A systematic review on S-adenosylmethionine (SAMe) for treatment of neuropsychiatric conditions a... more A systematic review on S-adenosylmethionine (SAMe) for treatment of neuropsychiatric conditions and comorbid medical conditions. Searches were conducted in PubMed, EMBASE, PsycINFO, Cochrane Library, CINAHL, and Google Scholar databases between July 15, 2015, and September 28, 2016, by combining search terms for SAMe (s-adenosyl methionine or s-adenosyl-l-methionine) with terms for relevant disease states (major depressive disorder, MDD, depression, perinatal depression, human immunodeficiency virus, HIV, Parkinson's, Alzheimer's, dementia, anxiety, schizophrenia, psychotic, 22q11.2, substance abuse, fibromyalgia, osteoarthritis, hepatitis, or cirrhosis). Additional studies were identified from prior literature. Ongoing clinical trials were identified through clinical trial registries. Of the 174 records retrieved, 21 were excluded, as they were not original investigations. An additional 21 records were excluded for falling outside the scope of this review. Of the 132 studie...
Doctors diagnose and treat disease; illness is the experience of, and response to, a disease by p... more Doctors diagnose and treat disease; illness is the experience of, and response to, a disease by patients and the people in their lives. Discrepancies between disease and illness (eg, adjustment to the sick role, treatment-related difficulties, denial of medical illness, and psychiatric comorbidity) are prevalent, as are somatoform disorders and other conditions in which patients are invested in being understood as medically ill. This article reviews suggestions for physicians' responses to these patients and their dilemmas.
This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and man... more This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and manage patients with medical illnesses. The guideline is intended to delineate the knowledge base, professional expertise, and integrated clinical approach necessary to effectively manage this complex and diverse patient population. This guideline was drafted by a work group consisting of psychiatrists with clinical and research expertise in the field, who undertook a comprehensive review of the literature. The guideline was reviewed by the executive council of the Academy of Psychosomatic Medicine and revised prior to final approval. Some of the topics discussed include qualifications of C-L consultants, patient assessment, psychiatric interventions (e.g., psychotherapy, pharmacotherapy), medicolegal issues, and child and adolescent consultations.
A 20-year-old man with a history of congenital central hypoventilation syndrome presented with re... more A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.
The Journal of the American Academy of Psychoanalysis, 1987
Educating the general population and health care workers about the acquired immunodeficiency synd... more Educating the general population and health care workers about the acquired immunodeficiency syndrome (AIDS) is of paramount importance. There is a need to address the many fears and anxieties concerning this dreaded illness. Experience has shown that simple information-giving alone does little to allay the panic in the general population and in hospital personnel. The paper offers a psychodynamic explanation of the origins of the irrational fear and anxieties around AIDS patients and why information alone does not help the anxieties hospital workers experience. We have suggested a training program using group process and videotape techniques which can address the underlying fears and concerns about AIDS patients. These sessions can help hospital staff to deliver more empathic care to this patient group.
A psychiatric consultation is a complex challenge that may require an evaluation across the full ... more A psychiatric consultation is a complex challenge that may require an evaluation across the full spectrum of possibilities, from the molecular level of neurotransmitters to the intricacy of large social systems. Many psychiatrists regularly perform consultations in the medical setting. This requires they pay attention to the special psychodynamic and psychopharmacologic issues involved in treating patients in the general hospital.
... Doug Wright, a playwright and screenwriter who has won an Obie, will speak on artistic freedo... more ... Doug Wright, a playwright and screenwriter who has won an Obie, will speak on artistic freedom and censorship ... This year five notable APA members will receive a Distinguished Psychiatrist Award: Donald Kornfeld, MD, Ellen Leibenluft, MD, Paul McHugh, MD, Leo Rangell, MD ...
A systematic review on S-adenosylmethionine (SAMe) for treatment of neuropsychiatric conditions a... more A systematic review on S-adenosylmethionine (SAMe) for treatment of neuropsychiatric conditions and comorbid medical conditions. Searches were conducted in PubMed, EMBASE, PsycINFO, Cochrane Library, CINAHL, and Google Scholar databases between July 15, 2015, and September 28, 2016, by combining search terms for SAMe (s-adenosyl methionine or s-adenosyl-l-methionine) with terms for relevant disease states (major depressive disorder, MDD, depression, perinatal depression, human immunodeficiency virus, HIV, Parkinson's, Alzheimer's, dementia, anxiety, schizophrenia, psychotic, 22q11.2, substance abuse, fibromyalgia, osteoarthritis, hepatitis, or cirrhosis). Additional studies were identified from prior literature. Ongoing clinical trials were identified through clinical trial registries. Of the 174 records retrieved, 21 were excluded, as they were not original investigations. An additional 21 records were excluded for falling outside the scope of this review. Of the 132 studie...
Doctors diagnose and treat disease; illness is the experience of, and response to, a disease by p... more Doctors diagnose and treat disease; illness is the experience of, and response to, a disease by patients and the people in their lives. Discrepancies between disease and illness (eg, adjustment to the sick role, treatment-related difficulties, denial of medical illness, and psychiatric comorbidity) are prevalent, as are somatoform disorders and other conditions in which patients are invested in being understood as medically ill. This article reviews suggestions for physicians' responses to these patients and their dilemmas.
This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and man... more This practice guideline seeks to provide guidance to psychiatrists who regularly evaluate and manage patients with medical illnesses. The guideline is intended to delineate the knowledge base, professional expertise, and integrated clinical approach necessary to effectively manage this complex and diverse patient population. This guideline was drafted by a work group consisting of psychiatrists with clinical and research expertise in the field, who undertook a comprehensive review of the literature. The guideline was reviewed by the executive council of the Academy of Psychosomatic Medicine and revised prior to final approval. Some of the topics discussed include qualifications of C-L consultants, patient assessment, psychiatric interventions (e.g., psychotherapy, pharmacotherapy), medicolegal issues, and child and adolescent consultations.
A 20-year-old man with a history of congenital central hypoventilation syndrome presented with re... more A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.
The Journal of the American Academy of Psychoanalysis, 1987
Educating the general population and health care workers about the acquired immunodeficiency synd... more Educating the general population and health care workers about the acquired immunodeficiency syndrome (AIDS) is of paramount importance. There is a need to address the many fears and anxieties concerning this dreaded illness. Experience has shown that simple information-giving alone does little to allay the panic in the general population and in hospital personnel. The paper offers a psychodynamic explanation of the origins of the irrational fear and anxieties around AIDS patients and why information alone does not help the anxieties hospital workers experience. We have suggested a training program using group process and videotape techniques which can address the underlying fears and concerns about AIDS patients. These sessions can help hospital staff to deliver more empathic care to this patient group.
A psychiatric consultation is a complex challenge that may require an evaluation across the full ... more A psychiatric consultation is a complex challenge that may require an evaluation across the full spectrum of possibilities, from the molecular level of neurotransmitters to the intricacy of large social systems. Many psychiatrists regularly perform consultations in the medical setting. This requires they pay attention to the special psychodynamic and psychopharmacologic issues involved in treating patients in the general hospital.
... Doug Wright, a playwright and screenwriter who has won an Obie, will speak on artistic freedo... more ... Doug Wright, a playwright and screenwriter who has won an Obie, will speak on artistic freedom and censorship ... This year five notable APA members will receive a Distinguished Psychiatrist Award: Donald Kornfeld, MD, Ellen Leibenluft, MD, Paul McHugh, MD, Leo Rangell, MD ...
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Papers by P. Muskin