Pub Date : 2019-05-23DOI: 10.1177/0706743719852963
M. E. Yack
{"title":"Book Review: Leaving It at the Office: A Guide to Psychotherapist Self-Care","authors":"M. E. Yack","doi":"10.1177/0706743719852963","DOIUrl":"https://doi.org/10.1177/0706743719852963","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127762093","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}
Pub Date : 2019-03-01DOI: 10.1177/0706743718822484
Keith H. Anderson
{"title":"Book Review: Coping Strategies to Promote Occupational Engagement and Recovery: A Program Manual for Occupational Therapists and Other Health Care Providers","authors":"Keith H. Anderson","doi":"10.1177/0706743718822484","DOIUrl":"https://doi.org/10.1177/0706743718822484","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122017066","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}
Pub Date : 2018-12-30DOI: 10.1177/0706743718821340
F. Mai
{"title":"Book Review: Understanding and Managing Somatoform Disorders: A Guide for Physicians","authors":"F. Mai","doi":"10.1177/0706743718821340","DOIUrl":"https://doi.org/10.1177/0706743718821340","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130671084","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}
Pub Date : 2018-12-01DOI: 10.1177/0706743718814431
C. Dewa
Is work just another 4-letter word? Some would agree, asserting that work is nothing more than a burden to bear. They even may have adopted as their anthem the O’Jays’s song, “But as soon as Friday rolls around, I lay all my weekly burdens down.” To this group, work is something that must be endured. On the other hand, there are those who view work as an opportunity to meet their hierarchy of needs that begin with the psychological and ultimately include self-actualization. They understand what Dr. Martin Luther King Jr. described with, “All labor that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence.” Work has the potential to offer dignity and empowerment. So, who is right? Perhaps, both groups are. If we are in healthy work environments, we can fulfill both basic and higher-order needs. But that is a resounding “if.” There seems to be a constant struggle between creating a healthy environment and sacrificing it in the name of efficiency. For example, the Industrial Age exposed workers to physically unsafe environments. This catalyzed labour advocates to rise up to fight for safer physical conditions for workers. Their legacy is the ongoing development of standards to create working conditions that increase the likelihood that workers return from their shifts intact. The new century ushered in new environments in which many jobs no longer require heavy lifting with our backs but with our brains. They call for workers to absorb significant quantities of information, to digest it, and to synthesize all of it to successfully problem-solve. Our current age commodifies knowledge and information to the extent that their production and use has increasingly exposed a large proportion of workers to work factors that threaten to compromise their emotional and mental well-being. With this, the Information Age introduced the opportunity to broaden the scope for healthy work conditions. Around the globe, the mental well-being of workers began to become of interest. Leading North America, in 2013, Canada introduced its Psychological Health and Safety in the Workplace standard. In this issue, Sheikh and colleagues evaluate the extent to which these standards have been implemented. A strength of their study is the participation of 1010 employers. Furthermore, among their participants, there was variation in company size and province. Their findings demonstrate one of the challenges to achieving change—lack of awareness. This may highlight one of the main limitations of the standard—it is voluntary. As organizations face competing priorities, those that are not mandatory may always take second place to those that are. As with other types of occupational health and safety regulations, additional incentives that include both carrots and sticks may be needed. At the same time, this means that metrics must progress to the point that just as we know what a maximum lift load should be, we need a measure of maximum workl
{"title":"Is Work Just Another 4-Letter Word?","authors":"C. Dewa","doi":"10.1177/0706743718814431","DOIUrl":"https://doi.org/10.1177/0706743718814431","url":null,"abstract":"Is work just another 4-letter word? Some would agree, asserting that work is nothing more than a burden to bear. They even may have adopted as their anthem the O’Jays’s song, “But as soon as Friday rolls around, I lay all my weekly burdens down.” To this group, work is something that must be endured. On the other hand, there are those who view work as an opportunity to meet their hierarchy of needs that begin with the psychological and ultimately include self-actualization. They understand what Dr. Martin Luther King Jr. described with, “All labor that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence.” Work has the potential to offer dignity and empowerment. So, who is right? Perhaps, both groups are. If we are in healthy work environments, we can fulfill both basic and higher-order needs. But that is a resounding “if.” There seems to be a constant struggle between creating a healthy environment and sacrificing it in the name of efficiency. For example, the Industrial Age exposed workers to physically unsafe environments. This catalyzed labour advocates to rise up to fight for safer physical conditions for workers. Their legacy is the ongoing development of standards to create working conditions that increase the likelihood that workers return from their shifts intact. The new century ushered in new environments in which many jobs no longer require heavy lifting with our backs but with our brains. They call for workers to absorb significant quantities of information, to digest it, and to synthesize all of it to successfully problem-solve. Our current age commodifies knowledge and information to the extent that their production and use has increasingly exposed a large proportion of workers to work factors that threaten to compromise their emotional and mental well-being. With this, the Information Age introduced the opportunity to broaden the scope for healthy work conditions. Around the globe, the mental well-being of workers began to become of interest. Leading North America, in 2013, Canada introduced its Psychological Health and Safety in the Workplace standard. In this issue, Sheikh and colleagues evaluate the extent to which these standards have been implemented. A strength of their study is the participation of 1010 employers. Furthermore, among their participants, there was variation in company size and province. Their findings demonstrate one of the challenges to achieving change—lack of awareness. This may highlight one of the main limitations of the standard—it is voluntary. As organizations face competing priorities, those that are not mandatory may always take second place to those that are. As with other types of occupational health and safety regulations, additional incentives that include both carrots and sticks may be needed. At the same time, this means that metrics must progress to the point that just as we know what a maximum lift load should be, we need a measure of maximum workl","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129331595","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}
Pub Date : 2018-12-01DOI: 10.1177/0706743718805751
A. Bahji
The Canadian Journal of Psychiatry is an important reference in the education of psychiatric trainees in Canada and elsewhere. In the recently published editorial “Men’s Mental Health: Beyond Victim Blaming,” Dr. Whitley skillfully outlines how literature on the impact of intimidation and harassment (I&H) has largely focused on women and how a recently emerging field of discourse is the mental health experience of males. This article especially emphasized how men are disproportionately overrepresented in specific mental health domains, including rates of suicide, substance use disorders, underutilization of mental health resources, and overdose deaths involving fentanyl, yet men have simultaneously been left out of the recent “me-too” movement. As such, men’s mental health has aptly earned various eponyms, such as the “silent epidemic” or “quiet catastrophe,” as Dr. Whitley writes. It is not surprising, then, to learn that the focus of issues involving the impact of I&H among resident physicians has also largely ignored the experiences of males. However, recent studies have shown that I&H is also frequently reported by male resident physicians. In 2014, Karim and Duchcherer conducted an extensive literature review of surveys of resident physicians reporting incidents of I&H. The results were profound: I&H was found to be highly prevalent, with 45% to 93% of residents reporting this behaviour on at least one occasion. In one study, there were equal rates of sexual harassment reported by male and female residents. In another study, male residents were more likely to classify I&H behaviors as legitimate if they had a positive effect on their education. Regarding reasons to avoid reporting I&H, male residents more often reported that they did not think it was a problem, that they did not think that it was worthwhile, or that they did not believe that it would accomplish anything. Overall, it appears that the I&H experiences of male resident physicians are not as invisible as we may have once thought. This, however, is not due to a lack of effort. Many Canadian residency programs have developed I&H policies, provided education on issues around professionalism, and emphasized the role of physician wellness. However, despite these interventions and the supposed importance of preventing and mitigating the impact of I&H in residency, few specific solutions have been proposed. Furthermore, for there to be effective solutions for I&H among residents, we must consider the current culture regarding I&H in general, which has, until recently, portrayed males only as perpetrators, rather than victims, of I&H.
{"title":"The Emerging Epidemic of Male Me-Too: Response to Men’s Mental Health: Beyond Victim Blaming","authors":"A. Bahji","doi":"10.1177/0706743718805751","DOIUrl":"https://doi.org/10.1177/0706743718805751","url":null,"abstract":"The Canadian Journal of Psychiatry is an important reference in the education of psychiatric trainees in Canada and elsewhere. In the recently published editorial “Men’s Mental Health: Beyond Victim Blaming,” Dr. Whitley skillfully outlines how literature on the impact of intimidation and harassment (I&H) has largely focused on women and how a recently emerging field of discourse is the mental health experience of males. This article especially emphasized how men are disproportionately overrepresented in specific mental health domains, including rates of suicide, substance use disorders, underutilization of mental health resources, and overdose deaths involving fentanyl, yet men have simultaneously been left out of the recent “me-too” movement. As such, men’s mental health has aptly earned various eponyms, such as the “silent epidemic” or “quiet catastrophe,” as Dr. Whitley writes. It is not surprising, then, to learn that the focus of issues involving the impact of I&H among resident physicians has also largely ignored the experiences of males. However, recent studies have shown that I&H is also frequently reported by male resident physicians. In 2014, Karim and Duchcherer conducted an extensive literature review of surveys of resident physicians reporting incidents of I&H. The results were profound: I&H was found to be highly prevalent, with 45% to 93% of residents reporting this behaviour on at least one occasion. In one study, there were equal rates of sexual harassment reported by male and female residents. In another study, male residents were more likely to classify I&H behaviors as legitimate if they had a positive effect on their education. Regarding reasons to avoid reporting I&H, male residents more often reported that they did not think it was a problem, that they did not think that it was worthwhile, or that they did not believe that it would accomplish anything. Overall, it appears that the I&H experiences of male resident physicians are not as invisible as we may have once thought. This, however, is not due to a lack of effort. Many Canadian residency programs have developed I&H policies, provided education on issues around professionalism, and emphasized the role of physician wellness. However, despite these interventions and the supposed importance of preventing and mitigating the impact of I&H in residency, few specific solutions have been proposed. Furthermore, for there to be effective solutions for I&H among residents, we must consider the current culture regarding I&H in general, which has, until recently, portrayed males only as perpetrators, rather than victims, of I&H.","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122657278","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}
Pub Date : 2018-11-01DOI: 10.1177/0706743718806500
N. Zhand, David G. Attwood
Mental health legislation allows involuntary treatment under certain circumstances. It also permits patients to appeal and receive an independent review. Review boards aim to provide a balance between medicolegal considerations, while protecting patients’ rights and ensuring the public’s safety. There is little known about the consent and capacity board (CCB) decisions on findings of incapacity, involuntary admissions, or community treatment orders (CTOs). This study examines the outcomes of CCB hearings in patients with schizophrenia, who have a higher rate of involuntary admissions, incapacity for treatment, and issuance of CTOs.
{"title":"Review of the Outcomes of the Consent and Capacity Board in Patients with Schizophrenia Spectrum Illness","authors":"N. Zhand, David G. Attwood","doi":"10.1177/0706743718806500","DOIUrl":"https://doi.org/10.1177/0706743718806500","url":null,"abstract":"Mental health legislation allows involuntary treatment under certain circumstances. It also permits patients to appeal and receive an independent review. Review boards aim to provide a balance between medicolegal considerations, while protecting patients’ rights and ensuring the public’s safety. There is little known about the consent and capacity board (CCB) decisions on findings of incapacity, involuntary admissions, or community treatment orders (CTOs). This study examines the outcomes of CCB hearings in patients with schizophrenia, who have a higher rate of involuntary admissions, incapacity for treatment, and issuance of CTOs.","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132840213","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}
Pub Date : 2018-10-29DOI: 10.1177/0706743718802810
Anna Richard Bourgeois
{"title":"Book Review: Forces et souffrances psychiques de l'enfant. Tome I: Le développement infantile","authors":"Anna Richard Bourgeois","doi":"10.1177/0706743718802810","DOIUrl":"https://doi.org/10.1177/0706743718802810","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127200508","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}
Pub Date : 2018-07-01DOI: 10.1177/0706743718777395
G. Voineskos
Agitation is a common symptom of psychiatric and medical emergencies, and it often appears in a variety of medical environments. The origin of agitation and the differing approaches and treatments available are the principal focus of this book. The book begins with emphasis on the biology of agitation, followed by chapters on substance abuse, medical evaluation and psychiatric evaluation of patients with agitation, medical causes of agitation, personality disorders, pediatrics, and geriatrics. Treatment options are outlined, including psychiatric and medical workups, psychopharmacology, deescalation, and calming techniques. Legal issues, patients’ rights, and approaches in prehospital settings are addressed that provide physicians, nurses, and health care workers in general with guidelines for safe, focused, and effective treatment. The book consists of 18 chapters written by 31 authors often working in pairs. The authors have long and distinguished experience in emergency medicine and psychiatry, as do the three editors. Each chapter begins with an introduction and proceeds to provide a background of the development of agitation, discussing the key concepts of etiology and management. The biology of agitation takes up a chapter of its own in substantial length and detailed depth. This is followed by the medical evaluation of the agitated patient and the diagnostic evaluation of psychiatric patients and the elderly. The next chapter deals with agitation related to substance use, abuse, and withdrawal. This chapter provides a good picture of the impact of alcohol-related agitation and alcohol-related dementia. The frequency of agitated behavior as a symptom of psychiatric conditions and somatic conditions, particularly neurological states, is discussed, as are stimulants, especially cocaine, which could lead to stroke, heart attack, and heart failure. Withdrawal symptoms, alcohol-related dementia including WernickeKorsakoff syndrome, and scales to assess agitation are discussed. This chapter, like the previous chapters, concludes with a detailed list of references. The next chapter is focused on medical causes of agitation arising from systemic illness. Chapter 6 deals with agitation in the elderly, since they constitute a special population presenting unique problems to health care providers. The three subsequent chapters deal with the psychiatric evaluation of patients with agitation and the causes of exacerbation of agitation in those with personality disorders and those with mood and psychotic disorders. The next chapter deals with standards of care leading to collaborative deescalation to prepare to engage early and safely the person around medication use. Chapter 11’s focus is on agitation in field settings by emergency medical services providers and law enforcement personnel. Chapter 12 deals with the use of conducted energy devices and of TASERS in the prehospital environment. There appears to be a significant focus on patients suffering f
躁动是精神病学和医疗紧急情况的常见症状，它经常出现在各种医疗环境中。激越的起源和不同的方法和治疗方法是这本书的主要焦点。这本书开始强调躁动的生物学，接着是药物滥用的章节，医学评估和躁动患者的精神评估，躁动的医学原因，人格障碍，儿科和老年病学。治疗方案概述，包括精神病学和医学检查，精神药理学，降级和镇静技术。法律问题，病人的权利，并在院前设置的方法，为医生，护士和一般卫生保健工作者提供指导方针的安全，重点和有效的治疗。这本书由31位作者组成，共18章，通常是两人一组。作者在急诊医学和精神病学方面有着长期而杰出的经验，三位编辑也是如此。每章以介绍开始，并继续提供躁动的发展背景，讨论病因和管理的关键概念。躁动的生物学在相当长的篇幅和详细的深度上占据了它自己的一章。接下来是对焦虑患者进行医疗评估，对精神病患者和老年人进行诊断评估。下一章讨论与药物使用、滥用和戒断有关的躁动。本章提供了与酒精有关的躁动和与酒精有关的痴呆的影响的一个很好的图片。作为精神疾病和躯体疾病，特别是神经系统状态的症状，激动行为的频率被讨论，兴奋剂，特别是可卡因，可能导致中风，心脏病发作和心力衰竭。讨论了戒断症状、酒精相关痴呆(包括WernickeKorsakoff综合征)和评估躁动的量表。本章和前几章一样，以详细的参考文献列表作为结尾。下一章的重点是由全身性疾病引起的躁动的医学原因。第6章讨论老年人的躁动问题，因为他们是向保健提供者提出独特问题的特殊群体。随后的三章涉及躁动患者的精神病学评估，以及那些患有人格障碍和情绪和精神障碍的患者的躁动加剧的原因。下一章涉及导致协作降级的护理标准，以准备尽早和安全地参与药物使用的人。第11章的重点是紧急医疗服务提供者和执法人员在现场环境中的鼓动问题。第十二章讨论了传导能量装置和泰瑟在院前环境中的使用。人们似乎非常关注患有兴奋性谵妄综合征的患者，这是一种真正的医疗紧急情况，需要快速识别和控制。第13章的重点是适当使用约束和隔离，第14章涉及躁动的药物治疗。第15章讨论躁动的社会环境和文化方面，而第16章处理躁动的伦理和病人的能力。第17章讨论了病人的权利和家属的观点。最后一章，即第18章，主要讨论儿童和青少年这一特殊群体。这本书是一个实用的指南，探索激越的起源，以及在激越的管理不同的方法和治疗方法。而书的章节提供了一个科学的基础，既病因和躁动的管理，相当经常的读者会发现一个良好的程度重叠和重复的章节之间。这种重复从书的开头就很明显。例如，在第2章“躁动的生物学”中提供的主题文献的描述在随后的章节中重复出现。然而，在这本书的章节提供了宝贵的指导，以创建急需的临床指南和建议的诊断和躁动的有效管理。这本书是值得称赞的，因为它的人性化的方法来诊断和管理躁动和覆盖的生命跨度从青年到老年。这本书没有印刷错误。价格是合理的。加拿大精神病学杂志/ La Revue Canadienne de Psychiatry 2018, Vol. 63(7) 501 a .作者(s) 2018转载并许可:sagepub.com/journalsPermissions.nav TheCJP。ca / LaRCP。加拿大精神病学协会
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