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Archive for the 'politics' Category

the nature of things…

( politics )

Any system that results in benefits is intrinsically vulnerable to being abused. It’s just in the nature of things. Systems are created to deal with a group problem, but when benefits are involved, individuals flock to become members of the group, and it grows. Likewise, those financing the system focus on the abuse rather than […]

some thoughts…

( politics )

Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care by Tara F. Bishop, Matthew J. Press,  Salomeh Keyhani,  and Harold Alan Pincus JAMA Psychiatry. 2014 71[2]:176-181. Importance There have been recent calls for increased access to mental health services, but access may be limited owing to psychiatrist refusal to accept insurance. Objective To describe […]

back in the fold …

( politics )

Following Emil Kraepelin’s description of Dementia Praecox as a progressive deteriorating disease, Swiss psychiatrist Eugen Bleuler reported on his experience with these patients at the Burghölzli Sanatorium in his book, Dementia Praecox, or the Group of Schizophrenias, published in 1911. He described a variable not so pessimistic course of illness and posited a particular personality […]

1913…

( politics )

DSM-5 and the Research Domain Criteria: 100 Years After Jaspers’ General Psychopathology by Jose de Leon, M.D. American Journal of Psychiatry. 2014 171:492-494. In 1913, 30-year-old German psychiatrist Karl Jaspers published the first edition of General Psychopathology, in which he summarized current psychiatric knowledge and included his ideas regarding the methodological and scientific issues then […]

as I knew it…

( politics )

April is the cruellest month, breeding Lilacs out of the dead land, mixing Memory and desire, stirring Dull roots with spring rain… The Wasteland [1922] T.S. Eliot Every year, I joke that rather than being a post-World War I lament about the burdens of hope, what Eliot was really writing about was Spring Pollen – […]

not directly seeing the patients…

( politics )

Health Reform, Research Pave Way for Collaborative Care for Mental Illness by Bridget M. Kuehn MSJ JAMA, June 19, 2013 309[23]:2425-2426. JAMA: What is collaborative care? Dr. Katon: It involves a care manager, who is a nurse or other collaborative care professional, who sees the patients and provides enhanced education and tracks their outcomes. The […]

my say…

( politics )

on Psycritic: On Integrated Mental Health Care on Mad in America: The End of Psychiatry on PsychPractice: APA-thetic on Real Psychiatry: The Model of Psychiatric Care for the Future, Collaborative Care Model – Even Worse Than I Imagined The blogs above are ones I have nothing but respect for. They are all psychiatrists, but have […]

two versions…

( politics )

I’ve tried to steer clear of the guild side of psychiatry in this blog and focus on the misinformation generated on the psychopharmacologic side of the world. But reading about this push for Integrative Care coming from the APA has sort of put it in my face. Unless I’m grossly misreading things, the APA is […]

the Age of Meta…

( politics )

Efficacy of Pharmacotherapy and Psychotherapy for Adult Psychiatric Disorders A Systematic Overview of Meta-analyses by Maximilian Huhn; Magdolna Tardy; Loukia Maria Spineli;Werner Kissling; Hans Förstl; Gabriele Pitschel-Walz; Claudia Leucht; Myrto Samara; Markus Dold; John M. Davis; and Stefan Leucht. JAMA Psychiatry. Published online April 30, 2014. IMPORTANCE There is debate about the effectiveness of psychiatric […]

tested soon…

( politics )

The Role of Psychiatry in Health Care Reform, APA Board of Trustees Work Group and the Economic Impact of Integrated Medical-Behavioral Healthcare: Implications for Psychiatry, prepared by Milliman, Inc.have an accompanying Infographic designed to simplify and illustrate their concept of Integrated Care. Shown above is their assessment that mental health care is inordinately expensive. That […]