A Virtue-Based Approach to Neuro-Enhancement in the Context of Psychiatric Practice

2015 ◽  
Author(s):  
Jennifer L. Hansen
Keyword(s):  
Case Studies ◽  
Therapeutic Relationship ◽  
Psychiatric Practice

By adopting a virtue-based approach to neuro-enhancement, I argue that facilitating neuro-enhancement within the therapeutic relationship may pervert the practice of psychiatry in so far as it risks corrupting virtues important to the healing project. I further argue that the neuro-enhancement question emerges more often when exclusively principle-based approaches, supported by market-oriented and technological trends in medicine, frame the debate. Finally, I draw on case studies to clarify some varieties of neuro-enhancement in the context of psychiatric practice as well as to specify the three most important virtues undermined by neuro-enhancement—trustworthiness, respect for the healing project, and engagement.

Traumatic Memories

2017 ◽  
Vol 27 (1) ◽  
pp. 49-70
Author(s):  
Homayoun Shahri
Keyword(s):  
Case Studies ◽  
Therapeutic Relationship ◽  
Repressed Memories ◽  
Traumatic Memories ◽  
Neuroscience Research ◽  
Different Types

In this paper, a detailed description of formation of memory based on neuroscience is given. Different types of memories are reviewed, and definitions of repressed memories and dissociated memories are introduced. Formation of dissociated memories, as well as mechanisms of repression of memory, based on recent fMRI studies and neuroscience research, are discussed. It is argued that traumatic memories frequently have dissociated aspects and repressed aspects. It is concluded and shown, based on recent research in neuroscience, that regardless of the nature of traumatic memories, a very important factor in treatment of trauma is the attuned therapist and the therapeutic relationship. Finally, two case studies are presented to highlight the arguments set forth in this paper.

Psychodynamic Psychiatry and the Therapeutic Space in the Era of COVID-19

2021 ◽  
Vol 49 (3) ◽  
pp. 441-452
Author(s):  
Douglas H. Ingram
Keyword(s):  
Therapeutic Relationship ◽  
Natural Experiment ◽  
Psychiatric Practice ◽  
Power Dynamics ◽  
Online Environment ◽  
Digital Object ◽  
Treatment Approaches ◽  
Brick And Mortar ◽  
Therapeutic Space ◽  
Mental Contents

Psychodynamic psychiatric practice during the COVID-19 pandemic has required most clinicians to conduct treatment online or by telephone. The result is a natural experiment that appears to endorse the efficacy of distance therapy. Consequently, the brick-and-mortar consulting room is no longer the presumptive therapeutic space for the conduct of psychodynamic psychiatric or other treatment approaches. The therapeutic space is reconceived as the place or medium intended for treatment and is distinguished from both the therapeutic relationship and conduct of treatment that occurs within that space. How different therapeutic spaces impact treatment is discussed with specific application to psychodynamic psychiatry and virtual venues. The “digital object” becomes a new presence; the patient's freedom to disclose mental contents is retained though empathic attunement is diminished; a shift in power dynamics may occur; timing of sessions gains greater precision in the online environment. Beyond the pandemic, practicing online is likely to become an accepted supplementary therapeutic space for evaluation and treatment by psychodynamic psychiatrists.

scholarly journals Mature Gratitude in Positive Psychiatry

2021 ◽  
Author(s):  
Lilian Jans-Beken
Keyword(s):  
Chronic Pain ◽  
Clinical Practice ◽  
Positive Psychology ◽  
Case Studies ◽  
Well Being ◽  
Psychiatric Practice ◽  
Oxford University ◽  
Oxford University Press

This is a concept chapter for the upcoming book The Virtues in Psychiatric Practice published by the Oxford University Press and edited by dr. John R. Peteet. The chapter explains the concepts of gratitude and mature gratitude, and the fields of positive psychology 2.0 and positive psychiatry. Subsequently, the chapter discusses gratitude and well-being and gratitude and the clinical practice. This is complemented with four case studies: burnout, addiction, chronic pain and bereavement.

scholarly journals The use of literary analysis in advanced communication

2006 ◽  
Vol 30 (11) ◽  
pp. 432-434 ◽  
Author(s):  
Paul Wallang
Keyword(s):  
Therapeutic Relationship ◽  
Communication Skills ◽  
Clinical Skill ◽  
Narrative Medicine ◽  
Literary Analysis ◽  
Psychiatric Practice ◽  
Strong Argument ◽  
Academic Field ◽  
Convenient Means ◽  
Relationship Of

Narrative medicine is a well established academic field and has been shown to increase clinical skill and improve the therapeutic relationship of those who study its principles (Banks et al, 1995; Jones, 1999). Literary analysis is a convenient means of fostering advanced communication skills. Moreover, the skills gained from such an education are highly applicable to everyday psychiatric practice. The evidence for the efficacy of narrative medicine is well established, and on this basis a strong argument can be made for its inclusion as a compulsory part of the current MRCPsych course.

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