Forensic Ethics, Interrogations, and Getting the Facts Right
December 1st 2010DEBATE When you get facts wrong, as Dr Halpern does, it is hard to end up with the right conclusions. He suggests incorrectly that my approach to forensic ethics leads to the conclusion that participation in interrogation is permissible, when exactly the opposite is true.
Adding the Diagnosis of Temper Dysregulation Disorder to DSM-5
December 1st 2010These issues-among others-raise this question: Is the addition of a new diagnosis such as TDD to DSM-5 the best way to manage the issue of classification of youths with chronic, severe irritability and potential misdiagnosis of bipolar disorder?
Are We Training Physicians to Be Shift Workers?
December 1st 2010During residency training, young doctors learn the requisite skills, knowledge, and values essential to the practice of medicine. We will all agree that to learn, the resident must have the desire and drive to master the essential knowledge and skills of his or her specialty.
DSM5 Task Force: Do Not Go to the Mass Media-Do Your Homework
December 1st 2010As I was driving to work on February 10, 2010, I listened to the National Public Radio host Melissa Block talking about how children labeled “bipolar” may get a new diagnosis. I was shocked that the chair of one of the DSM5 work groups, David Shaffer, MD, would discuss a controversial diagnostic topic with the media.
A Conversation With Dr Richard Kogan
November 29th 2010Creative people tend to see the world in novel and unconventional ways, and they often seek out intense and destabilizing experiences. Creative ideas are frequently generated during chaotic mental states characterized by loosening of associations that resemble the psychosis of mania or schizophrenia.
The DSM-5 Field Trials (Part 2): Wrong Goals and Wrong Methods Make Them Irrelevant
November 25th 2010The ideal field test would study how the diagnostic manual will eventually perform under conditions most closely approximating its future everyday use. The goal is to avoid unpleasant surprises in translation from what has been written on paper to what is practiced in real life. No field test can ever approach the ideal.
Physicians on the Payrolls of Drug Companies: Do Financial Ties Bind?
November 25th 2010In the wake of ongoing investigations by Senator Charles Grassley (Republican, Iowa) into potential conflicts of interest between academic researchers and the pharmaceutical industry, numbers recently posted on the web site Pro Publica, an independent non-profit organization, may come as something of a surprise.
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November 23rd 2010Thank you for registering to Psychiatrictimes.com. Click here to download your online copy of Achieving Success and Balance nowAchieving Success and Balance Yes, It Can Be Done. A Physician's Guide to Having It All.Stressed out? Looking for solutions for efficiency and balance? We can help. This guide brings you the best of Physicians Practice articles and columns on avoiding burnout and relieving stress, boosting efficiency and increasing revenue, and finding the best way to achieve balance and success.
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An Integrative Approach to Treating Patients
November 20th 2010LIVE FROM PSYCHIATRIC CONGRESS It is no surprise that pain, depression, and anxiety form a "terrible triad"--but now there’s proof, according to results from research presented1 at the 2010 US Psychiatric and Mental Health Congress (Psych Congress).
Does This Patient Need an Exorcist--or a Psychiatrist?
November 19th 2010Speaking in a language a person has never learned; extraordinary shows of strength; sudden aversion to things spiritual; severe sleeplessness; lack of appetite; cutting, scratching, and biting one's own skin. . . these are the "classic signs" of possession by a demon, according to Bishop Thomas Paprocki of Illinois.
DSM-5 Field Trials (Part 1)-Missed Deadlines Have Troubling Consequences
November 19th 2010Eventually, DSM-5 will be a rushed patch-work. The only hope for a usable DSM-5 is for the Trustees to exert their authority to correct an errant process. But they will act only if there is mounting outside pressure and widespread public concern.
Science Versus Pragmatism in the DSM: Finding A Middle Ground
November 18th 2010The DSM does and must involve both science and pragmatism. It must use the science that is available, but it must also make countless judgment calls that are not grounded in solid empirical evidence-and surely it makes sense to consider practical consequences in doing the latter.
Biological Consequences and Transgenerational Impact of Violence and Abuse
November 17th 2010Every year, more than 1 million children are exposed to sexual or physical abuse or neglect in the US. The research summarized here clearly demonstrates that exposure to stress before adulthood can result in persistent effects on both mental and physical health.
Secondary Trauma Issues for Psychiatrists
November 17th 2010The characteristics that bring people into the caring professions are, ironically, the very factors that make them vulnerable to vicarious trauma and job burnout. It is our responsibility to ensure that these adverse outcomes are minimized among those who have chosen such a career.
Working With Traumatized Patients
November 17th 2010There are feasible and replicable ways for caring adults to help heal themselves as well as the next generation through mass application of reflection and altruistic caring for the remaining offspring, whether in Sichuan, Gaza, New Orleans, or Haiti.