I don’t do this blog at work, but I do recall what has been discussed and shared. This week. let’s think about psychiatric diagnosis. There efforts in psychiatric nosology, or description of disorders, over the last 30 years has been towards reliability. But the validity of what we are doing is being questioned at the […]Read More → Weekend Journal Club.
Matt Briggs, whom I quote, found this graph on reddit. The comments there note, correctly, that the fitted model is stupid. It does not fit reality. Since I spent much of he afternoon looking at a paper based on data mining first childbirth versus first abortion, The idea of models trumping reality was painfully apparent […]Read More → The model should not contradict the findings.
This morning I was doing an ECT list. Yes, I am one of those people the scientologists despise. The anesthesiologist consultant asked me if was wearing Crazy Socks. I did not know about the campaign. So she showed me some tweets and clued me in. She has had three close friends suicide. This is the […]Read More → Crazy socks for docs as Doctors are despairing .
This paper was published in an important journal and the related editorial notes some flaws, particularly around an inability to know what is the correct dose of direct current stimulation. What the editorial notes is something I also saw: that direct current stimulation worked against placebo on response remission, and probably MADRS scores. Outcomes matter. […]Read More → Direct current is inferior to SSRI? A RCT.
You often will hear people talk about the rate of depression, without discussing how that rate was obtained.There are multiple factors that will influence this: the group from which you are interviewing people (the “sampling frame”), the time period over which you are asking, and the survey method. In general, there are two types of […]Read More → On the diagnosis of depression.
This quote is reflected by work in Australia, where clinical leaders have backed their psychiatrists in making good plans with patients, and not gone hunting for faults when things, inevitably go wrong. What conditions are making physicians feel that they have lost control, and how do these conditions differ from the past? Previously, many physicians […]Read More → Burnout or control.
I managed to catch up with some colleagues this evening. Firstly, run, do not walk to Amazon and download the or acquire The Hunger Pains. Got it for son one today, who is quietly cackling behind me as he works through the puns. The Hunger Games was a set text for him last year… and […]Read More → The new generation gap.
I’m going to start with an observation: Anxiety is useful. Anxiety, obsessiveness, can be a positive trait. I want obsessive doctors and accountants. I want obsessive chefs. I want those blood results checked, the patient reviewed the third time… Now, the Psalmist says that the way to avoid anxiety is to keep the law. It […]Read More → Free from anxieties, not anxiety.