Behavioral Dysinhibition: Impulsivity and Borderline Personality Disorder
May 31st 2012Neural underpinnings and symptom presentation in borderline personality disorder might explain similarities and differences in this symptom domain across the spectrum of personality disorders as well as in other disorders associated with impulsive symptoms.
Spitzer Recants: Why Can’t the APA Admit Mistakes and Correct Them?
May 31st 2012Let’s compare Dr Robert Spitzer's apology to the gay community with the stonewalling that has characterized every step in the development of DSM-5. The American Psychiatric Association has a lot to apologize for-but instead maintains a defensive posture that prevents insight and self-correction.
Voices From the Past: An Asylum Superintendent on the Importance of Structures
May 24th 2012In last month’s column, I discussed how 19th century psychiatrists began recognizing the possibility that a mental disorder might affect only one facet of an individual’s personality (volition), leaving others relatively untouched.
Inpatient Suicide: Identifying Vulnerability in the Hospital Setting
May 23rd 2012It is important for the inpatient psychiatrist to understand the perspective of the newly admitted patient. Many patients will find the experience depersonalizing, threatening, and socially alienating and may perceive it as a personal failure.
Update on Opioid Dependence and Its Treatment
May 11th 2012While regulatory controls on methadone clinics for opioid dependence resulted in treatment being physically and functionally isolated from conventional medical care, the delivery of an office-based treatment of buprenorphine and the buprenorphine/naloxone combination product over the last decade has facilitated the return of treatment to “mainstream medicine both for psychiatry and primary care."