Sexual compulsivity and HIV: identification and treatment.
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We report the case of a 25-year-old female patient with intractable complex partial seizures characterized by repetition of certain religious statements and a rather compulsive kissing behavior. Presurgical evaluation revealed a right-sided, mesial temporal focus and hippocampal sclerosis on MRI. After selective amygdalohippocampectomy, she has only occasional auras. Her rare and peculiar ictal manifestations are discussed in the context of semiology and pathogenesis. [Published with videosequences].
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This article is about destructive aggressive behaviour which was and would be one of the most sensitive aspects of psychiatric care. We present an attempt to arrange different types of aggression along a continuum, from idea-motivated forms to forms with psychomotor character only, without participation of the will. The psychopharmacological agents with proven anti-aggressive efficacy are discussed and model clinical cases are presented.
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Tic disorders are frequent in childhood, varying from transient motor tics over multiple chronic tic disorders to full-blown Gilles de la Tourette syndrome (GTS). GTS is genetically determined. In affected families, relatives of the patient(s) with GTS may show minor symptoms only. The clinical picture is extremely variable, extending from the well known motor tics over complex compulsive obsessive behavior to purely sensory tics. The optimal treatment today is the use of dopamine antagonists.
Stalking is a frequently reported crime. It has a strong impact on the lives and mental health of the victims. It is perpetrated by persons who often suffer from mental disorders. This paper is an overview on the subject. It encompasses the various definitions of stalking, a number of classifications or sub-divisions of the phenomenon according to different approaches, a description of the psychopathology of the stalker, the psychological effect of the stalking on the victim, ways of evaluating and managing the phenomenon both in the victims and in the perpetrators, prevention of stalking, and also relevant bibliography. In addition, the paper includes an Appendix containing case series (clinical vignettes which include diagnosis, medical and legal interventions and outcome).
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