China
Africa
Explore chapters and articles related to this topic
Psychoanalytic psychological testing in residential and hospital-based settings
Published in Jed A. Yalof, Anthony D. Bram, Psychoanalytic Assessment Applications for Different Settings, 2020
Although patients’ backgrounds are generally not known by the testers when we write reports at the ARC, given my dual role in the admissions department and psychological testing, I was aware of the history and referral context of the patient who is the subject of the following case study. Mr. A was a 20-year-old cis-gendered man who was a successful student who had been admitted to a prestigious university with plans to become an architect. During the spring semester of his freshman year, he pledged at a fraternity and was subjected to considerable hazing that included physical abuse and sexual humiliation. In the wake of these events, he had a psychotic break characterized by paranoid delusions and auditory and visual hallucinations. He started to become worried about being sexually assaulted by men on campus and was eventually psychiatrically hospitalized before being referred to long-term residential treatment. He also reported having intrusive sexual thoughts about men and worried he might be gay. The auditory hallucinations involved voices mocking him about his sexuality and lack of masculinity.
Hereditary and Metabolic Diseases of the Central Nervous System in Adults
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Metabolic disorders may initially present with a psychotic break, agitated depression, or even a delusional or hallucinational syndrome. Some metabolic disorders may fluctuate and cause repeated psychotic or delusional episodes. Neurological findings such as tremor, decreased facial movement, or bradykinesia can be side effects of psychiatric medications, making interpretation of examination difficult.
The Capgras Delusion
Published in Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman, Understanding and Caring for People with Schizophrenia, 2020
Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman
Judith was a thin, well-dressed, young-appearing lady. She wore light-makeup and a recognizably expensive scent. She explained that she was very happy that clozapine had treated her symptoms. She was not bothered by the weekly blood draws, nor the risk of agranulocytosis, sialorrhea, or myocarditis. She understood how severe her condition was and that it was necessary to take medications. She reported that she was actually happy to be on clozapine as she was aware that it is the best antipsychotic medication for someone like her who could only maintain remission for several years at a time on other antipsychotic medications. She reported that each psychotic break was more and more intrusive to her life and she was hopeful that clozapine would allow her to maintain her remitted state.
Forms of Empathy within an Interpersonal Perspective
Published in Psychiatry, 2021
For some patients, following a psychotic break, talking about themselves raises too much anxiety and feeling to bear. Sometimes they are able to talk about other people, using the higher-level defense of displacement. Recognizing the patient’s limited affect tolerance, Sullivan would gesture to the wall where he and the patient would “look” at people and “their” difficulties. They could explore the patient’s difficulties within the displacement without ever referring to the patient. And as the patient’s analysis of others continued, his affect tolerance would increase, and Sullivan would wait until the patient was able to refer to himself. Since both the patient and therapist were looking over at the wall, the patient’s anxiety would not escalate due to too much eye contact. And since they were working within the patient’s highest-level defense, displacement, they could explore within the patient’s capacity without arousing excessive anxiety.
An exploration of social participation for young adults following a first psychotic episode
Published in Journal of Occupational Science, 2020
Following their first psychotic break, the physical and social environments participants occupied changed drastically. Their participation was initially limited to ‘comfort zones’, or areas from their occupational histories that were familiar, predictable, and fostered a prior sense of belonging. For most participants, belonging to a family unit supported movement out of the comfort zone over time. Fields’ (2011) study with individuals with mental illness who were homeless supports this finding; she found that ‘kin ties’ helped participants feel more connected to neighborhoods outside of the ones in which they lived, which resulted in movement into broader social environments. These comfort zones helped to reestablish a sense of belonging amidst difficult life changes. Family support and engagement in family occupations were useful methods to facilitate participation in comfort zones while participants regained control of their lives and prepared to pursue engagement in broader spaces of belonging.
The Evolution of Psychological Testing at the Austen Riggs Center: A Theoretical Analysis
Published in Journal of Personality Assessment, 2019
Jeremy M. Ridenour, Brittany Zimmerman
In the Will era, we hypothesized there would be a focus on early development, psychosis, and attachment, which was largely supported. Many patients were diagnosed with schizophrenia or trying to fend off an “underlying schizophrenic process.” Perhaps influenced by Will's interest in psychosis, psychologists seemed to be viewing every patient as potentially on the edge of a psychotic break. Although this might have been driven by an increase in patients with psychotic disorders being admitted, it seemed that psychologists were attentive to any evidence of psychosis even when the patient was not flagrantly psychotic. Also, this shift might reflect the bias to overdiagnose schizophrenia in U.S. psychiatry in the 1970s (Tandon, 2012).