Canadian Journal of Psychiatry

Monthly journal publishes peer-reviewed articles on the psychiatry developments in Canada and abroad. Features include debates, research, book reviews and clinical practice guidelines.

Articles from Vol. 49, No. 10, October

Acceptability and Disintegration Rates of Orally Disintegrating Risperidone Tablets in Patients with Schizophrenia or Schizoaffective Disorder
Objective: To investigate the disintegration profile, acceptability, and tolerability of orally disintegrating risperidone tablets in patients with schizophrenia or schizoaffective disorder.Method: Ten patients stable for at least 10 days on monotherapy...
Deliberate Ingestion of Peanut as a Suicide Attempt
Dear Editor: I report the case of a man, aged 24 years, with an established history of severe anaphylaxis to peanuts, who deliberately ingested peanut butter as a suicide attempt while admitted to hospital.The patient was admitted to the psychiatry service...
Design and Feasibility of a New Cognitive-Behavioural Therapy Course Using a Longitudinal Interactive Format
Objective: This report describes the design and feasibility of conducting a unique longitudinal supervision course incorporating both therapist and patient evaluation measures in teaching cognitive-behavioural therapy (CBT) to a group of mental health...
Effects of Propofol on Electroconvulsive Therapy Seizure Duration
Dear Editor: Propofol is an anesthetic agent alternative to methohexital. It is widely used because it is associated with smaller hemodynamic response during electroconvulsive therapy (ECT) (1). Studies have shown that propofol reduces seizure duration,...
Explaining Medically Unexplained Symptoms
Patients with medically unexplained symptoms comprise from 15% to 30% of all primary care consultations. Physicians often assume that psychological factors account for these symptoms, but current theories of psychogenic causation, somatization, and somatic...
Mental Health Law
Mental Health LawDecisions and Dilemmas: Working With Mental Health Law. Jill Peay. Portland (OR): Hart Publishing; 2003. 217 p. US$40.00.Reviewer rating: Very GoodPainstaking dissection and examination, by nonlawyers, of the corpus of mental health...
Mirtazapine for Treatment of Nausea Induced by Selective Serotonin Reuptake Inhibitors
Dear Editor: Nausea appears to be a dosage-related side effect in as many as 26% of patients treated with selective serotonin reuptake inhibitors (SSRIs) (1,2). SSRIs increase the concentration of serotonin (5-HT) at neuronal synapses. Emesis may result...
Personality Disorders
Personality DisordersThe Practical Management of Personality Disorder. W John Livesley. New York: Guilford; 2003. 420 p. US$48.00.Reviewer rating: ExcellentIn this book, John Livcslcy, an internationally recognized researcher on personality disorders,...
Postoperative Manic Outburst: A Case Report
Dear Editor: Immediate postoperative psychosis is common after coronary artery bypass grafting (CABG). It is usually shortlived. A clinical profile akin to mania is less common, as most acute postoperative psychoses are hallmarked cither by purposeless...
Preparing Psychiatry Residents for the Certification Exam: A Survey of Residency and Exam Experiences
Objective: To determine which methods best prepare psychiatry residents for the certification exam, and ultimately for practice, to facilitate appropriate residency program curriculum changes.Method: We sent an anonymous survey to all final year (that...
Psychotherapy
PsychotherapyEthics Case Book of the American Psychoanalytic Association. Paul Dewald, Rita Clark, editors. New York: American Psychoanalytic Association; 2001. 106 p. US$20.00.Reviewer rating: GoodThis slim text outlines the principles and standards...
Psychotherapy
PsychotherapyBecoming a Therapist: What Do I Say, and Why? Suzanne Bender, Edward Messner. New York: Guilford; 2003.232p. US$35.00.Reviewer rating: Very GoodThis book is a much-needed, limely contribution to the area of psychotherapy supervision. When...
Relation between Prenatal Maternal Mood and Anxiety and Neonatal Health
Objective: To examine the relation between the mood and anxiety of pregnant, psychiatrically treated women and neonatal health outcomes after birth.Method: We prospectively assessed 46 women treated with psychotropic medications for anxiety and depression...
Road Rage: Old Wine in a New Bottle / Reply: Ancient Wine but Still Potent?
Dear Editor: In driving research, the debate about the relevance of temperamental factors and psychopathology has a long history. Tillman and Hobbs' classic 1949 article, "The Accident Prone Automobile Driver," is the first in the psychiatric literature...
Sexual Medicine: Why Psychiatrists Must Talk to Their Patients about Sex
Objective: To review the prevalence of sexual concerns and the relevance of this area to psychiatrists and to present evidence supporting the need for psychiatrists to routinely include a sex-function inquiry in the assessment of their patients.Method:...
Somatization Disorder: A Practical Review
Objective: This paper reviews the present state of knowledge on the etiology, prevalence, diagnosis, and treatment of somatization disorder (SD).Method: A comprehensive review of the literature on SD is described under the above headings.Results: SD...
Somatization, Hysteria, or Incompletely Explained Symptoms?
In this month's In Review section, all the contributors-Dr François Mai (1), Dr Laurence Kirmayer and colleagues (2), and I-wrestle with the seemingly intractable and endlessly interesting topic of body-mind relations. In the first review article, Dr...
The Effect of Quetiapine on Cannabis Use in 8 Psychosis Patients with Drug Dependency
Dear Editor: Approximately one-half of all patients with schizophrenia abuse or depend on psychoactive substances at some point during their lives (1), but few studies to date have proposed an integrated pharmacologie treatment for this schizophrenia-addiction...
The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. the Defence and Decline of Multiple Personality or Dissociative Identity Disorder
In this second part of our review, we continue to explore the illogical nature of the arguments offered to support the concept of dissociative identity disorder (DID). We also examine the harm done to patients by DID proponents' diagnostic and treatment...