Anatolii Tsarkov

Induced Delusional Disorder or Shared Psychosis is a rare psychotic syndrome which involves transference of a delusional belief and or abnormal behavior from one individual to another or others who has/ have been in close association with the primary affected person. This is a case study of a married couple with five children who had been living on a ten hector plot on a settlement scheme in a district of the Northern Province of Zambia. The wife strongly believed herself to be a prophetess and prophesied that the world would soon come to an end. Over several months she influenced her husband into this belief and together including children started praying and fasting on the isolated farming plot to an extent that children were not allowed to attend school and either couple was not seen at a local market or at the grinding mill. The last born son of about one and half years apparently had developed a fever during this period of isolation. The child was not taken to the health center in the belief that the “Spirit” they had would heal him. The child died five days after the onset of the fever. The death was not reported to authorities in the belief that the body would be resurrected. Relatives and neighbors found the body in a decomposed state two weeks later after forcing their way into the house in which the couple had barricaded itself with the children. Both husband and wife were charged with Murder in a High Court contrary to Section 200 of the Penal Code Chapter 87 the Laws of Zambia. Both husband and wife were admitted at a Forensic Facility for Medical Examinations in terms of Section 17 of the Criminal Procedure Code Chapter 88 of the Laws of Zambia. To the best of our knowledge this is the first documented case of Induced Delusional Disorder from Zambia.

Parkinson’s disease (PD) is a progressive neurological disorder characterized by a large number of motor and non-motor features that can impact on function to a variable degree. The syndrome of parkinsonism is highlighted, which can become apparent with akinetic rigid disorders in other brain injuries including medication-induced parkinsonism. Genetic mutations or variants, neuroimaging abnormalities and other tests are potential biomarkers that may improve diagnosis and allow the identification of persons at risk. This literature review describes pathogenesis and clinical characteristics of PD with emphasis on modern treatment and possibilities of dopamine agonists, especially pramipexole. During pramipexole treatment of the patients with the early and late stages of PD, we can observe the reduction of expression of cognitive and affective (mood) disorders, the improvement of the quality of life and social functioning.

Attention deficit hyperactivity disorder (ADHD) is described as the most common neurobehavioral condition of childhood. The adverse effects of ADHD upon children and their families’ changes from the preschool years to primary school and adolescence, with varying aspects of the disorder being more prominent at different stages. The disorder may affect all aspects of a child’s life. The impacts are not only on the child, but also on parents and siblings, causing disturbances to family and marital functioning. ADHD may persist into adulthood causing disruptions to both professional and personal life. The pharmacotherapy of ADHD is cost-effective, but treatment should be individual. Main outlines of clinical practice guide on management of ADHD of Academy of Medicine and Ministry of Health of Singapore (AMS-MOH, 2014) are discussed in this article. It can be invaluable example for the specialists engaged in the treatment of the children with this psychiatric disorder.