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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://www.readbyqxmd.com/read/28193093/the-self-is-an-illusion-a-conceptual-framework-for-psychotherapy
#1
Steve Stankevicius
OBJECTIVE: To explain the illusory nature of the self and explore its implications for psychotherapy. CONCLUSIONS: Our usual experience of the self is an illusion. Rather than a discrete entity, it is a network of processes that maintains apparent irreducible unity via alterations of perceptions, beliefs, intentions and memories. By providing an efficient summary of an individual and its surroundings, the self-illusion allows one to predict, experience and interact with the world efficiently...
February 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28173709/characteristics-of-patients-seen-by-visiting-psychiatrists-through-medicare-in-a-rural-community-mental-health-service-with-an-established-telemedicine-service
#2
Niranjan Bidargaddi, Geoffrey Schrader, David Smith, Dean Carson, Jörg Strobel
OBJECTIVE: We aimed to determine characteristics of patients receiving Medicare-funded face-to-face consultations by psychiatrists in a rural service with an established telemedicine service. METHODS: For this study, 55 case-managed patients from four rural community mental health teams in South Australia provided information through questionnaires regarding psychological symptoms, quality of life, body mass index (BMI) and gave access to their Medicare data. RESULTS: In a logistic regression, it was found that being younger was more likely associated with a Medicare psychiatric consultation ( p<0...
February 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28168882/the-evolution-of-psychoanalytic-thought-a-brief-view-through-the-lens-of-western-art-and-history-freud-and-beyond
#3
Tania Stavovy
OBJECTIVE: The aim of this paper is to explore the diversity and progress in psychoanalysis and psychotherapy post-Sigmund Freud from the perspective of Western art. Since 1900 the shift from one-person psychology to the more contemporary two-person psychology is reflected in the creativity of artists, particularly in their depiction of the mother-infant relationship. CONCLUSION: An alternative perspective in understanding the evolution of Man's nature can be drawn from a discourse between art, history and psychoanalytic thought...
February 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28168881/predicting-serum-drug-level-using-the-principles-of-pharmacokinetics-after-an-overdose-a-case-of-lithium-overdose
#4
Irosh Fernando
OBJECTIVE: In cases of drug overdose, clinicians often find it challenging to predict serum drug level and decide the optimum time for recommencing the overdosed drug. METHOD: This paper describes how to predict serum drug level using the principles of pharmacokinetics. RESULTS: The proposed method and recommencement of the overdosed drug is demonstrated using a clinical case of lithium overdose. CONCLUSION: The proposed method can assist clinicians in predicting serum drug levels and deciding the optimum time for recommencing the overdosed drug safely...
February 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28139947/are-people-with-severe-mental-illness-ready-for-online-interventions-access-and-use-of-the-internet-in-australian-mental-health-service-users
#5
Neil Thomas, Fiona Foley, Katrina Lindblom, Stuart Lee
OBJECTIVES: The Internet is increasingly used in mental health service delivery, but there are significant potential barriers to Internet access for persons with severe mental illness (SMI). There is a need to understand this group's access to, and confidence with using, the Internet, and current views on using online resources as part of mental healthcare. METHOD: A survey was conducted of 100 consumers attending a specialist mental health service in Melbourne, Australia...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135836/no-role-for-benzodiazepines-in-posttraumatic-stress-disorder-a-surplus-of-certainty-despite-scarce-evidence
#6
Vladan Starcevic
OBJECTIVE: This article addresses some of the controversies about the role of benzodiazepines in the treatment of posttraumatic stress disorder. CONCLUSIONS: Benzodiazepines have been admonished in treatment guidelines for posttraumatic stress disorder, but this is based on very little solid evidence. Although benzodiazepines do not seem to be effective in the treatment of the core posttraumatic stress disorder symptoms, their careful use as adjunctive agents for the symptoms such as anxiety and sleep disturbance may be useful...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135835/clinical-use-of-nutraceuticals-in-the-adjunctive-treatment-of-depression-in-mood-disorders
#7
Jerome Sarris
OBJECTIVES: The aim of this paper is to detail a summary of the current evidence in this area, to better inform clinical practice. Our recent systematic reviews and meta-analyses of nutrient pharmacotherapies in the treatment unipolar depression revealed primarily positive results for replicated studies testing S-adenosyl methionine (SAMe), methylfolate, omega-3 (EPA or ethyl-EPA), and Vitamin D; with supportive isolated studies found for creatine and an amino acid combination. Mixed results were found for zinc, folic acid, Vitamin C, and tryptophan; and non-significant study results for inositol...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135834/navigating-through-the-competency-based-fellowship-program-two-trainees-experience-of-the-2012-program
#8
Lois Evans, Shuichi Suetani
OBJECTIVES: This article discusses the real-life experience of two senior registrars who are approaching the end of their training under the 2012 Competency Based Fellowship Program. We have shared some practical tips to assist trainees in completing the Program, with particular emphasis on examination preparation. CONCLUSION: Whilst stressful at times, we believe that going through the Competency Based Fellowship Program has helped us build our knowledge, skills base, and expertise for practising psychiatry as consultants...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135829/incorporating-active-learning-in-psychiatry-education
#9
Sonia Kumar, Loyola McLean, Louise Nash, Keith Trigwell
OBJECTIVE: We aim to summarise the active learning literature in higher education and consider its relevance for postgraduate psychiatry trainees, to inform the development of a new Formal Education Course (FEC): the Master of Medicine (Psychiatry) at the University of Sydney. METHOD: We undertook a literature search on 'active learning', 'flipped classroom', 'problem-based learning' and 'psychiatry education'. RESULTS: The effectiveness of active learning pedagogy in higher education is well supported by evidence; however, there have been few psychiatry-specific studies...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135826/-you-didn-t-tell-us-what-to-do-trauma-2-and-critical-incident-responses-in-remote-indigenous-settings
#10
Ernest Hunter
OBJECTIVE: The aim of this paper is to outline engagement and practice principles for psychiatrists contributing to responses to critical incidents, based on three decades of experience in remote Indigenous Australia. CONCLUSION: Psychiatrists have important roles in these settings and situations, which should be considered in advance and informed by cultivated relationships.
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135821/a-brief-history-of-forensic-mental-health-services-in-western-australia
#11
Philippa Martyr
OBJECTIVE: To scope the history of forensic mental health services in Western Australia since colonisation. METHOD: A range of primary sources, including archives, reports, and oral histories was consulted. RESULTS: Forensic mental health services were identified as historically poorly managed, under-resourced, and inconsistently delivered. CONCLUSIONS: Current problems with forensic mental health services may be linked to historical factors...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135816/the-youth-mood-clinic-an-innovative-service-for-the-treatment-of-severe-and-complex-depression
#12
Simon M Rice, Steve Halperin, Sara Cahill, Ingrid Cranston, Mark Phelan, Sarah E Hetrick, Simon Blaikie, Jane Edwards, John Koutsogiannis, Christopher G Davey
OBJECTIVE: Depression is the leading cause of disability for Australians from late adolescence through mid-adulthood, and effective treatments can positively impact subsequent life course trajectories. A treatment model for the management of complex youth depression, characterised by symptom severity, multi-morbidity and ongoing suicidality is presented. CONCLUSIONS: The Youth Mood Clinic (YMC) provides multidisciplinary, team-based treatment for young people aged 15-25 years...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135807/special-population-child-and-adolescent-psychotherapy
#13
George Halasz
OBJECTIVES: First, to outline the paradigm change of the past 20 years that has transformed the theory and practice of child and adolescent psychodynamic psychotherapy; second, to update aspects of the current Practice Parameters for Psychodynamic Psychotherapy with Children to align with the paradigm change driven by the principles of regulation theory, relational trauma and repair, and the critical need for clinicians' self-care in trauma informed psychotherapy. CONCLUSION: The emerging neuroscience-driven paradigm of psychotherapy poses challenges for the child and adolescent psychotherapist: to embrace the new conceptual reference points as organising principles leads to an urgent need to rethink traditional diagnostic formulations and time-honoured techniques for intervention...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135806/the-value-of-a-registrar-psychotherapy-post-to-psychiatry-training
#14
Gabriel Feiler, Denis O'Loughlin, Eugen Koh, Josephine Beatson, Ed Harari
OBJECTIVES: This paper describes the psychotherapy registrar position developed at St Vincent's Hospital Melbourne in response to the Australian Government's Specialist Training Position initiative of 2009. This impressionistic piece outlines features of the registrar's clinical work, supervision and professional development. This paper will focus on: 1) the history of the position; 2) its developmental function embedded within the clinical responsibilities of the role; 3) how this position is different from the existing Royal and Australian and New Zealand College of Psychiatry psychotherapy training requirements; and 4) infrastructure issues of the position...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28135805/the-mental-health-acute-assessment-team-a-collaborative-approach-to-treating-mental-health-patients-in-the-community
#15
Steven C Faddy, Kevin J McLaughlin, Peta T Cox, Senthil S Muthuswamy
OBJECTIVE: Many models of community-based mental health crisis teams have been reported. We present our experience of an outreach team made up of a paramedic and mental health nurse. METHODS: A proof-of-concept was conducted in Western Sydney. The primary outcome was the proportion of patients where the team were able to facilitate the most appropriate care. RESULTS: Nearly 70% of patients were able to be treated outside the Emergency Department, with about two-thirds being transported directly to a mental health facility...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28124944/forensic-psychotherapy
#16
Daniel Riordan
OBJECTIVES: This paper describes the role forensic psychotherapy has in the assessment and treatment of mentally disordered offender patients, and its role in the supervision of individual therapists, staff groups or whole organisations which contain and manage this patient population. CONCLUSIONS: Forensic psychotherapy has a valuable role to play in the management of mentally disordered forensic patients. As forensic services continue to develop in Australia and New Zealand and interest in this field continues to grow, then the future of forensic psychotherapy looks bright...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28124943/prevalence-and-clinical-correlates-of-chlamydia-infection-in-youth-who-use-drugs-and-alcohol-a-good-opportunity-for-early-intervention
#17
Wole Akosile, Brett M McDermott
AIMS: This study estimates the prevalence of chlamydia infection amongst teenage substance users aged 14-18years and investigates risk factors associated with a positive diagnosis of chlamydia infection. METHODS: Data was collected from the medical files of adolescents who attended a statewide drug and alcohol treatment facility during a three-year period commencing June 2011. RESULTS: The highest rate of chlamydia detection (18.0%) was found in the group with a reported history of abuse, a non-substance use psychiatric diagnosis, and individuals who did not complete year 10 education...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28124942/psychotherapy-and-the-older-person
#18
Neil Raveen Jeyasingam
OBJECTIVE: This article aims to provide a brief overview of the current evidence for psychotherapeutic approaches in older adults, together with clinical practice notes for interventions. CONCLUSION: There are a range of appropriate psychotherapeutic options for the older adult that merit further study, and further opportunities for enhancing clinical practice.
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28092969/problem-internet-use-and-internet-gaming-disorder-a-survey-of-health-literacy-among-psychiatrists-from-australia-and-new-zealand
#19
Pravin Dullur, Phillipa Hay
OBJECTIVES: Research is limited on psychiatrists' opinions on the concepts of Internet Gaming Disorder (IGD) and Problematic Internet Use (PIU). We aimed to assess health literacy among psychiatrists on IGD/PIU. METHODS: A self-report survey was administered online to members of the Royal Australia and New Zealand College of Psychiatrists (RANZCP) ( n=289). RESULTS: The majority (93.7%) were familiar with the concepts of IGD/PIU. The majority (78...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28068831/the-diagnostic-accuracy-of-the-kimberley-indigenous-cognitive-assessment-kica-tool-a-systematic-review
#20
Suzanne M Dyer, Kate Laver, Margeret Friel, Craig Whitehead, Maria Crotty
OBJECTIVES: The objective of this study was to conduct a systematic review of evidence for the accuracy of the Kimberley Indigenous Cognitive Assessment (KICA) tool in supporting the diagnosis of dementia in Indigenous Australian populations. METHODS: Cross-sectional diagnostic accuracy studies of the KICA with an appropriate reference standard published to November 2015 were included. Comparison to an alternative cognitive assessment tool was required in non-remote populations...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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