Oxford University Press's
Academic Insights for the Thinking World

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Five things to know about my epilepsy

By Jane Williams
Diagnosed with epilepsy more than half my lifetime ago, I can’t remember what it’s like not to know about it. Despite it being the most common serious neurological condition in the UK, there is still a surprising amount of misconceptions surrounding it.

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The impact of a dementia treatment

By Bruce Miller Dementia is a collection of symptoms caused by a number of different disorders, including neurodegenerative diseases like Alzheimer’s disease and frontotemporal dementia. The term dementia describes a progressive decline in memory or other cognitive functions that interferes with the ability to perform your usual daily activities (driving, shopping, balancing a checkbook, working, […]

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The strengths and limitations of global immunization programmes

By Desmond McNeill
Modern vaccines are among the most powerful tools available to public health. They have saved millions of lives, protected millions more against the ravages of crippling and debilitating disease, and have the capacity to save many more. But like all complex and sophisticated tools, they can be used for different purposes, in different ways, and with various consequences.

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What is “toxic” about anger?

By Ephrem Fernandez, Ph.D.
What is anger? In essence, anger is a subjective feeling tied to perceived wrongdoing and a tendency to counter or redress that wrongdoing in ways that may range from resistance to retaliation. Like sadness and fear, the feeling of anger can take the form of emotion, mood, or temperament.

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Psychiatry and the brain

By George Graham and Owen Flanagan
Even before the much-heralded DSM-5 was released, Thomas Insel the Director of NIMH criticized it for lacking “scientific validity.” In his blog post entitled “Transforming Diagnosis,” Insel admitted that the symptom-based approach of DSM is as good as we can get at present and that it yields “reliability” by disciplining the use of diagnostic terminology among professionals.

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Where’s Mrs Y? The effects of unnecessary ward moves

By Miles Witham and Marion McMurdo
It’s a Thursday morning in February, and I have just arrived on the ward to start my ward round. Mrs Y, a lady in her 90’s with dementia, was admitted with pneumonia a few days ago. She is on the mend, rehabilitating well, and we planned to get her home tomorrow with some extra home care.

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From RDC to RDoC: a history of the future?

By KWM Fulford
Back in 1963 the New York Times reported enthusiastically that “….a young doctor at Columbia University’s New York State Psychiatric Institute has developed a tool that may become the psychiatrist’s thermometer and microscope and X-ray machine rolled in to one.”

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How DSM-5 has been received

By Joel Paris, MD
The reception of DSM-5 has been marked by very divergent points of view. The editors of the manual congratulated themselves for their achievement in an article for the Journal of the American Medical Association entitled “The Future Arrived.”

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Post-DSM tristesse: the reception of DSM-5

By Edward Shorter
We’re all suffering from DSM-5 burnout. Nobody really wants to hear anything more about it, so shrill have been the tirades against it, so fuddy-duddy the responses of the psychiatric establishment (“based on the latest science”).

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Homicide bombers, not suicide bombers

By Robert Goldney
To some this heading may seem unexpected. The term ‘suicide bomber’ has entered our lexicon on the obvious basis that although the prime aim may have been the killing of others, the individual perpetrator dies. Indeed, over the last three decades the media, the general public , and sometimes the scientific community have uncritically used the words ‘suicide bomber’ to describe the deaths of those who kill others, sometimes a few, usually ten to twenty, or in the case of 9/11, about two thousand, while at the same time killing themselves.

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Recent advances and new challenges in managing pain

By Lesley Colvin
Pain is one of the most feared symptoms whether it is after surgery, in the context of chronic disease, or related to cancer. Around 18% of people will be affected by moderate to severe chronic pain at some point in their life, with chronic pain having as big a negative impact on quality of life as severe heart disease or a major mental health problem.

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It’s only a virus

By Dorothy H. Crawford
“It’s only a virus.” How often do GPs utter those words over the course of a working day? They mean, of course, that your symptoms are mild, non-specific and don’t warrant any treatment. If you just go home and rest you’ll recover in a few days.

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‘Wild-haired and witch-like’: the wisewoman in industrial society

By Francesca Moore
Many of us rely on herbal remedies to maintain our health, from peppermint tea to soothe our stomachs to arnica cream for alleviating bruising. Such is the faith in these remedies that Britain’s National Health Service (NHS) has funded alternative medical treatments and specialist homeopathic hospitals.

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Why do women struggle to achieve work-life balance?

By Heidi Moawad
Is work-life balance consistent with professional ambition? A recent study concludes that young women are now proclaiming that they don’t want to be leaders. Does this data suggest that young women who do want to be leaders should not bother to ‘lean in’ by acquiring expert level knowledge, attaining specialized skills and pursuing experience-building work projects when they have the opportunity?

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Vaccination: what are the risks?

By Peter C. Doherty
All prediction is probabilistic. Maybe that statement is unfamiliar. It’s central to the thinking of every scientist, though this is not to the way media commentators like Jenny McCarthy approach the world. Scientists make certain predictions, or recommend courses of action on the basis of the best available evidence, but we realize that there is always an element of risk.

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