English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Tools annual

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Presents the access of premium content as premium feature

Premium Content

Global: Zendy Plus annual

Global: Zendy Free Plan

The patient is a nineyea r-old female twin with an initi al chief comp laint of pulling out her upper eyelashes. This had been occurring intermittently for six months a t various times during the day. The parents had tried to deal with the problem by talking, bribing, and punish ing the patient. Once her mother put mittens on her hands in an effort to prevent the eyelash pulling at night. The next morn ing th e patient reported that a voice told her to take off the mitt ens. The patient performed above average work in schoo l, but worried about her homework being correct and argued with her parents when they tried to help her with it. Past history indicated that she lost weight shortly a fter birth and remained in the hospital for one weeek after her sister went home . This patient has been followed in twice a week therap y for the past year. Her parents have been seeing a separate therapist weekly. Her parents felt that she pulled out her eyelashes to make her look different from her identical twin sister, but the patient did not agree with this. Initially she could not identify an y feeling or thought that preceeded or accompanied the eyelash pulling. She was particularl y vague about the voice, but said it reminded her of a bedtime imagination when she was four; in this imagination she saw a face in the window that could take her away . At the time of the twin's ninth bir thd ay, the patient wrote on a piece of paper the wish that her sister would die. She believed that the wish would come true and became very anxious, resulting in her pull ing out all of her upper eyelashes. In the next several month s, she pulled out her eyelashes on days when she had been angry at her siste r and wished she would die . The anger was usually due to her sister not wanting to play with the patient.

Problems with Separation in an Identical Twin