415 posts · 641,337 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.
Why do young adults play online games such as First Person Shooters? What are their motives?
Communication before, during, and after online gaming is of the utmost importance for these gamers. They like the “togetherness” in these centers. Paying for going to an online game center was far better than the solitude of gaming from their [...]... Read more »
Frostling-Henningsson, M. (2009) First-Person Shooter Games as a Way of Connecting to People: “Brothers in Blood”. CyberPsychology , 2147483647. DOI: 10.1089/cpb.2008.0345
Lombroso believed that 40% of criminals were ‘born criminals’ who could be distinguished by physical features including relatively long arms, prehensile feet with mobile big toes, low and narrow forehead, large ears, thick skull, large jaw, etc. The main objection to his hypotheses were his campaign on the basis of his theory for a preventive [...]... Read more »
Craig, M., Catani, M., Deeley, Q., Latham, R., Daly, E., Kanaan, R., Picchioni, M., McGuire, P., Fahy, T., & Murphy, D. (2009) Altered connections on the road to psychopathy. Molecular Psychiatry. DOI: 10.1038/mp.2009.40
Yang, Y., Raine, A., Colletti, P., Toga, A., & Narr, K. (2009) Abnormal temporal and prefrontal cortical gray matter thinning in psychopaths. Molecular Psychiatry, 14(6), 561-562. DOI: 10.1038/mp.2009.12
Psychotherapy training in residency has lost much of it’s importance due to the increasing interest for biological psychiatry and biological treatments. Especially those using long term psychotherapy haven’t supplied the answers for the growing demand for evidence based treatment. In the US the residency review committee has reduced the number of psychotherapy schools back to [...]... Read more »
Plakun, E., Sudak, D., & Goldberg, D. (2009) The Y Model: An Integrated, Evidence-Based Approach to Teaching Psychotherapy Competencies. Journal of Psychiatric Practice, 15(1), 5-11. DOI: 10.1097/01.pra.0000344914.54082.eb
I’ve told you that so now and than I am playing computer games. Not only at home but since I’ve installed some games on my IPhone I also play while waiting for patients, meetings etc. It relaxes me. Getting my mind of. That’s why a recent study got my attention. The study investigated the [...]... Read more »
Reinecke, L. (2009) Games at Work: The Recreational Use of Computer Games During Working Hours. CyberPsychology , 2147483647. DOI: 10.1089/cpb.2009.0010
As a psychiatrist you get the opportunity to listen to your patients. Especially in psychotherapy you have the privilege of listening and understanding the patient. As a general practitioner this time is not always given. In The Netherlands most appointments with a GP lasts for 5 to 10 minuets at the most. Here is a [...]... Read more »
What is cyberbullying?
Cyberbullying techniques use modern communication technology to send derogatory or threatening messages directly to the victim or indirectly to others, to forward personal and confidential communication or images of the victim for others to see, and to publicly post denigrating messages
Cyberbullying has been in the news mostly for children and young adults. There [...]... Read more »
Privitera, C., & Campbell, M. (2009) Cyberbullying: The New Face of Workplace Bullying?. CyberPsychology , 2147483647. DOI: 10.1089/cpb.2009.0025
50 to 60 % of patients with a depressive disorder fail to respond to their first antidepressant. These rates increase in clinical practice setting to 65 to 85%. Estimates of treatment resistant depression (TRD) prevalence varies greatly depending on treatment setting. The lowest TRD prevalence is in primary care and progressively higher rates occur in [...]... Read more »
Bauer, M., Pfennig, A., Linden, M., Smolka, M., Neu, P., & Adli, M. (2009) Efficacy of an Algorithm-Guided Treatment Compared With Treatment as Usual. Journal of Clinical Psychopharmacology, 29(4), 327-333. DOI: 10.1097/JCP.0b013e3181ac4839
In the last 10 years 60% of medical students are women nevertheless medical specialists are mainly men in The Netherlands. In the US close to 50% of all medical schools are women. Women in academic medicine are underrepresented and are less well payed.
Only 1 in 10 medical clinical professors are women in the [...]... Read more »
Palav Babaria, Sakena Abedin, Marcella Nunez-Smith. (2009) The Effect of Gender on the Clinical Clerkship Experiences of Female Medical Students: Results From a Qualitative Study. Academic Medicine, 84(7), 859-866. DOI: 19550176
Architecture is not only about aesthetics. Like the Bilbao Guggenheim Museum buildings also need to respond to the functional needs of the occupants, and users need to be provided with adequate lighting, well-modulated heating and cooling systems, structural soundness, and public safety provisions. These requirements can vary according to the type of building, a hospital [...]... Read more »
Digital literacy is the ability to employ a wide range of cognitive and emotional skills in using digital technologies. 6 digital skills:
(a) Photovisual literacy is the ability to work effectively with digital environments, such as user interfaces, that employ graphical communication. (b) Reproduction literacy is the ability to create authentic,meaningful written and artwork by reproducing [...]... Read more »
89% (32/35) of physicians used at least one Web 2.0 tool in their medical practice, with 80% (28/35) reporting the use of wikis, only one respondent contributed to web 2.0 making regular contribution to a medical wiki site
physicians checked for medical information on an average of 2.6 different sites a day, with 1.4 visits [...]... Read more »
Hughes, B., Joshi, I., Lemonde, H., & Wareham, J. (2009) Junior physician's use of Web 2.0 for information seeking and medical education: A qualitative study. International Journal of Medical Informatics. DOI: 10.1016/j.ijmedinf.2009.04.008
We discussed a prior publication in the Archives of General Psychiatry about the decline of antidepressants use after the FDA black box warning. In a more recent study published in the same journal this prior study was criticized because it had some serious limitations. The study used prevalent use instead of incidence use. This [...]... Read more »
Libby, A., Orton, H., & Valuck, R. (2009) Persisting Decline in Depression Treatment After FDA Warnings. Archives of General Psychiatry, 66(6), 633-639. DOI: 10.1001/archgenpsychiatry.2009.46
The field of placebo response with the use of devices as treatment for major depression is hardly researched. Herb one of my very much appreciated readers and commenter asked me about the evidence on the placebo response to devices for major depression, didn’t have an answer. Tried searching but to no effect until recent. A [...]... Read more »
Brunoni, A., Lopes, M., Kaptchuk, T., & Fregni, F. (2009) Placebo Response of Non-Pharmacological and Pharmacological Trials in Major Depression: A Systematic Review and Meta-Analysis. PLoS ONE, 4(3). DOI: 10.1371/journal.pone.0004824
Deep Brain Stimulation (DBS) should only be used when there is a high change that the lives of patients will be improved by its use and when all other possible interventions have been tried
Patients must be fully informed and informed consent must be obtained
The whole procedure should be done by teams of appropriate specialists like [...]... Read more »
Kringelbach, M., & Aziz, T. (2009) Deep Brain Stimulation: Avoiding the Errors of Psychosurgery. JAMA: The Journal of the American Medical Association, 301(16), 1705-1707. DOI: 10.1001/jama.2009.551
We used to believe that brain tissue couldn’t regenerate, couldn’t grow only prenatal and during early postnatal development. Since than neurogenesis or the process creation of new neurons (nerve cells) has been demonstrated in vitro and vivo experiments and animal research.
It has also been shown that this neurogenesis has an age-related decline from preadolescence (8–10 [...]... Read more »
Darrick T. Balu, & Irwin Lucki. (2009) Adult hippocampal neurogenesis: Regulation, functional implications, and contribution to disease pathology. Neuroscience , 33(3), 232-252. DOI: 10.1016/j.neubiorev.2008.08.007
The major recent enhancements to ECT technique are:
Right Unilateral electrode placement. The cognitive side-effects of ECT such as retrograde and anterograde amnesia are significantly less compared to Bilateral electrode placement.
Brief pulse stimulus currents. The characteristics of the electrical stimulus affect the effectiveness and cognitive outcomes of the seizure. Sine wave stimuli have been [...]... Read more »
SACKEIM, H., PRUDIC, J., NOBLER, M., FITZSIMONS, L., LISANBY, S., PAYNE, N., BERMAN, R., BRAKEMEIER, E., PERERA, T., & DEVANAND, D. (2008) Effects of pulse width and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. Brain Stimulation, 1(2), 71-83. DOI: 10.1016/j.brs.2008.03.001
The relationships between doctor personalities and medical specialties continues to interest me since we regularly have to select excellent young physicians to become psychiatrists. The usual caricatures of different specialties just won’t suffice as in the differences between surgeons and internists. It’s fun to read so if anyone knows some about psychiatrists and others please [...]... Read more »
Borges, N., Stratton, T., Wagner, P., & Elam, C. (2009) Emotional intelligence and medical specialty choice: findings from three empirical studies. Medical Education, 43(6), 565-572. DOI: 10.1111/j.1365-2923.2009.03371.x
Flavonoid rich dark chocolate (45 g per day) significantly improved coronary flow velocity reserve (CFVR), this means that the researchers used Doppler echocardiography to assess the ability of the coronary arteries to dilate and allow more blood flow in response to dark chocolate. Dark chocolate improves coronary circulation in healthy adults. The other group in [...]... Read more »
Shiina, Y., Funabashi, N., Lee, K., Murayama, T., Nakamura, K., Wakatsuki, Y., Daimon, M., & Komuro, I. (2009) Acute effect of oral flavonoid-rich dark chocolate intake on coronary circulation, as compared with non-flavonoid white chocolate, by transthoracic Doppler echocardiography in healthy adults. International Journal of Cardiology, 131(3), 424-429. DOI: 10.1016/j.ijcard.2007.07.131
In The Netherlands the National Electronic Patient Record has led to a lot of concern and refusal of participation. 31% of the Dutch physicians have objected against subscribing to the National Patient Record (Dutch), 25% are still considering this step. Most of the Dutch Physicians don’t want their medical data in a National Patient Record. [...]... Read more »
Weitzman, E., Kaci, L., & Mandl, K. (2009) Acceptability of a Personally Controlled Health Record in a Community-Based Setting: Implications for Policy and Design. Journal of Medical Internet Research, 11(2). DOI: 10.2196/jmir.1187
Recent gadgets such as the handheld portable Nintendo DS video game console, portable Sony Playstation Portable (PSP), iPhone and iPod touch go with video games. The advantage being obvious that any moment waiting can be used to play a video game.
Screens of these portable media consoles are comparable with television and video monitors in terms [...]... Read more »
Ivory, J., & Magee, R. (2009) You Can't Take It with You? Effects of Handheld Portable Media Consoles on Physiological and Psychological Responses to Video Game and Movie Content. CyberPsychology , 2147483647. DOI: 10.1089/cpb.2008.0279
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