Inregistrare audio seminar APLR 24.09.2016


Seminar APLR: Formule in psihoterapie





Link inregistrare audio: https://app.box.com/s/rknx1kka6yp5ppzhjx134d28pg9xsziq

 
Auditie placuta!

APLR CONFERINTA din 29 octombrie ora 12 la sp.Obregia sectia 9,amfiteatru

       

Tema: NEVROZA de CARACTER

Membrii APLR asteapta noile serii de REZIDENTI in psihiatrie si psihologii consacrati sau masteri sau studenti.

Prof.Dr. Aurel ROMILA




World Psychiatry - October 2016 issue



Dear Colleagues,
                          Well received. We greatly appreciate the service.

Dr. David Baangwa.

On Tue, Sep 20, 2016 at 12:37 PM, Prof. Mario Maj <majmario@tin.it> wrote:

Dear Colleagues,
I attach herewith the October issue of World Psychiatry (new impact factor: 20.205, ranking no. 1 among psychiatric journals).
You are welcome to share it with your colleagues and co-workers.
All back issues of the journal can be freely downloaded from the PubMed system (http://www.ncbi.nlm.nih.gov/pmc/journals/297).

With kindest regards,
Yours sincerely,
Mario Maj

Magnetii pe frigider


Magneti pe frigider

Profesorul PEREZ VICENTE Tortosa Universitatea din Almeria din Spania, VICEPRESIDENTE GENERAL unitatea de service, University, Cale del Pozuelo s/n, 16071 - Cuenca Spania.
Fac aceste precizări pentru a vă avertiza, despre toată gravitatea cazului. După ce aţi citit conţinutul, oricine poate acţiona în consecinţă. Cercetatorii de la Universitatea Princeton au descoperit ceva surprinzător. Pentru mai multe luni au hrănit două grupuri de șoareci: un grup cu alimente depozitate într-un frigider, iar celălalt cu alimente depozitate într-un frigider, dar cu mai mulţi magneţi decorativi lipiți pe uşă.
Scopul studiului a fost de a vedea cum sunt afectate alimentele de radiaţiile electromagnetice ale magneţilor.
Surprinzător, după terminarea studiilor clinice riguroase, au remarcat faptul că grupul de șoareci care au consumat alimente iradiate de magneţi au 87% risc crescut de a dezvolta cancer decât celălalt grup. Magneţii ataşați la orice dispozitiv (aparat) conectat la curent electric cresc consumul de energie al dispozitivului pentru a spori forţa electromagnetică a câmpului electric al dispozitivului.
Avem toți unul sau mai mulţi magneţi pe frigider, ca elemente decorative aduse de departe, fără a le putea suspecta că sunt periculoase. Dar ele sunt mortale. Este periculos să te joci cu forţele naturii şi cu energia. Dacă aveţi un magnet, scoateţi-l şi puneți-l departe de toate alimentele.
În mod inexplicabil, guvernul spaniol şi alte ţări nu au dat nici un avertisment, dar datorită Internetului, ne putem ajuta reciproc, pentru a răspândi in mijlocul familiei şi prietenilor..

The British Journal of Psychiatry Table of Contents for September 2016; Vol. 209, No. 3


The British Journal of Psychiatry

Highlights of This Issue

Highlights of this issue
Derek K. Tracy
BJP September 2016 209:A11; doi:10.1192/bjp.209.3.A11


EDITORIALS

Reviving the 'double jeopardy' hypothesis: physical health inequalities, ethnicity and severe mental illness
Jayati Das-Munshi, Robert Stewart, Craig Morgan, James Nazroo, Graham Thornicroft, and Martin Prince
BJP September 2016 209:183-185; doi:10.1192/bjp.bp.114.159210

Fifteen years on – early intervention for a new generation
Steven Marwaha, Andrew Thompson, Rachel Upthegrove, and Matthew R. Broome
BJP September 2016 209:186-188; doi:10.1192/bjp.bp.115.170035

Psychopathy in childhood: why should we care about grandiose–manipulative and daring–impulsive traits?
Randall T. Salekin
BJP September 2016 209:189-191; doi:10.1192/bjp.bp.115.179051


REVIEW ARTICLE

Efficacy of omega-3 highly unsaturated fatty acids in the treatment of depression
Brian Hallahan, Timothy Ryan, Joseph R. Hibbeln, Ivan T. Murray, Shauna Glynn, Christopher E. Ramsden, John Paul SanGiovanni, and John M. Davis
BJP September 2016 209:192-201; doi:10.1192/bjp.bp.114.160242


PAPERS

Immune signatures and disorder-specific patterns in a cross-disorder gene expression analysis
Simone de Jong, Stephen J. Newhouse, Hamel Patel, Sanghyuck Lee, David Dempster, Charles Curtis, Jose Paya-Cano, Declan Murphy, C. Ellie Wilson, Jamie Horder, M. Andreina Mendez, Philip Asherson, Margarita Rivera, Helen Costello, Stefanos Maltezos, Susannah Whitwell, Mark Pitts, Charlotte Tye, Karen L. Ashwood, Patrick Bolton, Sarah Curran, Peter McGuffin, Richard Dobson, and Gerome Breen
BJP September 2016 209:202-208; doi:10.1192/bjp.bp.115.175471 OPEN ACCESS ARTICLE

Clinical status of comorbid bipolar disorder and borderline personality disorder
Gordon Parker, Adam Bayes, Georgia McClure, Yolanda Romàn Ruiz del Moral, and Janine Stevenson
BJP September 2016 209:209-215; doi:10.1192/bjp.bp.115.177998

Increased mortality among people with anxiety disorders: total population study
Sandra M. Meier, Manuel Mattheisen, Ole Mors, Preben B. Mortensen, Thomas M. Laursen, and Brenda W. Penninx
BJP September 2016 209:216-221; doi:10.1192/bjp.bp.115.171975

Repetitive transcranial magnetic stimulation for generalised anxiety disorder: a pilot randomised, double-blind, sham-controlled trial
Gretchen J. Diefenbach, Laura B. Bragdon, Luis Zertuche, Christopher J. Hyatt, Lauren S. Hallion, David F. Tolin, John W. Goethe, and Michal Assaf
BJP September 2016 209:222-228; doi:10.1192/bjp.bp.115.168203

Combining escitalopram and cognitive–behavioural therapy for social anxiety disorder: randomised controlled fMRI trial
Malin Gingnell, Andreas Frick, Jonas Engman, Iman Alaie, Johannes Björkstrand, Vanda Faria, Per Carlbring, Gerhard Andersson, Margareta Reis, Elna-Marie Larsson, Kurt Wahlstedt, Mats Fredrikson, and Tomas Furmark
BJP September 2016 209:229-235; doi:10.1192/bjp.bp.115.175794

Genome-wide association study of response to cognitive–behavioural therapy in children with anxiety disorders
Jonathan R. I. Coleman, Kathryn J. Lester, Robert Keers, Susanna Roberts, Charles Curtis, Kristian Arendt, Susan Bögels, Peter Cooper, Cathy Creswell, Tim Dalgleish, Catharina A. Hartman, Einar R. Heiervang, Katrin Hötzel, Jennifer L. Hudson, Tina In-Albon, Kristen Lavallee, Heidi J. Lyneham, Carla E. Marin, Richard Meiser-Stedman, Talia Morris, Maaike H. Nauta, Ronald M. Rapee, Silvia Schneider, Sophie C. Schneider, Wendy K. Silverman, Mikael Thastum, Kerstin Thirlwall, Polly Waite, Gro Janne Wergeland, Gerome Breen, and Thalia C. Eley
BJP September 2016 209:236-243; doi:10.1192/bjp.bp.115.168229 OPEN ACCESS ARTICLE

Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety
Rahil Sanatinia, Duolao Wang, Peter Tyrer, Helen Tyrer, Mike Crawford, Sylvia Cooper, Gemma Loebenberg, and Barbara Barrett
BJP September 2016 209:244-250; doi:10.1192/bjp.bp.115.173526 OPEN ACCESS ARTICLE

Chronic fatigue syndrome: comparing outcomes in White British and Black and minority ethnic patients after cognitive–behavioural therapy
Tom Ingman, Sheila Ali, Kamaldeep Bhui, and Trudie Chalder
BJP September 2016 209:251-256; doi:10.1192/bjp.bp.115.169300

Parity of publication for psychiatry
Sayinthen Vivekanantham, Rebecca Strawbridge, Riaz Rampuri, Thivvia Ragunathan, and Allan H. Young
BJP September 2016 209:257-261; doi:10.1192/bjp.bp.115.165118


CORRESPONDENCE

Cognitive–behavioural toxicity? Reflections from Westminster
Samuel C. Yates and Mesfin Mengistu
BJP September 2016 209:262; doi:10.1192/bjp.209.3.262

Authors' reply
Mike J. Crawford and Lavanya Thana
BJP September 2016 209:262; doi:10.1192/bjp.209.3.262a

NNT and NNH remain helpful in evidence-based medicine
Leslie Citrome and Terence A. Ketter
BJP September 2016 209:262-263; doi:10.1192/bjp.209.3.262b

Authors' reply
Steven P. Roose and Bret R. Rutherford
BJP September 2016 209:263; doi:10.1192/bjp.209.3.263

Challenges in developing feasible and cost-effective therapies for use in LMICs
Farooq Naeem, Shanaya Rathod, Nasar S. Khan, and Muhammad Ayub
BJP September 2016 209:263-264; doi:10.1192/bjp.209.3.263a

Author's reply
Vikram Patel
BJP September 2016 209:264; doi:10.1192/bjp.209.3.264


BOOK REVIEWS

From Psychiatric Patient to Citizen Revisited
Soumitra Burman-Roy
BJP September 2016 209:265; doi:10.1192/bjp.bp.116.185348

Inscription, Diagnosis, Deception and the Mental Health Industry: How Psy Governs Us All
Philip Timms
BJP September 2016 209:265-266; doi:10.1192/bjp.bp.115.178657

Disordered Heroes in Opera: A Psychiatric Report
Jane Garner
BJP September 2016 209:266; doi:10.1192/bjp.bp.115.178681


KALEIDOSCOPE

Kaleidoscope
Derek K. Tracy, Dan W. Joyce, and Sukhwinder S. Shergill
BJP September 2016 209:268-269; doi:10.1192/bjp.209.3.268


EXTRAS

In Cold Blood by Truman Capote – reflection
Thomas Clarke
BJP September 2016 209:191; doi:10.1192/bjp.bp.116.182568

Edinburgh Hospitality – poems by doctors
Sally Fox
BJP September 2016 209:208; doi:10.1192/bjp.bp.116.181693

Seneca on anger, mercy and sadistic homicide – in 100 words
John H. M. Crichton
BJP September 2016 209:250; doi:10.1192/bjp.bp.116.182162


FROM THE EDITOR'S DESK

Biosocial interventions in psychological medicine
Kamaldeep Bhui
BJP September 2016 209:270; doi:10.1192/bjp.209.3.270




The British Journal of Psychiatry Highlights of this issue for 1 September 2016; Vol. 209, No. 3



BJP Online -- Highlights of the Current Issue
September 2016; Vol. 209, No. 3
The complete Table of Contents for the current issue is available online at: http://bjp.rcpsych.org/content/vol209/issue3/ The following content is available online at: http://bjp.rcpsych.org/cgi/content/full/209/3/A11

Highlights of this issue

Derek K. Tracy Research beyond Brexit
The preponderance of academics and professionals – which by and large covers us as a cohort – were in favour of a 'Remain' position in the recent referendum. A core anxiety is the impact on collaborative science; so how is the research landscape looking at present? Kaleidoscope (pp. 268–269) takes one angle – the impact of collaboration between specialties on grant funding. Interestingly, the more interdisciplinary a proposal, the more likely it is to get rejected, a phenomenon that data show hits psychiatry more than some other fields. Vivekanantham et al (pp. 257–261) take this further, evaluating whether the phrase 'parity of esteem' has reached the medical literature. Compared with cardiology, oncology, and respiratory medicine, psychiatry is considerably under-represented in the highest-impact general medical journals when the respective burdens of our specialties are compared.
An editorial by Das-Munshi and colleagues (pp. 183–185) considers the so-called 'double-jeopardy' hypothesis wherein the already poor physical health outcomes in those with severe mental illness are worsened in those from Black and minority ethnic (BME) backgrounds. There are findings of, for example, greater rates of obesity in BME cohorts with severe mental illness, but the authors conclude that the topic is currently under-studied. The area is inevitably complex, interfacing potential social and economic disadvantage, lifestyle factors, and putatively higher rates of stigma and discrimination. They propose clinical, policy and research recommendations, including more representative research samples, better proactive screening, and testing the relative contributions of equitable access and health-seeking behaviours. Ingman et al (pp. 251–256) take this on in the first comparison of outcomes between White and BME patients receiving cognitive–behavioural therapy (CBT) for chronic fatigue syndrome. BME individuals had significantly higher baseline damage beliefs, all-or-nothing and avoidance/resting behaviour than White counterparts. However, both groups showed significant – and equal – treatment outcomes in fatigue severity, physical functioning, and work/social adjustment. The topic matters: it has been shown that those from BME backgrounds are less likely to be offered talking therapies. As the triumvirate of negotiating Brexiteers commence their new roles liaising with our erstwhile European partners, we can point out these various imbalances and challenges as funding priorities as they look to reinvest the promised £350 million per week in the NHS.
Anxiety matters
Subanalysis of Vivekanantham et al's data show that, among psychiatric research topics, anxiety disorders are particularly under-represented; this month's BJPsych is helping to rebalance this, with four papers on the subject. Meier et al (pp. 216–221) note that despite their prevalence, little is known about the role of anxiety disorders in predicting mortality. Using a Danish national register, they were shown to result in considerably higher risks of all-cause mortality – with an adjusted odds ratio of 1.7 compared with the general population – from both natural (60%) and unnatural (40%) causes. Of those who died from the latter, about one in eight had comorbid depression. Typically, CBT is considered to be the treatment of choice, but responses to this vary. Coleman et al (pp. 236–241) report on the first genome-wide association study (GWA S) on response to this psychological intervention, in almost 1000 children with anxiety disorders. No variants passed the stringent GWAS significance threshold (P = 5 x 10–8), implying there is not a genetic basis to treatment response. Nevertheless, four variants met criteria for suggestive significance, and GWAS work in schizophrenia has shown that about 9000 cases are required for robust findings.
Gingnell and colleagues (pp. 229–235) look specifically at social anxiety disorder and test whether the addition of escitalopram improves outcomes in those receiving internet-delivered CBT (ICBT). Both treatments are well-evidenced, but research on their combination is scarce, even though it is common in clinical practice. Their answer was that the addition of the SSRI proved significantly superior to ICBT alone, with both greater numbers of responders, and greater reductions in symptoms. Concomitant neuroimaging demonstrated parallel reductions in amygdalar reactivity to emotional faces. Diefenbach et al (pp. 222–228) report on the first randomised double-blind, sham-controlled evaluation of repetitive transcranial magnetic stimulation (rTMS) in generalised anxiety disorder – a neuromodulatory tool more commonly used for treating depression and auditory hallucinations . They applied a 'slow' (1 Hz) inhibitory paradigm to the right dorsolateral prefrontal cortex, and found greater response and remission rates in the active group. The neurophysiology of any induced therapeutic changes will need future elucidation; like most neuromodulatory paradigms, the optimal parameters of the intervention will also require determining.
Borderlines, or barriers of thinking?
Borderline personality disorder (BPD) and bipolar affective disorder have notable similarities, and there has been debate about whether they lie upon a spectrum or are truly distinct. Parker et al (pp. 209–215) analysed symptom profiles in participants with either BPD and/or a bipolar disorder: fitting with neuroimaging and genetic data, their findings support the conditions being distinct, and those with comorbidity showed features of two independent conditions. Understandably, patients can find the issue confusing; there has, elsewhere, been an anecdotal argument that some such patients 'want' to be bipolar, but a separate recent study of those individuals actually at the diagnostic interface has rebutted this and found they really just want informed and respectful care. Sanatinia et al (pp. 244–250) challenge another diagnostic overlap preconception: doe s having a personality disorder impair the response to CBT in those with health anxiety/hypochondriasis? These conditions certainly commonly overlap, but in this analysis of over 400 individuals (86% of whom had some personality dysfunction) followed up over 2 years, overall short- and medium-term gains from CBT for health anxiety were clinically significant and less costly than standard care in individuals with personality disorder; indeed, against hypothesis, they showed better improvements in social functioning than those without a personality disorder.
Gerome Breen's team (de Jong et al, pp. 202–208) continue the theme, looking at genomics overlap between childhood and adult attention-deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and major depressive disorder (MDD). While disorder-specific signatures were elicited for childhood ADHD and MDD, there was also overlap in two immune-related signatures in adult ADHD and MDD. The findings show both condition specificity but also potential shared genomic risk factors.
Finally, finishing on a philosophical note, Kaleidoscope (pp. 268–269) offers an answer to the old chestnut: what is the difference between a hallucination and a dream?

Editorial sept 2016 - Prof.Dr. Aurel ROMILA

                                                           Te Ve DEPENDENȚA
                 

     E banal să spunem că trăim cu TV oricât l-am critica. De ce? Pentru că e cel mai la îndemâna, cel mai ușor, cel mai comod, cel mai ieftin, a intrat în fiziologia noastră, este indispensabil. Suntem dependenți pentru că nu putem fără el.  TV-ul nu e interesat de normalitate, clasicitate. I se pare desuet, plictisitor.  El vrea pop, vrea rating, vrea senazațional, vrea să șocheze. Este deci psihopatologie și mai  puțină psihologie.
Cele mai multe ore sunt rezervate realității de scandal Mare și în cătușe. Nu sociabilitatea ci antisocialul. Polițiste, thrillere, killeri și corespondentul lor fantastic: aventura exreaterestră cu supermeni seduși de câte o membră a echipajului. Aici se uită pensionari etern nedreptățiși și puștimea upgradată  la hackerism.
     Genul feminin,  convertit la android, preferă drama, serialul nevrotic cu multe sezoane, cu lacrimi și răzbunări. Dragostea învinge, răii, trădătorii o pațesc în sezonul urmator.
     Vedetele sunt ambigene. Ele: dive ilfovence, dar în fashion la Milano. Ei: super dezodorizați, powerfull cu mașini tunate, între preganante, divorțate ca și ei, sportive cu gamba fină.
     Doamnele maturizate, postmenopauzate preferă nostalgia romanelor englezești transpuse, refăcute, melodramatic, sentimentale, o lume Victoriană disparută în falsul vulgarității actuale.
     Deci TEVE-ul are psihopatii violenete antisciale, nevrozele dragostei finalmente învingătoare, psihozele fantastice ale  extratereștrilor, cunoașterea animalelor extra-domestice  la BBC și demența turistică în Pacific și în bucătăriile franțuzești .

     Tratamentul: ați încercat cu plasma? Not yet?

      Prof.Dr. Aurel ROMILA