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Psychiatrists, Physicians, and the Prescriptive Bond

April 16, 2010  |  Posted by Psychiatric Times | No Comments
Almost the first memory I have of a physician is our family doctor at my bedside, leaning over to press his warm fingers against my neck and beneath my jaw. I’m 5, maybe 6 years old. I have a fever and a sore throat, and Dr Gerace is carefully palpating my cervical and submandibular lymph nodes. In my family, Dr Gerace’s opinion carried a lot of weight. It was the 1950s, and my mother did not quite trust those new-fangled antibiotics. She usually tried to haggle with the doctor over the dose—“Can’t the boy take just half that much?”—but even my mother would ultimately bow to Dr Gerace’s considered opinion.

DSM5: An Open Process or Bust

April 15, 2010  |  Posted by Psychiatric Times | No Comments
The first drafts of DSM5 were posted 2 months ago, allowing the field and the public a first glimpse into what had previously been an inexplicably secretive process. Today is the last day for public comment on these drafts. This is a plea for continued openness and iterative interchange in the next steps in the preparation of DSM5.

The Missing Risk/Benefit Analyses For DSM5

April 15, 2010  |  Posted by Psychiatric Times | No Comments
DSM5 first went wrong because of excessive ambition; then stayed wrong because of its disorganized methods and its lack of caution. Its excessive and elusive ambition was to aim at a "paradigm shift.”

Maintaining Professional Boundaries in a Facebook World

April 12, 2010  |  Posted by Psychiatric Times | No Comments
Like millions of Americans, I’ve joined Facebook. I really enjoy it because it conveniently lets me stay in touch with my friends. I don’t tell my patients that I have a Facebook profile, but many patients tell me about their Facebook activities during therapy. How should I respond if a patient to “friend” me?

Neuroimaging of Mood Disorders

April 9, 2010  |  Posted by Psychiatric Times | No Comments
Help in Clinical Decision Making