Mental health articles

OF mental health care and mentally ill

mentally ill

What is Borderline Personality Disorder

BORDERLINE PERSONALITY DISORDER is a term that identifies a heterogenous group of patients with serious character pathology and behavioral dis- turbances. The main features of this disorder are behavior that is impulsive, dramatic, and often self- destructive; moods that are labile and reactive to life circumstances; interpersonal relationships that are stormy; and a sense of […]

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Agoraphobia without History of Panic Disorder

A person with this disorder has never had problems that meet criteria for panic disorder. Instead, he or she fears, and may avoid, situations in which it would be difficult or embarrassing to leave in the event of the sud- den onset of anxiety, which may represent a “limited symptom attack” that would not include […]

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The relationship of suicide and mental disorder

The social control of psychiatric patients, both in hospital and community settings, is not limited to the question of violence to others. Mental health services are also concerned with reducing the incidence of self-harm and selfneglect. Rates of suicide among psychiatric patients are high for a number of reasons. Their labour market disadvantage places them […]

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Violence and mental disorder

While public prejudice, backed up at times by the views of politicians simply assumes that mental disorder predicts violence to others, the considered empirical position about this relationship has varied over time. Broadly three phases can be identified: 1 The negative relationship phase. Studies of the relationship between mental disorder and violence between 1925 and […]

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Mentally disordered offenders

Forensic psychiatry is concerned with the management of those who are ‘doubly deviant’ – those who are considered to have committed a criminal act and who are deemed to be mentally abnormal. Forensic psychiatry is charged with the management of lawbreakers and others who come before the courts. Thus, its area of jurisdiction is principally […]

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Who is psychiatry’s client?

One of the ambiguities surrounding psychiatric work is whether or not the identified patient is the actual client of the service. Clearly, some party other than the patient is being served under those sections of the Mental Health Act which empower professionals to remove a person’s liberty and/or impose treatment interventions against the patient’s will. […]

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Antidepressants have been associated with disabling effects

Antidepressants have been associated with a number of disabling effects, including tiredness, dry mouth, loss of libido and impotence, blurred vision, constipation, weight gain and palpitations. The tricyclic version of this type of drug was implicated in around 10 per cent of deaths from self-poisoning in Britain in the early 1980s. Tricyclics have now been […]

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Why have physical treatments tended to predominate?

From a user’s perspective, the fact that psychiatric treatments are biased more towards drugs and ECT is indeed a problem. Not only do patients (understandably) expect their subjective sense of well-being to improve as a result of psychiatric treatment, they have higher expectations of the helpfulness of psychological and combined treatments than physical interventions alone. […]

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A brief social history of psychiatric treatment

Sedgwick notes that two broad responses to emotional problems can be traced to antiquity. On the one hand, attempts have been made to tamper with the bodies of people with emotional afflictions, for example douching them in water or drilling holes in their skulls to allow evil spirits to escape. On the other hand, in […]

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Literature on psychiatric patient satisfaction and dissatisfaction

The emerging body of satisfaction research about mental health services has commonly adopted a needs-assessment approach. This has usually assessed patient satisfaction according to ‘normative need’; that is need defined by an acknowledged expert and typically ascertained by means of standardized assessment tools. These approaches have been linked to the emphasis on ‘quality assurance’, which […]

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