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Biomedical subjects

Eugene V Beresin

Publications and source records attributed to Eugene V Beresin.

9 recordsLinked to original sources

The impact of terrorism on children and adolescents: terror in the skies, terror on television.

Terrorist attacks and their aftermath have had a powerful impact on children and their families. Media and television exposure of terrorist events throughout the world has increased during the past few years. There is increasing concern about the effects of this exposure on children who witness these violent images. To develop a proactive and strategic response to reactions of fear, clinicians, educators, and policy makers must understand the psychologic effects of media coverage of terrorism on children. Previous research has focused on media coverage of criminal violence and war. Recent studies have examined the effect of remote exposure of terrorist attacks and have shown a significant clinical impact on children and families.

Adolescent↗

How and why for the camera-shy: using digital video in psychiatry.

Videotaping and digital editing (desktop video) provide a therapist with compelling material that can be used for therapy with patients, for teaching and professional presentation, and for therapist development. Despite these advantages, many clinicians are reluctant to record their work for reasons that include self-consciousness on the part of the therapist or patient, concerns about negative effects of videotaping on the session, concerns about confidentiality and legal liability, and lack of familiarity with the process of videotaping and the equipment involved. Understanding the benefits, concerns, and basic process involved in video recording and editing should reduce clinician apprehension and encourage more widespread use of this powerful clinical medium.

Confidentiality↗

"The Matrix": An allegory of the psychoanalytic journey.

OBJECTIVE: "The Matrix" has been a huge commercial and critical success and has spawned a series of books and essays exploring the philosophical and religious themes in the story. METHODS: The authors propose is that "The Matrix" can be interpreted as an allegory for an individual's journey into spiritual and mental health, achieved by overcoming one's intrapsychic conflicts with the help of psychodynamic psychotherapy or psychoanalysis. RESULTS: Neo's story parallels the journey undertaken by the individual who chooses to enter psychotherapy and illustrates several themes of analytic psychotherapy, its benefits, and liabilities. CONCLUSION: The movie may therefore serve as a teaching tool for psychiatric residents about the goals, functions, and intricacies of psychodynamic psychotherapy.

Conflict, Psychological↗

Teaching ethics of psychopharmacology research in psychiatric residency training programs.

RATIONALE: American psychiatric residency training programs are now required to teach principles of research ethics. This task is especially pressing in light of evolving guidelines pertaining to human subjects, including psychiatric patients, especially when psychopharmacology is involved. Residents need to understand principles of research ethics and implications of roles of psychiatrists as investigators and clinicians. OBJECTIVES: We consider major contemporary ethical issues in clinical psychiatric research, with an emphasis on psychopharmacology, and implications of addressing them within residency training programs. METHODS: We reviewed recent literature on ethical issues in clinical research and on medical education in bioethics. RESULTS: This report considers: (1) an overview of current training; (2) perceived needs and rationales for training in research ethics, (3) recommended educational content and methods; (4) issues that require further study (including demonstration of acquired knowledge, practice issues, and the treatment versus-investigation misconception); and (5) conclusions. Recommended components of residency training programs include basic ethical principles; scientific merit and research design; assessment of risks and benefits; selection and informed consent of patient-subjects; and integrity of the clinical investigator, including definition of roles, conflicts-of-interest, and accountability. Evaluation of educational effectiveness for both trainees and faculty is a recommended component of such programs. CONCLUSIONS: We recommend that psychiatric training include education about ethical aspects of clinical research, with a particular emphasis on psychopharmacology. These activities can efficiently be incorporated into teaching of other aspects of bioethics, research methods, and psychopharmacology. Such education early in professional development should help to clarify roles of clinicians and investigators, improve the planning, conduct and reporting of research, and facilitate career development of much-needed clinical investigators in psychiatry.

Bioethics↗

From Alice Cooper to Marilyn Manson: the significance of adolescent antiheroes.

Every generation has icons attractive to adolescents and equally repugnant to adults. This article examines antihero characteristics, their appeal to adolescents, and how adults can respond to adolescents enamored of antiheroes. The stage personas of antiheroes champion rejection of the mainstream, assail adult constraints and expectations, explore frightening topics, and ultimately fulfill the adolescent fantasy of surviving alienation and emerging victorious over parents and peers. But antihero idolization also tests the adult's defenses. Adults, fearing loss of control and rejection by the adolescent, sometimes resort to primitive defenses mismatched to the developmental needs of the adolescent. Adults, as much as the adolescents, benefit from examining their individual reactions to the antihero and how their current relationship can accommodate this intrusion. The antihero phenomenon presents adults with an opportunity to model ways to think through that which is uncomfortable and to navigate together the adolescent's developmentally normative separation efforts.

Adolescent↗

The administration of residency training programs.

The position of training director is perhaps the most difficult job in a department of psychiatry. The training director must implement the values, culture, and philosophy of the department; nurture residents, faculty, and support staff; maintain collaborative ties with the hospital and medical school-allied specialties and administration; and monitor the integrity and quality of clinical and academic training. All this must be accomplished in a role that has considerable authority but no real power. The director needs to understand the context in which training occurs and take into account the limited resources of the health care delivery system and the constraints imposed by the current era of managed care. This article provides an overview of the requirements for successfully achieving these complex goals and objectives.

Adolescent↗

From Elephant Man to Jerry Springer: the rise of the psychological tele-spectacle.

In the circus sideshow, people with physical deformities were exhibited for profit and entertainment. The circus sideshow itself is no longer socially acceptable, but it has taken a different form. Television programs like The Jerry Springer Show make spectacles of psychological afflictions and variations in human behavior. On the one hand, these shows provide participants with attention, recognition, an outlet for masochism, and an identity. To the viewer, they offer both reassurance and an outlet for unacceptable thoughts and feelings. They also explore society's collective subconscious. On the other hand, these shows approximate psychological interventions without concern for the result, have potentially negative consequences for vulnerable viewers, and blur the boundary between fantasy and real life.

Journal Article↗

Body image, media, and eating disorders.

OBJECTIVE: Eating disorders, including obesity, are a major public health problem today. Throughout history, body image has been determined by various factors, including politics and media. Exposure to mass media (television, movies, magazines, Internet) is correlated with obesity and negative body image, which may lead to disordered eating. The authors attempt to explain the historical context of the problem and explore potential avenues for change. METHOD: The authors review changes in ideal female body type throughout history, comment on current attitudes toward shape and weight in both men and women, and outline interventions aimed at increasing healthy habits and fostering self-esteem in youth. RESULTS: Throughout history, the ideal of beauty has been difficult to achieve and has been shaped by social context. Current mass media is ubiquitous and powerful, leading to increased body dissatisfaction among both men and women. CONCLUSION: Parents need to limit children's exposure to media, promote healthy eating and moderate physical activity, and encourage participation in activities that increase mastery and self-esteem. Funding for high-quality, visible advertising campaigns promoting healthy life styles may increase awareness.

Adult↗