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Query: UMLS:C0036341 (schizophrenia)
 60,220 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Based on psychopathological and clinicocatamnestic studies made in 96 patients suffering from schizophrenia associated with obsessions running mainly an attack-like course the psychopathological characteristics of obsessions were specified and their relation to other psychopathological disorders was determined. In part of cases, obsession underwent qualitative changes acquiring the character of disturbances similar to value judgements, delirium and catatonic stereotypies. The typology of obsessions associated with schizophrenia was elaborated; two types of obsessions were distinguished: obsessions with goal-oriented protection measures and obsessions with the development of disturbances superficially similar to catatonic stereotypies. Obsessions and their course were found to be related to the degree of personality changes.
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PMID:[Psychopathology and the clinical course of schizophrenia associated with obsessive disorders]. 215 31

This presentation about lack of communication on contraception between staff and patients in an outpatient mental hospital consists of 7 parts: 1) an exposition of the authors' hypothesis; 2) the subject matter and method of this study, i.e., analysis of recorded staff interviews; 3) a description of the transcripts on a textual level; 4) an inventory of staff opinions classified by the key words: "contraception, abortion, mental patient, relatives, psychiatrist and responsibility;" 5) an "analysis of structures" implied by these themes; 6) "incarnations of contraception," i.e., 12 typical histories of mental patients given or denied contraception or abortion; and 7) a conclusion. The hypothesis is that contraception speaks precisely to therapists in the repetitive relationship implied constantly by the psychotic course, in terms of desire, identity, bodily organization and structure of speech. This study is based on 10 recorded conversations between a female intern and individual hospital staff members, prompted by a newspaper article about a young psychotic given oral contraceptives without her knowledge. The transcripts revealed denial of the issue, depersonalization, projection and delegation of responsibility to others. When grouped into the 6 key words, the opinions uncovered a vast somatic field, confusion couched in metonymic figures of speech, such as using the term "woman" for "mental patient," moral, genital and sexual connotations. Mental patients were depersonalized; parental roles were confused in speaking of contraception for the patients; physicians were considered judges; responsibility was denied for the patients and avoided generally. The authors' structural analysis took the form of a diagram with responsibility in the center, always preceded or followed by contraception and abortion, and by the triangle psychiatrist-relatives-patient (or mother, young person or woman). Maternity or relationships were always excluded. The 12 anecdotes included hysteria, schizophrenia, hypochondria, obsession, drug abuse, latent homosexuality, repeated pregnancies, self-induced abortions, sterilization, abortion, pills, injections and castration without the patients' consent, or with their ambivalince toward these procedures. Thus, contraception resulted in structural reversals in both patients and staff, involving the fundamental access to genitality for patients and defensive constructions by staff, which is not surprising in a cultural milieu which confuses sexuality and procreation.
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PMID:[The problem of contraception in young psychotics treated in a day care hospital]. 444 86

The antipsychotic drug olanzapine is similar to clozapine and risperidone in potent serotonergic antagonism. We assessed obsessive-compulsive symptoms during olanzapine treatment because these symptoms have been reported during risperidone and clozapine treatment. Obsessions and compulsions were measured in 25 subjects with schizophrenia before and after a 6-week double-blind trial comparing two olanzapine doses to placebo. At baseline, 8 subjects had mild or moderate obsessions, and 6 had mild compulsions. There was no significant difference in the course of obsessive-compulsive symptoms among the three treatment groups. We found that olanzapine did not appear to cause obsessive-compulsive symptoms in patients with schizophrenia. Our sample size, the dose and duration of olanzapine treatment, and assessment methods limit the extent to which this finding can be generalized. Though emerging obsessive-compulsive symptoms have been reported for 13 clozapine-treated and 2 risperidone-treated patients with schizophrenia, this phenomenon has not yet been demonstrated in a controlled study.
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PMID:Obsessive-compulsive symptoms in schizophrenia: a comparison of olanzapine and placebo. 892 81

Obsession was introduced by Kraepelin in 1915 and has been studied extensively since. When a person with obsession becomes physically exhausted with chronic rumination accompanied by suspicion, he or she is driven to impulsive acts, and develops a personality disorder that displays persistent abnormal activities. Obsession is related closely to depression and schizophrenia. Obsession is induced when uncertainty and instability dominates intelligence and creativity. The current social hierarchy of a strongly controlled society rejects diversity of humanity and often triggers personality disorders. This article reviews obsession and a myth as primitive mentality, normal and abnormal obsession, obsession vs possession, society and obsession/ impulsion/degeneration, obsession and slowness/autism, a recent biological approach to obsession and a spectrum for obsession.
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PMID:A spectrum for obsession and personality disorders. 920 66

Obsessions can occur in many psychiatric disorders or they may constitute the entire illness, which is then referred to as an obsessional state (Rees, 1993). The relationship of obsessive compulsive symptoms (OCS) to different psychiatric disorders is still controversial. This work was undertaken to study the co-occurrence and phenomenology of OCS with other psychiatric disorders. We examined a sample of 372 psychiatric outpatients using the arabic version of Yale Brown obsessive-compulsive symptom (Y-BOCS) checklist and compared them with a control group composed of 308 non-psychiatric subjects. Subjects were additionally assessed by means of the obsession symptom section of the PSE (10th) edition for trait rating, the arabic version of the Eysenck rigidity scale and the arabic version of the religious orientation scale. OCS were found to be significantly higher in the different psychiatric categories than in the non-psychiatric categories; 83% of patients with neurotic, stress related and somatoform disorders, 51% of patients with mood disorders and 47% of patients with schizophrenia, schizotypal and delusional disorders were found to have OCS in their symptomatology. Furthermore, the data suggest that OCS in psychiatric patients have a distinct phenomenology from that in non-psychiatric subjects. The results did not however reveal a relationship between OCS and either rigidity or religious orientation.
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PMID:The prevalence of obsessive compulsive symptoms in a sample of Egyptian psychiatric patients. 1106 33

54 patients, 24 men and 30 women, (mean age 27 years) were examined. Two types of obsessive-phobic disorders with the phenomena of mysophobia were distinguished: obsession of the external (extracorporal) threat and obsession of contamination. Disorders of the first type (25 cases) were observed in psychopathic-like schizophrenia. They were characterized by a fear of possible contacts with different pathogenic agents--toxic substances, sharp small subjects, bacteria. Obsessions presented with a system of actions preventing phobic situations (rituals). With progression of the disease there was a decrease of both the degree and affective saturation of phobic disorders together with preserving rituals. Negative disorders presented with rough psychopathic-like changes with features of the "verschroben" defect. The disorders of the second type (29 patients) were observed in neurosis-like schizophrenia. Mysophobia manifested with both the repeated control and the fear of contamination accomplished. Ritual behavior presented with repeated actions and repeated control of the "sterility" of the own body and the surrounding subjects. Dynamics of these disorders was characterized by a tendency to more severe rituals of the control and persisting anxiety. Deficit disorders manifested with mental infantilism with psychopathic-like disorders of schizo-anancastic sphere. The above types of the obsessive-phobic disorders have a differential-diagnostic significance in respect of clinical variations of schizophrenia and determination of the state acuity with possible reversibility of the disorders (in neurosis-like schizophrenia).
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PMID:[Obsessive-phobic disorders with the phenomena of mysophobia in slowly progressing schizophrenia]. 1124 27

Seven groups (n = 765) of Egyptian normals (non-clinical), anxiety disorder patients, and patients suffering from schizophrenia (males and females), and addicts (males only) were selected. They were generally matched as groups according to age, occupation, and education. All participants responded, individually, to the Death Obsession Scale (DOS). Cronbach's alpha reliability statistics for the 7 groups ranged between .83 and .94, denoting from good to high internal consistency of the DOS. The most singular finding is that the female and male anxiety disorder patients' means were greatly and significantly higher than the means of the other five groups. The other salient differences were that female schizophrenics had a significantly higher mean than both male normals and male schizophrenics. Male schizophrenics and male normals had, respectively, the lowest mean DOS scores. The male addicts had a mean DOS score that was less than both male and female anxiety disorder groups. Females have higher mean DOS scores than their male counterparts in the normal, anxiety disorder patients, and patients suffering from schizophrenia groups
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PMID:Death obsession in Egyptian samples: differences among people with anxiety disorders, schizophrenia, addictions, and normals. 1204 17

Recently, it has not been rare for psychiatrists to treatment disorders and provide consultation on mental health problems for people from different cultures. The following is a brief outline of mental disorders and mental health problems of the people who immigrated in culturally different societies. In reviewing the literature, most of the reports demonstrate that the admission rate for schizophrenia is higher among immigrants than among people remaining in their original countries or among native-born people of the host countries. Furthermore the prevalence of mood disorders in community surveys is reported to be higher among immigrants than among native-born people of the host countries. In regard to gender difference of vulnerability to cross-cultural immigration, the prevalence rate for mental disorders is reported to be higher in female immigrants than male immigrants. Psychological adaptation of Japanese war orphans returned from Mainland China four decades after WWII revealed that psychological problems became exacerbated three months after resettlement in Japan and took three years to recover. Three major psychological symptoms that manifested in resettlement were obsession, somatization and depression. It is hypothesized that the acculturation process can be divided into four layers: the behavioral level, intellectual level, representative level and emotional level. The study of the acculturation process of Japanese war orphans demonstrated that it gradually proceeded from a surface level to deeper levels, namely from the behavioral level-->intellectual level-->representative level-->emotional level. The relationship of psychological adaptation and acculturation process is reported to be complicated. The acculturation process does not necessarily accompany psychological adaptation and vice versa. Impact of immigration on psychological manifestation revealed the following vicissitude: the asymptomatic phase for two months after resettlement-->hypochondriacal phase-->depressive phase-->paranoid phase. The vicissitude of psychological manifestations of the impact of immigration may be a reflection of the four layers of adaptive mechanisms (G. Vaillant).
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PMID:[Cross-cultural adaptation and mental disorders]. 1207 5

Obsessive doubts by contrast, along with traditional obsessions, refer to a kind of obsessive states, for which contrast content presentations provide a basis for obsession appearance accompanied by irresistible drive for walking off a psychogenic situation. Obsessive doubts by contrast are formed due to a conflict between equally attractive but incompatible wishes. The content of contrast throught is not absurd but reflects a real traumatizing situation. A study of 28 patients revealed they have psychasthenic accentuation as a personal feature in common. Obsessive doubts by contrast may develop both in the terms of affective disorders and schizotypical disorder (slow progredient schizophrenia). They have current character and in a number of cases transform into other obsessive-phobic states.
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PMID:[Obsessive doubts by contrast]. 1237 75

The musical hallucinations reported by 33 schizophrenics who fulfilled ICD-10 diagnostic criteria were assessed semiologically. The subjects were 24 men and 9 women. The duration of 48 episodes of musical hallucinations varied. They occurred at all times during the course of schizophrenia, and 9 of them (18.8%) occurred before the diagnosis was made. All of the episodes could be divided into three stages: 17 (35.4%) were first stage, close to obsession, 5 (10.4%) were second stage, close to Schneiderian first-rank symptoms, and 26 (54.2%) were third stage, which is the autochthonous experience. The sounds were in a subjective space in 38 episodes and in the majority of cases, their content was familiar. The second stage was associated with xenopathic experience ("gemachtes Erlebnis") and audition of thought, and words were added to melodies that normally had no lyrics. Musical hallucinations in schizophrenia are pseudohallucinations that originate in memory representations, and they may undergo a transition to true hallucinations. The authors think that the three stages are related to the severity of the disease.
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PMID:Musical hallucinations in schizophrenia. 2. Relations with verbal hallucinations. 1276 21


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