Integration Of Psychiatry Research Articles

Shifting Moods and Shifting Discourses: Hopelessness at the Intersection of American Catholicism and Psychology

ABSTRACT: In his 1971 book, Out of the Depths , William Collins, CSS, recounts his long struggle with anxiety and depression. For Collins, as for other American Catholics in the twentieth century, the experience of hopelessness was influenced by religious and medical discourses that shifted in relation to each other over time. Early in the century Catholic ideas of hope were expressed in the precise categories of neo-Scholasticism. By the end of the century there were multiple Catholic approaches to hope. The same time period saw the integration of psychiatry and psychology into mainstream American culture. As these disciplines were defining themselves and striving for recognition from the scientific and medical establishments, the categories used for mental illness were also changing. From nervous problems and neurasthenia early in the century to schizophrenia, anxiety, and then depression, the vocabulary of emotional and mental problems changed as ideas about their nature and causes developed. Collins's narrative of alternating hopelessness and hope gives insight into how his experience was shaped by his suffering, the social expectations he had internalized, and the institutional frameworks he was navigating. It also gives broader insight into how American Catholics viewed emotional problems in the middle of the twentieth century.

3.11 Evaluation of a Novel Integrative Psychiatry Elective Curriculum

3.11 Evaluation of a Novel Integrative Psychiatry Elective Curriculum

Introduction to “Psychiatric Disorders in Dermatology”

Dermatological ReviewsEarly View INTRODUCTION Introduction to “Psychiatric Disorders in Dermatology” Caroline Stamu-O'Brien, Corresponding Author Caroline Stamu-O'Brien [email protected] orcid.org/0000-0002-5832-3510 Department of Psychiatry, NYU School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, New York, USA Correspondence Caroline Stamu-O'Brien, Integrative Psychiatry of NY, PC, 99 Madison Ave, Suite 531, New York, NY 10016, USA. Email: [email protected]Search for more papers by this author Caroline Stamu-O'Brien, Corresponding Author Caroline Stamu-O'Brien [email protected] orcid.org/0000-0002-5832-3510 Department of Psychiatry, NYU School of Medicine, Woodhull Medical and Mental Health Center, Brooklyn, New York, USA Correspondence Caroline Stamu-O'Brien, Integrative Psychiatry of NY, PC, 99 Madison Ave, Suite 531, New York, NY 10016, USA. Email: [email protected]Search for more papers by this author First published: 19 May 2023 https://doi.org/10.1002/der2.193Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Early ViewOnline Version of Record before inclusion in an issue RelatedInformation

De la psychiatrie intégrative à la constellation épistémique

ObjectiveFor three years, my colleagues and I have been leading a seminar on the epistemology of psychiatry. Based on this shared experience, in addition to our own personal experiences (as clinicians, philosophers, etc.), we tackle the question of openness in psychiatry. What does psychiatry open up to ? What idea of progress are we pursuing ? MethodWe have, during these years of work, been lucky enough to be able to grasp a common thread that links the very diverse contributions that have been presented in our seminar, both in terms of the history of our discipline, as well as psychoanalysis, the philosophy of science, anthropology, experiential knowledge. ResultWe note that psychiatry exists in its complete and satisfactory definition only in the debate that we have facilitated with those who have something to say about it from a place that could be judged external: historian, psychoanalyst, anthropologist, philosopher.. DiscussionIf a theoretical corpus believes itself sufficient to speak about the psychic thing, it is wrong; however, if we veer into integrative psychiatry we move away differently, but irremediably, from the scientific truth of our object. ConclusionWe therefore explain a new way of describing the practice of psychiatry: inspired by institutional psychotherapy, which proposes to bring together the transferences of each of the participants in care while respecting subjective integrity, we posit that it is possible to bring together an epistemic constellation for each of our caregiving efforts, bringing together the knowledges necessary for this without distorting them or causing them to lose their radicality.

Challenging the Mechanistic View of Integration in Psychiatry

Previous articleNext article No AccessChallenging the Mechanistic View of Integration in PsychiatryCaterina MarchionniCaterina Marchionni Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by The British Journal for the Philosophy of Science Just Accepted Society: The British Society for the Philosophy of Science Article DOIhttps://doi.org/10.1086/724977 HistoryAccepted March 08, 2023 © 2023 The British Society for the Philosophy of Science. All Rights reserved.PDF download Crossref reports no articles citing this article.

Comparing psychiatric routine care and integrative psychiatry – A study protocol for a prospective observational study (INTEGRAL)

IntroductionIn recent years, complementary and alternative medicine therapies have been increasingly studied for their effectiveness, and there are more and more studies supporting the use of some practices in the psychiatric setting. Despite the high acceptability and interest of patients using a holistic approach to recover from mental health issues, complementary and alternative medicine therapies are not yet integrated in the conventional treatment. This study investigates the potential of an integrative psychiatry approach compared to treatment as usual in a heterogeneous inpatient population. MethodsINTEGRAL is an observational study comparing two psychiatric hospitals. In total 240 inpatients with a diagnosis of a mental disorder (substance use, schizophrenia, depression, anxiety, post-traumatic stress and somatoform disorder) will be included. One hospital offers standard therapy, the other one has established an integrative medicine approach combining conventional treatment with CAM. The integrative approach provides a non-standardized complex patient-centered mental health care. Outcomes will be assessed at three time points and focus on the following three frameworks: severity of disease, personal recovery and trans-diagnostic phenomena. DiscussionTo our knowledge and research, this study is the first prospective observational study comparing psychiatric routine care and integrative psychiatry and will give us a glimpse of the effects on severity of disorders, trans-diagnostic symptoms and recovery in different psychiatric inpatient populations in the short and long term. The study may help to optimize the treatment of patients suffering from severe mental illness in providing a patient-centered approach with a diversity of evidence-based practices.

Integrative Psychiatry: A Clinical Conversation with James Lake, MD, and Robert Rountree, MD

Integrative Psychiatry: A Clinical Conversation with James Lake, MD, and Robert Rountree, MD

Contact based intervention reduces stigma among pharmacy students

IntroductionInterventions to reduce the stigma of substance use disorders by health professionals often include didactic instruction combined with an interactive component that includes a guest speaker in recovery. Few interactive studies have focused on pharmacy students. Community pharmacists are moving to the front lines to battle the opioid epidemic; therefore, pharmacy students should be included in interventions aimed at reducing stigma by health professionals. MethodsThis study examined the effects of a contact-based interactive intervention delivered by a peer recovery support specialist on perceived stigma of opioid use disorder among third-year pharmacy students (N = 115) enrolled in an integrative psychiatry course. Stigma was measured using the Brief Opioid Stigma Scale. ResultsOur study found significant differences in students' perceived stigma, both with their personal beliefs and their beliefs regarding the public, supporting the use of interactive presentations by peer recovery support specialists to decrease perceived stigma of opioid use disorder by health professionals. ConclusionsThis type of intervention for pharmacy students shows promise in reducing substance use disorder stigma and should be further explored.

From analytic to synthetic-organizational pluralisms: A pluralistic enactive psychiatry.

IntroductionReliance on sole reductionism, whether explanatory, methodological or ontological, is difficult to support in clinical psychiatry. Rather, psychiatry is challenged by a plurality of approaches. There exist multiple legitimate ways of understanding human functionality and disorder, i.e., different systems of representation, different tools, different methodologies and objectives. Pluralistic frameworks have been presented through which the multiplicity of approaches in psychiatry can be understood. In parallel of these frameworks, an enactive approach for psychiatry has been proposed. In this paper, we consider the relationships between the different kinds of pluralistic frameworks and this enactive approach for psychiatry.MethodsWe compare the enactive approach in psychiatry with wider analytical forms of pluralism.ResultsOn one side, the enactive framework anchored both in cognitive sciences, theory of dynamic systems, systems biology, and phenomenology, has recently been proposed as an answer to the challenge of an integrative psychiatry. On the other side, two forms of explanatory pluralisms can be described: a non-integrative pluralism and an integrative pluralism. The first is tolerant, it examines the coexistence of different potentially incompatible or untranslatable systems in the scientific or clinical landscape. The second is integrative and proposes to bring together the different levels of understanding and systems of representations. We propose that enactivism is inherently a form of integrative pluralism, but it is at the same time a component of the general framework of explanatory pluralism, composed of a set of so-called analytical approaches.ConclusionsA significant number of mental health professionals are already accepting the variety of clinical and scientific approaches. In this way, a rigorous understanding of the theoretical positioning of psychiatric actors seems necessary to promote quality clinical practice. The study of entanglements between an analytical pluralism and a synthetic-organizational enactivist pluralism could prove fruitful.

5th Annual Integrative Psychiatry Conference

5th Annual Integrative Psychiatry Conference

Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine.

The authors describe how attitudes and confidence in the integration of psychiatry into other areas of medicine change over time during clinical clerkship in medical school. From January 2015 to December 2016, medical students from the University of Iowa were recruited for a prospective study of changes in the Attitudes and Confidence in the Integration of Psychiatry Scale (ACIP) scale. The survey instrument was completed before their psychiatry clerkship, after the clerkship, and at the end of the year following that and other clinical clerkships. Other information such as gender, time spent in clerkship, USMLE Step 1 score, and clerkship grades was also collected. A total of 172 surveys were completed by 138 students. The ACIP score was significantly higher at the end of the participants' clinical clerkship (67.2 to 76.6; t=-7.72, p<0.0001). Of the two ACIP subscales, confidence increased significantly (25.6 to 33.3; t=-9.82, p<0.0001), but attitudes toward integration of psychiatry did not (41.7 to 43.4; t=-1.96, p=0.059). Similar findings were seen in the subset of 34 students for whom pre- and post-clerkship data could be matched. At the end of their clinical clerkship, medical students feel more confident providing psychiatric care. The lack of significant increase in the ACIP scale's attitude subscale either demonstrates that attitude scores going into clerkship were already high and did not deteriorate, or highlights an area for clerkship curriculum development.

Art therapy and psychosis – experiences from the University psychiatric hospital „Sveti Ivan“

IntroductionThe language of visual arts speaks to us in a way that words cannot. Acknowledging the therapeutic effects of artistic expression, art therapy – a psychotherapeutic approach that integrates expressive characteristics of art and explorative characteristics of psychotherapy – has developed. From its beginnings, it has been used with people with psychotic disorders and is enlisted in NICE guidelines as psychological therapy for psychosis and schizophrenia.ObjectivesTo understand and to activate the potential of artistic expression in people with psychotic disorders treated on acute ward, in day hospitals and as a form of long-term therapy in the Patients club of the University psychiatric hospital „Sveti Ivan“.MethodsArt therapy programme is conducted separately on acute ward (Ward for integrative psychiatry), day hospitals (Day hospital for integrative psychiatry and Day hospital for psychotic disorders) and in the Patients club with patients with psychotic disorders. The workshops are adjusted for people with psychotic disorders to enable them to strengthen their sense of self, to empower them and to express their authentic feelings in a safe environment.ResultsThe artwork of people who have taken part in the art therapy programmes for psychosis of the University psychiatric hospital „Sveti Ivan“ will be presented and will serve as an example of an art therapy process, therapeutic goals, as well as the significance of this method for psychotic disorders.ConclusionsArt therapy can be of great benefit for people with psychosis both on acute wards and as a long-term therapy.DisclosureNo significant relationships.

Vers une psychiatrie énactive et computationnelle

IntroductionPsychiatry is challenged by a plurality of complementary approaches. These challenges stem from the existence of multiple levels of understanding, i.e. systems of representations, tools, methodologies and objectives in psychiatry–ranging from computational approaches and systems dynamics to the multiplicity of emerging nosographies, such as the NIMH Research Domain Criteria project or staging models. In this plurality, a significant number of clinicians have adopted the biopsychosocial model. However, such a model has been widely criticized for more than twenty years. In parallel, science has declined a set of different pluralistic frameworks. Thus, through the challenges of computational modeling in psychiatry, we will see how the enactive approach of psychiatry could respond to this multiplicity. Indeed, such an enactive approach considers that perception is a (predictive) activity, which gives sense to the environment (i.e., sense making). Perception and, by extension, cognitive processes are not internal representations of the outside world, but they are deployed according to the 5E approach, i.e., an embodied, embedded, enacted, emotive and extended approach. MethodsIn this article, we first study the pluralist framework in psychiatry, in order to show its contributions in the clinical practice. Secondly, we analyze the contributions of the enactive approach for clinical practice in psychiatry. ResultsTwo forms of pluralisms can be described: a non-integrative pluralism and an integrative pluralism. The first examines the coexistence of different potentially incompatible or untranslatable systems in the scientific or clinical landscape. The second proposes the development of a general framework, bringing together the different levels of understanding and systems of representations. However, pluralism has many pitfalls and limitations. Especially by allowing computational modeling, the enactive framework, anchored both in cognitive sciences, theory of dynamic systems, systems biology and phenomenology, has recently been proposed as an answer to the challenge of integrative psychiatry. ConclusionsA significant number of mental health professionals are already working accepting such a variety of clinical and scientific approaches. We show that the enactive approach allows psychiatry: (1) to consider the subjectivity and the patient's experience, (2) to articulate different “granularities” within the clinical consultation, (3) to explain the benefits the creation of meaning for the patient, (4) to provide concrete models, (5) to support pedagogy in psychiatry. The enactive approach provides a conception for understanding psychiatric disorders as embodied, embedded, enacted, emotional and extended. In that way, the manifestations experienced by the patients are sense making experiences and can be conceived according to various levels of granularity.

Enaktivizam kao okvir za psihijatrijske poremećaje

The paper shows how enactivism can be used as a theoretical framework in psychiatry. An enactive approach can help solve the problem of integration in psychiatry and how to meaningfully connect the different perspectives with which we explain the causes and nature of psychiatric disorders. Enactivism allows us to comprehensively connect the phenomenological, neurophysiological, sociocultural, and existential aspects of psychiatric disorders and holistically approach their understanding and treatment. I will explain what the tenets of enactivism are, what the problem of integration in psychiatry is, and how, according to Saneke de Haan, we can provide a solution to this problem through the enactivist approach. Finally, I will suggest how enactivism can be enriched by adding an ecological perspective.

More than One I—The Healing of a Patient with Bipolar Disorder with Integrative Psychiatry

In the current study, we address the therapeutic components and the effectiveness of integrative psychiatry with transpersonal regression therapy as alternative and complementary medicine. The treatment of a man with therapy-resistant bipolar disorder was successful with this approach. The process in which the therapist analyses the issues found by the patient in cultural explanations like reincarnation, curse and spirit possession is described. During the therapeutic sessions, different subpersonalities manifested and negotiation with these subpersonalities succeeded in integrating them or removing them from the mainstream personality of the patient resulting in his transformation.

Need for integrative psychiatry training: A perspective

Need for integrative psychiatry training: A perspective

Integrative medicine for mental health (INTEGRAL) - An ongoing health service research project comparing psychiatric routine care and integrative psychiatry

Integrative medicine for mental health (INTEGRAL) - An ongoing health service research project comparing psychiatric routine care and integrative psychiatry

An outpatient clinic for integrative mental health: Patient and treatment characteristics and health outcomes based on patient reported routine outcome monitoring data

IntroductionThere is an increasing interest in integrative (mental) health care and a growth in centers offering such services, but a paucity of research on patient characteristics, diagnosis, treatments offered, the effects of those treatments and patient satisfaction.ObjectivesTo examine the course of mental health outcomes in the context of the nature and quality of care of outpatients at a center for integrative psychiatry in the Netherlands, as well as relevant sociodemographic, clinical, and treatment-related moderators of this course.MethodsBaseline patient demographics, clinical and treatment characteristics of 537 patients with a completed care episode between 2012 and 2019 were assessed. Satisfaction and mental health treatment outcomes were examined using routine outcome monitoring and analyzed with multilevel intention-to-treat models.ResultsTwo thirds of patients were woman (median age 41 years), predominantly with a primary diagnosis of mood or anxiety disorder. Mean number of treatment sessions was 49 (SD=94) and total clinical time was 54 hours (SD=109). Mean treatment duration was 460 days (SD=407). Ninety percent of the sample filled out one or more assessment(s). Of the individuals with a baseline assessment, 50% completed a follow-up. Significant improvements in symptomatology, social functioning, interpersonal functioning, wellbeing, resilience and quality of life were found. Clinical and scientific interpretation, moderator analyses and patient satisfaction will be presented at the conference.ConclusionsAlthough no definite conclusions can be drawn due to the naturalistic design and missing data, especially at follow-up, patients seem to improve on all measured domains, including psychopathology, functioning and wellbeing.

8.1 DEVELOPMENT AND IMPLEMENTATION OF AN INTEGRATIVE PSYCHIATRY CURRICULUM INTO RESIDENCY AND FELLOWSHIP TRAINING: A FIVE-YEAR QUALITATIVE ASSESSMENT

In this poster, we aim to: 1) describe an elective curriculum that targets resident knowledge in integrative psychiatry; 2) delineate aspects of the curriculum that address common program requirements for physician well-being; and 3) discuss how this iterative design curriculum has developed based on feedback from trainees over a 4-year period.

Psychology in Brazilian Assistance to the Insane: First Half of the 20th Century

This paper provides an overview on the history of the earliest applications of psychological practices in the two main mental institutions linked to the Assistance for Psychopaths in Rio de Janeiro, Brazil, in the beginning of the 20th Century. This encompassed a range of clinical practices that employed psychological techniques and tools thought as having a curative effect on the causes or symptoms of mental illness. Mental hygiene doctors used those techniques as well, with the biopolitical goal of averting illness and any consequent risk and social danger. The techniques are analyzed in their relation to the modernization project of Brazilian nation and to the problem of what was then understood as its “degenerated population”. The main objective of the paper is to investigate the role of Psychology in Brazil in the early 20th Century. The results appoint an effective interrelation between the raise of scientific legitimacy of Psychological knowledge and technology and the integration of Psychiatry within different nation's modernization projects.