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Using Standardized Patients For Training And Evaluating Medical Trainees In Behavioral Health, Jeffrey D. Shahidullah, Paul W. Kettlewell 2017 Rutgers University and Robert Wood Johnson Medical School, New Brunswick, NJ

Using Standardized Patients For Training And Evaluating Medical Trainees In Behavioral Health, Jeffrey D. Shahidullah, Paul W. Kettlewell

International Journal of Health Sciences Education

Training delivered to medical students and residents in behavioral health is widely acknowledged to be inadequate. While the use of standardized patients is common in medical training and education for physical health conditions via the adherence to clinical protocols for evaluation and treatment, this approach is infrequently used for behavioral health conditions. Used under specific circumstances, standardized patient encounters have long been considered a reliable method of training and assessing trainee performance on addressing physical health conditions, and are even comparable to ratings of directly observed encounters with real patients. This paper discusses common issues and challenges that arise in ...


Mental Illness And The Grace Of God, Laura K. Sjoquist 2017 Cedarville University

Mental Illness And The Grace Of God, Laura K. Sjoquist

Bioethics in Faith and Practice

This paper will attempt to address God's grace towards those with mental illnesses. It also attempts to provide direction in response to historical church views towards this population. Through scripture, this paper seeks to emphasize the importance of seeing a person as more than what they physically appear capable of - seeing people through God's eyes.


Psycho-Physiologic Emergentism; Four Minds In A Body, David L. Rowland, Ion G. Motofei 2017 Valparaiso University, Department of Psychology, Valparaiso, USA

Psycho-Physiologic Emergentism; Four Minds In A Body, David L. Rowland, Ion G. Motofei

Journal of Mind and Medical Sciences

The mind-body problem represents one of the most debated topics in the neurosciences. From a psychological standpoint, abstract/non-material data are an intrinsic part of the mind, intervening to a large extent in reasoning and decision making processes. Imaging studies also show a strong correlation between higher cognitive functions (such as working memory) and specific cerebral brain regions (a fronto-parietal network of interacting left and right brain areas). In contrast, the physical/material brain would be unable to interact with abstract-immaterial data, such that the psychological processing of abstract data (processes such as thinking, reasoning, and judgment) is attributed to ...


Treating Opioid Use Disorder And Co-Occuring Disorders, Amy L. Harrington 2017 University of Massachusetts Medical School

Treating Opioid Use Disorder And Co-Occuring Disorders, Amy L. Harrington

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

Harm reduction is a public health strategy that was developed initially for adults with substance use disorder for whom abstinence was not feasible. Harm reduction approaches have been effective in reducing morbidity and mortality in some adult populations. In this presentation "Treating Opioid Use Disorder and Co-Occuring Disorders" by Amy L. Harrington, MD, learn the specifics of what the term "harm reduction" means as it is applied in various settings. When a treatment plan is considered for a patient, it is important to understand if other medical conditions also exist in addition to the substance use disorder. How do co-morbid ...


A Conceptualization Of The Body In Psychodynamic And Body-Based Psychotherapies: Areas Of Overlap And Possibilities For Integration, Aleksandra Rayska 2017 The Graduate Center, City University of New York

A Conceptualization Of The Body In Psychodynamic And Body-Based Psychotherapies: Areas Of Overlap And Possibilities For Integration, Aleksandra Rayska

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

The distinction between verbal and nonverbal psychotherapies is clearly visible in theory and clinical practice. Moreover, this duality of approaches promotes a split between the body and the mind, defining them as separate from each other. This dissertation helps bridge the divide between the literature in body-based therapies and verbally-based psychotherapy by (i) exploring the conceptual frame used to understand the body in psychodynamic therapy (ii) identifying the areas of overlap between psychodynamic theory and theories that underlie body-based psychotherapies, and (iii) proposing ways in which psychodynamic and body-based theories can inform one another. A clinical case was used to ...


The Safety And Efficacy Of Ondansetron In The Treatment Of Obsessive Compulsive Disorder, Rebecca Stark 2017 Duquesne University

The Safety And Efficacy Of Ondansetron In The Treatment Of Obsessive Compulsive Disorder, Rebecca Stark

Graduate Student Research Symposium

Obsessive compulsive disorder (OCD) is a psychiatric disorder characterized by recurrent intrusive thoughts (obsessions) that cause significant anxiety and distress, leading to repetitive behaviors (compulsions) that an individual feels driven to perform. The symptoms of OCD can range from mild to so severe that it can be incapacitating to an individual’s life. Treatment is often prescribed, including both pharmacological and behavioral therapy. Overall, 70% of patients starting treatment experience a significant improvement; however, there is still a portion of patients with severe OCD that do not respond to first and second-line treatment plans. We present the case of a ...


Rumination Is Associated With Diminished Performance Monitoring, Ema Tanovic, Greg Hajack, Charles A. Sanislow 2017 Yale University

Rumination Is Associated With Diminished Performance Monitoring, Ema Tanovic, Greg Hajack, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Rumination is a construct that cuts across a variety of disorders, including anxiety and depression. It has been associated with deficits in cognitive control thought to confer risk for psychopathology. One aspect of cognitive control that is especially relevant to the content of ruminative thoughts is error processing. We examined the relation of rumination and 2 electrophysiological indices of error processing, error related negativity (ERN), an early index of error detection, and error positivity (Pe), a later index of error awareness. Consistent with prior work, ERN was negatively correlated with anxiety (i.e., more anxious individuals were characterized by larger ...


Amelioration Of Prenatal Alcohol Effects By Environmental Enrichment In A Mouse Model Of Fasd, Aniruddho Chokroborty-Hoque 2017 The University of Western Ontario

Amelioration Of Prenatal Alcohol Effects By Environmental Enrichment In A Mouse Model Of Fasd, Aniruddho Chokroborty-Hoque

Electronic Thesis and Dissertation Repository

Maternal alcohol consumption during pregnancy results in a spectrum of behavioural and cognitive deficits collectively known as Fetal Alcohol Spectrum Disorders (FASD). Currently, little is know about if and how the external environment may modulate these deficits. I have used C57BL/6 mice to study this interaction between prenatal alcohol exposure and the postnatal environment. Alcohol exposure during synaptogenesis produces high levels of anxiety-like traits and decreased memory performance. Alcohol-exposed mice (and matched unexposed controls) were put in 'environmentally-enriched' conditions of voluntary exercise, physical activities and cognitive stimulation to ascertain the effects of a positive postnatal environment. The results show ...


The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber 2017 DePaul University

The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber

Grace Peterson Nursing Research Colloquium

Abstract

Background: Over the past 30 years, the field of psychology has evolved to become more receptive towards spirituality as an influential concept in the recovery of many mental health illnesses. The role of spirituality as it relates to recovery for patients living with schizophrenia, however, has not been effectively explored. In order to induce a spiritual sense, one must have an ability to think and reflect abstractly; however, this requirement conflicts with the schizophrenic mind’s preference for concrete thinking. It is questionable whether patients with schizophrenia regard the role of spirituality as it relates to their recovery in ...


Implementing An Online Health Information Platform For People With Serious Mental Illness, Zlatina Kostova, Len L. Levin, Mahima Sindhu, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin 2017 University of Massachusetts Medical School

Implementing An Online Health Information Platform For People With Serious Mental Illness, Zlatina Kostova, Len L. Levin, Mahima Sindhu, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin

Kathleen Biebel

Introduction: Individuals with serious mental illness (SMI) die, on average, 25 years earlier than the general population. Higher rates of smoking, alcohol consumption, poor nutrition, lack of physical activity, obesity, lack of preventive healthcare, and other modifiable risk factors, as well as side effects associated with certain antipsychotic medications, place individuals with SMI at high physical health risk. They are designated a health disparity population by the US National Association of State Mental Health Program Directors and as a vulnerable group worldwide by the World Health Organization. While the Internet provides intriguing opportunities to support person-centered health care, web-based resources ...


Implementing An Online Health Information Platform For People With Serious Mental Illness, Zlatina Kostova, Len L. Levin, Mahima Sindhu, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin 2017 University of Massachusetts Medical School

Implementing An Online Health Information Platform For People With Serious Mental Illness, Zlatina Kostova, Len L. Levin, Mahima Sindhu, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin

Library Publications and Presentations

Introduction: Individuals with serious mental illness (SMI) die, on average, 25 years earlier than the general population. Higher rates of smoking, alcohol consumption, poor nutrition, lack of physical activity, obesity, lack of preventive healthcare, and other modifiable risk factors, as well as side effects associated with certain antipsychotic medications, place individuals with SMI at high physical health risk. They are designated a health disparity population by the US National Association of State Mental Health Program Directors and as a vulnerable group worldwide by the World Health Organization. While the Internet provides intriguing opportunities to support person-centered health care, web-based resources ...


Health Related Web Site Usage By Persons With Serious Mental Illness: Design And Use Of A Heath Literacy Survey Tool, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin 2017 University of Massachusetts Medical School

Health Related Web Site Usage By Persons With Serious Mental Illness: Design And Use Of A Heath Literacy Survey Tool, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin

Kathleen Biebel

Objectives: A health literacy focused web site review survey was designed as an initial step in a multi-institutional project to build a website for persons with serious mental illness to help them better understand issues relating to their physical health. This presentation will describe the design, testing, implementation and results of this survey tool. Methods: The literature shows that persons with serious mental illness (SMI) approach the use of online health information differently than the general population. In 2015, the University of Massachusetts, in collaboration with other academic medical institutions, received a grant to build a new website for persons ...


Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart 2017 University of Louisville

Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart

Electronic Theses and Dissertations

Background: Bleuler saw thought disorder as the core defining feature of psychotic phenomena, reflective of the “splitting of the psychic functions” that occurred when, in the process of thinking, one’s ideas and feelings disconnect, becoming fragmented and competing functions. Unfortunately, interest in thought disorder as the conceptual core of psychosis was lost with rise of the modern DSM system, paralleling the shift towards a more simplistic, categorical way of defining psychiatric disorders. Aims: This study examined thought disorder from a dimensional perspective, with the aim of disentangling qualitative heterogeneity and diverse sources of influence. Analyses were based on a ...


Neurocircuits Of Posttraumatic Stress Disorder And Its Dissociative Subtype, Andrew A. Nicholson 2017 The University of Western Ontario

Neurocircuits Of Posttraumatic Stress Disorder And Its Dissociative Subtype, Andrew A. Nicholson

Electronic Thesis and Dissertation Repository

The amygdala and insula are highly implicated in the pathophysiology of posttraumatic stress disorder (PTSD), where both have been shown to be hyper/hypoactive in PTSD and dissociative subtype (PTSD+DS) PTSD patients, respectively, during symptom provocation. However, the functional connectivity of individual amygdala and insula subregions have not previously been compared in PTSD, PTSD+DS and healthy controls. In two separate studies, we examined amygdala complex (chapter 2) and insula subregion (chapter 3) functional connectivity patterns using resting-state fMRI. Patients with PTSD and PTSD+DS were found to display unique amygdala complex functional connectivity patterns to prefrontal cortex (PFC ...


Acceptance And Commitment Therapy As An Eating Disorder Intervention, Sara Elizabeth Wallace 2017 Western Kentucky University

Acceptance And Commitment Therapy As An Eating Disorder Intervention, Sara Elizabeth Wallace

Masters Theses & Specialist Projects

The purpose of this study is to determine if a new intervention using techniques from Acceptance and Commitment Therapy (ACT; Hayes et al., 1999) in combination with activities from The Body Project (Stice et al., 2009), will be able to reduce negative body image concerns and increase mindfulness skills in college females. Prior to receiving the intervention, participants completed a pre-test measuring their current body image concerns as well as mindfulness abilities. The intervention was administered in a large, group setting and took approximately 35 minutes to administer. After receiving the intervention, participants completed the same assessment measures as the ...


Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer 2017 California State University - San Bernardino

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research ...


Non Communicable Diseases In Pakistan: Burden, Challenges And Way Forward For Health Care Authorities, Mohammad Wasay, Shehla Zaidi, Rashid Jooma 2017 Aga Khan University

Non Communicable Diseases In Pakistan: Burden, Challenges And Way Forward For Health Care Authorities, Mohammad Wasay, Shehla Zaidi, Rashid Jooma

Rashid Jooma

No abstract provided.


Health Related Web Site Usage By Persons With Serious Mental Illness: Design And Use Of A Heath Literacy Survey Tool, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin 2017 University of Massachusetts Medical School

Health Related Web Site Usage By Persons With Serious Mental Illness: Design And Use Of A Heath Literacy Survey Tool, Len L. Levin, Zlatina Kostova, Joanne Nicholson, Kathleen Biebel, Elaine R. Martin

Library Publications and Presentations

Objectives: A health literacy focused web site review survey was designed as an initial step in a multi-institutional project to build a website for persons with serious mental illness to help them better understand issues relating to their physical health. This presentation will describe the design, testing, implementation and results of this survey tool.

Methods: The literature shows that persons with serious mental illness (SMI) approach the use of online health information differently than the general population. In 2015, the University of Massachusetts, in collaboration with other academic medical institutions, received a grant to build a new website for persons ...


Using Mathematical Models Of Biological Processes In Genome-Wide Association Studies Of Psychiatric Disorders, Amy Cochran 2017 University of Michigan-Ann Arbor

Using Mathematical Models Of Biological Processes In Genome-Wide Association Studies Of Psychiatric Disorders, Amy Cochran

Biology and Medicine Through Mathematics Conference

No abstract provided.


Computational Modeling Of Contrast Sensitivity And Orientation Tuning In Schizophrenia, Steven M. Silverstein, Docia L. Demmin, James A. Bednar 2017 Rutgers University - New Brunswick/Piscataway

Computational Modeling Of Contrast Sensitivity And Orientation Tuning In Schizophrenia, Steven M. Silverstein, Docia L. Demmin, James A. Bednar

MODVIS Workshop

Computational modeling is being increasingly used to understand schizophrenia, but, to date, it has not been used to account for the common perceptual disturbances in the disorder. We manipulated schizophrenia-relevant parameters in the GCAL (gain control, adaptation, laterally connected) model (Stevens et al., 2013), run using the Topographica simulator (Bednar, 2012), to model low-level visual processing changes in the disorder. Our models incorporated: separate sheets for retinal, LGN, and V1 activity; gain control in the LGN; homeostatic adaptation in V1 based on a weighted sum of all inputs and limited by a logistic (sigmoid) nonlinearity; lateral excitation and inhibition in ...


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