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Dissociation and Dissociative Amnesia. While memory disturbances are often associated with organic brain disease, crime-related amnesia raises the question of dissociation, a term that refers to the disruption of normally integrated functions of consciousness, memory, identity, or perception of the environment. A dissociative state is an altered state of consciousness concurrent with a traumatic experience. Dissociative amnesia, formerly termed psychogenic or functional amnesia, is a disorder characterized by the inability to remember important personal experiences and events after a traumatic experience of psychological origin.
© Journal of Psychoactive Drugs, Vol. 36 (1), September 2004, 303-313
Robert S. Gable, J.D., Ph.D.* Abstract—This paper summarizes the short-term physiological toxicity and the adverse behavioral effects of four substances (GHB, ketamine, MDMA, Rohypnol®)) that have been used at late-night dance clubs. The two primary data sources were case studies of human fatalities and experimental studies with laboratory animals. A “safety ratio” was calculated for each substance based on its estimated lethal dose and its customary recreational dose. GHB (gamma-hydroxybutyrate) appears to be the most physiologically toxic; Rohypnol (flunitrazepam) appears to be the least physiologically toxic. The single most risk-producing behavior of club drug users is combining psychoactive substances, usually involving alcohol. Hazardous drug-use sequelae such as accidents, aggressive behavior, and addiction were not factored into the safety ratio estimates.
Walk into any pharmacy in the U.S., Canada, or Western Europe today and ask to examine a bottle of prescription medicine chosen at random and there is a 1 in 4 chance that the medicine you hold in your hand has an active ingredient derived form a plant.
Committee Updates
William Park, MD, Chairman, Pharmacy and Therapeutics Committee
Curtis C. Dorn, MD, Chairman, Committee for Safe Medication Practice
Meperidine Removed from Formulary Meperidine was reviewed by the Pharmacy and Therapeutics Committee in December 2006 and January 2007 and by the Executive Committee of the Medical Staff in February 2007 Due to safety concerns, meperidine was removed from formulary. This formulary change will take effect March 1 2007. After March 1, orders for post-operative shivering and drug/blood product induced rigors will be honored and procedural and OB area single-episode use will be allowed. Al other orders for meperidine will be therapeutically substituted to morphine or hydromorphone based on the table below.
By ETHAN WATTERS
January 10, 2010 The Americanization of Mental Illness By ETHAN WATTERS AMERICANS, particularly if they are of a certain leftward-leaning, college-educated type, worry about our country’s blunders into other cultures. In some circles, it is easy to make friends with a rousing rant about the McDonald’s near Tiananmen Square, the Nike factory in Malaysia or the latest blowback from our political or military interventions abroad. For all our self-recrimination, however, we may have yet to face one of the most remarkable effects of American-led globalization. We have for many years been busily engaged in a grand project of Americanizing the world’s understanding of mental health and illness. We may indeed be far along in homogenizing the way the world goes mad.
University of California, Berkeley
Invited address prepared for the 50th anniversary meeting of the Society for Clinical and Experimental Hypnosis, New Orleans, November 1999. I thank Roger Kessler for reading this address in my absence, when a brief illness prevented me from attending in person.
The paper was subsequently revised and expanded for presentation at the annual meeting of the American Psychological Association, San Francisco, August 2001. Click here to read this later version of the paper.
An edited version of this paper appeared in the International Journal of Clinical & Experimental Hypnosis, 2003, 51, 166-189.
This webpage preserves those remarks, made in the earliest version, that were specific to the occasion.
Anxiety Disorders:
Anxiety disorders are characterized as long-standing disruptions of the normal pattern of living that results in anxiety or the feeling fear or apprehension.
Use additional code(s) to identify any associated psychiatric or physical condition(s)
317 Mild mental retardation
300 Neurotic disorders
300.0 Anxiety states
Excludes: anxiety in:
acute stress reaction (308.0)
Neurotic Disorders, Personality Disorders, And Other Nonpsychotic Mental Disorders (300-316)