PubMed · 5794128
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G A Foulds, K Hope. 1969. A delusional scale.. https://doi.org/10.1192/bjp.115.520.335
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The theory and practice of psychiatric nursing has been subjected to little serious research; consequently some nursing interventions recommended by nursing texts lack formal evaluation. This study examined one aspect of practice: the way in which nurses work with delusional patients. Registered psychiatric nurses were asked to describe the way in which they deal with patients whose delusions are a major clinical problem. The findings highlight a disparity between practice and theory.
This paper attempts to give a comprehensive survey of the disturbed perception in depressive disorders. Therefore results from clinical psychopathological research as well as from experimental studies are presented. Introductory remarks consider problems of this task that arise from the missing consistent definition of perception and the manifold classifications of affective disorders. Phenomenology and anthropological interpretations of the disturbed time- and space-experience are the main topic. Among the alterations of the subjective time-experience disturbances of "erlebnisimmanente" time and reference to the future (according to Straus and v. Gebsattel) are of special importance. Up to now studies on the time estimation of depressive patients that can be located at the interface between phenomenologically deducible subjective and experimentally determinable objective time-experience have shown different results.--The detailed description and analysis of the disturbed space-experience goes back to Tellenbach, who demonstrates applicable structures for this as well as consequences for the existential determination of life.--Furthermore disturbances of self-perception in patients with depressive disorders and their alienation of the perceptual world in its wholeness are demonstrated. The discussion of the so far reported results takes special account of their diagnostic value and calls for clinical and experimental procedures first of all at continuing the differentiated and by means of replication studies substantiated apprehension of perceptual disturbances.
OBJECTIVE: To develop pharmacotherapies for the orphan disease lycanthropy through the pursuit of the etiologic hypothesis of a genetically determined hypersecretion of endogenous lycanthropogens. DESIGN: Quadruple-blind, Rubik's Cube matrix analysis. SETTING: Community practice and malpractice. PARTICIPANTS: Subjects selected from inbred Ruficolla populations in Mississippi, Georgia, North Carolina and Minnesota. All who entered the study finished it. INTERVENTIONS: Chemical screening of blood samples over a hypothesized secretory cycle of lycanthropogen peaking on the day of maximum lunar illumination. Administration of synthetic lycanthropogens for behavioural testing. Experimental lycosomatization through the illumination method of Kirschbaum. OUTCOME MEASURES: None were post hoc, but some are still in hock. MAIN RESULTS: Two putative lycanthropogens were isolated from the blood samples. Structural elucidation and synthesis permitted animal and clinical trials; in each of these, behavioural dysfunction was observed. Antilycanthropogen strategies included application of the principle of caged compounds and generation of a therapeutic immunoglobulin. The effects of a newly developed antihirsutic agent seemed promising. An interaction of the lycanthropogen-secretion system and ethanol was noted, which may explain behavioural aspects of alcoholism. CONCLUSIONS: The incidence of lycomania in North America is underestimated. Soon-to-be-available pharmacotherapies should promote its early detection and treatment. Full control may depend upon advances in gene therapy.