The author has treated almost 400 chronically depressed outpatients during his career. He has also participated as a Field Trial Coordinator in the Unipolar Field Trials of DSM-IV and consulted with the DSM-V Mood Dis...The author has treated almost 400 chronically depressed outpatients during his career. He has also participated as a Field Trial Coordinator in the Unipolar Field Trials of DSM-IV and consulted with the DSM-V Mood Disorders Workgroup concerning his research for the new diagnostic nomenclature for the chronic depressions, Chronic Depression Disorder. In addition, he has served as Principal Investigator in several large clinical trials involving 2200 chronically depressed outpatients. The current paper is a Brief Report describing his negative reactions to the way 40 of his chronically depressed patients have been treated today by both Psychologists and Psychiatrists. All the patients are his patients and have been seen by him in psychotherapy over the past decade. Several reasons are proposed for the inadequate treatment and specific proposals are made for the improvement of treatment for the early-onset chronically depressed patient.展开更多
社交(语用)沟通障碍(social pragmatic communication disorder,SCD)是精神疾病诊断和统计手册第五版(the diagnostic and statistical manual of mental disorders,DSM-V)中一种新的诊断类别。为探讨社交(语用)沟通障碍对临床工作的影...社交(语用)沟通障碍(social pragmatic communication disorder,SCD)是精神疾病诊断和统计手册第五版(the diagnostic and statistical manual of mental disorders,DSM-V)中一种新的诊断类别。为探讨社交(语用)沟通障碍对临床工作的影响,本文梳理了社交(语用)沟通障碍术语的发展历程、DSM-V将其单列的原因,以及目前社交(语用)沟通障碍常用的临床诊断方法,结果表明虽然目前社交(语用)沟通障碍诊断标准还存有争议,但其引入为临床中介于语言障碍和自闭症谱系障碍的边缘人群提供了更多参考依据。展开更多
The increasing prevalence of Autism Spectrum Disorder makes it as considerable issue worldwide.Recent studies addresses the hot topic of Mirror Neuronal System(MNS)confers behind the ASD.However,the cause is uncertain...The increasing prevalence of Autism Spectrum Disorder makes it as considerable issue worldwide.Recent studies addresses the hot topic of Mirror Neuronal System(MNS)confers behind the ASD.However,the cause is uncertain,Indian population prone to varied prenatal and postnatal factors of the condition.Indian parents and professional still be at the initial awareness phase of the spectrum.Years of delay in identification and intervention while comparing with world standards due to various Indian socio-economic and socio-cultural factors.Less availability of screening and diagnostic tools headed to relay on culturally irrelevant and expensive international tools.Government funded research initiatives developed ISAA,INDT-ASD,CASI and AIIMS Modified INDT-ASD as culturally relevant indigenous tools and available on practice.So far,the tools have their own advantages and limitations,requires further research and progression.Owing to scarcity of trained professionals for a wide population range,home based parent-mediated therapies be the most preferred mode of therapy.However,the therapeutic options vary with people.The study aimed to ascertain the present Indian scenario,look upon the awareness about the condition,availability of screening and diagnostic facilities,the early identification and timely intervention program.In addition,the study briefly confers the biological and clinical background of ASD.展开更多
Objective: As noted in previous reviews, the prevalence rates for somatoform disorders in the elderly that have been reported are highly heterogeneous. The main aim of this paper is to identify the reasons for the sub...Objective: As noted in previous reviews, the prevalence rates for somatoform disorders in the elderly that have been reported are highly heterogeneous. The main aim of this paper is to identify the reasons for the substantial variation in prevalence rates and discuss the potential of future diagnostic criteria to address current difficulties. Methods: We conducted a selective review of the literature on the prevalence of somatoform disorders in elderly populations. Results: We found significant conceptual differences between the described diagnostic groups and the criteria applied across studies. Moreover, substantial disparities related to sample selection, age cut-offs, and applied measures were revealed. Conclusions: A general conceptual confusion exists throughout the literature regarding somatoform disorders in the elderly that significantly hinder the comparison and integration of results and can lead to premature conclusions. The redefinition of the somatoform disorder category in the next version of the DSM should be taken as an opportunity to address this issue and facilitate research.展开更多
文摘The author has treated almost 400 chronically depressed outpatients during his career. He has also participated as a Field Trial Coordinator in the Unipolar Field Trials of DSM-IV and consulted with the DSM-V Mood Disorders Workgroup concerning his research for the new diagnostic nomenclature for the chronic depressions, Chronic Depression Disorder. In addition, he has served as Principal Investigator in several large clinical trials involving 2200 chronically depressed outpatients. The current paper is a Brief Report describing his negative reactions to the way 40 of his chronically depressed patients have been treated today by both Psychologists and Psychiatrists. All the patients are his patients and have been seen by him in psychotherapy over the past decade. Several reasons are proposed for the inadequate treatment and specific proposals are made for the improvement of treatment for the early-onset chronically depressed patient.
文摘社交(语用)沟通障碍(social pragmatic communication disorder,SCD)是精神疾病诊断和统计手册第五版(the diagnostic and statistical manual of mental disorders,DSM-V)中一种新的诊断类别。为探讨社交(语用)沟通障碍对临床工作的影响,本文梳理了社交(语用)沟通障碍术语的发展历程、DSM-V将其单列的原因,以及目前社交(语用)沟通障碍常用的临床诊断方法,结果表明虽然目前社交(语用)沟通障碍诊断标准还存有争议,但其引入为临床中介于语言障碍和自闭症谱系障碍的边缘人群提供了更多参考依据。
文摘The increasing prevalence of Autism Spectrum Disorder makes it as considerable issue worldwide.Recent studies addresses the hot topic of Mirror Neuronal System(MNS)confers behind the ASD.However,the cause is uncertain,Indian population prone to varied prenatal and postnatal factors of the condition.Indian parents and professional still be at the initial awareness phase of the spectrum.Years of delay in identification and intervention while comparing with world standards due to various Indian socio-economic and socio-cultural factors.Less availability of screening and diagnostic tools headed to relay on culturally irrelevant and expensive international tools.Government funded research initiatives developed ISAA,INDT-ASD,CASI and AIIMS Modified INDT-ASD as culturally relevant indigenous tools and available on practice.So far,the tools have their own advantages and limitations,requires further research and progression.Owing to scarcity of trained professionals for a wide population range,home based parent-mediated therapies be the most preferred mode of therapy.However,the therapeutic options vary with people.The study aimed to ascertain the present Indian scenario,look upon the awareness about the condition,availability of screening and diagnostic facilities,the early identification and timely intervention program.In addition,the study briefly confers the biological and clinical background of ASD.
文摘Objective: As noted in previous reviews, the prevalence rates for somatoform disorders in the elderly that have been reported are highly heterogeneous. The main aim of this paper is to identify the reasons for the substantial variation in prevalence rates and discuss the potential of future diagnostic criteria to address current difficulties. Methods: We conducted a selective review of the literature on the prevalence of somatoform disorders in elderly populations. Results: We found significant conceptual differences between the described diagnostic groups and the criteria applied across studies. Moreover, substantial disparities related to sample selection, age cut-offs, and applied measures were revealed. Conclusions: A general conceptual confusion exists throughout the literature regarding somatoform disorders in the elderly that significantly hinder the comparison and integration of results and can lead to premature conclusions. The redefinition of the somatoform disorder category in the next version of the DSM should be taken as an opportunity to address this issue and facilitate research.
