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Letteratura scientifica selezionata sul tema "Psychiatrie – Histoire – Chili"

Autore: Grafiati

Pubblicato: 8 febbraio 2025

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Articoli di riviste sul tema "Psychiatrie – Histoire – Chili"

Caplan, H. L., S. R. Cogill, Heather Alexandra, Kay Mordecai Robson, R. Katz e R. Kumar. "Maternal Depression and the Emotional Development of the Child". British Journal of Psychiatry 154, n. 6 (giugno 1989): 818–22. http://dx.doi.org/10.1192/bjp.154.6.818.

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Ninety-two women and their first-born children took part in a longitudinal survey of maternal mental health. When the children were four years old, their mothers were interviewed by means of the Behavioural Screening Questionnaire, and the children's problems were rated by a psychiatrist, who was unaware of the mothers' psychiatric histories or of assessments of their current health. As expected, mothers who were concurrently depressed reported significantly more behavioural difficulties in their children. Marital disharmony during pregnancy and a history of paternal psychiatric problems were also associated with later childhood behavioural difficulties. Children who scored below average on the McCarthy scales of cognitive abilities were also reported by their mothers to have more behavioural problems, but the children's behavioural difficulties at four showed no clear links with postnatal depression.

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Goodman, Robert, Carole Yude, Hilary Richards e Eric Taylor. "Rating Child Psychiatric Caseness From Detailed Case Histories". Journal of Child Psychology and Psychiatry 37, n. 4 (maggio 1996): 369–79. http://dx.doi.org/10.1111/j.1469-7610.1996.tb01418.x.

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Brereton, Alexandra L., Raina V. Lamade, Austin F. Lee, Ann Schuler e Robert A. Prentky. "Retrospective Study of Fire Setting Among Boys in a Child Welfare Sample". Youth Violence and Juvenile Justice 18, n. 3 (28 febbraio 2020): 256–73. http://dx.doi.org/10.1177/1541204020906425.

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This study aimed to assess fire-setting behaviors within a child welfare sample. The youth were divided into four groups based on their fire-setting behavior (e.g., no incidents, one incident, multiple minor incidents, and multiple severe incidents). Groups were compared based on five factors: overt antisocial behavior, covert antisocial behavior, global adjustment, psychiatric history, and learning deficits. Fire setters displayed more delinquent behavior and had more extensive psychiatric histories than non-fire-setting youth. Further, the youth with multiple serious incidents of fire-setting behavior displayed more delinquent behavior and had more extensive psychiatric histories than any of the fire-setting groups. These findings clearly suggest that fire setters, as a group, are not homogeneous with respect to antisocial behavior or psychiatric impairment and that gravity of fire setting increased as a function of greater psychopathology and greater delinquency when compared to their peers.

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ROMANO, ELISA, MARK ZOCCOLILLO e DANIEL PAQUETTE. "Histories of Child Maltreatment and Psychiatric Disorder in Pregnant Adolescents". Journal of the American Academy of Child & Adolescent Psychiatry 45, n. 3 (marzo 2006): 329–36. http://dx.doi.org/10.1097/01.chi.0000194563.40418.81.

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Warrilow, Adele, e Michael Morton. "Autoimmune disorders in child psychiatry: keeping up with the field". BJPsych Advances 21, n. 6 (novembre 2015): 367–76. http://dx.doi.org/10.1192/apt.bp.115.014472.

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SummaryAutoimmune disorders in children and adolescents can have significant neuropsychiatric complications and there is growing interest in the association between autoimmune conditions and psychiatric syndromes, particularly in Down syndrome. Acute presentations with psychiatric symptoms require careful assessment in order to recognise and plan treatment of underlying autoimmune disease in collaboration with paediatric colleagues. Difficult treatment decisions arise in children with established autoimmune diagnoses and psychiatric symptoms that may be a result of neuroimmunological processes associated with their condition, psychiatric side-effects of drug treatments or psychopathology resulting from other factors in the history that may or may not have a direct relation to the autoimmune diagnosis. This article illustrates these complexities through discussion of specific autoimmune disorders and three case histories.

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Threlkeld, Mary E., e Bruce A. Thyer. "Sexual and physical abuse histories among child and adolescent psychiatric outpatients". Journal of Traumatic Stress 5, n. 3 (luglio 1992): 491–96. http://dx.doi.org/10.1002/jts.2490050312.

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Agyapong, V., M. Juhás, A. Ritchie, O. Ogunsina, L. Ambrosano e S. Corbett. "Childhood Sexual Abuse Among New Psychiatric Outpatients in a City in Northern Alberta-prevalence Rate and Demographic/Clinical Predictors". European Psychiatry 41, S1 (aprile 2017): S120. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1913.

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Child sexual abuse (CSA) is a major global health problem with serious adverse effects at later ages. Our paper examines the prevalence rates and the demographic and clinical predictors of CSA among adult psychiatric outpatients. A data assessment tool was used to compile information on the demographic and clinical characteristics of all new patients assessed in four psychiatric outpatient clinics between 1st January 2014 and 31st December 2015. The 12-month prevalence rate for CSA among new psychiatric outpatients in Fort McMurray was 20.7% (10.7% for males and 26.9% in females). With an odds ratio for sex of 3.30 (CI = 2.06–5.29), female patients are about three times more likely to report a history of CSA compared to male patients when controlling for other factors. Similarly patients with at most high school education (OR = 1.8, CI = 1.145–2.871) and those with previous contact with psychiatric services (OR = 1.7, CI = 1.124–2.616) were about two times more likely to report a history of CSA compared to the patients with college/university education or those with no previous contact with psychiatric services respectively. Similarly, patients with histories of substance abuse (OR = 1.5, CI = 1.179–2.642) and patients with family histories of mental illness (OR = 1.8, CI = 1.032–2.308) had higher likelihoods of reporting histories of CSA compared to patients without histories of substance abuse or family histories of mental illness respectively. Our findings suggest that victims of CSA are an at-risk population in need of ongoing mental health and educational support.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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LaVigne, Timothy W., Lauren M. Laake e Patricia Ibeziako. "Somatic symptom and related disorders in pediatric patients: Associations with parent psychiatric and substance use histories". Clinical Child Psychology and Psychiatry 25, n. 4 (9 giugno 2020): 932–44. http://dx.doi.org/10.1177/1359104520931579.

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Parental response to pediatric patients with somatic symptom and related disorders (SSRDs) can impact symptom presentation. However, little is known about the impact of parent psychiatric and substance use disorder (SUD) history on the functional status and medical healthcare utilization of patients with SSRDs. The current study explored the associations between parent psychiatric & SUD history and patient somatic symptoms, functional disability, and hospital course in a medically hospitalized sample of pediatric patients with SSRDs. The electronic medical records of 375 pediatric patients with SSRDs, ages 5 to 18, admitted at a tertiary pediatric hospital were retrospectively reviewed. Parent psychiatric histories were identified in 45.1% of the sample. Parent SUD history and maternal psychiatric history were associated with more patient reported somatization. Parent psychiatric and SUD history were not associated with pediatric patients’ level of functional disability or healthcare utilization during admission, including admission length, number of tests, and number of consultations obtained. This study has implications regarding reduction of potential stigma towards parents with psychiatric or SUD histories whose children are hospitalized with SSRDs. While such histories may provide insights regarding somatization presentation of pediatric patients with these disorders, it may not necessarily impact level of functional disability or hospital course.

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Alexander, Randell, Wilbur Smith e Richard Stevenson. "Serial Munchausen Syndrome by Proxy". Pediatrics 86, n. 4 (1 ottobre 1990): 581–85. http://dx.doi.org/10.1542/peds.86.4.581.

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Five cases of Munchausen syndrome by proxy (MSBP) are presented in which more than one child in the family was victimized. There was a high incidence of maternal psychiatric histories, marital difficulties, and Münchhausen syndrome in the mothers themselves. Seventy-one percent of the children in the families were known to be victims of MSBP; four of these children (31%) died. Multiple-child MSBP may reflect more significant maternal psychopathology than found in other cases of MSBP, or it may indicate the deteriorating consequences to the mother and other children in the family if this syndrome is not identified with the first child and effective interventions made.

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Curtis, Amy, Shanna Swaringen e Aron Janssen. "Complex Psychiatric Histories and Transgender and Gender Diverse Youth". Child and Adolescent Psychiatric Clinics of North America 32, n. 4 (ottobre 2023): 731–45. http://dx.doi.org/10.1016/j.chc.2023.05.011.

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Tesi sul tema "Psychiatrie – Histoire – Chili"

Ramirez, Cristobal. "Compter, inscrire et diagnostiquer : la mise par écrit de la recherche sur l’aliénation mentale à la Casa de Orates de Santiago au Chili (1852 – 1937)". Electronic Thesis or Diss., Paris, EHESS, 2024. http://www.theses.fr/2024EHES0124.

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Cette thèse porte sur les pratiques de recherche sur l’aliénation mentale déployées principalement à la Casa de Orates de Santiago, la première institution dédiée à la prise en charge et au traitement médical de la folie au Chili. La période s’étend de 1852, avec la création de cet asile, à 1937, avec les premières Journées Neuropsychiatriques Panaméricaines. Plus précisément, il s’agit de montrer l’émergence et le développement des recherches sur l’aliénation mentale menées par les aliénistes chiliens et de décrire les mécanismes utilisés pour les diffuser et les légitimer. La collecte de données médicales et l’élaboration de rapports statistiques figurent parmi les principaux éléments de cette histoire, puisque c’est à partir d’eux que la recherche sur l’aliénation mentale prend forme. En ce sens, le matériau d’analyse le plus important est constitué par deux rapports de statistique médicale produits en série entre 1895 et 1932, à savoir les Mouvements et les Mémoires de la Casa de Orates. Tout au long de cette thèse, le processus d’élaboration de ces textes sera exposé, en décrivant les caractéristiques de leur mise par écrit et les effets qu’ils ont eus à la fois sur le fonctionnement de l’asile et sur le champ scientifique de la médecine. Cette formulation repose sur l’assomption que le développement de la recherche sur l’aliénation mentale n’est pas seulement concomitant aux transformations matérielles de l’asile, mais que les deux éléments se conditionnent mutuellement, d’où la nécessité de les analyser à partir de leurs points de rencontre, de leurs influences réciproques. D’un point de vue méthodologique, il ne s’agit pas seulement d’utiliser les sources historiques pour reconstruire les pratiques de recherche, mais aussi d’enquêter sur l’histoire des sources elles-mêmes : comment ont-elles été produites, quels acteurs ont été impliqués et selon quelles procédures ? La formation des supports et des instances de débat scientifique par lesquels passe la recherche sur l’aliénation mentale, comme les revues scientifiques ou les congrès, sera également étudiée. Enfin, on montrera que le questionnement sur la folie ne relève pas exclusivement de l’aliénisme asilaire ou de la psychiatrie, mais aussi d’une série de disciplines connexes, comme la neurologie et la médecine légale, qui ont joué un rôle décisif dans la légitimation, l’institutionnalisation et la standardisation de la recherche sur l’aliénation mentale, tant au Chili qu’à l’échelle internationale
This thesis deals with the research practices on mental alienation deployed mainly in the Casa de Orates in Santiago, the first institution dedicated to the care and medical treatment of insanity in Chile. The period runs from 1852, with the creation of this asylum, to 1937, with the first Pan-American Neuropsychiatric Conference. Specifically, the idea is to portray the emergence and development of research on mental alienation undertaken by Chilean alienists and to describe the mechanisms used to disseminate and legitimise it. The collection of medical data and the elaboration of statistical reports are among the main elements of this history, since it is from these that the research on mental alienation takes shape. In this sense, the main material for analysis is constituted by two medical statistical reports produced serially between 1895 and 1932, namely the Movements and the Memoirs of the Casa de Orates. Throughout this thesis, the process of production of these texts will be outlined, describing the characteristics of their production and the effects they had both on the functioning of the asylum and on the scientific field of medicine. This formulation is based on the assumption that the development of research on mental alienation is not only concomitant with the material transformations of the asylum, but that both elements mutually condition each other, which is why it is necessary to analyse them from their points of encounter, from their reciprocal influences. From a methodological point of view, the aim is not only to use historical sources to reconstruct research practices, but also to investigate the history of the sources themselves: how were they produced, which actors were involved and by what procedures? The formation of media and instances of scientific debate through which research on mental alienation moves, such as scientific journals or congresses, will also be studied. Finally, it will be shown that the questioning of madness is not exclusively a matter for asylum alienism or psychiatry, but also for a series of related disciplines, such as neurology and legal medicine, which played a decisive role in the legitimisation, institutionalisation and standardisation of research on mental alienation, both in Chile and at the Pan-American level

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Smith, Justin F. "Twentieth-Century Canadian Law, Psychiatry, and Social Activism in Relation to Pedophiles and Child Sex Offenders". Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35603.

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The contemporary conflation of pedophiles and child sex offenders is a prevalent aspect of reporting in news and social media, as well as in government-sponsored efforts to prevent child sexual victimization. Throughout twentieth century Canada, however, legal experts, psychologists and psychiatrists, and social activists were recognizing the harmfulness of grouping individuals who may have a propensity to commit crime with those who have committed the most heinous of criminal acts. As early as 1938, Canadian legal experts suggested that criminal insanity was a myth, advocating for a divergence between legal punishment and psychiatric healthcare, but after World War 2 had enacted serious efforts targeting criminal sexual psychopathy. Successive Royal Commissions investigating sexual victimization and child abuse revealed that Canadian courts, jails, prisons, and remand services were unable to solely deal with the realities of child sexual victimization. Psychologists and psychiatrists of the American Psychological Association increasingly researched sex and sexuality, classifying pedophilia as a paraphilia using child sexual victimization as a diagnostic indicator and criterion. Gay liberation activists discussed inequalities posed between hetero- and homosexual ages of consent and, more rarely, thought about the total abolition of age of consent. Each of these discourses firmly advocated for a separation between thought and action, recognizing the pedophiles who had not and would not harm children. The historical roots of the conflation of pedophiles and child sex offenders makes an important contribution to understanding contemporary discourses on criminality, victimology, sexology, and sociology, and to the development of efforts which can more successfully reduce child sexual victimization.

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Morelen, Diana M., Rena Menke, Katherine Lisa Rosenblum, Marjorie Beeghl e Maria Muzik. "Understanding Bidirectional Mother-Infant Affective Displays across Contexts: Effects of Maternal Maltreatment History and Postpartum Depression and PTSD Symptoms". Digital Commons @ East Tennessee State University, 2016. https://doi.org/10.1159/000448376.

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Background: This study examined the bidirectional nature of mother-infant positive and negative emotional displays during social interactions across multiple tasks among postpartum women accounting for childhood maltreatment severity. Additionally, effects of maternal postpartum psychopathology on maternal affect and effects of task and emotional valence on dyadic emotional displays were evaluated. Sampling and Methods: A total of 192 mother-infant dyads (51% male infants) were videotaped during free play and the Still-Face paradigm at 6 months postpartum. Mothers reported on trauma history and postpartum depression and posttraumatic stress disorder (PTSD) symptoms. Reliable, masked coders scored maternal and infant positive and negative affect from the videotaped interactions. Results: Three path models evaluated whether dyadic affective displays were primarily mother driven, infant driven, or bidirectional in nature, adjusting for mothers' maltreatment severity and postpartum psychopathology. The bidirectional model had the best fit. Child maltreatment severity predicted depression and PTSD symptoms, and maternal symptoms predicted affective displays (both positive and negative), but the pattern differed for depressive symptoms compared to PTSD symptoms. Emotional valence and task altered the nature of bidirectional affective displays. Conclusions: The results add to our understanding of dyadic affective exchanges in the context of maternal risk (childhood maltreatment history, postpartum symptoms of depression and PTSD). Findings highlight postpartum depression symptoms as one mechanism of risk transmission from maternal maltreatment history to impacted parent-child interactions. Limitations include reliance on self-reported psychological symptoms and that the sample size prohibited testing of moderation analyses. Developmental and clinical implications are discussed.

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Luther, Roxanne. "An in-depth exploration of the personality structure of adult female psychiatric patients with a history of childhood trauma by utilising personality assessment". Diss., 2019. http://hdl.handle.net/10500/25876.

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The experience of complex childhood trauma produces a ripple-effect that psychologically impacts trauma survivors’ functioning in multiple areas. The aim of the current study was to investigate and describe the interplay between complex trauma, subsequent personality development and later psychopathology by means of the multiple case study method of six female psychiatric patients attending treatment at a tertiary psychiatric hospital within Gauteng, South Africa. This was accomplished by assessing and qualitatively analysing the results of a carefully selected battery of personality and other psychometric assessments presented to study participants. The results indicated that the experience of complex childhood trauma impacted the study participants’ personality in predictable ways, which further influenced the psychopathology they displayed as psychiatric patients. These findings aid in describing the psychological impact of complex trauma on the research participants, and also offers support for reconnecting past traumas to the current psychopathologies of psychiatric patients.
Psychology
M.A. (Clinical Psychology)

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Auerbach, Isabelle. "Kindliche Traumatisierung, elterliche Erziehungsstile, familiäre Vorbelastung und Geburtsrisikofaktoren bei Patienten mit Schizophrenie". Doctoral thesis, 2012. http://hdl.handle.net/11858/00-1735-0000-0006-B2F6-0.

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Libri sul tema "Psychiatrie – Histoire – Chili"

Duché, Didier-Jacques. Histoire de la psychiatrie de l'enfant. Paris: Presses Universitaires de France, 1990.

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Waibel, Annette. Die Anfänge der Kinder- und Jugendpsychiatrie in Bonn: Otto Löwenstein und die Provinzial-Kinderanstalt 1926-1933. Köln: Rheinland-Verlag in Kommission bei Dr. Rudolf Habelt, 2000.

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Köhnlein, Frank. Zwischen therapeutischer Innovation und sozialer Selektion: Die Entstehung der "Kinderabteilung der Nervenklinik" in Tübingen unter Robert Gaupp und ihre Entwicklung bis 1930 als Beitrag zur Frühgeschichte universitärer Kinder- und Jugendpsychiatrie in Deutschland. Neuried: Ars Una, 2001.

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Graham, P. J. Susan Isaacs: A life freeing the minds of children. London: Karnac, 2009.

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Graham, P. J. Susan Isaacs: A life freeing the minds of children. London: Karnac, 2009.

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Guarnieri, Patrizia. A case of child murder: Law and science in nineteenth-century Tuscany. Cambridge, UK: Polity Press, 1993.

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Nissen, Gerhardt. Kulturgeschichte seelischer Störungen bei Kindern und Jugendlichen. Stuttgart: Klett-Cotta, 2005.

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1950-, Baumann Ruth, a cura di. Arbeitsfähig oder unbrauchbar?: Die Geschichte der Kinder- und Jugendpsychiatrie seit 1933 am Beispiel Hamburgs. Frankfurt am Main: Mabuse-Verlag, 1994.

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de, Goei Leonie, a cura di. Kinderen van hun tijd: Zestig jaar kinder- en jeugdpsychiatrie in Nederland, 1948-2008. Assen: Van Gorcum & Comp. b.v., 2008.

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Schäppi-Liechti, Iris. Prof. Dr. med. Jakob Lutz: Leben und Werk. Zürich: Juris Druck + Verlag Dietikon, 2002.

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Capitoli di libri sul tema "Psychiatrie – Histoire – Chili"

Sugden, Nicola. "Early Child Psychiatry in Britain". In The Palgrave Handbook of the History of Human Sciences, 1331–55. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-7255-2_99.

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Sugden, Nicola. "Early Child Psychiatry in Britain". In The Palgrave Handbook of the History of Human Sciences, 1–25. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-15-4106-3_99-1.

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Thompson, Alysha D., Jamie Lovelace, Eric Boelter, Jennifer R. Bertollo, Ravi S. Ramasamy, Gabrielle Curry, Connor L. Gallik et al. "Seclusion and Restraint in Inpatient Psychiatry: History and Best Practices". In Issues in Clinical Child Psychology, 81–101. Cham: Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-62749-1_5.

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Costello, Caitlin R., e Lauren T. Schumacher. "Case Histories, Clinical Assessment, Differential Diagnosis, Formulation, and Treatment Planning". In Child and Adolescent Psychiatry for the Specialty Board Review, 175–93. 5^a ed. New York: Routledge, 2023. http://dx.doi.org/10.4324/9781003308805-19.

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Hanh, Jacky, Philip Hazell e Isabelle Feijo. "The Pharmacist and Pharmacotherapy". In Longer-Term Psychiatric Inpatient Care for Adolescents, 153–60. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_17.

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AbstractClinical pharmacy services aim to optimise health outcomes and improve patient safety throughout all steps of the medicines management pathway, by ensuring the quality use of medicines and minimising medication-related problems. The role of the pharmacist includes gathering and documenting medication histories, performing medication reconciliation and undertaking clinical medication reviews. These services support collaborative approaches between patients, carers and the multidisciplinary team to develop patient-centred medication management plans. The practice of pharmacotherapy at the Walker Unit shares features in common with prescribing in acute child and adolescent mental health inpatient units, but there are some differences. This chapter will in particular seek to highlight the characteristics of pharmacotherapy that are distinct to longer stay intensive psychiatric care.

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Alvarado, Rubén, e Leonel Valdivia. "The Origins of Psychiatric Epidemiology in Chile in the Twentieth Century, as a Tool for Community Action: An Historical Analysis". In Theory and History in the Human and Social Sciences, 153–62. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43439-7_15.

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Baldwin, Andrew, Nina Hjelde, Charlotte Goumalatsou e Gil Myers. "Psychiatry". In Oxford Handbook of Clinical Specialties, 312–409. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198719021.003.0004.

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This chapter discusses psychiatry. It outlines psychiatric history skills (principles, mental state exam, risk assessment, confidentiality, and physical ecamination), assessment of psychiatric symptoms (descriptive psychopathology, classification of disorders (ICD-10, DSM-V)), community psychiatry (community care, schizophrenia, depression, bipolar affective disorder, anxiety, OCD, and PTSD, and the withdrawal of psychotropics), emergency department psychiatry (suicide and suicidal ideation, deliberate self-harm, crisis intervention, urgent psychiatry situations, and managing violence), liaison psychiatry and organix illness (delirium and dementia), child and adolescent psychiatry (depression, psychosis, behavioural difficulties, sleep disorders, ASD, and ADHD), psychiatric subspecialties (substance and alcohol misuse, intellectual disability, personality disorders, eating disorders, psychosexual disorders, and perinatal disorders), psychological treatment and psychotherapy (cognitive therapy, behavioural therapy, dynamic psychotherapy, systemic/family therapy, counselling and supportive psychotherapy, group psychotherapy, play and art therapy), and mental health and the law (compulsory hospitalisation, consent, capacity, and the Mental Health Act).

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Siper, Paige M., M. Pilar Trelles, Yael Kufert e Dorothy E. Grice. "Current Treatments for Pediatric Psychiatric Disorders". In Charney and Nestler's Neurobiology of Mental Illness, a cura di Joseph D. Buxbaum, 901–18. 6^a ed. Oxford University PressNew York, 2025. https://doi.org/10.1093/med/9780197640654.003.0067.

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Abstract Child psychiatry is a specialized discipline. The child psychiatry patient must be considered within the context of their current psychiatric signs and symptoms, psychosocial history, developmental stage, family structure, and any medical or neurological factors. The clinician should conduct a comprehensive assessment, including collateral sources, in order to consolidate a sound working diagnosis and treatment plan. Compared to adult psychiatry, the depth and breadth of research regarding medication and psychosocial treatments in youth are limited; however, evidence-based treatments, both pharmacological and psychotherapeutic, continue to emerge for many childhood-onset psychiatric disorders. Psychopharmacology is considered the first-line approach for attention-deficit/hyperactivity disorder, bipolar disorder, and psychotic illnesses, and it is also indicated for moderate to severe presentations of depressive and anxiety disorders, obsessive–compulsive disorder (OCD), and Tourette disorder. Specialized psychotherapies are first-line treatments for autism and mild to moderate depressive and anxiety disorders, OCD, and Tourette disorder.

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Sahlani, Lydia M., e Jillian L. McGrath. "Take a Chill Pill". In Psychiatric Emergencies, 23–28. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197544464.003.0004.

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Patients presenting to the emergency department with agitation secondary to acute medical or psychiatric conditions may pose a risk to themselves, caregivers, and other patients. They must be rapidly assessed to determine appropriate therapeutic measures and identify the underlying cause of their presentation. When agitated patients do not respond to verbal de-escalation techniques, escalating measures of physical and chemical restraint may be required for safe management. Chemical restraint achieves rapid sedation in acutely agitated patients. Commonly used classes of medication by emergency physicians and providers include benzodiazepines, antipsychotics, combination therapy (e.g., benzodiazepines plus first-generation antipsychotics), and ketamine. Factors such age, weight, past medical history, current medications, and suspected cause of the agitation should be considered when choosing medications for chemical restraint. Once sedation is achieved, thorough assessment for underlying medical conditions and specific causes of agitation can be done safely.

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Harris, James C., e Joseph T. Coyle. "Assessment, Interview, and Behavior Rating Scales". In Harris' Developmental Neuropsychiatry: The Interface with Cognitive and Social Neuroscience, a cura di James C. Harris e Joseph T. Coyle, 13–36. 2^a ed. Oxford University PressNew York, 2024. http://dx.doi.org/10.1093/med/9780199928118.003.0002.

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Abstract The assessment process in developmental neuropsychiatry requires a comprehensive evaluation of the individual child and their family. Three approaches are involved: (a) clinical assessment, which includes current and past family history, individual and family clinical interviews, and mental status examination of the child; (b) semistructured and structured interviews, questionnaires, behavior checklists, and rating scales; and (c) standardized tests, including psychological and neurological examinations. Background knowledge in normal child development, child psychopathology, diagnostic classification, and the specific tests used is a prerequisite. In dealing with developmental psychopathology, knowledge of the specific syndromes and their natural history is essential. This chapter discusses the rationale for the clinical interview, procedures involved in psychiatric interviewing, the psychiatric history, the psychiatric examination, behavior rating scales and checklists, the clinical case formulation, treatment planning, and prognosis.

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Atti di convegni sul tema "Psychiatrie – Histoire – Chili"

Lupu, Vasile Valeriu, Ingrith Miron, Anamaria Ciubara, Valeriu Lupu, Iuliana Magdalena Starcea, Ana Maria Laura Buga, Stefan Lucian Burlea, Alexandru Bogdan Ciubara e Ancuta Lupu. "DOCTOR – PATIENT (ADULT OR CHILD) RELATIONSHIP IN CONTEMPORARY MEDICINE". In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.1.

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Abstract (sommario):

The article is an incursion in the history of the doctor – patient relationship, which experienced an interesting evolution from the moment when medicine has gained the status of science and most of all because of the technical progress from the last century. In this context, the technicization of medicine, the medicalization and over-medicalization of individual and social life, as well as the elusion of the basic principles of the doctor – patient relationship, have a negative impact on this relation. Is there any way, in the contemporary society, to regain what it was the nobleness of the profession and its divine and human devotion? A possible answer might be found reconsidering what over the years has given social value to the medical act. Because only here can be once more found the necessary binder for harmonizing human devotement and professional responsibility.

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