Read by QxMD icon Read

Bulletin of the Menninger Clinic

Thomas E Ellis
Suicide risk is an inescapable presence in the treatment of people with psychiatric disorders, a fact that applies especially in inpatient psychiatric settings. This article summarizes a several-year research initiative at The Menninger Clinic aimed at better understanding psychological contributors to suicidality and developing more effective clinical interventions. Two areas of research are described, an outcomes arm focused on assessing the feasibility and effectiveness of a suicide-specific intervention (The Collaborative Assessment and Management of Suicidality) and an exploratory arm whose objective is to learn about psychological vulnerabilities that distinguish suicidal from nonsuicidal patients, with an eye toward developing interventions that address such vulnerabilities...
2017: Bulletin of the Menninger Clinic
Muhammad Adnan Khan, Syed A Quadri, Hassaan Tohid
Parkinson's disease is a widespread neurological illness. However, its psychiatric links have also been discussed lately by many authors, which has brought more depth to the specialized field of neuropsychiatry. Neuropsychiatric complications are commonly seen in Parkinson's patients, including major depression, anxiety, psychosis and hallucination, and cognitive abnormality. Almost all of these complications have a distinct pathophysiology and treatment. In this article we review the most recent studies about the association of these symptoms with Parkinson's disease and highlight the epidemiology, diagnosis, pathophysiology, and treatment of the neuropsychiatric complications, with more emphasis on the pathophysiology of these complications...
2017: Bulletin of the Menninger Clinic
Jon G Allen, J Christopher Fowler, Alok Madan, Thomas E Ellis, John M Oldham, B Christopher Frueh
The authors summarize findings from a multiyear research project designed primarily to investigate outcomes of intensive, psychotherapeutic hospital treatment lasting several weeks. Patients are assessed with well-established measures at admission, and their progress is reassessed biweekly up to discharge. A follow-up component was added recently to track outcomes for 1 year after discharge. All inpatient assessments are integrated with clinical care by providing individual results for each time point to the patient and the treatment team...
2017: Bulletin of the Menninger Clinic
Daniel Thomas Chung, Christopher James Ryan, Matthew Michael Large
In this article, the authors comment on "Postdischarge Suicide: A Psychodynamic Understanding of Subjective Experience and Its Importance in Suicide Prevention," by Schechter, Goldblatt, Ronningstam, Herbstman, and Maltsberger (Bulletin of the Menninger Clinic, 2016, volume 80, pp. 80-96). Suicide after discharge from psychiatric hospitals is an enduring and serious problem. Consideration needs to be given to the possibility that adverse experiences associated with hospitalization, experiences such as trauma, stigma, and loss of social support, might precipitate some suicides after discharge...
2016: Bulletin of the Menninger Clinic
David Mathai, Mollie Gordon, Peter Muchmore, Anu Matorin, Asim Shah, Nidal Moukaddam
Synthetic cannabinoids (SCs) have become a major drug of abuse associated with severe hospital presentations. There have been a variety of legislative efforts to regulate these drugs: The authors focus on trends in SC-related hospitalizations at Ben Taub General Hospital before and after a ban enacted by the city of Houston. Data from all consults seen by Ben Taub's Licensed Chemical Dependency Counselor were examined for changes in SC-related presentations before and after the ban. The findings were compared alongside other reports of current SC use...
2016: Bulletin of the Menninger Clinic
Sarah Knaus, Roland Grassl, Charles Seidman, Tamara Seitz, Andreas Karwautz, Henriette Löffler-Stastka
Therapist response (countertransference) can be defined as the range of emotions a clinician experiences when interacting with a patient. Previous research has shown that this reaction plays an important role in the establishment of the therapeutic relationship, and that certain psychiatric disorders are systematically related to strong countertransference reactions in clinicians. For this study, 30 videotaped sessions were retrospectively analyzed by one observer using the Therapist Response Questionnaire (TRQ)...
2016: Bulletin of the Menninger Clinic
Karoline Parth, Ania Rosar, Kurt Stastka, Timo Storck, Henriette Löffler-Stastka
The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience...
2016: Bulletin of the Menninger Clinic
Tessy M Lal, Philip R Baldwin, Ming-Bo Cai, Ricky R Savjani, David M Eagleman, David Ress, Ramiro Salas
Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despite continual reminders to experimental subjects about keeping still, however, movement in the scanner remains a problem. The authors hypothesized that showing head movement during a scanning session may help subjects learn how to keep their head still...
2016: Bulletin of the Menninger Clinic
Pablo Muñoz Specht, Karin Ensink, Lina Normandin, Nick Midgley
The aim of this study was to identify, categorize, and develop a conceptual frame of mentalization-based interventions used by experienced child and adolescent psychodynamic therapists. Two experienced therapists selected 14 sessions that represented their work during the first year of treatment. Sessions were transcribed and segmented to identify interactional units for coding. QDA Miner software was used to facilitate data analysis. A systematic qualitative, inductive/deductive approach was followed starting from categories identified in the literature, but also including newly emerging categories and interventions...
2016: Bulletin of the Menninger Clinic
Amanda Venta, Charles Jardin, Allison Kalpakci, Carla Sharp
The importance of measuring attachment insecurity is underscored by a vast literature tying attachment insecurity to numerous psychological disorders. Self-report measures assess explicit attachment beliefs and experiences, while interview measures, like the Adult Attachment Interview, assess implicit internal working models about the self as worthy of care and others as reliable sources of care. The present study is a preliminary psychometric evaluation of a potentially cost-effective method of assessing implicit internal working models of attachment through the development of an Implicit Association Test (IAT)...
2016: Bulletin of the Menninger Clinic
Hara Karamanolaki, Areti C Spyropoulou, Aggeliki Iliadou, Eleni Vousoura, Stamatia Vondikaki, Nikos Pantazis, Grigoris Vaslamatzis
The purpose of this study was to assess the possible effect of recalled traumatic experiences, perceived parental rearing styles, and family parameters on the occurrence of borderline personality disorder (BPD) versus other personality disorders (other-PDs). A total of 88 adult outpatients with personality disorders completed the Traumatic Antecedents Questionnaire and the Egna Minnen av Barndoms Uppfostran, which measures perceptions regarding parental rearing. Results indicated that incidence of traumatic childhood experiences was higher among those in the BPD group compared to those in the other-PD group...
2016: Bulletin of the Menninger Clinic
Vera Ramos, Guilherme Canta, Filipa de Castro, Isabel Leal
The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a structural equation model to examine the association between the BPD participants' perception of attachment and personality features, mediated by the underlying internalizing/externalizing personality dimensions...
2016: Bulletin of the Menninger Clinic
Carla Sharp, J Christopher Fowler, Ramiro Salas, David Nielsen, Jon Allen, John Oldham, Thomas Kosten, Sanjay Mathew, Alok Madan, B Christopher Frueh, Peter Fonagy
Recently, the National Institute of Mental Health (NIMH) introduced the Research Domain Criteria (RDoC) initiative to address two major challenges facing the field of psychiatry: (1) the lack of new effective personalized treatments for psychiatric disorders, and (2) the limitations associated with categorically defined psychiatric disorders. Although the potential of RDoC to revolutionize personalized psychiatric medicine and psychiatric nosology has been acknowledged, it is unclear how to implement RDoC in naturalistic clinical settings as part of routine outcomes research...
2016: Bulletin of the Menninger Clinic
Atefeh Fathi, Walter Renner, Barbara Juen
This qualitative study was carried out to investigate the effectiveness of cognitive-behavioral therapy (CBT) for Iranian migrants suffering from major depressive disorder (MDD) and living in Austria for an average of 14 years. The qualitative data were collected through interviews based on the Farsi version of the Structured Clinical Interview for the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). However, to obtain more information from the participants, they were asked to talk in more detail about their childhood and teenage years, reasons for immigration, their lifestyle before and after immigration, and their social activities...
2016: Bulletin of the Menninger Clinic
Suni Jani, R Scott Johnson, Sophia Banu, Asim Shah
Borderline personality disorder (BPD) is an internationally recognized disorder, although it is slightly varied in its nosology in the International Classification of Diseases, 10th Revision (ICD-10), the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), and the Chinese Classification of Mental Disorders (CCMD). While it is recognized by genetic and neurobiological patterns, instability of affect, impaired interpersonal relationships, and unstable sense of self, its manifestation is extremely varied based on environmental factors, particularly culture...
2016: Bulletin of the Menninger Clinic
Mark J Goldblatt, Elsa Ronningstam, Mark Schechter, Benjamin Herbstman, John T Maltsberger
Suicides of patients in states of acute persecutory panic may be provoked by a subjective experience of helpless terror threatening imminent annihilation or dismemberment. These patients are literally scared to death and try to run away. They imagine suicide is survivable and desperately attempt to escape from imaginary enemies. These states of terror occur in a wide range of psychotic illnesses and are often associated with command hallucinations and delusions. In this article, the authors consider the subjective experience of persecutory panic and the suicide response as an attempt to flee from danger...
2016: Bulletin of the Menninger Clinic
Marilyn Charles, Jennifer Durham-Fowler, Johanna C Malone
In an attempt to find variables that would discriminate between creativity and psychopathology on the Rorschach, Rorschach data from two groups were compared. The first group was an inpatient sample of creative individuals who also carried a diagnosis of psychosis. The second was a group of creative writers. Both groups were engaged in intensive psychoanalytic psychotherapy. Comparing the most creative versus the least creative of the protocols in each group showed that more creative engagement was characterized by a higher response rate and greater and more idisosyncratic elaboration...
2016: Bulletin of the Menninger Clinic
Mark Schechter, Mark J Goldblatt, Elsa Ronningstam, Benjamin Herbstman, John T Maltsberger
Recent discharge from a psychiatric inpatient facility is associated with a high risk of suicide. There are multiple factors that may contribute to this increase in risk. Psychodynamic considerations about the patient's subjective experience of suicidality, hospitalization, and discharge are often overlooked but are critical to understanding this phenomenon. Qualitative research has begun to provide empirical support for the importance of the psychological aspects of discharge, and the heightened state of vulnerability that patients experience during this time...
2016: Bulletin of the Menninger Clinic
V P Tessier, L Normandin, K Ensink, P Fonagy
In Fonagy and Target's (1996, 2000) developmental model of mentalization, play is theorized as a precursor of later mentalization and reflective function (RF); however, the relationship between play and later mentalization and RF has yet to be empirically tested. These processes are particularly important in the context of trauma, but an empirical model of the relationships among mentalization, play, and trauma is currently lacking. The aim of this longitudinal study was to examine whether children's capacity to engage in pretend play, to symbolize, and to make play narratives was associated with later RF in those children...
2016: Bulletin of the Menninger Clinic
Rebecca Wagner, Chelsea MacCaughelty, Katrina Rufino, Tessa Pack, Janice Poplack, Kim George, Catherine Ruscitti
Due to comorbid disorders or the degree of severity of their eating disorder, individuals may not warrant treatment at a specialty eating disorder facility. This article examines the effectiveness of a track-based model for treating eating disorders at a general inpatient psychiatric hospital. One hundred seventy-six patients who participated on the Eating Disorder Track and completed the Eating Disorder Inventory-3 (EDI; Garner, 2004) were examined to determine whether their eating disorder symptoms improved over the course of their treatment...
2016: Bulletin of the Menninger Clinic
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"