Dr Shock is attending a symposium in Bolzano, Italy about ECT. On one of his days off he was hiking the mountains of the Dolomites in north eastern Italy were he met a 77 years old men Dr Ugo Bebetti. During a pranzo (lunch) in a lovely hotel in Bulla where they met, both on there way to the Alpe di Siusi he told Dr Shock about Dr Ugo Cerletti. The old man met Dr Cerletti during his resedency at the University of Rome.
This is one of the hardest questions to answer especially if your working on a inpatient unit with depressed patients. They are mostly severely ill for a long time and demoralised when they get admitted. To get a clear picture of what is wrong we usually get rid of all psychopharmacological drugs for diagnostic purposes. That’s why i find this article of major importance, clearly written by experienced clinicians. The table offers clinical features that may help differentiate chronic depression from personality disorder.
1. avoid unsupported conclusions based on nonresponse
2. bear in mind that depression is likely to make personality traits look more like full-fledged PDs by exaggerating a range of personality traits such as avoidance, dependence, and interpersonal sensitivity. Always consider what evidence exists that these were more than traits at any point when a patient was less markedly depressed
3. use multiple informants (family members, close friends, primary care doctors, psychotherapists) as well as other collateral information (eg, performance evaluations from work) to gauge the highest and usual levels of occupational and psychosocial functioning when less depressed. For example, even if the patient is in the middle of multiple struggles with his treatment team, a history from family and coworkers of the patient’s typically satisfying stable work and personal relationships before a first episode of MDD in his mid-20s should lead a diagnostician to question the hypothesis of borderline PD.
4. systematically assess personality pathology with specific questions about onset, quality of relationships, mood fluctuations, and patterns of coping. In this respect, clinician-rated, semistructured interviews that inquire about specific symptoms and behaviors and associated impairment may be helpful as a supplement to global clinical impressions. This may be even more reliable than patient-rated questionnaires, which may be more sensitive but less specific.
This excellent book by Tara Calishain is worth every penny. She is the autor of ResearchBuzz, a website with news about search engines, databases and other information collections.
When I walked in to this book I remembered her name from other excellent books so I had a look inside. Immediately I was seized by her examples of how you could use information trapping. In my case I just started a blog about depression and electroconvulsive therapy and related psychiatric subjects. I was wondering how to keep up with all the information on the web. For my job as a psychiatrist, teacher and researcher keeping up with all the new articles, websites, scientific papers is an every day struggle. Since I am very interested in getting as much information with the least effort for my work and now my blog this book seemed to me an excellent introduction in how to use the computer to gain these goals.
After the first introductory chapter about information trapping the book starts of with three other important chapters in which RSS feeds, page monitors and e-mail alerts are explained and how they can help you finding information in different ways.
These chapters are full of examples with their advantages and disadvantages. After explaining how you can find RSS feeds and which websites are of help she continues in explaining the two different types of feeds and more important which feed to use and when. This chapter ends with a description of the most important feed readers and their characteristics.
The next chapter about page monitors was new to me. The most important web based and client based page monitors are described including their costs. Chapter 4 is about e-mail alerts and useful e-mail alert services.
The next chapter is about building queries. This surprised me since I already tried all the services she explained before this chapter. Building a good query is usually the starting point after which you can decide to gather the result by RSS feed or e-mail alert. She explains this order of chapters by pointing out that you first need to know the tools of the information trapper’s toolbox before you learn what to trap, where to trap it and when. To me that was a little confusing, already started working. Maybe in the next book a note in the first chapter about this order of chapters. The chapter about building queries is again very well written with important tips and tricks as can be expected from this authority on search engines and their use. Made me curious about her book about search engines.
Chapter 6 is an important chapter about “Who’s linking to your site”. Information about who’s linking to your blog or website is internal information, external information is anything else. Knowing who is linking to your blog can enhance your content and services. Knowing what people think of your website can improve your writing and if know who is linking you can approach sites like these and ask them to link to your blog as well.This chapter discusses Google and Yahoo for finding out which inbound links are there to your blog. Technorati and the new kid Icerocket are discussed as well.
Chapter 7 is the core chapter of this book, it is also the largest chapter in comparison with the other chapters.It is all about trapping information from external sources, mainly search engines. This chapter desribes a lot of different kind of search engines.General search engines, news search engines, blog search engines, commercial search engines, trapping government information, monitoring international sites and some more. All engines are descrbed with how to build your query for that typical search engine , trapping information and possibilities. Kebberfegg is a special kind of power search tool, delivers a lot of information, is not yet very user friendly. It is developed by Researchbuzz. Chapter 8 is about trapping podcastst, video and images. Chapter 9 discloses the use of tags and conversations. A lot of information about flickr, del.icio.us and others. Chapter 10 addresses the issue of organizing all the information that is filling your inbox. This is an excellent howto for the use of Gmail. Chapter 11 has two examples in two case studies as well as how to get rid of information if it’s not to your liking.Chapter 12 is a very useful chapter about organizing all the information. Organizing the information on a single computer with google or yahoo desktop. The organization tools in browsers and online organizing options. Some of the software is not vailable anymore but using the keywords bookmark managers or information organizers in Google or Yahoo will keep you up to date with the newest possibilities in this field. The last chapter is about publishing your information.
In conclusion it’s a very good book, sometimes overwhelming with all the possibilities that are mentioned but on the other hand a lot of suggestions to try and see what fits your needs. So far the best book written about this subject. I tried to find the author on internet but she was hard to find. Finally after reading her book and using her advice a could finally trap a picture of her. I thought someone so famous as author who is hard to find on the internet besides her books, probably doesn’t want to be found. So buy the book and go search for yourself!
Give Your Mind A Workout on Finding Optimism
This is an article on one of my favorite blogs. It is a review of a website. This site offers selfhelp with depression based on Cognitive Behavioral Therapy. This review descibes how this website works as well as the pros and cons.
Article in British Medical Journal about psychotherapy on the internet.
The reviewed website: http://www.moodgym.anu.edu.au/
VNS for Depression “New”? No, But Don’t Tell Wired – World of Psychology
Nuanced comment in this blog about Vagus nerve stimulation (VNS). As it states the FDA has approved this treatment 2 years ago. It is mostly used with pharamcotherapy- and ECT resistant depressed patients.
Since recently the treatment is not covered as a treatment for Medicare recipients since may this year. The effectiveness of this treatment is not clear, we need some good research but the trouble is how can you design a trial with a control or even a placebo condition?
This is a small book fits in your pocket nicely. It is written for medical students, junior doctors and general practitioners. It starts with a clear and concise introduction in psycho pharmacology. It explains pharmacokinetic and pharmacodynamic principles. Next drugs are discussed in the main categories of psychopharmacological drugs: antipsychotics, mood-stabilisers, tricyclic antidepressants, mono amine oxydase inhibitors, selective serotonin re uptake inhibitors, other antidepressants and a chapter for other drugs used in psychiatry such as benzodiazepines, drugs for Alzheimer disease, drugs used in substance dependence.
Every category starts with an introduction and a summary of the drugs. Next every drug is briefly descibed. Chemical structure, receptor binding, dose, laboratory testing, routine examinations and investigations and side effects are all mentioned for each drug if applicable. The descriptions are very up to date, nice book to have for introduction
This is a wonderfull book about blogging. It is mainly an introduction. The book starts with some general information about blogging. Next it explains the different kind of blogs, were to host your blog or use a server side blog. It also guides you how to write a blog, how to earn money with your blog. The last part of the book consits of a list per category of the most important blogs. It is not a book to read from cover to cover. I used it for inspiration and examples as well as instruction book. What I did was read a chapter and followed the links it provided. The design of the book is very pretty, well done a pleasure to read and a excellent introduction.
It doesn’t go into details how to maintain a blog or how to do research for your blog e.g. using e-mail alerts, website monitors etc.
Magnetic brain stimulator touted as treatment for depression – Engadget
As it said in the article this device is introduced during the American Psychiatric Association meeting in San Diego this year. It employs transcranial magnetic stimulation.The mistake in this article is the notion that previously you had to have anesthesia for it, they probably mean with ECT. There is no hard evidence that transcranial magnetic stimulation is actually working as a treatment for depression.
See also:about depression.com