Fatih Oncu

Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder.

The present study attempted to assess the dissociative symptoms and overall dissociative disorder comorbidity in patients with obsessive-compulsive disorder (OCD). In addition, we examined the relationship between the severity of obsessive-compulsive symptoms and dissociative symptoms. All patients admitted for the first time to the psychiatric outpatient unit were included in the study. Seventy-eight patients had been diagnosed as having OCD during the 2-year study period. Patients had to meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for OCD. Most (76.9%; n = 60) of the patients were female, and 23.1% (n = 18) of the patients were male. Dissociation Questionnaire was used to measure dissociative symptoms. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Dissociative Disorders interviews and Yale-Brown Obsessive Compulsive Checklist and Severity Scale were used. Eleven (14%) of the patients with OCD had comorbid dissociative disorder. The most prevalent disorder in our study was dissociative depersonalization disorder. Dissociative amnesia and dissociative identity disorder were common as well. The mean Yale-Brown score was 23.37 ± 7.27 points. Dissociation Questionnaire scores were between 0.40 and 3.87 points, and the mean was 2.23 ± 0.76 points. There was a statistically significant positive correlation between Yale-Brown points and Dissociation Questionnaire points. We conclude that dissociative symptoms among patients with OCD should alert clinicians for the presence of a chronic and complex dissociative disorder. Clinicians may overlook an underlying dissociative process in patients who have severe symptoms of OCD. However, a lack of adequate response to cognitive-behavioral and drug therapy may be a consequence of dissociative process.

Does Internal Migration Affect Criminal Behavior in Schizophrenia Patients

Does internal migration affect criminal behavior in schizophrenia patients? Objective: In our research, we aimed to attract attention whether internal migration has an effect on criminal behavior of schizophrenic patients. Method: Schizophrenic (according to DSM-IV) patients (66 from the general psychiatry units and 69 from forensic psychiatry clinics) participated in the research from a regional hospital in the northwest of Turkey. Forensic psychiatric patients are divided into two subgroups, namely those who migrated (n=30) within the country and not (n=39), with those who are repetitive offenders (n=29) and not (n=40); then groups were compared in the point of parameters of crime and migration. Results: Most of the patients who have not committed a crime were from cities. Even though there was no significant difference, with those who have committed a crime, the age of internal migration was younger. Migration raised the possibility of the recidivism of the criminal acts up to 5 fold whereas, having already been prisoned before raised this possibility up to 17 fold and childhood within the criminal group. Conclusions: Although our data indicated the internal migration not to affect the rate of the criminal acts among the patients with schizophrenia meaningfully, it significantly affected repetition of crime within the criminal group. The need to focus on internal migration and urbanization as disruptive environmental conditions effecting schizophrenia and crime in countries like Turkey where the urbanization process is still ongoing, is obvious.

Akut inme sonrası gelişen taktil halüsinasyon ve delüzyon: Olgu sunumu

Although many psychiatric disorders, especially depression, may be seen after stroke, development of psychosis is rare. Post-stroke psychiatric disorders are associated with the affected brain regions and may appear with different symptoms. Although psychotic symptoms have been reported in association with strokes in different brain areas, temporoparietooccipital lesions have a higher possibility of leading to the development of secondary psychosis than those in other brain areas. This article aims to present a case of tactile hallucination and delusion in a previously healthy man that developed after ischemic stroke with right temporoparietooccipital involvement.