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American Handbook of Psychiatry Volume 6
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Concertele de Anul Nou de la Viena din 1941 până în 2016
Regizorul iesean Andrei Serban, intr-o aparitie televizata la postul DIGI 24 IASI, in 8 ianuarie 2016, spunea ca youtube-ul are dezavantaje. Una este sa fi prezent in sala sa asculti, sa simti vocile interpretilor, alta este youtube-ul. Mediul virtual are clar dezavantaje! Spectacolul la care esti direct partas, daca a fost bine inchegat de regizor, te face sa simti, sa traiesti, sa percepi altfel totul, in comparatie cu mediul virtual. Revenind la realitate, ca sa fi un participant direct la teatru in tara sau in strainatate, trebuie sa ai bani! Te costa mai putin abonamentul la furnizorul de servicii internet.
Editorial Aprilie 2016 - Prof.Dr. Aurel ROMILA
NORMALITATE versus SOLIDARITATEPentru practica este important sa deosebesti un normal de un schizofren, sa stii ce ai de facut.
Normalul este unitatea abstracta, ideala a partilor psihicului, este o muzica de fond, discreta, utila, civilizata, pozitiva, pe cand schizofrenul este fragmentat, indiferent la prezent si deci fara viitor.
Distinctia este necesara dar trebuie evitata stigmatizarea, dispretul, frica si marginalizarea.
Distinctia este necesara dar trebuie evitata stigmatizarea, dispretul, frica si marginalizarea.
Resocializarea a insemnat mai ales cooperarea bolnavului cu parimtii si cu autoritatile medicale. Asta a fost solidaritatea romaneasca.
Sper ca pana la urma sa se inteleaga...
Prof.Dr. Aurel ROMILA
Prof.Dr. Aurel ROMILA
The British Journal of Psychiatry Table of Contents for April 2016; Vol. 208, No. 4
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The British Journal of Psychiatry Highlights of this issue for 1 April 2016; Vol. 208, No. 4
BJP Online -- Highlights of the Current Issue
- April 2016; Vol. 208, No. 4
- The complete Table of Contents for the current issue is available online at: http://bjp.rcpsych.org/content/vol208/issue4/ The following content is available online at: http://bjp.rcpsych.org/cgi/content/full/208/4/A15
Highlights of this issue
Kimberlie Dean Five trials of treatment approaches in depression
Three papers in the BJPsych this month present findings from depression treatment trials and two papers address treatment of depressive episodes in bipolar disorder. Huijbers et al (pp. 366–373) trialled discontinuation of maintenance antidepressant medication following completion of mindfulness-based cognitive therapy in a sample of adults with recurrent depression in remission, and found an increased risk of relapse/recurrence in the discontinuation group. The authors comment that, while remitted patients under these circumstances should be advised to stay on medication, those who persist in their wish to discontinue should be supported to do so. A pilot randomised controlled trial of the Healthy Activity Program, a brief psychological treatment with behavioural activation at its core, was conducted in India and a positive impact of the intervention on the prevalence of depression was found. Chowdhary et al (pp. 381–388) comment on the potential of their systematic and context-specific approach to the development of the intervention to be applied to other mental disorders. In a UK-based trial of a practice nurse-led proactive care intervention for chronic depression in primary care, Buszewicz et al (pp. 374–380) found that the intervention improved levels of functional impairment but there was no improvement in either depression scores or quality of life, except in those engaging in the full intervention. The authors comment on the need to identify those patients, from this neglected clinical group, who are most likely to engage and benefit from such treatment.
Treatment of bipolar type II depression with antidepressant medication is controversial because of the potential problem with manic switch episodes. Amsterdam et al (pp. 359–365) compared antidepressant with mood stabiliser monotherapy in a sample of adult out-patients with bipolar II depression. They found that short-term use of venlafaxine produced better outcomes than lithium and did so without an increased risk of hypomania developing. Predictors of recovery from bipolar depression are not well established, nor is the role that such predictors might have in moderating response to treatment. Utilising data from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) randomised controlled trial of psychosocial treatment, Stange et al (pp. 352–358) examined the role of affective instability on the course of bipolar depression. The degree of instab ility of symptoms of both depressive and manic type was found to predict a lower likelihood of recovery and a longer time to recovery but did not moderate the effects of the various allocated psychosocial treatments tested. The authors call for further research to understand the role of personality comorbidities, the mechanisms underlying the associations found, and the extent to which treatments might impact directly on affective instability, as a means to improve recovery from depression.
Mortality and physical health comorbidity in those with mental illness
Using data from the English Longitudinal Study of Ageing (ELSA), White et al (pp. 337–342) were able to examine the impact of depressive symptom duration on mortality risk, an aspect of the established linked between depression and death which has not been well studied. They found evidence of a dose–response relationship between the duration of symptoms, measured over repeated assessments during follow-up, and mortality. The importance of physical activity, cognitive function, functional impairments and physical illness in explaining the association was considered. In a meta-review of interventions to reduce mortality risk in people with severe mental illness, Baxter et al (pp. 322–329) identified 16 systematic reviews, 8 with mortality as the primary outcome. On the basis of their review, the authors call for urgent action in two areas – improving adheren ce to psychiatric pharmacological guidelines and to guidelines for monitoring metabolic health. They also call for more research to understand the barriers to physical health monitoring and to understand the important ingredients of integrative community care programmes which have been shown to have a positive impact on physical health outcomes.
While those with bipolar disorder and depression are known to have poor physical health outcomes, the impact on cardiometabolic disease specifically is not well understood. Using cross-sectional data from the UK Biobank, Martin et al (pp. 343–351) found associations between both disorders and cardiovascular disease outcomes even after adjusting for a range of confounding factors, with risk broadly greater for those with features of bipolar disorder. An association was also found between psychotropic medication and cardiometabolic disease, even among those without a definite history of mood disorder.
Mental illness stigma
The development of stigma theory has occurred largely in a Western context. Angermeyer et al (pp. 389–397) sought to compare public beliefs and attitudes about schizophrenia in Germany and Tunisia in order to explore the impact of cultural differences on the social processes underlying stigma. The authors found differences in the form rather than the magnitude of stigma between the two settings – the difference seemed to manifest particularly in those social roles which 'matter most' to people in the different settings. In an editorial by Corrigan (pp. 314–315), two key approaches to resolving stigma are considered – promoting normalcy and promoting solidarity. In comparing the pros and cons of the two approaches, Corrigan proposes that future research and advocacy needs to identify which of the approaches should be employed in different circumstances.
Berlin 1945. Un filmulet uluitor.
Andrei Pleşu - "Neologismele"...
Andrei Pleşu - "Neologismele"...
*Secretarele nu-şi mai spun decât manager assistant. Cizmarii şi chiloţarii
sunt designeri. Mă aşteptam să fie vorba de crize de aclimatizare şi de
micile noastre snobisme de cetăţeni ai unei ţări mici, dar vioaie. *
*Nici gând.*
*S-a ajuns la un nou limbaj de lemn, neologistic, întrebuinţat pe la
posturi de radio şi de televiziune, iar cuvinte româneşti cât se poate de
utile sunt înlocuite prosteşte de persoane care stau prost şi cu
vocabularul limbii române, şi cu gramatica ei. *
*Tot soiul de absolvenţi şi absolvente de Spiru Haret, cărora li se adaugă
politicieni inepţi şi comentatori care par să-şi fi luat doctoratul la un
şpriţ, înainte de a lua notă de trecere la română în liceu se dau în
bărcile neologismelor, cu dezinvoltura prostului fudul. *
*Potrivit lor, nu mai avem prilejuri, avem doar oportunităţi. Nu mai suntem
hotărâţi să facem ceva, ci determinaţi. Nu mai realizăm, ci implementăm. Nu
mai avem cazuri, ci speţe. Nu ne mai ducem într-un loc, ci într-o locaţie.
Nu mai luăm în considerare, fiindcă anvizajăm. Nu mai consimţim, ci
achiesăm. Serviciul de întreţinere a devenit mentenanţă. Ceva care ţi se
pare obligatoriu e un must !!! Nu mai avem speranţe, deoarece am trecut la
expectaţiuni. Nu ne mai concentrăm, pentru că ne focusăm. Şi nu mai
aşteptăm un răspuns, ci un feedback. Nu mai avem frizeri şi croitorese,
avem hair stilişti şi creatoare de fashion. Cu alte cuvinte, deţinem o
oportunitate pe care suntem determinaţi să o implementăm într-o locaţie pe
care am anvizajat-o, achiesând la o mentenanţă care e un must şi asupra
căreia ne focusăm in expectaţiunea unui feed-back pozitiv. *
*Altfel, când ies din rol, îi auzi cu câte un neaoş şi superior „Hai să-mi
bag ..." sau cu concluzia absolut academică: „Un căcat!"*
Motto :
*„Ca să inţelegi că eşti prost, trebuie totuşi să-ţi meargă mintea"*
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