Indian Journal of PsychiatryIndian Journal of Psychiatry
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   1990| April-June  | Volume 32 | Issue 2  
    Online since February 20, 2009

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Psychotherapy in Developing Countries : A Public Health Perspective
TG Sriram
April-June 1990, 32(2):138-144
Psychotherapy is being increasingly recognised as an important treatment modality for various mental health problems. However, minimal efforts have been made to examine the utility of psychotherapy from the public health perspective, especially for developing countries. This paper outlines the present situation in developing countries with respect to the magnitude of mental health and related problems requiring psychotherapeutic help, the existing health and mental health facilities, the current training in psychiatry and psychotherapy in different training programmes, and the current state of mental health knowledge and skills of primary care personnel. A number of strategies for public health action are delineated to enhance the availability of this form of treatment to the large number of people requiring psychotherapeutic help. The needs for systematic research in this area are highlighted.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  625 144 -
Survey of Psychotropic Drug Prescribing Pattern for Long Stay Patients
R. Khanna, S. N. Bhandari, A. Das
April-June 1990, 32(2):162-165
This study describes two surveys of psychotropic drug prescribing patterns for long stay patients in a teaching institute at an interval of 4 years. Polypharmacy was found to be at a low key, with minimal use of anticholinergics. The chief difference between the two surveys was in the significantly more use of once a day medication in 1988 compared to two divided doses in 1984. The importance of conducting such surveys periodically as a form of self audit is discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  635 98 -
Oro-Dental Pattern in Mentally Retarded
Pradeep Tandon, Sanjeev Jha, Ragini Tandon, Deepak Sondhi, Mahesh Chandra, J.K. Trivedi, Pradeep Tandon, Sanjeev Jha, Ragini Tandon, Deepak Sondhi, Mahesh Chandra, J. K. Trivedi
April-June 1990, 32(2):185-187
The study was carried out in 25 mentally retarded children and compared with equal number of normal children. They were subjected to detailed psychiatric evaluation and dental examination. The dental anomalies were corroborated with cephalometric analysis of lateral cephalograms. It was concluded that all mentally retarded children had some dental abnormality in them in form of dental malocclusion, wide inter dental spaces, absence of teeth etc. We suggest early dental management for such patients for reinforcing their neuromuscular coordination modifying the mastication power, swallowing, speech, stomatognathic function and above all their facial profile for better social acceptance.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  679 34 -
Study of Dropouts from a Psychiatric Clinic of a General Hospital
H.P.S Gill, Gurmeet Singh, Kuldip C Sharma
April-June 1990, 32(2):152-158
During the study period of three months, out of 425 patients attending the psychiatric clinic of a general hospital, for the first time, 165 (38.8%) did not complete the treatment as prescribed by the doctors and were considered as dropouts. They were contacted at their homes to find out the reasons of the dropping out, were compared with patients, who completed the treatment fully on socio-demographic variables and attitude towards treatment. Dropouts significantly differed from treatment acceptors regarding their income, place of domicile and occupation. Maximum number of patients (59.9%) dropped out after the first visit. Dropouts were the maximum among epileptics, and minimum among the mentally retarded patients. Dropouts were dissatisfied with their experience at the clinic as treatment advised was not of their choice, and they feared bad side effects from ECT and drugs. Long distance of residence from clinic was an important reason for dropping out, besides social and economic reasons.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  625 87 -
Psycho-Social Study of Cigarette Smoking
A. K. Tandon, P. K. Chaturvedi, A. L. Dubey, R. K. Narang, S. K. Singh, S. Chandra
April-June 1990, 32(2):159-161
The present study has been carried out to assess the smoking habit among medical students and its relationship to demographic, social and psychological characteristics. Prevalence of smoking was found to be 30.79% in 854 students who responded to the questionnaire adequately. Smoking habit was more common among student who were married hailed from rural areas and the intensity of smoking increased with advancement in the career in medical profession. A strong association was observed between the habit and family history of smoking. The psychological factors associated with smoking were worry about examination unhappiness without justified cause and failure in friendship.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  634 78 -
Experiences of Psychiatric Consultation Service in Two Coalfield Hospitals of Bihar
L. N Sharma, R. Khanna, S. Chatterjee
April-June 1990, 32(2):131-137
The Central Institute of Psychiatry provides extension consultation services at two coalfield hospitals of Bihar, representing the intermediate and central level of health care delivery system. Analysis of data covering a period of one year, from September 1988 to August 1989, revealed significant differences in the utilization pattern of the two centres. The differences relate to the proportion of population observed, their demographic characteristics, diagnostic break-up, and follow-up pattern. The provision of psychiatric extension services at the intermediate level is recommended.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  619 68 -
Neuroanatomical Correlates of Delusions in Head Injury
S. Sabhesan, R. Arumugham, M. Natarajan
April-June 1990, 32(2):180-184
Twelve patients with organic delusions during recovery from head injury were studied in comparison to a control of non-deluded head injured patients. Clinical data such as duration of unconsciousness, length of post traumatic amnesia and occurrence of brain-stem signs pointed to the presence of subcortical functional disruption in these patients. Clinical and psychometric data indicated that left hemispheric functions were more impaired than those of the right. Recent concepts in the biomechanics of head injury indicated that subcortical and left sided dysfunction following head injury was significantly associated with the occurrence of delusions.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  602 78 -
Hallucinosis Following Head Injury
S. Sabhesan, M Natarajan
April-June 1990, 32(2):176-179
Eleven patients who evinced hallucinations during the early recovery after head injury were studied in detail in comparison to the head injured controls. All of them had suffered from acceleration injuries. Among the clinical variables, post traumatic amnesia was significantly longer in these patients. Length of FTA was found to be correlated with duration of occurrence of hallucinations. Severity of coma, skull fracture, early seizures and alcohol dependence were not discriminatory between the hallucinated patients and the controls. The disorder tended to be self-limiting and patients recovered without the aid of psychopharmacological measures. Theoretical significance of the findings are discussed in the context of recent literature on head injury.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  550 72 -
Dermatoglyphics in Male Catatonic Schizophrenics
HP Jhingan, GC Munjal
April-June 1990, 32(2):188-192
Dermatoglyphic features, qualitative as well as quantitative, of finger and palm prints of 50 male I. C. D.-9 diagnosed catatonic schizophrenics and as many ethnically matched normal controls of the same sex were examined. Patients were found to differ from the control group in qualitative as well as quantitative features quite similar to the findings of the past three investigators. These differences in the dermatoglyphic features of catatonic schizophrenics and normal controls might be a genetic marker for catatonic schizophrenia. A larger sample study is required to put this hypothesis on strong footing.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  526 71 -
Buprenorphine Abuse : A Case Report
S Haque Nizamie, LN Sharma
April-June 1990, 32(2):198-200
Search for a safe and effective analgesic is long and elusive. Buprenorphine was marketed as a potent and non-addictive narcotic drug. In recent years there have been various case reports highlighting its abuse potential. As the drug will be used more widely and particularly with its use in the detoxification of heroin dependence there is an eminent possibility of its abuse at larger scale in future. Physicians should be careful in its prescription and cases of its abuse should be actively sought tor. A case report along with literature review is presented here.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  515 68 -
Characteristics of Non-Psychotic Morbidity in a Primary Care Population
TN Srinivasan, TR Suresh
April-June 1990, 32(2):145-151
The prevalence of non-psychotic 'minor' mental morbidity in primary care setting is high. They often go undetected due to several factors in the patient and the clinician. Studying personal, social and clinical characteristics of non-psychotic patients attending a general hospital outpatient department several factors could be identified which might be helpful in screening of such patients. The factors are sex (female), age (≥40 years), marital status (married/ widowed) education (less than primary school), occupation (unskilled labour) presenting complaint (somatic nature of ≥3 months duration), presence of 4 or more somatic complaints lasting ≥3 months, and presence of dyspeptic symptoms.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  516 48 -
A Controlled Double Blind Clinical Trial of Buspirone and Diazepam in Generalised Anxiety Disorder
L. P. Shah, K Mazumdar, SR Parkar, PR Chodke, D. Mangaldas, AN Shah
April-June 1990, 32(2):166-169
Full text not available  [PDF]  [PubMed]
  430 86 -
Efficacy and Acceptability of Amineptine in Indian Depressive Patients : An Open Trial
A.K. Agarwal, K. Mazumdar, Mahesh Chandra, P.R. Nayak, L.P. Shah, H. Singh, J.K. Trivedi
April-June 1990, 32(2):170-175
Full text not available  [PDF]  [PubMed]
  438 64 -
Letter To The Editor

April-June 1990, 32(2):1-7
Full text not available  [PDF]
  384 71 -
Psychobiological Frontiers of Electroconvulsive Therapy iIn depression : Evaluation of Strategies for Rational Prescription and Reduction in Morbidity
Chittaranjan Andrade
April-June 1990, 32(2):109-130
Full text not available  [PDF]  [PubMed]
  366 72 -
Need for Professional Accountability
AK Agarwal
April-June 1990, 32(2):107-108
Full text not available  [PDF]  [PubMed]
  343 43 -

April-June 1990, 32(2):185-187
Full text not available  [PDF]
  292 45 -
Catatonic Stupor with a Temporal Lobe Focus
Jambur Ananth, Stephen Dubin, Andrew Kuczmierczyk, Jambur Ananth, Stephen Dubin, Andrew Kuczmierczyk
April-June 1990, 32(2):196-197
Full text not available  [PDF]  [PubMed]
  301 28 -
A Case of Pituitary Adenoma Presenting with Manic Symptoms
P.K. Kuruvilla, G. Narasimhan, K. Kuruvilla, P. K. Kuruvilla, G. Narasimhan, K. Kuruvilla
April-June 1990, 32(2):193-195
Full text not available  [PDF]  [PubMed]
  301 25 -
Althesin in modified ECT
Chittaranjan Andrade, BN Gangadhar
April-June 1990, 32(2):206-206
Full text not available  [PDF]  [PubMed]
  164 12 -
RK Mahendru
April-June 1990, 32(2):207-207
Full text not available  [PDF]  [PubMed]
  153 12 -
Notes And News

April-June 1990, 32(2):1-7
Full text not available  [PDF]
  0 0 -
Indian Psychiatric Society - Annual Report Of Honorary General Secretary For the Year 1989

April-June 1990, 32(2):1-7
Full text not available  [PDF]
  0 0 -

April-June 1990, 32(2):1-7
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