Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica
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[Connectivity analyses of white matters in schizophrenia].
Investigation of brain morphology in schizophrenia has improved by the advance of magnetic resonance imaging (MRI). Recently, pathology of white matter has been extensively investigated from the viewpoint of disconnection hypotheses of schizophrenia. Diffusion tensor imaging (DTI) technique enables...
[Cenesthopathy in the presenium associated with manic factor resolved with lithium carbonate: two female cases with underlying manic or mixe...
We report two pre-senile female patients with cenesthopathy under agitated conditions continuing for years, with a diagnosis of depression, and they were resolved with lithium carbonate administered for a manic or mixed state exhibited later. There have been few reports on cenesthopathy accompanying...
[Early intervention in an early psychosis outpatient clinic].
We conducted a collaborative questionnaire survey of mental health among junior and senior high school students, and found that education on psychiatric disorders is not provided in schools and that the detection of these disorders is delayed due to the lack of awareness and accurate information. Ea...
[Chaotic use of depression-related medical terms: how should it be settled?].
Along with the marked increase of depressive patients, psychiatric terms related to depression have come to be exposed to many lay people in recent years. As a result, various psychiatric terms formerly interpreted and used correctly by psychiatrists have been simplified too much into only a few wor...
[How to improve the system of classification and diagnosis of depressive syndrome].
The confusion regarding the system of classification and diagnosis of depressive syndrome must be promptly addressed. One issue is to discriminate between antidepressant-effective and -resistant depression. Another is to diagnose depressive disorders even if depression is mild. It is important as an...
[Postvention: how a psychiatrist should face a patient's suicide].
Suicide by a patient in therapy, which is not a rare encounter for most psychiatrists, may be a traumatic experience for the treating psychiatrist. The psychiatrist should sincerely face the patient's suicide, which can be a part of crisis management in psychiatric care. If a patient commits suicide...
[Understanding and treating self-injury].
Recently self-injurious behavior including wrist-cutting among youth has been a serious problem in Japan. Self-injury is the act to injure oneself deliberately without a suicidal intent, by a nonfatal method, predicting a nonfatal consequence. It is frequently repeated to cope with distress, for ins...
[Psychoanalytic study of social withdrawal: grandiose narcissism and passive aggression due to insufficient maternal containing in childhood...
Two different types of pathology can cause social withdrawal: the narcissistic--schizoid personality organization (NSPO) type and the mild Asperger's syndrome (mild developmental disorders) type. Only the former type can be treated by psychoanalytic psychotherapy. In the childhood of both types, one...
[Social cognition of schizophrenia: bridging gap between brain science and psychosocial intervention].
The concept and assessment tools for social cognition of schizophrenia were reviewed in order to bridge the gap between brain cognitive science and psycho-social intervention. Social cognition as well as neuro-cognition strongly influences social functioning, and the impact of neuro-cognition is med...
[Measures to reduce high-dose multiple antipsychotics in Japan].
We suggest a method in which antipsychotic drugs are slowly reduced as follows: for low potency drugs, the dose is decreased with 25 mg or lower of chlorpromazine equivalent dose per week, and, for high potency ones, the dose is decreased with 50 mg or lower of chlorpromazine equivalent dose per wee...