{"id":67099,"date":"2016-07-28T20:06:30","date_gmt":"2016-07-29T00:06:30","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=67099"},"modified":"2016-07-28T20:08:04","modified_gmt":"2016-07-29T00:08:04","slug":"a-new-kid-on-the-block","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2016\/07\/28\/a-new-kid-on-the-block\/","title":{"rendered":"a new kid on the block&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\" class=\"big\"><a target=\"_blank\" href=\"https:\/\/www.nih.gov\/news-events\/news-releases\/nih-names-dr-joshua-gordon-director-national-institute-mental-health\">NIH names Dr. Joshua Gordon director of the National Institute of Mental Health<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#0000ff\">National Institute of Health<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">July 28, 2016<\/div>\n<p align=\"justify\">National Institutes of Health Director Francis S. Collins,  M.D., Ph.D., announced today the selection of Joshua A. Gordon, M.D.,  Ph.D., as director of the National Institute of Mental Health [NIMH].  Dr. Gordon is expected to join NIH in September. &rdquo;Josh is a visionary psychiatrist and neuroscientist with deep  experience in mental health research and practice.&nbsp; He is exceptionally  well qualified to lead the NIMH research agenda to improve mental health  and treatments for mental illnesses,&rdquo; said Dr. Collins. &ldquo;We&rsquo;re thrilled  to have him join the NIH leadership team&rdquo;&#8230;<\/p>\n<p align=\"justify\">Dr. Gordon will join NIH from New York City, where he serves as  associate professor of Psychiatry at Columbia University Medical Center  and research psychiatrist at the New York State Psychiatric Institute.  In addition to his research, Dr. Gordon is an associate director of the  Columbia University\/New York State Psychiatric Institute Adult  Psychiatry Residency Program, where he directs the neuroscience  curriculum and administers the research programs for residents. <\/p>\n<p align=\"justify\">Joining the Columbia faculty in 2004, Dr. Gordon&rsquo;s research has  focused on the analysis of neural activity in mice carrying mutations of  relevance to psychiatric disease. The lab studies genetic models of  these diseases from an integrative neuroscience perspective and across  multiple levels of analysis, focused on understanding how a given  disease mutation leads to a particular behavior. To this end, the lab  employs a range of neuroscience techniques including neurophysiology,  which is the study of activity patterns in the brain, and optogenetics,  which is the use of light to control neural activity. His work has  direct relevance to schizophrenia, anxiety disorders and depression, and  has been funded by grants from NIMH and other research organizations.  &nbsp;<strong><font color=\"#0000ff\">Dr. Gordon maintains a general psychiatric practice, caring for  patients who suffer from the illnesses he studies in his lab.<\/font><\/strong><\/p>\n<div align=\"justify\">Dr. Gordon pursued a combined M.D.\/Ph.D. degree at the University of  California, San Francisco. Medical school coursework in psychiatry and  neuroscience convinced him that the greatest need, and greatest promise,  for biomedical science was in these areas. During his Ph.D. thesis, Dr.  Gordon pioneered the methods necessary to study brain plasticity in the  mouse visual system. Upon completion of the dual degree program at  UCSF, Dr. Gordon went to Columbia University for his psychiatry  residency and research fellowship&#8230;<\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\">I&#8217;m about to leave for a vacation, so this week has been filled with that getting-things-done activity that I&#8217;d rather have than catching-up-on-things when I come back. Part of that was working extra in the clinic to maintain some continuity of care. Tuesday, I saw a young man [20 y\/o] that I&#8217;ve seen a few times. He is on first meeting a classic case of what has been called Asperger&#8217;s &#8211; the upper end of the Autism Spectrum. Tuesday, his mother was with him, and though she didn&#8217;t say much, there was a pleading look in her eyes. We have no services for him where I live in the mountains, and I had written the Autism Center at Emory in Atlanta in hopes that I could refer him. I&nbsp; had gotten a very helpful response with offers of a variety of just-what-he-needed services &#8211; a medication clinic, socialization training, vocational rehabilitation, etc. Everything I had hoped for. On a hunch, instead of talking to the two of them, I scheduled a further meeting with his mother today. She obviously wasn&#8217;t saying what she needed to say when he was in the room. <\/div>\n<p align=\"justify\" class=\"small\">It was a pretty good hunch. This young man had been well cared for by his family who had been devoted to him. He was teased in school, and quit in the ninth grade. He lives at home, and has been unable to find any place where he fits in. They&#8217;ve taken him to therapists and doctors throughout his life, but had <em><strong><font color=\"#0000ff\">never been given a diagnosis<\/font><\/strong><\/em> &#8211; in spite of his having been hospitalized after an angry outburst at a kid that was tormenting him. He had been started on courses of most psychiatric drugs along the way but none ever helped. So I spent about an hour today explaining the diagnosis&nbsp; and the possibilities up ahead to his mother. Her relief was palpable. It was as if twenty years of her tension began to melt. She had harbored the fear that he had &quot;schizophrenia&quot; [a&nbsp; condition she had a very distorted understanding of]. She left with a page of phone numbers to call for appointments, and I predict good things. <\/p>\n<p align=\"justify\" class=\"small\">Driving home, I was thinking about Dr. Insel who was involved with that same Autism Center when he was at Emory before going to the NIMH. And I was thinking about why I have been such his critic. In person, I had liked him, personable, committed, obviously bright. He was not, nor had he ever been, a clinician. I don&#8217;t remember what he said at the reception at that Autism Center so long ago where I met him that made me think it, but I left thinking that his zeal for scientific discovery wasn&#8217;t tempered by a focus on clinical reality. I remembered that encounter some years later when I felt the same thing as I developed an interest in his NIMH activities &#8211; something I called his <em><font color=\"#200020\">future-think<\/font><\/em> &#8211; an almost desperate race to hit a home run instead of aiming to get on base. <\/p>\n<p align=\"justify\" class=\"small\">So it was ironic to walk in and read an email that his replacement had been named. I know nothing of Dr. Gordon. I&#8217;m encouraged that he has a practice and works with residents. I hope he&#8217;s a clinician who can bring some needed balance to the NIMH. In my view, Medicine is a clinical science that has no intrinsic meaning outside of its focus on the patients we see. In my book, the kinds of services I hope my patient can get at the Autism Center are on a par with the lab guys who are looking to find out how neural networks might have something to do with the Autism he and his family struggle with. We need both and that&#8217;s not what we have had at the NIMH for a very long time. <\/p>\n<div align=\"justify\" class=\"small\">I hope Dr. Gordon brings a new vision to the NIMH. And I hope that his first act in September is to disentangle the grant award process from all of the pet projects so important to his predecessor [things like Translational this-and-that; the RDoC; etc.] and give our scientists the latitude to compete for funding based on their own creative ideas rather than fitting into boxes preferred by the Director. <\/div>\n","protected":false},"excerpt":{"rendered":"<p>NIH names Dr. Joshua Gordon director of the National Institute of Mental Health National Institute of Health July 28, 2016 National Institutes of Health Director Francis S. Collins, M.D., Ph.D., announced today the selection of Joshua A. Gordon, M.D., Ph.D., as director of the National Institute of Mental Health [NIMH]. Dr. Gordon is expected to [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-67099","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67099","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=67099"}],"version-history":[{"count":4,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67099\/revisions"}],"predecessor-version":[{"id":67103,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67099\/revisions\/67103"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=67099"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=67099"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=67099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}