{"title":"Multidisciplinary Treatment for Conversion Disorder in an 8 Year Old Girl","authors":"Jen Wildpret, S. Kaplan","doi":"10.29046/JJP.024.1.003","DOIUrl":"https://doi.org/10.29046/JJP.024.1.003","url":null,"abstract":"","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"79 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73709018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Throughout the ages, treatment of the mentally ill has evolved with distinct periods of progression, stagnation and regression. These differences in time mirrored how society understood mental illness and the mentally ill person on both a biological and interpersonal level. At various points in history, treatment of the mentally ill included cruel and inhumane acts, while at other times, consisted of compassionate and benevolent care. What follows is a brief comparison of how mental illness was conceptualized and how persons with mental illness were treated in the pre-moral and moral eras of medicine. The pre-moral era is from the end of the classical period to the middle 1700's, while the moral era is considered to be from the middle 1700's to the late 1800's. This review highlights how personal, religious and scientific philosophies weigh heavily in creating a paradigm to conceptualize and treat mental illness.
{"title":"Treatment of the Mentally Ill in the Pre-Moral and Moral Era: A Brief Report","authors":"M. Carron, Hannan Saad","doi":"10.29046/JJP.024.1.001","DOIUrl":"https://doi.org/10.29046/JJP.024.1.001","url":null,"abstract":"Throughout the ages, treatment of the mentally ill has evolved with distinct periods of progression, stagnation and regression. These differences in time mirrored how society understood mental illness and the mentally ill person on both a biological and interpersonal level. At various points in history, treatment of the mentally ill included cruel and inhumane acts, while at other times, consisted of compassionate and benevolent care. What follows is a brief comparison of how mental illness was conceptualized and how persons with mental illness were treated in the pre-moral and moral eras of medicine. The pre-moral era is from the end of the classical period to the middle 1700's, while the moral era is considered to be from the middle 1700's to the late 1800's. This review highlights how personal, religious and scientific philosophies weigh heavily in creating a paradigm to conceptualize and treat mental illness.","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"11 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75402237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Zolpidem-induced Hepatic Encephalopathy in a Patient with Major Depression","authors":"T. Kahn, R. Cosme, Melissa Begolli, Raj Addepalli","doi":"10.29046/JJP.024.1.002","DOIUrl":"https://doi.org/10.29046/JJP.024.1.002","url":null,"abstract":"","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"222 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79962335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective Much of resident teaching of medical students occurs in an informal manner, with bedside teaching a common focus. Hence, the ability to monitor such teaching is limited. Feedback about how students perceive the teaching is perhaps one way to more effectively monitor and influence resident teaching. Methods A “residents as teachers” program is described that includes specific resident teaching expectations. Students give feedback on whether the residents met these expectations; resident evaluations are reviewed by the Director of Medical Student Education and utilized by the Residency Training Director in the semi-annual resident reviews. Results Over the last two years, student satisfaction regarding teaching from residents during the psychiatry clerkship has greatly improved. Discussion Through providing specific resident teaching expectations, and with mechanisms in place to monitor teaching efforts, including the use of regular feedback to residents, student satisfaction with resident teaching can improve. Preparing residents as educators of medical students is required by the Liaison Committee on Medical Education. (1) Additionally, residency requirements also mandate that residents be prepared for their roles as educators. (2) Teaching activities may consume about 20% of their time in any given day. (3) One study found that medical students estimated that about 30% of their knowledge could be directly attributed to resident teaching. (4) Additionally, residents feel that through teaching students, they also learn more, especially about the assigned teaching topics. (5) However, a wide variation of training for these roles exists, from “residents as teachers” programs during internship orientation to month long electives. (6) Little is written in the literature about consistently incorporating teaching feedback by the medical students, and on developing programs to improve individual teaching abilities. Morrison et al, found in a 2001 survey that only about 55% of residency programs offered formal training in teaching skills, most often in internal medicine and pediatrics programs. (7) Perhaps, this explains why internal medicine and pediatrics clerkships had the lowest rates of dissatisfaction regarding resident teaching in the American Association of Medical Colleges (AAMC) annual graduation questionnaire (GQ). (8) The AAMC GQ reinforces that residents do not always provide the most effective teaching, with ranges from 10.1% for no opinion/disagree/strongly disagree in the internal medicine national average to a high of 31.9% in the obstetrics and gynecology national average concerning the statement “Residents and fellows provided effective teaching during the clerkship.” Psychiatry also showed that 26.7% of students nationally were not satisfied with resident teaching during the clerkship. (8) Despite these numbers, residents are often identified by medical students as being the most influential teachers. (9) Additionally, reside
{"title":"Resident Teaching Expectations and Medical Student Feedback","authors":"Michael Ignatowski","doi":"10.29046/JJP.023.1.002","DOIUrl":"https://doi.org/10.29046/JJP.023.1.002","url":null,"abstract":"Objective Much of resident teaching of medical students occurs in an informal manner, with bedside teaching a common focus. Hence, the ability to monitor such teaching is limited. Feedback about how students perceive the teaching is perhaps one way to more effectively monitor and influence resident teaching. Methods A “residents as teachers” program is described that includes specific resident teaching expectations. Students give feedback on whether the residents met these expectations; resident evaluations are reviewed by the Director of Medical Student Education and utilized by the Residency Training Director in the semi-annual resident reviews. Results Over the last two years, student satisfaction regarding teaching from residents during the psychiatry clerkship has greatly improved. Discussion Through providing specific resident teaching expectations, and with mechanisms in place to monitor teaching efforts, including the use of regular feedback to residents, student satisfaction with resident teaching can improve. Preparing residents as educators of medical students is required by the Liaison Committee on Medical Education. (1) Additionally, residency requirements also mandate that residents be prepared for their roles as educators. (2) Teaching activities may consume about 20% of their time in any given day. (3) One study found that medical students estimated that about 30% of their knowledge could be directly attributed to resident teaching. (4) Additionally, residents feel that through teaching students, they also learn more, especially about the assigned teaching topics. (5) However, a wide variation of training for these roles exists, from “residents as teachers” programs during internship orientation to month long electives. (6) Little is written in the literature about consistently incorporating teaching feedback by the medical students, and on developing programs to improve individual teaching abilities. Morrison et al, found in a 2001 survey that only about 55% of residency programs offered formal training in teaching skills, most often in internal medicine and pediatrics programs. (7) Perhaps, this explains why internal medicine and pediatrics clerkships had the lowest rates of dissatisfaction regarding resident teaching in the American Association of Medical Colleges (AAMC) annual graduation questionnaire (GQ). (8) The AAMC GQ reinforces that residents do not always provide the most effective teaching, with ranges from 10.1% for no opinion/disagree/strongly disagree in the internal medicine national average to a high of 31.9% in the obstetrics and gynecology national average concerning the statement “Residents and fellows provided effective teaching during the clerkship.” Psychiatry also showed that 26.7% of students nationally were not satisfied with resident teaching during the clerkship. (8) Despite these numbers, residents are often identified by medical students as being the most influential teachers. (9) Additionally, reside","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"19 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78393135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alvi Azad, J. Flynn, T. Matthews, K. Matthews, J. Chozinski
Objective: To report on the successful merger of a civilian and military psychiatry residency. Methods: The reasons for and the history of the merger between the University of Texas Health Science Center at San Antonio and Wilford Hall Air Force Medical Center psychiatry residencies is described. Results: After some false starts, a bottom-up approach was implemented by first merging seminars, then rotations. Conclusions: Combining two psychiatry residencies in order to capitalize on both their strengths can yield a product even greater than the sum of their two programs and the key to a lasting merger is to start with two independently successful programs with different and complementary strengths. Word Count:
{"title":"Ten Year Follow Up of a Psychiatry Residency Program Merger","authors":"Alvi Azad, J. Flynn, T. Matthews, K. Matthews, J. Chozinski","doi":"10.29046/JJP.023.1.001","DOIUrl":"https://doi.org/10.29046/JJP.023.1.001","url":null,"abstract":"Objective: To report on the successful merger of a civilian and military psychiatry residency. Methods: The reasons for and the history of the merger between the University of Texas Health Science Center at San Antonio and Wilford Hall Air Force Medical Center psychiatry residencies is described. Results: After some false starts, a bottom-up approach was implemented by first merging seminars, then rotations. Conclusions: Combining two psychiatry residencies in order to capitalize on both their strengths can yield a product even greater than the sum of their two programs and the key to a lasting merger is to start with two independently successful programs with different and complementary strengths. Word Count:","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"17 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77926124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Abbas, M. Ismaiel, W. Young, Mary Hopkins, M. Silberstein
Recommended Citation Abbas M.D, Muhammad A.; Ismaiel, M.D, Haseeba; Young M.D., William B.; Hopkins, Mary; and Silberstein, M.D, Stephen D. (2010) "Psychiatric Comorbidity in Transformed Migraine: Presentation, Treatment, Impact and Outcome," Jefferson Journal of Psychiatry: Vol. 23 : Iss. 1 , Article 3. DOI: https://doi.org/10.29046/JJP.023.1.003 Available at: https://jdc.jefferson.edu/jeffjpsychiatry/vol23/iss1/3
Abbas M.D, Muhammad A.;Ismaiel，医学博士，Haseeba;年轻的医学博士，威廉b;霍普金斯,玛丽;Silberstein, m.d.， Stephen D. (2010)“转化型偏头痛的精神共病:表现、治疗、影响和结果”，《杰弗逊精神病学杂志》第23卷第1期，第3条。DOI: https://doi.org/10.29046/JJP.023.1.003可在:https://jdc.jefferson.edu/jeffjpsychiatry/vol23/iss1/3
{"title":"Psychiatric Comorbidity in Transformed Migraine: Presentation, Treatment, Impact and Outcome","authors":"M. Abbas, M. Ismaiel, W. Young, Mary Hopkins, M. Silberstein","doi":"10.29046/JJP.023.1.003","DOIUrl":"https://doi.org/10.29046/JJP.023.1.003","url":null,"abstract":"Recommended Citation Abbas M.D, Muhammad A.; Ismaiel, M.D, Haseeba; Young M.D., William B.; Hopkins, Mary; and Silberstein, M.D, Stephen D. (2010) \"Psychiatric Comorbidity in Transformed Migraine: Presentation, Treatment, Impact and Outcome,\" Jefferson Journal of Psychiatry: Vol. 23 : Iss. 1 , Article 3. DOI: https://doi.org/10.29046/JJP.023.1.003 Available at: https://jdc.jefferson.edu/jeffjpsychiatry/vol23/iss1/3","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"1 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83113997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although previous reports about tactile hallucinations of sexual content suggesting Schizophrenia are known 2 , this disorder has been characterized mostly by hallucinations of visual/auditory content. At Schizophrenia presentation these two types of hallucinations are the prominent features. This report describes a patient who had no previous psychiatric symptoms and for whom tactile hallucinations were the presenting symptom of Schizophrenia.
{"title":"Tactile Hallucinations: Presenting Symptom of Schizophrenia","authors":"Virgen M Quinones","doi":"10.29046/JJP.022.1.001","DOIUrl":"https://doi.org/10.29046/JJP.022.1.001","url":null,"abstract":"Although previous reports about tactile hallucinations of sexual content suggesting Schizophrenia are known 2 , this disorder has been characterized mostly by hallucinations of visual/auditory content. At Schizophrenia presentation these two types of hallucinations are the prominent features. This report describes a patient who had no previous psychiatric symptoms and for whom tactile hallucinations were the presenting symptom of Schizophrenia.","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"37 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87086980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rumination syndrome involves bringing up partially digested food into the pharynx voluntarily, followed by reswallowing or expelling. It was discovered in the 17 century; however, knowledge of the disorder has remained sparse until recently. Indeed, the first case of adult rumination in Japan was reported as recently as 2006. Due to this recent increase in awareness, notions about the disease have remained in a state of constant fluctuation. While first believed to be a disease of neurologically-impaired children between 3 and 8 months of age, it is now widely recognized as occurring in men and women of all ages and cognitive abilities. Originally rumination was labeled benign; however, it is now known to cause such complications as weight loss, malnutrition, dental erosions, halitosis, electrolyte abnormalities, abdominal discomfort, weight loss, choking, aspiration, and pneumonia. Similarly, while the absence of gastroesophageal reflux disease was an original criterion for the syndrome, it has been found that many of these patients have evidence of “pathologic gastroesophageal reflux.” Some suggest that thorough upper gastrointestinal workup, such as upper esophageal barium studies and EGD, not be done on children presenting with rumination, despite the presence of abdominal pain or other accompanying gastrointestinal symptoms. We performed a thorough upper gastrointestinal workup on a patient with concurrent rumination syndrome and heartburn, and were intrigued by the findings.
{"title":"Erosive Eosinophilic Esophagitis in Rumination Syndrome","authors":"S. Sidhu, J. Rick","doi":"10.29046/JJP.022.1.002","DOIUrl":"https://doi.org/10.29046/JJP.022.1.002","url":null,"abstract":"Rumination syndrome involves bringing up partially digested food into the pharynx voluntarily, followed by reswallowing or expelling. It was discovered in the 17 century; however, knowledge of the disorder has remained sparse until recently. Indeed, the first case of adult rumination in Japan was reported as recently as 2006. Due to this recent increase in awareness, notions about the disease have remained in a state of constant fluctuation. While first believed to be a disease of neurologically-impaired children between 3 and 8 months of age, it is now widely recognized as occurring in men and women of all ages and cognitive abilities. Originally rumination was labeled benign; however, it is now known to cause such complications as weight loss, malnutrition, dental erosions, halitosis, electrolyte abnormalities, abdominal discomfort, weight loss, choking, aspiration, and pneumonia. Similarly, while the absence of gastroesophageal reflux disease was an original criterion for the syndrome, it has been found that many of these patients have evidence of “pathologic gastroesophageal reflux.” Some suggest that thorough upper gastrointestinal workup, such as upper esophageal barium studies and EGD, not be done on children presenting with rumination, despite the presence of abdominal pain or other accompanying gastrointestinal symptoms. We performed a thorough upper gastrointestinal workup on a patient with concurrent rumination syndrome and heartburn, and were intrigued by the findings.","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"29 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84520511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We describe a young adult male with fetal alcohol syndrome (FAS) who presented with a non-repetitive, major, genital self-mutilation necessitating urological intervention. On formal psychiatric evaluation, he did not have psychosis or suicidality. Most commonly, self-injury in developmental disability is less severe and more stereotypic; major-class self-mutilation is confined, generally, to psychosis. It is this discrepancy that is the unusual feature of our case.
{"title":"A Major Event of Self-mutilation in a Patient with Fetal Alcohol Syndrome","authors":"Joel Johnson, Steven G. Sugden, J. O.D.","doi":"10.29046/JJP.021.1.003","DOIUrl":"https://doi.org/10.29046/JJP.021.1.003","url":null,"abstract":"We describe a young adult male with fetal alcohol syndrome (FAS) who presented with a non-repetitive, major, genital self-mutilation necessitating urological intervention. On formal psychiatric evaluation, he did not have psychosis or suicidality. Most commonly, self-injury in developmental disability is less severe and more stereotypic; major-class self-mutilation is confined, generally, to psychosis. It is this discrepancy that is the unusual feature of our case.","PeriodicalId":14750,"journal":{"name":"Japanese journal of pharmacology","volume":"36 3 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77355442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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