... Reforms in the 1990s Theda Skocpol 57 Black America: From Community Health Care to Crisis Med... more ... Reforms in the 1990s Theda Skocpol 57 Black America: From Community Health Care to Crisis Medicine David McBride 77 Response ... The debate warmed again when Harry Truman made national health insurance the major domestic issue of his 1948 presidential campaign ...
Awareness of the threats of climate change is engendering distress in increasingly documented way... more Awareness of the threats of climate change is engendering distress in increasingly documented ways, with young people particularly affected. Experiences such as climate distress and eco-anxiety have implications for the health and wellbeing of societies, economies, and for climate action, including mental health, agency to address the crisis, and future planning. While multi-country studies suggest that eco-anxiety and related experiences of distress may vary with context, the hypothesis that exposure to climate-related impacts increases eco-anxiety and associated psychological impacts is underexplored in youth at the individual level. Here we show that in a large sample of US youth (aged 16-24, n = 2834), self-reported direct experience of climate-related events signi cantly increased eco-anxiety, climate distress and the impact of climate change on future planning, but also psychological adaptation, meaning-focused coping and climate agency. As the climate crisis accelerates and exposure to climaterelated hazards increases, these ndings have important implications for the mental health of populations, life choices that have socioeconomic impact, and climate behaviours of the growing group of young people experiencing these threats.
Awareness of the threats of climate change is engendering distress in increasingly documented way... more Awareness of the threats of climate change is engendering distress in increasingly documented ways, with young people particularly affected. Experiences such as climate distress and eco-anxiety have implications for the health and wellbeing of societies, economies, and for climate action, including mental health, agency to address the crisis, and future planning. While multi-country studies suggest that eco-anxiety and related experiences of distress may vary with context, the hypothesis that exposure to climate-related impacts increases eco-anxiety and associated psychological impacts is underexplored in youth at the individual level. Here we show that in a large sample of US youth (aged 16–24, n = 2834), self-reported direct experience of climate-related events significantly increased eco-anxiety, climate distress and the impact of climate change on future planning, but also psychological adaptation, meaning-focused coping and climate agency. As the climate crisis accelerates and ...
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
1. Strange Business 2. The Justification: Beecher's Ethics 3. The Law 4. The Criteria I: The ... more 1. Strange Business 2. The Justification: Beecher's Ethics 3. The Law 4. The Criteria I: The Waking Brain-Brainstem and the Discourse of Consciousness 5. The Criteria II: The Working Brain: The Comatose Patient and the Biology of Consciousness 6. Brain Death After Beecher and the Limits of Bioethics
This article synthesizes the views of participants in two roundtables that were convened in Nairo... more This article synthesizes the views of participants in two roundtables that were convened in Nairobi (March 2007) and London (July 2008) to identify key challenges to the prioritization of mental health in Africa and possible solutions. Participants included leading development experts and policy makers from head and country offices of international donors, national directors of mental health for several African countries, key mental health and public health professionals, epidemiologists, and an international nongovernmental organization. The challenges they identified to mainstreaming mental health include lack of understanding of the contribution of mental disorders to morbidity and mortality, competition for limited resources within health reform efforts, poor distribution of interventions and lack of inclusion of mental health among core generic health indicators, lack of economic research evidence, lack of a strategic approach to human resources planning, lack of partnerships with the social development sector, and mental health professionals' need for public health skills to effectively conduct national advocacy. Potential solutions include further investment in economic research, better strategic identification of the levers and entry points for integrating mental health into health sector reform plans, more vigorous engagement of mental health professionals in general health sector reforms, strengthening the linkage between mental health and social development, and intensive resource mobilization. In summary, partnerships, underpinned by collaborative training, research, and mutual dialogue with other health and nonhealth sectors, are needed.
From both within and without bioethics, growing criticism of the predominant methods and practice... more From both within and without bioethics, growing criticism of the predominant methods and practices of the field can be heard. These critiques tend to lament an emphasis on logically derived rules and philosophical theories that inadequately capture how and why people have the moral attitudes they do, and they urge the use of more empirically grounded social sciences--history, sociology, and anthropology--to draw attention to the complex factors behind such attitudes. However, these critiques do not go far enough, as they do not question why debate over ethical categories should have such a central role in voicing concerns about medicine. The importance of using other forms of inquiry, especially that of history, to examine aspects of medical practice and the emergence of bioethics itself is not simply to refine bioethical moral analysis. Instead, history can be employed to counter the preoccupation with translating concerns about medicine into moral terms and to move towards what is more sorely needed: a true medical humanism.
Historians of medicine and science, often using tools from sociology and anthropology, are partic... more Historians of medicine and science, often using tools from sociology and anthropology, are particularly interested in that space where the world and some method of analysis meet. The space where generalizable rule and contingent variability face one another is a vacuum that attracts and creates conclusions about the world, heavily infused with social meanings and practices. Studying how these conclusions are made over time identifies the broader cultural projects that may be furthered by them and/or that make them possible.
0. Sign In | POL Subscriptions. Home; DSM Library: DSM-IV-TR®; DSM-IV-TR® Handbook of Differentia... more 0. Sign In | POL Subscriptions. Home; DSM Library: DSM-IV-TR®; DSM-IV-TR® Handbook of Differential Diagnosis; DSM Cases. Books: The American Psychiatric Publishing Textbook of Psychiatry; Gabbard's Treatments of Psychiatric ...
The authors surveyed Psychiatry Residency Training Directors' (RTDs') attitudes about the role an... more The authors surveyed Psychiatry Residency Training Directors' (RTDs') attitudes about the role and feasibility of international rotations during residency training. Method: A 21-question survey was electronically distributed that explored RTDs' beliefs about the value, use, and availability of international clinical and research experiences during residency. Results: Of 171 RTDs, 59 (34.5%) completed the survey; 83% of respondents rated the importance of global mental health education as 3-or-above on a scale of 1 (least important) to 5 (most important), but only 42% indicated that such opportunities were made available. The value of such opportunities was thought to lie primarily in professional development and cultural exposure, less so for enhancing core knowledge competencies. Obstacles to such opportunities included lack of accreditation, financial resources, and faculty/administrative support and supervision. Conclusion: RTD respondents endorsed the value of international experiences during residency, but their availability and educational impact are not fully supported.
Structural Competency in Mental Health and Medicine, 2019
In 2013, we launched a paradigm-shifting collaborative initiative under the umbrella theme From P... more In 2013, we launched a paradigm-shifting collaborative initiative under the umbrella theme From Punishment to Public Health, or P2PH. This group of academic, research, policy, and direct service agencies joined together in 2013 to address the myriad public health and safety challenges flowing from the overuse of incarceration as a means of social control. We worked to develop a mutual focus on the endemic social and structural problems that lead to incarceration and to reimagine the features of institutions and policymaking that position public health interventions to be held accountable to better health, safety, and social outcomes and to reduce the risk of criminal and antisocial behaviors. In utilizing a two-pronged approach of interdisciplinary dialogues and practice innovation accelerators, P2PH’s platform offers examples of how to engage medical students and faculty in local advocacy opportunities that reach outside the four walls of clinical practice.
... Reforms in the 1990s Theda Skocpol 57 Black America: From Community Health Care to Crisis Med... more ... Reforms in the 1990s Theda Skocpol 57 Black America: From Community Health Care to Crisis Medicine David McBride 77 Response ... The debate warmed again when Harry Truman made national health insurance the major domestic issue of his 1948 presidential campaign ...
Awareness of the threats of climate change is engendering distress in increasingly documented way... more Awareness of the threats of climate change is engendering distress in increasingly documented ways, with young people particularly affected. Experiences such as climate distress and eco-anxiety have implications for the health and wellbeing of societies, economies, and for climate action, including mental health, agency to address the crisis, and future planning. While multi-country studies suggest that eco-anxiety and related experiences of distress may vary with context, the hypothesis that exposure to climate-related impacts increases eco-anxiety and associated psychological impacts is underexplored in youth at the individual level. Here we show that in a large sample of US youth (aged 16-24, n = 2834), self-reported direct experience of climate-related events signi cantly increased eco-anxiety, climate distress and the impact of climate change on future planning, but also psychological adaptation, meaning-focused coping and climate agency. As the climate crisis accelerates and exposure to climaterelated hazards increases, these ndings have important implications for the mental health of populations, life choices that have socioeconomic impact, and climate behaviours of the growing group of young people experiencing these threats.
Awareness of the threats of climate change is engendering distress in increasingly documented way... more Awareness of the threats of climate change is engendering distress in increasingly documented ways, with young people particularly affected. Experiences such as climate distress and eco-anxiety have implications for the health and wellbeing of societies, economies, and for climate action, including mental health, agency to address the crisis, and future planning. While multi-country studies suggest that eco-anxiety and related experiences of distress may vary with context, the hypothesis that exposure to climate-related impacts increases eco-anxiety and associated psychological impacts is underexplored in youth at the individual level. Here we show that in a large sample of US youth (aged 16–24, n = 2834), self-reported direct experience of climate-related events significantly increased eco-anxiety, climate distress and the impact of climate change on future planning, but also psychological adaptation, meaning-focused coping and climate agency. As the climate crisis accelerates and ...
The accuracy of the Content should not be relied upon and should be independently verified with p... more The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden.
1. Strange Business 2. The Justification: Beecher's Ethics 3. The Law 4. The Criteria I: The ... more 1. Strange Business 2. The Justification: Beecher's Ethics 3. The Law 4. The Criteria I: The Waking Brain-Brainstem and the Discourse of Consciousness 5. The Criteria II: The Working Brain: The Comatose Patient and the Biology of Consciousness 6. Brain Death After Beecher and the Limits of Bioethics
This article synthesizes the views of participants in two roundtables that were convened in Nairo... more This article synthesizes the views of participants in two roundtables that were convened in Nairobi (March 2007) and London (July 2008) to identify key challenges to the prioritization of mental health in Africa and possible solutions. Participants included leading development experts and policy makers from head and country offices of international donors, national directors of mental health for several African countries, key mental health and public health professionals, epidemiologists, and an international nongovernmental organization. The challenges they identified to mainstreaming mental health include lack of understanding of the contribution of mental disorders to morbidity and mortality, competition for limited resources within health reform efforts, poor distribution of interventions and lack of inclusion of mental health among core generic health indicators, lack of economic research evidence, lack of a strategic approach to human resources planning, lack of partnerships with the social development sector, and mental health professionals' need for public health skills to effectively conduct national advocacy. Potential solutions include further investment in economic research, better strategic identification of the levers and entry points for integrating mental health into health sector reform plans, more vigorous engagement of mental health professionals in general health sector reforms, strengthening the linkage between mental health and social development, and intensive resource mobilization. In summary, partnerships, underpinned by collaborative training, research, and mutual dialogue with other health and nonhealth sectors, are needed.
From both within and without bioethics, growing criticism of the predominant methods and practice... more From both within and without bioethics, growing criticism of the predominant methods and practices of the field can be heard. These critiques tend to lament an emphasis on logically derived rules and philosophical theories that inadequately capture how and why people have the moral attitudes they do, and they urge the use of more empirically grounded social sciences--history, sociology, and anthropology--to draw attention to the complex factors behind such attitudes. However, these critiques do not go far enough, as they do not question why debate over ethical categories should have such a central role in voicing concerns about medicine. The importance of using other forms of inquiry, especially that of history, to examine aspects of medical practice and the emergence of bioethics itself is not simply to refine bioethical moral analysis. Instead, history can be employed to counter the preoccupation with translating concerns about medicine into moral terms and to move towards what is more sorely needed: a true medical humanism.
Historians of medicine and science, often using tools from sociology and anthropology, are partic... more Historians of medicine and science, often using tools from sociology and anthropology, are particularly interested in that space where the world and some method of analysis meet. The space where generalizable rule and contingent variability face one another is a vacuum that attracts and creates conclusions about the world, heavily infused with social meanings and practices. Studying how these conclusions are made over time identifies the broader cultural projects that may be furthered by them and/or that make them possible.
0. Sign In | POL Subscriptions. Home; DSM Library: DSM-IV-TR®; DSM-IV-TR® Handbook of Differentia... more 0. Sign In | POL Subscriptions. Home; DSM Library: DSM-IV-TR®; DSM-IV-TR® Handbook of Differential Diagnosis; DSM Cases. Books: The American Psychiatric Publishing Textbook of Psychiatry; Gabbard's Treatments of Psychiatric ...
The authors surveyed Psychiatry Residency Training Directors' (RTDs') attitudes about the role an... more The authors surveyed Psychiatry Residency Training Directors' (RTDs') attitudes about the role and feasibility of international rotations during residency training. Method: A 21-question survey was electronically distributed that explored RTDs' beliefs about the value, use, and availability of international clinical and research experiences during residency. Results: Of 171 RTDs, 59 (34.5%) completed the survey; 83% of respondents rated the importance of global mental health education as 3-or-above on a scale of 1 (least important) to 5 (most important), but only 42% indicated that such opportunities were made available. The value of such opportunities was thought to lie primarily in professional development and cultural exposure, less so for enhancing core knowledge competencies. Obstacles to such opportunities included lack of accreditation, financial resources, and faculty/administrative support and supervision. Conclusion: RTD respondents endorsed the value of international experiences during residency, but their availability and educational impact are not fully supported.
Structural Competency in Mental Health and Medicine, 2019
In 2013, we launched a paradigm-shifting collaborative initiative under the umbrella theme From P... more In 2013, we launched a paradigm-shifting collaborative initiative under the umbrella theme From Punishment to Public Health, or P2PH. This group of academic, research, policy, and direct service agencies joined together in 2013 to address the myriad public health and safety challenges flowing from the overuse of incarceration as a means of social control. We worked to develop a mutual focus on the endemic social and structural problems that lead to incarceration and to reimagine the features of institutions and policymaking that position public health interventions to be held accountable to better health, safety, and social outcomes and to reduce the risk of criminal and antisocial behaviors. In utilizing a two-pronged approach of interdisciplinary dialogues and practice innovation accelerators, P2PH’s platform offers examples of how to engage medical students and faculty in local advocacy opportunities that reach outside the four walls of clinical practice.
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