References for "Dementia syndromes in the elderly"

Angevaren M, et al. "Physical Activity and Enhanced Fitness to Improve Cognitive Function in Older People without Known Cognitive Impairment," Cochrane Database of Systematic Reviews (2008): Doc. No. CD005381. Gu Y, et al. "Food Combination and Alzheimer Disease Risk: A Protective Diet," Journal of the American Medical Association (April 12, 2010): Electronic publication ahead of print. Growdon J, ed. A Guide to Alzheimer's Disease (Harvard Health Publications, 2009). (Locked) More »

References for "Pessimism about pedophilia"

Beier KM, et al. "Encouraging Self-Identified Pedophiles and Hebephiles to Seek Professional Help: First Results of the Prevention Project Dunkelfeld (PPD)," Child Abuse and Neglect (Aug. 2009): Vol. 33, No. 8, pp. 545–49. Blanchard R, et al. "Pedophilia, Hebephilia, and the DSM-V," Archives of Sexual Behavior (June 2009): Vol. 38, No. 3, pp. 335–50. Blanchard R. "The DSM Diagnostic Criteria for Pedophilia," Archives of Sexual Behavior (April 2010): Vol. 39, No. 2, pp. 304–16. (Locked) More »

References for "The evolving understanding of stigma"

Corrigan PW, et al. "Structural Levels of Mental Illness Stigma and Discrimination," Schizophrenia Bulletin (July 2004): Vol. 30, No. 3, pp. 481–91. Gonzalez HM, et al. "Depression Care in the United States: Too Little for Too Few," Archives of General Psychiatry (Jan. 2010): Vol. 67, No. 1, pp. 37–46. Kleinman A. "Global Mental Health: A Failure of Humanity," Lancet (Aug. 22, 2009): Vol. 374, No. 9690, pp. 603–04. (Locked) More »

Pessimism about pedophilia

Pedophilia, the sexual attraction to children who have not yet reached puberty, remains a vexing challenge for clinicians and public officials. Classified as a paraphilia, an abnormal sexual behavior, researchers have found no effective treatment. Like other sexual orientations, pedophilia is unlikely to change. The goal of treatment, therefore, is to prevent someone from acting on pedophile urges — either by decreasing sexual arousal around children or increasing the ability to manage that arousal. But neither is as effective for reducing harm as preventing access to children, or providing close supervision.   More »

Dementia syndromes in the elderly

Dementia is defined as a brain disorder that includes memory loss, deficits in cognition (thinking, planning, and organizing abilities), a decline in emotional control or motivation, and changes in social behavior (such as increased irritability, apathy, or problems interacting with other people). Alzheimer's disease (also referred to as dementia of the Alzheimer's type), which affects roughly five million Americans and more than 35 million people around the world, is by far the most common dementia. About 50% to 56% of people with dementia are diagnosed with Alzheimer's, while another 13% to 17% carry that diagnosis plus a related disorder, vascular dementia. Here is a brief review of the most common dementia syndromes in the elderly. (Locked) More »

The evolving understanding of stigma

It is difficult to get through a week (and sometimes a day) without hearing some disparaging remark or dismissive joke made about mental illness or the clinicians who treat psychiatric disorders. Stigmatizing views permeate popular culture. Every October, for example, the National Alliance on Mental Illness identifies the latest "Halloween horrors" sold commercially, which have included costumes that look like straitjackets or enable people to dress up as "Dr. Malice" or "Cell Block Psycho." Aside from being distasteful, the constant background noise of stereotyped or inaccurate information contributes to the persistent stigma about mental illness. From a clinical perspective, stigma is important because it contributes to delays in seeking treatment for mental health disorders and problems in accessing care. One nationally representative survey, for example, found that only 51% of Americans with symptoms of major depression in the previous year were receiving any kind of treatment, whether with antidepressants or psychotherapy. Another found that only about half of people with social anxiety disorder ever receive treatment. Typically they have symptoms for at least 10 years before seeking help. In both these studies, stigma was cited as an important factor. More »