On The Technical Error Of The Psychotherapist,
2012
Menninger Clinic, Topeka, KS
On The Technical Error Of The Psychotherapist, Satoshi Tamiya M.D., Tetsuro Takahashi M.D.
Jefferson Journal of Psychiatry
The authors present a psychotherapy case where the therapist's countertransference-based technical error and his way of dealing with it remarkably influenced the course of treatment. The authors emphasize that appropriate training, including supervision and personal psychotherapy or psychoanalysis, is imperative, especially so that the beginning therapist can learn to manage countertranference appropriately. Since technical errors cannot always be avoided, it is important for the therapist to deal with them therapeutically, without feeling ashamed or guilty.
Late Onset Tay-Sachs Disease Presenting As A Brief Psychotic Disorder With Catatonia: A Case Report And Review Of The Literature,
2012
St. Francis Medical Center, Pittsburgh, PA
Late Onset Tay-Sachs Disease Presenting As A Brief Psychotic Disorder With Catatonia: A Case Report And Review Of The Literature, Osama Saleh M.D.
Jefferson Journal of Psychiatry
This is a case report of late onset Tay-Sachs Disease diagnosed in a 14-year-old male non-Jewish adolescent who presented in a psychotic and catatonic state. The objective is to emphasize that Tay-Sachs disease can present with psychiatric symptoms, with a variety of phenotypes from infancy to adulthood, and can affect individuals other than Ashkenazi Jews. Amphiphilic drugs, including phenothiazine and tricyclic antidepressants, may worsen the course of the illness. Resistant catatonia can respond to an extended trial of high dose lorazepam.
Review Of The Pharmacological Treatment Of Delirium In The Pediatric Population With Accompanying Protocol,
2012
University of California, Irvine
Review Of The Pharmacological Treatment Of Delirium In The Pediatric Population With Accompanying Protocol, Nathan Lavid M.D., Lawrence J. Budner M.D., F.A.A.C.A.P.
Jefferson Journal of Psychiatry
Objective: To review the current state of pharmacological treatment of delirium in the pediatric population and to derive a treatment protocol from our review.
Method: Medline-assisted search of the literature. Articles pertaining to the pharmacological treatment of delirium in children and adolescents were reviewed. Due to the paucity of articles, studies of treatment guidelines for delirium in the adult population were reviewed. Also presented for reference, are studies of optimal dosing regimens of psychotropic agents potentially useful in treating pediatric delirium. Our protocol is extrapolated from previously established guidelines for adult treatment meshed with the current knowledge presented in …
Seasonal Affective Disorder And Seasonality: A Review,
2012
Section on Biological Rhythms at the National Institute of Mental Health, Bethesda, MD
Seasonal Affective Disorder And Seasonality: A Review, Leo Sher M.D.
Jefferson Journal of Psychiatry
Seasonal affective disorder is a condition where depressions in fall and winter alternate with nondepressed periods in the spring and summer. The Degree to which seasonal changes affect mood, energy, sleep, appetite, food preference, or the wish to socialize with other people has been called "seasonality." The author reviews historical aspects, clinical features, epidemiology, genetics, pathophysiology, and treatment of seasonal affective disorder and seasonality. Better understanding of the contemporary concept of seasonal affective disorder, seasonality, and light treatment will improve patient care and promote scientific advances in behavioral sciences.
Editor's Column,
2012
Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA
Editor's Column, Stephen Zerby M.D.
Jefferson Journal of Psychiatry
No abstract provided.
About The Authors,
2012
Thomas Jefferson University
About The Authors,
2012
Thomas Jefferson University
Case Report Of Dramatic Resolution Of Psychotic Symptoms During Cross-Over To Clozapine,
2012
National Institute of Mental Health, Bethesda, MD; Hillside Hospital, Psychiatric Division of Long Island Jewish Medical Center, the Long Island Campus for the Albert Einstein College of Medicine, Glen Oaks, NY
Case Report Of Dramatic Resolution Of Psychotic Symptoms During Cross-Over To Clozapine, Leo Sher M.D., Alan Mendelowitz M.D.
Jefferson Journal of Psychiatry
Clozapine is the first antipsychotic drug with proven superiority over conventional antipsychotics in the management of treatment-resistant patients. We describe a case of tratment-resistant schizoaffective disorder in a young woman who improved rapidly on clozapine. The patient was started on a low dose of clozapine while fluphenazine was decreased. She improved significantly during the first several days of treatment. This improvement took place well before the expected effect of clozapine. Possible explanations for this unusual response include: 1) the placebo effect; 2) fluphenazine dose-response curve; 3) acute clozapine neurochemical mechanisms; 4) inaccurate original diagnosis. Better understanding of the mechanisms of …
Case Report: Failure Of Group Therapy With Elderly Russian-Jewish Immigrants (An Exploratory Analysis),
2012
Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA
Case Report: Failure Of Group Therapy With Elderly Russian-Jewish Immigrants (An Exploratory Analysis), Gennady Berezkin M.D.
Jefferson Journal of Psychiatry
This paper is a description of an unsuccessful attempt to carry out group therapy with elderly Russian-Jewish immigrants.
An attempt was made to conduct group therapy following general principals of traditional psychotherapy with geriatric populations.
In the final analysis, we conclude that culturally based preconceptions toward psychotherapy, culturally based stereotypes of interpersonal relationships and culturally-based transference to the therapist were the primary reasons for the development of negative transference and resistance which culminated in the ultimate failure of group psychotherapy with this group of elderly immigrants.
Saint Simeon The Stylite: A Psychiatric Examination Of The Life Of A Fifth Century Monk,
2012
Dalhousie University, Halifax, Nova Scotia
Saint Simeon The Stylite: A Psychiatric Examination Of The Life Of A Fifth Century Monk, Iracema Leroi M.D., Joseph B. A. Meagher M.D., M.R.C. (Psych) Frcpc
Jefferson Journal of Psychiatry
Religion is now the focus of more attention in psychiatry. This paper examines the life of the fifth century monk, Simeon the Stylite, from a contemporary psychiatric perspective. Such a retrospective examination presents difficulties with regard to the diagnosis of possible psychotic phenomena. A further examination presents difficulties with regard to the diagnosis of possible psychotic phenomena. A further problem is trying to distinguish between a religious and a psychiatric interpretation of particular experiences.
The authors outline the life of Simeon and some contemporary opinions. They agree with Kroll and deGanck that great caution is needed in the psychiatric interpretation …
The Psychiatry Access Center: A New Opportunity For Innovative Residency Training,
2012
Medical university of South Carolina, Department of Psychiatry and Behavioral Sciences, MUSC Instutute of Psychiatry, Access Center, Charleston, SC
The Psychiatry Access Center: A New Opportunity For Innovative Residency Training, M. Bates Redwine M.D., Ryan Finkelbine M.D., William Carson M.D., Susan Hardesty M.D., Linda Lewis M.N., R.N., C.S.
Jefferson Journal of Psychiatry
A recently introduced PGY-1 rotation in an innovative, managed care oriented program offers many training advantages for residents. The rotation offers first-year residents intensive interviewing-skills training, experience with obtaining and documenting the psychiatric history and physical examination, and in the process, offers early exposure to a managed care environment. The Psychiatry Access Center employs non-resident clinicians to perform urgent evaluations and all admissions to the main psychiatric hospital. The service has been tested successfully without requiring resident work, and therefore allows the integration of residents into the system via a new rotation designed to focus exclusively on educational needs.
Implementation Of A Computer-Based Communication System For Psychiatry Residents,
2012
New York University Medical Center, New York City; George Washington University, Washington, D.C.
Implementation Of A Computer-Based Communication System For Psychiatry Residents, Daniel Z. Lieberman M.D.
Jefferson Journal of Psychiatry
In order to encourage different kinds of communication among residents who were located at a number of geographically separate sites, a computerized communication system was implemented. Priority was placed on both richness of features and ease of use. Residents were able to send private email, join public conferences, and access databases of information. The system was initially used by a large number of residents, and usage patterns are described. The introduction to information technology that residents gained from the system led to other computer projects, and an interest in the resources of the Internet.
Call For Papers On Aspects Of Violence And Psychiatric Training,
2012
McMaster University, Ontario, Canada
Call For Papers On Aspects Of Violence And Psychiatric Training, Derek Puddester M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Difficulties Associated With A Clinical Psychiatric Study Of A Transient Population,
2012
Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA
Difficulties Associated With A Clinical Psychiatric Study Of A Transient Population, Stephen Zerby M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Editor's Column,
2012
Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA
Editor's Column, Stephen Zerby M.D.
Jefferson Journal of Psychiatry
No abstract provided.
Defiant Children: A Clinician's Manual For Assessment And Parent Training By Russell A. Barkley, M.D.,
2012
Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA
Defiant Children: A Clinician's Manual For Assessment And Parent Training By Russell A. Barkley, M.D., Stephen Zerby M.D.
Jefferson Journal of Psychiatry
No abstract provided.
[In Response To "The Neuroleptic Treatment Of Schizophrenia: Dosing Strategies, Depot Preparations And Novel Medications" By Alexander S. Young, M.D. (Volume 13, 18-26)],
2012
Yale University
[In Response To "The Neuroleptic Treatment Of Schizophrenia: Dosing Strategies, Depot Preparations And Novel Medications" By Alexander S. Young, M.D. (Volume 13, 18-26)], James Longhurst M.D., Joseph Cassar M.D.
Jefferson Journal of Psychiatry
No abstract provided.
The Relevance Of Transference During Medication Management: A Case Of Erotized Transference,
2012
Department of Psychiatry, University of Michigan
The Relevance Of Transference During Medication Management: A Case Of Erotized Transference, Helen C. Kales M.D., James Abelson M.D., Ph.D., Michelle B. Riba M.D.
Jefferson Journal of Psychiatry
Forces existing in psychiatry may diminish the importance of psychotherapy training as psychiatrists are increasingly given the task of medication management. Psychotherapeutic relationships can be created in medication management settings, however, and the neglect of concepts such as transference could have deleterious consequences. The authors describe the case of a man with a traumatic brain injury referred for medication management who developed an erotized transference toward his female resident-physician. This case illustrates the concept that an understanding of transference is relevant to the setting of medication management
Gabapentin In The Treatment Of Bipolar Disorder,
2012
Uniformed Services University of Health Sciences
Gabapentin In The Treatment Of Bipolar Disorder, Wendy M. Waits, Donald P. Hall Jr., M.D.
Jefferson Journal of Psychiatry
Gabapentin, a relatively new anti-epileptic drug (AED), is emerging as a therapeutic option for treatment refractory and rapid-cycling bipolar illnesses. Pharmacotherapy for bipolar disorders traditionally involves valproate, carbamazapine, or lithium, drugs which are associated with numerous adverse effects. Conversely, gabapentin has an attractive pharmacokinetics profile and relatively few side effects. There are no large randomized controlled clinical trials to date examining gabapentin’s role in mood stabilization. However, informal reports have cited encouraging results in up to 80% of patients and general tolerance to side effects. These findings make the new drug a possible choice for patients who have failed to …
The Somatization Of Depression In Native Pakistani Women,
2012
University of Illinois College of Medicine
The Somatization Of Depression In Native Pakistani Women, Rubeena H. Mian M.D., Linda S. Grossman Ph.D.
Jefferson Journal of Psychiatry
Previous studies have pointed out the comorbidity of somatization and depression among non-Western psychiatric patients. We studied the somatization of depression in Pakistani women. Two groups were studies: inpatients with DSM-III-R diagnoses of major depression and a comparison sample of women living in the community without psychiatric diagnoses. Both groups were administered a rating scale for somatization. Results indicated that patients reported significantly more somatic symptoms than nonpatients. These findings support the concept that somatization may be a cultural mode of mental distress among Pakistani women, as has been observed for other non-Western populations.
