[Bank robbery and psychiatric insurance].
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Biomedical subjects
Publications and source records attributed to K Achté.
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Electroconvulsive therapy (ECT) is widely accepted as a treatment for severe depression, but is seldom used in the treatment of chronic pain even though chronic pain and depression frequently occur together. This study presents a case in which ECT relieved both severe depression and chronic pain. It seems that the recognition of depressive disorders merits more attention and that ECT as a treatment for chronic pain in patients with severe depression should be taken into consideration in cases in which other treatments have failed.
Roughly 3,000 war veterans with moderate or severe brain injury have suffered from a psychiatric disturbance. Psychotic disorders are found in approximately 750 cases. The material of this preliminary report consists of the first 100 veterans with paranoid disorders. Delusional psychosis is the most common main diagnosis (28% of veterans), followed by major depression (21%), delirium (18%) and paranoid schizophrenia (14%). Paranoid schizophrenia and paranoid schizophreniform psychosis develop earlier (in 23% of cases within 1 year) than delusional psychosis (4%). Delusional psychosis lasted less than a year in 28% of the cases and more than 5 years in 40% of cases. The corresponding figures for paranoid schizophrenia and paranoid schizophreniform psychoses are 26 and 63%. Jealousy or fear of being sexually betrayed constitutes the most prominent individual content of delusions.
The article deals with brief psychotherapy of suicidal persons in crisis. Acute psychological regression-decompensation disorders with suicidal behavior, suicidal risk assessment, and key issues relating to support of suicidal persons are discussed.
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This paper deals with the prognosis of schizophrenic psychoses in Helsinki in 1950-1955, 1960-1965, 1965-1970, 1970-1975, and 1975-1980. The first 4 cohorts each include a sample of 100 patients taken in 1950, 1960, 1965, and 1970. The patients were admitted for the first time to a psychiatric hospital because of schizophrenic and paranoid psychoses. The 1975 material includes all (n = 94) first admissions for schizophrenia, fulfilling the DSM-III criteria of schizophrenia or schizophreniform psychosis.
It is widely known that during the depressive psychotic stages of depression, the risk of suicide is extremely high. In 17 of the follow-up studies reviewed, death and suicide data were presented. The data indicate that these affective disorders were associated with very high suicide rates. Suicide accounted for at least 12% of all deaths in every study. In nine studies suicide accounted for 12-19% of deaths, while in the other eight studies it accounted for 35-60%. The ratio of suicides to all deaths levelled off at about 15% as the deaths approached 100%.