style="display: inline;"> A meme making the rounds in some circles is this: Prayer for Obama, Psalm 109:8.   This is what is known as an imprecatory prayer, that is, a prayer that expresses ill will toward another.  This particular bit of verse is one of the less appealing and less inspirational found in the Christian Bible: Hold not thy peace, O God of my praise; for the mouth of the wicked and the mouth of the deceitful are opened against me: they have spoken against me with a lying tongue. They compassed me about also with words of hatred; and fought against me without a cause. For…
The title of this article is a little bit misleading, although not deliberately so.  The study examined the question of whether telephonic CBT - added to pharmacotherapy - was beneficial, in a primary care population.  Note that the primary care population is NOT the population that psychiatrists typically see.  Consequently, it is not possible to extrapolate these results to most typical psychiatrist's practices.  It also is not applicable to the population of persons seen in many outpatient offices of other mental health specialists. Telephone Psychotherapy Effective, Efficient in…
href="http://www.researchblogging.org"> src="http://www.researchblogging.org/public/citation_icons/rb2_large_gray.png" style="border: 0pt none ;">Actually, this is only good news for coffee drinkers who also have late-stage hepatitis C.  A recent study in Hepatology showed a possible benefit to coffee consumption in patients with hepatitis C, First I will show the treatment of the study as shown in the popular press, then the actual journal article.   href="http://www.medpagetoday.com/Gastroenterology/GeneralHepatology/16539">Coffee Could Stall Liver Disease Progression By…
href="http://www.researchblogging.org"> src="http://www.researchblogging.org/public/citation_icons/rb2_large_gray.png" style="border: 0pt none ;">The article I am discussing in this post is the 2008 Heinz Lehmann Award paper, published in the open-access Canadian journal, Journal of Psychiatry & Neuroscience.  It really covers two topics: href="http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp">translational research, and antipsychotic polypharmacy in which one of the antipsychotic medications is clozapine.  href="http://nihroadmap.nih.gov/…
The standard wisdom in management of Major Depression, is that medication plus psychotherapy is better that either treatment alone.  Many studies have shown this.  But this one does not. href="http://archpsyc.ama-assn.org/cgi/content/short/66/11/1178?home">Cognitive Behavioral Analysis System of Psychotherapy and Brief Supportive Psychotherapy for Augmentation of Antidepressant Nonresponse in Chronic Depression The REVAMP Trial James H. Kocsis, MD; Alan J. Gelenberg, MD; Barbara O. Rothbaum, PhD; Daniel N. Klein, PhD; Madhukar H. Trivedi, MD; Rachel Manber, PhD; Martin B. Keller, MD;…
A reader sent me a link about a scam that targets MD offices.  It is a retread of href="http://corpus-callosum.blogspot.com/2004/01/me-and-tom-delay-in-my-last-article-i.html">a scam that I wrote about in 2004, wherein I mention that I was targeted for this scam.  The new version of the scam was noted first in Slate: The GOP's Fake Doctor Council.  Then Political Animal picked it up: href="http://www.washingtonmonthly.com/archives/individual/2009_09/019905.php">Old DeLay Scam Makes A Comeback.  Later, Free Range Talk wrote about it, summarizing the two earlier posts as well.  So if…
The world's largest shopping mall boasts some impressive statistics:  7.1 million square feet (659,612 square meters) of leasable space and 890,000 square meters of total floor space; attractions, including a roller coaster and a Venice-like canal; and over 1,500 shops, with an occupancy rate of 0.8%.   That's right.  Although it opened in 2005, 99.2% of the shops are empty.   class="mt-enclosure mt-enclosure-image" style="display: inline;"> Attraction: A bored attendant makes a phone call next to the ghost train ride at the mall (Photo: href="http://www.dailymail.co.uk/news/…
It's not photoshopped, and it really was for the Windows 7 launch. style="display: inline;"> The picture was taken in Sietes, Spain, which had been decorated for an advertisement for the event.  In point of fact, the href="http://www.spanishnews.es/20091012-tiny-spanish-village-has-the-attention-of-microsoft/id=1255/#more-1255">people of Sietes are not a particularly good customer base: The tiny village of Sietes Spain will be the new location for an advertisement from Microsoft about Windows 7, which is slightly ironic given the software giant has chosen a place that only has one…
In general, I try to be respectful of cultural groups, even ones that are rather aberrant.  Somehow, though, I find it exceedingly difficult to muster any sympathy or respect for Scientology. By now, you probably have heard that Scientologists were fined $600,00 Euros in France: href="http://www.google.com/hostednews/afp/article/ALeqM5iB4zZrgJt9_M4ltYiwOwQxcAnMmQ"> href="http://www.google.com/hostednews/afp/article/ALeqM5iB4zZrgJt9_M4ltYiwOwQxcAnMmQ">Scientologists convicted of fraud in France ...The Paris case followed a complaint by two women, one of whom says she was manipulated…
In 2007, the American Psychological Association commissioned their Task Force on Appropriate Therapeutic Responses to Sexual Orientation.  The background is this: early in the history of mental health treatment efforts, homosexuality was considered to be an illness.  Therefore, it was thought to be appropriate for therapists to try to change the sexual orientation of persons who are homosexual.  This attitude never was universal; it is said that even Sigmund Freud was skeptical of it.  Even so, it was not until 1962 that efforts began to remove homosexuality from the title="Diagnostic and…
We used to see a lot of cartoons that portray a psychiatrist's couch.  That is not so common anymore.  When we do see them, they tend to be annoying.  This is no different, because it is so unrealistic. style="display: inline;"> No psychiatrist would put the couch under the window like that.  It would defeat the purpose of the couch. (HT: href="http://www.economicpopulist.org/content/sunday-morning-comics-balloon-bank-edition">Economic Populist)
The Veolia Environnement Wildlife Photography competition winners have been announced. (The spelling, Environnement, is correct; it's a French company.)  The competition is operated by the Natural History Museum (London) and BBC Wildlife Magazine, sponsored by Veolia Environmental Services. The overall winner is this one (click to enlarge) My favorite is one of the Highly Commended photos in the 10-years-and-under age category: The photo of the leaping wolf was href="http://news.bbc.co.uk/2/hi/science/nature/8318226.stm">written up on the BBC news website: Jose Luis Rodriguez…
I spend a lot of time working with gang kids.  One of the amusing things, is to see some of these kids strutting around, feeling like a million bucks, because they are so smart.  In actuality, they have IQs in the 90-100 range.  But the rest of their crew is down in the 70-80 range.  Such is the life of a genius. style="display: inline;"> href="http://scienceblogs.com/corpuscallosum/2009/10/21/the_warning.jpg"> Tonight I watched the PBS Frontline special, href="http://www.pbs.org/wgbh/pages/frontline/warning/view/">The Warning.  It's about the warning that href="http://en.…
Sometimes I think I have difficult patients.  Then I saw this: style="display: inline;"> Yes, it is a gorilla in a CT scanner.  The poor animal had href="http://www.nlm.nih.gov/medlineplus/ency/article/001034.htm">mastoiditis; the scan was used prior to surgery.  The surgery was successful.  See The Big Picture at the Boston Globe for the href="http://www.boston.com/bigpicture/2009/10/world_animal_day_2009.html">original, from a series on World Animal Day 2009. (HT: href="http://www.reddit.com/r/WTF/comments/9vbdl/gorilla_in_a_cat_scan_no_really_pic/">Reddit user Micah)
Just goes to show how lobbying reform hasn't gone anywhere near far enough: href="http://www.nakedcapitalism.com/2009/10/guest-post-bank-lobbyists-not-only-trying-to-kill-new-regulations-they-are-trying-to-weaken-existing-regulations.html">Bank Lobbyists Are Not Only Trying to Kill NEW Legislation, They Are Trying to Weaken EXISTING Regulations By George Washington of href="http://www.washingtonsblog.com/">Washington's Blog. Everyone knows that the lobbyists for the financial giants are trying to kill any tough new regulations. But they are also trying to weaken existing…
National Geographic reports on a new consequence of global climate change: giant, mucus-like sea blobs.  They've been around for a while, actually, but now there are more of them.  style="display: inline;"> This is from the on-line article, href="http://news.nationalgeographic.com/news/2009/10/091008-giant-sea-mucus-blobs.html">Giant, Mucus-Like Sea Blobs on the Rise, Pose Danger.  The danger comes from the fact that these blobs harbor bacteria: The study team discovered that the blobs are hot spots for viruses and bacteria, including the deadly E. coli. Coastal communities…
This is about chronic fatigue syndrome and the association with XMRV.  I apologize in advance for the provocative title, and the subsequent gratuitous references to the Nobel Prize, but there is a point to this. Take a look at this summary of the "old-fashioned disease": During the nineteenth century general paresis of the insane emerged as a new psychiatric disorder which was extremely common and completely devastating. While retrospective studies have found earlier instances of what may have been the same disorder, the first clearly identified examples of paresis among the insane were…
The topic of neural enhancement has created controversy.  This came to wide attention in late 2007, upon the publication of various articles in Nature, as noted by  href="http://scienceblogs.com/retrospectacle/2007/12/cognitive_enhancers_in_academi.php">Shelley Batts, href="http://scienceblogs.com/ethicsandscience/2007/12/the_ethics_of_performance_enha.php">Janet Stemwedel, href="http://scienceblogs.com/neuronculture/2008/04/steroids_for_the_brain_nature.php">David href="http://scienceblogs.com/neuronculture/2008/12/survey_the_slippery_slope_of_c.php">Dobbs, href="http://…
This is from an open-access article in the Canadian Journal of Psychiatry: an article featuring a debate about the relevance of randomized, controlled trials to clinical practice.  It is mostly about research on psychotherapy, but with some treatment of psychopharmacology. href="http://publications.cpa-apc.org/browse/documents/468&xwm=true">Are Randomized Controlled Trials Relevant to Clinical Practice? Can J Psychiatry. 2009;54(9):637-643. Steven D Hollon, Bruce E Wampold There is no abstract.  Click on the title to go to the journal page, then click on the title there to download…
This is an odd one.  A study of 5191 adults showed an association between air pollution and attacks of acute appendicitis. href="http://www.cmaj.ca/cgi/content/abstract/cmaj.082068v1">Effect of ambient air pollution on the incidence of appendicitis CMAJ 10.1503/cmaj.082068 Published online ahead of print October 5, 2009 Abstract Background: The pathogenesis of appendicitis is unclear. We evaluated whether exposure to air pollution was associated with an increased incidence of appendicitis. Methods: We identified 5191 adults who had been admitted to hospital with…