Diagnostic assessment of individuals with misleading behaviors.
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Biomedical subjects
Publications and source records attributed to W D Weitzel.
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The Capgras syndrome is an unusual psychiatric disorder which has attracted much attention in recent years because of its striking nature and controversial etiology and pathogenesis. The question of whether some cases of Capgras syndrome are an expression of a perceptual disorder of facial recognition, i.e., prosopagnosia, is addressed in this report. Careful testing for a possible prosopagnosia revealed that in 2 newly identified cases of Capgras syndrome, the deficit was present. A deficit of facial recognition could not be appreciably detected in a group of normal female and schizophrenic controls.
The professional literature relevant to child incest cases is reviewed. Four questions related to clinical management are examined. Although physical separation of the offending parent and child is typically recommended, there is insufficient evidence to support the belief that an incestuous relationship per se is inevitably harmful to the mental health of the child. It is suggested that exclusive focus on the sexual relationship can sometimes prevent the clinician from providing maximum assistance to the child and family. A representative case history is discussed.
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This study assessed the cross-inventory generalizability of personality characterizations for Cattell's 16 PF and Gough's CPI. The univariate and multivariate relationships of these scales to their measures of impression management and general aptitude also were explored. Although many PF and CPI content scales and highly similar descriptions, all were found to have poor and inconsistent cross-inventory convergences. The 16 PF and CPI correlates of the desirability scales were found to be similar and consistent with prior research, although the number and magnitude of those for some CPI scales seemed somewhat inappropriate (as were some between the CPI and general aptitude). The relationships of the desirability scales to the content scales of each inventory were found to be heavily dependent upon rotation after factor analysis. It was concluded that the high degree of scale dissimilarity between the 16 PF and CPI must caution against clinical and research generalization across these two inventories. In addition, further investigation of these current impression management scales seems worth pursuing because they appeared to represent the most consistent characteristics measured.
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The author describes a case in which a severely depressed suicidal patient was treated with ECT despite her refusal to grant permission while involuntary commitment procedures were pending. He discusses the professional dilemmas caused by new, and sometimes conflicting, legal principles such as the right to treatment and the right to refuse treatment and suggests that psychiatrists work to clarify these principles while saftguarding themselves with the aid of appropriate legal counsel.
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The authors review recent and current literature on the relationship between psychological factors and cancer. They discuss the roles of predisposing personality patterns and emotional stress in the development, site, and course of cancer; the influence of awareness of terminal illness on the behavior of cancer patients; and the management of psychiatric symptoms in these patients.
Psychiatrists employed by bureaucracies must make a number of compromises in order to reconcile their employing organization's formally stated aims, their superiors' day-to-day expectations, and their traditional role model of physician and patient-oriented therapist. The author studied nine psychiatrists working for the U.S. Army during a two-year period in the mid-seventies. Their adaptation to expectations and pressures of the bureaucracy can be described in one of three general ways: through alignment with the official views of the Army, compartmentalization of roles to meet both patients' expectations and the Army's expectations, or rejection of a military identity.
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