Mixed States in Their Manifold Forms: Part 1
March 30th 2011Mixed states constitute a wondrously variegated universe of psychopathology. These states are characterized by the intrusion of features characteristic of depression into states of hypomania or mania and the converse. Mixed states assume a myriad of forms that as a family may be among the most commonly encountered states of affective illness.
Bereavement and the Loss of a Child: The Need for Compassion and Careful Judgment
March 28th 2011I’d like to respond to Dr Cacciatore’s concerns and comments, as well as to some points raised by other readers. I also want to acknowledge the deep pain of those who have lost loved ones, and who have written in to this Web site.
Consequences of Population Drift
March 23rd 2011Writers of diagnostic criteria should consider their work and all its implications. What about adding a new disorder? What might that do to epidemiological capture? Depending on the characteristics of the diagnostic criteria set, many possibilities exist.
Psychiatry: Awaken and Return to the Path
March 22nd 2011Addressing a few subjects that may have the potential to create a more insidious and enduring form of misrepresentation ... namely, the implications that psychiatrists must now “play the game,” and resign themselves to a bleak future of harried pill dispensing.
Guidelines for Developing a Cognitive Remediation Program for Patients With Schizophrenia
March 17th 2011Discuss the results of the final cognitive testing, review the participant’s initial goals and the progress made toward them, and discuss future ambitions and how the gains made during cognitive training may help the participant achieve those goals.
Psychotherapy is Alive and Talking in Psychiatry
March 12th 2011The title of Gardiner Harris’s front-page story in the March 6 New York Times was blunt: “Talk Doesn’t Pay, So Psychiatry Turns Instead to Drug Therapy.” For those of us who see our profession as a humanistic calling, this piece is likely to provoke a mixture of sadness and anger.
A Surprise: I Support Some SVP Commitment
March 8th 2011In previous blogs and papers, I have done my level best to skewer the misuse of the misdiagnosis "Paraphilia NOS." I regard it as no more than a flimsy justification, concocted to allow the psychiatric incarceration of rapists who would otherwise have to be released from prison to the street.
Excavation in Austria Uncovers Mass Grave Thought to Hold Nazi Victims
March 5th 2011United Press International recently reported that construction workers in Hall, Austria have exhumed what may be turn out to be grim remains of the Third Reich’s Action T4 program that sought to exterminate mentally and physically disabled men women and children.
Rape and Psychiatric Commitment
March 5th 2011I was asked three interesting questions by a psychologist with 15 years experience evaluating sexually violent predators. She has testified often--both for the prosecution and for the defense in the hearings that determine the legitimacy of involuntary psychiatric commitment under SVP statutes.