Editor's Note,
2012
Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA
Editor's Note, Manoj Mohata M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Psychiatric Training: The Culture And Its Contradictions By T.M. Luhrmann,
2012
Thomas Jefferson University
Psychiatric Training: The Culture And Its Contradictions By T.M. Luhrmann, Carolyn Myers M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Methylphenidate, Bupropion, And Ssri Triple Therapy,
2012
National Capital Cosortium Military Psychiatry Residency - National Naval Medical Center, Walter Reed Army Medical Center
Methylphenidate, Bupropion, And Ssri Triple Therapy, William Bobo M.D.
Jefferson Journal of Psychiatry
Methylphenidate and bupropion have been demonstrated as being effective adjuncts to serotonin reuptake inhibitors in the treatment of depression (1,2). The use of these medications in case of a depressed patient whose condition was resistant to several forms of monotherapy, monotherapy with "standard" augmentation and ECT. After only a partial response to fluoxetine and methylphenidate, bupropion was added, resulting in full, sustained remission.
Severe Generalized Edema Associated With Phenelzine,
2012
National Capital Cosortium Military Psychiatry Residency - National Naval Medical Center, Walter Reed Army Medical Center
Severe Generalized Edema Associated With Phenelzine, William Bobo M.D., Cheryl A. Hemme M.D.
Jefferson Journal of Psychiatry
Rabkin, et al. describes a 4% incidence of phenelzine-induced edema, which appears to be due to increased capillary permeability (1,2). This adverse effect is not further characterized in the literature and is not readily mentioned as one of the many drug effects that could result in severe physical morbidity. We present the case of a depressed patient who developed a generalized edema severe enough to deserve an extensive medical workup. Once the drug was tapered, the edema and its associated symptoms rapidly resolved.
Personality Traits In Juvenile Delinquents: Associations With Peer And Family Relations,
2012
Columbia University Department of Psychiatry
Personality Traits In Juvenile Delinquents: Associations With Peer And Family Relations, Jeffrey J. Wilson M.D., Sharon E. Willams Ph.D., Evan Garner M.D., Elaine Duxbury B.A., Hans Steiner Dr. Med. Univ.
Jefferson Journal of Psychiatry
Objective: To establish family and peer correlates of personality traits shown to be predictive of future criminal recidivism.
Method: 137 incarcerated boys aged 13-18 (x = 16 ± 1.2), 35% black, 21% Hispanic, 43% white, and 1% other completed the Weinberger Adjustment Inventory (WAI) and a psychosocial history obtained by a social worker. Records were summarized using two raters who assigned numerical ratings to dimensions of family and peer relations.
Results: As expected, observer ratings of family and peer relationships were correlated with the personality characteristics of distress, denial and restraint as measured by the WAI.
Conclusion: Family and peer …
Folie A Famille Associated With Amphetamine Use,
2012
Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA
Folie A Famille Associated With Amphetamine Use, Kevin P. Hill B.A., Ashwin A. Patkar M.D., Stephen P. Weinstein Ph.D.
Jefferson Journal of Psychiatry
Shared Psychotic Disorder involving an entire family (folie a famille) is extremely rare. Only two cases of Shared Psychotic Disorder linked to stimulant abuse have been documented in the literature. We report a case of folie a famille that involved 5 members of a family, and was associated with amphetamine use in the primary individual. Our case shares many clinical and etilogical factors with previously reported cases of shared psychotic disorders. A wide variety of psychotic manifestations are associated with amphetamine use and clinicians should be aware of this uncommon syndrome among stimulant-using population, particularly due to the recent increase …
Countertransference In Two Settings: A Case Report,
2012
Thomas Jefferson University Hospital, Philadelphia, PA
Countertransference In Two Settings: A Case Report, Randi L. Plotkin M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Conversion Disorder In A Depressed Patient: The Analysis Of Paralysis,
2012
University of Michigan Medical School, Ann Arbor, MI
Conversion Disorder In A Depressed Patient: The Analysis Of Paralysis, Michael A. Chen Ph.D., David S. Im M.D.
Jefferson Journal of Psychiatry
Patients presenting with neurologic and pseudoneurologic symptoms present both a diagnostic and treatment challenge. This case report describes the ER course of a man who presented with aphonia and paralysis, his medical clearance, transfer to the psychiatric ER and subsequent recovery. The history of conversion disorder and its characteristics are briefly reviewed, and the etiology of this patient's symptoms and a discussion of effective treatment plans are discussed.
Patient Violence In Psychiatric Residency: A Nationwide Survey,
2012
University of Florida, Gainesville, FL
Patient Violence In Psychiatric Residency: A Nationwide Survey, Tricia L. Park Ph.D., Thomas L. Schwartz M.D.
Jefferson Journal of Psychiatry
Twenty percent of current psychiatric residents (N = 517) responded to a nationwide survey about patient violence. Thirty six percent of responders reported 630 assaults, with 74% of residents receiving 1,853 threats. While age and training level were correlated to each other (r = .35, p < .001), no correlations were found between gender, age, height, weight number of hours of violence management training and the occurrence of assault and threat. A smaller proportion of first year residents reported assaults and threats, and more males (79%) had been threatened (females = 69%). Sources of study bias are identified and future research directions are outlined.
Editor's Column,
2012
Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA
Editor's Column, Scot R. Maclean M.D.
Jefferson Journal of Psychiatry
No abstract provided.
About The Authors,
2012
Thomas Jefferson University
On The Technical Error Of The Psychotherapist,
2012
Menninger Clinic, Topeka, KS
On The Technical Error Of The Psychotherapist, Satoshi Tamiya M.D., Tetsuro Takahashi M.D.
Jefferson Journal of Psychiatry
The authors present a psychotherapy case where the therapist's countertransference-based technical error and his way of dealing with it remarkably influenced the course of treatment. The authors emphasize that appropriate training, including supervision and personal psychotherapy or psychoanalysis, is imperative, especially so that the beginning therapist can learn to manage countertranference appropriately. Since technical errors cannot always be avoided, it is important for the therapist to deal with them therapeutically, without feeling ashamed or guilty.
Late Onset Tay-Sachs Disease Presenting As A Brief Psychotic Disorder With Catatonia: A Case Report And Review Of The Literature,
2012
St. Francis Medical Center, Pittsburgh, PA
Late Onset Tay-Sachs Disease Presenting As A Brief Psychotic Disorder With Catatonia: A Case Report And Review Of The Literature, Osama Saleh M.D.
Jefferson Journal of Psychiatry
This is a case report of late onset Tay-Sachs Disease diagnosed in a 14-year-old male non-Jewish adolescent who presented in a psychotic and catatonic state. The objective is to emphasize that Tay-Sachs disease can present with psychiatric symptoms, with a variety of phenotypes from infancy to adulthood, and can affect individuals other than Ashkenazi Jews. Amphiphilic drugs, including phenothiazine and tricyclic antidepressants, may worsen the course of the illness. Resistant catatonia can respond to an extended trial of high dose lorazepam.
Review Of The Pharmacological Treatment Of Delirium In The Pediatric Population With Accompanying Protocol,
2012
University of California, Irvine
Review Of The Pharmacological Treatment Of Delirium In The Pediatric Population With Accompanying Protocol, Nathan Lavid M.D., Lawrence J. Budner M.D., F.A.A.C.A.P.
Jefferson Journal of Psychiatry
Objective: To review the current state of pharmacological treatment of delirium in the pediatric population and to derive a treatment protocol from our review.
Method: Medline-assisted search of the literature. Articles pertaining to the pharmacological treatment of delirium in children and adolescents were reviewed. Due to the paucity of articles, studies of treatment guidelines for delirium in the adult population were reviewed. Also presented for reference, are studies of optimal dosing regimens of psychotropic agents potentially useful in treating pediatric delirium. Our protocol is extrapolated from previously established guidelines for adult treatment meshed with the current knowledge presented in …
Seasonal Affective Disorder And Seasonality: A Review,
2012
Section on Biological Rhythms at the National Institute of Mental Health, Bethesda, MD
Seasonal Affective Disorder And Seasonality: A Review, Leo Sher M.D.
Jefferson Journal of Psychiatry
Seasonal affective disorder is a condition where depressions in fall and winter alternate with nondepressed periods in the spring and summer. The Degree to which seasonal changes affect mood, energy, sleep, appetite, food preference, or the wish to socialize with other people has been called "seasonality." The author reviews historical aspects, clinical features, epidemiology, genetics, pathophysiology, and treatment of seasonal affective disorder and seasonality. Better understanding of the contemporary concept of seasonal affective disorder, seasonality, and light treatment will improve patient care and promote scientific advances in behavioral sciences.
Editor's Column,
2012
Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA
Editor's Column, Stephen Zerby M.D.
Jefferson Journal of Psychiatry
No abstract provided.
About The Authors,
2012
Thomas Jefferson University
About The Authors,
2012
Thomas Jefferson University
Case Report Of Dramatic Resolution Of Psychotic Symptoms During Cross-Over To Clozapine,
2012
National Institute of Mental Health, Bethesda, MD; Hillside Hospital, Psychiatric Division of Long Island Jewish Medical Center, the Long Island Campus for the Albert Einstein College of Medicine, Glen Oaks, NY
Case Report Of Dramatic Resolution Of Psychotic Symptoms During Cross-Over To Clozapine, Leo Sher M.D., Alan Mendelowitz M.D.
Jefferson Journal of Psychiatry
Clozapine is the first antipsychotic drug with proven superiority over conventional antipsychotics in the management of treatment-resistant patients. We describe a case of tratment-resistant schizoaffective disorder in a young woman who improved rapidly on clozapine. The patient was started on a low dose of clozapine while fluphenazine was decreased. She improved significantly during the first several days of treatment. This improvement took place well before the expected effect of clozapine. Possible explanations for this unusual response include: 1) the placebo effect; 2) fluphenazine dose-response curve; 3) acute clozapine neurochemical mechanisms; 4) inaccurate original diagnosis. Better understanding of the mechanisms of …
Case Report: Failure Of Group Therapy With Elderly Russian-Jewish Immigrants (An Exploratory Analysis),
2012
Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA
Case Report: Failure Of Group Therapy With Elderly Russian-Jewish Immigrants (An Exploratory Analysis), Gennady Berezkin M.D.
Jefferson Journal of Psychiatry
This paper is a description of an unsuccessful attempt to carry out group therapy with elderly Russian-Jewish immigrants.
An attempt was made to conduct group therapy following general principals of traditional psychotherapy with geriatric populations.
In the final analysis, we conclude that culturally based preconceptions toward psychotherapy, culturally based stereotypes of interpersonal relationships and culturally-based transference to the therapist were the primary reasons for the development of negative transference and resistance which culminated in the ultimate failure of group psychotherapy with this group of elderly immigrants.
