Unit 3 Problems Related to Sex
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Seminal Retention Syndrome with Cybersex Addiction: a Case Report Psychiatry Section
ID: JCDR/2012/3767:2232 Case Report Seminal Retention Syndrome with Cybersex Addiction: A Case Report Psychiatry Section MANJEET SINGH BHATIA, ANURAG JHANJEE, PANKAJ KUMAR ABSTRACT old, unmarried male who presented with the symptoms of a Culture bound syndromes which present with symptoms somatization disorder, which was attributed to seminal retention which resemble somatization have been described. In the and who developed cybersex addiction has been described. Asian countries, syndromes which involve the loss of semen He responded to the treatment with fluoxetine 20mg daily. (the ‘Dhat syndrome’), which present with physical and Seminal retention syndrome needs further exploration in the psychological symptoms are common. This is only the second southeast Asian countries for its prevalence, presentations and case report which has described seminal retention. A 24- years treatment. Key Words: Culture bound syndrome, Somatization, Seminal retention, Cybersex addiction INTRODUCTION pornography that had led to his missing of his classes of his ‘Somatization’ refers to ‘a tendency to experience and communicate post-graduation course in commerce at his college. Therefore, pathological distress in the form of physical symptoms in the he had come himself to our Psychiatry Outpatients Department absence of any pathological finding, to attribute them to physical for treatment. There was no history of nocturnal emissions and illness, and to seek medical help for them [1]. This phenomenon he had avoided sexual contact. There was no past history of any has been reported from all over the world, more commonly from psychiatric illness, drug dependence or chronic physical illness. A the developing countries [1,2]. Somatizing patients form a high family history of a psychiatric disorder or a chronic physical illness proportion of patients with multiple unexplained physical sym- was also absent. -
I the NATURE of SCHIZOTYPY AMONG
THE NATURE OF SCHIZOTYPY AMONG MULTIGENERATIONAL MULTIPLEX SCHIZOPHRENIA FAMILIES by Sarah Irene Tarbox, PhD B.A. Psychology, Brandeis University, 1997 M.S. Psychology, University of Pittsburgh, 2005 Submitted to the Graduate Faculty of Arts and Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy University of Pittsburgh 2010 i UNIVERSITY OF PITTSBURGH Faculty of Arts and Sciences This dissertation was presented by Sarah I. Tarbox It was defended on September 8, 2009 and approved by JeeWon Cheong, PhD, Department of Psychology, University of Pittsburgh Daniel Shaw, PhD, Department of Psychology, University of Pittsburgh Vishwajit Nimgaonkar, M.D., PhD, Department of Psychiatry, University of Pittsburgh Laura Almasy, PhD, Department of Genetics, Southwest Foundation for Biomedical Research Dissertation Advisor and Chair: Michael Pogue-Geile, PhD, Department of Psychology, University of Pittsburgh ii Copyright © by Sarah I. Tarbox 2010 iii Michael F. Pogue-Geile, Ph.D. THE NATURE OF SCHIZOTYPY AMONG MULTIGENERATIONAL MULTIPLEX SCHIZOPHRENIA FAMILIES Sarah I. Tarbox, PhD University of Pittsburgh, 2010 Identification of endophenotypes (I. I. Gottesman & Gould, 2003; I. I. Gottesman & Shields, 1972) that correlate with familial liability to schizophrenia and are maximally sensitive to a homogeneous subset of risk genes is an important strategy for detecting genes that affect schizophrenia risk. Symptoms of schizotypy may correlate with familial liability to schizophrenia; however, there are critical limitations of the current literature concerning this association. The present study examined the genetic architecture and genetic association between schizotypy and genetic liability to schizophrenia among multigenerational, multiplex schizophrenia families. Genetic schizotypy factors were identified that significantly correlated with genetic liability to schizophrenia, although some relations were unexpected in direction. -
The Social Defeat Animal Model of Depression Shows
Neuroscience 218 (2012) 138–153 THE SOCIAL DEFEAT ANIMAL MODEL OF DEPRESSION SHOWS DIMINISHED LEVELS OF OREXIN IN MESOCORTICAL REGIONS OF THE DOPAMINE SYSTEM, AND OF DYNORPHIN AND OREXIN IN THE HYPOTHALAMUS C. NOCJAR, a,b* J. ZHANG, c P. FENG a,c AND INTRODUCTION J. PANKSEPP d A reduced ability to experience pleasure, termed anhedo- a Department of Psychiatry, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA nia, is a hallmark symptom of depression and is expressed in rodent models of the illness. Various studies suggest that b Department of Psychiatry, Case Western Reserve University, Cleveland, OH, USA a dynorphin and orexin interactive dysfunction between the hypothalamus and the dopamine reward system might c Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Case Western Reserve University, exist in depression; and perhaps cause anhedonia symp- Cleveland, OH, USA toms. Dynorphin and orexin modulate each other’s function d Department of Veterinary and Comparative Anatomy, (Eriksson et al., 2004; Li and van den Pol, 2006) as well as Pharmacology and Physiology, College of Veterinary brain reward mechanisms; though dynorphin typically Medicine, Washington State University, Pullman, WA, USA inhibits and orexin stimulates neural activity (Shippenberg, 2009; Aston-Jones et al., 2010). Dynorphin is also co-expressed in nearly all orexin neurons, which are exclu- Abstract—Anhedonia is a core symptom of clinical depres- sively located in dorsomedial and lateral regions of the sion. Two brain neuropeptides that have been implicated in anhedonia symptomology in preclinical depression mod- hypothalamus (Chou et al., 2001). Importantly, hedonic els are dynorphin and orexin; which are concentrated along behaviors that are commonly diminished in depressed lateral hypothalamic dopamine reward pathways. -
Research Paper Medical Science Dhat Syndrome: an Overview Dr
Volume-3, Issue-7, July-2014 • ISSN No 2277 - 8160 Research Paper Medical Science Dhat Syndrome: An Overview Dr Rohit Kant Associate Professer, Department Of Psychiatry, Rmch Medical College, Srivastava Bareilly. ABSTRACT Dhat syndrome, a culture bound syndrome is commonly found in Indian subcontinent. Patients suffering from this syndrome reports fatigue, weakness, anxiety, guilt, depressive features which they attribute to loss of semen as a vital substance in nocturnal emission, through urine or masturbation. These patients lack proper education and they suffer lot in hands of quacks and non specialists. They also develop various myths associated with it. It needs proper education, cognitive behaviour therapy and management by a specialist like clinical Psychologist and Psychiatrist. KEYWORDS : DHAT SYNDROME, CULTURE BOUND SYNDROME, SEMEN,COGNITIVE BEHAVIOUR THERAPY Dhat syndrome, a cultural bound syndrome which is very common fatigue and pre-occupation with semen loss as the main complaint in India. It is found usually in young male and associated with lot of (6). Prevalence rates of 11.7% (India) to 30% (Pakistan), suggest the distress. Dhat syndrome is a widely recognized clinical condition often disorder is pervasive (7). ). Patients present with vague symptoms of seen on the Indian subcontinent that is characterized by a preoccu- weakness, fatigue, palpitations, loss of interest, headaches, pain in pation with semen loss in urine and other symptoms such as fatigue epigastrium, forgetfulness, constipation etc. (8--11). They attribute or depressed mood. It is a semen-loss related physical and psycho- these symptoms to their belief of passing of semen (Dhat) in urine as logical distress which is very impairing. -
Chapter 05- Mental, Behavioral and Neurodevelopmental Disorders
Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Includes: disorders of psychological development Excludes2: symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99) This chapter contains the following blocks: F01-F09 Mental disorders due to known physiological conditions F10-F19 Mental and behavioral disorders due to psychoactive substance use F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders F30-F39 Mood [affective] disorders F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors F60-F69 Disorders of adult personality and behavior F70-F79 Intellectual disabilities F80-F89 Pervasive and specific developmental disorders F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence F99 Unspecified mental disorder Mental disorders due to known physiological conditions (F01-F09) Note: This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved. F01 Vascular dementia -
Musical Anhedonia: a Review
JOURNAL OF PSYCHOPATHOLOGY 2020;26:308-316 Review DOI: 10.36148/2284-0249-389 Musical anhedonia: a review Francesco Bernardini1, Laura Scarponi2, Luigi Attademo3, Philippe Hubain4, Gwenolé Loas4, Orrin Devinsky5 1 SPDC Pordenone, Department of Mental Health, AsFO Friuli Occidentale, Pordenone, Italy; 2 USC Psichiatria 1, Department of Mental Health, ASST Papa Giovanni XXIII, Bergamo, Italy; 3 SPDC Potenza, Department of Mental Health, ASP Basilicata, Potenza, Italy; 4 Erasme Hos- pital, Université Libre de Bruxelles (ULB), Bruxelles, Belgium; 5 NYU Comprehensive Epilepsy Center, Department of Neurology, New York University School of Medicine, New York, USA SUMMARY Objectives Anhedonia, or the inability or the loss of the capacity to experience pleasure, is a core feature of several psychiatric disorders. Different types of anhedonia have been described includ- ing social and physical anhedonia, appetitive or motivational anhedonia, consummatory and anticipatory anhedonia. Musical anhedonia is a rare condition where individuals derive no reward responses from musical experience. Methods We searched the PubMed electronic database for all articles with the search term “musical anhedonia”. Results A final set of 12 articles (six original research articles and six clinical case reports) comprised the set we reviewed. Conclusions Individuals with specific musical anhedonia show normal responses to other types of reward, Received: April 21, 2020 suggesting a specific deficit in musical reward pathways. Those individuals are not necessar- Accepted: June 8, 2020 ily affected by psychiatric conditions, have normal musical perception capacities, and normal recognition of emotions depicted in music. Individual differences in the tendency to derive Correspondence pleasure from music are associated with structural connections from auditory association Francesco Bernardini areas in the superior temporal gyrus to the anterior insula. -
Dhat Syndrome Research Article
Int. J. Pharm. Sci. Rev. Res., 44(2), May - June 2017; Article No. 02, Pages: 5-6 ISSN 0976 – 044X Research Article Dhat Syndrome Dr. Anshul Ramesh1*, Dr. Siva Ilango2 1. Post graduate, Dept of Anesthesiology, Sree Balaji Medical College & Hospital, Chennai, India. 2. Assistant professor, Sree Balaji Medical College & Hospital, Chennai, India. *Corresponding author’s E-mail: [email protected] Received: 09-08-2016; Revised: 14-11-2016; Accepted: 18-02-2017. ABSTRACT Dhat Syndrome is a culture bound syndrome that is found in the Indian subcontinent. It presents with symptoms that resemble somatization. The patient experiences depressive and anxiety features which are attributed to the loss of semen as a vital substance during a nocturnal emission, through the urine or as a result of masturbation. The patient was interviewed and a diagnosis was established based upon a standard classificatory system. Keywords: Dhat Syndrome, somatization, masturbation. INTRODUCTION reported to the psychiatric OPD along with his father. He presented with the complaints of generalized fatigue and ulture is a ground substance in which psychological, multiple aches and pains for a period of 6 months. He sociological and biological forces operate and presented with the depressive symptoms of experiencing influence the mental processes as well”1. The word C a low mood, a decreased interest in previously “Dhat” derives from the Sanskrit language. The word pleasurable activities, decreased concentration, dhatu, means “metal”. DSM – IV2. describes it as ‘A folk decreased sleep and a diminished appetite for a period of diagnostic term used in India to refer to severe anxiety 3 months. -
Important Interaction Between Urethral Taste Bud-Like Structures and Onuf's
+Model ANDROL-280; No. of Pages 10 ARTICLE IN PRESS Revista Internacional de Andrología xxx (xxxx) xxx---xxx www.elsevier.es/andrologia ORIGINAL Important interaction between urethral taste bud-like structures and Onuf’s nucleus following spinal subarachnoid hemorrhage: A hypothesis for the mechanism of dysorgasmia a b,∗ c d Ozgur Caglar , Mehmet Dumlu Aydin , Nazan Aydin , Ali Ahiskalioglu , e f g Ayhan Kanat , Remzi Aslan , Arif Onder a Department of Pediatric Surgery, Medical Faculty of Ataturk University, Erzurum, Turkey b Department of Neurosurgery, Medical Faculty of Ataturk University, Erzurum, Turkey c Department of Psychology, Humanities and Social Sciences Faculty, Uskudar University, Istanbul, Turkey d Department of Anesthesiology, Medical Faculty of Ataturk University, Erzurum, Turkey e Department of Neurosurgery, Medical Faculty of RTE University, Rize, Turkey f Department of Pathology, Medical Faculty of Ataturk University, Erzurum, Turkey g Department of Neurosurgery, Medical Faculty of Inonu University, Malatya, Turkey Received 30 October 2019; accepted 26 May 2020 KEYWORDS Abstract Urethral taste buds; Background: We previously postulated that orgasmic sensation may occur through recently Subarachnoid discovered genital taste bud-like structures. The interaction between the pudendal nerve haemorrhage; and Onuf’s nucleus may be important for developing orgasmic information. The study aims Anorgasmia to investigate whether ischemic damage to Onuf’s nucleus-pudendal network following spinal subarachnoid hemorrhage (SAH) causes taste bud degeneration or not. Methods: The study was conducted on 22 fertile male rabbits who were divided into three 3 groups: control (GI; n = 5), SHAM (GII; n = 5) and study (GIII; n = 12). Isotonic solution, .7 cm , 3 for the SHAM, and .7 cm homologous blood was injected into spinal subarachnoid spaces at S2 level of the study group. -
Sex Differences in Symptom Presentation of Schizotypal
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Psychology Dissertations Student Dissertations, Theses and Papers 2009 Sex Differences in Symptom Presentation of Schizotypal Personality Disorder in First-Degree Family Members of Individuals with Schizophrenia Alexandra Duncan-Ramos Philadelphia College of Osteopathic Medicine, [email protected] Follow this and additional works at: http://digitalcommons.pcom.edu/psychology_dissertations Part of the Clinical Psychology Commons Recommended Citation Duncan-Ramos, Alexandra, "Sex Differences in Symptom Presentation of Schizotypal Personality Disorder in First-Degree Family Members of Individuals with Schizophrenia" (2009). PCOM Psychology Dissertations. Paper 40. This Dissertation is brought to you for free and open access by the Student Dissertations, Theses and Papers at DigitalCommons@PCOM. It has been accepted for inclusion in PCOM Psychology Dissertations by an authorized administrator of DigitalCommons@PCOM. For more information, please contact [email protected]. Philadelphia College of Osteopathic Medicine Department of Psychology SEX DIFFERENCES IN SYMPTOM PRESENTATION OF SCHIZOTYPAL PERSONALITY DISORDER IN FIRST-DEGREE FAMILY MEMBERS OF INDIVIDUALS WITH SCHIZOPHRENIA By Alexandra Duncan-Ramos, M.S., M.S. Submitted in Partial Fulfillment of the Requirements of the Degree of Doctor of Psychology July 2009 PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE DEPARTMENT OF PSYCHOLOGY Dissertation Approval This is to certify that the thesis presented to us by Alexandra Duncan-Ramos on the 23rd day of July, 2009 in partial fulfillment of the requirements for the degree of Doctor of Psychology, has been examined and is acceptable in both scholarship and literary quality. Committee Members' Signatures: Barbara Golden, Psy.D., ABPP, Chairperson Brad Rosenfield, Psy.D. Monica E. Calkins, Ph.D. -
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Advances in Social Science, Education and Humanities Research, volume 356 2nd International Conference on Contemporary Education, Social Sciences and Ecological Studies (CESSES 2019) A New Exploration of the Combined Treatment of Symptoms and Social Work Psychology in Male Sexual Addiction Patients Chengchung Tsai Minyi Li School of Management School of Social Sciences Putian University University of Macau Putian, China Macau, China Abstract—Post-Orgasmic Illness Syndrome (POIS) was progesterone, low cholesterol, low dehydroepiandrosterone, first discovered by Professor Waldinger and Schweitzerl in low cortisol, high prolactin or hypothyroidism. Some cases 2002. After publishing several papers such as "POIS Records encountered by the author team indicate that when the of Emotional, Psychological and Behavioral Changes in Male mother was pregnant in the early years, she or her family had Patients" and "POIS Patients", "Clinical Observation Records smoking habits. Some mothers had long-term use of of Psychological and Behavioral Changes" and "POIS Male contraceptives or were used to eating animal internal organs. Disease Self-reports and Treatment Methods", in this paper, Even some cases were diagnosed as male gynecomastia. the author will cite the views of Chinese medicine practitioners on the treatment of POIS, and hope to provide more practical treatment methods and references for future research. TABLE I. SEVEN GROUPS OF POIS SYMPTOMS FOUND BY WALDINGER AND OTHER MEDICAL TEAMS Keywords—POIS; male; ejaculation; mental state; disorder; Body parts Various local sensations emotion Behavioral symptoms extreme fatigue, exhaustion, palpitations, forgetting words, being too lazy to talk, incoherent, inattention, irritability, I. INTRODUCTION photophobia, depression The main research objects of this paper are journalists, Flu symptoms fever, cold, hot, sweaty, trembling writers and other text workers, as well as creative designers Head symptoms head dizziness, groggy, confused and heavy who take creativity as the selling point as the research object. -
Bilateral Lower Limb Amputee with Dhat Syndrome 1Mohit K Srivastava, 2Anil K Gupta
IJPMR Bilateral Lower10.5005/jp-journals-10066-0006 Limb Amputee with Dhat Syndrome CASE REPORT Bilateral Lower Limb Amputee with Dhat Syndrome 1Mohit K Srivastava, 2Anil K Gupta ABSTRACT Dhat syndrome as both a neurotic disorder and a culture- specific disorder.2 It is a syndrome in which patient is Introduction: Dhat syndrome is a clinical entity mostly seen in Southeast Asia. The patient suffering from this syndrome preoccupied with semen loss in urine and other symptoms, 3 commonly presents with features of depression, anxiety, such as fatigue or depressed mood occur. It is character- multiple nonspecific somatic symptoms, and impairment of ized primarily with complaints of loss of semen through concentration, which are attributable to semen loss. urine, nocturnal emission, or masturbation occupied by Case report: The case that we present here is of a 32-year-old vague symptoms of weakness, fatigue, palpitation, fatigue, patient with (right) transtibial and (left) transfemoral amputa- and sleepiness.2 The word “Dhat” derives from the San- tion. Patient presented with following complaints within 10 skrit language (the mother of Indo-Aryan languages) word days of postamputation surgery. He complained of anxiety, low mood, anhedonia, decreased sleep, reduced appetite, and “dhatu,” meaning “metal,” “elixir,” or “constituent part of whitish discharge while passing urine. All the blood investiga- body,” which is considered to be “the most concentrated, tions and ultrasound of the whole abdomen were normal. The perfect and powerful bodily substance, and its preserva- patient was prescribed sertraline 50 mg half H.S. for 3 days, tion guarantees health and longevity.”4 followed by 50 mg one H.S. -
Dhat Syndrome: an Extremely Unusual Presentation Sathya Prakash1, Piyali Mandal1
Case Report Dhat Syndrome: An extremely unusual presentation Sathya Prakash1, Piyali Mandal1 Abstract. Introduction. Dhat Syndrome, considered a culture bound syndrome of the orient by many, is widely prevalent in the Indian subcontinent. Although passage of vital fluid through the penis is the commonly described route, other routes such as anal or vaginal have also been described. Aim. We describe a patient with a relatively severe presentation, who complained of passage of ‘dhat’ through the mouth in relation to cough. Methods. The patient was interviewed and diagnosis established using standard classificatory systems. The origin and progression of the phenomenology was explored. Standard rating scales were applied. Results. The patient was diagnosed with Dhat Syndrome and additionally, severe depressive episode without psychotic symptoms at the time of presentation. Delineation of Dhat Syndrome from depression was also done. The exploration of phenomenology revealed a gradual progression from a usual to a most unusual presentation. Conclusion. This is a very unusual presentation and has not been described before. It possibly indicates a more severe form of illness. Implications for further research have been discussed. Keywords: Dhat Syndrome, psychosexual disorders, unusual presentation, Culture Bound Syndrome, depression. WCPRR December 2014: 140-143. © 2014 WACP ISSN: 1932-6270 INTRODUCTION Dhat Syndrome, regarded by many as a culture bound syndrome of the Indian subcontinent (Malhotra & Wig, 1975), has been a controversial area of research in many ways. Its nosological status is unclear with some believing it to be merely a culturally determined form of depression (Mumford, 1996). It also lacks a common definition. The syndrome has been variably described as passage of ‘dhat’ through the penis, either alone or mixed with urine (Chadda, 1995; Perme et al, 2005), through the anus (Balhara & Goel, 2012) or through the vagina (Chaturvedi, 1988) with associated preoccupation and distress.