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The totalitarian system as we know it today may also be called 'managerial capitalism' since the decisions dictated by technical and economic considerations are no longer hampered by the rights of ownership and title holders. Yet it should be emphasized, speaking of 'managers,' that the true technical directors have nowhere acquired the disposing power of technocrats; the real power rests mainly with economic and business managers. This was written by H. Bruggers in 1941 in his "Stages of Totalitarian Economy," in the publication Living Marxism.

More patients are reaching the old-old demographic-those age 75 and above-with psychiatric conditions such as treatment-resistant depression. Research has shown that with some careful screening and precautions, ECT is a safe, effective treatment option for these patients.

Dementia produces significant dependency and contributes to costly long-term care; depression contributes to high rates of suicide; and both contribute to lower quality of life and higher disability among older patients. Therefore, researchers are eager to find new ways of preventing and treating these conditions. Studies currently underway include evaluating the role of health specialists in treating depressed patients, looking at bereavement and its effects on patients, and the role of estrogen, vitamin E, NSAIDs and COX-2 inhibitors in preventing and treating Alzheimer's disease.

As the population ages, psychiatrists will need to take a more proactive role in preventing, diagnosing and treating elder abuse. This article looks at the definition of elder abuse and the history of reporting it, research findings on the effects of abuse on mortality, and needs for the future.

In addition to reports on psychotherapeutic agents now available and anticipated in the United States, the presentations at the 22nd annual Collegium Internationale Neuropsychopharmacologicum (CINP) Congress, held from July 8 to 13, in Brussels, provided a unique view of varied investigational compounds and approaches outside our country.

Arguing that participation in any aspect of death penalty cases is an ethical conflict for physicians-and specifically psychiatrists-Dr. Freedman calls for physicians' organizations to join the American Bar Association's goal of a moratorium on executions. The author himself opposes the death penalty.

New studies show that the elderly may be more resilient in the face of natural disasters than younger victims. Preparing older patients is key to improving their coping skills.

Playing God in the Hospital - Poetry of the Times

Letter to a Young Psychiatrist: Confessions of a Psychodynamic Attending

Charles River Hospital, a 62-bed psychiatric facility in Wellesley, Mass., followed the trend of dozens of institutions, medical groups and some insurance companies last June. The hospital filed for bankruptcy.

Known as "the cancer of mental illness," schizophrenia can core a life, robbing a previously well-functioning person of what made the person uniquely them.

After this Tibetan monk's release, he fled across the Nepali border, made his way to India and then to New York City, where he was referred to a program for survivors of torture.

Show of Force - Poetry of the Times

As previously discussed, new research has made us look much more closely at the influence of religion and spirituality on overall health. Now more than 30 psychiatric residencies including Harvard, Baylor, and Georgetown provide focused training on addressing patients' religious/spiritual beliefs.

What a Psychiatrist Remembers - Poetry of the Times

Between 50% and 80% of people with mental disorders smoke cigarettes. Are the tobacco companies targeting this population, and are mental health care facilities promoting the use of tobacco? What are psychiatrists' responsibilities in the overall health of their patient?

Foreign Landscapes - Poetry of the Times

The Way He Managed - Poetry of the Times

Transference - Poetry of the Times

Once the distortions are cleared away, most patients who come to the emergency room tell stories that seem to grow out of the problems they claim to have and the pain they claim to feel.

Covert Operations - Poetry of the Times

Bipolar disorder (BD) in children and adolescents is severe and has significant adverse effects on academic, social and family functioning. The high rate of relapse and suicide attempts in youth with BD makes effective treatment essential.

Radium Girls - Poetry of the Times

The existing literature on the hoarding of animals by human beings has been written by officials of the Humane Society of the United States and animal shelter operators. Only one case series appears in medical or psychological literature.

Places We Have Met - Poetry of the Times

The Mask - Poetry of the Times

Sexuality is a very important life issue for the elderly, but is often overlooked, according to Cynthia L. Ardito, Psy.D. Ardito frequently speaks on this subject to various health care provider groups in the United States and Canada.

A man named Edward Charles Allaway walked into a college library at California State University in Fullerton, Calif., and, using a .22-caliber rifle, killed seven people and wounded two others in 10 minutes. One of the few individuals who was successfully defended with a plea of insanity, Allaway was ultimately committed to a state psychiatric institution. This incident is not ripped from today's headlines, but from newspapers with a 1976 dateline.

In a stunning move made to avoid a trial, an October 1997 settlement totaling $10.75 million ended one of the most controversial and widely publicized lawsuits ever brought against a psychiatrist by a former patient who later retracted memories of recovered abuse. Patty Burgus and other family members had sued Bennett G. Braun, M.D., an internationally renowned expert in the field of dissociative identity disorder, and the prestigious Rush-Presbyterian-St. Luke's Hospital in Chicago, among others. The suit claimed that bizarre recollections of satanic ritual abuse and other trauma, which were recovered during the course of psychiatric treatment, were false and the result of negligent care over a six-year period.

Intrigued by preliminary research indicating that omega-3 polyunsaturated fatty acids found in fish, fish oil and flaxseed may ameliorate symptoms in bipolar disorder (BD), schizophrenia and other psychiatric disorders, investigators have launched a series of double-blind trials evaluating fatty acids as adjunctive treatment. This article will discuss studies on bipolar disorder.