Mental Disorders Commons^™

Behaviorally-Based Disorders: The Historical Social Construction Of Youths' Most Prevalent Psychiatric Diagnoses, Christopher A. Mallett

Social Work Faculty Publications

The article discusses the historical social construction of the most prevalent diagnosis of youth in the U.S. The country's psychiatry controls the definitions of mental health disorders and diagnosis through required practice utilization of the Diagnostic and Statistical Manual of Mental Disorders. A research is conducted through a social construction theoretical paradigm to identify diagnostic classification systems, nosology changes, and critical time periods.

Making An Impact On Late-Life Depression. Partnering With Primary Care Providers Can Double The Effect Of Treatment, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer

Steven D Vannoy

Few depressed older adults seek help from psychiatrists. Those who receive mental health treatment most likely do so in pri- mary care settings. Yet primary care physicians (PCPs) often are ill-equipped to effectively treat depression while managing older patients’ numerous acute and chronic medical conditions. If depressed older patients won’t go to a psychiatrist, why not bring the psychiatrist to the patients? This article describes a clinically tested approach called project IMPACT that links psy- chiatrists to primary care teams and dramatically improves depression treatment in older adults.

Effects Of War Stressors And Life Events On Gulf War Veterans With Cfs Symptoms, Kieran K. Dhillon

Loma Linda University Electronic Theses, Dissertations & Projects

The present study examines the association of life stressors and the period when they occur, with the development of CFS symptoms in Gulf War veterans. From data collected from Gulf War Health Registry veterans, 113 met CFS criteria and 441 were controls. After hierarchical linear analysis, negative life stressors: wounded, traumatic war experience, frequent battle experiences, demotion, and unable to work within 2 years of returning from the Gulf predicted CFS symptoms; and positive life stressors of buying a house more than 2 years of returning was protective against CFS symptoms (all significant at p < .05). The findings are consistent with psycho social etiological hypotheses for CFS and are useful in developing programs for veterans returning from war.

Beliefs About Essences And The Reality Of Mental Disorders, Woo-Kyoung Ahn, Elizabeth H. Flanagan, Jessecae K. Marsh, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Do people believe mental disorders are real and possess underlying essences? The current study found that both novices and practicing clinicians held weaker essentialist beliefs about mental disorders than about medical disorders. They were also unwilling to endorse the idea that mental disorders are real and natural. Furthermore, compared with novices, mental health clinicians were less likely to endorse the view that there is a shared cause underlying a mental disorder and that one needs to remove the cause to get rid of the mental disorder. Clinicians were polarized on their views about whether mental disorders are categorical or dimensional. …

Supporting Young People To Seek Professional Help For Mental Health Problems: Cover Feature., Coralie J. Wilson

Coralie J Wilson

No abstract provided.

Descriptive And Longitudinal Observations On The Relationship Of Borderline Personality Disorder And Bipolar Disorder, John G. Gunderson, Igor Weinberg, Maria T. Daversa, Karsten D. Kueppenbender, Mary C. Zanarini, M. Tracie Shea, Andrew E. Skodol, Charles A. Sanislow, Shirley Yen, Leslie C. Morey, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Ingrid R. Dyck

Charles A. Sanislow, Ph.D.

OBJECTIVE: The purpose of this study was to test whether borderline personality disorder is a variant of bipolar disorder by examining the rates of co-occurrence in both disorders, the effects of co-occurrence on a longitudinal course, and whether the presence of either disorder confers the risk for new onsets of the other.

METHOD: A prospective repeated-measures design with reliable independent diagnostic measures and 4 years of follow-up was used to assess 196 patients with borderline personality disorder and 433 patients with other personality disorders.

RESULTS: Patients with borderline personality disorder had a significantly higher co-occurrence of bipolar disorder (19.4%) than …

A Pilot Study: Attention Deficit Hyperactivity Disorder, Sensation Seeking, And Pubertal Changes, Catherine A. Martin, Greg Guenthner, Christopher Bingcang, W. Jackson Smith, Thomas E. Curry, Hatim A. Omar, Mary Kay Rayens, Tom H. Kelly

Pediatrics Faculty Publications

This study was designed to examine the relationship of pubertal changes and sensation seeking (SS) in adolescents with Attention Deficit Hyperactivity Disorder (ADHD). Patients with current or past histories of uncomplicated stimulant medication use for ADHD between the ages of 11 and 15 (13 ± 1.5) were recruited from a Child Psychiatry and a General Pediatric Clinic. SS was measured using the SS Scale for Children. Pubertal development was measured using Tanner staging, free testosterone, and DHEAS. Subjects and their parent were interviewed with the Diagnostic Interview Schedule for Children (DISC). SS total score was correlated with Tanner stage, free …

Comparing Chemical Dependency And Mental Health Programs For The Dually Diagnosed, Kelly L. Hacker

Loma Linda University Electronic Theses, Dissertations & Projects

In order to better understand the needs of an increasing dually diagnosed population, this study compares the efficacy of integrated vs. nonintegrated treatment programs for a dually diagnosed population, residing at a Long Term Care facility in San Bernardino, California. Patients in this setting are diagnosed with chronic and acute mental illness and chemical dependency. This study tested the hypotheses that the nonintegrated treatment program would result in a higher frequency of assaults, PRNs, Q15s, and Code Reds; increase the duration of Q15s; and, increase the Addiction Severity Index’s (ASI) Family/Social and Psychiatric subscales’ scores, which would indicate lower levels …

Predictors Of 2-Year Outcome For Patients With Borderline Personality Disorder, John G. Gunderson, Maria T. Daversa, Carlos M. Grilo, Thomas H. Mcglashan, Mary C. Zanarini, M. Tracie Shea, Andrew E. Skodol, Shirley Yen, Charles A. Sanislow, Donna S. Bender, Ingrid R. Dyck, Leslie C. Morey, Robert L. Stout

Charles A. Sanislow, Ph.D.

OBJECTIVE: The primary purpose of this report was to investigate whether characteristics of subjects with borderline personality disorder observed at baseline can predict variations in outcome at the 2-year follow-up.

METHOD: Hypothesized predictor variables were selected from prior studies. The patients (N=160) were recruited from the four clinical sites of the Collaborative Longitudinal Personality Disorders Study. Patients were assessed at baseline and at 6, 12, and 24 months with the Structured Clinical Interview for DSM-IV Axis I Disorders; the Diagnostic Interview for DSM-IV Personality Disorders, a modified version of that instrument; the Longitudinal Interval Follow-Up Evaluation; and the Childhood Experiences …

Early-Onset Bipolar Disorder: The Relationship Between Symptoms And Family Functioning, Meryl Yoches

Psychology Honors Papers

The incidence, course, and diagnostic criteria of early-onset bipolar disorder are heavily debated within the psychological community. Although new research has solved some of the uncertainties about the disorder, questions remain about its course, presentation and specific features in childhood. The goal of this study was to evaluate the relationship between family functioning and symptom presentation. The cases of 406 children diagnosed with bipolar disorder were examined. The statistics suggest that not only are there differences in symptom presentation among bipolar type, sex and age, there are also differences in family functioning.

Perfectionism And Depressive Symptoms 3 Years Later: Negative Social Interactions, Avoidant Coping, And Perceived Social Support As Mediators., David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Although research has demonstrated perfectionism to have a negative impact on the treatment of depression, little research has examined the mechanisms or processes through which perfectionism predicts subsequent depressive symptoms in clinical populations over time. Using data from a prospective, 3-year study of a clinical sample (N = 96), hierarchical regression analyses indicated that perfectionism, assessed by the Dysfunctional Attitude Scale (Weissman AN, Beck AT. Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Paper presented at the 86th annual convention of the American Psychological Association, Toronto, Ontario, Canada; 1978), is distinguished from major depression and neuroticism for …

Prospective Assessment Of Treatment Use By Patients With Personality Disorders, Donna S. Bender, Andrew E. Skodol, Maria E. Pagano, Ingrid R. Dyck, Carlos M. Grilo, M. Tracie Shea, Charles A. Sanislow, Mary C. Zanarini, Shirley Yen, Thomas H. Mcglashan, John G. Gunderson

Charles A. Sanislow, Ph.D.

OBJECTIVE: This study examined the utilization of mental health treatments over a three-year period among patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorders compared with patients with major depressive disorder and no personality disorder.

METHODS: A prospective, longitudinal study design was used to measure treatment use for 633 individuals aged 18 to 45 years during a three-year period.

RESULTS: Patients with borderline personality disorder were significantly more likely than those with major depressive disorder to use most types of treatment. Furthermore, all patients continued using high-intensity, low-duration treatments throughout the study period, whereas individual psychotherapy attendance declined significantly after …

An Introduction To Body Dysmorphic Disorder For Mental Health Counselors, Teresa M. Barrett

Graduate Research Papers

Although researchers have been studying Body Dysmorphic Disorder (BDD) for almost two decades, the majority of research findings with regard to the disorder have only recently been reviewed and published. Additional research is needed to better understand and treat BDD. But those that currently suffer from BDD cannot wait for these studies to be published; they are in need of adequate treatment and competent professionals to assist them with their disorder. Information from published literature has been synthesized within this paper to provide mental health counselors with an awareness of BDD including the definition of BDD, the relation of gender …

Attachment Disorders In Residential Treatment, John Church

Graduate Research Papers

Various aspects of developmental attachment are explored in this power point presentation. Attachment is defined and differentiated from bonding. The variations of attachment are described as they relate to the work of Mary Ainsworth (1978) and Katharine Leslie (2004). Trauma is also explored as one of the major contributors to attachment disorders. The trauma information is also linked with how the brain develops and ultimately is affected by trauma. Lastly, the symptoms of reactive attachment disorder are discussed and explored as they relate to other diagnoses such as depression and oppositional defiant disorder.

Post Traumatic Stress Disorder And The Benefits Of Guided Mental Imagery In Treatment, Lisa A. Langstraat

Graduate Research Papers

Seventy percent of adults in the United States will experience at least one traumatic event in their lifetime. Out of these individuals, 25% will develop post-traumatic stress disorder (PTSD). This disorder is characterized by distinct physiological changes as well as notable psychological symptoms. If left untreated or improperly treated, PTSD exacts significant costs in individual suffering, quality of life, interpersonal relationships, productivity, and increased use of medical and psychiatric services.

The purpose of this paper is to present comprehensive information about PTSD and its impact on those who suffer from the disorder. This paper will also provide a brief synopsis …

Organizations As Evil Structures, Cary Federman, Dave Holmes

Department of Justice Studies Faculty Scholarship and Creative Works

Nursing practice in forensic psychiatry opens new horizons in nursing. This complex, professional, nursing practice involves the coupling of two contradictory socioprofessional mandates: to punish and to provide care. The purpose of this chapter is to present nursing practice in a disciplinary setting as a problem of governance. A Foucauldian perspective allows us to understand the way forensic psychiatric nursing is involved in the governance of mentally ill criminals through a vast array of power techniques (sovereign, disciplinary, and pastoral), which posit nurses as “subjects of power.” These nurses are also “objects of power” in that nursing practice is constrained …

Subsidizing Addiction: Do State Health Insurance Mandates Increase Alcohol Consumption?, Jonathan Klick, Thomas Stratmann

All Faculty Scholarship

A model of addiction in which individuals are forward looking implies that as the availability of addiction treatment options grows, individuals will consume more of an addictive good. We test this implication using cross-state variation in the adoption of mental health parity mandates that include substance abuse treatments. We examine the effects of these mandates on the consumption of alcohol and find that parity legislation leads to an increase in alcohol consumption. To account for the possible endogeneity of the adoption of mental health parity mandates, we perform an instrumental variables analysis and find that the ordinary least squares estimation …

The Moral Nature Of The Cluster B Personality Disorders, Louis Charland

Louis C. Charland

No abstract provided.

Reasons Of The Heart: Neuroscience And The Ethics Of Consent, Louis Charland

Louis C. Charland

No abstract provided.

La Psychopathologie Et Le Statut D’Espèce Naturelle De L’Émotion, Louis Charland

Louis C. Charland

No abstract provided.

How Not To Walk Away From The Science Of Consciousness, Louis Charland

Louis C. Charland

No abstract provided.

Neuroethics And Heroin Prescription, Louis Charland

Louis C. Charland

No abstract provided.

Symptoms Of Internalizing And Externalizing Problems: Modeling Recovery Curves After The Death Of A Parent, S Schmiege, Siek Khoo, I Sandler, T Ayers, S Wolchik

Dr Siek Toon Khoo

No abstract provided.