Rapid eyelid tremor after a massive phenothiazine overdose.
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Biomedical subjects
Publications and source records attributed to E D Freed.
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The problem of continuing medical education (CME) for psychiatrists was studied by questionnaire. Of the 16 out of 40 people who responded, all felt CME was necessary and most favoured symposia, lectures and congresses. While nearly everyone read journals in psychiatric and non-psychiatric fields, group journal reviews as a form of CME were categorically rejected. Most respondents are prepared to contribute time and effort. The implications of CME are discussed, and the need for further research is emphasized.
A pilot study was done on 50 patients in a community psychiatric programme in Soweto. The organization was based on the principles of mental health consultation and the treatment was based on primary, secondary and tertiary prevention. The role of the multidisciplinary staff is outlined and the role of maintenance pharmacotherapy for the ex-schizophrenic patient is stressed. The efficacy of the programme could be improved by an increase in the staff-patient ratio.
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Some aspects of drug management of acute behavioural disorder are discussed. Drug management aims at the amelioration of the patient's ineraction with his environment; it is used as a diagnostic procedure, and to facilitate further definitive diagnosis and investigation, as a form of psychotherapeutic contact, to facilitate further psychotherapy, and to initiate a treatment programme aimed at returning the patient to being a useful and health member of society. Some methods of rapid tranquillisation are described and the drug management of the following specific behavioural disturbances are discussed: schizophrenic distrubance, acute mania, depressive behavioural disturbance, acute anxiety states, acting-out psychopathic behaviour, toxic states, epileptic furore and dyscontrol syndrome, behavioural disturbances of the elderly, and behavioural disturbances in organic conditions.
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