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Jill Bolte Taylor: My stroke of insight
2008-05-29 06:14:00
This story is truly astonishing. Jill Bolte Taylor is a Neuroanatomist who had an remarkable experience of self-discovery. In this experience, she found Nirvana, that place of total peacefulness we all seek. At the same time, she discovered it's neuroanatomy. She effectively defined mindfulness. TED | Talks Jill Bolte Taylor got a research opportunity few brain scientists would wish for. One morning, a blood vessel in Jill Bolte Taylor's brain exploded. As a brain scientist, she realized she had a ringside seat to her own stroke. She watched as her brain functions shut down one by one: motion, speech, memory, self-awareness ... Amazed to find herself alive, Taylor spent eight years recovering her ability to think, walk and talk. She has become a spokesperson for stroke recovery and for the possibility of coming back from brain injury stronger than before. In her case, although the stroke damaged the left side of her brain, her recovery unleashed a torrent of creative energy fr...
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Negative and Cognitive Symptoms in Schizophrenia Related to Low SES
2008-05-15 18:08:00
It's been apparent to me for a number of years that there appeared to be problems with the concept of schizophrenia. Sub-types of the disorder have very different symptoms. Some include paranoia, some do not. Some include prominent disorganization, some do not. Today, I tripped over an article with information on another part of the disorder that fits only into some sub-types. Symptoms are roughly divided into three groups, positive (i.e. hallucinations, delusions, racing thoughts), negative (i.e. apathy, lack of emotion, poor or non-existant social functioning), and cognitive (disorganized thoughts, difficulty concentrating and/or following instructions, difficulty completing tasks, memory problems). Positive symptoms are common around the world. Negative and cognitive symptoms seem somewhat more prominent in the west where stigma and social ostracizing is compelling. Most everyone agrees that there is an inherited element in the development of schizophrenia. There is also increa...
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DEPRESSION: Out of the Shadows
2008-05-15 04:22:00
This looks like a good one. I'm going to watch for sure. You can even buy the DVD now. DEPRESSION: Out of the Shadows is a 90-minute documentary about recognizing, treating, and researching depression. DEPRESSION: Out of the Shadows . Video Preview | PBS A lot of Americans are keeping an important, possibly deadly secret. The National Institute of Mental Health reports that approximately 18.8 million American adults have a depressive disorder. The disease is not discriminating, seeping into all age, race, gender, and socioeconomic groups. Depression stalls careers, strains relationships, and sometimes ends lives. So if this many people are living with the disease, why the silence? DEPRESSION: Out of the Shadows is a multi-dimensional PBS project that explores the disease's complex terrain, offering a comprehensive and timely examination of this devastating disorder. The first component of the project is a 90-minute documentary, premiering May 21, 2008, at 9:00 pm ET (check...
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Mindfulness Effective
2008-05-07 21:09:00
Mindfulness is a very simple concept, but a skill that escapes a lot of people. Simply put, when we are mindful we act as an observer of our minds, our thoughts and feelings, without judging, or holding onto anything. The object is to be completely present in the moment, mostly focused on our senses, our eyes, ears, nose, and skin. Having complete faith in ourselves, we simply accept whatever comes, assuming we have all we need to cope with anything as best we can. Worry and regret becomes a major distraction from being mindful in that it distracts from our attention to what is happening now. Jon Kabat-Zinn's stuff in the right sidebar provides great training material. Mindfulness has wide application in treatment of anxiety, depression, mood regulation as well as crisis stabilization. Now it has been found helpful in managing pain. HealthSkills Weblog €˜Mindfulness meditation has a quieting effect on me. It gives me a peaceful feeling while doing it and I am able to reduce my...
More About: Psychotherapy , Wellness , Effective , Mindfulness

Is Schizophrenia A Prenatal Autoimmune Disorder?
2008-04-23 00:07:00
Scientific American has a very interesting article on growing evidence that implicates the immune system. The body's reaction to infection from the flu virus or even strep in pregnant woman and their unborn children may play a role in the development of schizophrenia, obsessive compulsive disorder, autism and other brain diseases. More than 200 studies have suggested that schizophrenia occurs between 5 and 8 percent more frequently than average in children born in the winter or spring. Scientists realized that viruses, which are most prevalent in the cold, dry winter months, could be one of the factors influencing this correlation. In 2004 Alan S. Brown, a psychiatrist at Columbia University, analyzed blood samples collected from 1959 through 1966 from 189 pregnant women, 64 of whom had later given birth to children who became schizophrenic. The women had had their blood drawn multiple times during pregnancy, allowing Brown and his colleagues to compare if and when the women had...
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The Stress of Poverty Changes the Brain
2008-03-23 15:17:00
This is not surprising since we already know chronic stress changes many body elements in mostly a negative way. This is the first time I've seen that relates the stress of poverty to brain changes. This needs to be a target for prevention policy. Blogs Scientific American Community The authors recruited 100 middle-aged volunteers from a Pennsylvania community registry and acquired three important measures from each. First, participants provided information that qualified as an objective indicator of personal and community socioeconomic status (for example, educational attainment and household income). Second, they received the MacArthur Scale of Subjective Social Status. In this scale, participants were presented with a 10 step "social ladder" and asked to place an "X" on the step they perceived as their social standing in comparison with the rest of the United States in terms of income, education and occupation prestige. Finally, the authors also acquired structural neuroimagi...
More About: Poverty , Stress , Brain , Child Development , The Brain

The Limits of Reductionism: Misreading the Mind
2008-03-10 04:23:00
I've previously complained about research that so often is focused on small parts and pieces so small that they mean very little to the average person, or even the practitioner in the field. Worse yet, few authors seem willing to reach beyond the data and advance theoretical knowledge. It is at the level of theory development that research reaches into application and education. There seems to have been few willing to work on a new grand theory based on the nearly 50 year old previous attempts that integrates the research results since that time. There has been some important new knowledge with broad applicability that may foretell a integration of divergent and contradictory psychological models into a single grand theory. The so-called "objective" human sciences reduces people to parts and pieces so small that we can't recognize commonality or identify our own experiences within the narrow concepts in the models espoused. Science has somehow become primarily inductive. The deep...
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Internet Addiction Graduates
2008-03-01 18:18:00
While still excluded from the DSM IV TR, Internet addiction has graduated to a subject worthy of research. And not surprisingly, like all other addictive behaviors, what I like to call "temporary feel goods", are associated with a lot of other diagnoses. Avoiding negative emotions has serious consequences, beyond even addictions. CNS Spectrums Internet addiction were more likely to have MDD, dysthymic disorder, social phobia and adult ADHD than their unaffected counterparts. Adult ADHD is the most significant predictor for Internet addiction, followed by depressive disorders. Social phobia, however, was not correlated with Internet addiction in our sample after controlling for depressive disorders and adult ADHD. Further, depressive disorders and Internet addiction were associated in the male college students, but not the females.
More About: Addiction , Addictions , Graduates

Internet Addiction Graduates
2008-02-18 18:18:00
While still excluded from the DSM IV TR, Internet addiction has graduated to a subject worthy of research. And not surprisingly, like all other addictive behaviors, what I like to call "temporary feel goods", are associated with a lot of other diagnoses. Avoiding negative emotions has serious consequences, beyond even addictions. CNS Spectrums Internet addiction were more likely to have MDD, dysthymic disorder, social phobia and adult ADHD than their unaffected counterparts. Adult ADHD is the most significant predictor for Internet addiction, followed by depressive disorders. Social phobia, however, was not correlated with Internet addiction in our sample after controlling for depressive disorders and adult ADHD. Further, depressive disorders and Internet addiction were associated in the male college students, but not the females.
More About: Addiction , Addictions , Graduates

NIU Killer: Mental Patient, Honor Student
2008-02-16 21:48:00
Enough background is emerging to suggest Kazmierczak was suffering from a mental illness. The sad and scary part of this is that the fear generated by this and other tragedy may contribute to the isolation and stigma of mental illness. ABC News Though Kazmierczak seemed friendly and normal, he had a troubled past. After high school, Kazmierczak's parents sent him to Thresholds-Mary Hill House, a psychiatric treatment center for teens, where he lived for a year while getting therapy and medication for what was described as "unruly" behavior. Louise Gbadamashi, a former employee at the Chicago treatment center, told the Associated Press that he used to cut himself, and had resisted taking his medications. "He never wanted to identify with being mentally ill," she said. "That was part of the problem." Apparently in recent weeks Kazmierczak's problems were re-emerging. "We have spoke to people who are close to him and apparently he had been taking medication. He had stopped takin...
More About: Mental , Student , Killer , Prevention , Honor

Who Was the Illinois School Shooter?
2008-02-15 19:29:00
Details are beginning to emerge from another mass killing at a school by a young person. Some information suggested a young man interested in corrections, other information suggest he was being treated for mental illness. Preventing these kind of tragedies needs to be a high priority effort by all of us. The solution can not be found by locking up everyone who might be violent, we can't afford that many jail cells. It must be based on how we raise and educate our children, not just academically, but emotionally. We can no longer afford to ignore emotion education. ABC News Stephen Kazmierczak, the 27-year-old who opened fire on a crowded Northern Illinois University lecture hall, killing five and then himself Thursday, was described as "fairly normal" and an "unstressed person" by NIU campus Police Chief Donald Grady. But in the last few weeks his behavior had become erratic, according to Grady, and it is believed the Kazmierczak had stopped taking his medication. The chief de...
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Emotion Defines Morality; Culture Sets Priorities
2008-01-19 03:03:00
?Man will become better when you show him what he is like.? - Anton Chekhov Our modern culture highly values our rationality. Genius, seemingly defined as those with great accomplishment, is highly celebrated by our culture, if not by income, at least by notoriety. Our emotionality, on the other hand, seems to get attributed with causing many of the problems our culture finds criminal. Rage is said to have led to many murders, domestic abuse, child abuse and greed to theft and fraud for a couple of examples. Combining genius and emotional disturbance however seems to characterize those that gain infamy in the history books. Hitler and Stalin come to mind. We are part rational, part emotional. From my clinical experience, we are unable to separate the two effectively. In other words, it is impossible for humans to be objective. Our emotionality is an intrinsic part of our existence. Last Sunday, there was a facinating article in the New York Times Magazine title "The Moral Instinc...
More About: Culture , Sets , Morality , Emotion

The Process of Grieving
2007-12-28 04:23:00
The Journal of the American Medical Association [February 21, 2007?Vol 297, No. 7] published an important article on grief, Maciejewski et al (2007). While it's hardly definitive research, it represents an exciting trend in research that I've seen in recent years. Researchers seem more willing to take some risks with the rigor of their research models to produce information that is immediately relevant to practice. While, we are a long way from having clear guidance towards an evidenced-based practice in psychotherapy, testing models in active use in the field provides immediately useful information. Grief is one of the most common issues that emerge in psychotherapy. Grief unfolds in a purposive and meaningful way from the first awareness of loss. The grief process guides us through the painful reassessment and renegotiation of our needs and goals. What that process entails appears to have not been researched empirically before Maciejewski et al (2007) made their ground breaking...
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The Function of Contradictions Between Emotion and Thought
2007-12-19 18:30:00
A couple months back The Frontal Cortex had an interesting article about the seemingly contradictory nature of humans. The author is a neuroscientist and so has more than an average faith in the scientific method. 1. Jeff Lewis, the incredibly entertaining lunatic at the center of Flipping Out, the real-estate reality television show on Bravo, fires his psychic because she wasn't doing a good job of predicting the future. So what does he do? He goes and hires a different psychic. I'm fascinated by this thought process. On the one hand, Jeff's empirical enough to realize that his psychic sucked. But he never even flirts with the possibility that all psychics suck. I know that we all have our rational blind spots, but rarely are they so elegantly captured on television. 2. I've recently been spending some time, perhaps too much time, with a few professional poker players. In general, these guys are mathematical freaks, able to crunch complicated probabilities in a split second....
More About: Thought , Function , Emotion

The Omaha Shooting
2007-12-10 03:20:00
The violence goes on and on. Eight innocents were killed be a lone 19 year old gunman people have called "quiet and polite". Clearly there is much more to this story. But here is what there is so far. Robert Hawkins was deeply into drugs, at least marijuana, and alcohol. Although he had one felony for drug possession, his other criminal behavior was limited to misdemeanors. Quiet and polite behavior can hide incredible violent anger. Many of the imfamous postal workers that shot up their work place also were described as quiet and polite. Children who are abused are often unusually quiet and polite. Hawkins had been a ward of the state of Nebraska from 2002 to 2006 but had not been associated with violence. The state provided Mr. Hawkins with stays at residential centers and in-patient facilities and also at a hospital. The facilities provided him with addiction counseling, mental-health counseling and behavioral counseling, among other services. One of the treatment periods came...
More About: Prevention , Shooting , Omaha

In Wake of Omaha Shooting, Mental Health America Provides Tips to Holiday S
2007-12-10 02:12:00
Mental Health America has released a list of advice for holiday shoppers in view of the tradegies in Omaha. Reuters Mental Health America developed tips to help individuals ease anxieties they may feel in the wake of this tragedy. Individuals looking for information and support can visit www.mentalhealthamerica.net or call Mental Health America at (800) 969-6642. Know that tragedies, like mall shootings, are rare. -- Develop a personal safety plan to ensure your wellbeing in a similar situation. Limit television viewing. Watching or reading news about the event over and over again will increase your stress. Talk about it. By communicating with others about the event, you can relieve stress and realize that others share your feelings. If you feel depressed, anxious or angry, talk to friends, family, ministers or others around you. Likely, other people are experiencing similar feelings. Ask for help when you need it. If your feelings of anxiety and worry do not subside or become s...
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Too Funny!
2007-11-27 02:01:00
I just had to share this. Demonstrates a good rule of thumb. Never trust someone just because their title sounds important. =)
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Is ADD Delayed Brain Development?
2007-11-26 03:04:00
ADD was originally conceived as rare brain abnormality with an unknown cause. However, the emphasis on symptom based diagnosis since DSM came to be seems to have contributed to a ballooning incidence of diagnosis of ADD, ADHD, and Bipolar Disorder discussed in the previous article. This article describes the results of two studies. The first study reassessed data from six large child-development studies performed since 1970. Each of these studies tracked hundreds of children from an early age through elementary school. The second study documents resolution of brain dysfunction as reflected brain images of children. New York Times ...[K]indergartners who are identified as troubled do as well academically as their peers in elementary school. The other found that children with attention deficit disorders suffer primarily from a delay in brain development, not from a deficit or flaw. Experts say the findings of the two studies, being published today in separate journals, could cha...
More About: Development , Brain

Bipolar Disorder in Children is "Rare" Says Researcher
2007-11-26 01:07:00
A major researcher from NIMH, Ellen Leibenluft, MD, Chief, Unit on Affective Diso rders, Pediatrics and Developmental Neuropsychiatry Branch, Mood and Anxiety Disorders Program, has made an unequivocal statement about bipolar disorder in children. Not surprisingly, she asserts bipolar disorder is "rare" in children. This article is a follow up to this one. Psychiatry Weekly ?Clearly,? Dr. Leibenluft says, ?some children do meet the DSM-IV criteria for bipolar disorder. However, these children are relatively rare. Far more common, perhaps as many as 3% of children in the community, are those who are extremely irritable and have ADHD-like symptoms, but don?t meet the DSM-IV criteria for bipolar disorder. A diagnosis of bipolar disorder requires distinct manic episodes, during which time one?s mood is altered, sleep and activity patterns change, and there are differences in reward-seeking behavior. More commonly, children present instead with chronic and nearly constant irritability.?...
More About: Children , Bipolar , Rare , Bipolar Disorder

Suicide Epidemic Among Veterans
2007-11-15 01:46:00
CBS has followed up on a study last March that I wrote about here. CBS sought to fill the void for available statistics from the VA. The sad story is that suicide is a much more common outcome than most think for all kinds of trauma. Combine that with a culture that sees emotion as weakness, we have a set up for our young soldiers. Trauma survivors have a painful road before then can find recovery. Prolonged exposure treatment is one of the few approached that has shown reliable outcomes. In other words, reliving the trauma until the intensity of symptoms subside is the best path to health. CBS News In 2005, for example, in just those 45 states, there were at least 6,256 suicides among those who served in the armed forces. That?s 120 each and every week, in just one year. Dr. Steve Rathbun is the acting head of the Epidemiology and Biostatistics Department at the University of Georgia. CBS News asked him to run a detailed analysis of the raw numbers that we obtained from state...
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Secret Shame Contributes to Chronic Depression
2007-11-13 05:04:00
Shame has been a particular interest for me. It has appeared repeatedly as a major barrier in therapy, especially in those for whom therapy has failed in the past. It takes a lot of courage to re-enter therapy after feeling it was previously insufficient. Fortunately, a person returning to therapy after a less than satisfactory experience is significant motivated to try new ideas. Agreeing to therapy is a humbling experience in and of itself. The American culture so values individualism, asking for help is often viewed as a sign of weakness, perhaps more likely by those who need help the most. I have previously written about the pervasiveness of shame in many long term issues I've seen in therapy. It's almost as if the person attempts to punish himself into change. But the misery extends well beyond what is helpful in motivating change into a self-imposed purgatory. Eventually, the person becomes so desperate to escape that they engage in self-destructive compulsive and addictive...
More About: Depression , Eating Disorders , Secret , Psychotherapy , Shame

Dust Bowl Empiricism Revisited
2007-10-31 14:56:00
A while back, I had characterized a post in Deric Bownds' MindBlog detailing how brain biochemistry had entered the internal experience of the scientist. I'd called it possibly unfairly as "largely devoid of meaningful self-exploration". My frustration is with the reductionistic flavor of research reports. Talk about a brain "awash in glucocortocoids..., full of adrenaline, and ... endogenous opiates" may well not lend itself to meaningful self exploration. However, that was not the point of the original article. It did illustrate my point indirectly. Deric Bownds responded quite appropriately. We don't deny the relevance of phenomenology of the whole system, of emergent properties, holism, etc. We simply think that it helps to know something about the parts! In this November's Scientific American, Michael Shermer, "The Skeptic" columnist says much more eloquently what I was trying to say about the sad state of research reports and the lack of any real theory building from met...
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The Role of Shame in Therapy
2007-10-19 03:47:00
BPS RESEARCH DIGEST reviews recent research articles in professional journals. It's a good place to try to keep up with the literature. It has been a pleasant surprise indeed that many psychodynamic principles have recently demonstrated in research. Unconscious motivations, emotion based early learning have repeatedly been demonstrated. Now I was pleased to find the begins of a research demonstration of one of the most important insights into the obstacles for change that emerge in therapy: the labeling effects of diagnosis and the self-destructive nature of shame. Psychological outcome research tends to follow the same model, matching therapy to diagnosis. The client is again little more than the holder of the diagnosis and the subject of the therapy: their individual decisions and personality are rarely considered (again, except where these are part of the diagnosis or lead to non-compliance). Contrary to notions of the 'miracle therapy' or 'super-shrink', recent research s...
More About: Psychotherapy , Role , Therapy , Sham , Shame

| Report ranks jobs by rates of depression
2007-10-15 06:49:00
This article lists occupations associated with depression. While I don't think that articles spin that these occupations contribute to depression. Rather I think people who are prone to depression also seek out more meaningful work. PsycPORT.com People who tend to the elderly, change diapers and serve up food and drinks have the highest rates of depression among U.S. workers. Overall, 7 percent of full-time workers battled depression in the past year, according to a government report available Saturday. Women were more likely than men to have had a major bout of depression, and younger workers had higher rates of depression than their older colleagues. Almost 11 percent of personal care workers -- which includes child care and helping the elderly and severely disabled with their daily needs -- reported depression lasting two weeks or longer. During such episodes there is loss of interest and pleasure, and at least four other symptoms surface, including problems with sleep, e...
More About: Depression , Jobs , Report , Wellness , Ranks

Blogging Against Abuse
2007-09-27 08:28:00
Child abuse/neglect is the scourge of our world. Every time I've looked behind the most heinous crimes in history, we find an abused or neglected child. Virtually all of the recent youthful mass murderers suffered bullying, emotional neglect, and often physical abuse at the hands of peers and/or parents. Today we make blogging history. Today, thousands all over the world are Blogging Against Abuse . Lets understand the scope of the problem. According to DHHS in their Child Maltreatment report, during 2005, an estimated 3.3 million referrals were made to child protective services (CPS) national wide. Six million children were involved. made to CPS agencies. Sixty two percent were deamed serious enough to investigate, 25 percent were found to be substantiated. An estimated 899,000 children were determined to be victims of abuse or neglect. Here is more data and a list of promising projects:

Approaching the Challenge of Bipolar Depression: Results From STEP-BD
2007-09-22 05:37:00
There is some major progress in the treatment of persons with Bipolar DO - Mixed episodes. Bipolar DO-Mixed is characterized by less serious manic symptoms, or hypomania, and significant depressive symptoms occuring at the same time. As you might expect, having a high energy level, little impulse control, impaired judgment and significant depression is a miserable condition, prone to substance abuse, suicide ideation and serious attempts. Persons with BPDO-Mixed are more prevalent in my practice than any other subtype of the disorder. That fact could be an artifact of primary finding of the following studies. Anti-depressants, when combined with mood stabilizers such as Lithium or Depakote, or atypical anti-psychotic medications like Abilify or Seroquel have been found to provide no more symptomatic relief for the depressive symptoms and a significant risk of increasing manic symptoms. Standard psychiatric practice calls for treating mania with mood stabilizers or atypical anti-psy...
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Timing and Influence: But I know you know that I know . . .
2007-09-20 20:18:00
The subject of timing and influence has fascinated me for a long time. Early on it was apparent to me that influence has little to do with what would logically follow: It's not about command of the facts. Instead it's a quite irrational process. There has been extensive research on how we are influenced by a person's appearance, both in terms of attractiveness and similarity to our own. We are known to be more inclined to say acquiesce to requests than refuse. The emotional state of the persons involved is also important. Here is a post from We're Only Human that gives us a glimpse of the emotion involved in timing and influence. Two Berkeley psychologists decided to test this particular brand of irrationality in the laboratory. Eduardo Andrade and Teck-Hua Ho used a modified version of what?s called the ?ultimatum game?: In this well-known psychological experiment, volunteers are told that they have a pot of money that they must divvy up for themselves and a stranger. They...
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When Mass Tragedy Struck, MH Responders Were Ready
2007-09-11 19:37:00
There is some good news from the Virginia Tech tragedy. The community of mental health providers pieced together a model crisis response program of trained volunteers to support, identify and refer to professional help people suffering from the trauma. Psychiatric News To provide her local community with support after the deadliest mass shooting in U.S. history, a mental health professional calls on a cadre of trained volunteers to address the mental health needs of those affected. Community Disaster Response Coalition President Dorinda Miller, Ph.D., disseminates information about disaster mental health services offered by her organization at a fair in Blacksburg, Va. When the first shots rang out on the Virginia Tech campus in Blacksburg on April 16, one phone call to the New River Valley Community Disaster Response Coalition (CDRC) launched a carefully synchronized plan that would ultimately extend much-needed support to thousands of people whose lives were affected by the sh...
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Frequency of Diagnosis of Bipolar Disorder in Children
2007-09-09 04:21:00
I think it is most unfortunate that so many people suffering from acute mental health symptoms are treated with medication only. Often, there is the time and the resources to provide psychotherapy first. Some problems, are best treated with psychotherapy, and in some situations, such as anxiety disorders, psychotherapy has been identified as the treatment of choice in many cases. Medication actually interferes with the effectiveness of psychotherapy of some anxiety disorders. If the problem is more emergent, certainly medication and psychotherapy could be an effective intervention in most situations. These principles are even more important when dealing with children, particularly children suspected to be suffering from bipolar disorder. Diagnosing children is a particularly thorny task. Symptoms are often not at all like adults or even like other children. The temptation to contain the child's behavior with medication may just exacerbate the condition, at least in the long run. ...
More About: Children , Bipolar , Diagnosis , Bipolar Disorder , Diso

Youth Suicides Rise the Most in 15 Years, CDC Says
2007-09-06 21:13:00
The CDC has released a report finding a spike in successful suicides in adolescents in 2004. This increase is the largest increase since 1990. Is this the result of all the misinformation floating around anti-depressant medications causing suicide and violence in adolescents and adults? Thats about when the hullabaloo started. So that means that the increase in suicides may continue into 2007, four years of increased suicide caused by misinformation in the media. It would appear that media sources who print information on such volatile topics need to consult with professionals before doing so. Perhaps even more importantly, researchers need to be obtaining peer review of their research before going to the media. It's become routine that new research authors send out news releases on topics that will attract media attention. I'm sure part of this is a survival method to make sure the research sponsor benefits from the research and funds them further. But the consequences of such r...
More About: Youth , Years , Rise , Ears , Cide