Veterinary Behavioral Medicine Research Articles

Emotional Arousal Impacts Physical Health in Dogs: A Review of Factors Influencing Arousal, with Exemplary Case and Framework.

Excessive emotional arousal has been shown to impact physiological health in both veterinary species and human animals. The focus of work in many models of veterinary behavioural medicine has predominantly been associated with reducing activation of the protective emotional systems; in particular, fear-anxiety. The management of the engaging emotional systems of desire-seeking, social play, care and lust has not traditionally been considered in the treatment of physiological health of veterinary species. This article reviews the literature in both veterinary and human fields on the relationship between emotional arousal of both protective and engaging emotional systems and physical health conditions. The current literature describing the regulatory control of sleep on emotional arousal is also discussed. An exemplary case report of a seven month old male entire Cocker Spaniel showing fly-snapping behaviour which had been non-responsive to leviteracetam (Keppra) is presented. The emotional health assessment and treatment of this case is described along with the short and long term (fourteen month follow up) outcomes to demonstrate that some patients presenting in this way can be effectively managed with an appropriate behavioural medicine treatment plan. The authors put forward the argument that an emotional health assessment should be considered an essential component of the work up of all such cases.

Sleep Characteristics in Dogs; Effect on Caregiver-Reported Problem Behaviours.

Simple SummarySleep duration and quality can be difficult to assess. Clinicians working in the field of veterinary behavioural medicine with dogs showing problem behaviours currently have little evidence-based literature to guide recommendations on assessment of sleep or treatment options if sleep is deemed poor. This study aims to broaden the level of knowledge regarding canine sleep durations and characteristics and begin research into the relationship between behavioural responses and the duration and quality of sleep. A questionnaire was used to capture information regarding canine sleep characteristics and caregiver perceptions of the severity of problem behaviours shown by this cohort. Responses regarding 1330 dogs were received and assessed. Dogs shown to sleep less than 6 h whilst their caregivers are in bed showed a greater caregiver-reported severity of problem behaviours. Dogs more easily disturbed from sleep at times their caregiver was out of bed, showed increased reported severity of problem behaviours. Whilst it is not possible to determine an optimal canine sleep duration, sufficient evidence is presented to argue that addressing problem behaviours by recommending increased activity may not be appropriate when it results in deprivation in relation to species-specific sleep requirements.Optimal sleep duration and quality is difficult to define. There are strong arguments for a relationship between sleep, in particular REM sleep, and emotional health and behaviour in a variety of species. This study aims to broaden the level of knowledge regarding canine sleep durations and characteristics and begin research into the relationship between behavioural responses and the duration and quality of sleep. A caregiver questionnaire was used to capture information regarding the duration and characteristics of canine sleep, how easily this cohort of dogs were disturbed from sleep, and caregiver perceptions of the severity of problem behaviours shown by this cohort (n = 1330). A quadratic relationship between canine sleep duration whilst a caregiver is in bed and severity of problem behaviour is shown, with less than 8 h sleep and more than 10 h sleep correlating with increased severity of problem behaviours in this cohort. Dogs which were more easily disturbed from sleep at times their caregiver was out of bed, showed increased reported severity of problem behaviours. Whilst it is not possible to determine an optimal canine sleep duration, sufficient evidence is presented to argue that problem behaviour should not be remedied by sleep deprivation.

Case Distribution, Sources, and Breeds of Dogs Presenting to a Veterinary Behavior Clinic in the United States from 1997 to 2017.

Simple SummaryThis study looked at the reasons why people sought help for their dog’s behavior, where those dogs were acquired by the owner, and which breeds of dogs were seen most often. All dogs in this study presented to a veterinary college specialty hospital in the United States. For dogs presenting to the behavioral medicine service, the types of behavior problems and sources of dogs from 1923 cases over twenty years (1997 to 2017) were evaluated. The breeds of dogs presenting for behavior (822) compared to those presenting to the rest of the hospital for non-behavioral reasons (51,052) were compared over ten years (2007 to 2016). The most common behavioral issue was aggression (72.2% of cases). Dogs obtained from breeders decreased and dogs adopted from shelters increased over twenty years. Dogs from the herding and terrier groups presented more often to the behavioral medicine service compared to the rest of the hospital. While these findings are specific to this population, these results could be helpful in making choices about the allocation of resources for the prevention of behavioral problems, such as genetics research or educational support to shelters. Finally, we found that the variations in terminology and available data made comparisons of behavior problems challenging.The purpose of this retrospective case study was to evaluate trends over time in case distribution, sources, and breeds of dogs presenting to the behavioral medicine service at a veterinary college referral hospital in the United States. For case distribution and sources, the available records from the behavior service (n = 1923) from 1997 to 2017 were evaluated. Breeds of dogs presenting to all services (n = 51,052) were compared to behavior cases (n = 822) from 2007 to 2016. Over twenty years, 72.2% of dogs presented for aggression, 20.1% for anxieties/fears/phobias, and 7.4% for miscellaneous behavioral problems. Dogs acquired from breeders decreased and dogs from shelters, rescues, or adopted as a stray increased over twenty years (p < 0.0001). The Herding (p = 0.0124) and Terrier (p < 0.0001) groups were overrepresented for behavior problems as compared to all other services over ten years. Variations in terminology and diagnostic approach made comparisons with earlier studies difficult, which underscores a need for a more consistent methodology in veterinary behavioral medicine. Understanding trends in sources of dogs could direct resources aimed at guiding owners when acquiring a pet dog and preventing behavioral problems. Findings related to breeds could help guide research focused on the genetic contributions to behavior.

Pharmacotherapeutics in clinical ethology: treatment efficacy, clinical pathology and outcome

Abstract The use of psychopharmaceutical agents is a core aspect of treatment in veterinary behavioural medicine. Psychotropic medication use has shifted the focus of treatment from purely behavioural and environmental interventions to a multi-modal approach. Objective measures of efficacy are required for the licensing of medication. Pharmacotherapeutics have come to encompass supplements and diets, in addition to prescription medications. The first part of this paper examines the efficacy of medications, supplements and diets used in behavioural medicine. Foci include the role of evolution in the types of behavioural concerns reported, the importance of defining abnormal or pathological behaviour, use of terminology that supports stratified mechanistic diagnoses aid in understanding presentation and response clusters, and rational use of medication to relieve emotional, mental and behavioural suffering, given these diagnoses and clusters. The second part of this paper examines the extent to which variation in patient response to medication can enlighten us about mechanisms and outcomes of distress using a series of 3 patient populations who are the focus of studies on separation anxiety and noise reactivity. This response surface approach can be useful for understanding differences in populations in susceptibility to behavioural pathology and in medication response, and may suggest new avenues for drug development and application.

Analysis of polymorphisms of canine Cytochrome P 450-CYP2D15.

Cytochrome P450 (CYP) proteins constitute a large ancient family of oxidative enzymes essential for the efficient elimination of a wide variety of clinically used drugs. Polymorphic variants of human CYP2D6 are associated with the conversion rate and efficacy of several drugs such as antidepressants. Polymorphisms of the canine orthologue CYP2D15 are of interest because these antidepressants are also used in dogs with behavioral problems and the outcome of the treatment is variable. However, the annotated CYP2D15 gene is incomplete and inaccurately assembled in CanFam3.1, hampering DNA sequence analysis of the gene in individual dogs. We elucidated the complete exon–intron structure of CYP2D15 to enable comprehensive genotyping of the gene using genomic DNA. We surveyed variations of the gene in four diverse dog breeds and identified novel polymorphisms in exon 2 in border collies. Further investigation to establish the impact of these canine CYP2D15 polymorphisms on interindividual variability in expression and function of this metabolizing enzyme is now feasible. Further knowledge of CYP pharmacogenetics will help individualize therapy and thereby increase therapeutic efficacy, especially in the use of antidepressants in veterinary behavioral medicine.

Developing Diagnostic Frameworks in Veterinary Behavioral Medicine: Disambiguating Separation Related Problems in Dogs.

Diagnoses are widely used in both human and veterinary medicine to describe the nature of a condition; by contrast, syndromes are collections of signs that consistently occur together to form a characteristic presentation. Treatment of syndromes, due to either their lack of a clear biological cause or multiple causes, necessarily remains non-specific. However, the discovery of interventions may help refine the definition of a syndrome into a diagnosis. Within the field of veterinary behavioral medicine, separation related problems (SRPs) provide a good example of a syndrome. We describe here a comprehensive process to develop a diagnostic framework (including quality control assessments), for disambiguating the signs of SRPs as an example of a heterogeneous behavioral syndrome in non-human animals requiring greater diagnostic and treatment precision. To do this we developed an online questionnaire (243 items) that covered the full spectrum of theoretical bases to the syndrome and undertook a large-scale survey of the presenting signs of dogs with one or more of the signs of SRPs (n = 2,757). Principal components analysis (n1 = 345), replicated in a second sample (n2 = 417; total n = 762), was used to define the structure of variation in behavioral presentation, while hierarchical agglomerative cluster analysis cross checked with the partitioned around medoids method was used to determine sub-populations. A total of 54 signs were of value in defining a latent structure consisting of seven principal components (termed “exit frustration,” “social panic,” “elimination,” “redirected frustration,” “reactive communication,” “immediate frustration,” “noise sensitivity”), which divided the population in four clusters (termed “exit frustration,” “redirected reactive,” “reactive inhibited” and “boredom” related SRPs) with 11 sub-clusters (3, 3, 3, and 2, respectively). We used a bottom-up data-driven approach with numerous quality checks for the definition of robust clusters to provide a robust methodology for nosological studies in veterinary behavioral medicine, that can extend our understanding of the nature of problems beyond SRPs. This provides a solid foundation for future work examining aetiological, and differential treatment outcomes, that will allow both more effective treatment and prevention programmes, based on a fully appreciation of the nature of the problem of concern.

Veterinary Professionals' Understanding of Common Feline Behavioural Problems and the Availability of "Cat Friendly" Practices in Ireland.

Simple SummaryVeterinary behavioural medicine, which includes being able to understand animal behaviour and treat behaviour problems, is an important part of veterinary practice. However, many veterinary practitioners and veterinary nurses in Ireland and elsewhere feel that they have received inadequate training in this subject. The purpose of this study was to survey veterinary practitioners and veterinary nurses in Ireland about treating common behavioural problems in cats and the availability of “cat friendly” practices. An online survey was developed, consisting of 21 questions on professional roles and experience, scenarios presenting advice given on common cat behaviour problems, and “cat friendly” practice management options. For each piece of advice participants were asked to score how likely it would be to solve the behavioural problem in a kind way. The online survey was shared via professional organisations, social media and at the University College Dublin Hospital Conference. The survey was completed by 42 veterinary practitioners and 53 veterinary nurses. Most of these correctly recognised both good and bad advice, but some mistakes and uncertainties were found. The scores of veterinary practitioners and veterinary nurses differed for the advice on urine spraying, self-mutilation (self-injury), and resource-based aggression (aggression related to sharing items), and we found that relatively few “cat friendly” measures were available in respondents’ clinics. Our findings could be used to improve training in veterinary behavioural medicine.Veterinary behavioural medicine (VBM) is an integral aspect of veterinary practice. However, Golden and Hanlon (Ir. Vet. J. 71:12, 2018) found that the majority of professionals surveyed felt they had received inadequate VBM education and were commonly asked to give advice on feline behavioural problems. The purpose of this study was to explore understanding of feline VBM and the availability of “cat friendly” provisions in clinical practice in Ireland. An online survey comprised 21 questions on professional role and experience, vignettes of common feline behavioural problems, and “cat friendly” practice management. Using a Likert Scale, participants were requested to score whether the advice depicted in vignettes supported best outcome based on the definition by Shalvey et al. (Ir. Vet. J. 72:1, 2019). The survey was distributed via professional organisations, social media, and at the University College Dublin Hospital Conference. Forty-two veterinary practitioners (VPs) and 53 veterinary nurses (VNs) completed the survey. The majority of veterinary professionals agreed with our classification of best outcome, but some areas of disagreement and uncertainty were identified. In addition, there were significant differences between VPs and VNs regarding spraying (p = 0.033), self-mutilation (p = 0.016), and resource-based aggression (p = 0.013). Relatively few “cat friendly” measures were implemented in respondents’ clinics. Our findings support the need for increased education in feline VBM, in particular, implementation of cat friendly practice initiatives.

Evidence-based paradigm shifts in veterinary behavioral medicine.

There is now a large body of research in veterinary behavioral medicine that is clinically relevant and could enrich patients' and practitioners' lives. Too often, however, this research is published in journals that may not be readily available to veterinarians in private practice. Four important topics in the area of veterinary behavioral medicine for which belief has not kept pace with the published data are the unmet need for behavioral medicine in veterinary practice, the veterinary experience as a contributor to fear and distress in dogs and cats, social signaling in dogs and the ongoing "dominance" debate, and punishment as an intervention to change behavior. The present article seeks to provide a critical overview of recent research that is shifting existing paradigms on these topics and should alter the way veterinarians observe and care for patients.

Exploring the understanding of best practice approaches to common dog behaviour problems by veterinary professionals in Ireland

BackgroundCompanion animal behaviour problems significantly impact companion animal (and owner) welfare. Veterinary behavioural medicine (VBM) is an emerging discipline and aims to provide evidence-based advice to owners and veterinary professionals to support normal behaviour in companion animals through appropriate socialisation and training and to address behaviour problems in a constructive and welfare-friendly manner. The approach to problem behaviours in dogs has changed in recent years; previously a mis-understanding of the biological theory of dominance has been used to explain certain behavioural problems in dogs which has led to the use of punishment-based treatment methods. Current research advocates the benefits of reward-based methods and highlights the risks of implementing positive punishment-based training techniques to both dogs and owners. Golden and Hanlon (Ir Vet J 71: 12, 2018) have reported that veterinary professionals in Ireland are frequently asked to advise on dog behaviour problems. This study aimed to explore veterinary professionals’ understanding of training and treatment options for frequently encountered dog behaviour problems, and to help support the development of competences in VBM in Ireland.MethodsAn online survey was developed, including a pre-test evaluation by a pilot group of veterinary professionals, on SurveyMonkey®. The link to the online survey was distributed via third-party professional associations and social media. The survey contained twelve vignettes illustrating advice from veterinary professionals on common behaviour scenarios. Using a Likert Scale, respondents were asked to assess the likelihood of the advice to support best outcome for the dog. Best outcome was defined as one which provides a resolution to the behavioural problem while not compromising the animal’s welfare.Results84 private veterinary practitioners (PVP) and 133 veterinary nurses (VN) completed the survey. In the majority of vignettes, most veterinary professionals agreed with our classification of best outcome, but several areas of uncertainty were identified. Marked variations in response were found for PVPs in vignettes depicting advice recommending citronella collars, invisible radio fences, trainers utilising dominance language, and another dog for separation anxiety. For VNs, variations in response were found in vignettes depicting dominance-based training and advice on separation anxiety. Significant differences were found in the responses of VNs and PVPs for the vignettes recommending the use of citronella collars (p < 0.01) and invisible radio fences (p < 0.05), where VNs agreed with their recommendation less often than PVPs. PVPs graduating since 2013 agreed with the recommendation of invisible radio fences less often than PVPs graduating before 2013 (p < 0.05). VNs graduating before 2013 agreed with the recommendation of an accredited trainer (p < 0.05) and disagreed with the use of flooding to treat fear (p < 0.05) more often than VNs graduating since 2013.ConclusionsOur findings have identified specific areas of uncertainty with regards knowledge of positive punishment-based training and the treatment of common dog behaviour problems, highlighted the demand for continuing professional education in VBM and provided further evidence of the need to develop day one competences in VBM for veterinary medicine and nursing programmes at university level.

Understanding feline emotions: … and their role in problem behaviours.

Practical relevance: Despite its importance, emotional health is a subject that is sadly neglected in the context of companion animals. Understanding emotions is at the heart of veterinary behavioural medicine and is key to preventing, managing and treating reported behavioural problems in domestic cats. Clinical challenges: On a daily basis, veterinary practices are presented with the physical health impact of emotional health and with emotionally motivated behaviours that are undesirable to owners and/or detrimental to the cat. Emotional health is of equal importance to physical health and lies at the very core of veterinary medicine. Clinically, the emotional motivation for a behaviour must be identified before an assessment is made of whether the motivation is contextually appropriate and whether the cat's response is justified and normal, or abnormal in the circumstances. Evidence base: The majority of referenced evidence for our understanding of emotional motivations in mammals has come from the human field, but recently there has been increasing interest in the emotional health of non-human animals and a resulting growth in research. This review draws on the published literature and the author's personal experience to explore how emotions can influence feline behaviours. Global importance: Understanding the importance of emotional health is a major factor in ensuring positive welfare for cats, wherever they are kept as companion animals. It impacts on their physical health and their quality of life, and also on the relationship between cat and owner.

Nuclear medicine for the investigation of canine behavioral disorders

The aim of this review was to report the current literature concerning the use of nuclear imaging modalities for the investigation of the neurobiology of canine behavioral disorders. The conventionally used nuclear medicine modalities are positron emission tomography and single photon emission (computed) tomography. At this moment, information is scarce about their application in veterinary behavioral medicine and only present for single photon emission tomography studies in dogs, mainly using 99mTc-ethyl cysteinate dimer to assess brain perfusion (and indirectly neuronal function) and 123I-5-I-R91150 to evaluate the 5-hydroxytryptamine-2A receptor binding. Current results suggest that functional nuclear imaging provides useful noninvasive in vivo information about the neurobiology and therapeutic evaluation of canine behavioral disorders. Due to striking similarities with neurobiological alterations in human disorders, the dog also represents an interesting natural animal model for human neuropsychiatric diseases.

Unmet needs in veterinary behavior and behavioral medicine: The case for more scientific rigor

Unmet needs in veterinary behavior and behavioral medicine: The case for more scientific rigor

2015 AAHA Canine and Feline Behavior Management Guidelines.

The 2015 AAHA Canine and Feline Behavior Management Guidelines were developed to provide practitioners and staff with concise, evidence-based information to ensure that the basic behavioral needs of feline and canine patients are understood and met in every practice. Some facility in veterinary behavioral and veterinary behavioral medicine is essential in modern veterinary practice. More cats and dogs are affected by behavioral problems than any other condition. Behavioral problems result in patient suffering and relinquishment and adversely affect staff morale. These guidelines use a fully inclusive team approach to integrate basic behavioral management into everyday patient care using standardized behavioral assessments; create a low-fear and low-stress environment for patients, staff and owners; and create a cooperative relationship with owners and patients so that the best care can be delivered. The guidelines' practical, systematic approach allows veterinary staff to understand normal behavior and recognize and intervene in common behavioral problems early in development. The guidelines emphasize that behavioral management is a core competency of any modern practice.

"Reactivity to stimuli" is a temperamental factor contributing to canine aggression.

Canine aggression is one of the most frequent problems in veterinary behavioral medicine, which in severe cases may result in relinquishment or euthanasia. As it is important to reveal underlying factors of aggression for both treatment and prevention, we recently developed a questionnaire on aggression and temperamental traits and found that “reactivity to stimuli” was associated with aggression toward owners, children, strangers, and other dogs of the Shiba Inu breed. In order to examine whether these associations were consistent in other breeds, we asked the owners of insured dogs of Anicom Insurance Inc. to complete our questionnaire. The top 17 contracted breeds were included. The questionnaire consisted of dogs' general information, four items related to aggression toward owners, children, strangers, and other dogs, and 20 other behavioral items. Aggression-related and behavioral items were rated on a five-point frequency scale. Valid responses (n = 5610) from owners of dogs aged 1 through 10 years were collected. Factor analyses on 18 behavioral items (response rate over 95%) extracted five largely consistent factors in 14 breeds: “sociability with humans,” “fear of sounds,” “chase proneness,” “reactivity to stimuli,” and “avoidance of aversive events.” By stepwise multiple regression analyses, using the Schwartz's Bayesian information criterion (BIC) method with aggression points as objective variables and general information and temperamental factor points as explanatory variables, “reactivity to stimuli,” i.e., physical reactivity to sudden movement or sound at home, was shown to be significantly associated with owner-directed aggression in 13 breeds, child-directed aggression in eight breeds, stranger-directed aggression in nine breeds, and dog-directed aggression in five breeds. These results suggest that “reactivity to stimuli” is simultaneously involved in several types of aggression. Therefore, it would be worth taking “reactivity to stimuli” into account in the treatment and prevention of canine aggression.

ESVCE position statement on risk assessment

Abstract Within the field of veterinary behavioral medicine requests are often made to assess the risk posed by a given dog. This article represents a position statement from the European Society of Veterinary Clinical Ethology on the matter of risk assessment. This position statement ese was developed from the principles and applications published by national and international governmental bodies and institutions. ESVCE supports the following framework for the assessment of risk of a dog in a well defined situation as a model of good practice. This position statement identifies five stages, which are described and expanded upon in relation to veterinary behavioral medicine: identify the hazards (risk factors), decide who might be harmed/at risk and how, evaluate the risks and decide on precautions, record your findings and implement them and review your assessment and update if necessary.

A Meta-Analysis of Studies of Treatments for Feline Urine Spraying

Feline urine spraying inside the home is a common problem behaviour that owners seek advice for from veterinarians. Individual trials relating to a variety of interventions produce variable results, and to date, no consensus on the value of different treatments has emerged. This study therefore aimed to meta-analyse, current data from appropriate published clinical trials that evaluate treatments for feline urine spraying.Inclusion and exclusion criteria for study selection were predefined and methodological quality was assessed by two independent reviewers. Ten studies in nine publications that either evaluated pharmacotherapy or pheromonatherapy (the use of a synthetic analogue of the F3 facial fraction in the cat) were suitable for analysis. There was a significant (P<0.001) association between the use of any intervention and the number of cats that ceased or reduced urine spraying by at least 90%. Analysis by intervention type indicated that fluoxetine, clomipramine and pheromonatherapy may each assist in managing urine spraying beyond a placebo based intervention.This is the first time meta-analytical techniques have been used and reported to evaluate the efficacy of interventions used in veterinary behavioural medicine, and it has established confidence in the value of both conventional treatments (pharmacotherapy) and a more recently developed treatment modality (pheromonatherapy) as an adjunct to the management of this problem. It is suggested that future research into treatment efficacy for this problem uses the benchmark standard of randomised, controlled trials lasting for at least 8 weeks, with the outcome criteria of cessation of feline urine spraying or reduction by at least 90%.

Ten‐minute chat

Daniel Mills is professor of veterinary behavioural medicine at the University of Lincoln, where he leads the Masters course in clinical animal behaviour and an international research group examining companion animal behaviour and welfare.

Owner compliance and clinical outcome measures for domestic cats undergoing clinical behavior therapy

The importance of owner compliance in following treatment is recognized in all aspects of veterinary and human medicine. However, in veterinary behavioral medicine, where the majority of the ‘treatment’ is conducted by the owners themselves after the consultation, compliance is fundamental to the successful outcome of the case. The owners of 85 cats with a range of different ‘behavior problems’ were recruited to participate in this study. Each owner had 2 visits from a clinician: at the first background information was gathered, the owner and clinician assigned a subjective score of ‘severity’ and a full behavior consultation was conducted. At a second visit 8 weeks later, owner and clinician rated the severity of the problem again, and the owner was asked questions that were designed to check their compliance to various aspects of the treatment program. The owners reported a decrease in severity after treatment in 92% of cases, and the clinician in 78% of cases. The average compliance of owners to programs was 61%. A strong positive correlation was found between change in severity score rated by the clinician, and compliance score (Spearman's ρ = 0.718, P < 0.01), a weaker positive correlation was found between compliance and difference in owner severity scores between visits (Spearman's ρ = 0.402, P < 0.01). There was no significant correlation found between compliance score and the severity score on visit one, rated either by owner or clinician. The results of this study confirm that owner compliance is an important factor in treatment outcomes for behavior problems in domestic cats.

Proceedings of the Dogs Trust Meeting on Advances in Veterinary Behavioural Medicine London; 4th–7th November 2004: Veterinary behavioural medicine: a roadmap for the 21st century

New areas of endeavour succeed either because they make a compelling case for their worth within an existing paradigm or because a new generation is raised for whom a once heretical paradigm is now the norm. It is difficult to tell which route will lead to the acceptance and growth of veterinary behavioural medicine, but the latter seems likely and, perhaps, necessary. As one of the newest specialities in veterinary medicine, behavioural medicine may suffer more than other specialities from an unclear identity because so many disparate groups who are not rooted in veterinary medicine have participated in its evolution. There is also the issue of data. Behavioural medicine is often cited as a field for which there are very few hard data; however, it is also a field for which data collection can be difficult and time consuming for non-trivial questions. This is because behaviour is the ultimate integrator of all organ system responses, and as such, is a dynamic outcome resulting from the interactions of complex mechanisms. Understanding such systems is difficult, but progress can occur if an attempt is made to understand all the mechanistic levels that contribute to behavioural patterns and behavioural conditions. For this to happen we need a paradigm shift that moves us away from the medical paradigmatic model and towards a new paradigm that is based on hypothesis formulation and testing between interacting levels of mechanism. Clinical impression and expertise based on outcome must be replaced by a scientific method that provides for phenotypic definitions that are coupled to putative underlying, interacting mechanisms that can be evaluated. Only in this manner can phenotypic description and its clinical application in veterinary behavioural medicine keep pace with advances in molecular biology and genetic epidemiology that deal with genetic liabilities and vulnerabilities inherent in multi-gene and major gene effects. This paradigmatic shift has the potential to revolutionize the way we view diagnoses in medicine, in general, but has particular implications for the care needed to characterize problematic and truly abnormal behavioural conditions. This approach also has the advantage of alerting us to when we do not know something, and forcing us to consider the needs of our patients on their own terms. A more rigorous scientific approach in this field could also go a long way in making us more humane.

Abstract: Proceedings of the dogs trust meeting on advances in veterinary behavioural medicine London; 4th-7th November 2004

Abstract: Proceedings of the dogs trust meeting on advances in veterinary behavioural medicine London; 4th-7th November 2004