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Women admitted to psychiatry wards experience high levels of violence and sexual assaults, according to a report released this week by the Victorian Mental Illness Alliance Council.

Across the nine different psychiatry hospital wards surveyed in Victoria, 85% of female inpatients felt unsafe during hospitalisation, 67% reported experiencing sexual or other forms of harassment and 45% of respondents had experienced sexual assault during an in-patient admission.

Prior to the 1960s, it was customary for men and women patients to be managed in separate psychiatry wards. Inpatient admissions were often for several months to years. Since the 1960s, psychiatric inpatient units in many parts of the western world housed male and female patients together.

his goal was to reshape the direction of psychiatric research to focus on biology, genetics and neuroscience so that scientists can define disorders by their causes, rather than their symptoms.

While the Diagnostic and Statistical Manual of Mental Disorders, or D.S.M., is the best tool now available for clinicians treating patients and should not be tossed out, he said, it does not reflect the complexity of many disorders, and its way of categorizing mental illnesses should not guide research.

senior figures in psychiatry who have challenged not only decisions about specific diagnoses but the scientific basis of the entire enterprise. Basic research into the biology of mental disorders and treatment has stalled, they say, confounded by the labyrinth of the brain.

WIKIPEDIA, KEN HAMMOND (USDA)In 2008, Judy van de Water from the University of California, Davis, discovered a group of autoantibodies—those that trigger immune responses against the body’s own molecules—that are especially common in mothers of children with autism.

“Given that, at present, only between 15 and 20 percent of children with autism have known causes—mainly genetic and infectious mechanisms—this will be a major advance.”

“It would allow mothers to plan,” said van de Water, by enrolling their children in educational programs that promote social skills from an early age.

A new study published in Biological Psychiatry: Cognitive Neuroscience and Neuroimaging reports that processing of negative emotion can be strengthened or weakened by tuning the excitability of the right frontal part of the brain.Using magnetic stimulation outside the brain, a technique called repetitive transcranial magnetic stimulation (rTMS), researchers at University of Münster, Germany, show that, despite the use of inhibitory stimulation currently used to treat depression, excitatory stimulation better reduced a person's response to fearful images.

"This study confirms that modulating the frontal region of the brain, in the right hemisphere, directly effects the regulation of processing of emotional information in the brain in a 'top-down' manner,"

In depression, processing of emotion is disrupted in the frontal region of both the left and right brain hemispheres (known as the dorsolateral prefrontal cortices, dlPFC). The disruptions are thought to be at the root of increased negative emotion and diminished positive emotion in the disorder. Reducing excitability of the right dlPFC using inhibitory magnetic stimulation has been shown to have antidepressant effects, even though it's based on an idea -- that this might reduce processing of negative emotion in depression -- that has yet to be fully tested in humans.

Some of the newest evidence suggests that people who focus on living with a sense of purpose as they age are more likely to remain cognitively intact, have better mental health and even live longer than people who focus on achieving feelings of happiness.

"Eudaimonia" is a Greek word associated with Aristotle and often mistranslated as "happiness"—which has contributed to misunderstandings about what happiness is. Some experts say Aristotle meant "well-being" when he wrote that humans can attain eudaimonia by fulfilling their potential. Today, the goal of understanding happiness and well-being, beyond philosophical interest, is part of a broad inquiry into aging and why some people avoid early death and disease. Psychologists investigating eudaimonic versus hedonic types of happiness over the past five to 10 years have looked at each type's unique effects on physical and psychological health.

In a separate analysis of the same group of subjects, researchers have found those with greater purpose in life were less likely to be impaired in carrying out living and mobility functions, like housekeeping, managing money and walking up or down stairs. And over a five-year period they were significantly less likely to die—by some 57%— than those with low purpose in life.

Scientists have identified about 10 million SNPs within our three billion nucleotides. But an entire genome sequencing — looking at all three billion nucleotides — would cost around $3,000; the tests I took examined fewer than a million SNPs.

“Imagine if you took a book and you only looked at the first letter of every other page,” said Dr. Robert Klitzman, a bioethicist and professor of clinical psychiatry at Columbia. (I am a graduate student there in his Master of Bioethics program.) “You’re missing 99.9 percent of the letters that make the genome. The information is going to be limited.”

the major issue, experts say, is that the causes of most common diseases remain unknown. Genes account for just 5 to 20 percent of the whole picture.

The first time I can remember feeling like I didn’t exist, I was 15. I was sitting on a train and all of a sudden I felt like I’d been dropped into someone else’s body. My memories, experiences, and feelings—the things that make up my intrinsic sense of “me-ness”—projected across my mind like phantasmagoria, but I felt like they belonged to someone else. Like I was experiencing life in the third person.

It’s characterized by a pervasive and disturbing sense of unreality in both the experience of self (called “depersonalization”) and one’s surroundings (known as “derealization”); accounts of it are surreal, obscure, shrouded in terms like “unreality” and “dream,” but they’re often conveyed with an almost incongruous lucidity.

It’s not a psychotic condition; the sufferers are aware that what they’re perceiving is unusual. “We call it an ‘as if’ disorder. People say they feel as if they’re in a movie, as if they’re a robot,” Medford says.

But experts on writing do not agree: pens and keyboards bring into play very different cognitive processes. “Handwriting is a complex task which requires various skills – feeling the pen and paper, moving the writing implement, and directing movement by thought,” says Edouard Gentaz, professor of developmental psychology at the University of Geneva. “Children take several years to master this precise motor exercise: you need to hold the scripting tool firmly while moving it in such a way as to leave a different mark for each letter.” Operating a keyboard is not the same at all: all you have to do is press the right key. It is easy enough for children to learn very fast, but above all the movement is exactly the same whatever the letter. “It’s a big change,” says Roland Jouvent, head of adult psychiatry at Pitié-Salpêtrière hospital in Paris. “Handwriting is the result of a singular movement of the body, typing is not.”

a study published in Biological Psychiatry brings scientific thoroughness to mindfulness meditation and for the first time shows that, unlike a placebo, it can change the brains of ordinary people and potentially improve their health.

One difficulty of investigating meditation has been the placebo problem. In rigorous studies, some participants receive treatment while others get a placebo: They believe they are getting the same treatment when they are not. But people can usually tell if they are meditating. Dr. Creswell, working with scientists from a number of other universities, managed to fake mindfulness.

Half the subjects were then taught formal mindfulness meditation at a residential retreat center; the rest completed a kind of sham mindfulness meditation that was focused on relaxation and distracting oneself from worries and stress.

Imagine millions of depressed Americans getting their brain activity measured and undergoing blood tests to determine which antidepressant would work best. Imagine some of them receiving "brain training" or magnetic stimulation to make their brains more amenable to those treatments.

The first study -- to be published in the June edition of the Journal of the American Medical Association Psychiatry -- found that measuring electrical activity in the brain can help predict a patient's response to an antidepressant.

Dr. Trivedi sought to improve this situation by spearheading the 16-week EMBARC trial at four U.S. sites in which more than 300 patients with major depressive disorder were evaluated through brain imaging and various DNA, blood, and other tests.

the neuroscientific analogy: that the areas in the brain associated with the pleasures of drug use are the same as those associated with the pleasures of playing video games. This is true but not illuminating. These areas of the brain — those that produce and respond to the neurotransmitter dopamine — are involved in just about any pleasurable activity: having sex, enjoying a nice conversation, eating good food, reading a book, using methamphetamines.

A large-scale study of internet-based games recently published in the American Journal of Psychiatry bears out our skepticism about this “addiction.” Using the American Psychiatric Association’s own metrics for ascertaining psychiatric disorder, the study’s researchers found that at most 1 percent of video game players might exhibit characteristics of an addiction and that the games were significantly less addictive than, say, gambling.

More damning, the study found that almost none of those classified as being possibly addicted to video games experienced negative outcomes from this addiction. That is, the mental, physical and social health of these potential “addicts” was not different from that of individuals who were not addicted to video games. This suggests that the diagnosis of addiction doesn’t make much sense to begin with

For Some Teens, It’s Been a Year of Anxiety and Trips to the E.R.

During the pandemic, suicidal thinking is up. And families find that hospitals can’t handle adolescents in crisis.

stability didn’t last.

This is the fog of late pandemic, and it is brutal. In the spring, we joked about the Before Times, but they were still within reach, easily accessible in our shorter-term memories. In the summer and fall, with restrictions loosening and temperatures rising, we were able to replicate some of what life used to be like, at least in an adulterated form: outdoor drinks, a day at the beach. But now, in the cold, dark, featureless middle of our pandemic winter, we can neither remember what life was like before nor imagine what it’ll be like after.

The sunniest optimist would point out that all this forgetting is evidence of the resilience of our species. Humans forget a great deal of what happens to us, and we tend to do it pretty quickly—after the first 24 hours or so. “Our brains are very good at learning different things and forgetting the things that are not a priority,” Tina Franklin, a neuroscientist at Georgia Tech, told me. As the pandemic has taught us new habits and made old ones obsolete, our brains have essentially put actions like taking the bus and going to restaurants in deep storage, and placed social distancing and coughing into our elbows near the front of the closet. When our habits change back, presumably so will our recall.

The share of Americans reporting symptoms of anxiety disorder, depressive disorder, or both roughly quadrupled from June 2019 to December 2020, according to a Census Bureau study released late last year. What’s more, we simply don’t know the long-term effects of collective, sustained grief. Longitudinal studies of survivors of Chernobyl, 9/11, and Hurricane Katrina show elevated rates of mental-health problems, in some cases lasting for more than a decade

In his new book Drug Use for Grown-Ups, the Columbia University professor of psychology and psychiatry zealously argues that drug use should be a matter of personal choice

personal choice can lead to positive outcomes.

"The practice spread widely...Many women and young girls, as also young men of respectable family, were being induced to visit the dens, where they were ruined morally and otherwise."

This year, it's OK to give ourselves a break, says Dr. Rachelle Scott, director of psychiatry at Eden Health, a concierge-style health care start-up with offices in New York, Chicago, and Washington, D.C.

"There are days we're just getting up and showering and, you know, just doing basic activities of daily living. And that's OK,"

A Kaiser Family Foundation tracking poll conducted in mid-July 2020 found 53% of adults in the U.S. reported that their mental health has been negatively impacted due to stress over COVID-19. That's up from 32% in March.

A variety of methods have been developed over the past few decades to allow mapping of the functioning human brain. Two basic classes of mapping technique have evolved: those that map (or localise) the underlying electrical activity of the brain; and those that map local physiological or metabolic consequences of altered brain electrical activity. Among the former are the non-invasive neural electromagnetic techniques of electroencephalography (EEG) and magnetoencephalography (MEG). These methods allow exquisite temporal resolution of neural processes (typically over a 10–100 ms time scale), but suffer from poor spatial resolution (between 1 and several centimetres). Functional MRI (fMRI) methods are in the second category. They can be made sensitive to the changes in regional blood perfusion, blood volume (for example, using injected magnetic resonance contrast agents), or blood oxygenation that accompany neuronal activity. Blood oxygenation level dependent (BOLD) fMRI, which is sensitive primarily to the last of these variables, allows an image spatial resolution that is of the order of a few millimetres, with a temporal resolution of a few seconds (limited by the haemodynamic response itself). An accessible and more detailed introduction to the technique than is possible in this brief review is found in a recent book.1

Methods such as positron emission tomography (PET) provide an absolute measure of tissue metabolism. In contrast, BOLD fMRI can at present be used only for determining relative signal intensity changes associated with different cognitive states during a single imaging session. The most time efficient approach for comparing brain responses in different states during the imaging experiment is the “block” design19 (fig 3). This design uses relatively long alternating periods (for example, 30 seconds), during each of which a discrete cognitive state is maintained. In the simplest form, there may only be two such states, which are alternated throughout the experiment in order to ensure that variations arising from fluctuations in scanner sensitivity, patient movement, or changes in attention have a similar impact on the signal responses associated with both states.

fear drives much of human behavior. And it’s not just fear of physical harm that makes us want to hide under the covers. The twin fears of intimacy and rejection, for example, shape many of our social interactions.

Scientists say fear and its companion — the fight, flight or freeze response — can save us when faced with imminent physical harm.

It’s why you jump when you sense rustling in the bushes before realizing it’s just your neighbor’s cat. That reflex can save your life in certain circumstances such as leaping out of the way of an oncoming car. Trouble starts when you can’t tamp down your amygdala’s response, which makes you obsess and perhaps do counterproductive things when faced with concerning but not life-threatening events like the Equifax hack or a vulnerable social situation like asking someone out on a date.

Smartphones, those digital portals of constant information, have become so integrated into most Americans’ lives, they’re like extra—yet essential—appendages. Some 72 percent of Americans own a smartphone, compared to the global median of 43 percent. But studies have shown that overuse can have a negative impact on your posture, eyesight, and hearing, not to mention distract drivers and pedestrians. More recently, researchers who study the relationship of mobile phone use and mental health have also found that excessive or “maladaptive” use of our phones may be leading to greater incidences of depression and anxiety in users.

Cell phones, and smartphones in particular, have an undeniably addictive quality, earning an entry in the Diagnostic and Statistical Manual of Mental Disorders (DSM) 5th edition. A review of literature on cell phone addiction, published in Frontiers in Psychiatry, describes cell phone and technology addiction manifesting in one or more of the following ways: choosing to use your device even in "dangerous or prohibited contexts;" losing interest in other activities; feeling irritable or uneasy if separated from your phone; or feeling anxiety or loneliness when you’re unable to send or receive an immediate message. The researchers also find that adolescents and women may be more susceptible to this behavioral addiction.

So while the research remains inconclusive, it might be worth taking a look at how you feel before and after you spend copious amounts of time on your cell phone. It may be harmless—or it may offer an opportunity to improve your mental health.

In February 1973, Dr. Bernard Beitman found himself hunched over a kitchen sink in an old Victorian house in San Francisco, choking uncontrollably. He wasn’t eating or drinking, so there was nothing to cough up, and yet for several minutes he couldn’t catch his breath or swallow.The next day his brother called to tell him that 3,000 miles away, in Wilmington, Del., their father had died. He had bled into his throat, choking on his own blood at the same time as Beitman’s mysterious episode.

Overcome with awe and emotion, Beitman became fascinated with what he calls meaningful coincidences. After becoming a professor of psychiatry at the University of Missouri-Columbia, he published several papers and two books on the subject and started a nonprofit, the Coincidence Project, to encourage people to share their coincidence stories.

“What I look for as a scientist and a spiritual seeker are the patterns that lead to meaningful coincidences,” said Beitman, 80, from his home in Charlottesville, Va. “So many people are reporting this kind of experience. Understanding how it happens is part of the fun.”

February 2020, Harriet de Wit, a professor of psychiatry and behavioural science at the University of Chicago, was running an experiment on whether the drug MDMA increased the pleasantness of social touch in healthy volunteers

The latest participant in the double-blind trial, a man named Brendan, had filled out a standard questionnaire at the end. Strangely, at the very bottom of the form, Brendan had written in bold letters: "This experience has helped me sort out a debilitating personal issue. Google my name. I now know what I need to do."

They googled Brendan's name, and up popped a disturbing revelation: until just a couple of months before, Brendan had been the leader of the US Midwest faction of Identity Evropa, a notorious white nationalist group rebranded in 2019 as the American Identity Movement. Two months earlier, activists at Chicago Antifascist Action had exposed Brendan's identity, and he had lost his job.