The Canadian Journal of Psychiatry最新文献

{"title":"Book Review: Leaving It at the Office: A Guide to Psychotherapist Self-Care","authors":"M. E. Yack","doi":"10.1177/0706743719852963","DOIUrl":"https://doi.org/10.1177/0706743719852963","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127762093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Hoarding Disorder","authors":"P. Grof","doi":"10.1177/0706743719845350","DOIUrl":"https://doi.org/10.1177/0706743719845350","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127917822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Short-Term Psychodynamic Psychotherapy","authors":"J. Bourgeois","doi":"10.1177/0706743719837143","DOIUrl":"https://doi.org/10.1177/0706743719837143","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"37 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134279126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Coping Strategies to Promote Occupational Engagement and Recovery: A Program Manual for Occupational Therapists and Other Health Care Providers","authors":"Keith H. Anderson","doi":"10.1177/0706743718822484","DOIUrl":"https://doi.org/10.1177/0706743718822484","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122017066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Understanding and Managing Somatoform Disorders: A Guide for Physicians","authors":"F. Mai","doi":"10.1177/0706743718821340","DOIUrl":"https://doi.org/10.1177/0706743718821340","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130671084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Work Just Another 4-Letter Word?","authors":"C. Dewa","doi":"10.1177/0706743718814431","DOIUrl":"https://doi.org/10.1177/0706743718814431","url":null,"abstract":"Is work just another 4-letter word? Some would agree, asserting that work is nothing more than a burden to bear. They even may have adopted as their anthem the O’Jays’s song, “But as soon as Friday rolls around, I lay all my weekly burdens down.” To this group, work is something that must be endured. On the other hand, there are those who view work as an opportunity to meet their hierarchy of needs that begin with the psychological and ultimately include self-actualization. They understand what Dr. Martin Luther King Jr. described with, “All labor that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence.” Work has the potential to offer dignity and empowerment. So, who is right? Perhaps, both groups are. If we are in healthy work environments, we can fulfill both basic and higher-order needs. But that is a resounding “if.” There seems to be a constant struggle between creating a healthy environment and sacrificing it in the name of efficiency. For example, the Industrial Age exposed workers to physically unsafe environments. This catalyzed labour advocates to rise up to fight for safer physical conditions for workers. Their legacy is the ongoing development of standards to create working conditions that increase the likelihood that workers return from their shifts intact. The new century ushered in new environments in which many jobs no longer require heavy lifting with our backs but with our brains. They call for workers to absorb significant quantities of information, to digest it, and to synthesize all of it to successfully problem-solve. Our current age commodifies knowledge and information to the extent that their production and use has increasingly exposed a large proportion of workers to work factors that threaten to compromise their emotional and mental well-being. With this, the Information Age introduced the opportunity to broaden the scope for healthy work conditions. Around the globe, the mental well-being of workers began to become of interest. Leading North America, in 2013, Canada introduced its Psychological Health and Safety in the Workplace standard. In this issue, Sheikh and colleagues evaluate the extent to which these standards have been implemented. A strength of their study is the participation of 1010 employers. Furthermore, among their participants, there was variation in company size and province. Their findings demonstrate one of the challenges to achieving change—lack of awareness. This may highlight one of the main limitations of the standard—it is voluntary. As organizations face competing priorities, those that are not mandatory may always take second place to those that are. As with other types of occupational health and safety regulations, additional incentives that include both carrots and sticks may be needed. At the same time, this means that metrics must progress to the point that just as we know what a maximum lift load should be, we need a measure of maximum workl","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129331595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Emerging Epidemic of Male Me-Too: Response to Men’s Mental Health: Beyond Victim Blaming","authors":"A. Bahji","doi":"10.1177/0706743718805751","DOIUrl":"https://doi.org/10.1177/0706743718805751","url":null,"abstract":"The Canadian Journal of Psychiatry is an important reference in the education of psychiatric trainees in Canada and elsewhere. In the recently published editorial “Men’s Mental Health: Beyond Victim Blaming,” Dr. Whitley skillfully outlines how literature on the impact of intimidation and harassment (I&H) has largely focused on women and how a recently emerging field of discourse is the mental health experience of males. This article especially emphasized how men are disproportionately overrepresented in specific mental health domains, including rates of suicide, substance use disorders, underutilization of mental health resources, and overdose deaths involving fentanyl, yet men have simultaneously been left out of the recent “me-too” movement. As such, men’s mental health has aptly earned various eponyms, such as the “silent epidemic” or “quiet catastrophe,” as Dr. Whitley writes. It is not surprising, then, to learn that the focus of issues involving the impact of I&H among resident physicians has also largely ignored the experiences of males. However, recent studies have shown that I&H is also frequently reported by male resident physicians. In 2014, Karim and Duchcherer conducted an extensive literature review of surveys of resident physicians reporting incidents of I&H. The results were profound: I&H was found to be highly prevalent, with 45% to 93% of residents reporting this behaviour on at least one occasion. In one study, there were equal rates of sexual harassment reported by male and female residents. In another study, male residents were more likely to classify I&H behaviors as legitimate if they had a positive effect on their education. Regarding reasons to avoid reporting I&H, male residents more often reported that they did not think it was a problem, that they did not think that it was worthwhile, or that they did not believe that it would accomplish anything. Overall, it appears that the I&H experiences of male resident physicians are not as invisible as we may have once thought. This, however, is not due to a lack of effort. Many Canadian residency programs have developed I&H policies, provided education on issues around professionalism, and emphasized the role of physician wellness. However, despite these interventions and the supposed importance of preventing and mitigating the impact of I&H in residency, few specific solutions have been proposed. Furthermore, for there to be effective solutions for I&H among residents, we must consider the current culture regarding I&H in general, which has, until recently, portrayed males only as perpetrators, rather than victims, of I&H.","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122657278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of the Outcomes of the Consent and Capacity Board in Patients with Schizophrenia Spectrum Illness","authors":"N. Zhand, David G. Attwood","doi":"10.1177/0706743718806500","DOIUrl":"https://doi.org/10.1177/0706743718806500","url":null,"abstract":"Mental health legislation allows involuntary treatment under certain circumstances. It also permits patients to appeal and receive an independent review. Review boards aim to provide a balance between medicolegal considerations, while protecting patients’ rights and ensuring the public’s safety. There is little known about the consent and capacity board (CCB) decisions on findings of incapacity, involuntary admissions, or community treatment orders (CTOs). This study examines the outcomes of CCB hearings in patients with schizophrenia, who have a higher rate of involuntary admissions, incapacity for treatment, and issuance of CTOs.","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132840213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Forces et souffrances psychiques de l'enfant. Tome I: Le développement infantile","authors":"Anna Richard Bourgeois","doi":"10.1177/0706743718802810","DOIUrl":"https://doi.org/10.1177/0706743718802810","url":null,"abstract":"","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127200508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: The Diagnosis and Management of Agitation","authors":"G. Voineskos","doi":"10.1177/0706743718777395","DOIUrl":"https://doi.org/10.1177/0706743718777395","url":null,"abstract":"Agitation is a common symptom of psychiatric and medical emergencies, and it often appears in a variety of medical environments. The origin of agitation and the differing approaches and treatments available are the principal focus of this book. The book begins with emphasis on the biology of agitation, followed by chapters on substance abuse, medical evaluation and psychiatric evaluation of patients with agitation, medical causes of agitation, personality disorders, pediatrics, and geriatrics. Treatment options are outlined, including psychiatric and medical workups, psychopharmacology, deescalation, and calming techniques. Legal issues, patients’ rights, and approaches in prehospital settings are addressed that provide physicians, nurses, and health care workers in general with guidelines for safe, focused, and effective treatment. The book consists of 18 chapters written by 31 authors often working in pairs. The authors have long and distinguished experience in emergency medicine and psychiatry, as do the three editors. Each chapter begins with an introduction and proceeds to provide a background of the development of agitation, discussing the key concepts of etiology and management. The biology of agitation takes up a chapter of its own in substantial length and detailed depth. This is followed by the medical evaluation of the agitated patient and the diagnostic evaluation of psychiatric patients and the elderly. The next chapter deals with agitation related to substance use, abuse, and withdrawal. This chapter provides a good picture of the impact of alcohol-related agitation and alcohol-related dementia. The frequency of agitated behavior as a symptom of psychiatric conditions and somatic conditions, particularly neurological states, is discussed, as are stimulants, especially cocaine, which could lead to stroke, heart attack, and heart failure. Withdrawal symptoms, alcohol-related dementia including WernickeKorsakoff syndrome, and scales to assess agitation are discussed. This chapter, like the previous chapters, concludes with a detailed list of references. The next chapter is focused on medical causes of agitation arising from systemic illness. Chapter 6 deals with agitation in the elderly, since they constitute a special population presenting unique problems to health care providers. The three subsequent chapters deal with the psychiatric evaluation of patients with agitation and the causes of exacerbation of agitation in those with personality disorders and those with mood and psychotic disorders. The next chapter deals with standards of care leading to collaborative deescalation to prepare to engage early and safely the person around medication use. Chapter 11’s focus is on agitation in field settings by emergency medical services providers and law enforcement personnel. Chapter 12 deals with the use of conducted energy devices and of TASERS in the prehospital environment. There appears to be a significant focus on patients suffering f","PeriodicalId":309115,"journal":{"name":"The Canadian Journal of Psychiatry","volume":"515 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123073777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}