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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://www.readbyqxmd.com/read/28718660/out-out-damned-blind-spot-the-problem-of-anxiety-with-dynamic-psychotherapy
#1
Neil Raveen Jeyasingam
OBJECTIVES: This article discusses Lady Macbeth's famous sleepwalking scene from the Shakespearean tragedy, and how it became used as a template for the formulation of obsessive-compulsive disorder. CONCLUSIONS: Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28714321/zoophilia-in-an-adolescent-with-high-functioning-autism-from-sri-lanka
#2
Miyuru Chandradasa, Layani Champika
OBJECTIVE: Zoophilia is a rare paraphilic disorder with intense sexual urges involving animals. Autism is characterised by impairments in social communication and repetitive, restricted behaviours (RRB). Reported cases of zoophilia are limited worldwide, and zoophilia in autism is rarer. METHOD: This is a case report describing this unique and relatively unrecognised association in a male adolescent from Sri Lanka. RESULTS: A 17-year-old boy diagnosed with autism has average intelligence and academic capabilities...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28699776/divided-we-fall-clinicians-and-academic-psychiatrists-need-to-stand-together
#3
Stephen Allison, Tarun Bastiampillai, Malcolm Battersby
OBJECTIVE: Psychiatry faces urgent problems requiring united action. These problems affect academic psychiatrists in the universities, and clinicians in publicly funded mental health services. Academic units are isolated and endangered, finding it difficult to recruit. They could benefit from closer relationships with public mental health services, in terms of recruitment, shared teaching and clinical research. However, mental health services are preoccupied with their own problems, particularly in relation to acute clinical demand...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28699773/variability-amongst-urine-toxicology-amphetamine-readings-with-concurrent-administration-of-fenofibrate
#4
Navin Dadlani, Anna Farrar, Graham Jones
OBJECTIVE: The aim of this study was to highlight that concurrent administration of the common lipid-lowering agent fenofibrate may lead to false-positive amphetamine results in often-used immunoassay-based urine drug screens. It also aimed to show that there are significant moral and clinical challenges associated with the interpretation of such results amongst psychiatric inpatients. CONCLUSIONS: It is evident that different pathology laboratories may utilise different commercial urine drug-screen immunoassays in their toxicology analysis, with variability in the test specificities...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28699765/fetal-alcohol-syndrome-disorder-diminished-responsibility-and-mitigation-of-sentence
#5
Russ Scott
OBJECTIVE: The objective of this study was to consider the implications of a recent Western Australia Court of Appeal decision in which an indigenous youth who had been sentenced for the manslaughter of his neonate child was later diagnosed with Fetal Alcohol Syndrome Disorder. CONCLUSION: The increased use of the 2016 Australian guide to the diagnosis of fetal alcohol spectrum disorder should be encouraged to enable clinicians to not only diagnose and manage Fetal Alcohol Syndrome Disorder, but also counsel families to prevent it...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28696132/unlikely-reformer-dr-henry-calvert-barnett-1832-1897
#6
Philippa Martyr
OBJECTIVE: To provide a brief biography of Western Australian colonial lunacy superintendent Dr Henry Calvert Barnett. METHOD: A range of primary sources were consulted. RESULTS: Barnett was a complex man: a caring and forward-thinking practitioner who had a colourful and turbulent private life. CONCLUSIONS: Barnett's contribution to mental health service development in Western Australia was genuine and worthwhile, and should be recognised...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28696131/partial-dopamine-agonist-induced-pathological-gambling-and-impulse-control-deficit-on-low-dose-aripiprazole
#7
Evan Peterson, Rosaria Forlano
OBJECTIVE: To describe a case of aripiprazole-induced problem gambling and impulse-control deficit in a gambling-naïve patient following commencement of low-dose aripiprazole. METHOD: Case report. RESULTS: This case adds to the literature on the dopamine partial agonist aripiprazole causing or exacerbating problem gambling, and extends that literature to low-dose use of aripiprazole in the gambling naïve. CONCLUSIONS: When commencing a patient on aripiprazole the possibility of emergence of problem gambling and other impulse-control deficits should be monitored, even in those with no history of similar behaviours and even on a low dose...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28696130/spectrum-of-care-current-management-of-childhood-autism-spectrum-disorder-asd-in-new-zealand
#8
Hiran Thabrew, Matthew Eggleston
OBJECTIVES: The purpose of this research was to compare the current status of assessment and intervention for New Zealand children and adolescents who have autism spectrum disorder (ASD) with recommendations outlined in the 2008 New Zealand ASD Guideline. METHODS: ASD coordinators and New Zealand District Health Board (DHB) staff working with children and adolescents who have ASD were electronically surveyed. RESULTS: Responses were received from 32 staff in 17 (85%) surveyed DHBs...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28696129/gender-dysphoria-in-klinefelter-s-syndrome-three-cases
#9
Gordon W Davies, John Parkinson
BACKGROUND: Previous reports have found the incidence of gender dysphoria in Klinefelter's patients greater than in the general male population. METHODS: A cohort of patients with gender dysphoria was reviewed. RESULTS: Of the 220 patients with gender dysphoria, three had Klinefelter's syndrome. CONCLUSIONS: These three reports are further examples of gender dysphoria in Klinefelter's syndrome. The role of biological factors in gender identity is affirmed...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28691524/dr-digby-moynagh-1911-1963-and-the-graylands-day-hospital-1959-1965
#10
Philippa Martyr
OBJECTIVE: To describe the establishment of Australia's first psychiatric day hospital in Western Australia in April 1959 by Dr Digby Moynagh (1911-1963). METHODS: A range of primary and secondary sources were consulted. RESULTS: Moynagh was able to establish the Graylands Day Hospital because he had an outsider's perspective, and was familiar with the day hospital model from UK psychiatric literature. However, he was opposed by local medical and political interests, which eventually led to his departure from the State...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28691523/reflections-of-a-psychiatric-mercenary-on-being-a-locum
#11
Chris Perkins
OBJECTIVE: In this article I reflect on life as a locum psychiatrist in Australia and New Zealand, considering the context, qualities required in a locum and the benefits and challenges of the role. CONCLUSIONS: Australasian psychiatric locums work mostly in rural areas or small towns where it is difficult to recruit and retain consultants or to cover for leave. The qualities appreciated in locums are their presence, the ability to start work quickly, flexibility, therapeutic caution and advocacy...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28691522/the-rate-of-mental-health-service-use-in-new-zealand-as-analysed-by-ethnicity
#12
Rees Tapsell, Charlene Hallett, Graham Mellsop
OBJECTIVES: To compare by ethnicity the rates of apparent new referrals and admissions to mental health services for selected major diagnostic groupings. METHOD: Using a Ministry of Health database covering all referrals and admissions to New Zealand's Mental Health services in 2014 and who had not been patients in the preceding six years, population adjusted rates of presentation were calculated and compared across the two major New Zealand ethnic groupings. RESULTS: Population corrected rates of apparently new cases of schizophrenia are more than twice as common in Māori as in non-Māori...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28675052/book-review-madness-in-civilization-a-cultural-history-of-insanity-madness-in-civilization-a-cultural-history-of-insanity-scull-andrew-princeton-university-press-princeton-nj-2015-448-pp-isbn-978-0-691-17344-3-pbk
#13
Sidney Bloch
No abstract text is available yet for this article.
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28658970/book-review-shrinks-the-untold-story-of-psychiatry-shrinks-the-untold-story-of-psychiatry-lieberman-jeffrey-a-with-ogas-ogi-weidenfeld-nicolson-2015-342-pp
#14
Rajesh Maheshwari
No abstract text is available yet for this article.
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28658967/bridging-the-ocean-kiribati-australia-alliance-in-mental-health
#15
Brigid Ryan, Manrenga Viane, Fran Timmins, Alex Smith, Claire Anstey
OBJECTIVE: The objective of this study was to demonstrate the benefits of collaboration between Australia and Kiribati, a Pacific island nation, to enhance Kiribati's mental health system. METHOD: The collaboration involved a training program for a Kiribati senior mental health leader in Melbourne, Australia, and service planning including prioritisation of key areas for development. RESULTS: As well as receiving general training in community-based mental health, the Kiribati mental health leader gained skills in modification of the inpatient environment, with plans for implementation in Kiribati within the current limited resources...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28648095/key-performance-indicators-for-australian-mental-health-court-liaison-services
#16
Fiona Davidson, Ed Heffernan, David Greenberg, Tony Butler, Philip Burgess
OBJECTIVES: The aim of this paper is to describe the development and technical specifications of a framework and national key performance indicators (KPIs) for Australian mental health Court Liaison Services (CLSs) by the National Mental Health Court Liaison Performance Working Group (Working Group). METHODS: Representatives from each Australian State and Territory were invited to form a Working Group. Through a series of national workshops and meetings, a framework and set of performance indicators were developed using a review of literature and expert opinion...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28648090/effectiveness-of-a-10-week-group-program-based-on-dialectical-behaviour-therapy-skills-among-patients-with-personality-and-mood-disorders-findings-from-a-pilot-study
#17
Agatha M Conrad, Anoop Sankaranarayanan, Terry J Lewin, Anna Dunbar
OBJECTIVES: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. METHODS: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28747129/talking-with-dr-kym-jenkins
#18
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28747128/college-opposes-10-year-moratorium
#19
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28747127/thoughts-on-redefining-residential-rehabilitation-in-australia
#20
Stephen Parker, Dan Siskind, Frances Dark
No abstract text is available yet for this article.
August 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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