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Letters To The Editor

Jefferson Journal of Psychiatry

Letters to the Editor.

What Place Does The Real-Relationship Have In The Process Of Therapeutic Character Change?, Patrice Duquette, Md

Jefferson Journal of Psychiatry

The relationship between therapist and patient is an important tool in the process of helping a patient change. There are various elements that make up the total relationship between patient and therapist, each with its own power to exert for and against change. Transference can be one of the most relentless of these elements in maintaining the status quo for ourpatients. To help our patients make significant gains against this relentless pressure is most of our task in psychotherapy. The real-relationship has been considered in the literature since the early 1940's and is described by Greenson as "the realistic and …

Climbing Through The Milwaukee County Civil Commitment Process, Jon A. Lehrmann, Md

Jefferson Journal of Psychiatry

Civil commitment has become a practically unavoidable process for today's practicing psychiatrist. It creates a complicated triangular relationship involving the legal system, the medical system, and the patient.

This article is a first person narrative of a case which helps describe the Wisconsin civil commitment process as it operates in Milwaukee County. It illustrates the frustrations that a psychiatrist (and in this case a first year psychiatry resident) can experience in such a system. Finally, it addresses these problems associated with civil commitment and discusses possible solutions.

Involuntary Psychiatric Hospitalization And Risk Management: The Ethical Considerations, Richard C. Christensen, Md, Ma

Jefferson Journal of Psychiatry

During an era where physicians go to great lengths to limit personal risk and ensure self-protection from lawsuits, psychiatrists may be inclined to err on the side of involuntarily hospitalizing patients who have been briefly evaluated in the emergency room or clinic setting. However, conscientious treatment decisions, particularly those pertaining to involuntary psychiatric hospitalization, need to address at least two fundamental ethical concerns: the patient's best interests and the clinician's motives. This article discusses the moral components involved in clinical decision making and presents a case example which highlights the ethical implications of involuntary psychiatric hospitalizations.

Carbamazepine-Associated Hyponatremia, Mitchell S. Gandelman, Md, Phd, Sandra Dabora, Md, Phd, Rebecca L. Johnson, Md, Michelle B. Riba, Md

Jefferson Journal of Psychiatry

Four cases of CBZ-induced or exacerbated hyponatremia are described in middle-aged to elderly females. Two cases are remarkable in that the pretreatment sodium levels demonstrate hyponatremia. A return to prior sodium levels was observed upon the discontinuation of carbamazepine therapy. No definitive conclusions can be drawn from these case reports; however, similarities in the cases can be examined as follows: (1) all four women have medical problems, in particular two patients had pre-existing hyponatremia; (2) all four patients were using concurrent medications; (3) all four women presented psychotic. A literature review examines risk factors, pharmacological mechanism, and the time course …

Polymyalgia Rheumatica Presenting As Depression: The Role Of The History And Physical Examination In Psychiatric Assessment, J.H. Ennis, Msw, Md, J.K. Leclair, Md, Frcp (C), L. Wadas, Bsw, Csw, C. Patterson, Md, Frcp (C)

Jefferson Journal of Psychiatry

Surveys have indicated that physical examination is a diagnostic tool that is infrequently used by psychiatrists. This is an unfortunate state of affairs in light of the act that the bio-psycho-social formulation of health-care problems is integral to the treatment of psychiatric disorders. The situation becomes all the more complex when faced with the high comorbidity of physical and psychiatric illness in the elderly presenting with depression. The physical examination, guided by a detailed history, must be considered an integral part of the assessment of depression in the elderly. A case study of polymyalgia rheumatica presenting as depression is utilized …

Firesetting In Children, Donna V. Mehregany, Md

Jefferson Journal of Psychiatry

This article reviews the literature regarding the history, etiology, diagnosis, and treatment of firesetting. A critique of the literature reveals the need to generate a clearer definition of firesetting as well as more stringent criteria for diagnosing firesetting. The standard treatments for firesetting are reviewed. Linkage of childhood firesetting to future adolescent and adult crimes is also examined. Finally, avenues for future research are discussed.

Pharmacologic Advances In The Treatment Of Schizophrenia, Scott A. West, Md

Jefferson Journal of Psychiatry

The treatment of schizophrenia was revolutionized with the introduction of chlorpromaeine in 1952. The effectiveness of chlorpromazine in controlling psychotic symptoms lead to the dopamine Hypothesis of schizophrenia, which revolutionized our conceptualization of this illness. Since that time, numerous typical antipsychotic drugs have been developed for the treatment of schizophrenia. However, the introduction of clozapine in 1990 began a new era in the pharmacologic management of schizophrenia. Clozapine, an atypical antipsychotic drug, is effective in controlling the positive Symptoms of schizophrenia in a large number of otherwise treatment-resistant patients, and also improves the negative symptoms of the illness in marry …

Psychogenic Amnesia: A Case Involving Amobarbital Interview And The News Media, Tracey G. Skale, Md, James Randolph Hillard, Md

Jefferson Journal of Psychiatry

A young man was admitted to an urban general hospital psychiatric unit after being brought from a local shopping mall unable to remember his name or any other personal information. He was alert and oriented and demonstrated no cognitive impairment. He agreed to an amobarbital interview and agreed to letting local news media display his picture in hopes that someone would recognize him. The amobarbital interview yielded information allowing identification of the individual, with the help of the news media. News media coverage also led to the discovery that the individual was wanted for a violent crime in another state …

Faculty Advisor's Column, Harvey J. Schwartz, Md

Jefferson Journal of Psychiatry

It has been a pleasure and a privilege to have been the Faculty Advisor for the Jefferson Journal of Psychiatry for the past 10 years. We began this resident written and edited journal in 1983 as a small in-house publication designed to encourage our residents to put their thoughts about patient care into written form. Since then we have grown considerably and now serve as the only national resident journal in medicine. Many people over the years have made this effort possible. I would like to pay special thanks to our generous and supportive sponsors and …

Editor's Column, Mary E. Donovan, Md

Jefferson Journal of Psychiatry

In this edition of The Jefferson Journal of Psychiatry we say good-bye to Harvey J. Schwartz, M.D., who founded it as a resident education project ten years ago and who has been our Faculty Advisor ever since. Under Dr. Schwartz's mentorship the Journal has grown from a departmental vehicle for residents' writings to a national publication in which residents can be proud to have their work presented. Having become a nation-wide resident education project, sponsored in part by the APA, the Journal serves to meet a need for all psychiatry residents: to learn about writing, editing and publishing.

Editorial Staff

Jefferson Journal of Psychiatry

Editorial Board for Volume 11, Number 2, 1993 of Jefferson Journal of Psychiatry.

A Call To Unity: Reflections On Martin Luther King Jr. Day, Christopher Scott Chesnutt

Leaven

No abstract provided.

Marching In The Light: 1 John 1.1-10, Jerry Taylor

Leaven

No abstract provided.

Race, Theological Education And Churches Of Christ, Kavian Mcmillon

Leaven

No abstract provided.

Naming Sin: Reframing Racism And Atonement, Robert L. Foster

Leaven

No abstract provided.

Matthew 5.21-26: A Missional, Confessional, Pragmatic Approach Toward Racial Reconciliation, Russ D. Kirby

Leaven

No abstract provided.

December 7, 2011 Cal Poly Report, Public Affairs Office

Cal Poly Report

No abstract provided.

Inactivity, Inflammation, And Insulin Resistance In Type 2 Diabetes And The Metabolic Syndrome, Ashley E. Moncrieft

Open Access Theses

Both type 2 diabetes (T2D) and the the metabolic syndrome (MetS) have been shown to increase the risk of cardiovascular disease (CVD). Inflammation and insulin resistance have each been associated with the development of MetS and the onset of T2D as well as the risk of CVD. Inflammation and insulin resistance are therefore suitable targets for public health initiatives and interventions in persons at risk for or living with CVD. Physical inactivity is a major risk factor for CVD as well as MetS and T2D. Conversely, increased physical activity is associated with improved health outcomes for individuals with a high …

Sources Of Information And Hiv/Aids In Minority Communities Of Broward County, Elizabeth Sanchez Brana

Open Access Dissertations

In 2008 it was estimated that in Broward County approximately 1 in 130 was living with HIV/AIDS. Broken down by race, it was 1 in 216 Whites, 1 in 50 Blacks and 1 in 198 Hispanics. Broward County had the second highest case rate of all the counties in the state of Florida. HIV/AIDS prevention remains a critical challenge and high impact prevention strategies are needed consistently to reach the most people using limited time, effort and funds. There has been little evidence to demonstrate the relationship between sources of information, specifically media channels, and risk perception and risk behaviors. …

Examining The Efficacy Of Hiv Risk-Reduction Counseling On The Sexual Risk Behaviors Of A National Sample Of Drug Abuse Treatment Clients: Analysis Of Subgroups, Lauren K. Gooden

Open Access Dissertations

This dissertation sought to evaluate the efficacy of brief, HIV risk-reduction counseling (versus information only) among subgroups of substance abuse treatment clients by conducting a series of post-hoc analyses of data that were collected from the CTN 0032 trial. It was hypothesized that HIV risk-reduction counseling would be associated with decreased sexual risk behaviors in several subgroups as determined by baseline characteristics. Findings of this dissertation suggest that brief, HIV risk-reduction counseling delivered in conjunction with rapid HIV testing is not efficacious in reducing number of risky sex acts among subgroups of substance abuse treatment clients. Findings suggest that brief, …

Book Signing For Rock Hill Doctor Whose Book Talks About Life And Death, Winthrop University

Winthrop News 2011

• Dr. Patel has written a book, "From Raindrops to an Ocean" that chronicles the late Anne Sanford’s battle with leukemia, and focuses on the core human experiences of mortality and impermanence.
• Health Care Management students will be on hand to help with this event.

Minutes, College Of Professional Studies Faculty Meeting, Wednesday, December 7, 2011, Rollins College

College of Professional Studies Minutes and Reports

No abstract provided.

12-07-2011 Swosu Announces Graduates For Fall Semester, Southwestern Oklahoma State University

THE BARK ARCHIVE 2011

Approximately 301 students from Southwestern Oklahoma State University at Weatherford will complete requirements for either associate’s, bachelor’s, master’s or doctoral degrees after the current Fall 2011 semester.

Volume 103 Issue 11, Southwestern Oklahoma State University

The Southwestern - Archive

No abstract provided.

Nor'easter News Volume 5 Issue 7, Nor'easter News Staff

Nor'easter News

The forty-sixth issue of the University of New England's student-run newspaper, Nor'easter News.

Minutes Of The Faculty Senate Meeting, December 7, 2011, University Of Arkansas, Fayetteville. Faculty Senate

Faculty Senate Minutes

No abstract provided.

Spartan Daily December 7, 2011, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily (School of Journalism and Mass Communications)

Volume 137, Issue 52

Governors State Awarded $875,000 Education Grant By Kresge Foundation, Office Of Public Affairs

Press Releases

Governors State University has received an $875,000 grant from the Kresge Foundation, which will be used to enhance the university’s innovative Dual Degree Program (DDP). The Kresge Foundation announced the three-year grant on November 29. During the grant period, GSU will use funding from the Foundation to strengthen the DDP, which is already recognized as a national model for degree completion.

The Good 5 Cent Cigar (12/7/2011), University Of Rhode Island

The Good 5 Cent Cigar (Student Newspaper Archives)

This is a digitized, downloadable version of the University of Rhode Island school newspaper.