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The ideal field test would study how the diagnostic manual will eventually perform under conditions most closely approximating its future everyday use. The goal is to avoid unpleasant surprises in translation from what has been written on paper to what is practiced in real life. No field test can ever approach the ideal.

In the wake of ongoing investigations by Senator Charles Grassley (Republican, Iowa) into potential conflicts of interest between academic researchers and the pharmaceutical industry, numbers recently posted on the web site Pro Publica, an independent non-profit organization, may come as something of a surprise.

Are there any recent sources talking about the use of buprenorphine (low dose) for people who were never drug addicts or abusers but who were diagnosed with treatment resistant depression?

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LIVE FROM PSYCHIATRIC CONGRESS It is no surprise that pain, depression, and anxiety form a "terrible triad"--but now there’s proof, according to results from research presented1 at the 2010 US Psychiatric and Mental Health Congress (Psych Congress).

Dr Allen Frances pleads for the United States Supreme Court to “step up to the plate” and halt the “disturbing misuse” of the “makeshift” psychiatric diagnosis of Paraphilia NOS (nonconsent).

Speaking in a language a person has never learned; extraordinary shows of strength; sudden aversion to things spiritual; severe sleeplessness; lack of appetite; cutting, scratching, and biting one's own skin. . . these are the "classic signs" of possession by a demon, according to Bishop Thomas Paprocki of Illinois.

Eventually, DSM-5 will be a rushed patch-work. The only hope for a usable DSM-5 is for the Trustees to exert their authority to correct an errant process. But they will act only if there is mounting outside pressure and widespread public concern.

The DSM does and must involve both science and pragmatism. It must use the science that is available, but it must also make countless judgment calls that are not grounded in solid empirical evidence-and surely it makes sense to consider practical consequences in doing the latter.

Every 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.

The mental health implications of disasters on individuals and communities are enormous. Psychiatrists play a key role in helping to mitigate and lessen the traumatic burden and in fostering resiliency efforts.

The 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.

There are feasible and replicable ways for caring adults to help heal themselves as well as the next generation through mass application of reflection and altruistic caring for the remaining offspring, whether in Sichuan, Gaza, New Orleans, or Haiti.

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In this autobiographic work, Darryl Cunningham explains mental illness in a succinct and novel way. It is already proving to be of use to both health professionals and mental health service clients. Published in the UK this year, its US release is scheduled for February 2011.

Forensic psychiatrists expressed near-unanimous opposition to 3 controversial new sexual diagnoses after a spirited debate at a recent conference of the American Association of Psychiatry and Law (AAPL).

An antidote to the ubiquitous arrogance, impulsivity, and knee-jerk reactivity surrounding us is to gather as much information as possible, weigh the pros and cons of any intervention, think critically and act mindfully. We can, as Thoreau decided to do, “live deliberately.”

I do not believe that a nation as rich as ours (albeit with most wealth concentrated among the upper income levels) can shirk its moral responsibilities in the matter of providing basic health care for all its citizens.

Is ADHD in a child foreshadowed by ADHD in other family members? Have acute-phase treatments for major depression been found to be effective in children and teens? These questions and more in this quiz.

For some patients with MDD, there are indeed “remembered gifts” that are appreciated on recovery from their depression. But this is not to say that MDD itself is “adaptive” during the course of the patient’s illness.

Would you be surprised to find out that Freud is gaining a foothold in China? As psychoanalysis and related therapies are slipping in the USA, psychoanalysts from the US are beginning to train a cadre of interested clinicians in China.

The next I heard of the Prince, my hopes that he had reshaped his consciousness in a more healthy direction were dashed. The Prince was in solitary confinement as punishment for another attempt to establish his empire.

The project culminating in the 2 issues of the Bulletin of the Association for the Advancement of Philosophy and Psychiatry (the Bulletin) included in PDF format with this introduction has its own history.


A reader asks an expert about differential features distinguishing between early stages of tardive dyskinesia and motor tics.

Which scales can help diagnose ADHD in adults? Are CT, PET, EEG, and MRI reliable diagnostic tools for ADHD? These questions and more in this week's quiz.

There is evidence that the combination of medication and psychotherapy improves outcomes for many psychiatric illnesses. Among the several forms of psychotherapy that might be considered, cognitive-behavioral therapy (CBT) is the most extensively studied.
