Abstract
<p>In the last few years much data in the gulf region indicate that amphetamine psychosis has become more common and more prolonged.</p><p><strong>Aim.</strong> This study was done to: 1) assess clinical features related to amphetamine withdrawal, 2) assess if there are changes in these features in comparison to other previous studies or not, 3) study the relation between amphetamine and chronicity of psychotic symptoms, 4) find a reason for such suspected changes if present.</p><p><strong>Methods.</strong> A total of 150 male amphetamine dependent inpatients were selected according to ICD-10 research diagnostic criteria. Patients were subjected to the following procedures: 1) Oral informed consent. 2) Full psychiatric interview. 3) Urine test for common addictive substances on admission 4) Symptoms checklist which have been designed by the authors to assess Clinical features associated with amphetamine 5) Symptom Checklist–90–Revised (Derogates 1994).</p><p><strong>Results.</strong> Generally the present study shows that the psychotic symptoms were very common with Amphetamine dependent patients and the severity of all symptoms decreased significantly during the different phases of treatment. Delusions and hallucinations were very common during 2nd week (54% and 51% respectively) and persisted for more than 8 weeks in 24% and 10% of patients respectively.</p><p><strong>Discussion.</strong> Some of the results are similar to previous studies as Dalmau et al. 1999 and Koyama et al. 1991 but still the duration of psychosis is much longer.</p><p><strong>Conclusion.</strong> There is increased risk of psychosis with use of amphetamine and a lot of reasons may play role as starting abuse at early age, sensitization process that may lead to chronic psychosis, and adulterating substances like ephedrine that may be dangerous and can lead to permanent damage of brain serotonin nerve endings.</p>
Highlights
It is well known that doctor-patient relationship is the most important issue in medical practice
The life experience of Makram will be discussed in terms of a total withdrawal from the world, which is interpreted as a solution to lift off an all too heavy burden within the family
Concepts and criteria for concepts to be included in a conceptual framework/model for the integrating of a spiritual dimension into South African specialist psychiatric practice and training will be identified
Summary
It is well known that doctor-patient relationship is the most important issue in medical practice. Diagnoses and current drugs may be changed, Doctor patient relationship and clinical skills will persist along time During this relationship is going on a lot of problems occur and immediate intervention is required to keep the management process healthy. Current Psychiatric classification is guided by a specific methodological approach, the use of operationally defined diagnostic concepts to ensure adequate reliability, the latter being an initial step towards establishing valid diagnostic categories. In this paper I will discuss the grammatical features of various conceptualizations of prestages of psychotic disorders, their clinical, nosological and existential significance This discussion has relevance for both diagnostic practices and ethical debate on the early intervention agenda. Volunteers working at nongovernmental organizations crisis centres often experience psychological distress As this area is under-researched, this pilot study aims to assess depression, burnout and the impact of events using psychometric instruments in this group. The published dialogue between Jean-Pierre Changeux and Paul Ricoeur[1] was reviewed and critiqued from the perspective of neuroimaging and related research[2] to identify key ideas that are relevant to the formulation of hypotheses about human experience
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