DOCSLIB.ORG

{FREE} the Psychiatric Interview Kindle

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
{FREE} the Psychiatric Interview Kindle THE PSYCHIATRIC INTERVIEW PDF, EPUB, EBOOK Daniel J. Carlat | 348 pages | 01 Oct 2016 | Lippincott Williams and Wilkins | 9781496327710 | English | Philadelphia, United States The Psychiatric Interview | SIMPLY PSYCH EDU Want to Read saving…. Want to Read Currently Reading Read. Other editions. Enlarge cover. Error rating book. Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. Helen Swick Perry Editor ,. Otto Allen Will Introduction. This is a book for all those working in the field of psychiatric disorder. It will be invaluable to medical students and doctors training in general practice, emergency medicine and psychiatry. At a time when the assessment of psychiatric patients is the responsibility of a range of clinicians, The Psychiatric Interview will also be of assistance to clinical psychologists, This is a book for all those working in the field of psychiatric disorder. At a time when the assessment of psychiatric patients is the responsibility of a range of clinicians, The Psychiatric Interview will also be of assistance to clinical psychologists, social workers and psychiatric nurses. It will also have a place as a reference book for police and security officers. Get A Copy. Paperback , pages. Published February 17th by W. Norton Company first published February More Details Original Title. Other Editions 2. Friend Reviews. To see what your friends thought of this book, please sign up. To ask other readers questions about The Psychiatric Interview , please sign up. Be the first to ask a question about The Psychiatric Interview. Lists with This Book. This book is not yet featured on Listopia. Community Reviews. Showing Average rating 4. Rating details. More filters. Sort order. Start your review of The Psychiatric Interview. Sep 18, Ian Felton rated it it was ok. This book will take you off-course. Jul 24, Dia rated it really liked it. Ah, if only I could have Harry Stack Sullivan on my shoulder, whispering in my ear as I interview clients Of course just reading this book won't cause one to instantly become an interviewer who's not a schmuck. It takes a lot of practice -- and careful observation and correction of what one is practicing. It takes basic maturity and probably some innate gifts, as well. In any case, whatever it takes, Sullivan shows that it is c Ah, if only I could have Harry Stack Sullivan on my shoulder, whispering in my ear as I interview clients In any case, whatever it takes, Sullivan shows that it is certainly possible to become so artful in one's interviews that the interview itself becomes therapeutic. He shows this with graceful humor and humility. Along the way, he makes interesting, unusual diagnostic comments, some of which one might first think are dated, but on further consideration turn out simply to be countercultural and probably true. Sullivan has much to say about anxiety, that of interviewer as well as interviewee, convincing me that anxiety is central to this and probably every other interpersonal act. This is the safest office set-up:. This is the safest way to position yourself:. Introduce yourself to the patient by informing them immediately who you are and what your role is. Then politely ask the patient for their preferred name and whether they feel comfortable talking to you in the current location. Remind the patient about the confidential nature of the information discussed and to let you know immediately if anything makes them feel uncomfortable. The opening question will vary depending on the setting and context. Jones, what is your understanding of the reason for being brought to the hospital today? In addition, it gives you a sense of the patients thought process and verbal fluency. Allow the patient to speak for at least minutes before interrupting. Patients who ramble on or speak tangentially or circumstantially can be very difficult to interview. Try to give the patient at least minutes to talk uninterrupted before refocusing. K Physical and Neurological Examinations focused, if needed. Anxiety: Apprehension, tension or uneasiness which stems from the anticipation of danger, the source of which is largely unknown or unrecognized. Anxiety is primarily of intrapsychic origin, in contrast to fear which is the emotional response to a consciously recognized and usually external threat or danger. Anxiety and fear are accompanied by similar physiologic changes. Anxiety may be regarded as pathologic when it is present to such extent as to interfere with effectiveness in living, the achievement of desired realistic goals or satisfactions, or reasonable emotional comfort. Apathetic: Showing lack of interest, or indifference; lacking feeling. Association: Relationship between ideas or emotions by contiguity, by continuity, or by similarities. Autism autistic thinking : A form of thinking which attempts to gratify unfulfilled desires without due regard for reality. Objective facts are distorted, obscured, or excluded in varying degree. Blocking: Difficulty in recollection, or interruption of a train of thought or speech, due to emotional factors usually unconscious. Circumstantial: A characteristic of conversation that proceeds indirectly to its goal idea, with many tedious details and parenthetical and irrelevant additions. Clang Association: Associations that are governed by rhyming sounds, rather than meaning, e. A defensive substitute for hidden and still more unacceptable ideas and wishes. Anxiety results from failure to perform the compulsive act. The belief is maintained against logical argument and despite objective contradictory evidence. Common delusions include:. Delusions of Persecution: Ideas that one had been singled out for persecution. Delusions of Reference: Incorrect assumption that certain casual or unrelated remarks or the behavior of others applies to oneself. Depersonalization: Feelings of unreality or strangeness concerning either the environment or the self. Depression: Psychiatrically, a morbid sadness, dejection or melancholy; to be differentiated from grief which is realistic and proportionate to what has been lost. A depression may vary in depth from neurosis to psychosis. See post on grief vs depression. Dissociation: A psychological separation or splitting off; an intrapsychic defensive process which operates automatically and unconsciously. Through its operation, emotional significance and affect are separated and detached from an idea, situation, or object. Dissociation may, unconsciously, defer or postpone experiencing the emotional impact, as for example, in selective amnesia. Euphoria: An exaggerated feeling of physical and emotional well-being not consonant with apparent stimuli or events; usually of psychologic origin, but also seen in organic brain disease and toxic states. Flattened Affect: Displaying an abnormally small range of emotional expression. Flight of Ideas: Verbal skipping from one idea to another before the last one has been concluded; the ideas appear to be continuous, but are fragmentary and determined by chance associations. Hallucination: A false sensory perception in the absence of an actual external stimulus; may be of emotional or external chemical drugs, alcohol, etc. Illusion: The misinterpretation of a real, external sensory experience. Inappropriate: Emotional expressions that are not in accord with the Affect situation, or what is being said, e. More superficially, recognition by the patient that he is mentally ill. Loss of Goal: Failure to follow a chain of thought through to a logical conclusion usually elicited by asking a question which the patient starts to answer, but then seems to wander off the subject. Neologism: In psychiatry, a new word or condensed combination of several words coined by a patient to express a highly complex meaning related to his conflicts; not readily understood by others; common in schizophrenia. Obsession: Persistent, unwanted idea or impulse that cannot be eliminated by logic or reasoning. Orientation: Awareness of oneself in relation to time, place and person. Perseveration stereotype : Persistent, mechanical repetition of an activity, common in schizophrenia. Phobia: An obsessive, persistent, unrealistic fear of an external object or situation such as heights, open spaces, dirt, and animals. The fear is believed to arise through a process of displacing an internal unconscious conflict to an external object symbolically related to the conflict. Sensorium: Roughly approximates consciousness. Includes the special sensory perceptive powers and their central correlation and integration in the brain. A clear sensorium conveys the presence of a reasonably accurate memory together with a correct orientation for time, place, and person. General Appearance, Behavior and Attitude : Provide a description of the patient such that another provider could identify the patient after reading it. The following should be noted:. Posture: This should include such things as the way he sits or lies during the interview, restlessness, tension and bizarre or unusual positions. Psychomotor Activity : Describe in detail the motor activity which you observe in the patient. Is this activity increased or reduced? Are his actions spontaneous? Does he initiate activity? Take note of the appropriateness of his motor activity, and of such things as compulsive rituals, fumbling at the bed clothes, assaultness, negativism, attempts to escape and so on. Is he restless, agitated, slowed, pacing, immobile, tremulous, etc.? Are there tics
Load more

Recommended publications
  • LINKING INFECTIOUS and NARCOLOGY CARE) Evidence-Based for Engagement in HIV Care
    COMPENDIUM OF EVIDENCE-BASED INTERVENTIONS AND BEST PRACTICES FOR HIV PREVENTION LINC (LINKING INFECTIOUS AND NARCOLOGY CARE) Evidence-Based for Engagement in HIV Care INTERVENTION DESCRIPTION Goal of Intervention • Improve engagement in HIV care • Improve retention in HIV care • Improve CD4+ cell count • Reduce self-reported hospitalizations Target Population • HIV-positive injecting drug users in treatment Brief Description LINC (Linking Infectious and Narcology Care) is an individual-level, strengths-based case management intervention for HIV-positive persons who inject drugs (PWID). It is adapted from the Antiretroviral Treatment Access Study (ARTAS). LINC involves coordination between the HIV and narcology systems of care to reduce barriers to HIV care and help motivate HIV-positive PWID to engage in care by supporting recognition of one’s strengths to make positive life changes. The initial session is delivered in a narcology hospital (e.g., in-patient addiction treatment setting) and includes provision of CD4 test results to increase engagement in HIV medical care. After discharge, subsequent sessions are conducted in community or clinic locations over six months. LINC aims to build self-efficacy, enable self-management, and increase outcome expectancies regarding engaging in HIV care via education and social support. Theoretical Basis • Social Cognitive Theory (SCT) • Psychological Empowerment Theory (PET) Intervention Duration • Five sessions delivered over six months Intervention Settings • Narcology hospital • Community or clinic locations • Phone Deliverer • Peer case managers (i.e., HIV-infected men and women in recovery from addiction) LRC Chapter – LINC (Linking Infectious and Narcology Care) Last updated March 17, 2020 COMPENDIUM OF EVIDENCE-BASED INTERVENTIONS AND BEST PRACTICES FOR HIV PREVENTION Delivery Methods • Case management • Printed materials • Discussion • Video • Goal setting Structural Components There are no reported structural components reported for this study.
    [Show full text]
  • Dual Diagnosis Screening Interview to Identify Psychiatric Comorbidity in Substance Users: Development and Validation of a Brief Instrument
    Research Report European Addiction Eur Addict Res 2014;20:41–48 Received: October 16, 2012 Research DOI: 10.1159/000351519 Accepted: April 15, 2013 Published online: August 1, 2013 Dual Diagnosis Screening Interview to Identify Psychiatric Comorbidity in Substance Users: Development and Validation of a Brief Instrument a a, b a, c, d Joan Ignasi Mestre-Pintó Antònia Domingo-Salvany Rocío Martín-Santos a, e, f Marta Torrens The PsyCoBarcelona Group (see Appendix) a b c Hospital del Mar Medical Research Institute (IMIM), CIBERESP, Department of Psychiatry, Hospital Clinic, IDIBAPS, d e f CIBERSAM, University of Barcelona, Institute of Neuropsychiatry and Addictions, Hospital del Mar, and Universitat Autònoma de Barcelona, Barcelona , Spain Key Words administration was 16.8 ± 2.5 min. Conclusion: The DDSI is a Psychopathology · Dual diagnosis · Screening · valid and easy-to-administer screening tool to detect possi- Dual Diagnosis Screening Instrument ble psychiatric comorbidity among substance users. Copyright © 2013 S. Karger AG, Basel Abstract Aim: The objective of this study was to develop and validate Introduction a brief tool, the Dual Diagnosis Screening Instrument (DDSI), to screen psychiatric disorders in substance users in treat- To identify psychiatric comorbidity among individu- ment and nontreatment-seeking samples. Methods: A total als with substance use disorders (SUDs) is an area of of 827 substance users (66.5% male, mean age 28.6 ± 9.9 great clinical and public health interest. Drug users with years) recruited in treatment (in- and outpatient) and non- other psychiatric comorbid disorders have more emer- treatment (substance user volunteers in university research gency admissions, higher prevalence of suicide, medical studies) settings were assessed by trained interviewers using conditions (e.g.
    [Show full text]
  • Boletin De Documentación Nº 37, Marzo De 2009
    Su elaboración en formato electrónico, iniciada en julio de 2002, ha supuesto importantes ventajas de cara a ampliar y agilizar su difusión entre los profesionales del sector, permitiendo asimismo la localización de documentación relevante por parte de cualquier ciudadano interesado en el campo de las drogodependencias. Como en los números anteriores, en el boletín de marzo se recogen las principales novedades bibliográficas que, sobre los distintos aspectos relacionados con las adicciones, han tenido entrada en el Centro de Documentación e Información de la Delegación del Gobierno para el Plan Nacional sobre Drogas en los tres últimos meses. El contenido del Boletín está estructurado en tres grandes epígrafes: Novedades bibliográficas (clasificadas por su temática y con indicación de su ruta en el caso de que estén disponibles a texto completo en Internet), Legislación y Sumarios de revistas. Esperamos que el Boletín, cuya difusión se realiza a través de listas de distribución de correo electrónico y de su presencia permanente en la página web de la Delegación del Gobierno para el Plan Nacional sobre Drogas, sea de interés y quedamos a la espera de cualquier sugerencia y/o consulta que sobre el mismo queráis formular. Ministerio de Sanidad y Consumo. Delegación del Gobierno para el Plan Nacional sobre Drogas José del Val – E-correo: [email protected] Jefe de Servicio del Centro de Documentación e Información 1 Aspectos Generales ........................................................................ 4 Aspectos Sociales ............................................................................
    [Show full text]
  • Use of the Communication Checklist
    Psychiatria Danubina, 2020; Vol. 32, Suppl. 1, pp 88-92 Conference paper © Medicinska naklada - Zagreb, Croatia USE OF THE COMMUNICATION CHECKLIST - SELF REPORT (CC-SR) IN SCHIZOPHRENIA: LANGUAGE IMPAIRMENTS CORRELATE WITH POOR PREMORBID SOCIAL ADJUSTMENT Daria Smirnova1,2, Svetlana Zhukova3, Olga Izmailova4, Ilya Fedotov5, Yurii Osadshiy6, Alexander Shustov7, Anna Spikina8, Dmitriy Ubeikon9, Anna Yashikhina2, Natalia Petrova10, Johanna Badcock1, Vera Morgan1 & Assen Jablensky1 1Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, Australia 2Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia 3Department of Psychiatry, Narcology and Psychology, Ivanovo State Medical Academy, Ivanovo, Russia 4Samara District Clinical Psychiatric Hospital, Samara, Russia 5Department of Psychiatry, Ryazan State Medical University n.a. academician I.P. Pavlov, Ryazan, Russia 6Department of Psychiatry, Narcology and Medical Psychology, Rostov State Medical University, Rostov-on-Don, Russia 7National Medical Research Centre of Psychiatry and Narcology n.a. V.P. Serbsky, Moscow, Russia 8Psychoneurological dispensary ʋ2, Saint Petersburg, Russia 9Department of Psychiatry, Narcology and Psychotherapy with the course of General and Medical psychology, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Simferopol, Republic of Crimea, Russia 10Department of Psychiatry and Narcology, Saint Petersburg State University, Saint Petersburg,
    [Show full text]
  • Workbook Psychiatry and Narcology
    Kharkiv National Medical University Department of Psychiatry, Narcology and Medical Psychology WORKBOOK MANUAL FOR INDIVIDUAL WORK FOR MEDICAL STUDENTS PSYCHIATRY AND NARCOLOGY (Part 2) Student ___________________________________________________________ Faculty _________________________________________________________ Course _________________ Group _____________________________________ Kharkiv 2019 Затверджено вченою радою ХНМУ Протокол №5 від 23.05.2019 р. Psychiatry (Part 2) : workbook manual for individual work of students / I. Strelnikova, G. Samardacova, К. Zelenska – Kharkiv, 2019. – 103 p. Копіювання для розповсюдження в будь-якому вигляді частин або повністю можливо тільки з дозволу авторів навчального посібника. CLASS 7. NEUROTIC DISORDERS. CLINICAL FORMS. TREATMENT AND REHABILITATION. POSTTRAUMATIC STRESS DISORDER. TREATMENT AND REHABILITATION. Psychogenic diseases are a large and clinically varied group of diseases resulting from an effect of acute or long-term psychic traumas, which manifest themselves by both mental and somatoneurological disorders and, as a rule, are reversible. Psychogenic diseases are caused by a psychic trauma, i.e. some events which affect significant aspects of existence of the human being and result in deep psychological feelings. These may be subjectively significant events, i.e. those which are pathogenic for the majority of people. Besides, the psyche may be traumatized by conventionally pathogenic events, which cause feelings in an individual because of his peculiar hierarchy of values. Unfavorable psychogenic effects on the human being cause stress in him, i.e. a nonspecific reaction at the physiological, psychological and behavioural levels. Stress may exert some positive, mobilizing influence, but may result in disorganization of the organism activity. The stress, which exerts a negative influence and causes various disturbances and even diseases, is termed distress. Classification of neurotic disorders I.
    [Show full text]
  • Factors Associated with the Onset of Major Depressive Disorder in Adults with Type 2 Diabetes Living in 12 Different Countries
    Epidemiology and Psychiatric Factors associated with the onset of major Sciences depressive disorder in adults with type 2 cambridge.org/eps diabetes living in 12 different countries: results from the INTERPRET-DD prospective study 1 2 3 4 5 6 Original Article C. E. Lloyd ,N.Sartorius,H.U.Ahmed,A.Alvarez,S.Bahendeka,A.E.Bobrov, L. Burti7,S.K.Chaturvedi8,W.Gaebel9,G.deGirolamo10,T.M.Gondek11, Cite this article: Lloyd CE et al (2020). Factors 12 13 14 15,16 17 18 associated with the onset of major depressive M. Guinzbourg ,M.G.Heinze ,A.Khan , A. Kiejna ,A.Kokoszka ,T.Kamala , disorder in adults with type 2 diabetes living in 12 19 20 21 22 23,24,25 different countries: results from the INTERPRET- N. M. Lalic ,D.Lecic-Tosevski ,E.Mannucci ,B.Mankovsky ,K.Müssig , DD prospective study. Epidemiology and V. Mutiso26,D.Ndetei27, A. Nouwen28,G.Rabbani29,S.S.Srikanta30,E.G.Starostina31, Psychiatric Sciences 29, e134, 1–9. https://doi.org/ 10.1017/S2045796020000438 M. Shevchuk22,R.Taj14,U.Valentini32,K.vanDam28,O.Vukovic33 and W. Wölwer9 Received: 21 January 2020 1The Open University, Milton Keynes, UK; 2Association for the Improvement of Mental Health Programmes, Geneva, Revised: 14 April 2020 3 Accepted: 19 April 2020 Switzerland; Child Adolescent & Family Psychiatry, National Institute of Mental Health (NIMH), Dhaka, Bangladesh; 4Servicio de Endocrinologia y Medicina Nuclear del Hospital Italiano de Buenis Aires, Buenis Aires, Argentina; 5The Key words: Mother Kevin Post Graduate Medical School, Uganda Martyrs University, Kampala, Uganda; 6Federal
    [Show full text]
  • Psychiatric Interview Externalizing Disorders
    7/16/2013 Cognitive behavioral therapy Clinical hypnosis: level two Sheree Shafer FNP-BC, PMNCNS-BC, DNP ADOS (Autism Diagnostic Observation Schedule) Child First (Forensic interview for child and adolescent sexual abuse) Dialectical behavioral therapy interventions Treatment for 700-800 patients per year (two NP’s) Research: increasing primary care nurse Comprehensive evaluation practitioner knowledge, comfort, and Facilitate referrals as needed Provide both pharmacotherapy and nonpharmacotherapy practice for pediatric patients with ADHD, Therapist for 0-5 population, liaison with BSU for children and mothers with post partum depression depression, and/ or anxiety disorders Grant for drug and alcohol therapist, specializes in Served as a CBT therapist and blind evaluator adolescent care (intake completed at our office within one week of referral) for a quasi experimental study measuring the Collaborating psychiatrist on site monthly MA dedicated to program effectiveness of 6-8 CBT sessions provided Formalized referral process within primary care versus treatment as usual Strong relationship with school psychologists Formalized process for communication with local school Program evaluation districts At the current rate of service utilization, approximately 12, 624 child and adolescent psychiatrists are needed. The number of available psychiatrists through 2020 is projected as 8,312 (AACAP, 2009). 1 7/16/2013 80% of children and adolescents respond to CONVENTIONAL MENTAL HEATH INTEGRATED MODEL OF CARE current evidence based treatment Call for phone discussion of need Call for discussion of need, Call back for an intake intake information completed interventions for ADHD ,anxiety, and Intake within 2 weeks Reviewed and call back within 48 depressive disorders (American Academy of Staffing within 2 weeks hours Assignment within 2 weeks Diagnostic and treatment Children and Adolescent Psychiary,2007; Psychiatric evaluation may be evaluation within 2 weeks.
    [Show full text]
  • Young Psychiatrists' Network Meeting “Stigma from the Yps' Perspective: Hopes and Challenges”, September 27-29 2012, Minsk, Belarus
    International conference 3rd Young Psychiatrists’ Network Meeting “Stigma From The YPs' perspective: Hopes and Challenges” September 27-29, 2012 Programme and abstract booklet Ministry of Health of the Republic Of Belarus State Educational Establishment “Belarusian Medical Academy of Post-Graduate Education” Supported by Rotary club “Minsk” International conference 3rd Young Psychiatrists’ Network Meeting “Stigma From The YPs' perspective: Hopes and Challenges” September 27-29, 2012 Programme and abstract booklet Ltd “Magic” Minsk 2012 UDC (УДК) 61 LCN (ББК) 56.14 Scientific edition 3rd Young Psychiatrists' Network Meeting “Stigma From The YPs' perspective: Hopes and Challenges”, September 27-29 2012, Minsk, Belarus. International conference: Programme and abstract booklet. – Minsk: Publishing house “Magic“, 2012. - 84 p. ISBN 978 – 985-6473-81-7 Supported by European Federation of Psychiatrists’ Trainees (EFPT) Supported by Belarusian Medical Academy of Post-Graduate Education (BelMAPGE) Supported by Belarusian Psychiatric Association (BPA) Supported by Rotary club “Minsk” Editorial Board: J. Hanson, MD, PhD, Assoc. Prof., Sweden; D. Krupchanka, MD, PhD student, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus; N. Bezborodovs, MD, Riga Stradins University, Riga Centre of Psychiatry and Addiction Disorders, Latvia; M. Bendix, MD, Dr. Med., Karolinska University Hospital Huddinge, Sweden; S. Jauhar, MD, MBChB, BSc (Hons), MRCPsych, Department of Psychosis Studies, Institute of Psychiatry, United Kingdom; D. Smirnova, MD, PhD, Samara State Medical University, Russian Federation. ISBN 978 – 985-6473-81-7 © State Educational Establishment “Belarusian Medical Academy of Post- Graduate Education” Anyone who keeps learning stays young. The greatest thing in life is to keep your mind young. (c) There is a story of our meetings.
    [Show full text]
  • The Psychiatric Interview Clinical Interviewing Is the Single Most Important Skill Required in Psychiatry
    The Psychiatric Interview Clinical interviewing is the single most important skill required in psychiatry. The interview constitutes the principal means for gaining an understanding of a patient’s difficulties. This understanding leads to a diagnostic formulation and the development of treatment plan. The interview is as important to psychiatry as the operating room is to surgery and the laboratory is to internal medicine. The assessment process in psychiatry relies primarily on the interviewing and observational skills of practitioners because there is no laboratory test, tissue diagnosis or imaging method available to confirm a psychiatric diagnosis. The interview can be defined as “the skill of encouraging disclosure of personal information for a specific professional purpose” (McCready, 1986), and serves a variety of functions: • Collecting clinical information in an efficient manner • Eliciting emotions, feelings, and attitudes • Establishing a doctor-patient relationship and developing rapport • Generating and testing a set of hypotheses to arrive at a preferred diagnosis, accompanied by a list of other conditions (called a differential diagnosis) which must be considered • Determining areas for further investigation • Developing a treatment plan Interviewing is not simply the task of taking a history. Rather, it is the process of determining which illness the patient has, and understanding how he or she has been affected by it. Far more than a series of questions, a well-conducted interview yields nformationi that helps develop an individualized approach for treating the patient. While providing treatment is not usually identified as an explicit aim of initial interviews, it often is a component. Pekarik (1993) and Talmon (1990) reported that a single meeting gave a number of patients enough relief from their stressors that follow-up was not required.
    [Show full text]
  • Bioethical Differences Between Drug Addiction Treatment Professionals Inside and Outside the Russian Federation Mendelevich
    Bioethical differences between drug addiction treatment professionals inside and outside the Russian Federation Mendelevich Mendelevich Harm Reduction Journal 2011, 8:15 http://www.harmreductionjournal.com/content/8/1/15 (10 June 2011) Mendelevich Harm Reduction Journal 2011, 8:15 http://www.harmreductionjournal.com/content/8/1/15 RESEARCH Open Access Bioethical differences between drug addiction treatment professionals inside and outside the Russian Federation Vladimir D Mendelevich Abstract This article provides an overview of a sociological study of the views of 338 drug addiction treatment professionals. A comparison is drawn between the bioethical approaches of Russian and foreign experts from 18 countries. It is concluded that the bioethical priorities of Russian and foreign experts differ significantly. Differences involve attitudes toward confidentiality, informed consent, compulsory treatment, opioid agonist therapy, mandatory testing of students for psychoactive substances, the prevention of mental patients from having children, harm reduction programs (needle and syringe exchange), euthanasia, and abortion. It is proposed that the cardinal dissimilarity between models for providing drug treatment in the Russian Federation versus the majority of the countries of the world stems from differing bioethical attitudes among drug addiction treatment experts. Introduction deontological norms [6,10]. Although there have been Russian and international narcology (addiction medi- calls for adherence to the principles of medical ethics, cine) began to develop along divergent paths during the the procedures put into practicecontinuetobeincom- second half of the twentieth century. Indeed, Russian patible with these principles. Drug addicts still have narcology has ceased to be a part of international nar- even fewer patient rights than the mentally ill.
    [Show full text]
  • Exam Questions Year 5 Psychiatry and Narcology General Medicine Faculty BSMU (2019/2020)
    Exam questions Year 5 Psychiatry and narcology General medicine faculty BSMU (2019/2020) Part 1 1. Object and task of psychiatry and narcology, their place among other medical disciplines. 2. History of psychiatry: middle ages, 19th century, modern psychiatry. 3. Stigma of mental Illness. Central anti-psychiatry beliefs. 4. Frame of psychiatry: general psychopathology, age psychiatry, organizational psychiatry, judicial, psychopharmacotherapy, addictology (narcology), trans-cultural psychiatry, sexology, suicidology. 5. The methods of investigations in psychiatry. 6. The criteria of mental health. Criteria of normality (Rosenhan and Seligman, 1984). 7. Biases that affect diagnoses: racial/ethnic, confirmation bias, institutionalization, reporting bias, cultural differences. 8. Classification in psychiatry, the most important classification categories. 9. Organic and functional disorders in psychiatry. Concepts of neurosis and psychosis. 10. Epidemiology of mental disorders. Prevalence of major psychiatric conditions. 11. Psychiatry examination. 12. Disturbances of perception: hallucinations, types of hallucinations. Pseudo-hallucinations. Circumstances and disorders associated with hallucinations. 13. Disturbances of perception: illusions, types of illusions. 14. Psycho-sensorial disturbances of perception: derealisation, dismorphophobia, methamorphopsias, and depersonalisation. 15. Disorders of mood (emotions): pathological affect, depression, mania, anhedonia, flattened affect, euphoria, emotional lability, inappropriate affect, phobias.
    [Show full text]
  • Treating Substance Abuse Is Not Enough: Comorbidities in Consecutively Admitted Female Prisoners
    Addictive Behaviors 46 (2015) 25–30 Contents lists available at ScienceDirect Addictive Behaviors Treating substance abuse is not enough: Comorbidities in consecutively admitted female prisoners Jan Mir a, Sinja Kastner a, Stefan Priebe b, Norbert Konrad c, Andreas Ströhle a,AdrianP.Mundtb,d,⁎ a Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Universitätsmedizin Berlin, Germany b Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, UK c Institute of Forensic Psychiatry, Charité Universitätsmedizin Berlin, Germany d Escuela de Medicina sede Puerto Montt, Universidad San Sebastián, Chile HIGHLIGHTS • A majority of 62% of females have substance use disorders at admission to prison. • Opiates are the most frequent substances of addiction in 35% of this population. • Addictions are highly comorbid with affective, personality and anxiety disorders. • Comorbidities do not differ between subgroups addicted to different substances. • Interventions should be generic, robust and flexible to cover different disorders. article info abstract Available online 21 February 2015 Introduction: Several studies have pointed to high rates of substance use disorders among female prisoners. The present study aimed to assess comorbidities of substance use disorders with other mental disorders in female Keywords: prisoners at admission to a penal justice system. Substance use disorders Methods: A sample of 150 female prisoners, consecutively admitted to the penal justice system of Berlin, Comorbidity Germany, was interviewed using the Mini-International Neuropsychiatric Interview (MINI). The presence of bor- Mental disorders derline personality disorder was assessed using the Structured Clinical Interview II for DSM-IV. Prevalence rates Female prison population fi Prevalence rates and comorbidities were calculated as percentage values and 95% con dence intervals (CIs).
    [Show full text]