A survey within a defined area of the north-east of England (population of approximately 1.25 million) generated a number of patients with current or past erotomanic phenomenology. A casenote study was carried out on the 11 patients identified. Cases were classified in accordance with DSM-111-R criteria and an assessment was made of the extent to which each case fulfilled specific criteria for primary and secondary erotomania, as defined by previous authors. The response to treatment of both psychiatric syndrome and erotomanic phenomenology is described for each case. The findings are discussed in relation to the current debate regarding the status of de Clerabault's syndrome and delusional disorder (erotomanic type) as nosological entities.
Reports on a three-month period of evaluation of changes in the perceived life stress, coping and strain of 60 consecutive new attenders at a community mental health centre, which served to monitor performance. Emphasizes the need to incorporate good measurement into a systematic approach to quality assurance.
demonstrates, with British and Swedish data, increased seasonal variation of births associated with raised maternal age. He thus provides a possible explanation for the season of birth effect in schizo phrenia, given the previous observations that mater nal age at birth is raised in samples of schizophrenic patients. In addition, he suggests that the observed excess of births by older women in the early months of the year is due to age-related decline in their fer tility. The essence ofthis argument is that a cohort of
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