Abstract:
:Psychotic mood disorders represent a complex group of syndromes in which depression and/or mania are accompanied by delusions, hallucinations, or both. The presence of psychotic features has a profound influence on the course and treatment response of mood disorders, and psychotic disorders in turn are influenced by coexisting dysregulation of mood. Psychosis and mood, along with other features such as severity, a high rate of recurrence, psychomotor changes, dissociation, and mental states reflecting a history of trauma, appear to interact to alter each other's expression. The treatment of psychotic mood disorders, regardless of coexisting conditions, requires pharmacotherapy--usually a combination of an antipsychotic drug and a medication for mood--or electroconvulsive therapy. The results of treatment are usually positive.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
Dubovsky SLsubject
Has Abstractpub_date
1994-04-01 00:00:00pages
197-214issue
2eissn
0025-9284issn
1943-2828journal_volume
58pub_type
杂志文章,评审abstract::Significant social and economic pressures on academic medicine to become more cost conscious and scientifically accountable have led to new tensions in psychiatric residency training. Failure to distinguish between changes in practice derived from scientific advances and those derived from other sources has major impl...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::Of the physicians who took the American Board of Psychiatry and Neurology (ABPN) Examination, Part II, in 1995, 41% failed. The Accreditation Council for Graduate Medical Education (ACGME) requires that residency psychiatry programs conduct an organized evaluation of residents' clinical skills at least twice during th...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::With maturity, the field of family therapy has shifted from its exclusive focus on the family's current interactional patterns to an increasing emphasis on the individuals who compose the family. This shift has been apparent in therapists' recognition of the impact of chronic mental disorders (e.g., schizophrenia, man...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Caregiving is the act of attending to someone or of providing services to an individual in need. It is a complex activity, with ethical, psychosocial, and demographic dimensions, as well as clinical, technical, and community service components. The author describes the complexities of caregiving and the burdens on the...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::Gender differences favoring women in relation to awareness of the subjective (internal) world are well demonstrated but their origins are poorly understood. We trained 173 12-month-olds to visually fixate a video image in response to an internal cue (opening own mouth), external cue (seeing a face open its mouth), or ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1521/bumc.2011.75.1.64
更新日期:2011-03-01 00:00:00
abstract::This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated tre...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2019_83_01
更新日期:2019-04-01 00:00:00
abstract::The universality of anxiety-producing situations for professionals who conduct psychotherapy is evident from a survey of 88 practicing psychotherapists whose responses are summarized by the author. The therapist's anxieties are viewed in terms of threatened loss of control, loss of relationship, injury to or loss of c...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::In the literature on siblings of schizophrenic individuals, recurrent experiential themes include guilt feelings, a fear of madness in oneself, and a wish to escape the turbulence that surrounds the schizophrenic person. In psychotherapy conducted by the author with three siblings of schizophrenic individuals, the sib...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract::Children with borderline personality disorder are known to have a variety of school problems, including low achievement. Clinicians working with these youngsters have estimated that one third or more may be learning disabled; however, no empirical studies have confirmed these estimates. The author reports the results ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Since Tarasoff first established the duty of psychotherapists to warn or otherwise protect third parties when a patient is considered dangerous, the mental health literature has continued to address the two most controversial issues in that case: the questionable ability of clinicians to predict violent behavior, and ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract::Establishing a working therapeutic relationship with psychiatrically hospitalized adolescents presents special challenges to the hospital treatment team. Many adolescent patients deny their problems or any responsibility for them, and defy efforts to engage them in active collaboration. However, once the treatment tea...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cau...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2019_83_06
更新日期:2020-01-01 00:00:00
abstract::In therapy, suicidal borderline patients often use the therapist as a "selfobject," an object that regulates the patient's narcissistic equilibrium. To demonstrate this concept, the author presents the case history of a young woman who created a "selfobject transference" by means of attacks on the therapist similar to...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::Munchausen syndrome by proxy, in which a seemingly caring and concerned mother is simultaneously harming her child, can best be understood in terms of the mother's need for a relationship with a physician that is rooted in a profound sense of early abandonment. This understanding broadens the definition of perversions...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were a...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2020.84.suppA.1
更新日期:2020-10-01 00:00:00
abstract::The psychological impact that has emerged following the terrorist attacks on September 11, 2001, raises unique and challenging treatment considerations for the psychoanalyst. The shared trauma of these horrifying events affected many individuals on many levels. This essay considers how analysts will need to demonstrat...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.1.1.27728
更新日期:2004-01-01 00:00:00
abstract::Recent discharge from a psychiatric inpatient facility is associated with a high risk of suicide. There are multiple factors that may contribute to this increase in risk. Psychodynamic considerations about the patient's subjective experience of suicidality, hospitalization, and discharge are often overlooked but are c...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2016.80.1.80
更新日期:2016-01-01 00:00:00
abstract::The author hypothesizes that erotomania, or de Clérambault's syndrome, occurs in two forms: the clinically accepted delusional erotomania, in which patients believe that another person is in love with them; and borderline erotomania, in which no delusion is present, yet an extreme disorder of attachment is apparent in...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::Discrepancies in mental representations between self-aspects and significant others are associated with depression, personality disorders, emotional reactivity, and interpersonal distress. The Computerized Implicit Representation Test (CIRT) is a novel measure developed to assess discrepancies in mental representation...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.4.335
更新日期:2015-10-01 00:00:00
abstract::The multifaceted nature of grief and the enormous variation in individual clients' responses to losses make it necessary for therapists to have wide background knowledge and well-developed skills in counseling and/or psychotherapy. The author describes an innovative method of facilitating grief resolution using precom...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Individuals with autism spectrum disorder (ASD) tend to experience difficulties with emotion regulation (ER). Treatments designed to address ER difficulties in individuals with ASD are emerging. The authors review cognitive-behavioral therapy (CBT) and mindfulness-based treatments that have focused on ER difficulties ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2019.83.3.205
更新日期:2019-07-01 00:00:00
abstract::Two hundred sixty-four adolescents were surveyed in order to study the kinds and frequencies of self-comforting strategies they use. Fifty prompts with space to identify additional ones were provided. Significant differences were reported as determined by two-tailed t-tests. Gender was discriminating in both choice an...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.66.3.259.23369
更新日期:2002-07-01 00:00:00
abstract::A woman was 3 years postmastectomy when she presented a dream whose manifest content suggested a new malignancy. A Pap smear showed carcinoma-in-situ. She lived another 8 years, during which time she had a number of new dreams that correctly raised the likelihood of an active cancer despite normal physical exams and n...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::The authors developed the Trauma History Screen to screen for potentially traumatic events in women admitted for specialized treatment of trauma-related disorders. The questionnaire contains 14 items assessing commonly occurring traumas, and respondents indicate the frequency with which they have experienced the traum...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a stru...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2016.80.3.213
更新日期:2016-07-01 00:00:00
abstract::Caregiver-child attachment results in a cognitive-emotional schema of self, other, and self-other relationships. Significantly disrupted attachments may lead to pathogenic internal working models, which may have deleterious consequences; this indicates the need for early attachment intervention. The authors consider t...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2013.77.3.250
更新日期:2013-07-01 00:00:00
abstract::Self-mutilative behavior is common among patients with multiple personality and other dissociative disorders. Nursing staff members face particular challenges in managing these patients because one act of self-mutilation can disrupt the entire inpatient milieu. The authors present an approach to nursing care that focu...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 00:00:00
abstract::Over the past decade the treatment of schizophrenia has changed in each of its biopsychosocial domains. Advances in neuroscience, particularly in the knowledge of the receptor site, led to increased effectiveness of antipsychotic medication. Development of more sophisticated psychoeducational and rehabilitative techni...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Psychoanalytic treatment of addiction is often ineffective because therapists fail to recognize addiction as a discrete disorder. The author reviews psychoanalytic theories of addiction and presents an alternative concept comprising biological, behavioral, and psychological characteristics. She compares the structural...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00