The management of non-linear and grey clinical data, so frequent in psychiatry, needs the development of new statistical tools, able to give value to subjectivity and complexity of the observed changes.

A comparison between soft computing models, psychodynamic theory and clinical observations in the experience of psychiatric rehabilitation.

To test the use of some dynamic fuzzy algorithms (like clustering, ellipsoidal rules, least square method) in order to improve data analysis in the field of clinical research in psychiatry.

The role of slow, evolutionary, multifactorial, minute movements and their potential significance become readable, especially referred to the subjective observations of the clinical operators.

In this work, that it's necessary to consider only a first step, seems that Dynamic Fuzzy Functions may have a future role in the development of new assessments of clinical data in psychiatry.

The department of Psychiatry at Hamad Medical Corporation (HMC) in Qatar, and guided by the national mental health plan, initiated a plan for suicide registry for the country.

Collect information on the patients presenting with self-harm and suicidal behaviors to the Emergency Department (ED), the primary emergency facility in Qatar.

Collection of data on the characteristics of the patients presenting to ED with intentional or accidental self-harm.

Retrospective chart review of all the cases presented to ED with self-harm, suicide attempts or committed suicide during the period between July 2011 and July 2012. Questionnaires were developed to collect the socio-demographic and clinical data available.

A total of 470 cases were identified (48 completed suicide, 165 admitted/suicide attempts, 105 intentional self-harm/not admitted and 152 accidental self harm). The majority of completed suicide were males, expatriates, in their mid 30s and died by hanging. In the admitted suicide attempters, the method was overdose; the male/female ratio was equal, mostly single, employed expatriates, and no past psychiatric diagnosis, substance abuse or previous suicide attempts. The majority of accidental self-harm were secondary to intake of high doses of non-opiate painkillers. Data on many variables were missing. More comparisons will be presented in relation to the demographics in Qatar.

The data suggest that the single male immigrants in Qatar should receive more support and more screening. More prospective data are needed with adequate collection of data to improve the quality of the registry and thus design better prevention programs.

Despite the high prevalence of obsessive-compulsive symptoms located around 2-3% of the population, there continue to be cases where the characteristics of the patient or the circumstances of their environment, they fall short queries mental health or when they do not for the disorder itself, but for another reason obsessional symptoms worsen.

Expose using clinical case, the existence of patients with obsessive pathology whose characteristics do not seek mental health consultation, until this is associated with a new disease that interferes significantly in vital organization.

We report the case of a man of 88 years old, married at 60, was admitted to the psychiatric consultation at the request of his wife 29 years his junior, for behavioral disorders several years of evolution and history of obsessive symptoms compulsive, which did not interfere with their daily lives by the lack of insight and poor social environment

OCD is included in anxiety disorders.

It is characterized by the presence of obsessions and compulsions that interfere with personal, work and / or patient's social.

There are cases that own personality traits of the patient, this disorder is not diagnosed early and choose to go only when associated with worsening cognitive impairment rituals and interfere with family life.

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.