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Biomedical subjects

M Dongier

Publications and source records attributed to M Dongier.

At least 37 records · Page 2Linked to original sources

Telepsychiatry: psychiatric consultation through two-way television. A controlled study.

Telepsychiatry (consultation carried out through 2-way interactive television) has been the object of a number of trials in the past twenty years, but to our knowledge there is no previous control study which compares CCTV and face-to-face interviews. Various aspects of the interviews carried out on CCTV were rated on a 5-point scale in questionnaires filled out by: (a) patients; (b) consultees and; (c) consultants. No significant difference was elicited with control interviews in respect to patients' diagnosis, age and sex. CCTV interview ratings by consultee and consultant were rated only slightly below those of the control group. Such findings should encourage a broader application of interactive CCTV, particularly as a complement to live consultations in distant areas.

Attitude of Health Personnel↗

Briquet and Briquet's syndrome viewed from France.

Briquet's contributions to the description of hysteria have been almost completely forgotten in France. One may wonder how he, as well as contemporary French psychiatrists, would react to the approach to hysteria introduced and officialized by DSM III. In particular, its fragmentation into syndromes without apparent link to each other (psychogenic amnesia, conversion disorders, histrionic personality disorder, etc.) and its psychological causation, unbalanced by the consideration of organic factors in etiology, may raise questions. The correlation of conversion disorders with hysterical personality remains a feature of the WHO classification (ICD 9), as well as a feature of French contemporary texts, although it is no longer viewed as a regular association by American psychiatry. It may be that cultural factors lead, as suggested by Brisset, to a repression of conversion phenomena and of hyperexpressivity of affects replaced by more psychosomatic disorders in many contemporary societies. Finally, one may question whether the choice of the term "Briquet Syndrome" is appropriate, as many of the patients described by him did not have the chronic and malignant course described by Guze: It tends to limit hysteria to one end (the most severe one) of a spectrum of disorders.

Cross-Cultural Comparison↗

The Canadian certification examination in psychiatry. II: Who passes and who fails.

No analysis of Canadian certification examinations in psychiatry has previously been published although analyses of the American Board of Psychiatry and Neurology and the British Membership examinations are available. Because candidates, directors of residency training, mental health planners and consumers are all interested in who passes and who fails the certification examinations, available examination data for English speaking candidates are analyzed. Successful candidates are more likely to be younger; to have attended medical schools in English speaking countries (in North America, the British Isles, or the "old Dominions"); to have placed in the upper two-thirds of their medical school class; to have entered psychiatric training soon after graduating from medical school and then to have completed their training without interruption. Some limitations of the examinations and the problem of candidates who fail are briefly discussed.

Canada↗

SELF-INDUCED TELEVISION EPILEPSY. A study of 2 patients.

A unique method of deliberate self-induction of epileptic seizures, using the TV screen was encountered in two young women. Both suffered from highly photosensitive primary generalized corticoreticular orcentrencephalic epilepsy. Self-precipitation developed in periods of their life when spontaneous attacks no longer occurred. The seizures consisted of absence or generalized tonic clonic attacks. (The latter are almost never encountered in "hand waving", the most common form of self-induction reported in the literature.) The seizures were almost always induced in situations of guilt and/or frustation. They were followed by a feeling of tension relief rather than pleasure. Both patients were reluctant to discuss the circumstances under which self-induction occurred, and had difficulty in accepting psychotherapy or complying with antiepileptic medication. The similarity between the two young women was striking, and suggests that patients with this and other forms of self-induced epilepsy should be more fully studied from a psychiatric point of view.

Adult↗

Effects of changes in carbon dioxide tension in abnormally prolonged contingent negative variation (CNV).

The effects of changes in pCO2 in the development and resolution of normal (return to base line within 2 sec after S2) and abnormal (return to base line in more than 2 sec after S2) CNVs were studied. Decreased pCO2 produced by hyperventilation induced a significant reduction in the duration of the post-imperative negative variation (PINV) without significantly affecting the amplitude of the CNV. Increased pCO2, by inhalation of 5% CO2, on the contrary, produced prolongation of the PINV in two subjects. Control subjects with normal CNVs did not show significant changes in the amplitude or in the duration of the CNV wave when pCO2 was altered. The results are discussed in terms of the possible independence and higher sensitivity to metabolic changes of the PINV brain generators compared with the generators of the CNV wave per se.

Administration, Intranasal↗