Dr Shock

415 posts · 648,137 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
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  • February 25, 2010
  • 02:32 AM
  • 1,575 views

The Essence of Chocolate

by Dr Shock in Dr Shock MD PhD


Nutrition had a very nice and comprehensive editorial on the essence of chocolate. It mentions the recently discovered profitable effects of chocolate on the human physiology often mentioned on this blog.
In short:

Reduction of blood pressure by 6 grams of dark chocolate per day. Probably due to the flavonol epicatechin
Reduction of platelet and endothelial cell activation
Reduction [...]


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  • February 23, 2010
  • 02:47 AM
  • 1,397 views

Time Management and Memory

by Dr Shock in Dr Shock MD PhD


Time management is often necessary to complete tasks in a give period or sequence. For this you have to weigh the importance of your tasks, which is the most important or urgent. You’ll mostly use some way to organize and remind your tasks (to-do lists), in order to reduce the cognitive load by having to [...]


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  • February 22, 2010
  • 02:02 AM
  • 2,003 views

How Risky Are Social Networking Sites for Kids

by Dr Shock in Dr Shock MD PhD


This article discussed in this post, isn’t recent but the conclusion is very nuanced which isn’t always the case with publications especially in news media about social networking and kids or adolescents. Seems that politicians are advocating measures to restrict social networking for children in order to prevent assumed online sexual exploitation and Internet harassment.
Broad [...]


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  • February 17, 2010
  • 01:49 AM
  • 2,305 views

The Misuse of Quetiapine

by Dr Shock in Dr Shock MD PhD


A lot of medication gets misused, as is the right expression, meaning not used for the intention or indication it was developed for in the first place. This reminded me of one of my first publications on the abuse of anticholinergics.
From case reports it appears that quetiapine is sought after for recreational use and inappropriate [...]


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  • February 15, 2010
  • 02:44 AM
  • 1,311 views

Women Online Shopping: Shop Until You Drop?

by Dr Shock in Dr Shock MD PhD


Personally I like online shopping mainly because it’s easy, fast and convenient, you can shop when you want to anywhere you want to. There’s a gender gap in online shopping. More men than women engage in online shopping and make online purchases while in the offline world women love to shop.
Until recent very few [...]


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  • February 12, 2010
  • 02:17 AM
  • 1,286 views

The Neuroscience of Meditation

by Dr Shock in Dr Shock MD PhD


Meditation is different from rest or sleep. It’s a wakeful hypometabolic state with lowered sympathetic activity as opposed to the fight and flight reactions which requires an active sympathetic system. Parasympathetic activity is increased which is important for relaxation and rest. This increase of parasympathetic state is characterized by reduced heart rate, lower systolic blood [...]


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  • February 10, 2010
  • 02:29 AM
  • 1,283 views

Were do Mirror Neurons Come From?

by Dr Shock in Dr Shock MD PhD


This video is about mirror neurons. These mirror neurons are the key to many aspects of social interaction. It allows us to understand the actions, feelings of others. In a way to “read their minds”. Possibly mirror neurons play an important role in empathy , an important asset for physicians.
But were do they come from [...]


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  • February 9, 2010
  • 02:08 AM
  • 904 views

Optimal Target for Deep Brain Stimulation for Depression

by Dr Shock in Dr Shock MD PhD


The strongest evidence exists for Broadman Area 25 in the subcallosal cingulate gyrus (SCG) as target for deep brain stimulation in treatment resistant depression. This area in the brain is depicted in the figure above and is from the most important publication about DBS and depression in Neuron march 2005 by Helen Mayberg. Functional neuroimaging [...]


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  • February 8, 2010
  • 02:26 AM
  • 777 views

The Hidden and Informal Curriculum During Medical Education

by Dr Shock in Dr Shock MD PhD


Both the hidden and informal curriculum take place after or next to the theoretical teaching, the formal teaching and has an important part in the shaping of the medical students’ professionalism and professional values. Moreover, these forms of the curriculum have a major impact on the learning potential of med students. Yet little is known [...]


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Karnieli-Miller O, Vu TR, Holtman MC, Clyman SG, & Inui TS. (2010) Medical students' professionalism narratives: a window on the informal and hidden curriculum. Academic medicine : journal of the Association of American Medical Colleges, 85(1), 124-33. PMID: 20042838  

  • February 5, 2010
  • 02:37 AM
  • 2,055 views

10 Websites With The Best Information on Depression

by Dr Shock in Dr Shock MD PhD


After searching for websites about depression (‘‘depression,’’ ‘‘depression treatment,’’ and ‘‘depression help’’) with a popular search engine: Google, the authors of this work carefully examined the websites. The websites were evaluated on accountability, interactivity, esthetics, readability and content quality. They also used the brief DISCERN as a content quality indicator for general consumers. They found [...]


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Zermatten, A., Khazaal, Y., Coquard, O., Chatton, A., & Bondolfi, G. (2010) Quality of web-based information on depression. Depression and Anxiety. DOI: 10.1002/da.20665  

  • February 2, 2010
  • 02:20 AM
  • 1,214 views

Selection Of Medical Students

by Dr Shock in Dr Shock MD PhD


The government of The Netherlands has decided to abolish the numerous fixus (weighted lottery) for medical education. This meant that only 2850 students were able to go to med school a year. The numerous fixus was mainly based on high grades on high school. Universities are allowed to make there own selection criteria for admittance [...]


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Urlings-Strop, L., Stijnen, T., Themmen, A., & Splinter, T. (2009) Selection of medical students: a controlled experiment. Medical Education, 43(2), 175-183. DOI: 10.1111/j.1365-2923.2008.03267.x  

  • February 1, 2010
  • 02:33 AM
  • 1,688 views

What Humor Style Do You Have?

by Dr Shock in Dr Shock MD PhD


Did you know there is a sense of humor questionnaire? It’s called the Humor Styles Questionnaire and distinguishes between four styles of humor.

Affiliative, use of humor to amuse others and facilitate relationships
Self enhancing, use of humor to cope with stress and maintain a humorous outlook during times of difficulty
Aggressive, use of sarcastic, manipulative, put-down, or [...]


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  • January 27, 2010
  • 02:49 AM
  • 1,694 views

Attachment Theory and Poorly Performing Doctors

by Dr Shock in Dr Shock MD PhD


The attachment theory from the sixties of the previous century is still used e.g. in psychotherapy but also in research such as shown in a recent post on:How do social relationships function online. Is attachment theory also useful in medical education, does it explain the poor performance by some doctors? After all doctors are required [...]


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  • January 25, 2010
  • 02:45 AM
  • 1,084 views

The Neuroscience of Jazz

by Dr Shock in Dr Shock MD PhD


Improvisation is the main feature of Jazz that distinguishes it from other forms of music making. Improvisation is the spontaneous musical performance within a relevant musical context. It consists of novel melodic, harmonic and rhythmic musical elements. This unique feature of jazz offers the opportunity for neurobiological research or even creativity. What they did was [...]


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  • January 21, 2010
  • 02:34 AM
  • 2,219 views

Medical Dangers of Jazz

by Dr Shock in Dr Shock MD PhD


In this second post about jazz and health we focus on the literature regarding somatic illness instead of mental illness. In the previous post we already mentioned drug use as one of the major hazards for jazz musicians. Drug use by jazz musicians can have all sorts of reasons such as the enhancement of creativity, [...]


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  • January 18, 2010
  • 02:15 AM
  • 1,737 views

Jazz and Psychiatry

by Dr Shock in Dr Shock MD PhD


This post was inspired by two recent visits to jazz clubs in Paris. It’s the first in a series of three. The others are: Medical Dangers of Jazz and The neuroscience of Jazz.
What do we know about the relationship between mental illness and creativity, more specific about the relationship between mental illness and jazz. [...]


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  • January 12, 2010
  • 02:56 AM
  • 1,258 views

The Neuroscience of Curiosity

by Dr Shock in Dr Shock MD PhD


Part of practicing medicine is the recognition of patterns. You need to get the symptoms, physical examination and lab results and review the data to recognize the big picture called diagnoses. The only difference between residents and specialists is the speed at which they arrive at the correct diagnoses. The specialist mostly get there quicker. [...]


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Heilman, K., Nadeau, S., & Beversdorf, D. (2003) Creative Innovation: Possible Brain Mechanisms. Neurocase, 9(5), 369-379. DOI: 10.1076/neur.9.5.369.16553  

  • January 11, 2010
  • 02:21 AM
  • 1,619 views

The Neuroscience of Pregnancy

by Dr Shock in Dr Shock MD PhD


Pregnancy requires many adaptations to new situations. These changes are accompanied by massive neuroendocrine changes leading to adaptations organized by the mother’s brain. These changes are necessary for the different phases of pregnancy and motherhood.
First optimization is needed for the growth and protection of the fetus, next parturition has to be timely and uncomplicated, next [...]


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Brunton, P., & Russell, J. (2008) The expectant brain: adapting for motherhood. Nature Reviews Neuroscience, 9(1), 11-25. DOI: 10.1038/nrn2280  

  • January 7, 2010
  • 03:06 AM
  • 2,338 views

Internet Use Has No Negative Influence on Well-being

by Dr Shock in Dr Shock MD PhD


A recent meta-analysis examined the relationship between various Internet uses and well being. The studies published until know is mostly about the discussion whether using Internet for communication with e-mail replaces other forms of communication such as using the phone, chat or face to face contact. Contact through e-mail, facebook, twitter and such replaces real [...]


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  • January 4, 2010
  • 02:40 AM
  • 1,020 views

The Dangers of Facebook

by Dr Shock in Dr Shock MD PhD


The threats of the popular social network Facebook are:

Identity theft
Threats to personal safety such as stalking or threatening either online or in real life
Social risks through participating in minority groups or stigmatized groups

How do people differ in self-disclosure and what kind or how much of information has a high risk for these treats?
In a recent [...]


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