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Biomedical subjects

S Maizel

Publications and source records attributed to S Maizel.

12 recordsLinked to original sources
PubMed2005

The Jerusalem psychiatric mother-baby unit.

The Jerusalem mother and baby unit (MBU) is influenced by the psychoanalytical orientation of the staff, and the historical and cultural conditions surrounding the unit. Forty-three patients with 44 babies (one set of twins) were admitted in 13 years, a rate of admission far from the theoretical demand. Schizophrenia, schizoaffective disorder and mood disorders have been the major diagnoses in more than 50% of the patients. Mothers with schizophrenia were significantly more likely to be admitted sooner after the birth than mothers without schizophrenia (p = 0.025). One infant was separated from the mother on discharge and four recommendations for adoption were given.

Adult↗
PubMed2001

The fitness of the mental patient to be a witness.

The determination of whether a patient has criminal responsibility or is able to stand trial is routine psychiatric work. Cases in which we- psychiatrists- are asked to express our opinion on whether a patient can testify, however, are quite rare. We shall attempt to clarify some of the issues relating to the testimony of mentally ill patients through a case presentation. In this case, the Court agreed to consider our patient's testimony, only after receiving our expert opinion. We find that the Court's reversal of its original decision and its willingness to consider the testimony of a mental patient in the same trial in which he was initially found unable to stand trial, marks an important precedent. The question of the credibility of the mental patient as a witness has significance beyond this case concerning mental patients' rights in regard to the judicial system. We believe there is a need for further discussion between psychiatrists andjurists regarding the fitness of the mental patient to testify as a witness.

Adult↗
PubMed1998

[Treating mother and baby in conjoint hospitalization in a psychiatric hospital].

Since 1990 we have been admitting mothers with postpartum psychiatric morbidity together with their babies to our open psychiatric ward. The aim of conjoint hospitalization is to maintain and develop the bond between mother and baby while treating the mother's psychiatric disorder. The presence of the infant in the hospital allows both a thorough evaluation of the mothers' maternal ability and to use the infant as a facilitator of the mothers' recovery by engaging maternal functions. It prevents the infants from being placed in a foster home for the duration of the mothers' hospitalization. Readily available in Britain and Australia, such conjoint hospitalization is controversial and rarely available elsewhere. In the past 5 years we hospitalized 10 women with 11 babies (1 woman was hospitalized twice, after different births). All women had received psychiatric treatment prior to childbirth, but this was the first psychiatric hospitalization for 2 of them. Diagnoses (DSM-IIIR) were chronic paranoid schizophrenia (4), affective disorder (4), schizo-affective schizophrenia (1) and borderline personality disorder (1). 8 were suffering from active psychotic symptoms on admission. They were treated pharmacologically, received individual and group psychotherapy, and participated in all ward activities. Families were engaged in marital, family and/or individual therapy according to need. All participated in cognitive-behavior treatment tailored to individual need to build and enrich the mother-infant bond. All improved significantly and were able to function independently on discharge, but in 1 case adoption was recommended.

Adult↗
PubMed1996

[Risperidone-induced priapism].

Priapism or pathological, prolonged erection, is a rare adverse effect sometimes associated with psychotropic medication and is due to alpha adrenergic receptor blockade. Priapism in a 44-year-old mental patient receiving risperidone is described. Urinary retention was relieved by catheterization, followed by saline irrigations. Priapism was relieved when a hematoma was evacuated from his penis. This may be the first description of priapism following risperidone alone, since a previous report included a patient receiving risperidone together with 2 other psychotropic medications. Priapism should be looked for in men receiving risperidone, a novel antipsychotic medication.

Adult↗
PubMed1994

[Overlap between schizophrenia and affective disorders--a family study].

The distinction between schizophrenia and affective disorders is fundamental. However, overlapping has been described in most studies of schizophrenia and of affective disorders. We studied 20 families, each with at least 1 parent and 1 child with a diagnosis of schizophrenia or of affective disorder. In half the families there were 2 diagnoses. In most of these families the children had a more severe disorder than the sick parent, onset was earlier, more were diagnosed as schizophrenic, hospitalizations were longer, and social functioning was worse. The results emphasize current problems in psychiatric diagnosis, which still lacks a pathophysiological etiologic basis.

Adult↗
PubMed1994

Admissions to a psychiatric hospital during the Persian Gulf War.

A descriptive study of all the admissions to a psychiatric hospital in Israel during the first month of the persian Gulf War was carried out. There was no decline in the number of admissions, and all the admitted 31 patients were civilians. War-related symptoms were manifest at the admission of 12 patients. Delusions of war-related content were prevalent, sometimes with corresponding hallucinations; three cases with these features are described briefly. There appeared to be an over-representation of female patients whose families originated in the Persian Gulf area. These findings may help in the planning of psychiatric services for similar future emergencies.

Adult↗
PubMed1992

[Substance abuse among mental patients].

Abuse of alcohol and other drugs by mental patients has been reported extensively in the past decade, especially in the USA. It has seemed to us that drug abuse has become more common among mental patients treated at this psychiatric hospital and at outpatient clinics in Jerusalem in recent years. Therefore, 100 patients admitted consecutively were questioned with regard to alcohol and drug abuse. A quarter of the male patients were diagnosed as having both a psychiatric disorder and drug abuse. Drug abuse was even more common among male schizophrenics aged 26 to 35, but only 2 reported alcohol abuse. Drugs used were mainly opiates (heroin and methadone) and hashish, and in most cases both. The results indicate that mental patients, especially young men with schizophrenia, may be another risk group for drug abuse in Israel.

Adult↗
PubMed1990

Folie à trois among two Soviet-Jewish immigrant families to Israel.

In two cases of folie à trois, affecting two Soviet-Jewish families who emigrated to Israel, both elderly parents in both cases shared the paranoid delusional beliefs of an only child. Severe trauma in the past and social maladjustment in the present may be among the precipitating factors for the development of the shared paranoid disorder.

Adult↗
PubMed1986

Trazodone-induced mania.

Two bipolar depressed patients and one unipolar depressed patient developed manic symptoms after receiving trazodone. The symptoms resolved when the treatment was discontinued or reduced. We believe the two bipolar patients are the first cases of this reaction reported in the literature.

Adult↗