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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 3.

Psychologists and psychiatrists feel less empathy for patients when their problems are explained biologically
The idea that mental illness is related to brain abnormalities or other biological factors is popular among some patients; they say it demystifies their experiences and lends legitimacy to their symptoms. However, studies show that biological explanations can increase mental health stigma, encouraging the public perception that people with mental illness are essentially different, and that their problems are permanent. Now Matthew Lebowitz and Woo-young Ahn have published new evidence that suggests biological explanations of mental illness reduce the empathy that mental health professionals feel towards patients.Over two h...
Source: BPS RESEARCH DIGEST - January 12, 2015 Category: Psychiatrists and Psychologists Authors: Research Digest Source Type: blogs

Technical Assistant in the Fedorenko Lab (EvLab), MGH/MIT
POSITION OPENING: Technical Assistant in the Fedorenko Lab (EvLab), MGH/MIT, to assist with all aspects of research on the cognitive and neural architecture of the language system.  Target start date is June 1 but earlier would be preferable.RESPONSIBILITIES: Designing, programming, and conducting behavioral (including web-based) and fMRI experiments; analyzing behavioral and fMRI data; creating and updating the lab website; implementing and maintaining analysis software; technical support for lab personnel; and some basic administrative duties.REQUIREMENTS: Candidates must have ALL of the following: i) strong math, s...
Source: Talking Brains - January 12, 2015 Category: Neurologists Authors: David Poeppel Source Type: blogs

Link Feast
Our pick of the best psychology and neuroscience links from the past week or so:Dos and don’ts of a January detoxAs we start a new year, David Robson at BBC Future takes a scientific look at how to get healthier'Detoxing' has been debunked. Maybe it's time to debunk thatOliver Burkeman argues that scepticism about the benefits of detoxing has gone too farAre Understandings of Mental Illness Mired in the Past?In the latest issue of The Psychologist magazine, Vaughan Bell and John Cromby disagree about the place of biology in our understanding of psychiatric illness. Flicker: Your Brain on Movies by Jeffrey Zacks – how H...
Source: BPS RESEARCH DIGEST - January 10, 2015 Category: Psychiatrists and Psychologists Authors: Research Digest Source Type: blogs

I’m happy: A social worker’s story
On my voice mail is a message from Donald Wyatt. He doesn’t often call, but every Monday morning he comes to see me at the Louisville, Kentucky, mental health clinic where I’m a social worker. His message is brief: “I’m not feeling well, and I am planning a trip to either St. Louis or Elizabethtown.” I smile, wondering at the odd pairing. Elizabethtown is a small city of 50,000 people. And, well, St. Louis is St. Louis, a metropolis. This behavior is not unusual for Donald. He’s disappeared before, always out of state and by bus. He doesn’t have the money to travel any other way, a...
Source: Kevin, M.D. - Medical Weblog - January 9, 2015 Category: Journals (General) Authors: Tags: Patient Psychiatry Source Type: blogs

Once More, the Hospital CEO as Scrooge - Cape Cod Healthcare CEO Collected Millions in Severance After Laying Off Hundreds of Health Professionals, and Being Sanctioned by the State Medical Board
The theme of non-profit hospital CEO as Scrooge seems to be persisting in the media even beyond the holiday season.  (Our last post on this theme was in December, 2014).  The previous cases we discussed (also here) involved  marked contrasts between how well top hired managers of non-profit hospitals were doing, and how their institutions were doing.Turning Around the Hospital, but Turning Away Employees The background to this story comes from an article in the Cape Cod (MA) Times from January, 2014.  Cape Cod Healthcare, a regional non-profit hospital system, hired Dr Richard Saluzzo as CEO to turn aro...
Source: Health Care Renewal - January 8, 2015 Category: Health Management Tags: boards of trustees Cape Cod Healthcare executive compensation perverse incentives Source Type: blogs

Tweet Tweet
You may have noticed that I don't write on Shrink Rap as often as I used to.  Somewhere in there, I got busy with our book, and I also started to use Twitter more.   Instead of a real post, I thought I would put up a sample of things I've been Tweeting.Can we customize the treatment of depression by predicting who will respond to different treatments? http://well.blogs.nytimes.com/2015/01/08/to-treat-depression-drugs-or-therapy/ …CMS is holding Medicare claims for the first 2 weeks of 2015. Find out why: http://goo.gl/TL8JDg Gabrielle Giffords @GabbyGiffords  ·  ...
Source: Shrink Rap - January 8, 2015 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Improve the inequalities among physicians
This article pertains to only the provider portion. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 7, 2015 Category: Journals (General) Authors: Tags: Physician Pediatrics Primary care Psychiatry Source Type: blogs

Cases: Benign Prostatic Hypertrophy (BPH) as a hospice diagnosis?
Conclusion: In this case, a simple condition that is easily treatable in most men became one that we expected to lead to Mr. K’s death. However, the diagnosis that led it to become life-limiting was Mr. K’s dementia, and the heavy burden which BPH treatments would have placed on him. Mr. K’s daughter based her decision on Mr. K’s values, saying that if the father she was raised by was able to see himself in his current condition, he would have wanted both to stay in place and to be allowed to die with dignity. Forced catheterization and antipsychotic treatment might have prolonged his life by years but would have c...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 6, 2015 Category: Palliative Carer Workers Tags: cases childers emergency care hospice medications POLST urology Source Type: blogs

The Goal of Life
One of my colleagues told me once: "Sami, excuse my remark, but you don't know what you want." I didn't like to discuss that with him, but the bottom line is I think that nobody knows what s/he wants form life. I took the bus today who was there waiting for me? now you already know, I hope. A Virginia Woolf of a kind. And we started chatting. VW: So where are you going today?S: To the University to see whether I can change my place of working.VW: Soooo, that meeaanzzz, you know where you are going to?S: welllll, ... - I looked in her eyes and saw that mixture of cleverness and ridicule so I took a deep breath and...
Source: psychiatry for all - January 4, 2015 Category: Psychiatrists and Psychologists Source Type: blogs

Lost with Woolf
I took the bus going back home and she was sitting there waiting for me. Who else but Virginia Woolf?She started telling me about that Society she and her friends had held. They were 6 or 7 of young women who thought that the objects of life are to produce good people and good books. Good people are produced by women, and good books are produced by men. Since it is up to women to start this circle of production, those young women thought that they must answer the question of whether men are producing good books or not, before going ahead and produce more men.They went to libraries, galleries, universities, army, and courts...
Source: psychiatry for all - January 4, 2015 Category: Psychiatrists and Psychologists Source Type: blogs

Gun Owners & Mental Illness -- Is there a "chilling effect" on seeking treatment?
As you may be aware,  we are in the process of doing research for a book called Committed: The Battle Over Forced Psychiatric Care.  Our plan is to include a chapter on guns and mental illness, and I'm interested in talking to gun owners who believe they are suffering with mental health issues, but won't seek care because they are worried this will impact their right to own firearms.  I'm well aware that gun owners often say they'd never see a therapist, or never take psychiatric medications, but what one does for a theoretical problem may well be different then what one does while they are actually sufferin...
Source: Shrink Rap - January 2, 2015 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Will the psychologists involved in torture be held accountable?
What ever happened to “first, do no harm?” One of the findings included in a Senate investigative committee’s report on the U.S. government’s post-9/11 torture program was that it was designed by two psychologists.  They were paid “$80 million to develop torture tactics that were used against suspected terrorists in the wake of the September 11 attacks on the Pentagon and the World Trade Center” — including “waterboarding and mock burial on some of the CIA’s most significant detainees.”  (This isn’t the first time that the involvement of these two psychologists has been made public, but the ...
Source: Kevin, M.D. - Medical Weblog - December 30, 2014 Category: Journals (General) Authors: Tags: Policy Psychiatry Source Type: blogs

How the Anechoic Effect Persists: The Case of the Continued Punishment of Dr Elliott
We have frequently discussed the anechoic effect, how evidence and opinions that challenge the dysfunctional status quo in health care, and that might discomfit those in power in benefit from it, have few echoes.  One major reason for the anechoic effect is that people are afraid to speak up because thus disturbing the powers that be may have bad consequences for the speakers.    A December 21, 2014 article in the Minneapolis Star-Tribune updated an ongoing example of how the leaders of health care may seek to silence their critics.  The article updated the career trajectory of Dr Carl Elliott, a p...
Source: Health Care Renewal - December 29, 2014 Category: Health Management Tags: academic freedom adverse effects anechoic effect free speech intimidation manipulating clinical research mission-hostile management University of Minnesota Source Type: blogs

How physicians and psychologists agree to torture others
Atul Gawande posted a series of tweets, based on findings in the Senate CIA torture report, about the significant role physicians and psychologists played in torture. He comments, “But the worst for me is to see the details of how doctors, psychologists, and others sworn to aid human beings made the torture possible.” Agreed. Upon reading how these professionals used their knowledge to torture their fellow human beings I felt disappointed, sad, and sick. “How could those people sleep at night?” I exclaimed. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: ...
Source: Kevin, M.D. - Medical Weblog - December 29, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Shrink Rap: Most Popular Posts for 2014
10.  Let's Keep Guns Out of the Hands of.....9. How Hard Is It To Find a Psychiatrist? Tell me your stories! 8. Insurance (or Not), Flotation Tanks, and Involuntary Commitment. 7. The doctor will see you NOW!6. Who are the Mentally Ill? Please take my Brief Survey!(please note: the survey is closed but the results can be found here ) 5. Does bad parenting cause mental illness?4. Should it be a Crime for a Therapist to Have Sex with a Patient? 3. Are Psychiatrists Evil?2. Why Psychiatrists Don't Participate with Insurance Networks  1. Is it Ok to Shrink your Sister in an Emergency?   ----- Listen to our lates...
Source: Shrink Rap - December 27, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

A doctor wants to leave medicine to sell Tupperware
A letter received by Pamela Wible, MD. Dear Pamela: I can’t tell if I’m burned out or just don’t like being a doctor. My own medical school experience was so abusive. I wonder how other students like me fare when they enter abusive residency programs. I supposedly work at a place that values patients above all else, but it feels like everyone is exhausted and miserable and that the needs of our administration come first. And anyone who tries to say anything about it gets called lazy. I hope the new generation of physicians will demand better treatment, but even this week I could sense how much young doctors just crav...
Source: Kevin, M.D. - Medical Weblog - December 22, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Go to Bed Early and Cure Your Negative Ruminations!
This study of hype in press releases will change journalismFootnotes1 Chronotype was dichotomously classified as evening type vs. moderately morning-type / neither type (not a lot of early birds, I guess). And only 75 students completed questionnaires in this part of the study.2 It's notable that the significance level for these correlations was not corrected for multiple comparisons in the first place.ReferencesNota, J., & Coles, M. (2014). Duration and Timing of Sleep are Associated with Repetitive Negative Thinking. Cognitive Therapy and Research DOI: 10.1007/s10608-014-9651-7Sumner, P., Vivian-Griffiths, S., B...
Source: The Neurocritic - December 21, 2014 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Suicide: A doctor’s story
It is estimated that approximately 14 percent of U.S. physicians in training are depressed and another 10 percent experience suicidal ideation.  Some 400 U.S. physicians take their own lives each year.  Hampering efforts to deal with such problems is the stigma associated with them.  I knew a top medical student who was reluctant to seek mental health care in part because he feared doing so would tarnish his record.  Earlier this year, he took his own life. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 18, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Best of 2014
No question: this year’s big biomedical story was Ebola. Headlines, Sunday news shows, multiple Congressional hearings, a Presidential visit to NIH—autumn seemed to be all Ebola all the time. Thus far, the death count from Ebola has been one in the U.S. and over 6,000 in Africa. Less noticed, deaths from suicide in 2014 will probably surpass 40,000 in the U.S., roughly one every 13 minutes. According to a recent World Health Organization report (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - December 17, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

On Studying the Epigenetics of Twins in Aging and Disease
Collections of twins are the closest that researchers can get in humans to an ideal study situation in which a large number of genetically identical individuals follow the same life courses. Comparison studies with as many factors as possible made the same are a good way to tease out relevant details from an exceedingly complex system that is still poorly understood as a whole. That system here is the sum total of human cell and tissue biology, and its changing operation over the course of a life span: the map of metabolism is at present really only a sketch of the outlines, and contains many large blank areas when it come...
Source: Fight Aging! - December 16, 2014 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Psychiatry or Bust?
Over on the Neurotransmitting blog, Dr. Joseph Andrews, a 4th year psychiatry resident, writes about Where Psychiatry Sits With Medical Students and What We Can Do About it.  He writes, in a good deal of detail, about the finances of it all and about why someone who has taken on a lot of debt to go to medical school might not be able to afford to become a psychiatrist.  This isn't new -- I went to medical school knowing I wanted to be a psychiatrist, and there were medical schools I simply didn't apply to because I knew I would need to take on so much debt that my monthly payments would be more than I could affor...
Source: Shrink Rap - December 16, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Sony Hack Reveals Health Details on Employees and Their Children
By DEBORAH PEEL, MD On top of everything else, the Sony data breach revealed employees’ sensitive health information:  Top Sony executives saw lists of named employees who had costly medical treatments and saw detailed psychiatric treatment records of one employee’s son. Like last year’s revelation by AOL’s CEO, it shows US corporations look at employees’ health […] (Source: The Health Care Blog)
Source: The Health Care Blog - December 15, 2014 Category: Consumer Health News Tags: THCB health information Patient Privacy Rights Sony Trusted Relationships Source Type: blogs

A child psychiatrist: Whether I choose to be one or not
Dr. Kenneth Azar, a mentor of mine at the old Georgia Regional Psychiatric Hospital in Augusta, Georgia, told me something once that has always stuck with me. He told me that in the early years of his practice, when he was living and working out in Idaho, that he was one of a very small handful of psychiatrists who served the whole state. If an adult with psychosis needed to be stabilized, he would write orders for medications and restraints. If a probate court hearing came up and needed testimony from a psychiatrist about the need for further inpatient treatment versus release to outpatient follow up, he would oblige. If ...
Source: Kevin, M.D. - Medical Weblog - December 14, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Variation in compulsory psychiatric inpatient admission in England: a cross-sectional, multilevel analysis
NHS National Institute for Health Research (NIHR) -The onjective of this study was to quantify and model variances in the rate of compulsory admission in England at different spatial levels and to assess the extent to which this was explained by characteristics of people and places. Full report Summary report NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS measurement and performance Source Type: blogs

Shocking!
I had a really interesting day yesterday.  I went to Richmond to learn about electroconvulsive therapy, or ECT.  Yes, shock treatments.  Now we have ECT in Baltimore, and all residents see patients on the inpatient unit who have ECT, and all residents do ECT.  I wanted to see it again because it's been a long time since I was a resident in an ECT suite, and thought perhaps something might have changed.  Nothing changed, except that now the psychiatry resident spends a lot of time looking at a computer.  Why did I go to Richmond?  I'm doing research for our book on involuntary treatments, ...
Source: Shrink Rap - December 11, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

My Utopia and the Time Machine
I am in the French language class again. We read samples of Utopias. Our teacher asks us to write how our own Utopia would look like. I spend a week confused not knowing how my Utopia would look like. In the last moments before the class is held again and we are ought to present our Utopias I write fast my Utopia. It is a village.  Agricultural. People travel by the speed of light. And they had a time machine. They can go back in time.Ideas not so well linked. Explanations not perfectly given. The time for our class ends. I go walking and thinking why exactly I thought of Time Machine! Is that really Utopic to me?The ...
Source: psychiatry for all - December 9, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Reading Iraqi Newspaper
The first pages of all Iraqi newspapers have to be ugly enough to be taken seriously, or to raise itself to the proclaimed level of ugliness needed those days. As an Iraqi I cannot help but to avoid reading them. Although I will put for you some pictures from yesterday’s first pages of Al-Mada Newspaper, without translation. As you approach the end of the journal the pages get more interesting, a little. Here an Iraqi poet writes about what is happening in the USA lately in that young black man being killed and all what followed. Still I don’t find what Yacine Taha Hafudh had written as interesting to me. &nb...
Source: psychiatry for all - December 8, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Stay human in medicine: Lessons from The House of God
In 1978, under the pseudonym Samuel Shem, psychiatrist Stephen Bergman published “The House of God,” an iconic novel drawn from his medical internship in Boston in the early 1970s. Earlier this year, Dr. Bergman spoke at the commencement of the New York University School of Medicine. With his permission, the following is adapted from those remarks. I began writing The House of God as a catharsis, to make sense of what seemed like the worst year of my life. These are times we all have each day, finding ourselves doing things — or not doing things we should have done — and we say to ourselves, “Hey...
Source: Kevin, M.D. - Medical Weblog - December 7, 2014 Category: Journals (General) Authors: Tags: Physician Medical school Source Type: blogs

Did Adnan do It?
I figured I'd join the bandwagon of bloggers talking about The Serial Podcast.   I'm taking a break from psychiatry for the moment.  If you haven't been listening, Sarah Koenig is orchestrating a year-long investigation into a 1999 murder. 17-year old Adnan Syed was convicted of killing his ex-girl friend and there are a few things that have caught Koenig's attention about the case: an alibi witness was never interviewed, Adnan was a good kid who followed the rules and was no one's pick as a would-be murderer,  and there was no physical evidence.  Koenig has been hunting down every detail, intervie...
Source: Shrink Rap - December 7, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

The Season of the Witch
During the VN era, there was a song with the line, 'Must be the Season of the Witch,' a haunting rock song. Now we have the Michael Brown shooting, and riots, the misfired UVA rape allegations, and the Garner death; and injustices in some parts real and in other parts projected out of the preexisting anger of the accuser are played out in the reactions of victim identification. During VN we had the 'specter' of communism, and now I see the 'Season of the Witch' and see this time similarly. I wish we had let the Vietnamese vote to decide their country's status in 1956 but my feelings about the war have further thoughts, and...
Source: a psychiatrist who learned from veterans - December 6, 2014 Category: Psychiatry Source Type: blogs

Lost in Translation
Marfan syndrome is a rare genetic disease of connective tissue caused by a mutation in FBN1 (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - December 5, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

National Quality Forum Begins Annual Review of Quality Measures, Comments Open December 23 on the 202 Proposed Measures
On Monday, the Measure Applications Partnership (MAP) began its annual review of performance measures that the Centers for Medicare and Medicaid Services (CMS) is considering for use in 20 federal health programs. The 202 measures considered by the group have been made public (view the  PDF), and will be available for review and comment beginning December 23, 2014. Established by the National Quality Forum (NQF) in 2011, MAP is a forum of approximately 150 healthcare leaders and experts, representing nearly 90 private-sector organizations. MAP comprises consumers, purchasers, labor, health plans, cl...
Source: Policy and Medicine - December 5, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

Third Annual BC ADHD Awareness Week 2014. Summary Of What We Accomplished
Post from: Adult ADD Strengths Better late than never eh? Cross posted to BCADHD.com Thanks to our volunteers for making this week happen.  Andrew, Barb, Chris, Christopher, Hazel, Jade, Jennifer, Kat, Maggie, Marc, and Paul. And thanks to Mike for his $500 donation which allowed us to print the posters and support group brochures and the adult ADHD screener test to metro Vancouver libraries and bookstores. Also thanks to the members of the Vancouver Adult ADD Support Group who helped out with donations. In 2003 we had ADHD books displays at 78 Libraries and bookstores throughout 23 cities in the Lower Mainland. In 2014,...
Source: Adult ADD Strengths - December 4, 2014 Category: Psychiatrists and Psychologists Authors: Pete Quily Tags: ADD / ADHD Awareness Politics ADHD related Vancouver Source Type: blogs

Health Affairs Event Reminder: Children’s Health
Threats to children’s health have changed dramatically over the past few generations, but America’s health care system has been slow to transform to meet children’s evolving needs. The December 2014 thematic issue of Health Affairs examines the current state of children’s health, health care delivery, and coverage. You are invited to join us on Monday, December 8, at a forum featuring authors from the new issue at the National Press Club in Washington, DC.  Panels will cover financing, delivery, access, and the social determinants of children’s health, and spotlight innovative programs that a...
Source: Health Affairs Blog - December 4, 2014 Category: Health Management Authors: Chris Fleming Tags: All Categories Children Health Care Delivery Nonmedical Determinants Policy Research Spending Source Type: blogs

The Shooting at Sandy Hook report: 4 things we can learn from it
The recently released report, Shooting at Sandy Hook Elementary School, from Connecticut’s Office of the Child Advocate offers a searing in-depth account of the holes in our mental health care system. The report is careful to point out that no causative link exists between their findings and the events at Sandy Hook. However, this in-depth investigation offers an opportunity, if we are able to hear and take action on its recommendations, to begin to fix a system that without significant attention may lead to an ever growing epidemic of serious mental illness. Continue reading ... Your patients are rating you onlin...
Source: Kevin, M.D. - Medical Weblog - December 4, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

Adhd
Patients and their families are not being well supported, argues Louise NewsonRelated items from OnMedicaBudget cuts threaten psychological therapy promiseAlso in the pressMental Health Act reforms become activeSchool medical care is an 'accident waiting to happen' Psychiatrists to reconsider risk of harm (Source: OnMedica Blogs)
Source: OnMedica Blogs - November 27, 2014 Category: Journals (General) Source Type: blogs

New Advance Care Planning Videos Show How to Avoid Premature Dying
Did Robin Williams commit suicide due to fear of Advanced Dementia? Did Brittany Maynard hasten her dying based on her fear of future unbearable pain? Did they pay the high price of premature dying—losing some remaining enjoyable life—to act while they still had capacity to control WHEN they died? Might they have lived longer had they been aware of an effective plan to die AFTER losing capacity? Psychiatrist/bioethicist Stanley Terman, PhD, MD, Medical Director and CEO of the non-profit organization, Caring Advocates, has created ​three ​new videos from live presentations in Oct. and Nov. 2014&...
Source: blog.bioethics.net - November 25, 2014 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

Health Affairs December Briefing: Children’s Health
Threats to children’s health have changed dramatically over the past few generations, but America’s health care system has been slow to transform to meet children’s evolving needs. The December 2014 thematic issue of Health Affairs examines the current state of children’s health, health care delivery, and coverage. You are invited to join us on Monday, December 8, at a forum featuring authors from the new issue at the National Press Club in Washington, DC.  Panels will cover financing, delivery, access, and the social determinants of children’s health, and spotlight innovative programs that a...
Source: Health Affairs Blog - November 24, 2014 Category: Health Management Authors: Chris Fleming Tags: All Categories Children Health Care Delivery Nonmedical Determinants Policy Research Spending Source Type: blogs

Questioning the Rules
Good morning.  I'm sending you to look at two articles today, both by or about people who have been on our blog before.Over in the New York Times, Robin Weiss has a fabulous article about her work with a patient who wanted to know details of her personal life, "The 'rules' of psychotherapy."  Dr. Weiss talks about how revealing such information goes against the 'rules' of psychotherapy, and she discusses reasons why she decided that in this case, it made sense to break the rules.  She writes: As therapy continued with her, I heard how flat and tinny I sounded whenever I attempted to analyze what was going on...
Source: Shrink Rap - November 23, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Can We Prevent Psychosis?
Each year, about 500,000 young people in this country seek help for symptoms that resemble the prodrome of a psychotic illness. They are not actively psychotic, but they may be struggling in school, dealing with odd thoughts, and becoming socially isolated. Some describe brief hallucinations or paranoid ideas. Many have become “basement kids,” playing video games alone most of the week and losing interest in the world above ground. Most of these youth will, ultimately, be fine. But about one in three of those identified as high risk will have a first psychotic episode within three years.1 (Source: NIMH Directors Blog)
Source: NIMH Directors Blog - November 20, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

Mayo Clinic Sued By Hellmann's Maker For False Advertising.
Rochester, MN --  Mayo Clinic was sued Monday by a Unilever, the maker of  Hellmann's mayonnaise, claiming the hospital's actual brick and mortar is not made of egg and oil, an FDA requirement since 1957 for any product that wants to call itself mayonnaise.   The lawsuit comes less than a week after the multinational behemoth  sued Just Mayo -- a small San Francisco start-up with a vegan alternative to mayonnaise -- for using mayo in their name despite not having the required egg and oil mixture.Mayo Clinic sued for false advertisingUnilever, which claims consumers equate mayo to mayonnaise,  is as...
Source: The Happy Hospitalist - November 19, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

The Violent Mentally Ill
There's been lots in the news lately about forensic hospitals and the management of violence by psychiatric patients. Here's a short list:1. Beyond the Gates of GomorrahA new book by Dr. Stephen Seager, a tell-all about his work in a California forensic hospital.2. BroadmoorA very rare documentary filmed within the walls of a British forensic hospital. In two parts, all on YouTube:Ep 1 http://youtu.be/bNifHcZV_4Y Ep 2 http://youtu.be/QNlGxWe-z6s 3. Clinical Psychiatry NewsMy recent column, a review of new California guidelines for the treatment and management of inpatient violence. ----Note from Dinah: the b...
Source: Shrink Rap - November 18, 2014 Category: Psychiatrists and Psychologists Authors: ClinkShrink Source Type: blogs

Policing Mental Illness Crisis
A great short documentary on police treatment of people in mental health crisis. A look at the formation of a Crisis Intervention Team and the special training given to police officers who wear plain clothes and apply mental health first aid. Includes an interview with a person with a diagnosis, and family members, on what it’s like to be involved in mental health crisis involving police. A hopeful look at best practices and good results in crisis intervention.   (Source: Channel N)
Source: Channel N - November 17, 2014 Category: Neurologists Authors: sandra at psychcentral.com (Sandra Kiume) Tags: All Documentary brain crisis law mental health police psychiatry psychology video violence Source Type: blogs

P-Hacking
Later this week, more than 30,000 neuroscientists will descend on Washington, DC, for the annual Society for Neuroscience meeting. The meeting will likely reveal extraordinary progress in studies of brain structure and function, with thousands of posters and short presentations from a diverse crowd, ranging from excited graduate students to the venerable leaders of brain science. Amidst the excitement and sheer volume of activity, it’s easy to forget about a sobering set of recent reports that as much as 80 percent of the science from academic labs, even science published in the best journals, cannot be replicated. (Sour...
Source: NIMH Directors Blog - November 15, 2014 Category: Psychiatry Authors: Thomas Insel Source Type: blogs

The Bigger They Come, the Softer They Fall - the Size of Pharma Companies and How Vigorously they are Prosecuted
After we found lessons to be learned from even  relatively small legal cases involving medical device companies, we reviewed some relatively small cases involving pharmaceutical companies made public in 2014.  Again, we had an index case that linked to larger issuesMerck Settled Fraud Allegations for $31 MillionThis case got very little coverage in October, 2014.  A very short story by Reuters included these essentials,A subsidiary of Merck & Co has agreed to pay U.S. states $31 million to settle claims that it overcharged their Medicaid programs for an antidepressant it had sold at a discount to pharmac...
Source: Health Care Renewal - November 14, 2014 Category: Health Management Tags: adverse effects deception Eli Lilly fraud impunity kickbacks legal settlements Merck Takeda Teva US Department of Justice Source Type: blogs

Abilify: It's Really Expensive!
Sometimes, I like to bother pharmacists.  They are the nicest people, and very patient about looking up medication costs for me.  Once, I wrote a post called The Co$t of Being Depressed, where I compared the cost of anti-depressants. Today,  I'm writing over on our Clinical Psychiatry News website about The Surprisingly High Cost of Abilify.  Here's the short form, but do surf over there for details:I called three pharmacies and compared prices on Abilify.Please remember, this data is for three pharmacies only A single 2 mg tablet cost between $30 and $33 dollars.  More don't cost appreciably less ...
Source: Shrink Rap - November 14, 2014 Category: Psychiatrists and Psychologists Authors: Dinah Source Type: blogs

Algal virus associated with altered human cognitive functions
Many well-known human viruses, including poliovirus, rabies virus, West Nile virus, can infect cells of the nervous system, leading to alterations in the function of that organ. Could a virus that infects algae also cause human neurological alterations? Chloroviruses are large DNA-containing viruses that infect unicellular algae called zoochlorellae (pictured: image credit, ViralZone). Unexpectedly, chlorovirus DNA sequences were found in the oropharynx of 40 of 92 individuals (43.5%) who had no known physical or psychiatric illness. The clinical specimens had been obtained as part of a study of cognitive function, and it ...
Source: virology blog - November 13, 2014 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information algae chlorovirus cognitive function DNA oropharynx Phycodnaviridae viral virome Source Type: blogs

Physician suicide 101: Secrets, lies and solutions
This article adapted from a lecture presented by Pamela Wible, MD, at the 2014 American Academy of Family Physicians Scientific Assembly in Washington DC. Why did you go to medical school? I’m a family physician born into a family of physicians. My parents warned me not to pursue medicine. So I went to medical school. Ten years later, I’m unhappy with the direction of my profession (and I’m not the only one). Then I get this crazy idea: what if I ask for help? Not from the profession that wounded me. Just from random people on the street. So I hold a town meeting and ask patients to help me — design an ideal me...
Source: Kevin, M.D. - Medical Weblog - November 13, 2014 Category: Journals (General) Authors: Tags: Physician Psychiatry Source Type: blogs

What Does Tolerance for Ambiguity Look Like?
By: Marie Caulfield, PhD, manager of data operations and services, Association of American Medical Colleges, Washington, DC Last year my daughter was admitted to a teaching hospital with a kidney infection. The medical student and residents on her treatment team recommended an MRI to rule out a possible anatomical cause. Dr. R., the attending physician, guided them through the case: the medical history did not suggest an anatomical problem, treatment would be the same regardless of the findings, and scans are uncomfortable and expensive. Dr. R. firmly said, “No MRI.” The medical student was clearly uncomfortable with l...
Source: Academic Medicine Blog - November 13, 2014 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical students TFA tolerance for ambiguity Source Type: blogs

In-depth review of the psychiatrist workforce
This report contains an in-depth review of the psychiatrist workforce in England, with a particular focus on fully trained psychiatrists with a certificate of completion of training (‘CCT holders’) who typically are employed as consultants. The review considered demand and supply for CCT holders in the six psychiatry specialties: general adult psychiatry, psychiatry of old age, child and adolescent psychiatry, forensic psychiatry, psychiatry of learning disability, and medical psychotherapy. Main report Technical report Centre for Workforce Intelligence - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs