UNASSIGNED: To appraise and synthesize qualitative studies examining older Asian people\'s experiences of suicidal ideation.
UNASSIGNED: Qualitative review and meta-aggregation.
UNASSIGNED: Four databases were accessed to retrieve papers published between 1990 and 2022 including the grey literature, hand-searching of reference lists of retrieved papers and key journals. The phenomenon of interest included participants older than 60 years old, must have experienced a form of suicidal ideation and/or an unsuccessful attempt, had actively thought about harming themselves and be of Asian ethnicity.
UNASSIGNED: This review was conducted according to Consolidated Criteria for Reporting Qualitative Research and the Joanna Briggs Institute\'s System for the Unified Management of the Assessment and Review of Information.
UNASSIGNED: Of the 289 potential studies, seven papers met the inclusion criteria. Two synthesized findings resulted from this review-The Suffering Situation: A Life without Meaning in Older Age and The Healing Situation: A Life Worth Living. The experiences of older Asian people varied from feelings of loneliness, despair and isolation to wanting to live a fruitful life into old age.
UNASSIGNED: Suicidal ideation in the older person is a growing concern especially with the rise in suicide in this age group. Rising health care costs and erosion of traditional family values means that the older person views themselves as a burden. However, because of the limited number of qualitative studies from an Asian perspective it is difficult to ascertain the full extent of the issues surrounding suicide in older people.

Ancient Greek and Latin medical authors considered a flight into solitude a compelling sign of mental disturbance, frequently described as misanthropia, a word fraught with meaning beyond the medical discourse. The fictionalised character Timon of Athens, the quintessential misanthrope, can shed light on ancient cultural concepts of self-imposed isolation from human contact. To cope with the sense of unease this deviant behaviour induced, misanthropia was explained as \'madness\', ridiculed in various genres of humour, morally condemned in philosophy, and ultimately demonized in Christian cosmology. These various attempts at containment echo in the medical works of the age, making it impossible to comprehend the concept of misanthropia in ancient medicine without taking full account of the cultural context.

The perinatal period is suffused with profound upheaval and physical and psychological changes, and is accompanied by frequent psychopathological and psychiatric disorders. The early management of mother-child relationships during this period is therefore a major and complex issue, both for professionals and for patients. Two main pitfalls would be to distinguish the taking into account of the subject\'s suffering from the risk of early alteration of the parent-baby relationship, and to separate the psychological and physical dimensions at stake. A clinical situation illustrates the way in which the body and the psyche can be engaged and envisaged in a joint care.

This study examines criminal cases related to blasphemy under the absolute monarchy of Denmark-Norway, and presents the evaluation of mental states within a forensic context between 1713 and 1733. First, the article explains how the legal framework and normative guidelines for pastoral care envisaged the interplay between judges, priests and doctors in evaluating mental states. Then, an examination of selected cases is provided, showing the dynamics and the role assignment in the evaluation of mental states in practice. Covering a period characterized by a gradual differentiation of theology, law and medicine, this case study enhances understanding of what preceded the development of psychiatry as a medical speciality during the nineteenth century.

This article explores defensive modes of masochism based through the case study of Sarah, a 25-year-old patient who is regularly followed in psychoanalytical therapy. I will postulate the idea that fetishization of moral masochism should be seen from the perspective of melancholic processes. Drawing on several moments of her therapy, I will illustrate how the primitive idealization of the introjected and denigrated object in the melancholic process lays the conditions for a decisive moral masochism, and whose unconscious idealization defends against depressive breakdown.

Taken from interviews with men having been incarcerated on the charge of criminal association with the intent of committing or aiding and abetting to terrorist acts, the central question of this article has thus emerged: which part does Islamist radicalization play on the psychic level of the self? Therefore, we have selected several theorical concepts, to guide us in this research, that became operative concepts, such as hatred, drive, melancholy and symptom. These have a converging point that is linked with the clinic of boredom and emptiness, or named otherwise, \"off language\". The radicalization process seems to come as a way to fill this emptiness, and hence to avoid the risk of the collapsing of the self. However, this \"solution\" is only a lure, leading to destruction, while at the same time, the person is aiming to restore its identity.

Despite extensive scholarship, several questions on the view of seizures and epilepsy in the Hippocratic collection have not been answered. The book \'On the Sacred Disease\' contains descriptions of focal and generalized tonic-clonic seizures, understands the stigma attached to epilepsy, its association with depression, and probably describes auras. Remarkably, the collection presents a physiologic theory of \'mental\' disease. Other parts of the collection suggest recognition of syndromes such as childhood febrile seizures. Non-motor seizures are not clearly described. There may be a distinction between \'acute symptomatic\' and recurrent seizures or \'epilepsy.\' Analysis of the relative occurrence of terms related to \'epilepsy\' or \'spasms\' in an online text collection shows a significant difference: \'epilepsy\' terms are more frequent when seizures are described alone, while \'spasm\' terms are more frequent in the context of systemic diseases or injuries. This dichotomy suggests, in contrast to previous accounts, possible understanding of the distinction between \'idiopathic\' and \'symptomatic\' seizure disorders.

It is sometimes clinically believed that major depression with melancholic features is more responsive to antidepressants than non-melancholic depression. Proper analysis and, therefore, valid evidence to support or refute this common clinical lore is lacking. The sample was taken from three placebo-controlled randomized trials of duloxetine, escitalopram and paroxetine (n = 1219). We conducted a two-step individual participant data meta-analysis to combine linear mixed-effects regressions modeling melancholic features as prognostic factor (variable that predicts overall response regardless of the treatments) and as effect modifier (variable that predict differential response to drug over placebo). Melancholic features represented a statistically significant prognostic factor for greater reduction in depression severity both on antidepressants and on placebo, especially after 4 weeks of treatment. However, they were not an effect modifier of the antidepressant treatment through the acute phase treatment: in other words. The superiority of antidepressants over placebo was not influenced by the melancholic features. The treatment decision-making as to the benefits of antidepressant treatment for patients with major depression should not be influenced by the presence or absence of melancholic features.

Stephanus Bisius (1724-1790) was a physician of Italian descent and a graduate of the University of Pavia. He was invited to the Polish-Lithuanian Commonwealth in the early 1760s and became head of the Faculty of Medicine at Vilnius University in 1781. In 1772, Bisius had authored the first original study on nervous and mental diseases in the Grand Duchy of Lithuania. In his 35-page booklet, written in Latin and Polish, Bisius characterized mania and melancholy as diseases of the brain, explaining that the organs that feed the human soul are affected, not the soul itself. He introduced the principles of humoralism and solidism to readers, and recognized that autopsies had failed to reveal reliable findings concerning mania or melancholy. Bisius also described the origins of the challenging disorder called plica polonica, a strange condition associated with tufts of matted hair. As a physician during the medical Enlightenment, Bisius criticized metaphysical speculations in medicine and stated that plica was only a result of superstitions. Even though he proposed antiphlogistic treatments for patients with mania and melancholy, he maintained that time and faith in God might help some patients overcome their infirmities.

Nineteenth-century art historian John Addington Symonds coined the term hæmatomania (blood madness) for the extremely bloodthirsty behaviour of a number of disturbed rulers like Ibrahim II of Ifriqiya (850-902) and Ezzelino da Romano (1194-1259). According to Symonds, this mental pathology was linked to melancholy and caused by an excess of black bile. I explore the historical credibility of this theory of \'wild melancholy\', a type of melancholia that crucially deviates from the lethargic main type. I conclude that in its pure form Symonds\' black bile theory of hæmatomania was never a broadly supported perspective, but can be traced back to the nosology of the ninth-century physician Ishaq ibn Imran, who practised at the Aghlabid court, to which the sadistic Ibrahim II belonged.