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Zeitschrift Fur Kinder- Und... Jul 2020
Topics: Adolescent; Adolescent Psychiatry; COVID-19; Child; Child Psychiatry; Humans; Pandemics; Psychotherapy; Schools
PubMed: 32614276
DOI: 10.1024/1422-4917/a000741 -
Current Opinion in Neurobiology Jun 2024Studying the intricacies of individual subjects' moods and cognitive processing over extended periods of time presents a formidable challenge in medicine. While much of... (Review)
Review
Studying the intricacies of individual subjects' moods and cognitive processing over extended periods of time presents a formidable challenge in medicine. While much of systems neuroscience appropriately focuses on the link between neural circuit functions and well-constrained behaviors over short timescales (e.g., trials, hours), many mental health conditions involve complex interactions of mood and cognition that are non-stationary across behavioral contexts and evolve over extended timescales. Here, we discuss opportunities, challenges, and possible future directions in computational psychiatry to quantify non-stationary continuously monitored behaviors. We suggest that this exploratory effort may contribute to a more precision-based approach to treating mental disorders and facilitate a more robust reverse translation across animal species. We conclude with ethical considerations for any field that aims to bridge artificial intelligence and patient monitoring.
Topics: Humans; Animals; Psychiatry; Ethology; Mental Disorders; Artificial Intelligence
PubMed: 38696972
DOI: 10.1016/j.conb.2024.102881 -
Psychodynamic Psychiatry Sep 2023The authors provide an overview of psychiatry and psychodynamic psychotherapy in Thailand, including a discussion of practice patterns, trends, and the cultural context...
The authors provide an overview of psychiatry and psychodynamic psychotherapy in Thailand, including a discussion of practice patterns, trends, and the cultural context of the delivery of psychotherapy services in this Southeast Asian country. They discuss a way forward in psychodynamic psychotherapy training that is collaborative, self-sustaining, and leads to competence. They address how to culturally adapt psychodynamic psychotherapy and suggest areas of research that would advance the field. Lastly, they discuss psychodynamic pedagogical strategies that may be acceptable and effective in underserved areas.
Topics: Humans; Psychoanalysis; Psychotherapy, Psychodynamic; Thailand; Internship and Residency; Psychiatry; Psychotherapy
PubMed: 37772868
DOI: 10.1521/pdps.2023.51.3.261 -
Dialogues in Clinical Neuroscience Mar 2020Ever since psychiatry emerged as a clinical discipline and field of scientific inquiry in the late 18th century, debates about diagnosis have been at its very heart.... (Review)
Review
Ever since psychiatry emerged as a clinical discipline and field of scientific inquiry in the late 18th century, debates about diagnosis have been at its very heart. Considered by many a requirement for clinical communication as well as for systematic study, others have critiqued psychiatric diagnosis for being modeled on a medical conception of disease that is ill-suited to the specific nature of mental disorders. Based on a review of seminal positions in the conceptual history of psychiatry and an examination of their epistemological underpinnings, we propose to consider diagnosis as dialogue. Such understanding, we argue, can serve as a meta-framework that provides a conceptual and practical umbrella to encourage open-minded conversation across the diverse conceptual and experiential frameworks that are characteristic of psychiatry. In this perspective psychopathology will also reinforce the interpersonal realm as a necessary element of any clinical encounter, be it diagnostic in purpose or otherwise. Current challenges to traditional diagnostic systems like Research Domain Criteria (RDoC) and Hierarchical Taxonomy of Psychopathology (HiTOP) are discussed in light of these considerations. .
Topics: Diagnostic and Statistical Manual of Mental Disorders; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Mental Disorders; Psychiatry
PubMed: 32699503
DOI: 10.31887/DCNS.2020.22.1/phoff -
Tijdschrift Voor Psychiatrie 2020
Topics: COVID-19; Coronavirus Infections; Humans; Pandemics; Pneumonia, Viral; Psychiatry; Social Stigma; Telemedicine
PubMed: 32388843
DOI: No ID Found -
The International Journal of... Feb 2022There has been a long tradition of psychoanalysis in the community in France. The first psychoanalysts working in public institutions did so in places such as the...
There has been a long tradition of psychoanalysis in the community in France. The first psychoanalysts working in public institutions did so in places such as the network of the Offices publics d'Hygiène sociale (OPHS), initially intended to treat tuberculosis, infant mortality, etc., after the Second World War. The introduction of psychiatric care in the community mobilized a genuine interpenetration of psychoanalysis and psychiatry. In 1953, the SPP founded the Centre de Consultations et de Traitements Psychanalytiques, and in 1955 Victor Smirnoff created a children's centre. In 1958, Philippe Paumelle created the Association de Santé mentale du 13ème arrondissement de Paris (ASM 13), a pilot project, implemented in 1960 as "district psychiatry", which is France's national policy of community psychiatry. In the consultation centres of these psychiatric districts, called centres médico-psychologiques (CMP), psychotherapy is provided by clinical psychologists, who are largely psychoanalytic in orientation. In 1972, Pierre Marty and Michel Fain created what would become the Institut de Psychosomatique in 1978. In 1974, ASM 13 created its own Centre de psychanalyse with Jean and Évelyne Kestemberg, specialising in psychotic and borderline pathologies. The activities and theoretical contributions of these psychoanalytic public centres are presented in this paper, with attention to: the distinction between treatment and consultation; the introduction of a new approach to psychosomatics; the description of a psychotic relation to the object as fetish; the research about free treatment and its implications. Currently, the situation of psychoanalysis in France is divided between the medical authorities who reject psychoanalysis in the name of evidence-based medicine, and the persistence of psychoanalysis in both public and private practice. More generally, it appears that the central issue at stake is the conception of the 'psychic human being' and psychic causality in Western societies.
Topics: Child; France; Humans; Mental Disorders; Pilot Projects; Psychiatry; Psychoanalysis; Psychotherapy
PubMed: 35168495
DOI: 10.1080/00207578.2021.1978294 -
Revue Medicale Suisse Feb 2023This article reviews the genesis and development of liaison psychiatry, whose mission is (i) taking care for patients with psychiatric comorbidities (psychiatric... (Review)
Review
This article reviews the genesis and development of liaison psychiatry, whose mission is (i) taking care for patients with psychiatric comorbidities (psychiatric consultation) and (ii) transferring knowledge and skills to somatic medicine and supporting clinicians in their practice (psychiatric liaison). We argue for a strengthening of psychiatric liaison and a consistent focus on the clinician as an object-subject of research, of training and of support. The following article will discuss the contribution of social sciences and quali-tative research to medicine and psychiatric liaison and outline the contours of a clinician-centered liaison model.
Topics: Humans; Psychiatry; Comorbidity; Referral and Consultation
PubMed: 36790155
DOI: 10.53738/REVMED.2023.19.814.324 -
Psychodynamic Psychiatry Dec 2023Indonesia, a country with a vast population of approximately 275 million people on over 17,000 islands, currently has 1,221 psychiatrists nationwide. Psychodynamic...
Indonesia, a country with a vast population of approximately 275 million people on over 17,000 islands, currently has 1,221 psychiatrists nationwide. Psychodynamic psychiatry and psychoanalysis are integral to the practice of psychiatry in Indonesia, primarily because of the charismatic influence of Bachtiar Lubis, who trained in Canada in the early 1960s. Upon his return to Indonesia, Bachtiar Lubis supervised a generation of psychiatrists, including two of this article's authors, who carried on his pedagogical work. The psychodynamic model and treatments have faced obstacles limiting their acceptance in Indonesia, including importing a Western model that has not been culturally adapted to treat patients in the East, the stigma of mental illness in local communities, and the complex comorbidities of persons who seek psychiatric care. Psychodynamic psychotherapy in Indonesia is presently taught in university-based residency programs for eight semesters. A psychodynamic psychotherapy competency-based curriculum was adopted nationwide. The dissemination of psychotherapy knowledge and skills is greatly assisted by an active psychiatric professional association-the Indonesian Psychiatric Association Psychotherapy Section, a member society of the World Federation for Psychotherapy. The authors propose international and regional academic collaborations to maintain enthusiasm among trainees and improve quality of care.
Topics: Humans; Psychoanalysis; Indonesia; Psychotherapy, Psychodynamic; Clinical Competence; Psychiatry; Psychotherapy; Internship and Residency
PubMed: 38047668
DOI: 10.1521/pdps.2023.51.4.401 -
Culture, Medicine and Psychiatry Sep 2021This article examines the historiography of depression, with an eye to illuminating wider issues in the social study of psychiatry and depression. It argues that the...
This article examines the historiography of depression, with an eye to illuminating wider issues in the social study of psychiatry and depression. It argues that the advent of Prozac caused notable shifts in how scholars in the looked at depression. Far from solidifying the medical status of depression and psychiatry's treatment of it, the spread of pill-oriented depression treatment strengthened social researchers' emphasis on psychiatry's social nature. The article further argues that a depiction of psychiatry as mainly a social phenomenon both unduly diminishes its status as medicine, and implicitly underestimates the social in the rest of medicine. This matters if people can benefit from psychiatric treatment. Put another way, if people taking psychiatric medications are indeed ill, and taking medicines that can help them, social analysis should acknowledge this, even as it rightly investigates psychiatry as embedded in social and cultural contexts, as all of medicine is. Doing so means treating psychiatry, whatever its limitations, as a kind of medicine, not as a special case.
Topics: Depression; Fluoxetine; Historiography; Humans; Mental Disorders; Psychiatry
PubMed: 34160737
DOI: 10.1007/s11013-021-09729-2 -
Revue Medicale de Liege Nov 2020Forensic psychiatry is a medical (sub-) speciality covering a variety of different fields, such as general psychiatry, criminology, law, anthropology and sociology.... (Review)
Review
Forensic psychiatry is a medical (sub-) speciality covering a variety of different fields, such as general psychiatry, criminology, law, anthropology and sociology. Experts in forensic psychiatry are required to have a base of specific training, eclectic knowledge and correct ethical and professional practice. The cross-disciplinary nature of forensic psychiatry means that it demands flexibility, procedural rigour and a continuous dialogue between the medical field and the legal profession. The aim of this article is to provide an overview of the evolution in this field, which is very specific and also essential to today's democracy. Indeed, forensic psychiatry can be traced all the way back to Antiquity, but it has undergone profound changes in the last few years, with the field gaining recognition and its practices becoming increasingly professionalised. This is indeed excellent news.
Topics: Belgium; Forensic Psychiatry; Humans
PubMed: 33155449
DOI: No ID Found