Medicine

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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty

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Author: search.filters.author.Kuruppuarachchi, C.

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    Gender dysphoria and morbid sexual jealousy in an adolescent.
    (Kandy Society of Medicine, 2022) Rathnayake, L.C.; Kuruppuarachchi, C.; Abeyrathne, M.; de Silva Rajaratne, P.K.D.H.J.L.; Chandradasa, M.; Kuruppuarachchi, K.A.L.A.
    Gender dysphoria is the psychological distress that occurs when an individual’s biologically determined sex and gender identity do not align. Jealousy is likely to occur in any form of intimate partnership, irrespective of sexual orientation. Jealousy in a relationship is affected by sociocultural variables, an individual’s sense of masculinity, femininity, and other factors. We report an 18-year-old assigned female at birth with gender dysphoria presenting with jealous-type delusional disorder. We found no previous reporting of morbid jealousy in adolescents with gender dysphoria.
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    The living being dead: Cotard syndrome presenting as a dead spirit
    (Kandy Society of Medicine, 2020) Chandradasa, M.; de Silva Rajaratne, P.K.D.H.J.L.; Kuruppuarachchi, C.; Kuruppuarachchi, K.A.L.A.
    ABSTRACT: Jules Cotard described a syndrome with melancholic anxiety, delusions of possession, ideas of suicide and, thoughts of the non-existence of their own body and/or soul. ‘Perethaya’ is a greedy dead spirit recognized in Sri Lankan culture who expresses a dangerous longing for food until their subsequent incarnation. A 68-year-old female previously diagnosed with depressive disorder stated she is deceased and turned to a ‘perethaya’. She ate from garbage bins and attempted to consume water from toilet bowls as a ‘perethaya’ would do. A 42-year-old male diagnosed with recurrent depression stated he has died and is now a ‘perethaya’. He believed any person who would talk to him is dead as well. These reports present a culturally unique way of Cotard syndrome in Sri Lanka. KEYWORDS: Depression, Cotard syndrome, Nihilistic delusions, Sri Lanka, Transcultural psychiatry
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