Category Archives: Social isloation

▶ Nadine Burke Harris: How childhood trauma affects health across a lifetime – YouTube

▶ Nadine Burke Harris: How childhood trauma affects health across a lifetime – YouTube.

Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer. An impassioned plea for pediatric medicine to confront the prevention and treatment of trauma, head-on.

Australasian Psychiatry Feature on Psychotherapy –

Edwin Harari 2104 Ghost Busting: Re-introducing psychotherapy for the psychiatrist

Abstract

Objective: The purpose of this paper is to provide a clinically relevant historical and conceptual overview of psychotherapy as an introduction to a forthcoming series of papers on specific models of psychotherapy. The author offers a selective review of some key ideas in the history and practice of psychotherapy.

Conclusion: The principles of psychotherapy should inform all psychiatric practice, including the doctor– patient relationship, multidisciplinary teams caring for patients with complex or ‘treatment resistant’ problems, and patients who are non-compliant with psychotropic medication.

Keywords: psychotherapy, doctor–patient relationship, treatment resistance, psychotherapy and medication

Australasian Psychiatry 2014, Vol 22(5) 433–436 © The Royal Australian and New Zealand College of Psychiatrists 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav

Australasian Psychiatry – Signposts http://www.apy.sagepub.com DOI: 10.1177/1039856214546673

Ghost Busting: re-introducing psychotherapy for the psychiatrist

Edwin Harari Consultant Psychiatrist, St. Vincent’s Hospital Area Mental Health Service, Fitzroy, VIC, Australia

Psychotherapy (‘healing the mind’) is a particular type of interpersonal influence, wherein one person, acknowledged by society as possessing relevant skills (the psychotherapist) seeks to change the thoughts, feelings, attitudes, behaviours, relationships or personality of a suffering other (the patient):

If one posits that the relation between doctor and patient has been critically wounded, how are we to understand whether, and on what basis, that relationship may be reasserted ? AI Tauber

The pedagogy for engaging hidden values and divided selves is the moral building of the clinician as a full developed human being. A Kleinman

I do not favour the way Descartes ontologically screwed up a reasonable search for mind-brain docking during the past four centuries yielding life-denying monstrosities like radical behaviourism and an emotionless information processing cognitivism… J Panksepp

The possibility of intersubjective knowledge offers a welcome relief from a forced choice between pure subjectivity (Descartes) and true objectivity (Kant). EM Hundert

The outcome of the game is to convert what would otherwise be a nameless trauma into a loss. J Lear

As a general rule throughout Asia, the more patriarchal the society, the more the Buddha looks like a woman: the more egalitarian the society, the more the Buddha looks like a man. L Shlain

Psychotherapists, especially, appreciate [that]… this painful ambivalence is as old as the ice-age, a hallmark of Cro-Magnon man, torn between his craving for consolation and his fear of revenge. J Cawte

Each of the above quotations may serve as a conceptual signpost or creative condensation of the argument each of the authors’ advances in their respective texts which bear on the nature, subject matter and practice of psychotherapy.

Read more here

References
 Tauber AI. Confessions of a medicine man: an essay in popular philosophy. Cambridge, MA: MIT Press, 2002, p.103.
 Kleinman A. The divided self, hidden values and moral sensibility in medicine. Lancet 2011; 377: 804–805.
 Panksepp J. The self and ‘its’ vicissitudes. Critique of commentaries. Neuropsychoanaly-sis 2002; 4: 50.
 Hundert EM. Philosophy, psychiatry and neuroscience. Three approaches to the mind. Oxford: Clarendon Press, 1990, p.297.
 Lear J. Happiness, death and the remainder of life. Cambridge, MA: Harvard University Press, 2000, p.92.
 Shlain L. The alphabet versus the goddess. New York: Penguin, 1998, p.200.
 Cawte J. Aboriginal healing: psychotherapy in ancient society. Aust J Psychother 1988; 7: 14.
 Doidge N. The brain that changes itself. Melbourne: Scribe, 2007, p.216.
 Wolff HH. The therapeutic and developmental functions of psychotherapy. Br J Med Psychol 1971; 44: 117–130.
 Markowitz JC and Milrod BL. The importance of responding to negative affect in psycho-therapies. Am J Psychiatr 2011; 168: 124–128.
 Frank JD and Frank JB. Persuasion and healing: a comparative study of psychotherapy (3rd edition). Baltimore: Johns Hopkins University Press, 1991.
 Kernberg OF. Severe personality disorders: psychotherapeutic strategies. New Haven, CT: Yale University Press, 1984.
 Gabbard G and Kay J. The fate of integrated treatment: whatever happened to the biopsychosocial psychiatrist? Am J Psychiatr 2001; 158: 1956–1963.

http://thestringer.com.au/deconstructing-schizophrenia-in-australian-aborigines-9049#.VHQ3_YE_7qB.
In places where an increase in the incidence of schizophrenia has been reported, these can be attributed mainly to substance abuse (eg Drug Induced Psychosis). However, there are additional explanations for psychosis differential diagnoses. The most important of these is stress, and especially complex or traumatic stress – presenting as depressive psychosis in both its unipolar and bipolar forms.

Childhood maltreatment associated with cerebral grey matter abnormalities: Abuse could lead to permanent brain damage — ScienceDaily

Is this where social policy, social and criminal justice,  and neuro-psychiatry finally meet? And importantly, who is to blame for this continued abuse?

Childhood maltreatment associated with cerebral grey matter abnormalities: Abuse could lead to permanent brain damage — ScienceDaily.

19th ISPS International Congress in New York City | ISPS NY 2015

Abstract submission now open

March 18 – 22, 2015 at The Cooper Union in New York City

19th ISPS International Congress in New York City | ISPS NY 2015.

Welfare cuts may leave 500,000 young people in need of emergency aid: Department of Social Services – ABC News (Australian Broadcasting Corporation)

This approach (withdraw support so the destitute need to come begging for the basics) seems to be an ideal formula for self-stigmatisation and alientation and the perfect approach storm for the developmental illness – perhaps we need a new term for this effect, perhaps “imperiogenic disorder” would fit…

Welfare cuts may leave 500,000 young people in need of emergency aid: Department of Social Services – ABC News (Australian Broadcasting Corporation).

Commentary: ADHD and social disadvantage: an inconvenient truth? – a reflection on Russell et al. () and Larsson et al. () – Nigg – 2014 – Journal of Child Psychology and Psychiatry – Wiley Online Library

How much is ADHD a result of social deprivation? Perhaps more than we think…

Commentary: ADHD and social disadvantage: an inconvenient truth? – a reflection on Russell et al. (2014) and Larsson et al. (2104) – Nigg – 2014 – Journal of Child Psychology and Psychiatry – Wiley Online Library.

Protecting Children From Toxic Stress – NYTimes.com

I think he forgot the mention mental illness, but this might explain many comorbidities…

“Imagine if scientists discovered a toxic substance that increased the risks of cancer, diabetes and heart, lung and liver disease for millions of people. Something that also increased one’s risks for smoking, drug abuse, suicide, teen pregnancy, sexually transmitted disease, domestic violence and depression — and simultaneously reduced the chances of succeeding in school, performing well on a job and maintaining stable relationships? It would be comparable to hazards like lead paint, tobacco smoke and mercury. We would do everything in our power to contain it and keep it far away from children. Right?

 

Children can be shielded from the most damaging effects of stress if their parents are taught how to respond appropriately.

Well, there is such a thing, but it’s not a substance. It’s been called “toxic stress.”…

Protecting Children From Toxic Stress – NYTimes.com.

Effect of diagnostic labeling and causal explanations on medical students’ views about treatments for psychosis and the need to share information with service users

New study by Lorenza Magliano, John Read et al, in Psychiatry Research, (in press, 2013)

This study examines whether medical students’ views of treatments for ‘schizophrenia’ and of patients’ rights to be informed about their condition and their medication were influenced by diagnostic labeling and causal explanations and whether they differed over medical training.

Three hundred and eighty one Italian students attending their first or fifth/sixth year of medical studies read a vignette portraying someone who met diagnostic criteria for ‘schizophrenia’ and completed a self-report questionnaire.

The study found that labeling the case as ‘schizophrenia’ and naming heredity among its causes were associated with confidence in psychiatrists and psychiatric drugs. Naming psychological traumas among the causes was associated with confidence in psychologists and greater acknowledgment of users’ right to be informed about drugs.

Compared to first year students, those at their fifth/sixth-year of studies more strongly endorsed drugs, had less confidence in psychologists and family support, and were less keen to share information on drugs with patients.

These findings highlight that students’ beliefs vary during training and are significantly related to diagnostic labeling and belief in a biogenetic causal model.

Psychiatric curricula for medical students should include greater integration of psychological and medical aspects in clinical management of ‘schizophrenia’; more information on the psychosocial causes of mental health problems.

Greenwich-based help for young people who hear voices like Gandhi did (From News Shopper)

Greenwich-based help for young people who hear voices like Gandhi did (From News Shopper).