidal disturbance in 22 of the patients, were mostly well controlled by antiparkinson medication; eight of the 12 patients with pre-trial extrapyramidal abnormalities lost these during the study. Fluphenazine decanoate injections proved a reliable drug-delivery system, which may improve difficult behaviours and enable the mentally handicapped patient to be more receptive to behaviour-shaping exercises, aimed at improving long-term personality adjustment.

ICU admissions: Consequences after discharge

2020 ◽  
Vol 13 (9) ◽  
pp. 550-556
Author(s):  
Minal Karavadra ◽  
Ricky Bell
Keyword(s):  
Intensive Care ◽  
Cognitive Decline ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Psychiatric Disturbance ◽  
Intensive Care Department ◽  
Previous Level ◽  
The Uk

The intensive care department may seem a long way from the GP's consulting room, but every year tens of thousands of critically ill patients are admitted to intensive care units (ICUs) across the UK. Patients are often left with long term sequelae that may require GP input. Physical weakness, psychiatric disturbance and cognitive decline are not uncommon after an illness that requires a stay in an ICU. These hinder a patient’s return to their previous level of function and impact caregivers after discharge. This article aims to highlight the chronic symptoms patients can acquire during ICU admission that may come to the attention of GPs for their advice and treatment.

Behaviour disturbance and mental handicap: typology and longitudinal trends

1984 ◽  
Vol 14 (4) ◽  
pp. 923-935 ◽  
Author(s):  
Ivan Leudar ◽  
W. I. Fraser ◽  
M. A. Jeeves
Keyword(s):  
Longitudinal Study ◽  
Mood Disturbance ◽  
Behavioural Disturbance ◽  
Mentally Handicapped ◽  
Longitudinal Stability ◽  
Mental Handicap ◽  
Self Injury ◽  
Long Term Changes ◽  
Antisocial Conduct

SynopsisBehaviour disturbance was investigated in mentally handicapped adults who were living in hospital or at home. The first part of the study describes an empirically derived typology of disturbed behaviour patterns and gives the details of a scale by means of which behaviour disturbance can be quantified along six dimensions: aggression, mood disturbance, communicativeness, antisocial conduct, idiosyncratic mannerisms, and self-injury. The second part of the study used the scale in a longitudinal study of behavioural disturbance. Different forms of disturbed behaviour exhibited different kinds of longitudinal stability, and the long-term changes in one aspect of disturbance depended on subjects' other disturbance scores.

Characteristics of Sexual Abuse Among Individuals With Serious Mental Illnesses

2016 ◽  
Vol 33 (17) ◽  
pp. 2725-2744 ◽  
Author(s):  
James A. Kmett ◽  
Shaun M. Eack
Keyword(s):  
Sexual Abuse ◽  
Mental Illnesses ◽  
Violence Risk ◽  
Never Married ◽  
Psychiatric Admissions ◽  
Substance Dependent ◽  
Effects Of Sexual Abuse ◽  
Serious Mental Illnesses ◽  
Multiple Samples

The deleterious effects of sexual abuse (SA) are well documented, as many studies have found that SA can increase the risk for psychiatric disorders. While SA has been examined in multiple samples, no studies have examined the characteristics of SA in individuals with severe mental illnesses (SMI). This study examined the prevalence rate and characterized the nature of SA among individuals with SMI who were under psychiatric care in three different inpatient facilities. Utilizing data from the MacArthur Violence Risk Assessment Study, 1,136 individuals with SMI were assessed for SA histories, psychiatric diagnoses, and other demographics. Nearly half of this sample ( n = 511) identified SA histories, with almost half indicating that the person was a stranger or someone outside of the family unit. One third reported SA occurred “too many times to count,” and approximately a third indicated the abuse consisted of intercourse, occurring at a mean age of 11.22 years. Results found that individuals with SA histories were often never married, Caucasian, female, had children, described themselves as psychologically unwell, and were commonly voluntary psychiatric admissions. Those with SA histories had significantly higher psychopathology and lower functioning, and were more likely to be diagnosed with depression but less likely to be substance dependent. Identifying SA characteristics in individuals with SMI is a critical component to successful treatment. Thorough screening and assessment of this common problem can help clinicians identify accompanying issues that may exacerbate SMI symptomology, and improve the prognosis for long-term outcomes.

Freedom of Choice for the Mentally Handicapped

1983 ◽  
Vol 46 (12) ◽  
pp. 356-359 ◽  
Author(s):  
Jenny Bodenham
Keyword(s):  
Independent Living ◽  
Institutional Environment ◽  
Way Of Life ◽  
Freedom Of Choice ◽  
Mentally Handicapped ◽  
Key Factor ◽  
Training Team

This article deals with the resettlement of long-term mentally handicapped patients into independent living in wardened accommodation at Priory Court. The emphasis has been on ‘survival‘ and every person thought suitable for the project was given the opportunity to expand his concept of living and be discharged from a long-stay institutional environment. Motivation was the key factor, and staff and patients learnt much from the opportunity. The author gives an outline of the course taken and discusses some of the difficulties and triumphs. It was 3 years ago that long-stay institutional patients were discharged to the freedom of choosing a fuller way of life and from a distance the training team are able to see that these people are succeeding.

Neuroprotective Effect of Long-term MgSO4 Administration After Cerebral Hypoxia-Ischemia in Newborn Rats Is Related to the Severity of Brain Damage

2007 ◽  
Vol 14 (7) ◽  
pp. 667-677 ◽  
Author(s):  
Evangelia Spandou ◽  
Vassiliki Soubasi ◽  
Stamatia Papoutsopoulou ◽  
Persefoni Augoustides-Savvopoulou ◽  
Theodoros Loizidis ◽  
...  
Keyword(s):  
Brain Damage ◽  
Neuroprotective Effect ◽  
Cerebral Hypoxia ◽  
Newborn Rats ◽  
Hypoxia Ischemia

The Effect of Long Term Caffeine Treatment on Hypoxic-Ischemic Brain Damage in the Neonate

1995 ◽  
Vol 38 (3) ◽  
pp. 312-318 ◽  
Author(s):  
Elsa Bona ◽  
Ulrika Ådén ◽  
Bertil B Fredholm ◽  
Henrik Hagberg
Keyword(s):  
Brain Damage ◽  
Ischemic Brain Damage ◽  
Ischemic Brain ◽  
Caffeine Treatment

Droperidol in the Management of Hyperactivity, Self-Mutilation and Aggression in Mentally Handicapped Patients

1980 ◽  
Vol 8 (1) ◽  
pp. 31-33 ◽  
Author(s):  
M E Burns
Keyword(s):  
Side Effects ◽  
Case History ◽  
Concomitant Administration ◽  
Behavioural Disorders ◽  
Mentally Handicapped ◽  
Self Mutilation ◽  
Personality Changes ◽  
Temper Tantrums

An assessment of the efficacy of long-term oral droperidol in the control of hyperactivity, self-mutilation, aggression and temper tantrums has been made by reference to the case history notes of sixteen mentally handicapped patients. Behavioural disorders were greatly improved in four patients, and improved in six, and two experienced accompanying marked beneficial personality changes. In all but two patients Parkinsonian side-effects were prevented by the concomitant administration of orphenadrine or benzhexol.

scholarly journals Understanding Others Requires Right Temporoparietal and Inferior Frontal Regions

2021 ◽  
Author(s):  
Tatiana Schnur ◽  
Junhua Ding ◽  
Margaret Blake
Keyword(s):  
Theory Of Mind ◽  
Brain Damage ◽  
Right Hemisphere ◽  
Knowledge And Beliefs ◽  
Human Ability ◽  
Lesion Symptom Mapping ◽  
Right Hemisphere Brain Damage ◽  
Acute Patients ◽  
Long Term Studies

The human ability to infer other people's knowledge and beliefs, known as 'theory of mind', is an essential component of social interactions. Theory of mind tasks activate frontal and temporoparietal regions of cortex in fMRI studies. However, it is unknown whether these regions are critical. We examined this question using multivariate voxel-based lesion symptom mapping in 22 patients with acute right hemisphere brain damage. Studies of acute patients eliminate questions of recovery and reorganization that plague long-term studies of lesioned patients. Damage to temporoparietal and inferior frontal regions impaired thinking about others' perspectives. This impairment held even after adjustment for overall extent of brain damage and language comprehension, memory, comprehension, and attention abilities. These results provide evidence that right temporoparietal and inferior frontal regions are necessary for the human ability to reason about the knowledge and beliefs of others.

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