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Laboratory Assessment of the Paraphilias and Their Treatment with Antiandrogenic Medication

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Handbook of Psychiatric Diagnostic Procedures

Abstract

Recently, Wirth and Folstein of The Johns Hopkins Hospital studied a group of patients with severe kidney disease who needed to receive chronic hemodialysis maintenance care [1]. For such patients compliance with oral water and salt intake restrictions is considered essential in order to maintain optimal health. However, even though patients were repeatedly admonished by the staff to keep their weight gain between dialysis treatments at or below 0.3 kilograms per day, as shown in Figure 1, most patients failed to do so. The amount of weight gained was a function of the amount of excess fluid consumed, which in turn appeared to be a function of the degree of thirst any given patient experienced. Wirth and Folstein concluded that limits to fluid intake set by physicians may not suffice, because they differ from those set by the patients’ own physiology.

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Authors
  1. Fred S. Berlin
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  2. Frederick W. Schaerf
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© 1985 Spectrum Publications, Inc.

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Berlin, F.S., Schaerf, F.W. (1985). Laboratory Assessment of the Paraphilias and Their Treatment with Antiandrogenic Medication. In: Handbook of Psychiatric Diagnostic Procedures. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6728-4_14

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  • DOI: https://doi.org/10.1007/978-94-011-6728-4_14

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-011-6730-7

  • Online ISBN: 978-94-011-6728-4

  • eBook Packages: Springer Book Archive

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