[Health risks from medicinal herbs].
Explore the source record for details and available documents.
Abnormalities, Drug-Induced↗
Biomedical subjects
F Lana Moliner
Publications and source records attributed to F Lana Moliner.
[Personality disorders and substance abuse disorders. Psychosocial strategies].
The article begin with a review of the high prevalence of concurrent mental illness and substance abuse disorders among general and clinical populations, highlighting the need for development of appropriate services to treat these persons. Several studies have revealed a significant adverse impact of comorbid personality disorders on treatment tenure and outcome in substance abuse populations and vice versa. We review findings on the longitudinal course of dual disorders in traditional treatment systems, which provide separate mental health and substance abuse programs, and describe new programs that integrate both types of treatment at the clinical level. This is followed by a description of main difficulties to do with outcome and treatment retention. Finally, we review the effectiveness of several specific treatments programs within psychiatric care for patients who have a dual diagnosis of a severe personality disorder and a substance abuse disorder. Such programs include, brief integrated programs based on the disease-and-recovery model or on the cognitive-behavioral model, comprehensive integrated assertive programs and intensive partial hospitalization programs. We conclude, that although several program features appear to be associated with effectiveness, there is no clear evidence supporting an advantage of any type of program when co-occurring substance abuse with severe personality disorder. Implementation of new specialized services for dual disorders should be within the context of simple, well designed controlled studies.
Diagnosis, Dual (Psychiatry)↗
[Experience of a double or heautoscopy. Psychopathological review and case report].
OBJECTIVE: According to Jaspers, the experience of the double is on of the darkest, heterogeneous and worst studied psychopathological concepts. This research intends to contribute to its clarification and delimitation. METHOD: We present a clinical case that presented the experience of the double associated to despersonalization, nontypical somatizations, eating disorders and a serious suicidal behaviour. The concept of experience of the double is revised following the clinical description and the psychopathological contributions of different authors. RESULTS: Nowadays, the most accepted term to refer to the experience of the double is "autoscopyc"--to watch oneself--although it would be more correct, etymologicaly, to talk about "beautoscopic" since what it really happens is a deceptive perception of oneself. DISCUSSION: We agree with recent authors in restricting the concept of "beautoscopyc" to those cases in which the own image is visualized. Furthermore, it is necessary to make an effort to clarify if it deals with a specific disorder or a non-specific phenomenon associated to different medical or psychiatric disorders.
Adult↗
[Psychosocial treatment of bipolar disorder].
INTRODUCTION: The bipolar disorder is an important health problem. It presents with severe sintoms, and it tends to cronify. Although lithium has a prophilactic role, it has not controlled the development of severe psychosocial complications. It is necessary to study the psychosocial aspects related to this disorder, to define the areas in which the psychosocial interventions are needed, and the types of psychosocial approaches that can be useful. METHODS: Review of the literature, through MEDLINE database in the last fifteen years, about psychosocial complications of bipolar disorder and its treatment. RESULTS: Many articles emphasize the important psychosocial deficits that appear in patients with bipolar disorder. These deficits concern to all social functions and persist for a long time. The patients are more vulnerable to stressing events, that can have devastating consecuences. The articles report the influence in the evolution and prognosis of this disorder, by the comorbidity of other medical and pschiatric problems. The psychotherapeutical interventions can be of interest to treat the social aspects that lithium fails to control. CONCLUSIONS: Our approach would tend to integrate in the clinical practice both, the biomedical and psychosocial theories. This permits an integral treatment of all the factors implicated in the genesis, maintenance, and consecuences of the mental disorders.
Bipolar Disorder↗