Delhi Psychiatry Journal
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Editor : Dr. M.S. Bhatia
ISSN: 0971-9571; (Print)
Frequency: 2 issues a year
Language: English
Online peer reviewed journal
Web site: https://medind.nic.in/daa/daam.shtml/
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Item A Study of Personal Values in Adolescents.(2007-04) Bhatia, Manjeet S; Bhasin, Sanjiv K; Upreti, Rajeev; Pandit, Minakshi; Singh, Narendra PPersonal Values are the reflection of the highest principle of mind and thought, and can even be said to be a part of spiritual domain of the individual. They play a very important role in the motivation of adolescents to varied behaviours. This study was done on 90 students to evaluate their religious, social, democratic, aesthetic, economic, knowledge, hedonistic, power, family prestige and health values. The results did not show any differences between male and female students on any of these values. This shows that no gender difference exists in ethical beliefs and both male and female use almost similar processes for evaluation of ethical situations.Item Health Conducive Behavioural Intervention Needs of Rural and Urban Communities.(2007-04) Tiwari, Sarvada Chandra; Chowdhury, Alok Kumar; Tripathi, Rakesh Kumar; Kumar, Aditya; Najeeb, SafiaThe study reports the prevalence of non-conducive behavioural practices in the area of “health care” prevalent in 1134 families of Northern India. Sample consisted of 563 families from rural and 571 families from urban area of Barabanki (Centre), Muzaffarnagar (North) & Gorakhpur (East) district of Uttar Pradesh, India. Behaviour correlates in the area of health care were mapped on a pre-prepared schedule, “Proforma for mapping of Behaviour correlates”. Percentage, hypothesis testing for difference between proportions and rank-order correlation was used for statistical analysis of data. Findings suggest that significantly more families from rural areas were involved in non-health conducive behavioral practices in all the studied constituent elements of self care except ‘carefulness about oral hygiene’. Urban families were more frequently involved in regular daily routine, carefulness about personal hygiene, appropriate use of personal & leisure time activities, elderly & child care than rural area. The study highlights the need for behavioural intervention both in urban as well as rural families in day to day living.Item Uncommon Neurological Presentation due to Non-Ketotic Hyperglycemia (NKH) –Report to two cases.(2007-04) Kushwaha, Suman S; Gupta, Meena; Bala, KiranTwo patients of uncommon neurological presentation due to non-ketotic hyperglycemia (NKH) are being described in this report. Generalized choreo-athetosis and epilepsia partialis continua as presenting symptoms in non-ketotic hyperglycemia is rare. The abnormal movements responded completely to insulin therapy. In acute onset of abnormal movements, besides other causes, metabolic disorders such as non-ketotic hyperglycemia should also be ruled out as they are treatable.Item Catatonic Syndrome – A Review.(2007-04) Gupta, Laxmi N; Verma, Kamal K; Singhal, Ashok K; Dayal, Prabhu; Sriniwash; Jain, Vikram; Gupta, PreranaCatatonia is common in clinical practice, though prevalence of affected patients has decreased over time. It is a syndrome with varies etiologies. Causative factors range from schizophrenia, depression, drug induced adverse effects to organic causes. It may present in two forms: stuporous and excited. Schizophrenia is thought to the most common cause, however, evidence suggest that it is more common in depression. Successful treatment of catatonia with lorazepam supports it.Item Certificate as a Document in Psychiatric Practice.(2007-04) Jiloha, R CItem New Ages: New Pathologies.(2007-04) Sabatier, DidierSince the advent of modern psychiatry and then of psychoanalysis, the world has changed a lot. Pathologies differ depending on whether they develop in a monotheist or polytheist culture. For example, Judaism and Christianity created guilt and promoted obsessional neurosis, Greek polytheism instituted some forms of perversion. Historical moments are also essential: in France,during the Second World War, under German occupation, the number of suicides decreased considerably. Industrial and technical evolution has huge consequences on family pattern, geographical and cultural uprooting. Globalisation favours the exchanges between the different peoples. Conversely, US and European immigration induced some forms of depression with somatization or violent and aggressive behaviours emerging into the third generation immigrants. In a couple, one can witness a femenization of man and virilization of woman, the roles of each being less marked within a family, the difference between the father and the mother dies down when it comes to educate their children. Unrest among the youth is particularly noticeable, and this has two precise effects: the cases of psychosis are increasing and alcholism and drug addiction are spreading. It seems that the social structure, because of the pressure it exerts on individuals and their desire, generates some form of violence which is expressed through wars and revolutions or re-emerges as individual violence in time of peace: delinquency, aggression, murder, violence in social relationships. Until the 1950s, drug addiction remained a phenomenon on the margins which was limited to a small number of people: artists, musicians, writers and poets, adventures, colonists in Africa or Indochina. Then,the phenomenon reached larger proportions of the population, mainly young people-at first students, then the youth living in poor districts. With drug use, love relationship is relegated to a position of secondary importance. Alcoholism and drug addiction refer to the nostalgia of an ideal mother: a fusion-like and unconditional relationship that nothing and no one can cut break. Undoubtfully, unrest in civilization, as Freud would have said, increased substantially in the second part of the 20th century. The collapse of religious beliefs in our country sends the individual back to his own responsibilities. It is no longer God’s will which takes on responsibilities but man who is guilty and is faced with the consequences of his actions. Individuals have to enjoy life, enjoy everything, as fast as possible, because there is no more life after death, no more paradise, no more eternity.Item Patients’ sexual abuse – a cause of concern.(2007-04) Bhatia, Manjeet SItem Forthcoming Events in Psychiatry.(2007-04) Delhi Psychiatry Journal.Item Pathological Laughter and Crying.(2007-04) Gupta, Anju; Aggarwal, Kedar M; Rastogi, Rajesh KPathological laughing and crying (PLC) is a disorder of emotional expression, accompanying various neurological and neuropsychiatric conditions. It causes significant distress and impairment in social and occupational functioning. It remains largely unrecognized in clinical settings and requires differentiation from other affective disorders. Validated instruments are available to aid in improving recognition of this disorder. Its pathophysiology is poorly understood. Antidepressants, dopaminergic and other newer agents have been reported to show varying levels of treatment success. This review describes the clinical features. pathophysiology and various treatment approaches available for PLC.Item Delhi Psychiatric Society.(2007-04) Bhatia, M SItem Pseudologia Fantastica.(2007-04) Sharma, Rakesh Pal; Sidana, Ajeet; Singh, Gurvinder PalPseudologia Fantastica is a disorder wherein the person tells lies incessantly. It is usually encountered in forensic practice in those accused of fraud, swindling, making false accusations or false confessions. Their lies are mostly aimed at attracting notice and inflating their importance, in contrast to carefully planned typical frauds. A case presenting with features of Pseudologia Fantastica is described. Although this patient had no legal problems because of his lying habits, he had most of the features of Pseudologia Fantastica. He has shown good response with combined pharmacotherapy and behaviour therapy. As these patients are at high risk of committing various types of frauds, it is very important to diagnose such patients at an early stage so that legal implications of this disorder can be avoided.Item Psychotropic Drug Induced Metabolic Disorders.(2007-04) Trivedi, J.K.; Gaurav, KumarAccording to a report from the Centers for Disease Control and Prevention released in April, the leading cause of death contibuting to that shortened lifespan is not the patients’ mental illness, but rather something largely preventable cardiovascular disease. Metabolic disorders are known complications of newer antipsychotics. The term Metabolic Syndrome refers to a syndrome consisting of central obesity as indicated by excessive visceral fat, plasma lipid abnormalities, glucose dysregulation, and high blood pressure. The metabolic syndrome develops gradually, different drugs have differential propensity to cause it. This is a dreadful condition as it induces medical morbidities, which may be life threatening in patients. The criteria for diagnosing the metabolic syndrome propsed by the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) are the most current and widely used but are not universally accepted. Common manifestations are dyslipidemia, hypertension, weight gain, increase in blood glucose etc. This review covers the latest available information on the drug — induced metabolic syndrome. Risk factors and mechanisms are discussed.Item Interesting Articles.(2007-04) Delhi Psychiatry Journal.Item Consciousness from Physiology to Spiritual Experience.(2007-04) Vigne, JacquesThe many researches on the effects of meditation on brain, physiology and psychology have yielded results. Interaction between traditional mediators and neuroscientists have become frequent. Pr D’Aquino speaks of mystical experience as an inhibition of the Orientation Association Area allowing experiences of pure space..Moreover,”slow” experiences like rituals stimulates the parasympathetic system.”quick” experiences like trance through dance excites the sympathetic, and the deeper experiences of mystical union seems to stimulate both systems at the same time. The topic of the December 2006 conference of the DPS in Mussoorie was Emerging demand in the Delivery of Mental Health Services. One of these demands is a more explicit consideration of the spiritual and its force in the inner life of the patients and their families.Item CME Questions.(2007-04) Delhi Psychiatry Journal.Item Alcohol Dependence Syndrome: One year outcome study.(2007-04) Sidana, Ajeet; Rai, Sachin; Chavan, B SThe major challenge in the treatment of patients with substance use disorders is not only to maintain the follow up but also to prevent relapse. The current study was planned to see the abstinence and relapse rate in patients with Alcohol Dependence Syndrome over a period of one year. A total of 49 patients of alcohol dependence syndrome fulfilling ICD-10 criteria were included in the study. The mean age was 43 years, majority were above 30 years, males (97.9%), employed (81.6%), and from urban (81.6%) background. the mean duration of dependence was 4.3 years, 12.2% had a family history of dependence, 20.4% had a co-morbid affective disorder and 4.0% had a co-morbid non-affective disorder. In total 71.4% received pharmacologist treatment for relapse prevention. At 6 months, abstinence rates were 100% (n = 10/ 10) for disulfiram, 60% (n=6/10) for anticraving agents (Naltrexone and Acamprosate), 30% (n=3/10) for SSRI group. At 12 months, abstinence rates were 66.67% (n=2/3) for disulfiram, 42.9% (n=3/7) for anticraving agents, 0% (n=2) for SSRI group.Item Ills of Mental Health Act 1987.(2007-04) Jiloha, Ram ChanderItem Instructions to Authors.(2007-04) Delhi Psychiatry Journal.Item Obituary.(2007-04) RAHEJA, H.CItem Road Rage: Psychosocial Perspectives.(2007-04) Prakash, Jyoti; Kansal, Manish SRoad rage has become common and so is its concern and remedial issues. Though it does not reflect many a time the psychological aberrations of the aggressor or the aggressed upon, the psychosocial issues are significantly involved in causation of the road rage. Revisiting the whole issue, implementing certain stress reduction techniques and using preventive measures for better vehicle performance and road traffic safety will go a long way in improving road safety and minimizing yet so far ever-growing menace … the Road Rage.