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Psychiatry Roundup: Out With the Old, In With the...Old?

Psychiatry Roundup: Out With the Old, In With the...Old?


  • This psychiatry roundup includes important or noteworthy stories in the news, including the Surgeon General's initiative against addiction, the implementation of DSM's Continuous Improvement Model, art and psychiatry, pediatric opioid poisoning, and more. Scroll through the slides for links to articles.
  • Surgeon General’s Report on Alcohol, Drugs, and Health
    In response to the addiction crisis, which has become a public health emergency, “The first-ever Surgeon General’s Report on Alcohol, Drugs, and Health reviews what we know about substance misuse and how you can use that knowledge to address substance misuse and related consequences.” Facing Addiction
    Surgeon General, November 17, 2016

  • The Future of the DSM: Implementing a Continuous Improvement Model
    Michael First, MD and colleagues write about the APA’s new web portal, built to create a living document of sorts for proposed changes to DSM. “Individuals or groups making proposals must provide supportive information such as reasons for the change, data documenting improvements in validity, evidence of reliability and clinical utility, and a discussion of potentially harmful consequences associated with the proposed change. Proposals must also include a thorough review of the relevant literature and any secondary data analyses the proposers have conducted.”

  • Art and Images in Psychiatry
    A brilliant compilation of artwork related to essays by James C. Harris, MD, Director of the Developmental Neuropsychiatry Clinic and Professor of Psychiatry at the Johns Hopkins University School of Medicine.
    JAMA

  • National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents
    This retrospective analysis found that “pediatric hospitalizations for opioid poisonings increased nearly 2-fold from 1997 to 2012. Hospitalization rates were highest in older adolescents, but the largest percentage increase in hospitalizations over time occurred among the youngest children (toddlers and preschoolers).” This is presumably a consequence of higher addiction rates in adults than ever before, as well as reckless storage and disposal methods of such medications that result in accidental poisonings.

  • Mental Illness Is Not a Horror Show
    Andrew Solomon, PhD writes, "For those of us with firsthand experience with mental illness — especially those who have experienced trauma in a mental hospital — such [virtual reality and horror attraction] ... ventures cut much too close to the bone. When my mother was dying of cancer, she was admitted to some miserable wards, but I find it hard to envision a Halloween event at which you would pretend to be getting chemotherapy and vomiting constantly while surrounded by patients driven into the quasi-dementia that comes of unremitting pain.”
    New York Times, October 26, 2016

  • Chlorpromazine, the First Antipsychotic Medication: History, Controversy and Legacy
    On the history of the antipsychotic, which continues to be included on the list of essential medicines for schizophrenia by the World Health Organization.
    British Association of Psychopharmacology, October 31, 2016

Comments

See the Surgeon General's PBS interview on Thanksgiving day: http://www.pbs.org/video/2365901046/
The interview begins at the 20:38 mark so you can fast forward to it.
You may have to sign up with PBS. Of note is the universal Prevention strategy (GBG) that has a cost/benefit return of $64 per dollar spent, far greater than any other. What isn't really mentioned is that GBG also reduces smoking, depression, delinquency, suicide, conduct disorders and ADHD while increasing teaching time, grades and graduation rates.. You folks with kids or grandkids may want to campaign for Pax GBG to be implemented in your family's elementary schools ASAP. See www.goodbehaviorgame.org for more information. rseitz@co.ocean.nj.us

Richard @

Good article, that about Chlorpromazine history. I'd say: 'Serendipity', in Spanish: 'Chiripa', is not finding something by chance, but finding something when your were looking for something else, different to the Donkey which made a flute sound 'accidentally'.
The description of the Chlorpromazine Discovery process is close to the contemporary search for targeted drugs based on its receptor molecular structure, someboy even prepared a software to design Benzodiacepines

Jose @

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