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Conformity and psychopathology: a comparative study of conformity behaviors in manic-depressive, paranoid schizophrenic and normal populations.

Several theorists have speculated that schizophrenia constitutes a disorder in which there is minimal motivation to conform to social pressures, while manic-depressive psychoses represent disorders in which there is maximal motivation to conform to social pressures. However, there have been few experimental tests of these speculations, and those that have been conducted generally have yielded conflicting results because of methodological inconsistencies and limitations. The present investigation examined conformity behavior of male and female manic-depressives (MD), paranoid schizophrenics (PS), and normals (N) on two conformity tasks: attitude change and perceptual judgment. It was hypothesized that manic depressives would conform more than normals, who would conform more than paranoid schizophrenics (MD less than N less than PS). Results indicated that manic-depressives and normals conformed significantly more than paranoid schizophrenics, but did not differ from each other on either of the conformity tasks. Thus, the hypothesis was supported only partially. The results do not support the view that manic-depressive psychoses constitute disorders in which there is maximal motivation to conform to social pressures; however, the results do support the view that schizophrenia represents a disorder in which there is minimum motivation to conform. The results are discussed in terms of their implication for the uses of interpersonal psychotherapy forms.

Adult↗

[Treatment of alcoholism. Study of the efficacy of 4 therapeutic orientations].

The present survey studies, in a group of 145 alcoholics from the National Institute on Alcoholism in Costa Rica, the effectiveness of four therapeutic orientations in alcoholism: behavioral, psychosocial, occupational and multiple. The survey was carried out in a harmless population of alcoholics, and it aims to work out and to test treatment designs suitable to the uncovered level or prevention respecting to alcoholism, the secondary one. Each one of the groups receiving the diverse treatments stayed as in-patient under similar conditions. The treatment had a two-week duration; once finished, the patient was discharged and continued with a one-year follow-up. The outcomes are the following: 1. Treatment. The occupational and behavior-oriented treatments present a five months abstinence period as an estimate average effectiveness. The psychosocial-oriented treatments reach a seven months abstinence period. Its major effectiveness is due to the specific action this orientation develops on the patients having the worst prognosis. The integration, in a treatment, of orientations corresponding to different theoretical frames can determine reciprocal inhibition phenomena among orientations and lower the general effectiveness level. 2. Diagnosis. The personalities defined as depressive and paranoiac according to their prevailing basic anxiety, and the presence or absence of a conjugal tie holds an estimate link with the abstinence the patient showed when he was discharged from treatment. The prognosis value of this characteristic disappears when it is then direct object of a therapeutic orientation (psychosocial) given that this characteristics are sensitive to changes by action in a specific treatment.

Alcoholism↗

A primate analogue of amphetamine-induced behaviors in humans.

The effects of amphetamine on individual and social behaviors were studied in two colonies of rhesus monkeys. After an initial base-line period, each animal, in turn, received low chronic drug administration for 3 weeks. Between each drug period new base-line data were collected. During amphetamine administration, there was a significant increase in the following behaviors: time spent in "sit tense" postures, frequency of orienting, and frequency of agonistic behaviors. In addition, significant changes were seen in the time spent in proximity with other members of the group. The results are discussed both in terms of across-animal changes as well as with regard to social factors, rank in the hierarchy, and affiliative relationships.

Agonistic Behavior↗

Acute psychosis after anesthesia: the case for antibiomania.

We report the case of a teenager who developed a postanesthesia acute psychosis (delusions, paranoia, and hallucinations) caused by a reaction to antibiotic therapy (amoxicillin and clarithromycin), so called 'Hoigne's syndrome' or 'antibiomania.' The differential diagnosis and a review of literature are presented. Our patient illustrates the importance of adding antibiomania as part of the differential diagnosis when altered postanesthesia behavior is observed in pediatric patients.

Adolescent↗

Conspiracy beliefs about birth control: barriers to pregnancy prevention among African Americans of reproductive age.

This article examines the endorsement of conspiracy beliefs about birth control (e.g., the belief that birth control is a form of Black genocide) and their association with contraceptive attitudes and behavior among African Americans. The authors conducted a telephone survey with a random sample of 500 African Americans (aged 15-44). Many respondents endorsed birth control conspiracy beliefs, including conspiracy beliefs about Black genocide and the safety of contraceptive methods. Stronger conspiracy beliefs predicted more negative attitudes toward contraceptives. In addition, men with stronger contraceptive safety conspiracy beliefs were less likely to be currently using any birth control. Among current birth control users, women with stronger contraceptive safety conspiracy beliefs were less likely to be using contraceptive methods that must be obtained from a health care provider. Results suggest that conspiracy beliefs are a barrier to pregnancy prevention. Findings point to the need for addressing conspiracy beliefs in public health practice.

Adolescent↗

Phencyclidine ingestion: drug abuse and psychosis.

Phencyclidine (PCP) is a popular illicit drug often misrepresented as some other hallucinogenic substance and distributed in widely varying dosage forms and strengths. Users of hallucinogenic drugs may present with unintentional PCP overdoses. Toxicological laboratory analyses are essential to establish the diagnosis. In nine admitted overdose patients, the consciousness level ranged from alert to comatose on presentation, and all showed a prolonged recovery phase with agitation and toxic psychosis. Severe behavior disorder, paranoid ideation, and amnesia for the entire period of in-hospital stay are characteristic. In very high dose patients, shallow respiratory excursions and periods of apnoea and cyanosis coincided with generalized extensor spasm and spasm of neck muscles. Excessive bronchial secretions, gross ataxia, opisthotonic posturing, and grimacing occur. PCP toxic psychosis should be considered in drug-abusing patients presenting with schizophrenic-like symptoms, psychosis, or other bizarre behavior, whether or not they admit to taking PCP.

Adolescent↗

Psychiatric and hostility factors related to use of anabolic steroids in monozygotic twins.

INTRODUCTION: Anabolic androgenic steroids (AAS) are derived by chemical manipulation of the testosterone molecule. The specified category of drugs produces anabolic, androgenic and psycho-active effects including elevated aggressive, hostile, violent and anti social behavior. OBJECTIVE: The objective of this case report observational study was to evaluate the possible psychological consequences of AS use in the twin user of each pair, compared with the non-user twin. METHODOLOGY: We studied two pairs of male monozygotic twins: one pair 24 years old and the other 31 years old, with absolute genome and phenotype similarity. One of the twins of each pair used AAS while the other did not. Both pairs lived in Hellenic provincial towns and followed a common training and nutrition regime. The psychometric instruments used were the Symptoms Check List-90 (SCL-90) and the Hostility and Direction of Hostility Questionnaire (HDHQ). The psychometric evaluations took place within a time interval of 6 months. RESULTS: The study found high levels of aggressiveness, hostility, anxiety and paranoid ideation in the twins who used AS. The non-user twins showed no deviation from their initial status. CONCLUSION: The use of AAS induced several important psychiatric changes in monozygotic twins which were not present in the twin who did not use AAS.

Adult↗

Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?

OBJECTIVES: This study examined endorsement of HIV/AIDS conspiracy beliefs and their relations to consistent condom use and condom attitudes among African Americans. METHODS: We conducted a telephone survey with a random sample of 500 African Americans aged 15 to 44 years and living in the contiguous United States. RESULTS: A significant proportion of respondents endorsed HIV/AIDS conspiracy beliefs. Among men, stronger conspiracy beliefs were significantly associated with more negative condom attitudes and inconsistent condom use independent of selected sociode-mographic characteristics, partner variables, sexually transmitted disease history, perceived risk, and psychosocial factors. In secondary follow-up analyses, men's attitudes about condom use partially mediated the effects of HIV/AIDS conspiracy beliefs on condom use behavior. CONCLUSIONS: HIV/AIDS conspiracy beliefs are a barrier to HIV prevention among African Americans and may represent a facet of negative attitudes about condoms among black men. To counter such beliefs, government and public health entities need to work toward obtaining the trust of black communities by addressing current discrimination within the health care system as well as by acknowledging the origin of conspiracy beliefs in the context of historical discrimination.

Adolescent↗

[Formulating the question of "primary plot" in the paranoidal delusional syndrome and "delusional behavior"].

The paper is concerned with studies of a delusional "primary plot". During the process of a systematization of the "primary plot" and a formation of the paranoial syndrome, the total information is formed according to the "predetermined" programme, kept in the "code" of the "primary plot" and is read of it in the logical prerequisite and motivation of all delusional constructions. The hypotheses of "delusional behaviour", as a behavioural actualization of delusions and implementing tendencies of a "struggle for the idea" are discussed. It is formed in connection with the actuality of delusional experiences, is subjected to regularities of psychopathological symptomatology and should be studied as joint symptoms. Certain forms of "delusional behaviour" in delusional paranoial delusions of jealousy, hypochondria, inventive- and litigious-querulousness are described on the basis of a study of 401 patients.

Delusions↗

Sex differences in patterns of self-reported psychopathology in the married elderly.

Administered to 106 married male and female residents of a retirement community the Brief Symptom Inventory (BSI) form of the SCL-90. Although no difference was found between males and females on an overall index of psychological distress, a discriminant function analysis indicated that three (Anxiety, Interpersonal Sensitivity, and Paranoid Ideation) of the nine scales provided maximum separation of the two groups. Results supported the conclusion that with marital status, education, and health controlled, male and female elderly Ss show distinct patterns of distress.

Aged↗

The treatable dementia of Sjögren's syndrome.

Progressive dementia developed during a 15-month period in a 56-year-old woman with serologically and clinically documented primary Sjögren's syndrome. Findings from magnetic resonance imaging and angiography were normal, but a brain biopsy disclosed perivascular lymphocytic inflammation in leptomeningeal and parenchymal vessels. Treatment with high-dose corticosteroids produced rapid and nearly complete resolution of the dementia.

Alzheimer Disease↗

Types of self-reported psychopathology in Dutch and American heroin addicts.

One-hundred Dutch and 100 American heroin addicts receiving methadone were administered the Symptom Check List-90 (SCL-90), and a Modal Profile Analysis was performed to determine whether or not the mean profiles of the nine SCL-90 subscales were comparable for these two White male samples. Three profile-shape components correctly classified over 85% of both groups and reflected (1) Anxious-depressed, (2) Hostile and (3) Paranoid syndromes. The relationships of the SCL-90 profiles to selected psychosocial characteristics were also studied. For example, marijuana use was associated with the Paranoid shape component in both samples. The implications of these SCL-90 profiles for identifying common aspects of self-reported psychopathology in both Dutch and American heroin addicts were discussed.

Adult↗

Acute nutmeg intoxication.

Nutmeg is a common household spice sometimes abused for its hallucinogenic properties. This abuse is well reported in the medical literature over the last century. Ingestion of less than one tablespoon can produce symptoms similar to those of an anticholinergic toxic episode. Common presenting complaints are hallucinations, palpitations, and feelings of impending doom. We report a case of intentional nutmeg intoxication in a 23-year-old college student. As laboratory tests are usually normal, this diagnosis should be considered in patients presenting with an acute psychotic break accompanied by symptoms resembling an anticholinergic toxic episode. Treatment is primarily supportive once other life-threatening conditions have been ruled out.

Adult↗