Differential diagnosis of schizophrenia and multiple personality disorder.
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Diagnosis, Differential↗
Biomedical subjects
J M Rathbun
Publications and source records attributed to J M Rathbun.
Missed diagnosis?
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Borderline Personality Disorder↗
Variations in plasma drug levels from different laboratories.
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Aged↗
Team management of failure to thrive.
A multidisciplinary team approach to treatment of failure to thrive in infancy and early childhood permits the simultaneous consideration of nutritional, medical, and psychosocial risk factors associated with this complex syndrome. The registered dietitian works with the physician, nurse, and social worker to provide an integrated evaluation of nutrition history, feeding patterns, medical status, social situation, developmental level, and interactional qualities of the child with failure to thrive. Nutritional management of failure to thrive emphasizes: (a) ongoing assessment of nutritional status and rate of catch-up growth, including regular collection of anthropometric measurements; (b) provision of energy and protein in amounts sufficient to meet requirements for catch-up growth; and (c) concrete, individualized nutrition instruction. Long-term follow-up at regular intervals in coordination with other members of the failure-to-thrive team provides the opportunity to reinforce nutrition instruction and to reassess and adapt meal plans to meet the growing child's changing nutritional needs.
Anthropometry↗
Childhood depression. Developmental considerations.
Childhood depression is becoming a more commonly recognized diagnosis in the pediatric population. The American Psychiatric Association purposes that the criteria for adult and childhood depression are the same. We question that position and emphasize the developmental aspects of depressive symptoms providing diagnostic guidelines for depression at five different stages from infancy through adolescence. Case examples are included to highlight the distinctive presentation of depression at each developmental stage. Specific treatment recommendations include psychotherapy, mobilization, and pharmacotherapy.
Adolescent↗
Cinchonism in a patient for whom lithium was prescribed.
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Adult↗
Patient generated dysphoria in psychiatric residents.
Caring for patients can induce intense emotions in psychiatrists. Although clinical experience suggests that such feeling can become a source of stress for the psychiatrists, particularly the first year resident, and interfere adversely with patient care, research in this area has been lacking. We studied a group of psychiatric residents in order to identify what patient conditions or characteristics induce the greatest dysphoria and adversely affect the quality of patient care. Serious medical illnesses induced the greatest dysphoria.
Adult↗