Promethazine-Chlorpromazine Combination in the Treatment of Unmanageable Psychotic Patients

Administering a combination of promethazine and chlorpromazine to patients with a galloping psychosis has an antipsychotic and tranquilizing effect which calms them down to a more manageable and less aggressive state. The drugs are chemically similar; promethazine\u27s actions are strongly potentiated in the combination, so large doses must be given under careful supervision. Case histories demonstrate successful short term management of acutely psychotic, aggressive patients who were a danger to themselves and others

Themes in cultural psychiatry, an annotated bibliography, 1975-1980

Includes bibliographical references and index.While expanding on the previous compilation, Anthropological and Cross-Cultural Themes in Mental Health: An Annotated Bibliography, 1925-1974, Favazza anthologizes the next five years of literature on cultural psychiatry. The magnitude of material during this time period allowed Favazza to broaden the scope from cultural psychiatric themes in psychiatric and psychological journals to also include anthropological journals, non-English-language journals, and books as well.Introduction -- Journals cited in annotations -- Annotations -- Secondary author index -- Subject index.Digitized at the University of Missouri--Columbia MU Libraries Digitization Lab in 2012. Digitized at 600 dpi with Zeutschel, OS 15000 scanner. Access copy, available in MOspace, is 400 dpi, grayscale

Varieties of Pathological Self-Mutilation

Pathological self-mutilation appears as a non-specific symptom as well as a specific syndrome. Since psychotic persons may commit horrifying acts, such as enucleation of an eye or amputation of a body part, identification of high risk patients is crucial. Stereotypical self-mutilation, such as head banging and biting off of fingertips, is associated with mental retardation and with the syndromes of Lesch-Nyhan, deLange, and Tourette. This type of self-mutilation is the focus of biological research or endorphins and on dopamine receptors. Skin cutting and burning, the most common type of self-mutilation, is often associated with personality disorders, post-traumatic stress disorder, and multiple personality disorder. When cutting and burning become established as responses to disturbing psychological symptoms on environmental events, a specific Axis I impulse disorder known as Repetitive Self Mutilation may be diagnosed. Patients with this newly identified syndrome may alternate their direct acts of self-mutilation with eating disorders and episodic alcoholism