The validity of self-report measures of life satisfaction is questioned, particularly for use with affectively disturbed populations, since scores may be influenced by affective bias, poor insight, and recent life events.
Unhealthy lifestyle issues are not restricted to any specific diagnostic group. These data identify a compelling need to develop ameliorative intervention strategies for psychiatric outpatients; however, we could not identify a basis for targeting such interventions specifically in relation to diagnosis.
This Canadian study confirms the need for psychiatrists and mental health workers to continue to explore high-risk behaviour in the chronic mentally ill population and to further educate these patients through the development of prevention and risk-reduction strategies.
It proved possible to assess health care quality using process measures of conformance to treatment recommendations. Conformance to clinical recommendations for pharmacotherapy is higher than for psychosocial therapies. The absence of barriers to access for pharmacological therapies likely enhances the higher conformance to these recommendations. Limited or variable access to psychosocial services, specifically assertive community treatment, likely negatively affects conformance to psychosocial treatment recommendations. Methodological limitations preclude drawing conclusions on comparisons between Canadian and US services.
This paper traces the origin of the term "homosexual panic" when it was first described in 1920 to the Freudian bisexual theory of sexual development and the concepts of repressed and latent homosexuality, and questions the appropriateness of this term when used to diagnose as well as to describe different situations. Concerns are raised especially when dealing with conditions ranging from violent behaviour to outright psychotic episodes. Homosexual panic is also compared with pseudohomosexuality, and finally correlated with society's homophobic attitudes.
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