Papers by Solomon Rataemane
University of Limpopo (Medunsa Campus), 2012
Mental Health Matters, May 1, 2015
Delivery of mental health care imposes a number of obligations to all professionals who are train... more Delivery of mental health care imposes a number of obligations to all professionals who are trained to do so. The first commitment is respect for the mentally ill and a concerted effort to provide the best care possible. This leads to a principle of parity in health care delivery; recognising and accepting that mental illness is the same as physical illness in terms of the need to assess professionally (and also that the two are related); making a diagnosis based on facts and guided by existing diagnostic criteria; prescribing medications that will reduce the morbidity and mortality associated with the illness; and making sure that relevant information is given to the patients and the caregivers about the illness.
African Journal of Psychiatry, Nov 1, 2009
This meeting was held at the Shehu Musa Yar'Adua Center in Abuja, Nigeria from 22 - 24 Octobe... more This meeting was held at the Shehu Musa Yar'Adua Center in Abuja, Nigeria from 22 - 24 October 2009. It was organized jointly by the Association of Psychiatrists of Nigeria, African Association of Psychiatrists and Allied Professions (AAPAP) and World Psychiatric Association with support from the World Health Organization. This excellent meeting enjoyed active participation from a number of countries including the USA, Jamaica, Australia, UK & other European countries, South Africa, Ghana, Liberia, Kenya, Nigeria and other African countries. There was minimal support form the pharmaceutical industry but local support from various Nigerian Hospitals, Universities, private sector and Government sector was commendable.
PubMed, Sep 26, 1981
The clinical impression gained from symptoms exhibited by Zulu and Xhosa obstetric patients refer... more The clinical impression gained from symptoms exhibited by Zulu and Xhosa obstetric patients referred to the Department of Psychiatry, King Edward VIII Hospital, Durban, was that certain of the psychiatric disorders presented in a different form to those observed in hospitals serving other population groups. Opinions differ as to the aetiology and relationship of disorders of the puerperium to other psychiatric syndromes with controversial hypotheses referring to both the aetiology and the symptomatology. Firstly, the disorders are considered to be a reaction to specific psychological or biological stresses of pregnancy. Secondly, in contradistinction, it is postulated that the illness is incidental to ongoing personality disintegration, which is manifested by premorbid personality disturbances, a family history of mental illness, a past history of psychiatric disorder and nonspecific stresses common to all other psychiatric illnesses. This pilot study indicates that cultural phenomena contributed to the symptoms of the majority of the 31 severely disturbed Black women displaying psychiatric features in the puerperium studies. While confirming the findings of a number of other authors, we have also detected a high incidence of transient situational disturbances of short duration. The findings indicate the need for more detailed research in this area among Black patients.
South African journal of psychiatry, Oct 1, 2004
Attention-deficit/hyperactivity disorder (ADHD) is a chronic and disabling condition in children.... more Attention-deficit/hyperactivity disorder (ADHD) is a chronic and disabling condition in children. It is among the most prevalent, chronic health conditions affecting school-aged children. Children with ADHD may experience significant functional problems, such as school difficulties, academic underachievement, and troublesome interpersonal relationships with family and peers. 1,2 Parents and teachers may diagnose a child's school problems as being ADHD-related, when in fact the difficulties are unrelated to ADHD. 1 A myriad of disorders mimic ADHD (Table I). Studies of children with ADHD consistently document higher rates of co-morbidity with other psychiatric conditions, including disruptive behavioural disorders, depression and other mood disorders, anxiety disorders, tic disorders, etc. 3-7 The incidence of co-morbidity ranges from 50% to 90%. The existence of an additional disorder dramatically affects the prognosis, treatment and health care delivery decisions, 3 and correctly identifying ADHD is complicated by a high prevalence of co-morbid disorders or the presence of conditions that can be confused with ADHD. 7 ADHD is a developmental disorder, so symptom manifestation is highly individualistic and core symptoms may shift with age. Hyperactivity and impulsivity tend to become less apparent as the child gets older and inattention and cognitive problems move into the foreground. 8-10 Assessment of the child with behaviour suggestive of ADHD involves an evaluation process that could take considerable time. 4,7,11 The most commonly prescribed and studied medications in the treatment of ADHD are psychostimulants (methylphenidate and dextroamphetamine). 12,13 Data on the alternative management (dietary and other psychopharmacological agents) of ADHD and ADHD with co-morbidity have been scarce and controversial. 14,15
South African journal of psychiatry, Sep 26, 2018
Cambridge University Press eBooks, Jun 27, 2011
OVERVIEW . Substance use disorders cover a range of problems associated with using and abusing ps... more OVERVIEW . Substance use disorders cover a range of problems associated with using and abusing psychoactive substances such as alcohol, cannabis, cocaine, heroin, benzodiazepines, as well as a variety of other substances taken to affect thoughts, feeling, and behavior. Interventions may include a “mix” of approaches, both modern and indigenous, including assessment and diagnosis, self-help intervention, outpatient, diversion and restorative justice approaches, residential care, and harm-reduction tactics. In this chapter, various substance use disorder concepts, the history of substance use disorder practice and research, substance use disorder recovery theories, legal and professional issues related to substance use disorders, as well as issues for further research and scholarship in Africa are examined. Cultural issues that affect and infl uence the use and treatment of substances use disorders within the African context are also explored. LEARNING OBJECTIVES
Dialogues in Clinical Neuroscience, Mar 31, 2000
South African Medical Journal, 2011
Brief episodes of abnormal behaviour have been recorded after dramatic reduction of seizures usin... more Brief episodes of abnormal behaviour have been recorded after dramatic reduction of seizures using anti-epileptic drugs (AEDs). This phenomenon is called alternative psychosis, or forced normalisation when supportive electro-encephalogram (EEG) evidence is available. 1 5
South African journal of psychiatry, Jun 1, 2011
Brief episodes of abnormal behaviour have been recorded after dramatic reduction of seizures usin... more Brief episodes of abnormal behaviour have been recorded after dramatic reduction of seizures using anti-epileptic drugs (AEDs). This phenomenon is called alternative psychosis, or forced normalisation when supportive electro-encephalogram (EEG) evidence is available. 1 5
South African Family Practice, Nov 1, 2010
Addiction medicine is a dynamic field that encompasses clinical practice and research in the cont... more Addiction medicine is a dynamic field that encompasses clinical practice and research in the context of societal, economic, and cultural factors at the local, national, regional, and global levels. This field has evolved profoundly during the past decades in terms of scopes and activities with the contribution of addiction medicine scientists and professionals globally. The dynamic nature of drug addiction at the global level has resulted in a crucial need for developing an international collaborative network of addiction societies, treatment programs and experts to monitor emerging concerns at national, regional, and global levels. In this protocol, methodological details of running longitudinal surveys at national, regional, and global levels through the Global Expert Network of the International Society of Addiction Medicine (ISAM-GEN) are presented. The surveys will be developed by global experts in addiction medicine on treatment services, service coverage, comorbidities, treat...
South African journal of psychiatry, Aug 30, 2013
The total cost spend on beneficiaries of medical schemes with the diagnosis of bipolar disorder h... more The total cost spend on beneficiaries of medical schemes with the diagnosis of bipolar disorder has escalated by nearly 30% annually over the past 5 years. The risk of managing the cost of this group of patients for the medical schemes has placed them on the schemes' priority list. General practitioners have been commenting on the sudden rise in the diagnosis of bipolar disorder and have queried psychiatrists about this apparent overdiagnosis. The awareness of the diagnosis of bipolar disorder has highlighted it among the public and psychiatrists. Several articles comment on the underdiagnosis as the overdiagnosis of bipolar disorder. This presentation aims to analyse the data from South Africa as well as published international data to put the debate in perspective. The prognosis of major depression untreated and treated: Does the data reflect the true picture of the prognosis of this very common disorder?
South African Medical …, 2008
... Lize Weich, MB ChB, MRCPsych, FCPsych (SA) Private Practice, Johannesburg, and Department of ... more ... Lize Weich, MB ChB, MRCPsych, FCPsych (SA) Private Practice, Johannesburg, and Department of Psychiatry, University of the Witwatersrand Charles Perkel, MB BCh, Psychiatry (New York) Sydney, Australia Nicolette van Zyl ... 16. Ball JC, Lange WR, Myers CP, Friedman SR. ...
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Papers by Solomon Rataemane