Post-organizational memory deficits in severely disturbed schizophrenics

Available from British Library Document Supply Centre- DSC:D39531/82 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Firesetting: Psychopathology, theory and treatment

In this paper, we comprehensively review characteristics of adult firesetters, and the etiological features of firesetting. In particular, we pay attention to contemporary research available as to core traits and psychopathological features required to understand firesetters, and the classificatory systems and etiological theories developed to understand firesetting. This evaluation of contemporary research suggests that clinical knowledge and practice relating to firesetting is extremely underdeveloped relative to other areas of forensicclinical psychology.We conclude that there are very few etiological theories available to guide consulting clinicians in this area, and little information available specifying the exact criminogenic needs associated with firesetters, or how these needs compare to other offender groups. The significant lack of contemporary treatment programs designed to target firesetting behavior is also noted.We conclude by highlighting core areas for future research and treatment progression

The subjective experience of patients who received electroconvulsive therapy

Objective: Despite the vast amount of scientific literature available on electroconvulsive therapy (ECT), there is little qualitative focus upon the patients’ subjective experience of this procedure. Using an exploratory descriptive methodology, this study aims to provide a more unique insight into what certain patients actually think of ECT. Method: Semistructured interviews were conducted to explore eight patients’ opinions and experiences of ECT. Interviews were subjected to analysis by a five-step framework approach that identified prominent themes in relation to five broad questions and in conjunction with issues raised by the subjects themselves. Results: Eleven major themes were identified. Four of these were chosen for discussion, not only as the most prevalent themes (in terms of how frequently they were mentioned by the subjects), but also as the most striking (in regards to the intensity of emotions evoked, or their influence on their perception of ECT as a future treatment option). The four themes are fear of ECT, attribution of cognitive decline and memory loss to ECT, positive ECT experiences, and patients’ suggestions. Conclusions: Using such a qualitative approach, the depth of the information obtained has revealed new perspectives on how patients perceive the experience of ECT. Fears reported by patients present an opportunity to address specific areas of the procedure that generate the most angst. These were closely associated with recommendations that many patients proposed throughout the interviews. Patients’ perceptions of the cognitive effects of ECT do not necessarily correspond with those commonly reported in the literature on ECT. Positive experiences with ECT were more complex than simply its efficacy. There is a need for future research in order to explore and address patients’ experiences of ECT.Leslie Frank Koopowitz, Anna Chur-Hansen, Sally Reid and Miriam Blashk