Treatment of tardive dyskinesia with verapamil.
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Biomedical subjects
Publications and source records attributed to O D Buck.
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A case of multiple personality is presented. The primary personality met DSM-III criteria for borderline personality disorder, and displayed several "lower level" borderline defenses as well. The secondary personalities showed other borderline characteristics. Seen as a whole, the patient manifested a more complete spectrum of borderline features than did any of the personalities viewed individually. It is postulated that some patients with multiple personality may be a subset of borderlines, in whom the splitting of self and object representations is so severe that the disparate representations are partitioned and manifested in different "personalities." The importance of preoedipal, as opposed to oedipal, psychopathology suggests that multiple personality may be more properly considered a borderline condition than an hysterical condition.
Primary care physicians may encounter patients having posttraumatic stress disorder (PTSD) related to combat experience before they come to the attention of the mental health system. Specific criteria for making the diagnosis of PTSD are now available. Effective psychiatric treatment, particularly group therapy and pharmacotherapy, is now available. Posttraumatic stress disorder can be an important diagnostic consideration in several problems that may be seen by primary care physicians, including multiple somatic complaints, sleep disturbance, substance abuse, and behavior disorders. It is important that such cases be recognized and referred for psychiatric treatment.
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