Dr Shock

415 posts · 640,487 views

This is the personal blog of a Dutch psychiatrist working in a University hospital. His specialty in psychiatry is the treatment of depression. This explains his interest in electroconvulsive therapy and the development of new forms of neurostimulation for the treatment of depression. He is also involved in medical education. He does research in the treatment and neuroscience of depression. He mostly writes about these topics on this blog for fun and to keep up with recent developments. Besides writing about his work he also writes about other subjects that (neuro)stimulates him such as chocolate, computer gaming, gadgets, and Internet. The postings are based on what I want to write about and what I feel will be interesting to read.

Dr Shock MD PhD
415 posts

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  • October 31, 2008
  • 12:41 AM
  • 2,249 views

Sex, Chocolate and the Brain or Why Women Prefer Chocolate

by Dr Shock in Dr Shock MD PhD

After satiation with chocolate the tasting of chocolate activates different brain areas in men and women.

In men, chocolate satiation was associated with increased taste activation in the ventral striatum, insula, and orbitofrontal and medial orbitofrontal cortex and with decreased taste activation in somatosensory areas. Women showed increased taste activation in the precentral gyrus, superior temporal [...]... Read more »

Paul AM Smeets,, Cees de Graaf,, Annette Stafleu,, Matthias JP van Osch,, Rutger AJ Nievelstein,, & Jeroen van der Grond. (2006) Effect of satiety on brain activation during chocolate tasting in men and women. American Journal of Clinical Nutrition. DOI: http://www.ajcn.org/cgi/content/full/83/6/1297  

Bruinsma, Kristen, & Taren, Douglas L. (1999) Chocoalte: Food or Drug?. Journal of the american dietetic association, 99(10), 1249-1256. DOI: 10524390  

  • October 30, 2008
  • 12:41 AM
  • 1,650 views

What Kind of a Person Writes on Wikipedia or Blog or Medblog?

by Dr Shock in Dr Shock MD PhD

Wikipedia members tend to locate their “real me” on the Internet as compared with non-Wikipedia members. This it indicates that Wikipedia members feel more comfortable expressing themselves on the net than they do off-line. Wikipedia members scored lower on agreeableness and openness. Introverted women were more likely to be Wikipedia members as compared with extroverted [...]... Read more »

Yair Amichai–Hamburger, Naama Lamdan, Rinat Madiel, & Tsahi Hayat. (2008) Personality Characteristics of Wikipedia Members. CyberPsychology , 2147483647-3. DOI: 10.1089/cpb.2007.0225  

  • October 28, 2008
  • 12:51 AM
  • 2,872 views

Sex and Neuroscience, a new series

by Dr Shock in Dr Shock MD PhD

The coming week I will post articles about gender and/or sex and neuroscience. Topics with sex or gender and brains will be chocolate, computer game play, depression, medical education and brain sex differences, so stay tuned.

Now what is the difference between gender and sex?

Sex = male and female

Gender = masculine and feminine

So in essence:

Sex refers [...]... Read more »

Larry Cahill. (2006) Why sex matters for neuroscience. Nature Reviews Neuroscience, 7(6), 477-484. DOI: 10.1038/nrn1909  

  • October 25, 2008
  • 12:17 AM
  • 1,948 views

Strengths and Challenges of Medical Education in Virtual Worlds

by Dr Shock in Dr Shock MD PhD

The educational opportunity in Virtual Worlds such as Second Life may not be a replacement for the doctor- or nurse-patient interaction or relationship, but they may serve as an adjunct or pre- or post-learning tool.

Strengths of Virtual Worlds in Medical Education:

In virtual worlds you can design and construct unique environments and then share them with [...]... Read more »

  • October 23, 2008
  • 02:33 AM
  • 1,927 views

The Generational Divide in Internet Use

by Dr Shock in Dr Shock MD PhD

Elderly people use social networking and user generated content on the Internet strikingly less than younger people. The importance of the Internet in work, education, and daily life is incontrovertible.

A digital generational divide is developing, this indicates a gap between digitally literate users and the elderly. This has disadvantages especially for the elderly since new [...]... Read more »

Amela Karahasanovic,, Petter Bae Brandtz,, Jan Heim,, Marika Lüders,, Lotte Vermeir, Jo Pierson, Bram Lievens, Jeroen Vanattenhoven, & Greet Jans. (2008) Co-creation and user-generated content–elderly people’s user requirements. Computers in Human Behavior. DOI: DOI  

  • October 21, 2008
  • 12:22 AM
  • 2,471 views

Online Non Verbal Communication: Emoticons

by Dr Shock in Dr Shock MD PhD

Emoticons allow receivers to correctly understand the level and direction of emotion, attitude, and attention expression. These results prove that emoticons perform nonverbal communication functions.

Not often but so now and then I use emoticons in e-mails. Mostly because the meaning and text differ. In normal communication this is expressed mostly in non verbal communication. Non [...]... Read more »

  • October 20, 2008
  • 12:33 AM
  • 2,282 views

Walking 3 times 50 minutes a week keeps the doctor a way

by Dr Shock in Dr Shock MD PhD

A recent study showed that practitioners’ exercise advice and the walking-programme efficiently enhanced the health-related quality of life in a high risk population, overweight or moderately depressed elderly women.

The walking programme consisted of supervised walks with a group in a public park or forest tracks three times a week during 50 minutes over a 6-month [...]... Read more »

  • October 16, 2008
  • 02:32 AM
  • 1,533 views

Negative attitude in medical students towards patients with Mental Illness

by Dr Shock in Dr Shock MD PhD

A recent study published in Medical Education demonstrated that undergraduate medical students react less positively towards mentally ill patients in primary care than to patients in good health or with a chronic physical illness, such as diabetes.

Despite striving to promote knowledge and skills related to the recognition and management of patients with mental illness [...]... Read more »

Robert P Dixon, Lesley M Roberts, Stephen Lawrie, Lisa A Jones, & Martin S Humphreys. (2008) Medical students’ attitudes to psychiatric illness in primary care. Medical Education. DOI: 10.1111/j.1365-2923.2008.03183.x  

  • October 14, 2008
  • 12:04 AM
  • 2,274 views

Antidepressants in Bipolar Depression

by Dr Shock in Dr Shock MD PhD

In a recent systematic review it is concluded that with the limited number of studies and their methodological limitations no evidence was found supporting the notion that antidepressants can induce switching or accelerate cycling. In terms of switch risk, antidepressants seem safe when combined with a mood stabilizer. However, antidepressants given as monotherapy cannot be [...]... Read more »

  • October 11, 2008
  • 12:20 AM
  • 1,828 views

Computer Games Good For You?

by Dr Shock in Dr Shock MD PhD

We all know the attitude of the Chinese government towards Internet: China’s Crackdown on the Internet.

Especially online video game playing is used as excuse to block the Internet. In China Internet addiction is a major problem . Another explanation:

Another explanation for Internet addiction could be a creative manner of censorship by the Chinese government. [...]... Read more »

De-Lin Sun, Ning Ma, Min Bao, Xang-Chuan Chen, & Da-Ren Zhang. (2008) Computer Games: A Double-Edged Sword?. CyberPsychology , 11(5), 545-548. DOI: 10.1089/cpb.2007.0145  

  • October 8, 2008
  • 12:27 AM
  • 1,618 views

The Social Capital Divide in MySpace

by Dr Shock in Dr Shock MD PhD

Researchers found evidence for a social capital divide on My Space based on age. They did a study of user profiles among teenagers and older users of MySpace. MySpace is one of many online social networking site, but one of the largest.

These are the age differences in online social networking between teenagers and older users [...]... Read more »

  • October 6, 2008
  • 12:30 AM
  • 1,085 views

Lurkers in Health 2.0, Do They Benefit?

by Dr Shock in Dr Shock MD PhD

Studies have suggested that patients who use online support groups benefit in various ways:

participants were being better informed

they were feeling more confident with their physician, their treatment, and their social environment

acceptance of the disease improved

increased optimism and control

enhanced self esteem and social well-being

In short online support groups had a profound effect on the participants’ feelings [...]... Read more »

Gunther Eysenbach, Andrea Meier, Cornelia F van Uden-Kraan, Constance HC Drossaert, Erik Taal, Erwin R Seydel, & Mart AFJ van de Laar. (2008) Self-Reported Differences in Empowerment Between Lurkers and Posters in Online Patient Support Groups. Journal of Medical Internet Research, 10(2). DOI: 10.2196/jmir.992  

  • October 2, 2008
  • 12:11 AM
  • 2,112 views

Long-term psychodynamic psychotherapy effective for complex mental disorders

by Dr Shock in Dr Shock MD PhD

Long term psychodynamic psychotherapy (LTPP) is an effective treatment for complex mental disorders. Long term meaning at least one year or 50 sessions. Complex mental disorders means personality disorders, chronic mental disorders (defined as lasting at least a year), multiple mental disorders (2 or more mental disorders), or complex depression and anxiety disorders.

In all, 11 [...]... Read more »

F. Leichsenring, & S. Rabung. (2008) Effectiveness of Long-term Psychodynamic Psychotherapy: A Meta-analysis. JAMA: The Journal of the American Medical Association, 300(13), 1551-1565. DOI: 10.1001/jama.300.13.1551  

  • October 1, 2008
  • 12:28 AM
  • 2,287 views

How to remember were things are or were did I leave my IPhone?

by Dr Shock in Dr Shock MD PhD

Were would we be without all the new gadgets. Names, phone numbers, directions, appointments we use digital devices to remember them. But were did I leave my iPhone, GPS, telephone? Before the gadgets we used to be looking for our keys, wallet, glasses. So Object–location memory is now even more vitally important for many [...]... Read more »

  • September 30, 2008
  • 12:06 AM
  • 2,300 views

MySpace, Romance and Emotional Intelligence

by Dr Shock in Dr Shock MD PhD

Higher emotional intelligence discourages using MySpace for romance. Low self esteem encourages young adults in using MySpace for romance.

Romance being in this study: Romantic communication is conceptualized as looking for dates and building intimate relationships

MySpace users can create a homepage that includes favorite pictures, music, television shows, and books. MySpace has more than 100 million [...]... Read more »

  • September 26, 2008
  • 12:26 AM
  • 1,746 views

The Dangers of Facebook or Let’s Be Careful Out There

by Dr Shock in Dr Shock MD PhD

Individuals with profiles on social networking websites have greater risk taking attitudes than those who do not.

Greater risk taking attitudes exist among men than women.

Facebook has a greater sense of trust than MySpace.

General privacy concerns and identity information disclosure concerns are of greater concern to women than men.

Greater percentages of men than women display their [...]... Read more »

  • September 24, 2008
  • 12:21 AM
  • 1,702 views

Deep Brain Stimulation for Addiction?

by Dr Shock in Dr Shock MD PhD

With the expanding knowledge of the neuronal circuits responsible for the behavioral disorders associated with addiction, though, DBS could become a future treatment option for patients suffering from addiction.

In people addicted to psychoactive substance it has been shown by Positron emission tomography studies that, when they take the psychoactive substance, dopamine is released in the [...]... Read more »

Bianca M. L. Stelten, Lieke H. M. Noblesse, Linda Ackermans, Yasin Temel, & Veerle Visser-Vandewalle. (2008) The neurosurgical treatment of addiction. Neurosurgical FOCUS, 25(1). DOI: 10.3171/FOC/2008/25/7/E5  

  • September 23, 2008
  • 12:48 AM
  • 2,955 views

Gender Bias in Medical Textbooks

by Dr Shock in Dr Shock MD PhD

Current medical textbooks do not consistently integrate gender-related aspects of coronary heart disease, depression and alcohol abuse, thereby omitting information. When it is available, information mainly applies to epidemiological data and reproduction.

This is not limited to text books but also applies to guidelines and medical curriculum.

The authors selected medical textbooks recommended by at least [...]... Read more »

  • September 22, 2008
  • 12:32 AM
  • 2,315 views

Potential surgical targets for deep brain stimulation in treatment-resistant depression

by Dr Shock in Dr Shock MD PhD

Deep brain stimulation has shown promise in the treatment of treatment resistant depression(TRD) in some small series and case reports. The definition of TRD is still a matter of debate. There isn’t one clear classification scheme of TRD. TRD shouldn’t be mixed up with pseudoresistant depression . The recent research with deep brain stimulation showed [...]... Read more »

Jason S. Hauptman, Antonio A. F. DeSalles, Randall Espinoza, Mark Sedrak, & Warren Ishida. (2008) Potential surgical targets for deep brain stimulation in treatment-resistant depression. Neurosurgical FOCUS, 25(1). DOI: 10.3171/FOC/2008/25/7/E3  

  • September 19, 2008
  • 12:03 AM
  • 2,894 views

Emotional Intelligence and Medical Education

by Dr Shock in Dr Shock MD PhD

Why should emotional intelligence be important in medical education?

It could develop a better understanding of the competency interpersonal and communications skills. Communications skills of a medical student are easier to define and observe than interpersonal skills. You can use a one way screen, and rating scales. Successful interaction needs more than communications skills and this [...]... Read more »

D. Grewal, & H. A. Davidson. (2008) Emotional Intelligence and Graduate Medical Education. JAMA: The Journal of the American Medical Association, 300(10), 1200-1202. DOI: 10.1001/jama.300.10.1200  

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