scholarly journals Psychoanalysis of the Doctrine of Acute Pneumonia

2021 ◽  
Vol 2 (4) ◽  
pp. 01-04
Author(s):  
Igor Klepikov

It is difficult to predict how the founder of psychoanalysis, Sigmund Freud, would react to an attempt to link his theory and the method of treating mental disorders based on it [1] with such a purely physical disease as acute pneumonia (AP). It is unlikely that such an innovation could cause full approval and support. However, in this context, we are not talking about psychoanalysis as a therapeutic method for AP. In this case, only the diagnostic features of this technique are of interest. The essence of psychoanalysis, which is based on the search for the causes of the so-called echoes of the past, as well as the connection between conscious and unconscious phenomena, can be useful in order to understand the causes of errors and paradoxes that exist in solving the problem of AP. In other words, we are not talking about the nuances of the disease itself, but about the peculiarities of its nature, since the interpretation of the essence of AP determines the principles of treatment and the final results.

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 6-8
Author(s):  
Vera N Prilepskaya

This article presents information about modern principles of diagnosis and treatment of HPV-associated diseases. Behind cervical cancer morbidity and mortality rates over the past 10 years increase significantly. Examination and observation of patients with human papillomavirus persistence of highly oncogenic types is important a link in cancer prevention. The article presents diagnostic methods, treatment of cervical diseases, as well as the possibility of pharmacotherapy in HPV-associated diseases.


2020 ◽  
Author(s):  
Mary Ellen Mackesy-Amiti ◽  
Lawrence J. Ouellet

Background. We examined correlates of past year suicidal thoughts and behavior (STB) and described past year treatment experiences among young people who inject drugs (PWID). Methods. Participants were 570 adults (18-25 years) who injected primarily heroin. Interviews were conducted at field stations operated by Community Outreach Intervention Projects in Chicago, Illinois (USA). Interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Substance use and mental disorders were based on DSM-IV diagnostic criteria. Past year STB was based on multiple questions. Results. Sixteen percent of men and 25% of women reported STB in the past year. In multivariable analysis, STB was associated with non-heterosexual orientation, foster care, and being raised by two parents. Primary major depression, post-traumatic stress disorder, other anxiety disorders, and borderline personality disorder had independent effects on suicidality. Among those reporting past year STB (n=111), 83% ever received mental health treatment, while 44% did so in the past year. While 24% of respondents indicated that at least one treatment matched their needs very well, 30% reported treatment that did not match their needs at all. The most common reason for ending treatment was program completion (about 50%) while getting better was endorsed by about 25%. Nearly half reported ending treatment due to a bad experience, logistical issues, or expense. Conclusions. Young PWID are at high risk for suicidal behavior and their mental health treatment experiences often do not meet their needs. There is a pressing need for more integrated substance use and mental health treatment.


Author(s):  
Ashwini S. Khadatkar ◽  
Nishant B. Ghodake

Background: Many studies have been published on dermoscopy of hair and scalp disorders in the past few years, but these have been mainly carried out in western countries. Indian skin is mainly type IV and V and has its own unique set of problems and pathological findings. Hence, we conducted a study at our institute to study the dermoscopic patterns of various cicatricial alopecias.Methods: This was a descriptive study conducted in the Dermatology outpatient department, Skinaccess clinics, Nashik, between August 2014 to June 2016. The most common and characteristic feature seen in patients with cicatricial alopecia was hair follicle effacement seen in all 24 patients (100%). Hair follicle plugging was seen in 6 (25%) patients with DLE, and one patient with idiopathic scarring. Hyperkeratotic perifollicular scaling was seen in 2 patients with lichen plano pilaris. Perifollicular hyperpigmentation was seen in one patient of discoid lupus erythematosus (DLE) and 2 patients with idiopathic scarring. Hair casts were seen in 2 patients with lichen plano pilaris, and in one patient with idiopathic scarring. Patchy depigmentation was seen in 4 patients with discoid lupus erythematosus, 3 patients with idiopathic scarring, and one patient with lichen plano pilaris.Results: The most common and characteristic feature seen in patients with cicatricial alopecia was hair follicle effacement seen in all 24 patients (100%). Hair follicle plugging was seen in 6 (25%) patients with DLE, and one patient with idiopathic scarring. Hyperkeratotic perifollicular scaling was seen in 2 patients with lichen plano pilaris. Perifollicular hyperpigmentation was seen in one patient of discoid lupus erythematosus (DLE) and 2 patients with idiopathic scarring. Hair casts were seen in 2 patients with lichen plano pilaris, and in one patient with idiopathic scarring. Patchy depigmentation was seen in 4 patients with discoid lupus erythematosus, 3 patients with idiopathic scarring, and one patient with lichen plano pilaris.Conclusions: Hair follicle effacement is a characteristic dermoscopic feature of cicatricial alopecia. Hair follicle plugging, patchy depigmentation and red dots are seen in DLE. In lichen plano pilaris the dermoscopic findings of blue dots, white dots and perifollicular scaling were found to be useful for making an accurate diagnosis. Perifollicular scaling and tufting of hair is characteristically seen in patients with folliculitis decalvans. Dermoscopy is very useful in differentiating cicatricial from non-cicatricial alopecias. A biopsy obtained from the peripheral edge of the patch is more likely to show diagnostic features than the central portion. Dermoscopic guided biopsies were shown to yield definitive pathological diagnosis in 95% of the cases. Hair shaft disorders can be easily diagnosed by dermoscopy, without the need for hair.


Zootaxa ◽  
2016 ◽  
Vol 4200 (2) ◽  
pp. 327 ◽  
Author(s):  
PEDRO S. R. ROMANO

Pelomedusoides is the most diverse clade of side-necked turtles and there is an extensive fossil record (de Broin, 1988; Lapparent de Broin, 2000; Gaffney et al., 2006, 2011) that dates back at least to the Barremian (Lower Cretaceous) (Romano et al., 2014). Its large fossil record evidences a greater diversity in the past, particularly at the end of the Mesozoic, and exhibits a good sampling of species that are represented by skull material (Gaffney et al., 2006, 2011). As a consequence, the most complete and recent phylogenetic hypotheses for this clade (e.g. Romano et al., 2014; Cadena, 2015) are based on matrices comprising a great amount of cranial characters derived largely from Gaffney et al. (2006, 2011). In addition, it is well established that shell characters show a lot of phenotypic plasticity, even in the fossil species (Romano, 2008; Gaffney et al., 2006, 2011). In most cases it consequently is not justified to rely on “diagnostic features” of poorly informative shell-only material for describing a new species. Because of that, most authors remark new morphotypes in the literature when such aberrant specimens are recovered, but do not make any nomenclatural act by proposing a new yet poorly supported species (e.g. Romano et al., 2013; Ferreira & Langer, 2013; Menegazzo et al., 2015). Unfortunately, such a supposedly new bothremydid turtle (Pleurodira: Bothremydidae) from the Early Paleocene of Brazil was recently described based on poorly diagnostic remains (Carvalho et al., 2016; hereafter CGB, for the authors initials) and a correction of this unfounded nomenclatural act is required. In addition I present some comments on shell only material from Brazil in order to guide splitter-taxonomists to stop describing poorly preserved fossil specimens as new species. 


2021 ◽  
Author(s):  
Chen Chen ◽  
Yun Chen ◽  
Qingzhi Huang ◽  
Shengming Yan ◽  
Junli Zhu

UNSTRUCTURED Background: Severe Mental Disorders (SMD) have become a topic of increasing interest in research due to their serious consequences for the quality of life and functioning. In the pages that follow, it will be argued that the self-care ability and its influencing factors among SMD patients in Beijing, according to the questionnaire survey in 2019. Methods: The present study aimed to explore the factors influencing the self-care ability of SMD patients. Multi-stage sampling and proportioning sampling were used to take samples. The demographic characteristics of patients were obtained by questionnaires, and the self-care ability was measured by self-made scales. Multiple linear regression was used to analyze the influencing factors. Results: We surveyed 662 people and found that the deficiency of self-care ability is common in SMD patients. Significant relations were found between self-care ability and age, educated levels, guardian care, course of disease and physical disease (P<0.05). From a dimensional perspective, the daily basic activity was associated with educated levels and physical disease (P<0.05); the housework ability was associated with gender, educated levels, source of income, physical disease and medication adherence (P<0.05); the social function was associated with age, educated levels, source of income, guardian care course of disease, physical disease and medication adherence (P<0.05). Conclusion: The self-care ability of SMD patients is affected by many factors, including patient characteristics and social factors. Therefore, targeted interventions are needed to help patients restore their self-care ability, which requires the joint efforts of the government and the whole society.


2021 ◽  
Vol 19 (4) ◽  
pp. 01-14
Author(s):  
Meriama Hansali Mebarki

The reinforcement sensitivity theory lacks basic sources of any human experience :time, place, and learning contexts that have shaped the reinforcement; therefore I have assumed a missing link in Gray's framework based on special relativity relying on the «what, where, and when of happenning»? as major resources of human conscious experience, which under punishment or reward exceed the sensitivity to pleasant or unpleasant stimuli transcending therefore the Weber law, that's why I called it: Psychological Space-Time Reinforcement Sensitivity “PSTRS” axis. The lasts explains BAS and BIS systems sensitivity to reinforcement across the cognitive space-time continuum of episodic memory, and not only across the two great dimensions of fear/anxiety and defensive distance of the McNaughton & Corr model of 2004. So, based on the disruption of the high-sensitivity information processing system in the brain, the four-dimensional conscious experience is distorted by its underlying sources and context. Thus, one of the timedominating records prevents the individual from overcoming the present., such in depression, obsessive compulsive disorder and post-traumatic stress disorder (psychological sensitivity to the past). These temporal records clearly lose their sequence and associative nature in dissociative symptoms due to the disruption of the most important milestone on which Einstein's physics was based. Consequently, psychological space-time reinforcement sensitivity supposes that psychological disorders can be interpreted according to the laws of special relativity (acceleration / deceleration), but this seems more complicated when it comes to mental disorders where the self is disturbed on its spatio-temporal axis as observed in schizophrenia. Schizophrenia looks like a three-componements disorder characterized by a disruption of the experience of time, place and self, which could be asummed up as a “self space-time disturbance". Notably schizophrenic patients appear losing the ability to gather in a dynamic way these componements, as if the world seemed missig the gestalt characteristic or fragmented. The past felt like an inevitable destiny inhibits the direction towards the future; sometimes disorient the self to the point of feeling lost, as if the psychological time slows down to the point of feeling separated from the « now » the physical time. So are we dealing with an Euclidian space? The article attempts to provide a non-traditional interpretation of mental disorders by including general relativity in psychological studies, based on the neurobiological bases involved in the spatio-temporal processing of the conscious experience in the quantum brain.


Author(s):  
Paul Gill

This chapter outlines the main research findings in relation to lone actor terrorism from the past decade of work. The results are clustered across seven core themes. The authors explore (1) the heterogeneity of lone actors in terms of their sociodemographic characteristics; (2) the degree to which people within the lone actor’s social or physical space were aware of a plot developing; (3) the prevalence and forms of mental disorders within lone actor samples and how they differ from what you would expect in the general population; (4) the relationship between offline and online forms of radicalization; (5) their similarity with other forms of violent lone offenders who conduct violence in public spaces; (6) what attack planning looks like; and (7) the key role protective factors might play.


Author(s):  
Mary Jane Tacchi ◽  
Jan Scott

Although theories about the underlying causes of depression changed over the centuries, there was a remarkable level of consistency in the descriptions of the core symptoms with sadness and despondency accompanied by sleep problems and physical complaints. ‘The modern era: diagnosis and classification of depression’ reviews the contributions of Emil Kraepelin and Sigmund Freud to the current thinking on depression. Love them or loathe them, both men influenced thinking on the definition and boundaries of depression and how depression is diagnosed and classified. In more recent times, there have been international efforts to standardize approaches to diagnosis through the introduction of criterion-based classifications of mental disorders.


Author(s):  
S. Nassir Ghaemi

This chapter explores the need for a new approach in psychiatry other than the biopsychosocial (BPS) model, the Diagnostic and Statistical Manual of Mental Disorders (DSM), and neurobiology. Pierre Loebel and Julian Savulescu, in their introduction to this book, laid out an honourable purpose, seeking to make sense of psychiatric conditions holistically. They hoped the BPS model could serve this purpose. The model has done so in part, but also, after half a century of effort, it has failed to do so in the end. The goals are worthy and the seekers of those goals have integrity. But perhaps their intentions will be best served by something else, a successor to the past BPS model, built on a rejection of a false DSM diagnostic system as well as a purely neurobiological approach to research. In the end, what Loebel and his colleagues want to do is to preserve a place for humanism in psychiatry, and to link clinical practice to solid scientific research. These laudable principles can be achieved only by a radical departure from the DSM-based neurobiological conventional wisdom of the present and the past.


1993 ◽  
Vol 29 (3) ◽  
pp. 287-296
Author(s):  
David Humbert

Despite its loss of intellectual respectability in the nineteenth century, the myth of the fall still haunts modern religion and thought like an unquiet ghost. Discredited in its role as an historical account of human origins, it has retained its vitality as a ‘psychological’ myth, an inexhaustible metaphor for the brokeness and fragmentation of the human spirit. The myth of the fall surfaces in the twentieth century in the form of the psychoanalysis of Sigmund Freud, who would not normally spring to mind as someone sympathetic to the myth. Freud is perhaps the most famous ‘demythologizer’ of religion. He traced all religion and myth, including the myth of original sin, back to non-spiritual psychological processes. But although he clearly wished to deconstruct all traditional myth, myth plays an indisputable role in his own psychological theories. Some of his psychological constructs, such as the ‘Oedipus complex’ and the concept of ‘narcissism’, are inspired by Greek myths. Others, like the theory of the death instinct, are founded on scientific speculations which clearly resemble myths. The myth of the primal horde in particular draws its rhetorical power from its similarity to the Biblical account of the fall. Both the Biblical account of the fall and the psychohistorical ‘myth’ of the primal horde attribute the conflicts and imperfections of the human condition in part to an inherited guilt, an inherited guilt which stems from a decisive and fateful historical event in the past.


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