Contending With Preplanned Death: Questions for Clinicians.


BACKGROUND AND OBJECTIVES:The goal of this column is to assist readers in reflecting on their attitudes and responses toward clinical and nonclinical situations involving preplanned deaths by decisionally capable individuals. Such circumstances range from encountering individuals in one's personal and professional lives who desire and intend to end their lives under their own terms, to having such individuals request assistance with predeath and postdeath arrangements. METHODS:Attending to pertinent literature, this essay uses Socratic inquiry to question conventional assumptions and attitudes, push readers' thoughts beyond typical comfort zones, and consider alternative modes of responding to challenges posed by preplanned death. RESULTS:Studies indicate that, for their own end-of-life circumstances, physicians would prefer a briefer, higher quality life to prolonged low-quality life, dignity in infirmity and death, and avoidance of terminal suffering. Lay people generally endorse similar preferences. Although contemporary society generally shuns contemplating preplanned death, cultural attitudes regarding preplanned death are rapidly evolving, and variations of "Death with Dignity" legislation have gained traction in increasing numbers of US states as well as internationally. As yet, no broad consensus exists as to how clinicians should manage circumstances involving preplanned death. CONCLUSIONS:Considerations regarding preplanned deaths merit greater professional and public discussion. Many options exist for improving how professionals address the quality of human experiences surrounding death.


J Psychiatr Pract


Yager J




Has Abstract


2017-09-01 00:00:00












  • Some gestalt contributions to psychiatry.

    abstract::Gestalt theory and methods support significant behavioral change and personal growth, yet they have not been widely incorporated into modern psychiatric practice. Challenges to employing Gestalt principles in psychiatric practice exist, such as focus on diagnosis to guide treatment planning, key elements of psychiatri...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Clegg KA

    更新日期:2010-07-01 00:00:00

  • Patient-reported Outcomes in Practice: Clinicians' Perspectives From an Inpatient Psychiatric Setting.

    abstract::The use of patient-reported outcomes (PROs) has become increasingly common. They have been used to assess quality of care and to support policy decisions, but the evidence concerning their utility to improve patient outcomes is inconsistent. A better understanding of clinicians' experience with PROs has the potential ...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Burr SK,Fowler JC,Allen JG,Wiltgen A,Madan A

    更新日期:2017-09-01 00:00:00

  • Window to His World: Using a Patient's YouTube Channel to Help Diagnose Chronic Mania.

    abstract::Although chronic mania has been investigated, with several case reports and systematic retrospective cohort studies in the literature, it not a widely recognized entity. No specific definition for chronic mania is provided in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Furth...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Ince HY,Streeter CC,Maksimowski M

    更新日期:2020-07-01 00:00:00

  • Efficacy and safety of oral aripiprazole compared with haloperidol in patients transitioning from acute treatment with intramuscular formulations.

    abstract:OBJECTIVE:To report efficacy and safety of transitioning patients receiving intramuscular (IM) formulations of aripiprazole or haloperidol to their respective oral formulations. METHODS:448 agitated patients with schizophrenia (73%) or schizoaffective disorder (27%) were randomized to receive aripiprazole IM 9.75 mg, ...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Daniel DG,Currier GW,Zimbroff DL,Allen MH,Oren D,Manos G,McQuade R,Pikalov AA 3rd,Crandall DT

    更新日期:2007-05-01 00:00:00

  • Castaways: addressing hostility and helplessness in severely lonely adults.

    abstract::Hostility and helplessness are recurrent themes in severely lonely adults, and they can be both causes and effects of subjective feelings of loneliness. Since many lonely patients report a history of abuse, hostile and helpless states of mind may reflect identification with hostile (aggressor) or helpless (passive) at...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Loboprabhu S,Molinari V,Asghar-Ali AA

    更新日期:2015-03-01 00:00:00

  • Perception of depot antipsychotics by mental health professionals.

    abstract:OBJECTIVE:This study examines attitudes of mental health professionals about the use and usefulness of depot antipsychotic medications and determines similarities and differences in attitudes between professional groups. METHODS:Mental health professionals working with patients with severe mental illness completed a q...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Lambert T,Brennan A,Castle D,Kelly DL,Conley RR

    更新日期:2003-05-01 00:00:00

  • The Mental Health Crisis in America: Recognizing Problems; Working Toward Solutions: Part 1. Defining the Crisis.

    abstract::This column is the first in a series summarizing the 2-day Centennial Conference of the Austen Riggs Center. The conference framed problems in access to care and in the nature of care provided that are part of a mental health crisis in America, and then worked to propose solutions. This column focuses on framing the p...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Plakun EM

    更新日期:2020-01-01 00:00:00

  • Collaborative mental health and primary care for bipolar disorder.

    abstract::This article discusses the use of integrated care models, in particular, collaborative care, in the treatment of bipolar disorder. Dr. Williams first discusses how care delivered via a collaboration between primary care and psychiatric providers has the potential to improve both mental health and general medical outco...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Williams JW Jr,Manning JS

    更新日期:2008-05-01 00:00:00

  • Severe loneliness in community-dwelling aging adults with mental illness.

    abstract::Successful aging involves adapting to changing needs. The 2009 U.S. Census noted that 43% of adult Americans are single and that the oldest-old population is the most rapidly growing aging segment. Geriatric, lonely, hopeless individuals are at high risk for depression and suicide. Lonely individuals fail to adapt to ...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,评审


    authors: Loboprabhu S,Molinari V

    更新日期:2012-01-01 00:00:00

  • Improving compliance in on-line, structured self-help programs: evaluation of an eating disorder prevention program.

    abstract::Compliance rates from four iterations of Student Bodies, an 8-10 week computer assisted health education (CAHE) program for the prevention of eating disorders in college-aged women, were measured. Each iteration was modified with the hope of increasing participant compliance. Participants were 116 undergraduate women ...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Celio AA,Winzelberg AJ,Dev P,Taylor CB

    更新日期:2002-01-01 00:00:00

  • Faith or delusion? At the crossroads of religion and psychosis.

    abstract::In clinical practice, no clear guidelines exist to distinguish between "normal" religious beliefs and "pathological" religious delusions. Historically, psychiatrists such as Freud have suggested that all religious beliefs are delusional, while the current DSM-IV definition of delusion exempts religious doctrine from p...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Pierre JM

    更新日期:2001-05-01 00:00:00

  • Treatment of Depersonalization Disorder With Repetitive Transcranial Magnetic Stimulation.

    abstract::High frequency repetitive transcranial magnetic stimulation (rTMS) was approved by the US Food and Drug Administration in 2008 to treat major depressive disorder in those who did not respond to at least 1 antidepressant trial. Previous studies have shown that both high frequency rTMS to the left dorsolateral prefronta...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Karris BC,Capobianco M,Wei X,Ross L

    更新日期:2017-03-01 00:00:00

  • The role of proof of concept (POC) studies in drug development using the EVP-6124 POC study as an example.

    abstract::The goal of early proof of concept studies, typically involving a small number of subjects and more latitude in statistical requirements, is to provide evidence that a drug is likely to be successful in later stages of drug development. Although often not published, such studies allow drug developers to make "Go/No Go...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Preskorn SH

    更新日期:2014-01-01 00:00:00

  • Transcranial Magnetic Stimulation: A Clinical Primer for Nonexperts.

    abstract::Transcranial magnetic stimulation (TMS) is a safe and effective therapeutic modality for a rapidly expanding range of neuropsychiatric indications. Among psychiatric conditions, it is presently approved by the US Food and Drug Administration for treatment-resistant unipolar major depressive disorder and obsessive-comp...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Minzenberg MJ,Yoon JH

    更新日期:2020-09-01 00:00:00

  • The neurobiology of borderline personality disorder: the synergy of "nature and nurture".

    abstract::The author reviews the current state of our knowledge concerning the neurobiology of borderline personality disorder (BPD). A converging body of scientific evidence indicates that patients with BPD suffer from impairments in the brain systems that regulate impulsivity, aggression, and affect. This article reviews data...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Pally R

    更新日期:2002-05-01 00:00:00

  • Antipsychotic Medication Prescribing Practices Among Adult Patients Discharged From State Psychiatric Inpatient Hospitals.

    abstract:OBJECTIVES:The goal of this study was to explore antipsychotic medication prescribing practices in a sample of 86,034 patients discharged from state psychiatric inpatient hospitals and to find the prevalence of patients discharged with no antipsychotic medications, on antipsychotic monotherapy, and on antipsychotic pol...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Ortiz G,Hollen V,Schacht L

    更新日期:2016-07-01 00:00:00

  • A "Trans-Dyadic" Perspective on the Goldwater Rule.

    abstract::The Goldwater Rule has been debated, redefined, and debated further since the election of Donald Trump as President of the United States. This column offers a perspective on the Goldwater Rule that moves beyond psychiatry's current preoccupation with precision DSM-5 diagnosis of individuals, which ethically requires c...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Plakun EM

    更新日期:2017-11-01 00:00:00

  • A psychiatrist retires: the happening.

    abstract::The author uses his own recent experience as a basis for discussing the actualities of retiring and closing a private, solo, psychiatric practice of psychotherapy and psychoanalysis. The extended process includes a personal decision about whether, when, and how to retire; preparation of patients and arrangements for t...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Clemens NA

    更新日期:2011-11-01 00:00:00

  • Prazosin in the treatment of PTSD.

    abstract::Posttraumatic stress disorder (PTSD) often follows a chronic course, and the disorder is resistant to treatment with antidepressants and cognitive-behavioral therapy in a proportion of patients. Prazosin, an a1-adrenoceptor blocker, has shown some promise in treating chronic PTSD. A review of this literature was condu...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,评审


    authors: Green B

    更新日期:2014-07-01 00:00:00

  • Preliminary findings concerning the use of prazosin for the treatment of posttraumatic nightmares in a refugee population.

    abstract::Prazosin, a centrally active alpha-1 adrenergic receptor antagonist, has reduced nightmares and sleep disturbances in placebo-controlled studies involving patients with combat and civilian related posttraumatic stress disorder (PTSD). In this retrospective chart review, we analyzed data from 23 refugees diagnosed with...

    journal_title:Journal of psychiatric practice

    pub_type: 临床试验,杂志文章


    authors: Boynton L,Bentley J,Strachan E,Barbato A,Raskind M

    更新日期:2009-11-01 00:00:00

  • Evolution of First-generation and Second-generation Antipsychotic Prescribing Patterns in Belgium Between 1997 and 2012: A Population-based Study.

    abstract:INTRODUCTION:In recent decades, a substantial increase in prescriptions of antipsychotics has been reported in several countries. This increase in antipsychotic sales has been attributed to the success of second-generation antipsychotics. METHODS:This national register-based study investigated the evolution of outpati...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Morrens M,Destoop M,Cleymans S,VAN DER Spek S,Dom G

    更新日期:2015-07-01 00:00:00

  • TealLock 5.20 security software program for handheld devices.

    abstract::The TealLock has a simple graphic interface, and the program is user-friendly with well thought out options to customize security settings. The program is inexpensive and works seamlessly with the Palm OS platform's built-in basic Security application. The developer offers a 30-day free trial version and there is no d...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Tahil FA

    更新日期:2004-07-01 00:00:00

  • Reducing the Risk of Type 2 Diabetes in Nonselected Outpatients With Schizophrenia: A 30-Month Program.

    abstract:BACKGROUND:Type 2 diabetes is 2- to 3-fold more common in patients with schizophrenia than in the general population. A lifestyle with a focus on diet, exercise, and medication is required to prevent complications from type 2 diabetes, but patients with schizophrenia frequently have trouble maintaining such a lifestyle...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Hjorth P,Espensen CH,Madsen NJ,Viuff AG,Munk-Jørgensen P

    更新日期:2018-01-01 00:00:00

  • COVID-19: Why Has the Mortality Rate Declined?

    abstract::This article explains how the mortality rate of an illness such as Coronavirus Disease 2019 (COVID-19) is calculated as well as how the definition of what is a "case" has changed from the earliest days of the pandemic to now. Many factors were not known about The Sudden Acute Respiratory Syndrome Coronavirus-2 (SARS-C...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Preskorn SH

    更新日期:2020-09-01 00:00:00

  • One Hundred Years of Austen Riggs.

    abstract::This column reviews the history of the Austen Riggs Center on the occasion of its centennial. Riggs has come to stand for high quality, state of the art, biopsychosocial, psychodynamic treatment in contemporary psychiatry and psychoanalysis. This column reviews elements of the positioning of Riggs in the field, and co...

    journal_title:Journal of psychiatric practice

    pub_type: 历史文章,杂志文章


    authors: Plakun EM

    更新日期:2019-07-01 00:00:00

  • The Y model: an integrated, evidence-based approach to teaching psychotherapy competencies.

    abstract:OBJECTIVE:The authors' goal was to develop an integrated model for teaching psychotherapy competencies across schools of therapy. METHOD:The authors surveyed the comparative psychotherapy process literature to identify core features of psychotherapy shared across schools and differentiate those features from the defin...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,评审


    authors: Plakun EM,Sudak DM,Goldberg D

    更新日期:2009-01-01 00:00:00

  • Substance abuse among patients with schizophrenia.

    abstract::Substance use in the general population is a significant public health problem. Problems associated with substance use are aggravated by concomitant psychiatric illness, particularly schizophrenia and schizoaffective disorder. Although there is a general agreement on the need to address this problem, a wide range of o...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Akerele EO,Levin FR

    更新日期:2002-03-01 00:00:00

  • A review of second-generation antipsychotic discontinuation in first-episode psychosis.

    abstract::"All-causes discontinuation" refers to discontinuation of treatment for any reason, and adherence to medication is an important component of this measure. Two recent landmark studies suggest that adherence is a major issue in patients with first-episode psychosis (FEP) right from the onset of treatment. In this review...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,评审


    authors: Miller BJ

    更新日期:2008-09-01 00:00:00

  • Improving treatment adherence in patients with bipolar disorder and substance abuse: rationale and initial development of a novel psychosocial approach.

    abstract::Patients with comorbid bipolar and substance use disorders are at particularly high risk for treatment nonadherence and a host of negative consequences. However, no previous interventions have been designed specifically to address this problem. In the current study, we describe the rationale for and initial developmen...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章


    authors: Gaudiano BA,Weinstock LM,Miller IW

    更新日期:2011-01-01 00:00:00

  • Psychological Function, Iyengar Yoga, and Coherent Breathing: A Randomized Controlled Dosing Study.

    abstract:BACKGROUND:Evidence suggests that yoga may be an effective treatment for major depressive disorder (MDD). Studies evaluating the "dosing" of yoga treatment and efficacy for MDD are needed. The goal of this study was to assess the effects of an intervention combining Iyengar yoga and coherent breathing in participants w...

    journal_title:Journal of psychiatric practice

    pub_type: 杂志文章,随机对照试验


    authors: Scott TM,Gerbarg PL,Silveri MM,Nielsen GH,Owen L,Nyer M,Brown RP,Streeter CC

    更新日期:2019-11-01 00:00:00