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OBJECTIVE The skepticism regarding the existence of dissociative identity disorder as well as the abuse that engenders it persists for lack of objective documentation. This is doubly so for the disorder in murderers because of issues of suspected malingering. This article presents objective verification of both dissociative symptoms and severe abuse during(More)
BACKGROUND Recent findings indicate that the established association between social indicators of deprivation and psychiatric admission rates may not hold across all diagnoses. METHOD Admission rates in individuals aged 16-64 years for 71 electoral wards in North Staffordshire were calculated for six diagnostic groups using data from the Korner Episode(More)
BACKGROUND This study evaluates two in-patient units attached to community mental health centres (CMHCs) that were designed to supplement acute in-patient care and to integrate with community-based after-care services. AIM To examine the comparative outcome of patients with severe mental illness (SMI) admitted to the two units. METHOD All patients with(More)
This article is the first to document the perinatal trauma and neuropsychiatric impairment of a sequential sample of male adoptees who committed murder. It also is the first to report objectively verifiable psychopathology and violence in their biological and adoptive parents. It explores the interaction of these variables in the genesis of violence.(More)
The concept of stigma has been acknowledged as being an important factor in the way that people with mental health problems are viewed and treated. Some authors suggest that stigma should be viewed as a multifaceted rather than a single concept. One part of this multifaceted concept has been called self-stigma which has been defined as the reactions of(More)
Psychiatrically hospitalized adolescents from city and voluntary services who had been diagnosed as having conduct disorder were compared with psychiatrically hospitalized adolescents who had never been so diagnosed. There were no significant symptomatic differences. The major factor distinguishing adolescents ever diagnosed as having conduct disorder was(More)
OBJECTIVE The psychiatric clerkship is perceived as an intervention point in medical students' attitude toward psychiatry and career choice after graduation. The authors aim to assess the impact of the psychiatric clerkship in students from Israeli and U.S. origin on their attitude toward psychiatry. METHODS A modified Nielsen's questionnaire was(More)
BACKGROUND Many factors are known to influence readmission to psychiatric wards, and readmission rates have been suggested as proxy outcome indicators of quality. METHOD Korner returns were used to ascertain readmission rates for all psychiatric admissions to acute wards in North Staffordshire, 1987-1993. Predictor variables were derived from Korner(More)
Mental health, family functioning, effects on employment and relationships, coping style, and perceptions of prognosis were assessed in 93 mothers and 78 fathers of children with a life-threatening non-malignant condition. Results indicated high levels of psychological distress, significant effects upon employment and relationships, and a family environment(More)