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markfrankel18

Psychiatry's Mind-Brain Problem - The New York Times - 1 views

  • Recently, a psychiatric study on first episodes of psychosis made front-page news. People seemed quite surprised by the finding: that lower doses of psychotropic drugs, when combined with individual psychotherapy, family education and a focus on social adaptation, resulted in decreased symptoms and increased wellness.
  • Recently, a psychiatric study on first episodes of psychosis made front-page news. People seemed quite surprised by the finding: that lower doses of psychotropic drugs, when combined with individual psychotherapy, family education and a focus on social adaptation, resulted in decreased symptoms and increased wellness. But the real surprise — and disappointment — was that this was considered so surprising.
  • But the real surprise — and disappointment — was that this was considered so surprising.
  • ...2 more annotations...
  • Unfortunately, Dr. Kane’s study arrives alongside a troubling new reality. His project was made possible by funding from the National Institute of Mental Health before it implemented a controversial requirement: Since 2014, in order to receive the institute’s support, clinical researchers must explicitly focus on a target such as a biomarker or neural circuit. It is hard to imagine how Dr. Kane’s study (or one like it) would get funding today, since it does not do this. In fact, psychiatry at present has yet to adequately identify any specific biomarkers or circuits for its major illnesses.
  • Unfortunately, Dr. Kane’s study arrives alongside a troubling new reality. His project was made possible by funding from the National Institute of Mental Health before it implemented a controversial requirement: Since 2014, in order to receive the institute’s support, clinical researchers must explicitly focus on a target such as a biomarker or neural circuit. It is hard to imagine how Dr. Kane’s study (or one like it) would get funding today, since it does not do this. In fact, psychiatry at present has yet to adequately identify any specific biomarkers or circuits for its major illnesses.
Lawrence Hrubes

BBC World Service - Exchanges at the Frontier, Exchanges at the Frontier, Kay Redfield ... - 0 views

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    "Kay Redfield Jamison is a clinical psychologist with a rare insight. She is a world leader in the study of bipolar (manic-depressive) illness, a condition that she herself has had since adolescence. As a highly regarded clinician with direct experience of the illness she treats, she has a special perspective on the debilitating nature of this psychiatric disorder and its seductive but disastrous highs, depressions and disordered thinking. She tells A.C.Grayling and an audience at Wellcome Collection in London about mania, creativity and the best medicine for an extraordinary condition."
markfrankel18

Internet Makes Hypochondria Worse - 1 views

  • Thanks to the Internet, becoming a hypochondriac is much easier than it used to be. The easy availability of health information on the web has certainly helped countless people make educated decisions about their health and medical treatment, but it can be disastrous for people who are likely to worry. Hypochondriacs researching an illness used to have to scour books and ask doctors for information. Now a universe of information is available with a few mouse clicks. "For hypochondriacs, the Internet has absolutely changed things for the worse," says Brian Fallon, MD, professor of psychiatry at Columbia University and the co-author of Phantom Illness: Recognizing, Understanding and Overcoming Hypochondria (1996). So far, no studies have been conducted on just how hypochondriacs use the Internet, Fallon says. But the phenomenon is common enough to have a snappy name -- "cyberchondria."
Lawrence Hrubes

The New Science of Mind - NYTimes.com - 0 views

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    This new science of mind is based on the principle that our mind and our brain are inseparable. The brain is a complex biological organ possessing immense computational capability: it constructs our sensory experience, regulates our thoughts and emotions, and controls our actions. It is responsible not only for relatively simple motor behaviors like running and eating, but also for complex acts that we consider quintessentially human, like thinking, speaking and creating works of art. Looked at from this perspective, our mind is a set of operations carried out by our brain. The same principle of unity applies to mental disorders.
Lawrence Hrubes

Why Emotional Learning May Be As Important As The ABCs : NPR Ed : NPR - 0 views

  • He and his colleagues launched the FastTrack Project to see if they could change students' life trajectory by teaching them what researchers like to call social-emotional intelligence. Back in 1991, they screened 5-year-olds at schools around the country for behavior problems. After interviewing teachers and parents, the researchers identified 900 children who seemed to be most at risk for developing problems later on. Half of these kids went through school as usual — though they had access to free counseling or tutoring. The rest got PATHS lessons, as well as counseling and tutoring, and their parents received training as well — all the way up until the students graduated from high school. By age 25, those who were enrolled in the special program not only had done better in school, but they also had lower rates of arrests and fewer mental health and substance abuse issues. The results of this decades-long study were published in September in the American Journal of Psychiatry. The findings prove, Dodge says, "In the same way that we can teach reading literacy, we can teach social and emotional literacy."
Lawrence Hrubes

Debate Persists Over Diagnosing Mental Health Disorders, Long After 'Sybil' - NYTimes.com - 0 views

  • The notion that a person might embody several personalities, each of them distinct, is hardly new. The ancient Romans had a sense of this and came up with Janus, a two-faced god. In the 1880s, Robert Louis Stevenson wrote “Strange Case of Dr. Jekyll and Mr. Hyde,” a novella that provided us with an enduring metaphor for good and evil corporeally bound. Modern comic books are awash in divided personalities like the Hulk and Two-Face in the Batman series. Even heroic Superman has his alternating personas. But few instances of the phenomenon captured Americans’ collective imagination quite like “Sybil,” the study of a woman said to have had not two, not three (like the troubled figure in the 1950s’ “Three Faces of Eve”), but 16 different personalities. Alters, psychiatrists call them, short for alternates. As a mass-market book published in 1973, “Sybil” sold in the millions. Tens of millions watched a 1976 television movie version. The story had enough juice left in it for still another television film in 2007.
Lawrence Hrubes

Walter Mischel, The Marshallow Test, and Self-Control - The New Yorker - 1 views

  • Mischel’s story isn’t surprising—nicotine is addictive, and quitting is difficult—except for one thing: Mischel is the creator of the marshmallow test, one of the most famous experiments in the history of psychology, which is often cited as evidence of the importance of self-control. In the original test, which was administered at the Bing Nursery School, at Stanford, in the nineteen-sixties, Mischel’s team would present a child with a treat (marshmallows were just one option) and tell her that she could either eat the one treat immediately or wait alone in the room for several minutes until the researcher returned, at which point she could have two treats. The promised treats were always visible and the child knew that all she had to do to stop the agonizing wait was ring a bell to call the experimenter back—although in that case, she wouldn’t get the second treat. The longer a child delayed gratification, Mischel found—that is, the longer she was able to wait—the better she would fare later in life at numerous measures of what we now call executive function. She would perform better academically, earn more money, and be healthier and happier. She would also be more likely to avoid a number of negative outcomes, including jail time, obesity, and drug use.
  • It was not until one day in the late nineteen-sixties, when he saw a man with metastasized lung cancer in the halls of Stanford’s medical school—chest exposed, head shaved, little green “x” marks all over his body, marking the points where radiation would go—that Mischel realized he was fooling himself. Finally, something clicked. From then on, each time he wanted a cigarette (approximately every three minutes, by his count) he would create a picture in his mind of the man in the hallway. As he described it to me, “I changed the objective value of the cigarette. It went from something I craved to something disgusting.” He hasn’t had a smoke since.
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    "Mischel, who is now eighty-four years old, has just published his first popular book, "The Marshmallow Test: Mastering Self-Control." It is part memoir, part scientific analysis, and part self-help guide. In the book, he describes the original impetus for the marshmallow study. At the time, his daughters, Judith, Rebecca, and Linda, were three, four, and five years old, respectively. "I began to see this fascinating phenomenon where they morphed from being highly impulsive, immediate creatures who couldn't delay anything," he told me. "There were these amazingly rapid changes-everything around them was the same, but something inside them had changed. I realized I didn't have a clue what was going on in their heads." He wondered what was it that had enabled them to go from deciding that they wanted to wait to actually being able to do so. He found the answer among their classmates at the Bing preschool."
markfrankel18

What We Really Taste When We Drink Wine : The New Yorker - 2 views

  • Salzman first became interested in wine when he was a graduate student at Stanford University studying neuroscience (Ph.D.) and psychiatry (M.D.). “I was corrupted by some people who were very serious about wine,” he told me. Together, they would host wine tastings and travel to vineyards. Over time, as his interest in wine grew, he began to think about the connections between his tastings and the work he was doing on the ways in which emotion colors the way our brains process information. “We study how cognitive and emotional processes can affect perception,” he said. “And in the case of something like wine, you have the perfect example: even before you open a bottle to experience the wine itself, you already have an arbitrary visual stimulus—the bottle and the label—that comes with non-arbitrary emotional associations, good and bad.” And those emotional associations will, in turn, affect what we taste.
  • In one recent study, the Caltech neuroscientist Hilke Plassman found that people’s expectations of a wine’s price affected their enjoyment on a neural level: not only did they report greater subjective enjoyment but they showed increased activity in an area of the brain that has frequently been associated with the experience of pleasantness. The same goes for the color and shape of a wine’s label: some labels make us think that a wine is more valuable (and, hence, more tasty), while others don’t. Even your ability to pronounce a winery’s name can influence your appreciation of its product—the more difficult the name is to pronounce, the more you’ll like the wine.
  • For experts, though, the story is different. In 1990, Gregg Solomon, a Harvard psychologist who wrote “Great Expectorations: The Psychology of Expert Wine Talk,” found that amateurs can’t really distinguish different wines at all, but he also found that experts can indeed rank wines for sweetness, balance, and tannin at rates that far exceeded chance. Part of the reason isn’t just in the added experience. It’s in the ability to phrase and label that experience more precisely, a more developed sensory vocabulary that helps you to identify and remember what you experience. Indeed, when novices are trained, their discrimination ability improves.
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