journal
MENU ▼
Read by QxMD icon Read
search

Journal of Psychiatric Practice

journal
https://www.readbyqxmd.com/read/29076890/a-trans-dyadic-perspective-on-the-goldwater-rule
#1
Eric M Plakun
The Goldwater Rule has been debated, redefined, and debated further since the election of Donald Trump as President of the United States. This column offers a perspective on the Goldwater Rule that moves beyond psychiatry's current preoccupation with precision DSM-5 diagnosis of individuals, which ethically requires consent or other legal authorization for release of diagnostic information to others, and into the realm of leadership as seen through the "trans-dyadic" lens of psychoanalytic understanding of large group processes on a societal level...
October 25, 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961669/an-unusual-case-of-acute-psychosis-with-obsessive-compulsive-features-following-arsenic-poisoning
#2
Hanjing E Wu, Noha M Abdel-Gawad, Yasmine Gharbaoui, Antonio L Teixeira, Teresa A Pigott
Arsenic exposure, particularly the chronic type, can lead to poisoning with manifestations presenting in multiple organ systems. However, acute psychosis is not a commonly described manifestation of arsenic exposure. In this report, we present the case of a patient who developed acute psychosis with hallucinations, disorganized thinking, and obsessive-compulsive symptoms following chronic occupational arsenic exposure. The patient was treated with the combination of an antipsychotic and an antidepressant and he responded well with significant improvement in both the acute psychosis and obsessive-compulsive symptoms...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961668/neurobiological-mediators-of-squalor-dwelling-behavior
#3
David A Kahn
Squalor-dwelling behavior has been characterized as living in conditions so unsanitary that feelings of revulsion are elicited among visitors. This behavior is commonly associated with an insensitivity to distress/disgust and a failure to understand the direness of one's living situation, which leads to social isolation and impairment in quality of life. Etiologically, several associations have been described in the literature, including age-related decline, lower socioeconomic status, and rural dwelling status...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961667/neurobiological-mediators-of-squalor-dwelling-behavior
#4
Manan Gupta, Ram J Bishnoi, Jason E Schillerstrom
Squalor-dwelling behavior has been characterized as living in conditions so unsanitary that feelings of revulsion are elicited among visitors. This behavior is commonly associated with an insensitivity to distress/disgust and a failure to understand the direness of one's living situation, which leads to social isolation and impairment in quality of life. Etiologically, several associations have been described in the literature, including age-related decline, lower socioeconomic status, and rural dwelling status...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961666/bias-toward-psychodynamic-therapy-framing-the-problem-and-working-toward-a-solution
#5
Eric M Plakun
Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher access to funding for further research on PDT. The adverse effects of these distortions and biases are detrimental not only to PDT but also to the overall field of psychotherapy, raising questions about its credibility...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961665/bias-toward-psychodynamic-therapy-framing-the-problem-and-working-toward-a-solution
#6
Allan Abbass, Patrick Luyten, Christiane Steinert, Falk Leichsenring
Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher access to funding for further research on PDT. The adverse effects of these distortions and biases are detrimental not only to PDT but also to the overall field of psychotherapy, raising questions about its credibility...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961664/cns-drug-development-lessons-learned-part-3-psychiatric-and-central-nervous-system-drugs-developed-over-the-last-decade-implications-for-the-field
#7
Sheldon H Preskorn
This column reviews the divergence between the approach to drug development in infectious disease, oncology, and immunology versus psychiatry. Between 2009 and 2016, 254 new drugs were approved. Of those, only 9 were for a psychiatric indication; another 5 were labeled to treat central nervous system disorders that are not considered psychiatric per se but are frequently found in individuals with psychiatric illnesses (eg, substantial weight gain). There were 2 additional new products for psychiatric indications that involved either a combination product (Contrave) or a prodrug for the production of aripiprazole (Aristada)...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961663/predictors-of-length-of-stay-in-a-psychiatric-adolescent-treatment-program
#8
Radhika Reddy, Carolyn Ha, Elizabeth Newlin, Carla Sharp
Understanding predictors of adolescent inpatient length of stay (LOS) is important in informing treatment outcomes for this age group. The current literature on adolescent LOS remains limited and has been characterized by methodological limitations. In the study described here, we examined a wide range of predictors for LOS in a psychiatric unit for adolescents (N=285), including severity of disorder (previous hospitalizations, self-harm, cognitive impairment and thought disorder, severe depression, history of trauma), types of psychotropic medication, and diagnoses...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961662/major-depressive-disorder-in-patients-with-doctoral-degrees-patient-reported-depressive-symptom-severity-functioning-and-quality-of-life-before-and-after-initial-treatment-in-the-star-d-study
#9
Alexander J Steiner, Nathalie Boulos, Stephanie M Wright, James Mirocha, Kimberly Smith, Enrique López, Sherif H Gohar, Waguih W Ishak
OBJECTIVE: This study examined patients with medical or doctoral degrees diagnosed with major depressive disorder (MDD) by analyzing patient-reported depressive symptom severity, functioning, and quality of life (QOL) before and after treatment of MDD. METHODS: Analyses were conducted in a sample of 2280 adult outpatient participants with MDD from the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study with complete entry and exit scores for the level 1 (citalopram monotherapy) trial...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961661/blister-packaging-medication-increases-treatment-adherence-in-psychiatric-patients
#10
Peter M Gutierrez, Hal S Wortzel, Jeri E Forster, Rebecca A Leitner, Trisha A Hostetter, Lisa A Brenner
OBJECTIVE: To evaluate whether blister packing medications would improve prescription medication adherence in psychiatric patients. It was hypothesized that patients in the blister pack (BP) condition would be more adherent to their daily medications than those in the dispense as usual condition. METHODS: This was a randomized trial involving up to 1 year of monthly follow-up assessments. Participants were recruited from an urban Veterans Affairs (VA) Medical Center in the Western United States...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961660/patient-reported-outcomes-in-practice-clinicians-perspectives-from-an-inpatient-psychiatric-setting
#11
Sean K Burr, James C Fowler, Jon G Allen, Anika Wiltgen, Alok Madan
The use of patient-reported outcomes (PROs) has become increasingly common. They have been used to assess quality of care and to support policy decisions, but the evidence concerning their utility to improve patient outcomes is inconsistent. A better understanding of clinicians' experience with PROs has the potential to improve their effectiveness. This exploratory, quantitative, and qualitative study investigated the perspectives of clinicians (N=70) from multiple disciplines (psychiatrists, psychologists, social workers, and psychiatric nurses) on the utility of PROs in an inpatient psychiatric setting...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961659/death-with-dignity
#12
John M Oldham
No abstract text is available yet for this article.
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28902070/contending-with-preplanned-death-questions-for-clinicians
#13
Joel Yager
BACKGROUND AND OBJECTIVES: The goal of this column is to assist readers in reflecting on their attitudes and responses toward clinical and nonclinical situations involving preplanned deaths by decisionally capable individuals. Such circumstances range from encountering individuals in one's personal and professional lives who desire and intend to end their lives under their own terms, to having such individuals request assistance with predeath and postdeath arrangements. METHODS: Attending to pertinent literature, this essay uses Socratic inquiry to question conventional assumptions and attitudes, push readers' thoughts beyond typical comfort zones, and consider alternative modes of responding to challenges posed by preplanned death...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749835/a-model-for-incident-review-committees-in-behavioral-health-settings
#14
Mark J Russ, Blaine S Greenwald, Marlin R A Mattson
Despite the fact that incident review committees have been a key component of quality improvement in behavioral health settings for decades, specific models of how these committees are structured and operate are not well described. We present a model for an incident review committee that has been implemented in 2 large, academic acute care psychiatric hospitals. We believe the model not only permitted us to efficiently and effectively review untoward incidents, but that it also provided an approach to calibrating standards of care for the institution, engaging physicians in an interdisciplinary effort, promulgating a culture of quality review and improvement throughout the organization, promoting continuity and sustainability of the incident review process, and, most importantly, driving beneficial change in clinical practice...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749834/transgender-youth-in-the-inpatient-psychiatric-setting-a-literature-review-and-case-report
#15
Wesley J Hill, Michael A Shapiro
Once considered pathological, transgenderism is now accepted as a variant of normal sexuality. As society has become more accepting of transgenderism, increasing numbers of transgender patients have begun to seek psychiatric care, and younger populations are embracing their gender differences. There is a paucity of literature on how best to serve transgender youth in psychiatric inpatient units. In this article, we share our experience and discuss the need for practical guidelines to help the inpatient psychiatrist navigate key topics related to this population...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749833/clinical-barriers-to-effective-treatment-of-eating-disorders-and-co-occurring-psychiatric-disorders-in-transgendered-individuals
#16
Rebecca Wagner, Jonathan R Stevens
Eating disorders (EDs) are complex and difficult to treat illnesses that are often chronic and disabling on their own accord or due to comorbidity with other psychiatric conditions. Historically, EDs have been viewed as illnesses of heterosexual, affluent white females. This stereotype increases the likelihood that these disorders will be underrecognized in the lesbian, gay, bisexual, and transgender community, as well as in different gender, socioeconomic, and ethnic populations. Our case report illustrates the clinical difficulties of managing a patient who presented to inpatient treatment with complaints of depression and suicidality, but who also had an active ED and was transgender...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749832/politics-in-the-consulting-room
#17
Eric M Plakun, Thomas E Steele
The recent presidential campaign and election have had a strong impact on many patients and clinicians. This guest column and its introduction by Dr Eric Plakun, who edits the psychotherapy section of the journal, note the inevitability that we will all self-disclose, while describing some of the pros and cons and impacts of self-disclosure of a clinician's political perspectives.
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749831/targets-for-the-treatment-of-insomnia-in-veterans-with-serious-mental-illness
#18
Elizabeth A Klingaman, Julie M McCarthy, Elana K Schwartz, Philip R Gehrman, Melanie E Bennett
STUDY OBJECTIVES: Insomnia is pervasive among people with serious mental illnesses (SMI) and has a profound negative impact on their psychiatric symptom management and recovery. However, little is known about the factors that affect severity of insomnia in those with SMI. In addition, very few studies have explored whether evidence-based interventions developed for those without SMI are appropriate for or applicable to individuals with SMI. The purpose of this study was to test the role of arousal, dysfunctional cognitions about sleep, and sleep-related behaviors in predicting severity of insomnia in a sample of 60 Veterans who were receiving care in Veterans Health Administration mental health and psychosocial rehabilitation programs and who reported subjective insomnia...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749830/characteristics-of-patients-involved-in-physical-assault-in-an-acute-inpatient-psychiatric-setting
#19
Sohag N Sanghani, Akeem N Marsh, Majnu John, Arya Soman, Leonardo V Lopez, Yolana A Young, Mark J Russ
BACKGROUND: Although aggressive behavior in psychiatric settings is a major concern, very few studies have focused exclusively on physical assault in a general inpatient psychiatric population. OBJECTIVES: This study had 3 main goals: (1) to evaluate the prevalence of assaultive behavior in an acute psychiatric hospital; (2) to identify the clinical and socio-demographic factors associated with assaultive behavior during hospitalization; and (3) to explore whether a diagnosis of schizophrenia spectrum disorder increases the risk of assaultive behavior...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28749829/the-presence-of-childhood-attention-deficit-hyperactivity-disorder-may-be-associated-with-interpersonal-sensitivity-in-patients-with-social-anxiety-disorder
#20
Ahmet Koyuncu, Fahri Çelebi, Erhan Ertekin, Çağdaş Ö Memiş, Raşit Tükel
The goal of this study was to evaluate a possible association between childhood attention deficit/hyperactivity disorder (ADHD) and interpersonal sensitivity in patients with social anxiety disorder (SAD). The study involved 125 adult outpatients with a primary diagnosis of SAD. To evaluate childhood ADHD, the ADHD module of the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL) was used. Clinical and sociodemographic data were collected and clinical rating scales were completed...
July 2017: Journal of Psychiatric Practice
journal
journal
34856
1
2
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"