scholarly journals AN AYURVEDA CONCEPTUAL STUDY ON EIGHT DOMAINS IN THE ASSESSMENT OF MIND

2021 ◽  
Vol 9 (12) ◽  
pp. 3049-3054
Author(s):  
Dhaneshwari H. A ◽  
Suhas Kumar Shetty

History taking, clinical examinations play a major role in confirming the diagnosis and predicting the prognosis of the illness. This is applicable in psychiatric as well as psychosomatic disorders. Sometimes organic diseases may simulate the presentation of psychiatric disorders and vice versa. Many types of examination techniques are ex- plained in Ayurveda which help directly or indirectly to elicit and diagnose psychiatry disorders. Astavibhrama, impairment in eight domains of mental faculties - thinking process (Mano vibhrama), intellect (Buddhi vibhrama), consciousness and orientation (Sanjnajnana vibhrama), memory (smriti vibhrama), desire or interest (Bhakti vibhrama), temperaments (sheela vibhrama), behaviour (chesta vibhrama), conduct (achara vibhrama); a concept adopted for the diagnosis of unmada (insanity). These eight domains can be generalised for eliciting the mental status of an individual. Keywords: Astavibhrama, Mental status examination, Psychiatric disorder

1988 ◽  
Vol 33 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Alistair Munro

The group of paranoid or delusional disorders, although not nearly as common as the mood and schizophrenic disorders, may be much more frequent than has usually been thought. DSM-III R has made a decisive step in recognizably defining at least one group of them. Interestingly, this change partly came about because the advent of an effective treatment helped to define that group more clearly. Nevertheless, DSM-III R's classification is too restrictive, and it was wrong to exclude the diagnosis of paraphrenia. Cases fitting this description will have to be consigned to the category of Psychotic Disorder NOS, which will inevitably be a grab-bag of mixed diagnoses. Also, DSM-III R does not emphasize the link between the delusional disorders and paranoid schizophrenia, and the somewhat less well defined overlap with affective disorders, both of which give rise to much diagnostic confusion and inappropriate treatment. Precise history taking and mental status examination and, above all, an up-to-date knowledge of their existence are essential to the recognition and appropriate treatment of the delusional disorders.


Author(s):  
Carol S. North ◽  
Sean H. Yutzy

The psychiatric evaluation is a review of the basic principles of approaching a patient with a suspected psychiatric disorder. Specific advice is advanced regarding the interview style, questioning (open-ended versus closed), focus of interview (history of illness), and demeanor (e.g., friendly, sympathetic, respectful). The details of mental status examination are then reviewed with examples provided of positive findings in each of five categories: appearance and behavior, affect and mood, form and content of thought, memory and intellectual functioning, and insight and judgment. These examples are designed to flesh out the student’s understanding of mental illness. A decision tree is provided to facilitate efficient clinical focus on the major issues. Recommendations are provided for effectively presenting a case in a formal setting.


1990 ◽  
Vol 3 (3) ◽  
pp. 169-187 ◽  
Author(s):  
Diana Van Lancker

Although proverb tests are commonly used in the mental status examination surprisingly little is known about either normal comprehension or the interpretation of proverbial expressions. Current proverbs tests have conceptual and linguistic shortcomings, and few studies have been done to investigate the specific effects of neurological and psychiatric disorders on the interpretation of proverbs. Although frontal lobes have traditionally been impugned in patients who are “concrete”, recent studies targeting deficient comprehension of non literal language (e.g. proverbs, idioms, speech formulas, and indirect requests) point to an important role of the right hemisphere (RH). Research describing responses of psychiatrically and neurologically classified groups to tests of proverb and idiom usage is needed to clarify details of aberrant processing of nonliteral meanings. Meanwhile, the proverb test, drawing on diverse cognitive skills, is a nonspecific but sensitive probe of mental status.


2013 ◽  
Author(s):  
R. C. Spaulding ◽  
M. Richlin ◽  
J. D. Phelan

2016 ◽  
Vol 5 (01) ◽  
pp. 4764
Author(s):  
Anil Kumar Singh ◽  
Ram Krushna Panda ◽  
Shriram Chandra Mishra ◽  
Manish Singh ◽  
Akhil N. Parida

Psychosomatic - psyche (mind) and soma (body) -A psychosomatic disorder is a disease which involves both mind and body. Some physical diseases are thought to be particularly prone to be made worse by mental conditions such as stress and anxiety. Your current mental status can influence how bad a physical disease is, at any given time. Both mind and body are a single identity, so the involvements of one definitely affect the others. So the bidirectional approach should be done to proper diagnosis and management of psychosomatic disorders. In Ayurveda detail description is given about psychic (Manasika), Somatic (Sharirika) and psychosomatic disorders (Manodaihika Vyadhi), their mode of treatment, they are as follows.


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