By D. G. Cunningham Owens
Antipsychotic medications have revolutionized the administration of significant psychiatric problems and the results of these who are suffering from them. in spite of the fact that, they typically give a contribution to a variety of adversarial results, one of the so much common and distressing of that are these leading to disturbance of voluntary motor functionality. Extrapyramidal facet effects--or EPS--are nonetheless poorly well-known and regularly misattributed. regardless of massive learn literature, there were few makes an attempt to compile either the descriptive medical parts of those issues and significant examine conclusions pertinent to regimen perform. This very readable and well-illustrated e-book seeks to rectify this challenge within the wish of accelerating clinicians' information of the problems and acknowledgement in their impression. this can be a activity made tougher by way of the emergence of recent medications with decrease legal responsibility that could advertise subtler abnormalities than regular compounds. This publication may be a huge reference for psychiatrists, neurologists, and different clinicians who prescribe antipsychotic medicinal drugs.
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Extra resources for A Guide to the Extrapyramidal Side Effects of Antipsychotic Drugs
The first has established resonance for both neurology and psychiatry. Abnormality may be thought of in terms of the presence of movements that are not part of normal motor status, or in terms of an absence of normal motor activity – in other words, as either the ‘positive’ or the ‘negative’ manifestations of motor disorder. An alternative but similar designation might be ‘hyperkinetic’ or ‘hypokinetic’. , 1991). There is, nonetheless, a potential for confusion in its widespread adoption for there is some, albeit not consistent, evidence that ‘hyperkinetic’ motor disorders may relate to ‘negative‘ mental state features, but no evidence that they correlate with ‘positive’ symptomatology (see Chapter 8).
It transpired that, on ‘closer investigation’, the torticollis was a disguised expression of his unconscious sexual wishes (Abse, 1966; p. 23): The movements of his neck were of an auto-erotic nature; that is to say, he had pleasurable sensations on account of them. ’ Perhaps it is necessary to have at one’s disposal a more extensive experience of the varied anatomy of the male sexual organ than the author has managed to acquire in order fully to appreciate this interpretation. On the other hand, maybe such ‘insights’ are only worthy of recall as a historical footnote to a general silliness that characterised former times, in which psychiatry was an eager participant if not a prime mover.
It is interesting how successful doctors can be at presenting compliance as largely, if not exclusively, a patient-based issue. When compliance breaks down, it is invariably portrayed as the patient’s ‘fault’. This is a cop-out. Doctors, by their recommendations, can impact on many of the factors that contribute to poor compliance, for example by simplifying regimes to something the average individual has a fighting chance of remembering, by taking time to explain the nature and purpose of treatment, and, most importantly, by recognising side-effects when they develop, acknowledging their importance and, where possible, intervening to alleviate them.
A Guide to the Extrapyramidal Side Effects of Antipsychotic Drugs by D. G. Cunningham Owens