Emil Kraepelin on Cultural and Ethnic Factors in Mental Illness
June 23rd 2011In the sixth edition of his famous 2-volume textbook Psychiatrie, which appeared in 1899, Emil Kraepelin introduced the by now well-known distinction between dementia praecox (soon to be called schizophrenia) and manic-depressive illness.
After 40 Years (in the Wilderness), Where is Our Promised Land?
June 22nd 2011I just attended the 40th year reunion of my medical school class at Yale. As is common at these 5-year reunions, we compare our careers and the progress of medicine, although this time more of the focus seemed to be on our personal lives and our new Medicare cards.
Alzheimer’s Redux: A Preliminary Take on the New Diagnostic Criteria
June 17th 2011If telling patients they have “pre-clinical Alzheimer’s” or “MCI due to Alzheimer’s Disease”-absent effective treatment-produces more emotional suffering than it relieves, a difficult ethical question arises; namely, can such a disclosure be justified under the foundational principle of non-malfeasance?
Infidelity: Add Another Brick to the Wall
June 15th 2011Amidst sexting congressmen, philandering French IMF directors, and gallivanting governors, I suspect many psychiatrists have been accosted with questions from friends and colleagues. Such questions generally conform to some permutation of “What makes a person do that?”
Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence
June 9th 2011The COMBINE study was only one trial designed by academics to maximize internal scientific validity. It excluded individuals with other significant psychiatric and medical illnesses (more often the rule than the exception in some clinical settings)-individuals deemed too severely ill or who needed hospitalization.
Introduction: Comorbidity, Cognition, and Pharmacotherapies
June 9th 2011In this Special Report, Helen M. Pettinati, PhD, and William D. Dundon, PhD, discuss prevalence, assessment, clinical features, and treatment issues with respect to individuals with co-occurring major depression and alcohol dependence.
Biomarkers Oversold In Medicine: Implications for Psychiatry
June 8th 2011John Ioannidis, MD, of Stanford University has published a paper with wide implications for medicine and also for psychiatry. He finds that many influential studies have made exaggerated claims purporting to find connections between biomarkers and medical illness.
Who Needs DSM-5? A Strong Warning Comes From Professional Counselors
June 8th 2011I just received a very important email from Dr Dayle Jones who chairs the DSM-5 Task Force of the American Counseling Association (ACA). The ACA has provided a much needed wake-up call for the American Psychiatric Association.
Australia's Reckless Experiment In Early Intervention
June 8th 2011A charismatic psychiatrist, Patrick McGorry has recently gained heroic status. First he was chosen to be Australia's Man Of The Year. Now, he has convinced the Australian government to spend more than $400 million over 5 years to fund his plan for a nationwide system of Early Psychosis Prevention and Intervention Centres.