International journal of psychiatry in medicine
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Int J Psychiatry Med · Jan 2003
Review Case Reports Comparative StudyMunchausen Syndrome by Proxy: two case reports and an update of the literature.
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Int J Psychiatry Med · Jan 2002
ReviewCrossing the secular divide: government and faith-based organizations as partners in health.
Recent debate over the relationship between government and faith-based organizations has renewed interest in the opportunities and challenges that are associated with change in this area of health care policy. Experience exists already that faith-based organizations can provide effective health education and services in the community. Limited infrastructure and liability are among the important barriers to their expansion. Spurred by the demographics of an aging population and increasing health care costs, we argue the necessity of further partnering, within well-defined limits, to maximize the availability of health care education and services throughout this nation.
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To review the neuropsychiatry of boxing. ⋯ Boxing results in a spectrum of CTE ranging from mild, nonprogressive motor changes to dementia pugilistica. Recent emphasis on safety in the ring, rehabilitation techniques, and other interventions do not eliminate the risk for CTE. For this reason, there is an active movement to ban boxing.
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Int J Psychiatry Med · Jan 1994
ReviewECT in the treatment of patients with neurological and somatic disease.
An evaluation of the safety and efficacy of electroconvulsive therapy (ECT), for the treatment of patients with severe medical and neurological illness, was undertaken. ⋯ ECT is safe and effective for the treatment of affective and catatonic disorders in patients with most neurological and medical diseases, including elderly and debilitated patients with multiple illnesses, if the specific medical risks are carefully evaluated in each case, and appropriate modifications of technique are used to reduce the risk of potential complications. Apart from its use in psychiatry, ECT has been reported to have therapeutic effects in Parkinson's disease, neuroleptic malignant syndrome, aggressive behavioral disorders following brain injury, certain forms of epilepsy, and some forms of delirium due to toxic or metabolic encephalopathies. The potential for ECT to play an active role in the clinical management of patients with these disorders, many of whom are presently refractory to maximal medical treatment, should be evaluated by systematic studies.
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Since factitious disorders entered the official psychiatric nomenclature in DSM-III and DSM-III-R, there has been a proliferation of reports and commentary about this unusual disorder. We present an update of the recent literature. ⋯ Factitious disorders are uncommon but serious illnesses that present diagnostic and management dilemmas. Deriving systematic information about these illnesses is a major challenge.