Sunday, October 7, r. O DnitMAfl M A M. aH viUe f nmslANl. Talbot. 8 A. M. CAPITOL. Cre. A M. ‘LACIXL HLLL. Cottcn. ilB. A. Frost. II M. cm. El Cuento Del SE Nor Jerem IAS Pescador – Libro De Essais de Morale, Contenus En Divers Traites Sur The Electrification of Russia, , Jonathan Coopersmith. When and how to prescribe psychotropic drugs for children and adolescents: une pensée à contenu pragmatique avec un mode d’expression très descriptif. for Children (STAIC) and by the Coopersmith’s Self-Esteem Inventory (SEI).
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The literature supports both alternatives.
These are lower than the scores reported for the general population of Higher self-esteem would not need to be defended against and would likely result in more varied content. Both were at the Clarke Institute of Psychiatry, a university-affiliated teaching centre in Toronto, Canada.
The PSE includes criteria se highly probable and less probable ratings. By contrast, Federn believes that psychosis itself is not a defence but a defeat 5. Instruments The following scales were used in the study: Post on Nov 15 views. Each subject was assigned a number, which was used by the raters when they were completing the ratings. Reliability coefficients for internal stability ud 0.
The 6-point scale ranged from congenu negative to very positive. Less frequent were thought insertion , thought broadcasting , somatic delusions , delusions of guilt , thought withdrawal , thought reading , religious delusions , delusions of jealousy , delusions of catastrophe , delusions of thought control , and sexual delusions . The most frequent were delusions of reference , persecution cntenu, grandiose delusions , and delusions of control .
The present study examines whether the content of delusions and hallucinations can be shown to reflect or to defend self-esteem. Global self-esteem and specific areas of self-esteem are meaningful constructs derived from conscious and unconscious self-assessments.
Waham Original Research Inggris
Two of these scales rated subjects reactions to each delusion or hallucination they experienced. On average, subjects found their delusions and hallucinations to be slightly uncomfortable and diminishing to the self.
These clusters represent relatively independent areas of self-esteem. Delusional content is therefore consistent with patients views of themselves, and this may partially account for the persistence of delusions.
The adult SEI form used in this study contains 25 items. The raters were 2 inpatient psychiatrists who were blind to subjects scores and to the identity of the subjects.
Organic delusional disorder was diagnosed in 2 subjects, drug-induced psychosis in 1 subject, and delusional disorder in 1 subject. Three scales were designed for use by the raters. Testretest reliability of the SRS is significant beyond the 0.
One scale asked raters to independently assess each delusion and hallucination for content related to global self-esteem or to each of the 5 specific areas of self-esteem measured by the SRS. The mean comfort level and enhancement effect for hallucinations were somewhat lower at 2. All subjects had been actively psychotic within the month prior to testing, and no subject was free of psychotic symptoms when tested. Cobtenu SEI measures global self-esteem 7. Following the structured interview, subjects completed the Coopersmiyh and Seo, and this ended their participation in the study.
Method Subjects The study took place on 2 inpatient units, one a general adult unit and the other a chronic schizophrenia unit. Seven patients refused to take part in the study for reasons that suggested a fear of manipulation or persecution. Correlations and shared variance between global self-esteem and 5 specific areas of self-esteem Self-regard Interpersonal relationships School and work abilities Physical appearance Physical abilities The Coopersmith Self-Esteem Inventory CorrelationShared variance 0.
Of the 40 subjects, 15 had delusions only, 2 had hallucinations only, and 23 had a combination of the two. These ratings were correlated with the results of self-esteem inventories completed by the subjects.
Kaney and Bentall suggest that delusions of persecution conyenu self-esteem by attributing blame for negative events to other people or circumstances 4. This increased the probability that overvalued ideas and illusions were excluded. The content of delusions reflects both global self-esteem and self-regard. Many psychological factors may be relevant, but few have been systematically and objectively investigated 1. Thus self-esteem is one intrapsychic factor that may be considered likely to influence the content of delusions and hallucinations.
The sections assessing delusions and hallucinations were used in this study. Factor analysis of the SRS produced 5 clusters of self-esteem: The delusions and hallucinations of 40 psychotic patients were assessed by 2 independent raters for content cooersmith of positive or negative self-esteem and for the extent to which the delusional content would be self-enhancing or diminishing and comforting or discomforting to the subject.
Immediately upon reporting a delusion or hallucination, the subject was asked to complete the scales assessing the comforting or discomforting and the enhancing or diminishing effects of the psychotic experience. Hallucinations have been found by Miller and others and Romme and others to enhance self-concept and self-esteem 2,3.
Information on variables such as age, education, medications prescribed, and length of illness was obtained from each subjects chart.
Ddu PSE is a structured interview that focuses mainly on the psychotic symptoms a subject has experienced during the preceding month 6.
Schizoaffective disorder, manic episode and major depressive episode with psychotic features were each diagnosed in 5 subjects. This study demonstrates that 2 specific personality factors, global self-esteem and self-regard, are reflected in seo content of delusions and influence whether those delusions are experienced as comfortable or uncomfortable conenu enhancing or diminishing. To investigate the hypothesis that the content of delusions and hallucinations is significantly influenced by subjects global self-esteem and by 5 specific areas of self-esteem.
Forty-seven successive admissions were recruited who met inclusion criteria for the study, such as having experienced active psychosis within the past month.
Categories of Delusions and Hallucinations One hundred and fifty-nine delusions were reported by the 40 subjects mean 3.