MyMedR

Dissociative episode secondary to hypoglycemic state in anorexia nervosa: a case report

Ramli M, Hassan AS, Rosnani S

Int J Eat Disord, 2009 Apr;42(3):290-2.

PMID: 19016482 DOI: 10.1002/eat.20596

Hypoglycemic attack had been reported as one of the medical complications in anorexia nervosa.

Matched MeSH terms: Dissociative Disorders/etiology*

Fulltext Predicting addiction potential on the basis of early traumatic events, dissociative experiences, and suicide ideation

Sajadi SF, Hajjari Z, Zargar Y, Mehrabizade Honarmand M, Arshadi N

Int J High Risk Behav Addict, 2014 Dec;3(4):e20995.

PMID: 25741480 DOI: 10.5812/ijhrba.20995

BACKGROUND: There is a great deal of medical literature suggesting that substance use disorder is a serious clinical concern, affecting general population and associated with considerable economic, societal, and personal costs.

OBJECTIVES: This study sought to clarify the relationship between early trauma, dissociative experience, and suicide ideation as predictive factors of active and passive addiction potential (A/PAP) in high-school students.

PATIENTS AND METHODS: Three hundred students with the mean age of 15.72 y were selected via multistage random sampling. All participants were asked to complete Iranian addiction potential scale, early trauma inventory, dissociative experiences scale, and Beck's suicide ideation scale. Analyzing data was done using canonical correlation.

RESULTS: Structural coefficients showed that the pattern of high scores in A/PAP correlates with the pattern of high scores in early trauma, dissociative experience and suicide ideation. The findings of the study showed that the combination of low A/PAP can probably decrease the likelihood of early trauma, dissociative experience and suicide ideation.

CONCLUSIONS: Early trauma, dissociative experience, and suicide ideation can predict A/PAP and explain the considerable variance of survival index.

Matched MeSH terms: Dissociative Disorders

Fulltext Systematic Review on Management of Conversion Disorder

Aamir, Siddiqua

Malaysian Journal of Psychiatry, 2009;18(2):1-7.

MyJurnal

The aim of review was to find the recent evidence for the management of conversion disorder. The study was conducted at the Psychiatry Unit of Govt. Lady Reading Hospital, Peshawar, Pakistan. A systematic literature search was done using Medline and Extra Medline. A total of 10 articles fulfilled the inclusion criteria. In the literature reviewed hypnosis and self hypnosis, psychoanalytical intervention, behavioral intervention, paradoxical intervention, treatment by strong suggestion and trans-cranial magnetic stimulation were the treatments used by the clinicians for the management of conversion disorder. Conclusion: The literature review did not give details concerning the treatment used for conversion disorders adequately. Behavioral interventions were in general found to be more successful treatment course for the management of conversion disorders.

Matched MeSH terms: Dissociative Disorders

Fulltext Dissociative identity disorder: an attempt to understand the disorder in Malaysian context

Jambunathan, Stephen T., Gill, Jesjeet Singh, Kanagasundram, Sharmilla, Koh, Ong Hui

ASEAN Journal of Psychiatry, 2008;9(2):118-125.

MyJurnal

Dissociation, including multiple personality disorder, has long been a controversial topic. Patients with suggestive symptoms are often misdiagnosed as malingering or even having
schizophrenia. The former as a result of the overlooking of a clinician on the fact that suggestibility itself plays a key role in the emergence and perpetuation of this illness and the latter due to the lack of knowledge of the whole dissociative disorder spectrum, often resembling that of a psychotic disorder. Another contributing factor to the small number of patients with this diagnosis is due to the reluctance of a psychiatrist to do so because of his/her lack of experience and also fear of humiliation of being accused of seeking fame from diagnosing this somewhat glamorous phenomenon. In Malaysia, various culture bound syndromes often present with similar symptoms too. This article will attempt to understand this dissociation on the local context using case studies as a reference point.

Matched MeSH terms: Dissociative Disorders

The Dark Cartoon: Intrusive Imagery Secondary to Childhood Sexual Abuse

Katsuura Y, Russell V

Ir J Psychol Med, 2012 Jan;29(3):171-175.

PMID: 30200052 DOI: 10.1017/S0790966700017201

We report on the case of a middle-aged woman with a complex psychiatric history in whom atypical intrusive imagery identified in the mental status examination appeared to represent an emergence of childhood dissociative phenomena. These new symptoms led to the reappraisal of her clinical presentation and a diagnostic re-evaluation that they represented a re-emergence of childhood post-traumatic stress disorder secondary to sexual abuse. We discuss the phenomenology identified in our patient with the aim of increasing awareness of unusual symptoms in adults with a history of childhood sexual abuse and the importance of the mental state examination in eliciting and classifying such phenomena.

Matched MeSH terms: Dissociative Disorders

Psychotherapeutic management of a potential spirit medium

Woon TH, Teoh CL

Aust N Z J Psychiatry, 1976 Mar;10(1A):125-8.

PMID: 1065324

Psychotherapeutic management of a potential spirit medium (shaman) in a modern University Hospital setting in Malaysia is described. Magical thinking, projection and spirit possession (trance state) occur during management. Discussion of management was based on what Heinz Wolff described as the psychotherapist's functions of (1) psychodynamic understanding; (2) the therapeutic function; and (3) the developmental function. This patient did not conform to the general criteria of a suitable patient for psychotherapy. But her willingness to engage in therapy contributed to a satisfactory outcome. The therapist's growth in cross-cultural therapeutic encounter seems to be prominent.

Matched MeSH terms: Dissociative Disorders/complications

The psychiatric aspects of epilepsy

Teoh JI

Med J Malaysia, 1973 Sep;28(1):8-15.

PMID: 4273788

Matched MeSH terms: Dissociative Disorders/etiology

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