Abstract:
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.
journal_name
J Psychiatr Practjournal_title
Journal of psychiatric practiceauthors
Yager Jdoi
10.1097/PRA.0000000000000260subject
Has Abstractpub_date
2017-09-01 00:00:00pages
366-374issue
5eissn
1527-4160issn
1538-1145journal_volume
23pub_type
杂志文章abstract::We examined the accuracy of the anxiety not otherwise specified (anxiety NOS) diagnosis in 61 patients, using data from older Veterans screened for a large trial of cognitive behavioral therapy for late-life generalized anxiety disorder. We compared the anxiety NOS diagnoses based on the electronic medical record to d...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,随机对照试验
doi:10.1097/PRA.0000000000000408
更新日期:2019-09-01 00:00:00
abstract::This column reviews the need for greater awareness among mental health clinicians regarding evidence-based treatments for borderline personality disorder (BPD) and describes an online resource that has been developed to partially address this need. This resource is the Borderline Personality Disorder Clinician Resourc...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,评审
doi:10.1097/01.pra.0000426328.34149.ff
更新日期:2013-01-01 00:00:00
abstract::Since publication of DSM-IV in 1994, the prevalence of parent-reported diagnosed attentiondeficit/hyperactivity disorder (ADHD) has tripled to more than 10% of children. Although it is hard to know for sure whether ADHD is overdiagnosed, underdiagnosed, or misdiagnosed, it is argued that ADHD is especially prone to di...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000450316.68494.20
更新日期:2014-05-01 00:00:00
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
doi:10.1097/PRA.0000000000000490
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Reports have suggested that sexual dysfunction is an underestimated complication of panic disorder, but little research has focused on sexual dysfunction associated specifically with panic disorder. The purpose of this systematic review was to investigate whether patients with panic disorder who are not curr...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000460
更新日期:2020-05-01 00:00:00
abstract::Evolutionary theory predicts that very young mothers would be more likely to kill an infant than older women, given that the younger mother has a much greater ability to "replace" the dead child through subsequent pregnancies and thus to produce offspring for the next generation. Evolutionary theory also predicts that...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/00131746-200501000-00005
更新日期:2005-01-01 00:00:00
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journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000494
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:Few treatments have been described to treat the population of women with borderline personality structure who present in a dysregulated state with their infants. Therefore, a new treatment program was developed for this target group. METHODS:A total of 45 women, who were identified clinically as meeting ful...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000330
更新日期:2018-09-01 00:00:00
abstract::The aims of this study were to identify specific risk factors associated with completed suicide in a sample of suicide victims diagnosed with mental illness and to discriminate completed suicides from attempted suicide in individuals who did not kill themselves for at least the next 2 years after the index attempt. Ni...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000327311.04153.01
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:There is growing national consensus that use of institutional measures of control, such as seclusion, restraint, enforced medications, and hand-cuffed transport, within psychiatric hospitals is all too common and is potentially counter-therapeutic. Unfortunately, little is known about how to reduce such measu...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,评审
doi:10.1097/01.pra.0000300121.99193.61
更新日期:2007-11-01 00:00:00
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journal_title:Journal of psychiatric practice
pub_type: 临床试验,杂志文章
doi:10.1097/01.pra.0000364287.63210.92
更新日期:2009-11-01 00:00:00
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journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000442938.61575.c2
更新日期:2014-01-01 00:00:00
abstract::Improved compliance with pharmacotherapy was achieved in treating Hispanic outpatients with psychotic disorders when recognition of culturally based differences between patients and psychiatrists led to modifications in prescribing practices. Unacculturated Hispanic outpatients experienced akathisia as an increase in ...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/00131746-200403000-00009
更新日期:2004-03-01 00:00:00
abstract::Assertive community treatment (ACT) is an evidence-based treatment for patients with severe and persistent mental illness. ACT has been shown to reduce inpatient hospitalization and is increasingly being used as a mainstay of evidence-based psychiatric practice for these clinical populations. The increasing implementa...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000313
更新日期:2018-07-01 00:00:00
abstract::This column illustrates the importance of considering interindividual variance when prescribing medications. In this tragic case, the failure to consider age and body weight when prescribing a drug, imipramine, with a narrow therapeutic index caused the death of an otherwise physically healthy 6-year-old child. This d...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000396063.90021.02
更新日期:2011-03-01 00:00:00
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
doi:10.1097/PRA.0000000000000435
更新日期:2019-11-01 00:00:00
abstract::This is the fourth in a series of columns discussing the rational and targeted development of drugs to affect specific central nervous system (CNS) circuits in specific ways based on knowledge gained by molecular biology and the human genome project. The first column in this series described 6 CNS drugs with novel mec...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000274
更新日期:2017-11-01 00:00:00
abstract::The authors discuss the diagnostic criteria for pedophilia and review the literature on its clinical features, including data on prevalence, gender, age of onset, number of victims, frequency and type of acts, violence, impulsivity, and insight. Findings concerning the characteristics of victims (e.g., sex, age, relat...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/00131746-200209000-00004
更新日期:2002-09-01 00:00:00
abstract::The Inventory of Interpersonal Problems (IIP32) is a self-report measure designed to be used in clinical settings to assess interpersonal difficulties. However, it has been exclusively used in either outpatient or non-clinical settings, and psychometric data concerning its use in inpatients are limited. The current st...
journal_title:Journal of psychiatric practice
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doi:10.1097/01.pra.0000415072.36121.2d
更新日期:2012-05-01 00:00:00
abstract::Highly variable plasma concentrations are found in patients receiving the same dose of clozapine. Therefore, rational dose adjustment of clozapine that is guided by therapeutic drug monitoring (TDM) can improve efficacy while reducing risk of toxicity. As a background to the discussion of the use of TDM for clozapine,...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,评审
doi:10.1097/00131746-200509000-00003
更新日期:2005-09-01 00:00:00
abstract::Anxiety is common in dementia and is associated with decreased independence and increased risk of nursing home placement. However, little is known about the treatment of anxiety in dementia. This article reports results from two patients who were treated with a modified version of cognitive-behavioral therapy for anxi...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000320120.68928.e5
更新日期:2008-05-01 00:00:00
abstract::The growth of our understanding of the biology and treatment of schizophrenia is still very much a work in progress. In this article, which introduces a series of papers presented at a conference entitled "Schizophrenia: Doing the Right Thing Well," held at Northcoast Behavioral Healthcare System (Cleveland, May 2000)...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/00131746-200107000-00004
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Although aggressive behavior in psychiatric settings is a major concern, very few studies have focused exclusively on physical assault in a general inpatient psychiatric population. OBJECTIVES:This study had 3 main goals: (1) to evaluate the prevalence of assaultive behavior in an acute psychiatric hospital...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000238
更新日期:2017-07-01 00:00:00
abstract::Cognitive-behavioral therapy (CBT) utilizing exposure and response prevention for obsessive- compulsive disorder (OCD) has typically been studied in the context of time-limited treatment conducted in outpatient settings. However, in practice, patients vary in their response to such treatment, and some require more pro...
journal_title:Journal of psychiatric practice
pub_type: 临床试验,杂志文章
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更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Historically, the literature suggests that African Americans with mental illness are diagnosed with psychotic disorders at a higher rate and receive higher doses of antipsychotic medications than other racial groups. However, few studies have compared clinical characteristics and quality of life among Africa...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000419817.83375.c6
更新日期:2012-09-01 00:00:00
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
doi:10.1097/01.pra.0000452561.98286.1e
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Although neurological soft signs have been consistently described in patients with schizophrenia, their diagnostic specificity is not well clarified. METHODS:To test the hypothesis that neurological soft signs are specifically related to schizophrenia, we examined 305 subjects (patients with schizophrenia-s...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/01.pra.0000445250.20875.0e
更新日期:2014-03-01 00:00:00
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journal_title:Journal of psychiatric practice
pub_type: 杂志文章
doi:10.1097/PRA.0000000000000366
更新日期:2019-03-01 00:00:00
abstract::Suicide and other suicidal behaviors are often associated with psychiatric disorders and dysfunctions. Therefore, psychiatrists have significant opportunities to identify at-risk individuals and offer treatment to reduce that risk. Although a suicide risk assessment is a core competency requirement, many clinical psyc...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,评审
doi:10.1097/01.pra.0000454784.90353.bf
更新日期:2014-09-01 00:00:00
abstract::We have utilized supportive therapy (ST) with an outpatient population with borderline personality disorder (BPD) who also engage in nonsuicidal self-injurious and suicidal behavior. In recent years, ST has been described as an active psychotherapeutic approach that may have efficacy comparable to other psychotherapie...
journal_title:Journal of psychiatric practice
pub_type: 杂志文章,评审
doi:10.1097/00131746-200405000-00002
更新日期:2004-05-01 00:00:00