A study of the use of sedative PRN medication in patients at a secure hospital

We have investigated the use of ‘as required’ (PRN), sedative psychotropic medication in 242 forensic rehabilitation patients at a UK secure psychiatric hospital. In total, 176 (73%) patients were prescribed PRN medication and 90 (37%) received a total of 542 doses in the preceding two weeks. The principle indication for use was agitation. Oral benzodiazepines, particularly Lorazepam, were most commonly prescribed and administered followed by Haloperidol. Although high-dose antipsychotics and polypharmacy due to PRN prescribing were common (11 and 20%, respectively), on only 6% of the days studied did patients actually receive PRN antipsychotic medication. Using univariate analyses, PRN administration was associated with younger age, female gender, emotionally unstable personality disorder, shorter length of stay and detention in medium security. Case note documentation of PRN administration was often absent (44%) or vague. Further research, both quantitative and qualitative, is needed into the precise circumstances under which PRN is administered.     

The accumulation and transmission of wealth over a long period: example of a rural family from Loire-Atlantique in the 19th and early 20th centuries

This research seeks to trace the transfer of wealth down the male line of a rural French family through the 19th and 20th centuries, and to decipher the logic of accumulating and transferring wealth. The subject will be approached from an angle different from that of Segalen [Ethnol. Fr. 8 (1978) 271], who followed which farmers had cultivated the same farm through two centuries. The itinerary of wealth passing through the six generations examined here was traced using the range of legal documents that mark a person's life: purchases, sales, exchanges, marriage contracts, gifts, and inheritances. Wealth behavioral patterns that are assumed to follow an economic logic are described using neoclassical economic models.     

The Role of Fantasy in a Serial Sexual Offender: A Brief Review of the Literature and a Case Report

Abstract: Extensive research has attempted to elucidate the role of fantasy in sexual offending. In this paper, the authors summarize the main results of the literature, especially the contents, themes, dynamics, etiopathogenesis, and potential functions of fantasy in sexual offending. Further, the authors analyze the case of a serial sexual offender who assaulted 39 women. The forensic‐psychiatric assessment revealed that his fantasies of forced sex, sexual coercion, and dominance, which were linked to narcissistic personality organization and functioning, were the primary drive mechanism in his crimes, because he imagined himself in the role of the aggressor, identified with the power associated with the role of perpetrator, and was sexually aroused by such images of omnipotent control of the victim. In conclusions, the authors suggest that fantasies of sexual aggression, coercion, and dominance of women may stimulate grandiosity and omnipotence and, in a minority of cases, may lead to sexual offending.     

超越自我的群体幻象——意识形态与20世纪上半叶中国文学社团的研究

意识形态不仅是社会的有机组成部分,也是人类生命的有机组成部分.它更多作为一个在某种特定利益驱使下形成的包含着欲望、情感、表象的知识系统,有着理论和实践的功能.它包容着政治、经济、道德、伦理等观念思想,但又不是简单的等同.意识形态是一个动态的整合的文化概念.这一理论视野提供了重新审视和阐释现代中国文学社团的可能.现代中国文学社团的源流、生成及形态等,与现代中国社会政治文化等诸方面构成了关系复杂的网络.现代中国文学社团发展史既是一部现代意识形态史,又是现代知识分子不断追求超越自我的群体幻象.在一个互动的文化结构体系中,考察现代文学社团自身,反省现代文学社团研究,重要的是尊重文学社团的独立形态、结构特征,正确区分与文学流派、思潮的整合关系.