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Book: Stahl’s Illustrated Substance Use and Impulsive Disorders

Book Title:

Stahl’s Illustrated Substance Use and Impulsive Disorders.

Author(s): Stephen M. Stahl and Meghan M. Grady.

Year: 2012.

Edition: First (1st), Illustrated Edition.

Publisher: Cambridge University Press.

Type(s): Paperback and Kindle.

Synopsis:

All of the titles in the Stahl’s Illustrated series are designed to be fun. Concepts are illustrated by full-colour images that will be familiar to readers of Stahl’s Essential Psychopharmacology, 3rd edition, and The Prescriber’s Guide. The visual learner will find that these books make psychopharmacology concepts easy to master, while the non-visual learner will enjoy a shortened text version of complex psychopharmacology concepts. Each chapter builds on previous ones, synthesizing information from basic biology and diagnostics to building treatment plans and dealing with complications and comorbidities. Novices may want to begin by looking through all the graphics and gaining a feel for the visual vocabulary. Readers more familiar with these topics should find that going back and forth between images and text provides an interaction with which to vividly conceptualize complex pharmacologies. Each book ends with a Suggested Reading section to help guide more in-depth learning about particular concepts.

Book: Stahl’s Illustrated Attention Deficit Hyperactivity Disorder

Book Title:

Stahl’s Illustrated Attention Deficit Hyperactivity Disorder.

Author(s): Stephen M. Stahl and Laurence Mignon .

Year: 2009.

Edition: First (1st), Illustrated Edition.

Publisher: Cambridge University Press.

Type(s): Paperback and Kindle.

Synopsis:

As with Stahl’s Essential Psychopharmacology, 3rd edition and The Prescriber’s Guide, Attention Deficit Hyperactivity Disorder is a heavily illustrated title with a fun approach to theories. Stahl has been at the heart of significant advances in the treatment of ADHD in the past ten years, as new psychopharmacologic medications and cognitive and behavioural therapy techniques have been introduced into practice. The visual learner will find that these books make psychopharmacology concepts easy to master, while the non-visual learner will enjoy a shortened text version of complex psychopharmacology concepts. Novices to the series will find that the well-structured graphics and visual vocabulary can help build a vivid conception of complex pharmacologies. The complementary tables and algorithms provide clinical strategies and tips for drug dosaging, and the Suggested Reading section at the end of each book is an invaluable tool to guide the reader to more in-depth learning on particular concepts.

Book: The Origins and Course of Common Mental Disorders

Book Title:

The Origins and Course of Common Mental Disorders.

Author(s): David Goldberg and Ian Goodyer.

Year: 2005.

Edition: First (1st).

Publisher: Routledge.

Type(s): Hardcover, Paperback, and Kindle.

Synopsis:

Why are some people more vulnerable to common mental disorders than others?

What effects do genes and environments exert on the development of mental disorders?

The Origins and Course of Common Mental Disorders describes the nature, characteristics and causes of common emotional and behavioural disorders as they develop across the lifespan, providing a clear and concise account of recent advances in our knowledge of the origins and history of anxious, depressive, anti-social, and substance related disorders.

Combining a lifespan approach with developments in neurobiology, this book describes the epidemiology of emotional and behavioural disorders in childhood, adolescence and adult life. David Goldberg and Ian Goodyer demonstrate how both genes and environments exert different but key effects on the development of these disorders and suggest a developmental model as the most appropriate for determining vulnerabilities for psychopathology. Divided into four sections, the book covers the:

  • Nature and distribution of common mental disorders.
  • Biological basis of common disorders.
  • Human life cycle relevant to common disorders.
  • Developmental model.

This highly readable account of the origins of emotional and behavioural disorders will be of interest to behavioural science students and all mental health professionals including psychiatrists, psychologists, social workers, nurses, and counsellors.

Book: Models for Mental Disorder: Conceptual Models in Psychiatry

Book Title:

Models for Mental Disorder: Conceptual Models in Psychiatry.

Author(s): Peter Tyrer.

Year: 2013.

Edition: Fifth (5th).

Publisher: Wiley-Blackwell.

Type(s): Paperback and Kindle.

Synopsis:

Models for Mental Disorder, first published in 1987, anticipated the
move towards integration of psychiatric services into multidisciplinary teams (doctor, psychologist, nurse, social worker, etc) and the need to bring together the different philosophies of mental illness.

Peter Tyrer has identified four different models of mental disorder that are relevant to clinical practice: the disease, psychodynamic, cognitive-behavioural and social models.

Each model is described and reviewed, with reference to case studies and
illustrations, to show how it relates to mental health disorders and can be
used to interpret and manage these disorders.

The book has been widely read and is often used for training purposes so that
each professional can understand and appreciate that differences in viewpoint
are often a consequence of one or more models being used in a different way
rather than a fundamental schism in approach.

Since the fourth edition was published in 2005, the disciplines of mental health
have moved even closer together with the growth of assertive outreach and
more integrated community teams. This, combined with the greater awareness
of mental health among users of services, which leads to more penetrating and
informed questions at interviews with professionals, has emphasized the need
for a wider understanding of these models.

  • The only book to describe the models framing mental health diagnosis and management.
  • A great review for those wanting a better grasp of psychiatric disorders and for integration of concepts for treatment planning.
  • New information on formal classifications of mental disorder.
  • New information on mindfulness and mentalisation regarding the dynamic model.
  • Clearly written in a style which includes some humour and a conversational presentation – a joy to read for the beginner and more experienced practitioner alike.
  • Features a teaching exercise for use when training students in the various models.

Book: A Clinician’s Guide to Mental Health Conditions in Adults with Autism Spectrum Disorders: Assessment and Interventions

Book Title:

A Clinician’s Guide to Mental Health Conditions in Adults with Autism Spectrum Disorders: Assessment and Interventions.

Author(s): Eddie Chaplin, Debbie Spain, and Jane McCarthy.

Year: 2019.

Edition: First (1st).

Publisher: Jessica Kingsley Publishers.

Type(s): Paperback and Kindle.

Synopsis:

This comprehensive and much-needed guide addresses the issues faced by clinicians in assessing and treating the range of mental health conditions, which can affect adults with Autism Spectrum Disorder (ASD). Its particular focus on adults fills a notable gap in the ASD professional literature, with an extensive array of contributors from across the psychology and healthcare professions.

Covering a wide variety of common co-occurring mental health conditions including mood disorders, anxiety, psychosis, OCD, personality disorders, and eating disorders, this guide also explores broader issues to do with promoting positive mental health and wellbeing. Authoritative and detailed, this is an essential resource for all clinicians and professionals looking to understand and tailor their approach to mental health in autistic adults, and the need for specific methods and strategies to enhance assessment and treatment.

What is the Scientist-Practitioner Model?

Introduction

The scientist-practitioner model, also called the Boulder Model, is a training model for graduate programmes that provide applied psychologists with a foundation in research and scientific practice. It was initially developed to guide clinical psychology graduate programmes accredited by the American Psychological Association (APA).

David Shakow created the first version of the model and introduced it to the academic community. From the years of 1941 until 1949, Shakow presented the model to a series of committees where the core tenets developed further. The model changed minimally from its original version because it was received extremely well at all of the conferences. At the Boulder Conference of 1949, this model of training for clinical graduate programmes was purposed. Here, it received accreditation by the psychological community and the American Psychological Association.

The goal of the scientist-practitioner model is to increase scientific growth within clinical psychology in the United States. It calls for graduate programmes to engage and develop psychologists’ background in psychological theory, field work, and research methodology. The scientist-practitioner model urges clinicians to allow empirical research to influence their applied practice; while simultaneously, allowing their experiences during applied practice to shape their future research questions. Therefore, continuously advancing, refining and perfecting the scientific paradigms of the field.

Refer to Practitioner-Scholar Model.

Brief History

After World War I, returning veterans reported decreased life satisfaction after serving. This was primarily due to the lack of clinical psychologists available to treat victims of “shell-shock” (now known as post traumatic stress disorder). At this time, psychology was primarily an academic discipline, with just a few thousand practicing clinicians. The Second World War also influenced the development of the Boulder Model by fuelling the growth of clinical psychology. Psychiatrists in the US military requested help from psychologists in efforts to treat “psychological and psychiatric casualties the war was producing”.

In order to increase life satisfaction for World War II veterans the federal government increased funding to clinical psychology graduate programmes and created the GI Bill. As a result, after the war Psychology graduate programmes flourished with applicants and resources. The field’s increasing popularity called for action, by the academic community, to establish universal standards for educating graduate psychologists. Although the model has not been as prominent in industrial/organisational (I/O) psychology, Campbell acknowledged that the model later influenced I/O psychology.

Development

David Shakow is largely responsible for the ideas and developments of the Boulder Model. On 03 May 1941, while he was chief psychologist at Worcester State Hospital, Shakow drafted his first training plan to educate clinical psychology graduate students during a Conference at The New York Psychiatric Institute, now referred to as Shakow’s 1941 American Association for Applied Psychology Report. In the report, Shakow outlined a 4-year education track:

  • Year 1: establish a strong foundation in psychology and other applied sciences.
  • Year 2: learn therapeutic principles and practices needed to treat patients.
  • Year 3: internship, gain supervised field experience.
  • Year 4: complete research dissertation.

Overall, the report aimed to help clinical graduate students perfect their abilities to complete diagnoses, therapy, and scientific research. The report was endorsed and recommended its review to the American Association for Applied Psychology (AAAP). Later in the year, the AAAP accepted the recommendation and planned a conference to address training guidelines for graduate programmes. The following year the Penn State Conference was held with 3 subcommittees containing representatives from educational institutions, health establishments, and business/industry. These measures were taken to ensure that the final model was not biased towards Shakow’s profession, although only minute changes were made to his original model.

In 1944, a conference was held at the Vineland training school to reexamine Shakow’s report. The American Association for Applied Psychology integrated into the American Psychological Association. Meanwhile, increased demand for professional psychologists prompted the United States Public Health Service (USPHS) and the Veteran Administrative (VA) to increase funding for clinical psychology graduate programs. With more resources at hand, APA president, Carl Rogers asked David Shakow to chair The Committee on Training in Clinical Psychology (CTCP). This committee’s primarily responsibility was to decide upon an effective model for education at the graduate level.

Shakow’s revised report was published in the Journal of Consulting Psychology in 1945 titled Graduate Internship Training in Psychology. Shakow presented his published report to the CTCP and received minimal critique. So, the committee submitted his report to the APA for approval. The APA endorsed Shakow’s training model and published it in the American Psychologist declared as the set agenda for an upcoming conference discussing training methods in clinical graduate programs. By December, the report was known as “The Shakow Report”.

The CTCP members made site visits and evaluations of universities who had clinical graduate programmes. At a joint meeting of the USPHS and the CTCP, a six-week conference was suggested to discuss reported inconsistencies in current clinical training programmes. The conference would be sponsored by the APA and would be granted $40,000 in financial backing by the USPHS.

In January 1949, a planning meeting for the upcoming conference was held in Chicago by members of the CTCP and representatives from the APA board of directors. Here, details including the conference’s name, attendants, and location were decided upon. The planning committee of 1949, agreed to name the conference, The Boulder Conference on Graduate Education in Clinical Psychology, and invited participants from a variety of disciplines. The conference would be held at the University of Colorado at Boulder, thereby allowing participants to attend the proceeding annual meeting of the APA scheduled in Denver.

Boulder Conference

The Boulder Conference met from 20 August to 03 September 1949. A total of 73 committee members attended the conference representing fields of academic and applied psychology, medicine, and educational disciplines. This conference’s goal was to agree upon a standard training plan for clinical psychologists. The Shakow Report was on the agenda, and was received with unanimous support. Due to this consensus, the Shakow report is now referred to as the Boulder Model.

This model aims to teach clinical graduate students to adhere to the scientific method when executing their applied practices. The model states that in order to master these techniques, graduate students need to attend seminars and lectures that strengthen their background in psychology, complete monitored field work, and receive research training. Ultimately, most psychologists specialise in either research academia or applied practice, but this model argues that having sufficient knowledge in the entire field will enhance a psychologist’s ability to perform their specialty.

Criticisms

Despite the Boulder Model’s widespread adoption by graduate psychology programmes, it was met with mounting criticism after its instalment in 1949. The debate over the Boulder Model’s value centres around an array of criticisms:

  • That the Boulder Model lacks validity, meaning that the Boulder Model does not actually help graduate students become better scientists and practitioners.
  • That the Boulder Model monopolises the energies of students, demanding that they spend a large portion of their graduate careers studying research methods that they will not use in professional practice, and depriving them of intensive and extensive formal training and apprenticeship in the art and craft of psychotherapy.
  • That the Boulder Model promotes a view of humans and their suffering that has been simplified to the point at which it does not yield significantly clinically useful guidance to determine practice. Further, the tendency to focus on symptoms and discrete patient characteristics promotes an instrumentalising view of people in distress that filters into the clinical work of students.
  • That diversity of clinical approaches is restricted as programs emphasize those methods that can be easily measured.
  • That the version of the scientific method taught in Boulder Model programmes stresses data gathering techniques over critical thinking skills and theory-building, setting it apart from the so-called hard sciences in its uncritical approach to empiricism.
  • That publication history tends to eclipse clinical sensitivity and depth in the evaluation and promotion of students.
  • That the Boulder Model promotes short-cycle research over longitudinal and more intricate studies that cannot be completed within the timeframe of a training cycle. Thus, that minority of students who do follow a more research-oriented career path are not trained in, or trained to respect, qualitative, longer-term or more complex studies of human psychology.
  • In short, that the skills needed for practice in clinical psychology versus those needed for research are not compatible.

Criticisms continued to accumulate until 1965 at the Chicago Conference. Here, it was recommended that clinical graduate programmes restructured their training methods for students who wanted to focus their careers on applied practices. This idea was reinforced by the Clark Committee of 1967. The committee developed the practitioner-oriented model for clinical graduate programmes, and presented it at the Vail Conference in 1973. This model was accepted readily to coexist with the Boulder Model, which is still used by many psychology graduate programmes today.

Core Tenets

Core tenets of the today’s model included in the current Boulder Model:

  • Giving psychological assessment, testing, and intervention in accordance with scientifically based protocols.
  • Accessing and integrating scientific findings to make informed healthcare decisions for patients.
  • Questioning and testing hypotheses that are relevant to current healthcare.
  • Building and maintaining effective cross-disciplinary relationships with professionals in other fields.
  • Research-based training and support to other health professions in the process of providing psychological care.
  • Contribute to practice-based research and development to improve the quality of health care.

Do High Levels of Physical Activity in Acute Anorexia Nervosa Associate with Worse Clinical Outcomes at Admission?

Research Paper Title

High levels of physical activity in female adolescents with anorexia nervosa: medical and psychopathological correlates.

Background

While overexercise is commonly described in patients who experience anorexia nervosa (AN), it represents a condition still underestimated, especially in the paediatric population.

Methods

The present study aims at assessing the possible associations between levels of physical activity (PA) and clinical features, endocrinological data and psychopathological traits in a sample of 244 female adolescents hospitalised for AN subdivided into two groups according to PA levels (high PA vs. no/low PA). The two groups were compared through multivariate analyses, while multiple regression analysis was conducted to determine whether physical activity predict specific outcomes.

Results

No significant differences were found between the two groups in terms of last Body Mass Index (BMI) before illness, BMI at admission and disease duration, while a difference emerged in delta BMI(rapidity of weight loss), significantly higher in high-PA group (p = 0.021). Significant differences were observed in Free triiodothyronine- (p < 0.001), Free thyroxine (p = 0.046), Follicle-stimulating hormone (p = 0.019), Luteinising hormone (p = 0.002) levels, with values remarkably lower in high-PA group. Concerning psychopathological scales, the high-PA group showed worst Children’s Global Assessment Scale (CGAS) scores (p = 0.035). Regression analyses revealed that higher PA predicts higher delta BMI (p = 0.021), presence of amenorrhea (p = 0.003), lower heart rate (p = 0.012), lower thyroid (Free triiodothyronine p < 0.001, Free thyroxine p = 0.029) and gynaecological hormones’ levels (Follicle-stimulating hormone p = 0.023, Luteinising hormone p = 0.003, 17-Beta estradiol p = 0.041). Concerning psychiatric measures, HPA predicts worst scores at CGAS (p = 0.019), and at scales for evaluation of alexithymia (p = 0.028) and depression (p = 0.004).

Conclusions

Results suggest that high levels of physical activity in acute AN associate with worst clinical conditions at admission, especially in terms of endocrinological and medical features.

Reference

Riva, A., Falbo, M., Passoni, P., Polizzi, S., Cattoni, A. & Nacinovich, R. (2021) High levels of physical activity in female adolescents with anorexia nervosa: medical and psychopathological correlates. Eating and Weight Disorders. doi: 10.1007/s40519-021-01126-3. Online ahead of print.

On This Day … 18 March

People (Births)

  • 1935 – Frances Cress Welsing, American psychiatrist and author (d. 2016).

People (Deaths)

  • 1980 – Erich Fromm, German psychologist and philosopher (b. 1900).

Frances Cress Welsing

Frances Luella Welsing (née Cress; 18 March 1935 to 02 January 2016) was an American psychiatrist. She has been described by critics as a black supremacist. Her 1970 essay, The Cress Theory of Colour-Confrontation and Racism (White Supremacy), offered her interpretation of what she described as the origins of white supremacy culture.

She was the author of The Isis Papers: The Keys to the Colours (1991).

Erich Fromm

Erich Seligmann Fromm (23 March 1900 to 18 March 1980) was a German social psychologist, psychoanalyst, sociologist, humanistic philosopher, and democratic socialist. He was a German Jew who fled the Nazi regime and settled in the US. He was one of the founders of The William Alanson White Institute of Psychiatry, Psychoanalysis and Psychology in New York City and was associated with the Frankfurt School of critical theory.

On This Day … 17 March

People (Births)

  • 1877 – Otto Gross, Austrian-German psychoanalyst and philosopher (d. 1920).
  • 1922 – Patrick Suppes, American psychologist and philosopher (d. 2014).

Otto Gross

Otto Hans Adolf Gross (17 March 1877 to 13 February 1920) was an Austrian psychoanalyst. A maverick early disciple of Sigmund Freud, he later became an anarchist and joined the utopian Ascona community.

His father Hans Gross was a judge turned pioneering criminologist. Otto initially collaborated with him, and then turned against his determinist ideas on character.

A champion of an early form of anti-psychiatry and sexual liberation, he also developed an anarchist form of depth psychology (which rejected the civilising necessity of psychological repression proposed by Freud). He adopted a modified form of the proto-feminist and neo-pagan theories of Johann Jakob Bachofen, with which he attempted to return civilisation to a ‘golden age’ of non-hierarchy. Gross was ostracised from the larger psychoanalytic movement, and was not included in histories of the psychoanalytic and psychiatric establishments. He died in poverty.

Greatly influenced by the philosophy of Max Stirner and Friedrich Nietzsche and the political theories of Peter Kropotkin, he in turn influenced D.H. Lawrence (through Gross’s affair with Frieda von Richthofen), Franz Kafka and other artists, including Franz Jung and other founders of Berlin Dada. His influence on psychology was more limited. Carl Jung claimed his entire worldview changed when he attempted to analyse Gross and partially had the tables turned on him.

He became addicted to drugs in South America where he served as a naval doctor. He was hospitalised several times for drug addiction, sometimes losing his guardianship of himself to his father in the process. As a Bohemian drug user from youth, as well as an advocate of free love, he is sometimes credited as a founding grandfather of 20th-century counterculture.

Patrick Suppes

Patrick Colonel Suppes (17 March 1922 to 17 November 2014) was an American philosopher who made significant contributions to philosophy of science, the theory of measurement, the foundations of quantum mechanics, decision theory, psychology and educational technology. He was the Lucie Stern Professor of Philosophy Emeritus at Stanford University and until January 2010 was the Director of the Education Program for Gifted Youth also at Stanford.

Early Life and Career

Suppes was born on 17 March 1922, in Tulsa, Oklahoma. He grew up as an only child, later with a half brother George who was born in 1943 after Patrick had entered the army. His grandfather, C.E. Suppes, had moved to Oklahoma from Ohio. Suppes’ father and grandfather were independent oil men. His mother died when he was a young boy. He was raised by his stepmother, who married his father before he was six years old. His parents did not have much formal education.

Suppes began college at the University of Oklahoma in 1939, but transferred to the University of Chicago in his second year, citing boredom with intellectual life in Oklahoma as his primary motivation. In his third year, at the insistence of his family, Suppes attended the University of Tulsa, majoring in physics, before entering the Army Reserves in 1942. In 1943 he returned to the University of Chicago and graduated with a B.S. in meteorology, and was stationed shortly thereafter at the Solomon Islands to serve during World War II.

Suppes was discharged from the US Army Air Force in 1946. In January 1947 he entered Columbia University as a graduate student in philosophy as a student of Ernest Nagel and received a PhD in 1950. In 1952 he went to Stanford University, and from 1959 to 1992 he was the director of the Institute for Mathematical Studies in the Social Sciences (IMSSS). He would subsequently become the Lucie Stern Professor of Philosophy, Emeritus, at Stanford.

Computer-Aided Learning

In the 1960s Suppes and Richard C. Atkinson (the future president of the University of California) conducted experiments in using computers to teach math and reading to school children in the Palo Alto area. Stanford’s Education Programme for Gifted Youth and Computer Curriculum Corporation (CCC, now named Pearson Education Technologies) are indirect descendants of those early experiments. At Stanford, Suppes was instrumental in encouraging the development of high-technology companies that were springing up in the field of educational software up into the 1990s, (such as Bien Logic).

One computer used in Suppes and Atkinson’s Computer-assisted Instruction (CAI) experiments was the specialized IBM 1500 Instructional System. Seeded by a research grant in 1964 from the US Department of Education to the Institute for Mathematical Studies in the Social Sciences at Stanford University, the IBM 1500 CAI system was initially prototyped at the Brentwood Elementary School (Ravenswood City School District) in East Palo Alto, California by Suppes. The students first used the system in 1966.

Suppes’ Dial-a-Drill programme was a touchtone phone interface for CAI. Ten schools around Manhattan were involved in the programme which delivered three lessons per week by telephone. Dial-a-Drill adjusted the routine for students who answered two questions incorrectly. The system went online in March 1969. Touchtone telephones were installed in the homes of children participating in the programme. Field workers educated parents on the benefits of the programme and collected feedback.

Decision Theory

During the 1950s and 1960s Suppes collaborated with Donald Davidson on decision theory, at Stanford. Their initial work followed lines of thinking which had been anticipated in 1926 by Frank P. Ramsey, and involved experimental testing of their theories, culminating in the 1957 monograph Decision Making: An Experimental Approach. Such commentators as Kirk Ludwig trace the origins of Davidson’s theory of radical interpretation to his formative work with Suppes.

Book: Eye Movement Desensitisation and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures

Book Title:

Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures

Author(s): Francine Shapiro.

Year: 2018.

Edition: Third (3rd).

Publisher: Guildford Press.

Type(s): Hardcover and Kindle.

Synopsis:

The authoritative presentation of Eye Movement Desensitisation and Reprocessing (EMDR) therapy, this ground-breaking book – now revised and expanded – has enhanced the clinical repertoires of more than 125,000 readers and has been translated into 10 languages. Originally developed for treatment of posttraumatic stress disorder (PTSD), this evidence-based approach is now also used to treat adults and children with complex trauma, anxiety disorders, depression, addictive behaviour problems, and other clinical problems. EMDR originator Francine Shapiro reviews the therapy’s theoretical and empirical underpinnings, details the eight phases of treatment, and provides training materials and resources. Vivid vignettes, transcripts, and reproducible forms are included.

New to This Edition

  • Over 15 years of important advances in therapy and research, including findings from clinical and neurophysiological studies.
  • New and revised protocols and procedures.
  • Discusses additional applications, including the treatment of complex trauma, addictions, pain, depression, and moral injury, as well as post-disaster response.
  • Appendices with session transcripts, clinical aids, and tools for assessing treatment fidelity and outcomes.

EMDR therapy is recognised as a best practice for the treatment of PTSD by the US Departments of Veterans Affairs and Defence, the International Society for Traumatic Stress Studies, the World Health Organisation, the UK National Institute for Health and Care Excellence (NICE), the Australian National Health and Medical Research Council, the Association of the Scientific Medical Societies in Germany, and other health care associations/institutes around the world.