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Psychiatric Quarterly

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https://www.readbyqxmd.com/read/27848105/patient-therapist-perspective-of-the-working-alliance-in-psychotherapy
#1
Nelson Andrade-González, Guillermo Lahera, Alberto Fernández-Liria
This study aimed to examine perceptions of the working alliance in a sample of Spanish patients and therapists. The alliance was measured after the third and tenth psychotherapy sessions using patient and therapist versions of the Spanish adaptation of the Working Alliance Inventory (WAI). After both sessions, correlations between the patients' and therapists' ratings, both of total alliance and of the various dimensions of the alliance, were moderate at best. Moreover, after the third psychotherapy session, patients' scores for the total alliance and the Goal and Task subscales were significantly higher than the scores from their therapists in these dimensions...
November 16, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27837467/a-cross-cultural-comparison-of-attitude-of-mental-healthcare-professionals-towards-involuntary-treatment-orders
#2
Ming-Hong Hsieh, Hui-Ching Wu, Frank Huang-Chih Chou, Andrew Molodynski
The purpose of this study was to investigate East-West cultural attitudes of mental healthcare professionals (MHPs) towards Involuntary Treatment Orders (ITOs) among Taiwan, England, Wales, and New Zealand. Data on Taiwanese MHPs' views of ITO regime were collected from the National Psychiatric Disease Mandatory Assessment and Community Care Review Committee (N = 176). A national survey instrument was designed to assess the level of support for ITOs among senior clinicians and to determine their views on the importance of various factors in decision-making, the mechanisms through which coercion may work, impediments to its use, and its perceived impact on patients and therapeutic relationships...
November 12, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27815803/advancements-in-undergraduate-medical-education-meeting-the-challenges-of-an-evolving-world-of-education-healthcare-and-technology
#3
REVIEW
P G Shelton, Irma Corral, Brandon Kyle
Restructuring of undergraduate medical education (UGME) has occurred from time to time over the past century. Many influences, including the persuasive report of Abraham Flexner in 1910, acted to reorganize medical education in the early twentieth century [1, 2]. In his report, Flexner called on American medical schools to enact higher graduation standards and to stringently adhere to the protocols of mainstream science in their teaching. Prior to this report, UGME had changed little over the previous century but over the last several decades, reform within medical education has become routine...
November 5, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27815802/psychiatry-resident-training-in-cultural-competence-an-educator-s-toolkit
#4
REVIEW
Irma Corral, Toni L Johnson, Pheston G Shelton, Oliver Glass
Resident physicians training in psychiatry in the U.S. are required to master a body of knowledge related to cultural psychiatry; are expected to adopt attitudes that endorse the principles of cultural competence; and finally are expected to acquire specific cultural competence skills that facilitate working effectively with diverse patients. This article first provides an overview of the Accreditation Council for Graduate Medical Education (ACGME) competencies related to cultural competence, as well as the American Academy of Child and Adolescent Psychiatry's (AACAP) recommendations for the cultural competence training of child/adolescent fellows...
November 5, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27812846/a-comparative-study-of-obsessionality-in-medical-students-law-students-and-controls
#5
Michael D Harries, Suck Won Kim, Jon E Grant
Understanding obsessive-compulsive behavior in medical students and law students is necessary for administrators and educators to properly work with students struggling with obsessionality. We aim to compare the differences in obsessive symptoms between medical students, law students and a control population. A total of 100 third-year medical students, 102 third-year law students and 103 control subjects drawn from the general population completed the Leyton Obsessional Inventory (LOI). Subjects were examined on all three sections (symptoms/traits, resistance and interference) of the LOI...
November 3, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27804008/detecting-incipient-schizophrenia-a-validation-of-the-azima-battery-in-first-episode-psychosis
#6
Hiba Zafran, Barbara Mazer, Beverlea Tallant, Gevorg Chilingaryan, Isabelle Gelinas
Early psychosis intervention aims to accurately detect adolescents and young adults at risk for major mental disorders, particularly schizophrenia, yet early biomedical diagnostic accuracy remains poor. However, phenomenological approaches focusing on eliciting and understanding the subjective experience of help-seeking youth better detect incipient schizophrenia. The Azima Battery is an occupational therapy projective assessment that uses expressive media in a standard setup, in order to phenomenologically elicit and describe the activity performance and narratives of individuals at risk of, or on, the psychotic-spectrum...
November 2, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27804007/general-overview-of-psychotherapeutic-practice-in-poland-results-from-a-nationwide-survey
#7
Hubert Suszek, Lidia Grzesiuk, Rafał Styła, Krzysztof Krawczyk
A total of 1196 persons conducting psychotherapy in Poland fully completed a nationwide online survey (or, alternatively, a paper and pencil enquiry) concerning their education, training, experience, and clinical work (professional environment, patients treated). The results are described in detail and compared with findings of similar studies from other countries. Among the primary findings were: (1) psychotherapy in Poland is conducted mostly by women (80 %); (2) almost all participants have an MA degree (91 %), including 75...
November 2, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27796922/schizophrenia-reaction-to-positive-life-events
#8
REVIEW
Mary V Seeman
Negative life events can exacerbate symptoms in schizophrenia, but there is no literature on the effect on psychotic symptoms of positive life events. The purpose of this review was to scan the literature that studies how the joy that accompanies positive life events can be dampened and dismissed or, alternatively, savored and maintained, and how this contrast applies to schizophrenia. A literature search elicited 53 articles relevant to schizophrenia. Schizophrenia was found to be linked with difficulties in the processing of reward, in feeling that one was deserving of a reward, in sharing news of positive events, in knowing with whom to share, in knowing how to elicit a positive response from listeners when communicating good news, and in ensuring that positive feelings endure...
October 29, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27796921/training-psychiatry-residents-in-professionalism-in-the-digital-world
#9
REVIEW
Nadyah Janine John, P G Shelton, Michael C Lang, Jennifer Ingersoll
Professionalism is an abstract concept which makes it difficult to define, assess and teach. An additional layer of complexity is added when discussing professionalism in the context of digital technology, the internet and social media - the digital world. Current physicians-in-training (residents and fellows) are digital natives having been raised in a digital, media saturated world. Consequently, their use of digital technology and social media has been unconstrained - a reflection of it being integral to their social construct and identity...
October 29, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27796920/training-residents-in-the-use-of-telepsychiatry-review-of-the-literature-and-a-proposed-elective
#10
REVIEW
Sy Atezaz Saeed, Toni L Johnson, Mandeep Bagga, Oliver Glass
Many regions in the United States are deficient in mental health services, especially those in rural areas. As a result of these deficiencies, many patients in need of psychiatric services are often left untreated. Although it is clear that telepsychiatry has great potential in improving patient access to mental health care in areas where psychiatric services are deficient, the lack of familiarity with the technology and inadequate training are current barriers to expanding the use of telepsychiatry. A review of telepsychiatry, its clinical applications, and evidence-based literature regarding competencies in graduate medical education related to telepsychiatry are provided...
October 28, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27796919/accrediting-graduate-medical-education-in-psychiatry-past-present-and-future
#11
REVIEW
Toni Johnson, Nadyah Janine John, Michael Lang, P G Shelton
The current terminology, goals, and general competency framework systematically utilized in the education of residents regardless of specialty is almost unrecognizable and quite foreign to those who trained before 2010. For example, the clinical and professional expectations for physicians-in-training have been placed onto a developmental framework of milestones. The expectations required during training have been expanded to include leadership and team participation skills, proficiency in the use of information technology, systems-based knowledge including respect of resources and cost of care, patient safety, quality improvement, population health and sensitivity to diversity for both individual and populations of patients...
October 28, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27785752/training-psychiatry-residents-in-psychotherapy-the-role-of-manualized-treatments
#12
REVIEW
Joshua Pagano, Brandon N Kyle, Toni L Johnson, Sy Atezaz Saeed
Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy...
October 27, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27785751/the-changing-world-of-psychiatric-education-challenges-and-opportunities
#13
REVIEW
Sy Atezaz Saeed
This special section of the journal focuses on the expanding horizons, challenges, and opportunities for the psychiatric educators. In the six papers that comprise this special section, the authors have covered a broad range of topics in both undergraduate medical education and graduate medical education including topics such as accreditation, technology, how providers can locate education resources, how trainees are taught about professionalism in the digital age, telepsychiatry, manualized psychotherapy treatments, and cultural competence...
October 27, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27783312/educational-scholarship-and-technology-resources-for-a-changing-undergraduate-medical-education-curriculum
#14
REVIEW
Brandon N Kyle, Irma Corral, Nadyah Janine John, P G Shelton
Returning to the original emphasis of higher education, universities have increasingly recognized the value and scholarship of teaching, and medical schools have been part of this educational scholarship movement. At the same time, the preferred learning styles of a new generation of medical students and advancements in technology have driven a need to incorporate technology into psychiatry undergraduate medical education (UGME). Educators need to understand how to find, access, and utilize such educational technology...
October 26, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27682463/towards-a-definition-of-self-neglect-in-psychiatric-patients-descriptions-of-a-case-series
#15
Joanna Lamkin, Phuong T Nguyen, John H Coverdale, Mollie R Gordon
Self-neglect, although frequently studied in geriatric populations, has received only limited attention in psychiatric populations. To address this gap, we utilize a behavioral framework to present a set of case examples in order to illustrate the complex relationship between self-neglect behaviors and conditions and various psychiatric illness. Cases are discussed with respect to ascending severity of presentations of self-neglect in adult non-geriatric inpatient psychiatric populations. Self-neglect is conceptualized as a range of behaviors, as well as an overall condition that affects an individual's functioning in several major domains...
September 28, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27678498/blood-pressure-and-heart-rate-changes-during-clozapine-treatment
#16
Sarah M Norman, Kelli M Sullivan, Fang Liu, Bethany A DiPaula, Pedro A Jose, Christopher A Kitchen, Stephanie M Feldman, Deanna L Kelly
People with schizophrenia are 3-4 times more likely to die from cardiovascular disease than the general population. Clozapine (CLZ) is the gold standard of treatment for refractory schizophrenia. It has been associated with tachycardia and recent evidence shows individuals prescribed CLZ may develop blood pressure (BP) elevation and hypertension. The purpose of this study was to examine the effects of CLZ on BP and heart rate (HR). This was a retrospective chart review of patients 18-75 years old with a DSM IV diagnosis of Schizophrenia or Schizoaffective disorder...
September 27, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27663585/the-change-in-facial-emotion-recognition-ability-in-inpatients-with-treatment-resistant-schizophrenia-after-electroconvulsive-therapy
#17
Mihriban Dalkıran, Akif Tasdemir, Tamer Salihoglu, Murat Emul, Alaattin Duran, Mufit Ugur, Ruhi Yavuz
People with schizophrenia have impairments in emotion recognition along with other social cognitive deficits. In the current study, we aimed to investigate the immediate benefits of ECT on facial emotion recognition ability. Thirty-two treatment resistant patients with schizophrenia who have been indicated for ECT enrolled in the study. Facial emotion stimuli were a set of 56 photographs that depicted seven basic emotions: sadness, anger, happiness, disgust, surprise, fear, and neutral faces. The average age of the participants was 33...
September 23, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27645261/an-exploration-of-mate-similarity-for-criminal-offending-behaviors-results-from-a-multi-generation-sample-of-dutch-spouses
#18
Steve G A van de Weijer, Kevin M Beaver
There has been a growing body of research examining mate and spousal similarity on antisocial behaviors. The results of these studies have shown varying degrees of similarity between mates and spouses, but the precise mechanisms accounting for such similarity have remained somewhat elusive. The current study builds off this line of research and examines spousal similarity on criminal offending behaviors. Moreover, we also examine the potential factors that might account for spousal similarity. This study analyzed data drawn from two generations of Dutch spouses...
September 19, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27600389/achieving-wellness-monitoring-the-success-and-challenges-of-the-youth-health-indicator-program-for-youth-treated-in-outpatient-psychiatric-settings
#19
Marleen Radigan, Rui Wang, Christina Calderwood, Matthew B Perkins, Carol Lanzara, Lloyd Sederer
The youth health indicator (YHI) program was developed to improve health and reduce risk behaviors for youth treated in clinic and day treatment psychiatric settings. This study examined implementation of the YHI program and factors associated with BMI % change for youth participating in the program. Outpatient facilities which implemented the YHI program were surveyed (N = 10) and lessons learned were summarized. Mixed random effects repeated measures analysis was used to examine BMI % trajectory for youth admitted during 2010-2014 with BMI % measured (N = 6403)...
September 6, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/26910461/effects-of-nativity-length-of-residence-and-county-level-foreign-born-density-on-mental-health-among-older-adults-in-the-u-s
#20
Sunha Choi, Giyeon Kim, Sungkyu Lee
Using the 2004-2007 Medical Expenditure Panel Survey data that are linked to county-level data from the Area Health Resources Files, this study examined whether the healthy immigrant effect applies to mental health of foreign-born older adults. Additionally, testing a protective ethnic density effect on older foreign-born individuals' mental health, this study examined how the percentage of foreign-born population in the county affected the relationship between older adults' immigration status (U.S.-nativity and length of residence in the U...
December 2016: Psychiatric Quarterly
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