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The Psychotic Couple
Published in Len Sperry, Katherine Helm, Jon Carlson, The Disordered Couple, 2019
Michael P. Maniacci, Len Sperry
Traditionally, three categories of psychopathology have been articulated. Though the terminology has undergone numerous revisions, the concepts themselves have been maintained, even if in somewhat obscure form. The three traditional categories have been “neurosis,” “character disorders,” and “psychosis.” Neurosis was the general designation for individuals who experienced anxiety symptoms. It is now referred to by the various anxiety disorders. Character disorders is now referred to as personality disorders. “Psychosis” was the designation reserved for those who appeared to have lost touch with reality. They had sensory disturbances such as auditory or visual hallucinations; fixed, rigid ideas that were demonstrably implausible; or extreme emotional reactions out of proportion to situations. Moreover, they experienced disturbances in their senses of self, such that functions such as “ego-control” and “reality testing” were impaired. Today, the psychotic disorders encompass disorders in the categories of Schizophrenia Spectrum and Other Psychotic Disorders, Bipolar Disorders, and in the Depressive Disorders (American Psychiatric Association, 2013).
Measuring Efficacy in Psychosexual Medicine
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
Tom Main states (1), ‘Psychoanalysis is first an investigation, next a body of knowledge and last a treatment for neurosis’. If we apply that statement to psychosexual medicine we can see that the clinician interacting with the patient, ‘analysing’ is the investigation and the creation of a ‘body of knowledge’ with the patient during this interaction. The final part of the definition which is ‘a treatment for neurosis’ may be regarded as the reason for practising in an outcome-driven consultation, but it is the only part that we can realistically measure which perhaps highlights the limitations of traditional outcome measures, even psychological ones.
Health Care in Prisons *
Published in Andrew Stevens, James Raftery, Jonathan Mant, Sue Simpson, Health Care Needs Assessment, 2018
Tom Marshall, Sue Simpson, Andrew Stevens
It is known that screening prisoners at reception fails to identify many who are mentally ill. There are effective means of managing many of the health problems of prisoners. There is a range of effective treatments for minor illnesses, some of which are available without prescription. There is a range of medications and some psychological treatments (in particular cognitive behaviour therapy) which are effective for neurotic disorders and symptoms. For a range of health problems, the work of doctors can be successfully carried out by other professionals using clinical guidelines.
Sensory Modulation Challenges: One Missing Piece in the Diagnosis and Treatment of Veterans with PTSD
Published in Occupational Therapy in Mental Health, 2023
Post-Traumatic Stress Disorder (PTSD) was first described as a mental health disorder in the Diagnostic and Statistical Manual-III (American Psychiatric Association) in 1980, probably due to observations of symptoms seen in Vietnam war veterans (Aupperie, 2018). This was the first time a DSM diagnosis was related to an outside agent (a traumatic event) rather than an individual neurosis. Besides traumatic exposure criteria, the latest revision of the DSM-5 (American Psychiatric Association [APA], 2013) includes “intensive recollections, avoidance/numbing symptoms, and hyperarousal symptoms” as well as that symptoms can cause “significant distress and functional impairment” (PTSD: National Center for PTSD, n.d.). Of major importance to this present study are the PTSD symptoms of avoidance/numbing, hyperarousal and those noted under Criterion E in the DSM-5 (2013).“1. Irritable behavior and angry outbursts…Reckless or self-destructive behavior.Hypervigilance.Exaggerated startle response.Problems with concentration.Sleep disturbance.” (p. 272)
Sex Addictions Faced With the Paradigm of Perversions
Published in Studies in Gender and Sexuality, 2023
It should be recalled that the first psychoanalytic definitions of perversion emphasize the primacy of partial drives and auto-eroticisms. Freud (1905) conceived of perversion as a regression to a pregenital phase and a fixation on childhood love objects. For him, sexual development should lead to a gathering of partial drives and their subordination to the primacy of the genital, enabling the establishment of a unity (“the” sex drive) to serve the purpose of procreation as the given aim of sex. However, Freud decries this normative end, stressing how difficult it is to determine what “normal” sexuality means. In “‘Civilized’ Sexual Morality and Modern Nervous Illness” (1908), Freud describes neuroses as the “negative” of the perversions because they contain in a repressed state the same tendencies as “positive perversions.” “Civilized sexual morality” is what requires subjects to control and suppress their drives, obliging them to keep their sexual activities within the limits of “legal marriage.” And it is precisely because such suppression is “harmful” that it causes neurosis.
Lesbian Community and Activism in Britain 1940s–1970s: An Interview with Cynthia Reid
Published in Journal of Homosexuality, 2023
The Minorities Research Group outlined their objectives as follows: To provide a center wherein homosexual women can meet others for discussion of their differing views, problems and interests. It is now becoming generally recognized that isolation is a potent factor in inducing neurosis.To provide material for medico-social research workers and writers who wish to investigate the condition.To seek ways of improving the public image of the Lesbian by familiarizing this fairly common condition, and of removing from it the aura of social stigma.To publish and circulate monthly to members the magazine Arena Three, in which items of particular concern to homosexual women can be discussed, but which will also publish material of more general interest.To arrange meetings, debates, lectures and conferences and to promote intelligent and properly informed press and radio comment in relation to this minority group.