March 17th 2025
As we celebrate the anniversary of COVID-19, let’s examine what meaning the pandemic brought to our lives.
Most Rapists Are Not Sadists: How To Tell The Difference and Why It Is So Important
May 2nd 2011Rape is always a heinous, ugly, violent, and cruel crime. But the violence and cruelty that are part of all rapes should not be confused with the specifically motivated violence and cruelty that distinguish sexual sadism...
Read More
The Link Between Substance Abuse, Violence, and Suicide
January 21st 2011Emerging research suggests that some individuals with particular types of substance use and abuse may be more likely to engage in suicidal behaviors. For example, those who use opiates, cocaine, or sedatives may have a noticeably higher risk of suicide than those who use other drugs.
Read More
Mental Illness and Political Violence: Reckless Rhetoric, Weapons, and the Media
January 19th 2011The recent mass murders in Arizona are the latest in our country's epidemic of horrible, hate inspired crimes. The 24/7 media punditry and political spinning has been disappointingly off point in a way suggesting that once again we will learn nothing from our mistakes and that such tragedies will continue to recur with distressing frequency.
Read More
Quiz on Vicarious Trauma, Working With Other Physicians, and More
January 19th 2011Should malingering be considered more likely than factitious disorder when a patient exhibits pseudologia fantastica? What condition persists for longer than 3 months, accompanies a disease process, and is associated with a bodily injury that has not resolved over time? These questions and more in this interactive quiz.
Read More
Psychiatric Community Convenes to Offer Condolences in Arizona
January 14th 2011The Arizona Psychiatric Society and the American Psychiatric Association joined together to remember the victims of the Tuscon tragedy. The shooting left 6 dead and 14 others wounded, including US Rep Gabrielle Giffords, who lies in a medically induced coma recovering from a gunshot wound to the head.
Read More
Managing the Aftermath of Patient-on-Staff Violence
January 14th 2011Violence by patients towards staff members is an inherently complex matter for the physically and/or psychologically injured person. An expert in the field of forensic psychiatry answers a reader's question about what clinicians can do in the aftermath of an assault.
Read More
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.
Read More
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.
Read More
Talking to Adolescents May Ward Off Future Violent Behavior and Alcohol Use
September 4th 2010A 3-year study involving over 3,000 patients used motivational interviewing to counsel adolescents about staying away from potentially violent and alcohol-related situations. It was found that these brief sessions “reduced by half the chances that teenagers would experience peer violence or problems due to drinking.”
Read More
So Much Mental Illness -- So Few Psychiatrists in Iraq
July 8th 2010After years of war, more and more Iraquis are seeking medical care for trauma-induced mental illness. However, demand for such treatment far outpaces supply. In a country of 30 million people, only 100 psychiatrists are available to offer care.
Read More
Erasing Memories: Next Treatment for PTSD and Other Trauma-Related Disorders?
March 26th 2010Neuroscientists are exploring ways to erase bad memories in patients who have experienced traumatic events. This possibility raises ethical concerns: Is it ethical to erase a memory or flashback and the feelings associated with that moment to alleviate suffering, or should clinicians focus on therapies such as CBT and EMDR (Eye Movement Desensitization and Reprocessing) to help patients cope with a trauma?
Read More
Long-Term Effects of Extreme Stress
March 23rd 2010Many European-born Israelis who lived through the Holocaust were subject to severe starvation, extreme mental stress, exposure to a variety of infectious agents, and hypothermia. Perhaps it is no coincidence that these Jews now have higher rates of all types of cancers-especially breast and colon cancer-than other Jewish or non-Jewish ethnic groups who currently live in Israel. The authors of a study recently published in the Journal of the National Cancer Institute comment that experiences during WWII appear to have had a direct impact on the long-term health of survivors.
Read More
Fort Hood and DOD Independent Review
January 26th 2010Army personnel responsible for supervising the Army psychiatrist now accused of the November 5, 2009 shooting rampage at Fort Hood, Tex, may find themselves accused of failing to follow Army policies and regulations and taking appropriate actions.
Read More
Violence Risk Assessment in Everyday Psychiatric Practice
December 14th 2009Hy Bloom provided an expert psychiatric report in a multiple murder case in which the accused, who had schizophrenia and depression, had killed his wife and 2 children. Before the murders, the accused had been seeing a psychiatrist and family physician for treatment of the mental disorders.
Read More
Readers React to “Abortion Trauma Syndrome”
October 27th 2009Respecting the article “Abortion Trauma Syndrome” by Arline Kaplan, I would note the irony of the claim that this syndrome is “conceived by anti-abortion activists to advance their cause,” given the obvious pro-abortion attitude of everyone associated with Kaplan’s article.
Read More
Functional MRI, Round 3: Six Items to Keep in Mind
October 2nd 2009This is the third and final installment in a series on biophysical mechanisms of functional magnetic resonance imaging (fMRI) technologies. My overarching goal has been to explain why great care must be exercised when interpreting data derived from these magnets. The inspiration for the series came as I was reading a magazine article while waiting for a plane to take off-my reaction to what I read may have resulted in a bit of trauma to the seat pocket in front of me.
Read More