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  1. The Dark Cartoon: Intrusive Imagery Secondary to Childhood Sexual Abuse
    Katsuura Y, Russell V
    Ir J Psychol Med, 2012 Jan;29(3):171-175.
    PMID: 30200052 DOI: 10.1017/S0790966700017201
    We report on the case of a middle-aged woman with a complex psychiatric history in whom atypical intrusive imagery identified in the mental status examination appeared to represent an emergence of childhood dissociative phenomena. These new symptoms led to the reappraisal of her clinical presentation and a diagnostic re-evaluation that they represented a re-emergence of childhood post-traumatic stress disorder secondary to sexual abuse. We discuss the phenomenology identified in our patient with the aim of increasing awareness of unusual symptoms in adults with a history of childhood sexual abuse and the importance of the mental state examination in eliciting and classifying such phenomena.
  2. Experiences of international travel in patients with psychotic illness: a case series
    Maher S, Mikic Z, McDonald C, Flaherty GT, Hallahan B
    Ir J Psychol Med, 2023 Jun;40(2):127-133.
    PMID: 31969203 DOI: 10.1017/ipm.2019.52
    OBJECTIVES: To identify factors influencing successful international travel among patients with psychotic illness.

    METHODS: Eight individuals participated in a semi-structured interview of 15-20-minute duration with a clinician in relation to their recent experience of international travel. Clinical files were reviewed and a case series was compiled.

    RESULTS: Four individuals engaged in international travel without any adverse effects. Four other individuals experienced significant psychotic and/or affective symptoms while travelling. Treatment non-adherence, a lack of awareness of how to obtain support and limited or no pre-travel planning were noted in these individuals.

    CONCLUSIONS: Pre-travel counselling, treatment adherence, provision of information packages relating to their mental illness and having contact details of their treating mental health team increase the likelihood of successful international travel in patients with psychotic illness. Travelling with a companion may reduce fear of relapse.

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