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Original Articles

Shakatani: The Phenomenology of Personality Disorder in Jamaican Patients

Issue: 
DOI: 
10.7727/wimj.2012.333
Pages: 
397–404
Synopsis: 
The distribution and clinically significant patterns of the phenomenology of a naturalistic case-controlled private practice displayed symptoms of a ‘clinical triad’ of power management, dependency and psychosexual issues. This phenomenological approach has been called Shakatani - from the Swahili words shaka (problem) and tani (power), and is suggested to be an Axis I replacement for the four-cluster Axis II classification of the DSM-IV personality disorder.

ABSTRACT

Objective: To examine the distribution and clinically significant patterns of the phenomenology of a cohort of Jamaican patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM) Axis II diagnosis of personality disorder and to clarify the conventional diagnostic deficiencies of DSMbased personality disorder categories.

Accepted: 
22 Apr, 2013
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e-Published: 26 Aug, 2013

A View of Personality Disorder from the Colonial Periphery

Issue: 
DOI: 
10.7727/wimj.2013.122
Pages: 
383–8
Synopsis: 
The literature outlining the development and classification of personality disorder is reviewed in order to examine the history of this condition in the context of contemporary post-colonial Jamaican society.
 
ABSTRACT
 
Objective: To examine the history of personality disorder in the context of contemporary post-colonial Jamaican society.
 
Accepted: 
22 Dec, 2013
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e-Published: 26 Aug, 2013

The Creation and Validation of the Jamaican Personality Disorder Inventory

Issue: 
DOI: 
10.7727/wimj.2013.211
Pages: 
389–96
Synopsis: 
The creation and validation of the 38-question Jamaica Personality Disorder Inventory (JPDI) screening questionnaire for the diagnosis of personality disorder piloted on patients from psychiatric and medical wards at the University Hospital of the West Indies is described.

ABSTRACT

Objective: To describe the creation and validation of the Jamaica Personality Disorder Inventory (JPDI) screening questionnaire.

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e-Published: 26 Aug, 2013

The History of Laparoscopic General Surgery in the Caribbean

Issue: 
Pages: 
467–71
Synopsis: 
This article serves to trace the history of laparoscopic surgery in the West Indies and to uncover the advances in this field in the Caribbean.

ABSTRACT

Objective: The first world witnessed a laparoscopic revolution in the 1990s. At the start, laparoscopic surgery was heavily criticized and ridiculed. Despite this, the specialty has blossomed where almost any procedure can be done laparoscopically with the now obvious tremendous benefit to the patients. The objective of this paper is to examine where the Caribbean is placed relative to the rest of the world in terms of laparoscopic surgery and to understand why we are here.

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e-Published: 21 Aug, 2013

The Development of Postgraduate Anaesthesia and Intensive Care Training at the University of the West Indies

Issue: 
Pages: 
463–6
Synopsis: 
The majority of graduates of the DM (Anaesthesia and Intensive Care), nurse anaesthetists and post-basic intensive care unit (ICU) nursing programmes have remained in the Caribbean and are providing invaluable services to its people. Some have become lecturers and are training future trainers.

ABSTRACT

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e-Published: 21 Aug, 2013

A Review of the HIV-infected Homeless Sub-population at the Centre for HIV/AIDS Research, Education and Services, Department of Medicine, University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2013.235
Pages: 
337–40
Synopsis: 
This paper describes the characteristics of the HIV-infected homeless sub-population being managed by a collaborative effort between the Centre for HIV/AIDS Research, Education and Services, Department of Medicine, University Hospital of the West Indies and the National Council on Drug Abuse.

ABSTRACT

Objective: The twin epidemics of HIV and homelessness present several challenging aspects to the development of programmes for the provision of treatment and care. This paper describes the characteristics of this population being managed by a collaborative effort between the Centre for HIV/AIDS Research, Education and Services, Department of Medicine, University Hospital of the West Indies and the National Council on Drug Abuse.

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e-Published: 21 Aug, 2013

Evolution of In Vitro Fertilization at the University of the West Indies, Jamaica

Issue: 
Pages: 
460–2
Synopsis: 
In vitro fertilization (IVF) offers hope to many who are infertile. This paper documents the growth and success of IVF over the past twelve years.

ABSTRACT

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e-Published: 21 Aug, 2013

The Changing Face of Death in Trinidad and Tobago, before and after Independence

Issue: 
Pages: 
452–9
Synopsis: 
This study compared the changing patterns of mortality in infants and adults during the pre-independence and postindependence eras in Trinidad and Tobago. The main challenges in the pre-independence period arose predominantly from infectious diseases and in the post-independence period from non-communicable diseases (NCDs). This rising tide of NCDs is the most important challenge in the new millennium to the structure and delivery of healthcare services.

                                                                             

                                                                           ABSTRACT

Objectives: The aim of this study is to compare the changing patterns of mortality in adults and infants during the pre-independence period 1953–1962 with the post-independence period 1962–2006 thus providing evidence for the burden of disease and the impact of independence on the state of health of
the nation.

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e-Published: 21 Aug, 2013

Health Impact of Research in Emergency Medicine – Moving Forward in the Field

Issue: 
Pages: 
447–51
Synopsis: 
The research impact on health issues from the specialty of emergency medicine is discussed. Emphasis is placed on the epidemiology of common diseases, the role of collaboration within the specialty and the value of conducting clinical trials.

ABSTRACT

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e-Published: 21 Aug, 2013

Caribbean Contributions to Contemporary Psychiatric Psychopathology

Issue: 
Pages: 
442–6
Synopsis: 
The burgeoning migration of Caribbean people to England in the twentieth century resulted in high reported rates of psychosis for this migrant population. Caribbean research has revealed the existence of hostile racial and environmental challenges in Britain as the primary cause of this condition. These findings have significantly shifted the pendulum of understanding of the aetiology of psychosis from a genetic to a biopsychosocial position.

ABSTRACT

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e-Published: 21 Aug, 2013

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