CRF

Author(s):  
Jay Schulkin

Chapter 5 explains how excessive fear is tied to anxiety disorders, and vulnerability to the breakdown of mental and physical health. CRF in the brain is tied to these events. CRF, for instance, may be constrained by the neurotransmitter GABA in key regions of the forebrain and is mobilized by brainstem catecholaminergic neurons that are critical in coping with and adapting to everyday life; and of course, one is less able to do so when these information molecules are compromised by genetic predispositions and social duress. One hypothesis about CRF and the brain is that at least two forebrain sites are differentially involved in regulating both adaptive fear and deleterious chronic anxiety. There are great varieties of events that can cause fear in individuals: anything from downsizing at work to acts of terrorism and crime.

Author(s):  
C. Daniel Batson

Despite its virtues, empathy-induced altruism can at times harm those in need, other people, and the altruistically motivated person. Specifically, it can hurt those in need when acted on without wisdom and sensitivity or when a cool head is required. It can produce paternalism. It is less likely to be evoked by nonpersonalized, abstract, chronic needs. It can be a source of immoral action, leading us to show partiality toward those for whom we feel empathic concern even when we know that to do so is neither fair nor best for all. Indeed, when our behavior is public, empathy-induced altruism can pose a more serious threat to the common good than does self-interest. Finally, it can at times jeopardize our mental and physical health—even our life. Any attempt to call on empathy-induced altruism to build a more humane society needs to take these problems into account lest we do more harm than good.


2016 ◽  
Vol 209 (3) ◽  
pp. 257-261
Author(s):  
Sayinthen Vivekanantham ◽  
Rebecca Strawbridge ◽  
Riaz Rampuri ◽  
Thivvia Ragunathan ◽  
Allan H. Young

BackgroundThere is an established disparity between physical and mental healthcare. Parity of research outputs has not been assessed internationally across influential medical journals.AimsTo assess parity of publication between physical and mental health, and within psychiatry.MethodFour major medical disciplines were identified and their relative burden estimated. All publications from the highest-impact general medical journals in 2001, 2006 and 2011 were categorised accordingly. The frequency of psychiatry, cardiology, oncology and respiratory medicine articles were compared with the expected proportion (given illness burdens). Six subspecialties within psychiatry were also compared.ResultsPsychiatry was consistently and substantially underrepresented; other specialties were overrepresented. Dementia and psychosis demonstrated overrepresentation, with addiction and anxiety disorders represented proportionately and other disorders underrepresented. The underrepresentation of mood disorders increased more recently.ConclusionsThere appears to be an important element of disparity of esteem; further action is required to achieve equivalence between mental and physical health research publications.


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