Academic Psychiatry - Science topic

What an interesting question. Recently I came accross ideas about how Irish migrants to the Us became white, latter on Italian migrants also went through a process of whitenning, Jews from all over the world, or at least some of them have also been whitenned. I assume that whiteness must be different in white countries like European countries, the US, Australia or Canada. And indeed in Latin America there seem to be people who consider themselves white, but not elsewhere. Also questionable must be the whiteness of mediterranean europeans.

Wishing you Veysel Kaplan success !

you`r welcome. from the reference list you can take further literature for further reading.

best regard,

János

I would rather ask, why you want to combine it? MAOIs are very potent Antidepressant, in adequate dose and duration, i think will be sufficient for your patient. I also hold the same opinion like others who opined , better to avoid adventurous practice rather play safe.

There is nothing more tragic than student suicide. iAcademic stress plays a part but there is also being away from home, often too early, disillusionment with both social and academic life, substance abuse, behavioral addictions, broken hearts, competitiveness, loneliness, lack of confidants, mental health problems, medical problems, stigmatization, money problems, bullying, unsympathetic teachers. Large universities are cold, anonymous places and students come unprepared.

Because it depends on several causes:

-The type and intensity of such Depression

-The one that, in addition, there is also an Anxiety Chart (Mixed Depressive / Anxious Disorder)

-Whoever is male or female

-The type of Antidepressant used: An MAOI is not the same as a Tricyclic type, an SSRI or a Selective Serotonin and Noradrenaline Reuptake Inhibitor or Epinephrine (SSNRI)

-The one who receives a Combined Treatment with, in addition to Antidepressants, Psychotherapy, eminently Cognitive Behavioral.

The comparative study of living organisms is standard laboratory practice, e.g. the knowledge transfer of animal experiments to humans. Concerning psychiatry, this may be the human medicine par excellence, and I personally (and methodically) doubt that, in this case, the results of veterinary medicine can be applied to humans successfully.

In my opinion the foundation of personality is inherited, self desires set the direction and environment cause transformation, as seed inherits the type of the plant in it self, a chance to go into the soil is similar to self-desires, while water, sunlight, air and fertilizers are environments. They all have a role to play in the process of a seed becoming a tree.

Dear Dr.Samah Zahran,

Please, add money to your greatest assessment for personality perspective..

Rogerian psychology create an atmosphere of psychological safety within the counseling relationship which is relevant and applicable today. Rogers believed the therapist should have unconditional positive regard for the client – that is, not judge the client’s character. If the client feels that his/her character is being evaluated, he/she will put on a false front or perhaps leave therapy altogether.

The self is a complex interaction between memory and attention. In this case memory is facts we know about ourselves (self-knowledge), schematic structures built from our socio-cultural context and autobiographical memory. The Self is how we appraise, use, and prioritize not only information in memory, but also various interests and desires. These actions on memory, interests, and desires require varying degrees of attentional resources. Carolyn Jennings makes this point much better than I in her essay (https://aeon.co/essays/what-is-the-self-if-not-that-which-pays-attention). In sum, there is a bidirectional relationship between our Self and how we appraise, use, and prioritize what’s stored away in memory structures as well as our management of our interests and desires.

Selman,

I do not know this scale but an inventory that sounds like that (i.e. as list of symptoms) will rarely be appropriate for factor analysis. Lists of things are aggregate constructs and most often do not reflect a common factor model.

Best,

Holger

Great initiative. I will be happy to provide statistical analysis power and research methods...

Probably, but it depends which setting you are working in. For example, if you are working in a clinical or educational setting you will certainly need approval. But first of all I would escalate the issue to your own supervisor or in your own institution.

I agree that there is a social agenda component. One of the goals of effective treatment of severe and persistent mental illness would be to prevent the "downward drift" seen in patients’ socio-economic condition. In a related situation, in advocacy we are often using economic data about days missed at work and lost productivity to try and justify the needed investment in preventing and treating severe and persistent mental illness.

Interresting , but what do you think, ionic imbalance could not be a "trigger" for these episodes? If not, where should we search he source of relapses ?

I agree with Michael Uebel that PHQ-9 is a useful screening tool, as well as other validated questionnaires (Zung's SDS, CES-D, HADS, Whooley, etc.). However, they are just screening tools, not diagnostic tools. A positive screening indicates that there is a likelihood of having a depressive disorder.

E.g., it is accepted that the operational features (sensitivity, specificity...) of the PHQ9 are sufficiently good to recommend its use as a screening tool, but its predictive positive value (at best: in a population with high prevalence of depression) could be around of 50 % (i. e., 50% of positive results in PHQ 9 do not have depression).

Please, read this old but interesting paper: https://www.researchgate.net/profile/Alex_Mitchell/publication/26703371

Giovanni Portuesi & Duane A Lundervold great! Definitely good articles are needed! Will be happy to provide more details if needed!

Drugs work best when they are new. Hence the adage, "Be quick to use this new medication before it stops working!"

Problems of low efficacy and adverse effects take time to emerge.

Thank you Dr. Sapkota.

Thank you Dr Ah Gs, but I am looking for materials that cover mainly recent educational programs.

Julio:

I recommend you.

Renato D. Alarcón, Manuel Suarez- Richards, Silvana Sarabia.

"Educación Psiquiátrica y componentes culturales en la formación del médico: Perspectivas Latinoamericanas".

Revista Peruana de Medicina Experimental y Salud Pública

(Peruvian Journal of Experimental Medicine and Public Health)

2014 Vol 31 (3).

Best wishes.

Diana from Perú.

An egoist will look and treat an altruist wrong. Egoist and altruist , if not diametrically opposite personalities, are completely in different spectrum of behaviors and therefore their value systems and truth to them are completely different.

Psychology is the result of close observation of many individuals at various mental states, usually those who have a disease or a condition. Hence it can be faulty, though most of the times, it is not. Since each human has some disease in him/her. True religion is close observation of the individual self itself and then progressing above by self cleansing through sadhana/meditation. Book religion is true only for those with open eyes, else it is a poison, coz 'the reading I' becomes the character of the book read

Such situations are bizarre. I am following to learn more though. All forms of sacrifices to save the many of the human family may not necessarily be stupid. Military persons are groomed to prioritize the lives of citizens though. To die for others, its a courageous, selfless and humanly attitude. However, this should be done when that is there is no alternative to save every life!

There have been research on psychiatrist behaviors (prescribing habits, likelihood of addressing primary care needs of psych patients if they don't have a primary care physicians etc). If you are talking about functional imaging or something equally intensive i would imagine it would be difficult to recruit due to relatively small sample size and how much physician time is worth. When i get offers to do surveys on medscape they typically reimburse around $100 per hour for a simple survey. But i'm sure with sufficient funding studying physicians wouldn't be all that difficult.

It depends on how the questions are asked. If the scale asks about hypomanic symptom right now, or during the past week, test-retest would not be appropriate. If it ask about the average level, or maximum level, of symptoms during an episode then test-retest reliability is necessary to validate the scale.

Regards,

Simon Young

What are the practical implications of classifying Psychiatry into one of the mentioned categories? Would doing so necessarily bring Psychiatry out of the "crisis' mentioned (is it really in a crisis?). My own Psychiatry colleagues used insights from all the disciplines mentioned. For example, several were involved with the issue of euthanasia and the ethical issues involved (philosophy), issues of anthropology were involved (do forms of mental illness manifest themselves differently in different cultures), and neurology and neuro-psychology (are there underlying specific correlations with present diagnostic categories?). An additional issue is that the boundaries between the disciplines mentioned are not fixed. Further, some areas of medicine have changed to be concerned with enhancing human beings rather than just fixing organic problems, will Psychiatry follow this path in the future? I've probably just muddied the water, but I'm not sure why the question needs to be asked.

There is a Single Case Archive at http://singlecasearchive.com/

Rutgers University has a Pragmatic Case Archives at http://pcsp.libraries.rutgers.edu/index.php/pcsp/issue/archive

Sometimes darting eyes, hands over ears or plugs in ears, loud music on ear phones, head shakes, holding the head, banging the head, talking back, unprovoked smiles or laughs or shouts, frightened looks, looking over one's shoulder, listening attitude, dazed look. Not sure whether any of this applies to lab animals.

Hi Julia,

Here is the link to the ILAE's "Definition and Classification" web page, including a 2016 proposal. They are constantly updating debates in all sorts of topics regarding classification.

we used it in our work in Pakistan in multiple projects. I also saw this citation, but authors never responded so we had to get it translated. What is it exactly you are looking for? 

Thanks you so much!

This is true Dr.stuhec

Nitrofurantoin should be avoided in geriatric patients in general not only in psychiatric patients.

 there is a most excellent tool - severely mistrusted by our evidence-debased friends, apparently - called an analyst.

This "tool" is able to use listening, intelligence, feeling, intuition, compassion and 100 years of psychoanalytic theory to fairly accurately predict and "measure" and to understand the degree and nature of regression in a particular person.

It is an expensive tool - little understood by the evidence-debased CBT-government health-fund alliance - but, it works. And updates are free, but require ongoing genuine interest in the human psyche and the world of the unconscious. To purchase a license requires great patience and curiosity and a mistrust of the usual forms of "evidence".

 That is the shortest answer that I can give.

Check out Maharishi University of Management (MUM) www.mum.edu and Colorado College https://www.coloradocollege.edu

Both offer the 'Block System' where students take one class at a time for one month to go deeply into one subject at a time. I have worked and taught at MUM and this format has worked very successfully. It is an interesting innovation.

Agree

I think the answer depends more on other factors about the study itself, and what types of studies you are attempting to pool. Can the high degree of heterogeneity be explained clinically, rather than statistically? Are the outcomes similar between studies? is it just 1-2 studies responsible for the high degree of heterogeneity? How many studies are you pooling, and how many are 'out of line'? The answer to how you handle the analysis depends on these issues as well as others.

There is a possibility that a moderator variable is missing that does in fact explain the heterogeneity (ex. study quality, time of publication, population characteristics, etc) and it is also a possibility that even if you could collect all information on any possibile moderator variable that you will still be unable to statistically explain this heterogeneity.

I wasn't sure I understood the question about 'drawing a study time on each comparison until homogeneous subgroups'. However grouping studies based on similar effect sizes, rather than known characteristics about the study isn't something to consider. It might help you look at the individual studies to learn why they are different, but it is not the subgroup analysis you should be doing. If you are referring to a sensitivity analysis of removing a single study (or a couple studies) to create a homogeneous subgroup, again you should have a very good reason to do so - and not just to create a homogeneous sample.

A possible answer may be to simply report the pooled results using a random effects model and discuss the heterogeneity as a limitation. Real world data is rarely perfect. However if the degree of heterogeneity is really bad, then it could be an indicator of non-uniform study design, various types of publication bias, and so on.  

Anna, why not contact Morris Bell and Paul Lysaker directly? 

Hi Amir,

I think that importance of your study depends on how effective is remove or interrupt "corrupted programs" through sound waves, at least partially. Anyway, I hope this could be helpful for you...

And I agree with you: People do not realize how great could be engineering contribution to biology and medicine!

Best!