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Biomedical subjects

R D Goldney

Publications and source records attributed to R D Goldney.

At least 109 records · Page 6Linked to original sources
PubMed1980

Depression in young women who have attempted suicide.

Findings from a questionnaire assessment of depression in three groups of young women whose suicide attempts were of widely differing medical lethality are reported. No significant difference in the degree of depression between patients whose suicide attempt required intensive care unit resuscitation, those who required some cautionary medical observation, and those whose attempt produced negligible physical effect was found. Furthermore, on the basis of a decision-rule applied to their questionnaire responses, one-third of patients in each lethality group were allocated to the "endogenous" category of depression. Recent literature delineating depression in younger patients is noted, and comment is made on the possible therapeutic implications.

Adolescent↗
PubMed1980

Agoraphobia: the clinical problem.

The symptoms of agoraphobia can vary from those which a person may accept as being consistent with the everyday anxiety of living, to those which provide a barrier to the participation of an individual in any outside activities whatsoever. These symptoms, while classically presenting with the affective state of anxiety, may sometimes become manifest in such a way that cardiovascular, respiratory or other somatic pathology is suspected.

Adult↗
PubMed1980

Case report: manic depressive psychosis following infectious mononucleosis.

The onset of manic depressive psychosis following infectious mononucleosis is reported. The patient appeared to be predisposed to develop such an illness, and it is postulated that the initial hypomanic episode may have been precipitated by an alteration in cerebral biogenic amines due to the infectious mononucleosis.

Adult↗
PubMed1979

Assessment of suicidal intent by a visual analogue scale.

The use of a visual analogue scale to assess feelings about living and dying at the time of suicidal acts is described. It appears to have face validity, and the results obtained correlate significantly with those of a validated suicidal intent scale. Of note, is the significant correlation between the visual analogue score and that part of the suicidal intent scale which rates the objective circumstances of the attempt, suggesting that suicidal subjects are aware of their mixed feelings of living and dying, and that their actions approximate these feelings. These findings, coupled with its ease of administration and scoring, suggesting that it has a place in the screening of suicidal patients.

Adolescent↗
PubMed1977

Paradoxical reaction to a new minor tranquilizer.

This case report demonstrates that paradoxical reactions to the benzodiazepine class of minor tranquilizer can occur, and that lorazepam, a new derivative, is not free from this effect. It also lends support to the hypothesis that such reactions may be precipitated by a frustrating stimulus, and this has clinical relevance in that such precipitants may well be similar to those situations producing anxiety for which the drug had been prescribed.

Adult↗
PubMed1976

Assessment of insight change in medical student doing psychiatry.

The development of 'insight' in medical students is considered a fundamental component of psychiatric undergraduate education. The use of an insight test at the beginning and end of a 6 week teaching programme in clinical psychiatry showed a significant increase in insight as measured by this test. There was also a significant correlation between the final insight score and the results of a traditional oral examination.

Australia↗
PubMed1975

Female genital self-mutilation, dysorexia and the hysterical personality: the Caenis Syndrome.

A detailed case report of female genital self-mutilation associated with dysorexia and the hysterical personality is presented. This lends support to recent literature that has suggested the possibility that these clinical features may comprise a discrete syndrome. The usefulness of considering this triad as a syndrome is illustrated by its facilitating the recall of two previous patients who in retrospect appear to fulfil these criteria. It is suggested that the name Caenis syndrome be given to this triad of behaviour.

Adult↗
PubMed1975

Out-patient follow-up of those who have attempted suicide: fact or fantasy?

46% of patients who had attempted suicide and were referred to the out-patient clinic of the Royal Adelaide Hospital failed to attend. Similar findings have been reported from other centres. Though it is not known why this is so, tentative speculation is possible. Since it has been shown that persons who attempt suicide are more at risk for suiciding in the future, it seems surprising that their non-attendance has not been more fully investigated.

Attitude of Health Personnel↗
PubMedDate not supplied

Family murder followed by suicide.

Four examples of family murder followed by suicide are presented with relevant clinical data from the coroners' reports. In retrospect it would appear that three of the offenders were suffering from severe depression, and the fourth showed features of morbid jealousy. In each case there were factors suggestive of mental illness apparent before the tragedy. This is consistent with recent studies of murder followed by suicide and of suicide alone, and raises the possibility that psychiatric intervention may have altered the course of events. Though such tragedies may never be totally eliminated it is considered that close co-operation between coroner, forensic pathologist and psychiatrist may promote greater professional understanding of these tragedies, and provide the impetus for the detection and treatment of potentially remediable psychiatric illness.

Adult↗