Psychiatric Times
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Surprisingly, to the eyes of many experts, the draft of DSM‐5 better captures the essence of narcissistic personality disorder (NPD) than previous versions did. Many clinicians (myself included) were dissatisfied with the descriptions of NPD in earlier versions of DSM. Persons with NPD are aggressive and boastful, overrate their performance, and blame others for their setbacks; current editions of DSM portray them as arrogant, entitled, exploitative, embedded in fantasies of grandeur, self‐centered, and charming but emotionally unavailable. This portrayal of persons with NPD conveys only a minimal sense of their self‐experience and misses their complexity.
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Effects of a Dedicated Regional Psychiatric Emergency Service on Boarding of Psychiatric Patients in Area Emergency Departments
INTRODUCTION Mental health patients boarding for long hours, even days, in United States emergency departments (EDs) awaiting transfer for psychiatric services has become a considerable and widespread problem. Past studies have shown average boarding times ranging from 6.8 hours to 34 hours. Most proposed solutions to this issue have focused solely on increasing available inpatient psychiatric ...
متن کاملThe Impact of Psychiatric Patient Boarding in Emergency Departments
Objectives. Studies have demonstrated the adverse effects of emergency department (ED) boarding. This study examines the impact of resource utilization, throughput, and financial impact for psychiatric patients awaiting inpatient placement. Methods. The authors retrospectively studied all psychiatric and non-psychiatric adult admissions in an Academic Medical Center ED (>68,000 adult visits) fr...
متن کاملAdult Functional Outcomes of Common Childhood Psychiatric Problems: A Prospective, Longitudinal Study.
IMPORTANCE Psychiatric problems are among the most common health problems of childhood. OBJECTIVE To test whether these health problems adversely affect adult functioning even if the problems themselves do not persist. DESIGN, SETTING, AND PARTICIPANTS Prospective, population-based study of 1420 participants from 11 predominantly rural counties of North Carolina who were assessed with struc...
متن کاملPsychiatric patients turnaround times in the emergency department
BACKGROUND To analyze the turnaround times of psychiatric patients within the Emergency Department (ED) from registration to discharge or hospitalization in a University Hospital in 2002. METHODS Data from a one-year period of psychiatric admissions to the emergency service at a University Hospital were monitored and analyzed focused on turnaround times within the ED. Information on patients ...
متن کاملPreterm birth and psychiatric disorders in young adult life.
CONTEXT Preterm birth, intrauterine growth restriction, and delivery-related hypoxia have been associated with schizophrenia. It is unclear whether these associations pertain to other adult-onset psychiatric disorders and whether these perinatal events are independent. OBJECTIVE To investigate the relationships among gestational age, nonoptimal fetal growth, Apgar score, and various psychiatr...
متن کاملCan counselling take place in acute clinical mental health?
The environment in which acute clinical psychiatric nursing occurs actively militates against the possibility of 'counselling' taking place at a ward level. However, a proportion of mental health nurses working in this area continue to describe themselves as counsellors thus perpetuating a cycle of misconception. This article examines the reality of acute psychiatric service provision in an att...
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