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Psychiatry Notes: February 2017

Psychiatry Notes: February 2017

  • Editors' picks for recent stories in mental health, including Executive orders and "Islamophobia,” effect of parental obesity on childhood development, personality, and global mental health. Scroll through the slides for links to detailed reports.
  • Community Mental Health Care: “The deinstitutionalization of people with mental illness restored their rights, but caused plenty of problems as well . . . According to recent surveys, the number of state psychiatric beds has fallen from over 550,000 in 1955 to fewer than 38,000 in 2016. Meanwhile, research conducted by the Treatment Advocacy Center estimates over 355,000 inmates in America’s prisons and jails suffered from severe mental illness in 2012. Last year, a report by the Department of Housing and Urban Development found that over 100,000 Americans who experienced homelessness also suffered from severe mental illness.” (Scientific American, January 24, 2017)

  • Parental Obesity and Childhood Development: In an article that appeared in Pediatrics, Edwina Yeung and colleagues noted that parental obesity is linked to delays in child development: The investigators found that “children of obese mothers were more likely to fail tests of fine motor skill—the ability to control movement of small muscles, such as those in the fingers and hands. Children of obese fathers were more likely to fail measures of social competence, and those born to extremely obese couples also were more likely to fail tests of problem solving ability.” (National Institutes of Health, January 3, 2017)

  • Commander in Chief? “When mental health experts look at Trump from afar they see anger, narcissism, and compulsive behavior.” Further, Allen Frances, MD, writes, "Trump doesn't meet DSM criteria for any mental disorder . . . I wrote the [DSM] criteria and should know how they are meant to be applied: Personality disorder requires the presence of clinically significant distress and/or impairment. The armchair, amateur diagnosticians seem either to be unaware of this requirement, or carelessly choose to ignore it.“ (Business Insider, January 31, 2017)

  • Personality Traits Linked to Differences in Brain Structure: “According to psychologists, the extraordinary variety of human personality can be broken down into the so-called ‘Big Five’ personality traits, namely neuroticism (how moody a person is), extraversion (how enthusiastic a person is), openness (how open-minded a person is), agreeableness (a measure of altruism), and conscientiousness (a measure of self-control).”  Dr Roberta Riccelli from Italy notes, “Our personality is, to some degree, associated with brain maturation, a developmental process that is strongly influenced by genetic factors.” (Cambridge University, January 25, 2017)

  • Islamophobia? President Trump’s orders initiated in January pose harm to refugees, immigrants, academic research, and international exchange, according to psychologists at the American Psychological Association. In a related post, Immigration, Islamophobia, and Psychiatry, Steve Moffic, MD, writes about the topic, not from a political view, but to find solutions to solving problems surrounding Muslims from a psychiatric point of view. He writes, “Given that one of the special interests in my career was cultural psychiatry, I have had exposure to Muslims for decades in my work. I developed a model of a cultural psychiatry educational seminar series, based on discussing our own cultural and religious identities. Despite a strong stigma against mental illness in many Muslim circles, I treated psychiatric illness in Muslims from Somalia, the Middle East, and Black-American converts.” (American Psychological Association, February 1, 2017)

  • Parental Obesity in Childhood Development: In an article that appeared in Pediatrics, Yeung and colleagues noted that parental obesity is linked to delays in child development: The investigators found that “children of obese mothers were more likely to fail tests of fine motor skill—the ability to control movement of small muscles, such as those in the fingers and hands. Children of obese fathers were more likely to fail measures of social competence, and those born to extremely obese couples also were more likely to fail tests of problem solving ability.” (National Institutes of Health, January 3, 2017)

Comments

I mean: it's just current popular culture coinage to get a point across on social media. Folks know there is not dx. in the DSM5! Why be sanctimonious when we are experiencing a global crisis - at least, immigrants are!

Mary Ann @

I have trouble with the words "Islamophobia" or homophobia. I cannot find them in the DSM5. When did these become mental disorders. Language is important, and using psychiatric terms to label cultural or political thinking is not professional.

Farrel @

I absolutely agree. Let's not encourage the bastardization of psychiatric terminology !

Grace @

oh, please!

Mary Ann @

Not only does he not fit the criteria , the amateur armchair diagnosticians dont know how to listen nor interview

Joanne @

For US living Muslims, there are a couple of clear facts that would promote their mental health. First, they must want to acculturate into our society and relate to our core values instead of wanting to change them, just as every immigrant group has done before them. Second, they must take a stand against the violent parts of their political and religious ideology. Unfortunately, most have been very weak in both areas. They should consider these differences before they come to the US and if they are unhappy, they should return to their homeland.

Carol @

So do you live in a teepee, hunt wild buffalo and perform the Medicine Dance?

Simon @

Hello Simon, I didn't grasp the significance of your remarks in your comment of this past Saturday until I read most of the subsequent remarks.
My conclusion is that you were too kind in your word selection! Thanks.

STEVEN @

Well said.

Melodie @

That would be rightful anger; narcissism borne of repeated successes and compulsive behaviors like abstinence from alcohol. It's impossible to get an accurate read on President Trump if you follow mainstream news media because they have launched an onslaught of unjustifiable criticism, negative spin and just pure hatred. His electorate can see through it all.

Carol @

Now I comprehend Simon's response from this past Saturday.

STEVEN @

Dr. Teitelman tiene que entender que salud, salud mental es un negocio en los Estados Unidos que hay sido controlado por las companias de seguro. Lo importante es el lucro. Si tambien las personas mejoran o se sanan es un resultado feliz para todos.

Raul Rodriguez @

Dr. Rodriguez, Although I don't want to acknowledge your beliefs, I have to admit that much of what you passionately say is true and some seems quite pragmatic. I just wonder what the "insurance companies" would want additionally; they already seem pretty happy!
Don't they already have enough "lucro"?
And what would this other groups receive? They are already the victims and I would venture to say that they need much.
I don't have the answers but I hope someone does. Thanks.

STEVEN @

Los enfermos no tienen nacionalidades ni religiones,hay que tratarlos a todos por igual.-Los profesionales de la salud no podemos discriminar.-
Dr.Samuel Teitelman
Médico Psiquiatra
M.N.40.037

Samuel @

I agree with you wholeheartedly. It is embedded in my heart and soul. I have practiced Psychiatry for about 30 years in solo practice. I have always tried to live by this principle.
But the world is changing. View the world of medicine in shambles. View the chaotic, events in the socio-economic and political domains.
I don't have the answers. Hopefully our children do. I was wondering whether a melding of our views and those of Dr. Rodriguez could be synthesized into a new process that could benefit most individuals. Thanks.

STEVEN @

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