Psychiatric nosology is so tricky. Dr. First was a teacher of mine at Columbia and a first rate researcher and psychiatrist whose thoughts about DSM 5 are worth watching. http://www.omh.ny.gov/omhweb/bps/130619_dsm5.html
http://www.ama-assn.org/ams/pub/amawire/2013-june-12/2013-june-12-general_news1.shtml?goback=%2Egde_3743008_member_250155895 The relationship between physicians, insurance, and patients is probably only going to become more complex under the affordable health care act, but here’s to small victories: doctors will retain the right to take on large insurers when their practices undermine the physicians’ capacity to provide timely and high quality medical care.
May 24, 2013, Progress Notes
Yesterday, the Centers for Disease Control and Prevention issued a report (pdf) revealing that mental illness in America’s youngsters may cost as much as $247 billion a year and may affect up to one in five children. The report did not generate network television coverage. Instead, coverage appears primarily on wire sources and medical websites. Bloomberg News (5/17, Lopatto) reports, “Mental illness in children costs $247 billion annually, a figure increasing along with the number of kids hospitalized for mood disorders, substance abuse and other psychiatric disorders,” according to a report released May 17 by the Centers for Disease Control and Prevention in a special supplement to the Morbidity and Mortality Weekly Report. “As many as one in five children…
Psychiatrists’ use of electronic communication and social media and a proposed framework for future guidelines Most psychiatrists use social media to some extent to interact with patients – if not emailing then texting, etc. Here’s a recent paper I wrote on the topic
China is transforming the provision of mental health to its citizens under a new law that takes effect tomorrow. Its first national mental health legislation should have wide-ranging effects on provision of mental health services, but perhaps the most significant and controversial change is one that banishes most forms of involuntary treatment. The law also mandates strict limits on use of seclusion and restraints and ends the use of psychiatric admission as punishment or to enforce treatment of individuals who do not have a mental illness. It also forbids the practice of requiring patients to participate in labor or limiting their right to communicate with the outside world. An editorial appearing online in AJP in Advance yesterday calls the new…
Very interesting new article published about interpreting private traits from online behavior entitlted: Private traits and attributes are predictable from digital records of human behavior by Michal Kosinskia,1, David Stillwella, and Thore Graepel. Here’s the abstract: We show that easily accessible digital records of behavior, Facebook Likes, can be used to automatically and accurately predict a range of highly sensitive personal attributes including: sexual orienta- tion, ethnicity, religious and political views, personality traits, intelligence, happiness, use of addictive substances, parental sepa- ration, age, and gender. The analysis presented is based on a dataset of over 58,000 volunteers who provided their Facebook Likes, detailed demographic profiles, and the results of several psychomet- ric tests. The proposed model uses dimensionality reduction for…
“Daddy, can I use the iPad?” What a question. ‘Well,’ I think to myself, ‘on the one hand it will give me thirty minutes to get some work done, on the other hand, it’s another half hour lost to Good Luck Charlie or whatever pre-teen show my six year old seems to adore.’ “OK, thirty minutes,” I say. Cue little brother: “Daddy can I use the iPad?” ‘Well,’ I think to myself, ‘can I get a two for one here? Both children occupied with screens? Now I’m ruining two minds – but what a break.’ My guilt has apparently abated. “Let me get my phone for you,” I say, “just thirty minutes.” How many times does this happen across the…