Growing up Among Caring Others: Sib-Care in Zambia and the Netherlands
Cultural and gender differences in sib-care and attachment were explored using a retrospective survey instrument comparing Zambian ( n = 200) and Dutch ( n= 194) college students. Students from the University of Zambia and Leiden University, respectively. The total study sample (N = 394). Four main hypotheses were tested: (1) Zambian participants performed more sib-care than the Dutch participants; (2) female participants performed more sib-care than male participants, both among the Zambian and Dutch groups; (3) larger family size was associated with more sib-care; and (4) securely attached participants performed more sib-care than their less securely attached peers.
Neurosyphilis – Still a Diagnostic and Therapeutic Challenge
Lars Gustafson*, Ulla Passant, Jarl Risberg, Elisabet Englund
Neurosyphilis results from an infection of the brain, meninges and/or the spinal cord and may develop in persons in whom a manifest syphilis has passed untreated. The clinical manifestations are often diverse and may present as a psychiatric disorder. This article reports two cases with neurosyphilis who were followed for 33 and 21 years respectively. In one of these cases neuropathological findings are presented. Retrospective evaluations of all medical records were performed to characterize psychiatric and other clinical features, laboratory and brain imaging findings. Both patients presented a variety of psychiatric manifestations and were initially misdiagnosed.
Suicidal Behaviour in Young Adults: A Literature Overview on Neurobiological, Epidemiological and Psychosocial Aspects
Stefania Schiavone, Luigia Trabace*, Logos Curtis
Definitions for suicide and suicidal behavior have been the topic of a lively scientific debate. Thus, suicide is normally defined as an act of intentionally terminating one’s own life. However, this definition cannot be considered exhaustive, given the complexity of this phenomenon. Moreover, the nomenclature of suicidal behaviors without fatal outcome may also significantly differ. Globally speaking, a suicidal behavior is characterized by the fact to be self-initiated and potentially injurious, with the intent to die. The outcome of a suicidal behavior might be nonfatal or fatal.
Perceptions and Attitudes towards Involuntary Hospital Admissions of Psychiatric Patient
Adel Gabriel, FRCPC, MSc, DPIP, DPM, DTM&H*
Advocating for patients is an important strategic goal of mental health. This should include both effective patient day to day care, and defending patients’ rights. Involuntary admission is one of the ethically challenging practices in psychiatry. However, it is crucial to examine in more depth, patients’, psychiatrists’, and relatives’ perspectives.
Electroconvulsive Therapy in an Adolescent Patient with Treatment-Refractory Depression and Underlying Anxiety: A Case Report
Samuel B. Reynolds*, Laurence P. Karper MD, Edward R. Norris MD
Electroconvulsive therapy (ECT) is used most often in adult patients with treatment-refractory depression, but its utility in adolescents is seldom employed clinically. The objective of this report is to present a case of treatment-refractory depression in a 17 year-old female who, after repeatedly failing medication trials, would ultimately benefit tremendously from ECT. Research into the use of ECT in adolescents is also explored here, with a specific focus on its efficacy in treating depression, and on any reported adverse effects.