Psychosis, agitation, disorientation, or bizarre behavior due to drug ingestion is a common presentation to the emergency department (ED), and frequently psychiatry is consulted to assess for an underlying psychiatric illness. A working knowledge of how different substances are expected to affect patients is an important part of keeping up-to-date as a psychiatric emergency clinician.
When I first met Ian Waterman in the mid-1980s I could scarcely believe him. He claimed to have lost touch, and movement and position sense (termed proprioception) below the neck, though he could still feel pain and temperature, and his movement nerves were unaffected. Not only was I not aware of any such condition in medicine, but he had walked to the clinic and was sitting calmly as we chatted.
Imagine a world where the majority of our workforce was composed of robots as capable and as psychologically similar to human beings. The robots are constantly working and are faster and more efficient than humans—leaving humans to be pushed towards early retirement to enjoy a life of leisure and wealth due to a large growth in investments on this artificial intelligence (AI).
We’re all quite familiar with having five senses: sight, touch, taste, smell, and hearing. These senses help us understand the world outside our body. The idea of five senses is so ingrained that having a ‘sixth sense’ is a clue that something isn’t right. But what about other physical sensations?
Alcoholics Anonymous has provided millions of people with a chance at recovery from addiction. There is one aspect of membership for some members that most people, even addiction specialists, are not aware of, namely, the remarkable transformation that many AA members call a spiritual awakening. It’s a remarkable phenomenon for anyone interested in social science on the addictions.
If you tuned in to this year’s Grammy awards, you would not have failed to witness the extraordinary performance of 12-year-old jazz pianist Joey Alexander. The short solo performance, which earned him a standing ovation, was without doubt the cherry on the cake of this young musician’s short but remarkable career thus far.
Broccoli prevents cancer. Broccoli causes cancer. We are all familiar with the sense that we are constantly being pulled in a million different directions by scientific studies that seem to contradict each other every single day. We are all familiar with the sense that we are constantly being pulled in a million different directions by scientific studies that seem to contradict each other every single day.
All over the world, populations are changing. People are living longer, and older people are forming a larger percentage of the global population. Baby boomers are retiring and improved health care has extended life expectancy. At the same time, as globalisation and urbanisation break apart familiar social and family structures, more older adults are living alone or without social support.
Global population is aging rapidly. Over the next four decades the number of individuals aged 60 years and older will nearly triple to more than 2 billion in 2050 (UN, 2013). Mindful physical exercise has become an increasingly utilized approach for improving psychological well-being and is defined as “physical exercise executed with a profound inwardly directed contemplative focus.”
“When we get our story wrong, we get our future wrong,” David Korten wrote in Change the Story, Change the Future. If children are indeed our future, then the stories we use to educate and help them come of age are the most important stories to get right.
Consider the following scenario: Two women both lost a son in a war. One returns to work immediately and starts volunteering at an organization helping families of fallen soldiers. The other is unable to leave home, spends most of her days crying and sitting in front of her son’s belongings that were left untouched. Who is more resilient? The answer largely depends on how one defines resilience.
People don’t exist as isolated entities, and social programs, movements, or data analytic methods that assume they do are not aligned with reality—and may be doomed to fail. We all know that providing therapy or tutoring to a child may be less effective than hoped if the child’s parents, peers, school, and neighborhood are not also operating in a way that’s conducive to the child’s growth and well-being.
Solving complex problems requires, among other things, gathering information, interpreting it, and drawing conclusions. Doing so, it is easy to tend to operate on the assumption that the more information, the better. However, we would be better advised to favor quality over quantity, leaving out peripheral information to focus on the critical one.
A psychiatrist’s couch is no place to debate the existence of God. Yet spiritual health is an inseparable part of mental or psychological health. Something no psychiatrist should regard with clinical indifference. But what does spiritual or religious health involve? This can’t just include normalized versions of monistic theism – but the entire set of human dispositions that may be thought of in spiritual terms.
When a major obstacle is removed to our progress, idealist intellectuals like myself rejoice. I was introduced to one such obstacle in the early l970s, when a woman hiding from her abusive husband in our home told us “violence wasn’t the worst part.” Like the millions of other victimized women we have served in the ensuing years, she understood that the prevailing equation of partner abuse with domestic violence has little relation to her lived experience of oppression.
For people suffering from recurrent epileptic seizures, one of the most burdensome aspects of their condition is the unpredictability of their seizures. While medications, surgery, and novel neurostimulation methods can eliminate seizures seizures in some cases, many people with epilepsy face the possibility of a seizure at any time, even when they occur only rarely.