Distinguishing and Addressing Gender Minority Stress and Borderline Personality Symptoms
As transgender and gender-diverse people are gaining increased visibility in clinical settings, clinicians are requesting better guidance on providing affirming care to improve the mental health and well-being of these patients. In particular, more direction is needed on whether, when, and how to diagnose and treat borderline personality disorder among gender minorities, partially in response to beliefs among some mental health clinicians that a gender minority identity may be a manifestation of identity diffusion. In this Perspectives article, we argue that gender minority identity, even when fluid, is rarely a sign of id...
Source: Harvard Review of Psychiatry - September 1, 2019 Category: Psychiatry Tags: Perspectives Source Type: research
Current Understanding of Religion, Spirituality, and Their Neurobiological Correlates
Religion and spirituality (R/S) have been prominent aspects of most human cultures through the ages; however, scientific inquiry into this phenomenon has been limited. We conducted a systematic literature review of research on the neurobiological correlates of R/S, which resulted in 25 reports studying primarily R/S with electroencephalography, structural neuroimaging (MRI), and functional neuroimaging (fMRI, PET). These studies investigated a wide range of religions (e.g., Christianity, Buddhism, Islam) and R/S states and behaviors (e.g., resting state, prayer, judgments) and employed a wide range of methodologies, some o...
Source: Harvard Review of Psychiatry - September 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
Treatment Attitudes and Adherence Among Patients with Bipolar Disorder: A Systematic Review of Quantitative and Qualitative Studies
Conclusions
Despite these flaws, awareness of the existing evidence on the attitude-adherence association and other aspects of treatment attitudes in BD can help in efforts to address nonadherence in BD. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
Clonazepam: Indications, Side Effects, and Potential for Nonmedical Use
Learning objectives
After participating in this activity, learners should be better able to:
• Assess the misuse potential of clonazepam
• Characterize the nonmedical use of clonazepam
• Identify the health problems associated with long-term use of clonazepam
Clonazepam, a benzodiazepine, is commonly used in treating various conditions, including anxiety disorders and epileptic seizures. Due to its low price and easy availability, however, it has become a commonly misused medication, both in medical and recreational contexts. In this review, we aim to highlight the behavioral and pharmacological aspects of clon...
Source: Harvard Review of Psychiatry - September 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
Reaffirming Core Scientific Values in Psychiatry Research
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2019 Category: Psychiatry Tags: Disruptive Innovation Source Type: research
Considering the Therapeutic Alliance in Digital Mental Health Interventions
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Technology Source Type: research
A Brief History of Death and American Psychiatry
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: History Source Type: research
Globus Pharyngeus: Etiology, Taxonomy, and Response to Electroconvulsive Therapy
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Clinical Challenge Source Type: research
The Association Between Parental Depression and Child Psychosocial Intervention Outcomes: Directions for Future Research
This article reviews the current literature, suggesting that, when parents experience current depressive symptoms, children are less likely to benefit from psychosocial interventions for anxiety and depression. Opportunities for future research are discussed, including moderators and mechanisms of the association between parental depressive symptoms and child intervention outcomes. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Perspective Source Type: research
Competitive Bodybuilding: Fitness, Pathology, or Both?
The sport of competitive bodybuilding requires an intense regimen of weightlifting and dieting, often aided with muscle-building or fat-burning drugs, and culminating in an on-stage posing competition. Despite these rigorous demands, competitive bodybuilding is popular, with thousands of competitions performed annually around the world. Although many studies have addressed the psychological features of various sports and the athletes who compete in them, few have examined the psychological aspects of bodybuilding. Even fewer studies have specifically examined competitive bodybuilders, as opposed to the much larger group of...
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
A Meta-analysis and Systematic Review of Emotion-Regulation Strategies in Borderline Personality Disorder
Emotion dysregulation is often considered a core characteristic of individuals with borderline personality disorder (BPD). With the development and strength of a contemporary affective-science model that encompasses both healthy emotion regulation (ER) and emotion dysregulation, this model has increasingly been used to understand the affective experiences of people with BPD. In this meta-analysis and review, we systematically review six of the most commonly studied ER strategies and determine their relative endorsement in individuals with elevated symptoms of BPD compared to individuals with low symptoms of BPD and healthy...
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
Suicidal Risk Following Hospital Discharge: A Review
Conclusions
Among patients recently discharged from psychiatric hospitalization, rates of suicide deaths and attempts were far higher than in the general population or even in unselected clinical samples of comparable patients, with a strong inverse association with time post-discharge. Improved monitoring and care of patients discharged from psychiatric hospitalization are needed, ideally with detailed planning and implementation of aftercare prior to discharge. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2019 Category: Psychiatry Tags: Reviews Source Type: research
Culturally Confounded Diagnostic Dilemmas: When Religion and Psychosis Intersect
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - May 1, 2019 Category: Psychiatry Tags: CLINICAL CHALLENGE Source Type: research
Transdiagnostic Approach to Olfactory Reference Syndrome: Neurobiological Considerations
Olfactory reference syndrome (ORS) describes a constellation of emotional and behavioral symptoms that cause clinically significant distress or impairment arising from the false belief that one is emitting an offensive odor. Despite cases of ORS reported throughout the world over the last century, our knowledge and understanding of ORS remain relatively poor because of the limited literature—mostly case studies and series, but no clinical trials. ORS continues to pose significant diagnostic challenges within our current frameworks of categorizing mental disorders, including the Diagnostic and Statistical Manual of Mental...
Source: Harvard Review of Psychiatry - May 1, 2019 Category: Psychiatry Tags: PERSPECTIVES Source Type: research
Digital Technology for Building Capacity of Nonspecialist Health Workers for Task Sharing and Scaling Up Mental Health Care Globally
Workforce shortages pose major obstacles to delivering adequate mental health care and scaling up services to address the global treatment gap. Mounting evidence demonstrates the clinical effectiveness of having nonspecialist health workers, such as community health workers, lay health workers, midwives, or nurses, deliver brief psychosocial treatments for common mental disorders in primary care settings. With rapidly increasing access to, and use of, digital technology worldwide, new opportunities are available to leverage these emerging digital technologies to support nonspecialist health workers and increase mental heal...
Source: Harvard Review of Psychiatry - May 1, 2019 Category: Psychiatry Tags: PERSPECTIVES Source Type: research
