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Journée mondiale de la schizophrénie: 4 choses à savoir sur cette maladie
The purpose of this study was to provide information about the prevalence and symptom correlates of these subclinical hallucinations and delusions that occur in a nonpsychotic population of adolescents. The results of this study begin to clarify the phenomenon of hallucinatory and delusional experiences in a nonpsychotic population. Volume 38 , Issue 4. If you do not receive an email within 10 minutes, your email address may not be registered, and you may need to create a new Wiley Online Library account.
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When a child ran into trouble in an out-patient unit, how easy was it to find an alternative placement? This is especially so when, as in this case, the focus is not on outcomes— eg. The interest of historians of medicine in patient records as sources is relatively recent. In a article, John Harley Warner and Guenther Risse commended patient records as sources for a historical sociology of medical knowledge and practice, although they admitted that medical records rarely revealed why clinicians did what they did or what they meant by doing what they did.
First, because we are interested in practice as an iterative process, we looked for longitudinal records that followed patients over time. In the s, leading French journals of child psychiatry eg. First, diagnoses were often made with remarkable speed sometimes after a single visit and on the basis of referral notes and tests, without much interaction with the child. Secondly, there was widespread use of psychopharmacological treatments, primarily Largactyl, but also Reserpine and Haloperidol. In France, the s marked the dawn of the psychopharmacological era with its enthusiasm for magic bullets.
It contains the logs of medication prescribed and taken; treatment protocols; handwritten results of in-take and follow-up medical examinations; print outs of EEGs, intermittent reports on interviews with M-H and her parents. The record begins in March of , when M-H was first admitted and ends effectively in October of , with a brief coda in The record contains revealing factual errors. She was re-hospitalized in December of and released in July of In the inside pages, the dossier correctly recorded the period as composed of two distinct stays.
There was a third stay between June and October Dif—likely came from OSE. According to the hospital record, M-H had been placed with OSE when she was eight; in fact she was five and a half years old when she first entered the OSE home of Draveil. She had had 8 years of collective living before her hospitalization. The inside covers of the dossier provide further detail.
The oldest, diagnosed as being a schizophrenic, was said to have been interned at Perray-Vaucluse mental hospital at the age of In fact, the young man was diagnosed and interned at the age of The difference between pediatric schizophrenia, which has features in common with autism, and adolescent schizophrenia was known at the time. At 8 years of age, her behavior was normal, though she was difficult the details were not specified and needed special help. Her school work was about average.
In fact, between the ages of 1 and 5, M-H was with as many as 5 or 6 different nannies.
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When M-H was 12 and a half and had lived in Draveil for five years straight and on and off for a few more years, her mother succeeded over the objections of the father in bringing M-H back to the family home. This particular time, while living in her family home, M-H began attending the local school. But after 15 days of having her at home, the father asked OSE to take her back. There had been a petty theft of candies and the child was not polite. M-H returned to Draveil and there she came apart. She broke dishes; the police were called.
The following day, M-H was taken for an examination to the polyclinic at Boulevard Ney, where her behavior was described as abnormal, very excited, marked by streams of talk, repetition of certain phrases without stop. The advice of the doctor at Boulevard Ney was to separate M-H from her family. The importance given to the broken dishes is noteworthy: the fear of a disorderly child was always just below the surface.
When she arrived, she talked repeatedly about having saved her mother from death.
Michaux taunted the child. Largactyl was prescribed on the first day.
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The hospital records give little clue. The hospital file reveals nothing about arrangements made for her upon discharge. After 3 months, M-H left the hospital for her family home.
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But, according to a report, she isolated herself from others. In late November, she succeeded in returning to Draveil, but only for a brief time.
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She was described as having a pre-psychotic personality, displaying dissociation not inconsistent with her manic behavior. Irene Opolon. In a follow-up letter, written three days later, Dr. Opolon concluded that hospitalization would be preferable to a return to Draveil, where M-H could not be adequately supervised. In January, the dossier recorded a notable aggravation of her behavioral difficulties, her psycho-motor agitation, and her anxiety, which led her to accost doctors and nurses and to cry when they moved away.
She seemed to be hallucinating, having difficulty walking. Things improved when the dosage of Largactyl was increased. A decision was made to isolate her. She took Largactyl and Eunoctal throughout most of her stay. In February and March of , a few months after her re-admission, she was also given Reserpine, but that was cut back by April. The revolving door of treatments suggests that physicians were experimenting with the drugs. The heavy regimen was rationalized: there is a note from a Dr. With more Largactyl, Laroche noted, the agitation tapered off and the behavior normalized. Whatever the case, armed with a prescription for Largactyl and Eunoctal, M-H returned to her family home, where the situation went downhill.
She was fighting with her parents. She ran away and showed up at Porte Dauphine with her suitcase. The hospital file contains a verbatim record of an interview conducted by Dr. M-H had several attacks of a brief delusional and schizophrenic disorder, which increased in severity, but between bouts, she studied. Why was that not a sustainable regime? She was recorded as suffering from heightened agitation, psycho-motor excitement and logorrhea.