Clinical Psychiatry News

Clinical Psychiatry News is a monthly medical and psychiatry tabloid published since 1973 by the International Medical News Group. Subjects for Clinical Psychiatry News include psychology and psychiatry. The executive editor is Denise Fulton, and Gina Henderson is a senior editor.

Articles from Vol. 35, No. 11, November

Absolute Power: The Eist Case
"And remember, where you have a concentration of power in a few hands, all too frequently men with the mentality of gangsters get control. History has proven that. Power tends to corrupt, and absolute power corrupts absolutely." --So wrote Lord Acton...
ADHD Has Lasting Effect on School Performance
Attention-deficit/hyperactivity disorder significantly impairs long-term school outcomes, according to a large, retrospective, population-based study. In addition, stimulant treatment makes a difference and significantly improves some school performance...
Ambiguous Genitalia Management: It Takes a Team
It's one of the first things that parents want to know when a baby is born: girl or boy? When the answer isn't clear, physicians walk into a mine field of choices that could have lifelong repercussions for the child and the parents. Psychiatrists,...
Anger Management for Boys Increases Emotional Vocabulary
SAN FRANCISCO -- An anger management intervention that was designed specifically for boys significantly improved their emotional vocabulary, according to preliminary results reported by Aimee Coonerty-Femiano at the annual meeting of the American Psychological...
Antisocial Personality Disorder Blunts HIV Treatment Benefits
MONTREAL -- Comorbid antisocial personality disorder blunts the brain dysfunction associated with HIV/AIDS but also the brain benefits associated with antiretroviral therapy, reported Lance Bauer, Ph.D., professor of psychiatry at the University of...
Antiviolence Programs within Schools Backed
Universal school-based violence prevention programs should be used to prevent or reduce violent and aggressive behaviors, the Task Force on Community Preventive Services has reported. The task force--an independent, nonfederal, decision-making body...
Arnold-Chiari Raises Sleep Apnea Risk
MINNEAPOLIS -- Adults with Arnold-Chiari type I malformations are at greater risk for sleep-disordered breathing, compared with healthy controls, based on data presented at the annual meeting of the Associated Professional Sleep Societies. In light...
A Study of Patients Prescribed Opioids for Chronic Pain Showed That Psychiatric Factors Can Raise the Risk of Misuse. What Has Been Your Treatment Approach in Helping These Patients?
Treatment of drug and/or alcohol addicts is extremely difficult for those psychiatrists not specifically trained to handle such patients. Let me start by describing two patients with whom I failed miserably because, in my commitment to addressing the...
DBS Touted for 'Intractable' Illness
MONTREAL -- Brain surgery for the treatment of psychiatric illness is an old concept that is enjoying renewed interest, "but if we are to avoid repeating the grim history of the mid-20th century, we must do this in a different way," Dr. Benjamin Greenberg...
Do Brain Abnormalities Predate Marijuana Use?
MONTREAL -- Teens who report heavy alcohol use have reduced hippocampal volume, compared with their nondrinking peers, but those who combine marijuana with heavy drinking do not show these abnormalities, Susan Tapert, Ph.D., reported at the annual...
Duloxetine May Improve Patients' Sleep Quality
WASHINGTON -- Not only does duloxetine appear to reduce the severity of pain, especially during the night, but it may also help patients with diabetic peripheral neuropathy get a better night's sleep, according to a poster presentation at the annual...
European Group Issues Fibromyalgia Guidelines
Fibromyalgia guidelines issued by the European League Against Rheumatism represent a work in progress on a field "that is very much in evolution," Dr. Philip J. Mease said in an interview. The recommendations were formulated by a European working...
Excess Suicide and CHD Deaths Associated with Bariatric Surgery
There is "a substantial excess" in deaths attributable to suicide and to coronary heart disease among patients who have undergone bariatric surgery, according to Dr. Bennet I. Omalu of the University of Pittsburgh and his associates. Their descriptive...
Fish May Be Adjunct for Postpartum Depression
SAN FRANCISCO -- Eating fish or taking omega-3 fatty acids found in fish may help manage postpartum depression and could provide other benefits, Cathi Dennehy, Pharm.D., said at a meeting on antepartum and intrapartum management sponsored by the University...
Focus Is Shifting to Core Negative Symptoms of Schizophrenia
SACRAMENTO -- The focus on psychosis in schizophrenia has led to a relative neglect of the other core features, such as negative symptoms and cognitive impairment, but that focus may be changing, Dr. William T. Carpenter said at a meeting on psychotic...
For Vets with PTSD, Try Behavior Modification
Some years ago, an Army war veteran was referred to me by an orthopedic surgeon for help in dealing with pain secondary to a war injury. The patient had a prosthetic limb, and he complained of pain during our first meeting. From an orthopedic standpoint,...
HIV Patients as Overweight as General Population
SAN DIEGO -- In the 1980s, patients with HIV/AIDS commonly lost an excessive amount of weight, a process known as wasting. But today, these patients are becoming just as overweight and obese as the general population of the United States, Dr. Nancy...
IEED: Uncertainty Reigns in Diagnosis and Treatment
BALTIMORE -- The lack of diagnostic criteria has hamstrung attempts to diagnose involuntary emotional expression disorder, Dr. Sharon Handel said at a meeting on Alzheimer's disease and related disorders sponsored by Johns Hopkins University. Even...
IOM Panel: Few Data Exist to Support PTSD Therapies
Evidence is insufficient to support most of the therapies and medications now in use for posttraumatic stress disorder, concludes an Institute of Medicine panel report issued in October after 9 months of investigation. "This result was unexpected...
Latest Evidence on PTSD May Bring Changes in DSM-V: Subthreshold Events Can Lead to Disorder
MIAMI BEACH -- The definition of posttraumatic stress disorder should change with the next revision of the Diagnostic and Statistical Manual of Mental Disorders, Dr. Michael First said at the annual meeting of the American Academy of Psychiatry and...
New CPT Codes Promote Interventions
Two new health care codes for substance abuse screening and brief intervention set to take effect Jan. 1, 2008, will "strengthen the doctor-patient relationship and incorporate a powerful preventive public health resource in America's health care system,"...
Novel Melatonergic Antidepressant Remains Promising
VIENNA -- "Agomelatine" was the word on all lips at the annual congress of the European College of Neuropsychopharmacology. The buzz surrounding the first melatonergic antidepressant rose in reaction to the presentation at the congress of favorable...
OCD Patients Show More Emotional Processing
MONTREAL -- Neuroimaging of the brain in patients with obsessive-compulsive disorder reveals more emotional and less cognitive processing of potential visual triggers, compared with controls, Dr. Aglaja Stirn reported at the annual conference of the...
Perspective
Primary prevention of intimate partner violence is a realistic objective. But it will take a great deal of public will to put systems in place that support the development of a culture that no longer reinforces "male entitlement dysfunction" and problem...
Pilot Study Shows Audiovisual Entrainment Therapy Stimulates Mood Centers in Brain
MONTREAL -- Audiovisual entrainment therapy, which has been shown to improve self-reported depression scores, produces corresponding neurophysiologic changes in the mood-regulating centers of the brain, David Cantor, Ph.D., said at the annual conference...
Preventing Intimate Partner Violence before It Starts
Removing female victims of intimate partner violence from their abusive environments is a temporary fix to a long-term problem. In fact, stopgap measures that fail to either address the underlying risk factors for victimization or to appreciate the...
Rise in Poor Patients Is Tearing Medical Safety Net
WASHINGTON -- Community health centers, public hospitals, and other safety net providers are seeing a steadily growing number of low-income patients, while specialty care for these patients is becoming scarce, according to the results of a biennial...
Study Results on Mercury Exposure 'Reassuring'
A study of 1,047 children found no evidence of a causal association between exposure to ethylmercury from thimerosal in vaccines during the prenatal period or the first 7 months of life and neuropsychological outcomes at ages 7-10 years. "Overall,...
The Art of Jay Kyle Petersen
It usually takes Tucson, Ariz., artist Jay Kyle Petersen less than 2 hours to complete a painting, and he works with the canvas flat on the ground or on a table--not an easel. He calls his style of painting "supernatural immersion." "My job is to...
Topiramate Reduces Drinking, Increases Abstinence
Topiramate may be a promising treatment for alcohol dependence, significantly decreasing heavy drinking days and increasing days of abstinence, compared with placebo, Dr. Bankole A. Johnson and his colleagues reported. "This is a different paradigm,...
Tramiprosate Falls Short in Phase III Alzheimer's Trial: Unusually Large Placebo Effect Could Be a Recurring Problem in Studies That Allow Concomitant Medications
Tramiprosate, the first antiamyloid drug to enter a phase III trial, was not significantly better than placebo in improving cognitive function in patients with Alzheimer's disease, according to officials of Neurochem Inc., manufacturer of the investigational...
Treatment of Delusional Disorder
The Problem A patient in your restoration-to-competency unit is an alleged stalker with erotomanic delusions. During his hospital stay, he has not posed signs of harm to himself or others, which has precluded you from applying administrative procedures...
Uncertainties Prevail on Psychotic Depression
Psychotic depression--major depression with psychotic features--is not rare: An estimated 15%-20% of depressed patients in the community, and at least 25% of those who are hospitalized, fall into this category. It is more impairing, and carries a poorer...
Unexpected Health Risks Found in Celiac Patients
Children diagnosed with celiac disease usually experience complete remission once they are started on a gluten-free diet, and thus early diagnosis can be beneficial. But early diagnosis may have adverse effects as well. A large British study has found...
Using Clozapine in Agitated Dementia Patients
Patients with dementia brought into the inpatient unit because of pronounced treatment-resistant agitation can be extremely difficult to manage. Such patients often fail trials with several medications used to ameliorate agitation. According...
Warhol and the Art of Managed Care
"... being good at business is the most fascinating kind of art." --Andy Warhol On the way to work on Sept. 21, I listened to "Marketplace," a business news program, on public radio. One of the stories, titled "Good Business Is an Art," focused on...
Western Diet May Increase Colon Cancer Recurrence
Colon cancer patients who eat a typical Western diet appear to have triple the risk of recurrence, compared with those who do not follow a Western diet. After a potentially curative resection of stage III colon cancer and adjuvant chemotherapy,...
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