Delusional ideas disorder is characterized by the appearance of a single delusional theme or a group of related ideas together, which normally are very persistent.

This, plus the fact that the definition of the disorder have been changing and that these patients rarely seek psychiatric help, makes it difficult to accurately assess their epidemiology, but it is estimated that delirious take between 1 and 4% of psychiatric entries and its prevalence in the general population is 0.03%.

Analyze the variables that influence the clinical evolution.

1. - Risk factors

2. - Protective Factors

Rate the treatments tested in Mental Health since the patient is diagnosed.

Analysis of the clinical history of the patient's mental health. Results-Case report

Male, 36, who was diagnosed with delusional disorder at the age of 21, after starring an episode of hetero-aggressiveness to objects.

From the beginning is characterized by delusional interpretations of referential character, gradually reaching a systematic structure delusional. Secondarily, this causes episodes of behaviour disorders with occasional psychomotor agitation, important social isolation and withdrawal, seriously affecting their daily functioning.

During a year, he required four hospitalizations for exacerbation of clinical psychotic delusional self-referential and prejudice delusional ideation, with intense feelings of hopelessness and suicidal ideation.

Since the possibilities of treatment of this disorder are limited by little or no disease awareness and that his delusions are usually highly structured, we find it important continue investigating the keys to achieving higher therapeutic adherence and successful social adaptation despite continue with chronic delusional ideation.

The increased demand for assessment and treatment of Autism Spectrum Disorders in adults has caused long delays in mental health services. There is currently no diagnostic tool available to assess the urgency of the autistic symptoms, preventing a prioritization in the waiting lists. Promising new instruments are the 80-item Ritvo Autism Asperger Diagnostic Scale-Revised, (RAADS-R)(Ritvo et al., 2010) and abridged forms of the 50-item Autism Spectrum Quotient (AQ-10 and AQ-28).

To determine the ability of the RAADS-R and the abridged versions of the AQ to predict a clinical diagnosis of ASD in an adult outpatient population.

RAADS-R and abridged AQ versions will be completed by 250 normally intelligent adults, sequentially recruited from new referrals for ASD assessment in six outpatient settings in the Netherlands. Assessing clinicians are blind to the RAADS-R and AQ scores. At the end of the study, the clinical diagnosis (ASD or no ASD) will be related to the RAADS-R and AQ-scores collected prior to the assessments

At present 198 adults have been included in the study, as well as 50 normal controls. The average age is 39 years (SD 13.2), and 80% is male. In March 2014 we will be able to present preliminary data on the predictive values of the RAADS-R, the AQ-10 and the AQ-28.

Ritvo, R. A., et al. (2010). The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): A Scale to Assist the Diagnosis of Autism Spectrum Disorder in Adults: An International Validation Study. J. Autism Dev. Disord.

Psychic trauma is an experience that overwhelms human capacity to cope. The diagnosis of PTSD was introduced in 1980, but traumatization as mental disorder can be retrospectively ascribed to many occurrences in history, its thorough description probably starting with the concept of’war neurosis’ by Freud. Psychoanalytic theory has since advanced: Bion, Winnicott, Lacan and Balint have made crucial contributions. This paper aims to explore on theoretical and practical approaches of contemporary psychoanalysis in the treatment of PTSD.

Austria is confronted with about 17 000 asylum seekers each year, amongst them over 3000 people from the Russian Federation, especially from Chechnya, thereby constituing the second biggest group. My paper is based on single case studies with Russian female clients at the Sigmund Freud University Outpatient clinic in Vienna, where psychotherapy in different languages is provided. Furthermore I am building upon my own practical experiences achieved in AmberMed, a medical center for people without insurance in Vienna. The literature review will include psychoanalytic approaches as provided by the 20th century's theorists of object relation in Western Europe.

The outcome will be psychotherapeutic insights based on thorough literature research as well as personal clinic experience. Furthermore recommendations will be offered regarding the prevention of burnouts of analysts in course of the treatment. As psychological trauma includes experiences of helplessness and disconnection from others, a recovery is only possible by establishing new relationship, of which the first might be with the psychoanalyst.

Bam huge earthquake is one of the most tragic natural disaster which happened in the last decade. Approximately 40000 people died among several seconds and more than it were rescued with physically or psychologically affected.

to introduce very scarce case which did not mention it directly in literatures but so similar cases were reported with another somatic for psychiatrists and psychologists from this experience.

rhetorical case expression

Mr Barani is a married man who lived in Baravat sub urban region of Bam. He has about 45 years old without any physical trauma during earthquake and also low socio economic state. about 5 AM of earthquake date at the first dates Christian new year. he took his kid left hand and escaped into the crowded road by frightened people. Suddenly his hand separated from his kid hand and his son was collided by a car. Mr. barani was under shock. People brought the kid because of his severe head injury and vital sign situation to Kerman hospital at the ward of neurosurgery. His father thought his son has died but after 3 months he rescued from this second event but his father right hand has been paralyzed.

he was diagnosed and treat his conversion with psychotherapeutic intervention emphasized on relaxation training, positive self enhancement cognitive restructuring and physical training to mobilize the paralyzed hand by himself.

it seems symptom associated closely with car accident and other deferential diagnoses were ruled out

Experience in the field of professional and social activation and employment of people with moderate and severe intellectual disabilities indicates the need to seek specific strategies for solving problems on the way into the labor market of people recruited from this social group.

The analysis of the limitations and difficulties in recruiting these people, and based on samples taken before employing them on the open market, gave birth to the concept of developing an innovative system to support candidates for employment.

The development of the Project’Our work - preventing discrimination against disabled people in access to work, preceded by a very detailed analysis of the situation, required a creation of a timetable for action, specification of the project management, definition of technical facilities and personnel involved in the project, defining the target group, identification of needs, preferences and predispositions diagnosis of the candidates, development of workshop programs tailored to the level of functioning and the perception of participants, and the demarcation of the general and specific objectives of the Project.

The proposal of the concept represented a change from current thinking about the employment of disabled persons through’matching them to work’ and a new environment (which often ends as a trauma and feeling of having failed) to the’matching jobs to particular people.’

This is an innovative career path for investigation by the employment of people with intellectual disabilities, defined as those with particular difficulties entering and staying in the labor market.

Cognitive deficit in modal specify memory at children with endogenous mental disorders is studied a little. There are data about tactual activity metamorphose in children with schizophrenia. It is important to compare storing stimuli in normal and mental illness children.

experimental group - 73 patients (44 - males) from 8 to 16 years (12.4 ± 2.3) with childhood schizophrenia (F20.8), comparison group - 13 patients (13 ± 2.3 years) with F06.7; control group 135 (78 males) normal children (12±2,5). We used adaptation of ICD-10 for RF.

comparison of arbitrary memory on different kinds of stimul.

3 experimental series assessing memory (tactile, haptic, and visual) by recognition stimuli (S) among distractors (D); Z-scales were used for estimation of cognitive deficit in storing.

Table 1. Z-scale of model specify memory in children of experimental group and comparison group

Degree of storing deficit is connected with clinical diagnosis.

Patients with F20.8 have strong deficit in all modalities of memory (tactile, haptic (stereo), and visual).

F06.07 patients demonstrate a light degree of storing deficit then patients with F20.8.

F06.07 patients have no significant differences with control group in visual memory (S and D), have strong deficit in tactile memory

Mental health education is not compulsory in the UK therefore adolescents have very varied experiences despite half of people with mental health illnesses reporting having experienced symptoms by 14 years old. University students are ideal for delivering a relaxed, educational intervention aimed at this age group, providing an opportunity to for them to learn necessary tools for recognising signs of poor mental health and tackle associated stigma.

To expand Headucate's membership, including other disciplines within the University of East Anglia (UEA) and provide core training enabling members to deliver a school-based educational intervention

Recruitment of members has been a multifaceted approach utilising social media sites such as Facebook and the Headucate website, and oncampus events and ‘awareness campaigns’ including several successful evening talks and lectures.

Three training sessions, which include ‘Introduction to Mental Health’, ‘Workshop run-through’ and ‘Child Protection’, have been developed for all members wishing to partake in the delivery of workshops.

We have recruited approximately 300 members since summer 2012; 70 fully paid members in 2012/13 academic year and currently 45 paid members for 2013/14.

A total of 18 members are fully trained and ready to deliver workshops within schools and 17 other members have just one training session remaining.

We are looking forward to delivering our first workshops in October and building on a successful first year. We are confident we can provide workshops for approximately 600 children per year.

Different psychosocial factors could serve as a predictor of drug addiction treatment outcome. However the interplay of those factors is still poorly understood and further research is needed. Attempts were made to improve outcomes of addiction treatment by addressing patient characteristics that predict continued drug use.

The purpose of the study was examination of the relationships that exist among hypothesised variables and outcome of hospital treatment of opioid dependence. Positive outcome was defined as abstinence of illicit drugs in the 28 days before review.

A group of 151 patients consecutively admitted to a closed detoxification unit between October 2011 and May 2013 were assessed. Data about age, gender, psychiatric disorders, sexual abuse, criminal activity, drug use after three months and i.v. drug use were collected. A multivariate logistic regression was used.

The results of multivariate logistic regression indicated that negative treatment outcome was associated with age of patients.

Our model showed that older patients had negative outcome more often. The further research is needed to find out if older patients have more drug related problems.

ADHD is the most commonly diagnosed behavioral disorder of childhood, and that it occurs in 3 to 5 percent of school-age children, this means that it affects a great part of the Egyptian population. The etiology of ADHD is unknown. Therefore understanding the etiology and pathogenesis of ADHD is a key and important challenge in psychiatry.

To investigate the relationship between the dopamine transporter gene (SLC6A3) 3’-UTR VNTR genotypes and Wisconsin Card Sorting Test in children with ADHD versus control, 50 children diagnosed with ADHD and 50 of control children were sequentially recruited, genotyped, and tested using neuropsychological tests.

There were significant differences in Total Category First Completed (TCFC) and categories completed indices of WCST results between cases and control. No significant difference in genotype of DAT 3’UTR VNTR genotypes was found between cases and control. The most common genotype among both ADHD cases and control was 9/10 while the least genotype was 9/9 among both groups. No significant genetic correlation and WCST indices in ADHD children.

There is impairment of set shifting domain of executive function in ADHD children. No significant genetic correlation and WCST indices in ADHD children

Given the high prevalence, severity and difficulty recognizing psychiatric disorders in patients with TBI, it is necessary to conduct a detailed history, gathering information on the location of the lesion and its relationship with the table in the psychopathological examination.

Illustrated by a clinical case, the close relationship between the injury of specific brain areas and the emergence of psychopathology that allows us to deepen the understanding of the biological substrate of mental disorders.

Exposure of a clinical picture and brief literature review of the existing literature.

We report the case of a man of 49 years old, no personal or family history was admitted to the hospital after a traffic accident with severe TBI. Computed tomography (CT) scan shows intraparenquematoso right temporal hematoma, subarachnoid hemorrhage, subdural hematoma right, pneumocephalus front right, front left fracture of both orbits and right maxillary sinus.

The interest in the study and the relationship of psychiatric symptoms with the location of the lesions, we can provide improved understanding of the biological basis of mental disorders.

The diagnostics of cognitive disorders (CD) as a brain subclinical lesion marker in patients with essential arterial hypertension (EAH) is often ne? essary for the choice of treatment strategy.

To investigate the dynamics of CD in patients with EAH during antihypertensive treatment.

25 patients with EAH took the part in the study, stage 1-2, mean age was 67,6±6,1. Antihypertensive therapy with fixed dose combination amlodipine 5 mg/lisinopril 10 mg (with dose titration if necessary) was prescribed for all of them during 24 weeks. The assessment of cognitive functions was conducted with A.R. Luria's qualitative neuropsychological assessment scheme before and after the treatment.

At first, impairments of visual-action thinking were found in 24% of patients, and impairments of verbal-logical thinking - in 24% of patients. After the treatment the number of patients with disorders in visual-action sphere was reduced to 12%, and in verbal-logical to 8%.

Attention deficits were found in 60% of patients, after the treatment in 52%. The audio-verbal memory capacity was impaired in 48% of patients both before and after the treatment. The reliable reduction of paraphasia's number was revealed. The reduction of short-term visual memory capacity met in 88% of cases before the treatment, and long-term in 12%. After 24 weeks the number of patients with stated memory disorders reduced to 76% and 8% accordingly.

The improvement of thinking, the reduction of paraphasia's number and the improvement of the memorization accuracy were found in EAH patients after the antihypertensive treatment.

A growing interest is raising on the issue of prisoners’ mental health (Birmingham, 2003). Scholars have mainly addressed the psychiatric and personality disorders among prisoners (Fazel & Seewald, 2012) and other authors have stressed the importance to highlight the role of psychopathological and specifically dissociative symptoms (Ruiz, Poythress, Lilienfeld, & Douglas, 2008).

This study sought to examine the presence and the severity of dissociative symptoms, as well as their relationships with psychopathology.

We analyze three different kinds of dissociative experiences (dissociative amnesia, depersonalization/derealization, and absorption in imaginative processes) in order to investigate potential links between them and a broad range of psychopathological symptoms.

A sample of 28 male inmates (mean age=41.04) was assessed by administering the Dissociative Experiences Scale-II (DES-II; Carlson & Putnam, 1993), and the 53-items Brief Symptom Inventory (BSI; Derogatis, 1975, 1983) in order to assess the current psychopathological distress with a total score and 9 subscales.

The mean level of dissociation (DES-II, total score= 17.94) was in line with the normative data for clinical samples, as previous studies have already shown (Snow, Beckman, & Brack, 1996). Several positive correlations among the three types of dissociative experiences and all the different domains of psychopathological symptoms are explored in depth.

Dissociation and psychopathology seems to be much prevalent among prisoners, as well as strongly related. Further studies should aim to clarify the direction of this link, and try to address the question as to whether they are more personally-rooted or situationally-determined.

In spite of some adverse opinions (Bushman & Anderson, 2001), at the state of the art pathological aggression is typically depicted as affective/impulsive or predatory (Fonagy, 2004; Meloy, 2006). More recently, some authors argued that different specific facets of impulsivity may predict different types of aggression (Derefinko et al., 2011).

In this study, we focus on three different kinds of impulsivity, namely motor, attention, and non-planning impulsiveness. On the other hand, we consider aggression through four components: verbal aggression, physical aggression, anger, and hostility.

We try to highlight if various kinds of aggressiveness may be better understood through different precursor in impulsivity domains.

The Barratt Impulsiveness Scale (BIS-11; Patton et al., 1995) encompasses the three types of impulsivity sketched above; the Aggression Questionnaire (AQ; Buss & Perry, 1992) assesses aggression as the sum of the four features before depicted. This preliminary sample consists of 50 incarcerated violent offenders (all males; mean age=41.04).

The two measures appear to be positively related (r=0.525; p<0.01) and differential relations are significant. Motor and non-planning impulsiveness are strongly linked with physical aggression (respectively: r=0.478 and r=0.433; p<0.05); instead, the attention component of impulsivity appears associated with hostility (r=0.548; p<0.01). Finally, the higher correlation has been found between dispositional anger and motor impulsiveness (r=0.597; p<0.01).

In line with our preliminary results, a proper examination of the different aspects of impulsiveness would be helpful in both the care and the custody of violent offenders.

The propensity to react aggressively seems to be underpinned by rejection sensitivity, namely the disposition to anxiously expect, readily perceive, and intensely react to perceived rejection by significant others (Downey, Feldman, & Ayduk, 2000). The scientific debate has recently turned the attention to the possible contribution of emotion dysregulation toward violent behavior (Roberton, Daffern, & Bucks, 2012). Taken together, these two elements have been scarcely investigated.

On the basis of Gratz and Roemer (2004) conceptualization, we consider emotion regulation as involving: the awareness, understanding and acceptance of emotions; the ability to control impulsive behaviors and pursue desired goals under emotional arousal; the ability to use emotion regulation strategies flexibly.

This study sought to examine whether difficulties in any specific domains of emotion regulation were linked to increased rejection sensitivity, which in turn can lead to aggression.

A sample of 50 male inmates (mean age=41.04) was recruited and assessed through the Difficulties in Emotion Regulation Scale (DERS; Giromini et al., 2012), and the Rejection Sensitivity Questionnaire-Adult Version (A-RSQ; Berenson et al., 2009).

Participants shown low scores on both DERS and A-RSQ, if compared with normative data. However, a significant, positive relation was found between difficulties in emotional acceptance and rejection sensitivity (r=0.398; p<0.05).

These preliminary results suggest that a reduction in rejection sensitivity could be endorsed by the increased acceptance of emotions, and so the latter may serve as a protective factor toward aggression, and as a potential target for clinical interventions.

Aggressiveness is not an exclusive issue for justice and mental health systems, but rather a dimension present at different levels among all (Stone, 2009). In Kernberg's (2006) theory, also impulsivity is not conceptualized as pathological in any case, but rather a vulnerability factor for the development of psychopathology. Even if they often merge in the concept of’impulsive-aggression’, they seem to represent two separate, though overlapping, constructs (Garcìa-Forero et al., 2009).

We focus on four facets of aggressiveness: hostility, anger, verbal and physical aggression; and three kinds of impulsiveness: motor, attention, and non-planning.

The present study seeks to examine whether particular types of impulsivity are related with different kinds of aggressiveness, rather than to aggression-proneness in general.

A mixed sample of 99 individual (age: M=35.85, SD=10.45 for men, n=49; M=26.58, SD=7.08 for women, n=50) was recruited. Impulsiveness was assessed by the Barratt Impulsiveness Scale (BIS-11; Patton et al., 1995), whereas aggressiveness by the Aggression Questionnaire (AQ; Buss & Perry, 1992).

Age shown a moderate, negative, relation with aggression but not with impulsiveness. Gender, on the contrary, correlates only with impulsiveness, with men scoring significantly higher (t(97)=2.07; p<0.05). Although the two total scores (i.e. AQ and BSI-11) reported a significant relation (r=0.334; p<0.01), the higher value characterized the association between hostility and the attention component of impulsiveness (r=0.502; p<0.001). Other relations will be discussed in depth.

Our findings highlight the importance to consider both impulsiveness and aggression pointing out the differences among their distinctive features.

To estimate the efficacy of lamotrigine as add-on therapy in patients with recurrent depression resistant to antidepressive pharmacotherapy.

The study included 55 patients of both sexes aged 18-65 years with recurrent depressive disorder. At the time of inclusion in the study, patients received antidepressive pharmacotherapy for 2 months with a reduction in depressive symptoms less than 25%.

According to the results of clinical observations, patients with atypical variants of depressive symptoms have been isolated

1. - Anxious or agitated depression with dominance or significant share of anxiety affect, ideational and motor excitation, high suicide risk;

2. - Apathetic depression - lack of desire and motivation to work, intolerance to intellectual and physical activities;

3. - Adynamic or anergic depression dominated by slackness, weakness in the presence of the desire for activity;

4. - Dysphoric depression with an angry, irritable background mood, a tendency to auto-and getero-agressive actions.

In patients with atypical depression and (anxious and dysphoric), lamotrigine adjunctive therapy, a significantly more positive dynamic state was observed than in patients with classical clinical picture of depression.

On the Hamilton depression scale decreased to 13 points or less (no anxiety-depressive symptoms) with 25 points or more (clinical symptoms of anxiety depression) at the beginning of the research;

The efficacy of lamotrigine to overcome treatment resistance in recurrent depression. The most expedient is to use it for additional therapy in combination with antidepressants in recurrent depression with atypical clinical picture of depression - anxious and dysphoric.