Fetishistic transvestism is a disorder of sexual preference associated with fantasies and sexual urges to dress in opposite gender clothing as a means of arousal and as an adjunct to masturbation and coitus. The disorder has been reported in people with learning disabilities. The disorder has been reported in a young male with dull normal intelligence. Transvestism though has been described in schizophrenia and psychosis and fetishism has been described in the course of simple schizophrenia, there are no reports of fetishistic transvestism in a patient with mental retardation and psychosis. A case of fetishistic transvestism in a patient with mental retardation and psychosis with treatment and relevant review of literature is reported.
BACKGROUND-Bipolar affective disorder (BPAD) is characterized by abnormalities in social cognition and emotional regulation are
detrimental to psychosocial functioning and quality of life.
OBJECTIVES- To understand the sociodemographic background, clinical characteristics in BPAD in remission and its relation with social
emotional cognition and its impact on quality of life and functioning of the patient.
METHODS-A cross sectional study with a sample size of 100 consenting patients based on convenience sampling who are diagnosed to have
BPAD in remission. Sociodemographic questionnaire and clinical details of the patient were noted. SECT (cog state battery) was applied to all
patients under calm and similar environment.
RESULTS-Results showed there is a signicant difference in SECTspeed, response and stimuli based on the nature of rst and last episode, SECT
score based on severity of episodes, SECT speed and stimuli based on education, SECT responses based on occupation. Middle socio-economic
group had the best psychological QoL followed by high socio-economic group and it was worst in low socio-economic group. Physical and
psychological domain has signicant difference based on residence. WHO QoL social quality of life had signicant difference between ECT
treatments in the past, with people receiving ECT having a higher score on the social QoLscore. There was no signicant correlation seen between
SEC sub scores and QoLdomain scores.
CONCLUSION-The study concluded the QoLwas signicantly associated with socio-economic status, semi urban residence and ECT. There was
no correlation between SEC and QoLscore in remitted bipolar.
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