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| Plea of Insanity as a Defense in Criminal Cases : An Update
Sayeed Akhtar, Tushar Jagawat
January-March 1994, 36(1):25-29
PMID:21743662Mc'Naughten Rule is die commonest formulation for plea of insanity in most countries. Although assessment of the mental state at the time of offence is difficult, few instruments have been devised for this purpose. In the USA, efforts are being made to abolish the insanity defense and in the United Kingdom, amendments in the provisions of insanity defense have been proposed. The authors have stressed the need for some changes in the relevant sections of Indian Penal Code to increase the credibility of Psychiatric testimony in such cases. |
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| Koro in an Industrial Setting
SM Agarwal, PG Divakara, KB Pramanik
January-March 1994, 36(1):36-38
PMID:21743666This case of classical koro in a 52 year old male describes three essential characteristics, i.e., acute exacerbation of chronic anxiety, fear of genital retraction and fear that the complete disappearance of the organ into the abdomen will result in death. Various etiological, developmental and personality factors in the genesis of anxiety have been discussed. The patient was treated with anxiolytics, antidepressants and dual sex therapy and was followed up for five years. |
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| Evaluation of Short Term Training in Mental Health for Multipurpose Workers
Nagarajaiah , K Reddamma, CR Chandrashekar, Mohan K Isaac, R Srinivasamurthy
January-March 1994, 36(1):12-17
PMID:21743659 Training of multipurpose workers in mental health is an essential component in the implementation of the National Mental Health Program. This study examines the efficacy of a six day training program and the changes in knowledge, management skills and attitudes of multipurpose workers with regard to mental disorders. |
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| Risk Factors for Tardive Dyskinesia
Sunil Datta, TP Subhalakshmi, L Jeyaseelan, K Kuruvilla
January-March 1994, 36(1):22-24
PMID:21743661Three hundred and fifty three patients who had been on antipsychotics for three months or more were assessed using Simpson Tardive Dyskinesia Rating Scale. 40.2% of these patients, who merited a diagnosis of probable Tardive Dyskinesia (TD) by the Schooler and Kane criteria, were reassessed three months later and 25.5% of the total sample were found to have persistent TD. Age, total antipsychotic dosage and duration of antipsychotic exposure were found to be positively correlated with persistent TD. |
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| The Perception and Experience of Health Personnel about the Integration of Mental Health in General Health Services
Arun N Naik, Mohan K Isaac, R Parthasarathy, BV Kumar
January-March 1994, 36(1):18-21
PMID:21743660The National Mental Health Program of India focuses on the integration of mental health in general health services. Using a structured questionnaire, 100 health personnel (40 Medical Officers and 60 Health Assistants) in the District Mental Health Program were interviewed regarding their perception and knowledge about the integration of mental health in general health services. Most personnel were found to be satisfied with their new role in carrying out mental health services and only a few felt that it was an extra burden. Suggestions were made by them about the free supply of drugs, short and long term training and active supervision and support by the higher authorities. |
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| Mania Following Hypnotherapy
TR Suresh, TN Srinivasan
January-March 1994, 36(1):34-35
PMID:21743665Switches into mania have been observed in unipolar and bipolar depressed patients following physical treatments as well as cognitive therapy. Such a phenomenon has not been observed with hypnotherapy and its occurrence in a depressive patient is reported here and discussed. |
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| Multifocal Leucoencephalopathy Presenting as Antidepressant Induced Mania
Saji S Damodaran, Vinod Kumar Sinha, Arunava Das, Sayeed Akhtar
January-March 1994, 36(1):30-32
PMID:21743663A male patient presented with tricyclic induced hypomania after treatment for chronic depression. On follow up the patient deteriorated towards dementia with multifocal leucoencephalopathy. The possible role of brain lesions in the causation of affective syndromes and the neurobiological hypothesis of bipolar syndromes are discussed. The authors propose that chronic depression should be thoroughly investigated for a probable Axis III diagnosis. |
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| PRESIDENTIAL ADDRESS |
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| Ethics in Psychiatry
AK Agarwal
January-March 1994, 36(1):5-11
PMID:21743658 |
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| ARTICLES |
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| Fluoxetine and Vascular Headaches
Chittaranjan Andrade
January-March 1994, 36(1):39-39
PMID:21743667Headaches are a common adverse effect of fluoxetine therapy. A patient who developed vascular headaches while being treated for depression is reported and possible mechanisms discussed. |
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| Secondary Mania Following Stroke
Rajeev K Kumar, K Kuruvilla
January-March 1994, 36(1):33-33
PMID:21743664Stroke is rarely reported as one of the organic brain disorders which could give rise to secondary mania. This report describes a case of secondary mania following right fronto-parietal infarction. |
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| NON-INDEXED ARTICLES |
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| Miscellaneous
January-March 1994, 36(1):4-4 Full text not available [PDF] |
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| EDITORIAL |
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| Lest the Remedy Aggravate the Malady
K Kuruvilla
January-March 1994, 36(1):1-3
PMID:21743657 |
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| BOOK REVIEWS |
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| Quality of Life in Health : A Modren Concern
Ajit V Bhide
January-March 1994, 36(1):40-40 Full text not available [PDF] |
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| Assessors for the Year 1993
January-March 1994, 36(1):44-44 Full text not available [PDF] |
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| Index Subject & Author
January-March 1994, 36(1):199-204 Full text not available [PDF] |
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| BOOK REVIEWS |
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| Child Mental Health in India
Alice Cherian
January-March 1994, 36(1):40-40 Full text not available [PDF] |
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| Instructions To Contributors
January-March 1994, 36(1):42-42 Full text not available [PDF] |
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