Boletim informativo NEPS
Universidade do Minho. Instituto de Ciências Sociais. Núcleo de Estudos de População e Sociedade
2001-11-01
Resultados de pesquisa
Foram encontrados 195 registos.
Background: Even though the origin of the concept of shared delusion is not consensual, the term folie a deux was introduced in 1877 by two french researchers – Lasègue and Falret. According to the original concept, a person (inductor), cognitively dominant, develops a delusional idea that progressively imposes to a second person (induced), with whom he keeps a close relationship. The four psychopathologic subtypes known – folie imposée, folie simultanée, folie communiquée and folie induite, were described in the final of the XIX century, but its classification and conceptualization was assigned to the american researcher Gralnick (1942). Aim, materials and methods: It is intended to highlight some clinical aspects of the shared delusion disorder, its epidemiological and psycopathogenic characterization and therapeutical approach. In o...
The movement for integration in psychotheray is clearly one of the main trends that can be observed in the field. The author stresses three main reasons for this state of affairs and as a way of justifying the importance of integration: historical and psychosocial, empirical and philosophical. A specific way of thinking in integrative terms is also outlined - "paradigmatic complementarity."
Background: In a psychodynamic pers-pective, one of the essential aspects of borderline personality is the insufficient self integration, which often results in a poor relation with the body and self-destructive behaviours.Aims: We intend to approach self development in borderline personality, understand the importance of the body in its development, as well as the role of self-mutilating behaviour in the relationship between self and body.Methods: Non systematic literature review based on Otto Kernberg and Didier Anzieu theories.Results and Conclusions: On the one hand, we find that in borderline personality splitting remains the predominant defence mechanism, preventing proper differentia-tion between self and object, as well as the integration of good and bad aspects of self and object. Moreove...
This paper aims to critically review the role of a psychodynamic psychologist integrated in a community outpatient clinic of a Psychiatric Department. It describes the characteristics of a psychodynamic intervention that is complementary to the psychiatric approach while sharing a common goal –the suffering patient – and enhancing the knowledge and understanding of several domains like psychopathology, diagnosis, treatment, rehabilitation and integration. Furthermore it describes how the use of Psychological Assessment led to the formulation of specific individual psychotherapies, spanning 14 years of clinical practice. The paper concludes with some considerations regarding the integration of Psychodynamic Psychology in a multidisciplinary mental health team, addressing issues such as the boundaries between technical characteristics, t...
Background: The link between mental illness and metabolic disturbances has been recognized since the beginning of the last century. The debate concerning medical morbidity in schizophrenia intensified during the last twenty years, especially after the introduction of atypical antipsychotics. Aims: To highlight some features of the metabolic syndrome in this population, specifically epidemiological data, underlying mechanisms and antipsychotic therapy. Methods: Non‑systematic review of literature. Results and Conclusions: Despite the different criteria used for the definition of metabolic syndrome, it is clear today that the schizophrenic population has the highest rate of metabolic syndrome. Additionally, the prevalence of the metabolic syndrome in this population demonstrates a geographical distribution similar to the general populati...
Background: Cotard´s syndrome is a relatively rare condition characterized by various degrees of nihilist delusions, often in the form of self-negation. Aims: To report two cases of Cotard’s syndrome associated with self-starvation and to review the concept and clinical features of the condition. Methods: Two clinical cases of the syndrome were obtained and a literature review of the theme was shortly surveyed. Results and Conclusions: The first case is about a woman who believed that her esophagus and stomach were glued. She was treated with sertraline, mirtazapine and risperidone with good results. The second case describes a man who believed his throat was burnt and he had no internal organs. He was treated with clomipramine and risperidone showing great improvement. This syndrome is a nosological and clinical entity that should not...
Studying pathways to mental health care allows an understanding of the patterns of help seeking of a specific population, which is achieved by analyzing the characteristics of the patients, the contacts made with health careers and the delays between each contact, among other variables. For this purpose, a systematized questionnaire designed to gather this data is needed. One of these instruments, called “Encounter Form”, created by the World Health Organization to be used in the first pathways to mental health care study, is presented here translated to Portuguese.
Introduction: Obsessive-compulsive disorder is a chronic and highly prevalent neuropsychiatric disorder, with treatment lacking efficacy in a significant proportion of cases. Thus, a more comprehensive understanding of the brain mechanisms underlying OCD is needed. Dysfunction in corticostriatal circuits, which underlie learning of new actions, has been suggested by several studies. However, there is no consensus about how such dysfunction may generate obsessive-compulsive symptoms, nor about the therapeutic potential of invasive or non-invasive neuromodulation techniques targeting the brain areas that are involved.Objectives: To review neuroimaging and behavioral findings related to learning of actions in OCD, and its potential therapeutic relevance.Methods: Non-systematic literature review, using the keywords “obsessive-compulsive di...
In the article, some recent studies are discussed, that show the close relationship between pre-frontal cortex and the neurophysiology of bipolar disorder. The most frequent findings in imagiologic studies are hyperintensities in subcortical and periventricular white matter. In the pre-frontal cortex, at the subregional level, there is a loss of grey matter volume, and loss or atrophy of glial cells. One of the areas that is more affected is the subgenual area. Functional studies find less pre-frontal activation in specific tasks. Other studies relate some of the changes to medication. There is a great variability in results, which can be explained by factors such as variability in patients or in methods of research.
