The present article explores a novel psychiatric presentation triggered by insomnia. Specifically, the authors describe an acute pathology characterized by brief manic-psychosis and first episodes of psychosis or hypomania in people who suffer from prolonged sleep deprivation and insomnia. The presentation recedes after physiological sleep is restored. Although it was expected that tiredness and exhaustion would fire on the sleep center by promoting physiological sleep, this does not occur at all times. The authors of the current research work in a psychiatric setting with the general adult non-forensic population. During the recent years, there has been an increase of admissions of patients presenting with severe sleep deprivation, insomnia, and brief manic-psychotic episodes that subside once proper sleep has been restored. In the current communication, the authors discuss the neurophysiological and psychiatric aspects that link sleep to mental illnesses and insomnia to brief psychotic episodes. The current study reports on prototypical case studies which presented with the syndrome together with the diagnostic and clinical evidence for considering it as a distinct psychiatric pathology here named Insomnia Induced Brief Manic-Psychotic Episodes.
Radicalization is a global event affecting different countries and present in different historical contexts. Psychiatrists can help in the analysis of radicalization in individuals who operate autonomously from more radicalized groups. These lone actors or lone wolves are more difficult to spot as there is no unique identification because they operate as self-determined women or men. A focus of the current study is on the radicalization of children and women. The use of ethnographic research also using Internet sources has provided satisfactory results in the analysis of radicalization while reducing the risk and difficulties of approaching a sample population (terrorists, lone wolves, and radical groups) that, most of the time, is remote, dangerous and concealed to public scrutiny. Emphasis is also provided to the stages of development of radicalized thought and how radicalization can be understood in terms of cognitive and social development of the lone-wolf terrorist. The authors also explore how a radicalized leader can lever on the vulnerability of some individuals to radicalize them. Besides, the authors approach radicalized thought also as a logical fallacy and as a sign of dualistic thinking. Hence, a mix of cognitive, logical, and psychiatric triggers is analyzed in their potential to radicalize.
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