scholarly journals Schizophrenia and violent behavior

2011 ◽  
Vol 14 (4) ◽  
pp. 660-671
Author(s):  
Alexandre Martins Valença ◽  
Antonio Egidio Nardi ◽  
Isabella Nascimento ◽  
Talvane de Moraes ◽  
Mauro Mendlowicz
Keyword(s):  
Psychiatric Hospital ◽  
Rio De Janeiro ◽  
Psychiatric Treatment ◽  
Paranoid Schizophrenia ◽  
Violent Behavior ◽  
The State ◽  
Motivational Factors ◽  
Psychotic Symptoms ◽  
Dsm Iv ◽  
Forensic Psychiatric

The aim of this study is to report the case of a woman who killed a child. After a forensic psychiatric appraisal to evaluate penal responsibility, she was considered not guilty by reason of insanity and mandatorily committed to the central forensic psychiatric hospital in the State of Rio de Janeiro, Brazil. The patient received a diagnosis of paranoid schizophrenia, based on DSM-IV-TR. She was not in psychiatric treatment and showed psychotic symptoms before the violent behavior became manifest. The study of motivational factors in homicidal behavior may provide further knowledge for understanding, preventing and treating it in such cases.

scholarly journals Violent behavior by women involuntarily committed to a forensic psychiatric hospital in Rio de Janeiro, Brazil

2020 ◽  
Author(s):  
Alexandre Valen a ◽  
Talvane Moraes ◽  
Leonardo Meyer ◽  
Katia Petribu ◽  
Antonio Nardi ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Rio De Janeiro ◽  
Violent Behavior ◽  
Forensic Psychiatric

Controversy Over the Diagnosis of ‘Cannabis-Induced Psychosis’

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Arendt
Keyword(s):  
Psychiatric Disorders ◽  
Psychiatric Treatment ◽  
Subsequent Treatment ◽  
Psychotic Symptoms ◽  
Schizophrenia Spectrum Disorders ◽  
Familial Predisposition ◽  
Schizophrenia Spectrum ◽  
Icd 10 ◽  
Dsm Iv ◽  
Spectrum Disorders

Background:Both the ICD-10 and the DSM-IV operate with a diagnosis of cannabis-induced psychotic disorder. Despite this, the diagnosis is controversial.A number of studies have shown that cannabis can induce short-lived psychotic symptoms, and that this could depend on factors such as genetic predisposition. To qualify for a diagnosis of ‘cannabis-induced psychosis’, however, the symptoms must last for at least 48 hours according to the ICD-10. This diagnosis has traditionally been regarded as benign, but this is based on a very limited number of studies.Methods:We have conducted two studies based on Danish treatment registers. Firstly, all patients who had received psychiatric treatment for cannabis-induced psychosis were followed for at least 3 years to determine the rate of subsequent treatment for schizophrenia-spectrum disorders. Secondly, familial predisposition for psychiatric disorders among subjects treated for cannabis-induced psychosis and schizophrenia was compared using competing risk analyses.Results:Schizophrenia spectrum disorders were diagnosed in 44.5% of the 535 subjects included in the first study. New psychotic episodes of any type were diagnosed in 77.2% and 47.1% received a diagnosis of schizophrenia spectrum disorders more than a year after the cannabis-induced psychosis.Those who develop cannabis-induced psychosis and schizophrenia spectrum disorders both show elevated levels of predisposition for schizophrenia, other psychotic conditions, and other psychiatric disorders in first-degree relatives. In general, the level of predisposition is of similar magnitude in individuals treated for cannabis-induced psychosis and schizophrenia.Conclusion:Cannabis-induced psychosis could be an early sign of schizophrenia rather than a distinct clinical entity.

The impact of shame and cultural beliefs on mental illness and treatment adherence: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. S511-S511 ◽  
Author(s):  
A. Albassam ◽  
A. Ameen ◽  
V. Chiappetta ◽  
A. Hanif ◽  
L. Gonzalez
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Psychiatric Treatment ◽  
Treatment Plan ◽  
Paranoid Schizophrenia ◽  
Cultural Beliefs ◽  
Psychotic Symptoms ◽  
Presenting Symptoms ◽  
Adherence To Medication ◽  
The Impact

IntroductionShame, especially when enmeshed in cultural beliefs about mental illness and cultural roles, could be a detrimental factor in psychiatric illness in context of adherence to treatment and continuation of care. Shame is defined as a painful experience which embodies multiple components including: collapse of self esteem, feeling of humiliation, rupture of self continuity, sense of isolation, and feeling of being watched by critical others.ObjectiveUnderstanding the psychodynamics of shame, in a particular cultural milieu and its components which could impact psychiatric treatment and care.MethodHere we present a case report of a 41-years-old Arab male patient from Yemen, with a history of paranoid schizophrenia who was admitted to inpatient psychiatric service for bizarre and aggressive behavior.ResultsInitially the depth of patient's delusions and psychotic symptoms were not fully appreciated due to the cultural gap between the patient and the treatment team. He was then re-valuated through the implementation of the cultural formulation interview (CFI) by clinicians from same cultural background. This team was able to elucidate the deep feelings of shame and inadequacy in patient's presentation and provide a culturally tailored treatment plan.ConclusionsEvaluation of psychiatric patients in a different cultural setting where western values do not apply might not be sufficient to assess the breadth of psychotic symptoms especially when an underlying feeling of shame contribute to presenting symptoms. Treatment of those patients with neuroleptics without assessing the cultural dynamics might result in poor adherence to medication and follow up.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Integração local da população refugiada no estado do Rio de Janeiro:

Revista Prumo ◽  
2019 ◽  
Vol 4 (6) ◽  
pp. 42-53
Author(s):  
Ariane Rego de Paiva ◽  
Roberta Gomes Thomé
Keyword(s):  
Rio De Janeiro ◽  
Social Protection ◽  
The State ◽  
Refugee Population ◽  
Local Integration

This work presents a problematization about the local integration of refugees as one of the lasting solutions proposed by the UNHCR and the present challenges for the consolidation of policies of social protection for this segment in the state of Rio de Janeiro. This study was made through the bibliographic analisis and systematization of a workshop about the thematics carried with governamental and non-governamental agents and leaderships in the refugee population in the occasion of the seminar Mobility Crossroads: knowledge and practices in protection policies for refugee populations and migrants in vulnerable situation, which occurred in November 2017, organized by Cátedra Sérgio Vieira de Mello of PUC-Rio.

scholarly journals Care for Women with Delusional Disorder: Towards a Specialized Approach

Women ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 46-59
Author(s):  
Alexandre González-Rodríguez ◽  
Mary V. Seeman ◽  
Aida Álvarez ◽  
Armand Guàrdia ◽  
Nadia Sanz ◽  
...  
Keyword(s):  
Psychological Health ◽  
Psychiatric Treatment ◽  
Adult Life ◽  
Delusional Disorder ◽  
Health Needs ◽  
Psychotic Symptoms ◽  
High Functioning ◽  
Service Programs ◽  
Prevalence Of Depression ◽  
Specific Health

Delusional disorder is a difficult-to-treat clinical condition with health needs that are often undertreated. Although individuals with delusional disorder may be high functioning in daily life, they suffer from serious health complaints that may be sex-specific. The main aim of this narrative review is to address these sex-specific health needs and to find ways of integrating their management into service programs. Age is an important issue. Delusional disorder most often first occurs in middle to late adult life, a time that corresponds to menopause in women, and menopausal age correlates with increased development of both somatic and psychological health problems in women. It is associated with a rise in the prevalence of depression and a worsening of prior psychotic symptoms. Importantly, women with delusional disorder show low compliance rates with both psychiatric treatment and with medical/surgical referrals. Intervention at the patient, provider, and systems levels are needed to address these ongoing problems.

Predictors of Weight Gain and Metabolic Indexes among Men Admitted to Forensic Psychiatric Hospital

2021 ◽  
pp. 1-11
Author(s):  
N. Zoe Hilton ◽  
Elke Ham ◽  
Stephanie Hill ◽  
Talia Emmanuel ◽  
Barna Konkolÿ Thege
Keyword(s):  
Weight Gain ◽  
Psychiatric Hospital ◽  
Forensic Psychiatric

scholarly journals Spirituality and Employment in Recovery from Severe and Persistent Mental Illness and Psychological Well-Being

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 57
Author(s):  
Jesús Saiz ◽  
María Galilea ◽  
Antonio J. Molina ◽  
María Salazar ◽  
Tiffany J. Barsotti ◽  
...  
Keyword(s):  
Mental Illness ◽  
Work Motivation ◽  
Psychiatric Treatment ◽  
Predictor Variable ◽  
Recovery Process ◽  
Well Being ◽  
Job Skills ◽  
Psychotic Symptoms ◽  
Psychological Well Being ◽  
Persistent Mental Illness

People diagnosed with severe and persistent mental illness (SPMI) face multiple vulnerabilities, including when seeking employment. Among SPMI patients, studies show that a stronger sense of spirituality can help to reduce psychotic symptoms, increase social integration, reduce the risk of suicide attempts and promote adherence to psychiatric treatment. This study examined how the variables spirituality and employment affect the recovery process and psychological well-being of people with SPMI who attend employment recovery services. The sample consisted of 64 women and men diagnosed with an SPMI. The assessment instruments included the Recovery Assessment Scale, Ryff Psychological Well-Being Scale, Work Motivation Questionnaire, Daily Spiritual Experience Scale, and Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being (FACIT-Sp12). Hierarchical regression analyses were performed to compare three different models for each dependent variable (recovery and psychological well-being). The findings showed that job skills predicted psychological well-being and recovery. When spiritual variables were included in the model, job skills dropped out and the dimension meaning/peace of the FACIT-Sp12 emerged as the only significant predictor variable. Integrating spirituality into recovery programs for people with SPMI may be a helpful complement to facilitate the recovery process and improve psychological well-being.

The Biopsychosocial Paradigm in the Assessment of Mental Health of Older Persons

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464
Author(s):  
L. Pishchikova
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Psychiatric Hospital ◽  
Legal Protection ◽  
Physical Assault ◽  
Dynamic Features ◽  
Criminal Proceedings ◽  
Conceptual Approach ◽  
Forensic Psychiatric ◽  
Biopsychosocial Determinants

The vulnerability of patients of late age in psychiatry increases the professional and ethical requirements to the quality of psychiatric and forensic psychiatric help. It must account for the clinical and dynamic features of mental disorders in old age, biopsychosocial determinants of their formation, be based on a conceptual approach and a comprehensive understanding of the involution processes. To identify biopsychosocial determinants of mental disorders in old age and (or) involving patients to the forensic psychiatric examination, we examined 235 late age patients in criminal and civil cases. Revealed: «non-dement» mental disorders – with 45.5%, psychosis – with 7.7%, dementia – with 46,8%. The results of biopsychosocial determinants of involution are determined as follows: biological: sensory and motor deprivation, multicomorbid somatic neurological pathology, specific syndromes and disorders if late age, dementia; socio-psychological: termination of labor activity, living alone and loneliness, problematic relationship with children because of housing disputes and alcohol; legal: conclusion and contestation of legal civil acts, participation in criminal proceedings as victims and defendants, legal illiteracy, legal controversy, lack of legal protection; victimological: physical (assault, abuse), psychological (threats of commitment into social security institutions, involuntary commitment to a psychiatric hospital and examination by a psychiatrist, hold in the psychiatric hospital), financial violence (fraud with housing for older people and deception, manipulation during conclusion of civil-legal acts), violation of rights of older person (unlawful deprivation of legal capacity).Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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