Psychiatry-Interpersonal and Biological Processes最新文献

Encanto is a journey of self-discovery, empowerment, understanding and addressing deep rooted familial and childhood trauma, and reframing our negative thoughts and behaviors into positive ones. It also provides opportunities to sing-along to some of the catchiest earworms to top the Billboard Hot 100 in years. This masterpiece of a film can be used to educate medical students and psychiatry residents on psychodynamic theory in a low-stakes and safe environment to provide insight into our thoughts and feelings, which can be the first step to recovery.

Objective: Few investigations have focused specifically on engaging Spanish-speaking patients in early post-injury comparative effectiveness trials. The goal of this study was to identify and categorize hospitalized Spanish-speaking injury survivors' posttraumatic concerns. Method: A secondary analysis of baseline data collected as part of a larger randomized comparative effectiveness trial was conducted. Participants were 22 male and female Spanish, non-English, speaking survivors of intentional and unintentional injuries, ages ≥ 18. At baseline, while hospitalized, each patient was asked to describe the nature and severity of their post-injury concerns. Patient concern narratives were audio-recorded and later transcribed. Raters coded patients' transcribed concerns into content domains. The associations between patient self-reported concern severity and posttraumatic stress disorder symptoms assessed with the PTSD Checklist and depressive symptoms assessed with the PHQ-9 were also ascertained. Results: The concerns of Spanish-speaking patients were reliably categorized into previously described content domains (i.e., work and finance, physical health, social, psychological, medical, and legal domains). The composite Kappa statistic across domains was 0.83 (95% Confidence Interval = 0.74, 0.92). Spanish-speaking patients also expressed novel concerns, including immigration, discriminatory experiences, and Coronavirus pandemic, related concerns. The number of severe patient concerns was highly correlated with PHQ-9 depressive symptom levels (r = 0.52, p < .05). Conclusions: The concerns of Spanish-speaking trauma survivors can be readily elicited and reliably interpreted. Future research could integrate concern narrative elicitation and amelioration into stepped care intervention procedures in order to engage diverse Spanish-speaking injury survivors and advance equitable trauma care system service delivery.

Stories have, throughout all of time, given human beings an opportunity to contrast our own experiences and thoughts with a character's. To imagine another's situation, empathize with it, and then learn of their struggles or achievements, is an excellent opportunity for us to grow. It is transformative. These meaningful messages should be examined, rather than simply dismissed. Medicine has learned much from examining animals, nature, and history. Is it outlandish to consider the possibility that examination of Middle Earth, Hobbits and Elves, could be equally useful? When we consider psychiatric illness or distress, we are examining many very complicated processes happening within an individual's mind. Similarly, when we read or watch a well-done novel or film, the impact can be very far from fictitious. We experience the story with the characters, often reciprocating their emotions and deliberating on their decisions. To chalk this experience up as "fake" would be a disservice. After all, the effects of the physical world and a person's imagination can have comparable reverberations throughout the psyche. Stories have considerable impact on our psychological health, and the insight that we extract from them can improve overall emotional wellbeing. The Lord of the Rings is a classic and brilliantly depicted narrative. Despite many characters being of different species, they teach very tangible human lessons. This article will explore some of these lessons, all the while considering their influence and importance in life, whether psychiatrically beneficial or destructive. Specifically, six lessons will be discussed.

Objective: One way healthcare organisations can support their staff is through supervision. Supervision is typically defined as a process in which professionals receive support and guidance from more experienced colleagues. In this brief review we propose a tailored protocol for supporting support workers during a pandemic. Method: We collected narrative data from difference sources including a systematic meta ethnography and used expert advise in order to tailor the protocol. Results: This protocol can be used by management teams (e.g., senior support workers, team leaders, registered managers, and operation managers) without any prior experience of supervision. The protocol suggested includes a template with easy-to-follow instructions. Conclusions: It provides an easy step-by-step guide that simplifies the process whilst maintaining the depth needed to ensure effective supervision.

Background: Soldiers are resilient to just war events, such as killing enemy combatants and life-threatening experiences, but these same soldiers appear to struggle with unjust war events, such as killing a noncombatant or being unable to help civilian women and children in need. This study is the first to examine how just and unjust war experiences are associated with clinical health service outcomes. Methods: Two samples of soldiers in different stages of readjustment from deployment were drawn from a longitudinal, survey-based study of a US Army brigade. Measures included items related to combat events, mental health utilization, perceived mental health need, PTSD, depression, and functional impairment. Results: After controlling for other kinds of combat events, just war events (i.e., life-threatening events and killing enemy combatants) predicted outcomes in soldiers who are less than three months post-deployment, but only predicted 2 of 26 outcomes in soldiers one year post deployment. In contrast, unjust war events were found to be robust predictors of short-term and long-term outcomes related to mental health need and utilization, even after controlling for exposure to other combat events. Conclusions: The results extend previous longitudinal research that suggests that exposure to unjust war events carry a heavier long-term mental health burden than other types of events. Additionally, Soldiers exposed to unjust war events had an unmet need for care one year post deployment that was not directly tied to PTSD or depression. The results question the emphasis on life-threat within mental health pathogenesis models.