Notice bibliographique
Résumé
Ms. S is afraid to sleep at night because that's when the aliens come. Is she psychotic, or do her nocturnal experiences have another cause? CASE 'I'm not crazy' Ms.S, age 55, presents for treatment because she is feeling depressed and anxious. Her symptoms include decreased concentration, intermittent irritability, hoarding, and difficulty starting and completing tasks. She also has chronis sleep difficulties that often keep her awake until dawn. Fatigue, lack of focus, and poor comprehension and motivation have left her unemployed. She and her teenage daughter live with Ms. S's elderly mother. Ms. S feels tremendous guilt because she cannot be the mother and daughter she wants to be. Initially, I (PK) diagnose Ms. S with major depressive disorder and prescribe sertraline, 100 mg/d, which improves her mood and energy. However, her inability to stay organized results in her being let go from job training. Ms. S reports similar difficulties in school as a child. I determine that she meets DSM-IV-TR criteria for attention-deficit/hyperactivity disorder (ADHD). Adding methylphenidate, 10 mg bid, improves her concentration and ability to complete tasks. It also reduces the impulsivity that has disrupted her relationships. Despite a strong desire to normalize her sleep schedule, Ms. S continues to have difficulty falling asleep, so I add melatonin, 3 to 6 mg at bedtime. Her sleeping pattern is imporved, but still variable. She also tries quetiapine, 25 mg at bedtime, but soon discontinues it due to intolerance. As out rapport strengthens, Ms. S reveals that she has had multiple encounters with aliens beginning at age 3. Although she has not had an experience for about 5 years, she does not feel safe sleeping at night and instead sleeps during the day. Her efforts to stay awake at night strain her relationship with her mother. How would you respond to a patient who claims she has been abducted by aliens? a) explain that there are no such things as aliens b) insist that she was dreaming c) issue mental hygiene warrant and sign a certificate for immediate hospitalization d) explore the experiences in a supportive, respectful manner and rule out organic or substance-induced etiology The authors' observations Approximately 1% of the U.S, population report alien abduction experiences (AAE)--an umbrella term that includes alleged contact with aliens ranging from sightings to abductions. (1) Patients rarely report AAE to mental health professionals. In our society, claiming to be an abductee implies that one might be insance. A survey of 398 Canadian students that assessed attitudes, beliefs, and experiences regarding alien abductions found that 79% of respondents believed they would have mostly negative consequences--such as being laughed at or socially isolated--if they claimed to have encountered aliens. (1) Persons who have AAE may attend support groups of fellow abductees to accumulate behavior-consonant information (hearing other people's abduction stories) and reduce dissonance by being surrounded by others who share a questionablw belief. (2) A survey of abductees found that 88% report at least some positive aspects of the experience, such as a sense of importance or feeling as though they were chosen to bridge communication between extraterrestrials and humans. (3) Data collected over 17 years from Minnesota Multiphasic Personality Inventory (MMPI) scores of 225 persons who reported AAF reveal common personality traits, including: * high levels of psychic energy] * self-sufficiency * resourcefulness * a tendency to question authority and to be exposed to situational conflicts. (1) Other common characteristics include above-average intelligence, assertiveness, a tendency to be reserved and absorbed in thought, and a tendency toward defensiveness, but no overt psychopathology. …
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».