Scenes from APA's Annual Meeting

I always find APA a bit overwhelming.  There's so much going on at once, so many people to catch up with. Invariably all the stuff I want to go happens at the same time and invariably it's the same stuff everyone else wants to go to so I end up sitting on the floor in the backs of rooms-- I can't find who or what I'm looking for, and I stay out late every night and eat and drink more than I normally do.  I always find it fun to give a presentation or two, but even if I'm only talking for a few minutes, there's something very draining about public speaking.    Monday morning I ended up  in the hotel gym and by late afternoon, I thought maybe I'd go home at lunch on Tuesday. 

Fortunately, I did remember that I was presenting on a panel on Tuesday afternoon, so I didn't leave until after our workshop!  We did a four-hour seminar on Sunday morning (Thank You to those who came out at 8 AM to hear us!), went straight to a book signing, and then Tuesday we did a new media workshop with Steve from Thought Broadcast and Dr. Bob.   It was a lot of fun and it was great to meet some or our blog commenters, including William, Synergysta, and Tigermom!  My one regret was that I didn't go to see Dianne Wiest, the actress who plays the psychiatrist on In Treatment. 

The protesters were their own story.  On Saturday, there were people with signs that said things like "Human Emotions aren't Diseases."  I tweeted out: "Is it a problem that I agree with most of the protesters?"  From what I could tell, they were calm and pleasant.  On Sunday, the crew was more aggressive.  They were chanting, "Stop Drugging and Shocking Our Children."  As we walked through this line of chanting protesters, thrusting pamphlets at us, one man followed us screaming.  My friend said she felt like she was walking into an abortion clinic.  On Monday I didn't see any protesters, but there was a giant jumbo-tron set up blaring out information about the DSM, interviews with people saying it wasn't scientific.  I only watched for a few moments, but I just thought, "yup."  The sign about the Psychiatry drugging our troops caught my attention because we hear so much in psychiatry about how their aren't enough psychiatrists to treat the troops and especially the returning vets.  While the suicide rates and use of psychotropics have both risen, their is nothing about the sign that indicates that the soldiers taking the medicines are the ones committing suicide, and I wondered how the troops feel about protesters picketing on their behalf. 

 








Some pics: The protesters of course.  One of Clink's slides as she explains "What is Twitter," the Hopkins Press sign from our booksigning (The duck is bigger than ever!),  Dr. Steven Hyman, former director of NIMH, giving a very thoughtful talk on the pros and cons of the DSM and his thoughts about the DSM-V.

APA 2012 Shrink Rap Feedback

I'm setting this space up a few days in advance as I finish up my slides for our APA presentations.  


If you come to hear any of speak, please visit here and let us know what you liked and what you didn't.  


For a list of when and where we will be talking, please go HERE.



Please note that not all of the sessions involve all of the Shrink Rappers.


Please let us know which session you attended, and feel free to tell us if there are topics you'd like to hear us speak on next year.

Slides from our seminar are here: http://mythreeshrinks.com/apa12

Come Meet The Shrink Rappers in Philadelphia

We will all be at APA in Philadelphia next weekend and we'd love to meet you.  Click HERE for a complete list of our presentations.


First, the age-old Philadelphia question: Jim's or Pat's for the best cheesesteak?


Where we will be:


Sunday, 8 AM- 12 Noon (no, we didn't choose this time), we are giving a seminar on Blogging, Podcasting, and Writing Books for the Public.  We actually know something about these topics.  I believe the seminars are listed with the courses on the main schedule, and ours will be held at the Marriott.


Sunday, 12:15-1 Find us in the Exhibition Hall at the Johns Hopkins University Press booth, we'll be signing copies of Shrink Rap.

Tuesday,  1:30-3 We will be doing a workshop on Psychiatrists and New Media: Gaining Control of our Specialty's Image.  Steve from the Thought Broadcast blog and Dr. Bob Hsuing ("Dr. Bob") will be with us for a panel discussion.


I will be putting up a spot on the blog for participants to give us some feedback on the sessions. 

Last Chance for Your Input On Personality Disorders

DSM-5 Revisions for Personality Disorders Reflect Major Change

Public Comment Period for Proposed Diagnostic Criteria Extended Through July 15

 

ARLINGTON, Va. (July 7, 2011) – The American Psychiatric Association’s diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) propose a significant reformulation in how personality disorders are identified and assessed. The change integrates disorder types with pathological personality traits and, most importantly, levels of impairment in what is known as “personality functioning.” 

 

With its multidimensional framework, this hybrid model is very different from the way personality disorders are presented as rigid behavioral categories in the current manual. The goal of the new criteria is to maximize their utility to clinicians and benefit to patients.

 

DSM is the standard classification used by mental health and other health professionals for diagnostic and research purposes. The manual’s next edition, representing the latest scientific understanding of the etiology, characteristics and relationships of mental disorders, will be published in 2013. Release of DSM-5 will culminate more than a decade of rigorous work involving hundreds of experts from the United States and abroad.

 

The new draft criteria for personality disorders are currently being evaluated through field trials in real-world clinical settings across the country. Public comment also is invited on the proposed revisions to these and other diagnostic criteria. Submissions will now be accepted through July 15. All criteria are available for review on www.dsm5.org.

 

As recommended by the DSM-5 Personality and Personality Disorders Work Group, 10 categories will be reduced to six specific personality disorder types (antisocial, avoidant, borderline, narcissistic, obsessive/compulsive and schizotypal). But for a diagnosis within these descriptive classifications, several conditions must be met.

 

Critically, a person must have significant impairment in the two areas of personality functioning – self and interpersonal. Self is defined as how patients view themselves as well as how they identify and pursue goals in life. Interpersonal is defined as whether an individual is able to understand other people’s perspectives and form close relationships. The scale by which these will be judged ranges from mild to extreme.

 

In addition, the work group determined that pathological personality traits must be present in at least one of five broad areas – such as whether a person is antagonistic versus able to get along with others, or impulsive versus able to think through possible consequences of action.

“The importance of personality functioning and personality traits is the major innovation here,” said Andrew Skodol, M.D., the work group’s chair and a research professor of psychiatry at the University of Arizona College of Medicine. “In the past, we viewed personality disorders as binary. You either had one or you didn’t. But we now understand that personality pathology is a matter of degree.”

 

Noted Robert Krueger, Ph.D., a member of the work group and a professor of psychology at the University of Minnesota, “Our proposed criteria get away from the idea that personality pathology is just a group of disorders. We’re instead defining it as a much broader characteristic.”

 

Underlying the work group’s recommendations are longitudinal studies and other clinical research since the early 1990s that have revealed the shortcomings of the current behavior-based criteria. Because behavior can be intermittent and changeable over time, the criteria can hinder an accurate diagnosis and even impede treatment.

 

By contrast, impairments in personality functioning and pathological personality traits tend to be more stable over time and consistent regardless of the situation. Both stability and consistency would be required under the revisions to the diagnostic criteria.

 

Over the next year, the DSM-5 Task Force and its work groups will continue refining the categories and specifics of all disorders to be included in the next edition. The current public comment period will play into their deliberations. As with the first public review last year, when the APA received more than 8,000 written responses from clinicians, researchers and family and patient advocates, every comment will be considered. As of mid-June, nearly 1,800 additional responses had been submitted.

 

In the meantime, the first round of field trials continues at nearly a dozen larger academic and clinical centers; almost 3,900 mental health professionals in individual practice and smaller settings also will participate before the trials conclude. Another public comment period on the criteria will then follow.

 

The DSM-5 diagnostic criteria will be determined by 2012 and submitted to the APA’s Board of Trustees for review and approval.

 

The American Psychiatric Association is a national medical specialty society whose more than 36,000 physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at www.psych.org and www.healthyminds.org

We Got Our Duck!

Jackie, our wonder editor, told me there was a duck surprise. Oh, good. I like surprises. And Shrink Rap likes ducks. And then I forgot.

So this morning I went to check out the Johns Hopkins University Press booth at the Exhibit Hall here in Honolulu at the APA. Lots of books, lots of people, and they have a poster up for Shrink Rap in a corner. And a big screen with images that change. Then I noticed it: the Shrink Rap stuff all has ducks on it! This, after they denied us a duck on our cover and said it made us look like quacks.

Ok, so it's beautiful here in Oahu and I'm off to soak up some sun.
I woke up at 5:20 this morning and have been learning about psychiatry all day!

Just a quick note to myself and a to-blog-about list. We've been so busy lately that time has been short for blogging and podcasting, but I still have ideas, so coming posts will (some day!) be:

--Response to the med student who wanted to know how to deal with negativity when she says she wants to be a psychiatrist.
--What is anti-psychiatry and why does it bother me. (Please pray for me if I go there).
--The chapter I wish I'd written, inspired by Jesse's comments.
--We got a request to talk about how autism may mimic psychiatric symptoms on our next podcast. Maybe we'll respond to the medical student on a podcast instead.

Ever feel like life gets just too busy? Okay, having fun at APA, gotta catch some rays now.
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Come Visit Us at APA In Honolulu!

So glad Blogger is back. I was starting to go into withdrawal despite Roy's reassurance that it would be okay!

Aloha! Do come meet us at APA. I've never been to Hawaii before, I'm looking very forward to this.

On Monday, Morning, May 16th at 11 AM, we will be doing a book signing in the Exhibition Hall at the Johns Hopkins University Press at Booth 1424. The Press will be discounting our book to a mere $12, cheaper than you will find it anywhere! Let me further remind you that this may be a tax deductible business expense. Oh, come visit even if you don't want a book! ClinkShrink will be wearing a duck necklace.

On Wednesday morning at 7 AM, we will be giving our workshop called The Accessible Psychiatry Project: The Public Face of Psychiatry in New Media in Room 326B in the Hawaii Convention Center. If all goes well with the technology, we promise an entertaining multi-media event. It's an early hour, but do bring popcorn anyway.

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NOTE FROM CLINK:
Ignore what it says on the APA iPhone app about our presentation (they have it listed as 'withdrawn'). We ARE giving it!! I talked to the APA people and they're supposed to fix this.

ANOTHER NOTE FROM CLINK IN HAWAII:
Dinah just texted me that our presentation info was left out of the conference program! Augh, are we cursed?? We ARE giving the Accessible Psychiatry Project presentation on Weds morning at 7:00 am in room 326b.

On the positive side, the iPhone app is fixed and our presentation is listed correctly there.

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Today's Shrink Rapper News

1) Our book is now out on Kindle. Apparently, you can get it in a minute for $10.

2) One of my old posts is up on KevinMD, Predicting How Much Impact Mental Illness has in a Person's Life.

3) In June, we hope to have another component blog up and running---Shrink Rap News-- we will be doing weekly posts on the Clinical Psychiatry News website. Those posts will target an audience of psychiatrists. Oh, we started with that idea here at Shrink Rap, but the readers we found, both shrinks and non-shrinks, have proven to be so much fun!

4) Aloha! We're getting ready to go to Hawaii for APA-- Roy will give you details about where to find us shortly.

5) Frazzled and frizzled, I did what I've never before done today: I blew off my hair stylist! Not on purpose, but I thought my appointment was 3 hours after she thought it was. Ah, you ask, did she charge me? Do hair stylists charge for No Shows? (They should). No, she had time for me later in the day, and Yes, if I can reschedule a patient who has forgotten an appointment on the same day, I don't charge for the 'missed' session. Someone would have asked that, right?

Help Us Write Our Survey on the Public Face of Psychiatry!

Please Read This and Contribute Your Thoughts!

The Shrink Rappers will be hosting a workshop at this year's annual meeting for the American Psychiatric Association. We'll be talking on The Public Face of Psychiatry and of course we want to discuss the role of new media: blogs and tweets and podcasts and more. Clink will be discussing something forensic, Roy something techy.

But what is the Public Face of Psychiatry? We all believe that stigmatizing the mentally ill is a bad thing and deters people from getting care. And we all have thoughts on what helps and what hurts, but what do we actually know? There's not a lot out there on the topic. And it's not just the mentally ill, it's us Shrinks, we aren't exactly portrayed as the most regular of citizens by the media. One thing we will ask our workshop participants (thanks, Barb, for the great suggestion) is how people react at a party when the participant says they are a psychiatrist.

So what do I want from you? Well, eventually, I want you to take a survey and blast it around the blogosphere about attitudes towards psychiatry. I want it short, maybe 5 questions, so people will actually take it, and I'd like you to help me think about what those questions should be. So I'm going to start and I'd like your feedback in our comments section. Are my questions good? Should they be worded differently? Something short you might like me to add or remove or ask differently?

So here goes, and remember, this is pre-rough-draft, off the top of my head and the final questions will not look like this:


Psychiatry a) helps people b) harms people c) encourages people to use diagnostic labels as excuses for lazy or bad behavior d) is just about handing out medications

Psychiatric patients are a) regular people b) are people I'd rather avoid c) are deeper thinkers and more creative than others

Psychiatrists are a) creative, interesting people b) weirdos c) it's just another job and stereotypes don't apply d) are pawns of the pharmaceutical industry

Psychotherapy a) helps people b) encourages self-centered navel gazing c) often makes people feel or behave worse then they did before they entered treatment d) does nothing.

Psychotropic medications a) help people b) cause more difficulties then they cure c) are the creation of a greedy pharmaceutical industry which has deceived the public

Criminally insane patients are a) badly behaved people manipulating the system to stay out of jail b) deserving of treatment c) have the potential to return to free society d) should not live on my street

Electronic medical records (this one is potentially for Roy).... a) should exist exactly as all other medical records do in psychiatry and giving them 'special protections' increases the stigma of mental illness b) should not exist for psychiatric illnesses and treatment c) should exist but should have separate and higher protection to allow confidentiality.

A psychiatrist uses electronic medical records that can be accessed by my other physicians and I cannot restrict this: a) I would see this psychiatrist for care b) I would not see this psychiatrist for care

Direct-to-Consumer advertising (commercials/magazine ads) of medications: a) decreases the stigma associated with taking these medications and is therefore good b) scares prospective patients with the lists of side effects c) should not be used because it provides incomplete medical information and the suggestion that patients should demand specific treatments without individual consideration of the patient and their problems

Psychiatric blogs: a) are useful sources of information and I have found them to be helpful
b) are biased and unhelpful

Blogs about psychiatry in general (including those by patients and those who may be disenchanted with psychiatry) have a) encouraged me to get treatment or to recommend treatment to others b) have discouraged me from getting treatment or recommending psychiatric treatment to others.

Obviously, I need your help. Thank you so much and do let me know your thoughts!

Rats!

Posted for ClinkShrink:


OK, so here's the rat story:

Dinah, Roy and I were walking down Bourbon Street at midnight during the APA conference. (Three psychiatrists REALLY didn't fit in down there, even though we were wearing duck necklaces.) All of the sudden this huge rat ran out of an alley about two feet in front of us. Dinah screamed and did one of those cartoon-like "peddling in the air" jumps, then turned and ran. Roy and I were in hysterics. We all got back safely. Not sure what happened to the rat.

Glen Gabbard: You Cannot See the Self in a Brain Scan

Greetings from New Orleans and the APA! I'm still here with Roy. ClinkShrink has gone home, but I'm sure she'll be here soon to tell you about the rat on Bourbon Street. I did not scream as loudly as she'll say I did.

It's been a busy day. I started at a lecture by Glen Gabbard, and that's what this post will ultimately be about. I then went to lunch with a gentleman I met once for 15 minutes, 5 years ago when I was down here after Katrina. You'd think it would be a little strange to have lunch with someone I don't know, but it wasn't...more like like seeing an old friend, and I tried to persuade him to do a guest blog post, so he's thinking (and dreaming) about it. Lunch was punctuated by a stream of urgent text messages from Roy: he wanted me to come interview a beauty queen with him, and so we met with Dr. Gariane Gunter, the former Mrs. USA, who is also a psychiatrist, and a podcast with her will be out soon (right, Roy?). Yes, she's beautiful, and very personable and accommodating to meet with us. I then went to a symposium on the Neurobiology of Obesity where I learned that rats prefer sweets to IV cocaine. Off to dinner shortly, but first let me tell you about Dr. Gabbard's talk.

I've heard Glen Gabbard talk before. He has a gift for being able to so clearly articulate what it is we do in this strange practice of psychotherapy. He's the only psychoanalyst who speaks a language I understand. Roy asked what I was going to hear him talk about, and then stopped himself to say "I guess it doesn't matter." No, it doesn't matter, Dr. Gabbard could talk about how to take the garbage out and it would be inspiring.

The talk was part of a prestigious award presentation and was titled Why I Teach. His stories are wonderful, and he started by talking about how patients want to be remembered, and how touched he was when a medical patient told him, years ago when he was a student, that she'd always remember him. There was the story he told of the woman in Africa who cares for children dying of AIDS and how she holds their hands and tells them they will live on in her heart. "Our patients fear they will be forgotten."

Why else does he teach? To alleviate his existential dread, to altruistically have an impact, to teach, to learn, and to preserve a dying art (that would be psychodynamic psychotherapy). "Teaching forces you to clarify and articulate your thoughts."

Sometimes during lectures and professional meetings, I do what the kids do...I make my grocery list, I text my friends, I play games on my iTouch. But this was inspiring, my thoughts scrambled around, but not to the grocery list. I thought of people who I want to remember me, I vowed to at least try to resolve an unresolved relationship where I'm not happy with the memories, I thought about teaching a course on psychotherapy -- I'd be good at this -- should I go talk to my chairman about this? Should I ask someone to teach it with me? -- I identified a potential victim. I designed the course in my head and reminded myself that I'm trying to slow life down, not take on even more projects!

I went to the exhibit hall and bought Dr. Gabbard's book, and told him how I much I enjoyed the talk (along with everyone else....we all want to be remembered). I suppose the mark of a good lecture is that it moves you to think just a little differently.

Good quotes:

You cannot see the self in a brain scan.

Psychotherapy is not a popularity contest, we take people to places they don't want to go.

When in doubt, be human.

APA Annual Meeting in New Orleans 2010 #apanola2010

The American Psychiatric Association's Annual Meeting began on Saturday and goes through to Wednesday.  Lots of great talks here.  I'm trying to learn a lot more about TMS (Transcranial Magnetic Stimulation), for one.  There have been a number of talks on the use of social media, as well, including the use of blogs, facebook, and twitter.


I'll post more soon, but just wanted to give our readers a heads up on the meeting.  Also, you can follow the twitter stream on tweets from the meeting on TweetChat using the hashtag #APANOLA2010.  A stream of these tweets is in our sidebar for the rest of this week, and is also below in this post.

My Three Shrinks Podcast 52: The Friendly Skies

In Dinah's post Fly Those Friendly Skies she talks about the new FAA policy regarding pilots on antidepressant medication. We found out something about pilot life span. Retired pilots live five years longer than their non-flying peers.

We talk about the New York Times article In Therapy: Cell Phones Ring True. The article discusses what therapists learn about their patients through their cell phone conversations and pictures.

Roy introduced us to the Lanny-yap blog, where we found a picture of Roy's dog, Eddie. This blog has a reference to a Scientific American article on anisomycin, an experimental medication that has been used in rats to wipe out fearful memories. Shades of Eternal Sunshine of the Spotless Mind (2004)!

Finally, we talk about a prospective study of 16,000 adults who started college and tried to guess which psychiatric diagnoses were most associated with failure to complete college. The full study can be found in the April edition of Psychiatric Services.

Once again, we talk about our upcoming book. We still need a title we can all agree on. Help us out by sending ideas to mythreeshrinksATgmail.com!

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This podcast is available oniTunes or as an RSS feed orFeedburner feed. You can also listen to or download the .mp3or the MPEG-4 file from mythreeshrinks.com.

Thank you for listening

Send your questions and comments to: mythreeshrinksATgmailDOTcom

How Much for Access to APA Mtg Talks?

The American Psychiatric Association's 162nd Annual Meeting just ended in San Francisco last week.  These are 5-day long academic smorgasborgs attended by a large proportion of the APA's 35,000-plus members, in addition to other interested people. 

There were about 600 individual talks totaling about 600 hours, not to mention the 800-odd poster presentations.  To see an example of the first two days' worth of talks, skip to the bottom of this post.  

We are thinking about bringing most of the meetings' talks online -- audio, video, slides, and all.  Here's my question: Do these talks have any interest outside of just psychiatrists?  How much would you be willing to pay on a per-talk basis (this is the non-member price)?  These would be streaming talks (not downloads) and payment includes access for 12 months so it can be watched multiple times (update: no CME).

(Please tweet this survey, blog it, email it, circulate widely. Thanks.)

View Comments

Below is a list of talks from the first couple days.

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Advances in Medicine (~1.5 each) 

AM01. The Top 10 Medical Articles of 2008: A Comprehensive and Practical Review of What We Need to Know Monique Yohanan, M.D. 

AM02. Infertility Issues Elena Gates, M.D. 

Advances In Research (~3 hr each) 

AR01. Advances in Research. Herbert Pardes, M.D. 

Advances In Series (~3 hr each) 

A01. Neuropsychiatry Stuart Yudofsky, M.D. 

A02. Psychopharmacology Alan Schatzberg, M.D., Charles Nemeroff, M.D. 

A03. Substance Abuse Mark Galanter, M.D., Herbert Kleber, M.D. 

A04. Psychosomatic Medicine James L. Levenson, M.D. 

A05. Psychotherapuedic Psychiatry Glen Gabbard, M.D. 

A06. Personality Disorder John Oldham, M.D. 

A07. Forensic Psychiatry Robert I. Simon, M.D., Lisa Gold, M.D. 

Component Workshops (~1.5 hr each) 

CW01. High-Risk Student Populations: Innovative Approaches to Treatment and Outreach. Chair: Jerald Kay, M.D. 

CW02. Lost and Not Found: Depression and Suicide in Elderly Asian Americans. APA Committee of Asian-American Psychiatrists; Chair: Jacquelyn Chang, M.D. 

CW03. A Family-Related Approach to Reducing Risk and Promoting Well-Being Among LGBT Youth. Association of Gay and Lesbian Psychiatrists; Chair: Ellen Haller, M.D. 

CW04. International Disasters: Challenges and Opportunities to Contribute. APA Committee on Psychiatric Dimensions of Disaster; Chair: Shirley Liu, M.D., Co-Chair: Patcho Santiago, M.D. 

CW05. Career Advancement in Administrative Psychiatry for Early Career Psychiatrists. APA Assembly Committee of Early Career Psychiatrists; Chair: Dimitri Markov, M.D., Co-Chair: Marina Goldman, M.D. 

CW06. Show Me the Money! Sustainable Funding for Education in Psychiatry. APA/GlaxoSmithKline Fellows; Chair: M. Justin Coffey, M.D. 

CW07. Revitalizing Service: Strategic Planning Success Within District Branches and State Associations APA Council on Member and District Branch Relations; Chair: Nioaka Campbell, M.D. 

CW08. Combat to Community: Needs and Resources for Post-September 11th Veterans and Their Families APA Alliance; Chair: Kay Brada 

CW09. Becoming a Public Psychiatry Leader: Mentoring Models for Everyone, From Residents to Medical Directors APA Council on Social Issues and Public Psychiatry; Chair: Peter Chien, M.D. 

CW10. Biracial Americans: "Check One Box Only" and the Development of Multiracial Identity APA Council on Minority Mental Health and Health Disparities; Chair: Jacquelyn Chang, M.D., Co-Chair: Kehinde Ogundipe, M.D. 

CW11. Recognition and Treatment of Dementia in a Changing America APA Committee on Ethnic Minority Elderly; Chair: Maria llorente, M.D., Co-Chair: Khushro Unwalla, M.D. 

CW12. How General Psychiatrists Can Effectively Screen and Treat Substance Use Disoders APA Corresponding Committee on Treatment Services for Patients With Addictive Disorders; Chair: Varinder Rathore, M.D., Co-Chair: Petros Levounis, M.D. 

CW13. Outpatient Forensic Services and Interventions to Improve Clinical Outcomes and Reduce Recidivism APA Task Force on Forensic Outpatient Services; Chair: Steven Hoge, M.D., Co-Chair: Alec Buchanan, Ph.D. 

CW14. National Security, the Hippocratic Oath, and the War on Terror APA Council on Global Psychiatry; Chair: Shirin Ali, M.D., Co-Chair: Karinn Glover, M.D. 

CW15. Current Topics in Forensic Psychiatry: Update From the Council on Psychiatry and Law and the Committee on Judicial Action APA Council on Psychiatry and Law and APA Committee on Judicial Action; Chair: Patricia Recupero, M.D., J.D., Co-Chair: Jeffrey Janofsky, M.D. 

CW16. Indications for the Use of Combined Talking Therapy and Pharmacotherapy and How to Teach in Residency APA Corresponding Committee on Graduate Education; Chair: Sidney Weissman, M.D. 

CW17. Medical Issues for Psychiatrists in Disasters APA Committee on Psychiatric Dimensions of Disaster; Chair: Mark Viron, M.D., Co-Chair: Nidal Hasan, M.D. 

CW18. Ethical Dilemmas in Psychiatric Practice APA Ethics Committee; Chair: Wade Myers, M.D. 

Debate/Roundtable (~1.5 hr each)

DR01. To Be Announced 

DR02. To Be Announced 

DSM Track (~3 hr each) 

DSM01. DSM-V: Progress in Research and Development Chair: Darrel Regier, M.D. (Forum 01) 

DSM02. Evolution of the DSM-V Conceptual Framework: Development, Dimensions, Disability, Spectra, and Gender/Culture Chair: Darrell Regier, M.D. 

DSM04. Public Health—Revisions Review Chair: Norman Sartorius, M.D. 

Focus Live (~1.5 hr each) 

FL01. FOCUS LIVE! Geriatric Psychiatry. Barry Lebowitz, Ph.D. 

FL02. FOCUS LIVE! PTSD and Disaster Psychiatry Anand Pandya, M.D. 

FL03. FOCUS LIVE! Panic and Social Anxiety Disorder Mark Pollack, M.D. 

Forum (~1.5 hr each) 

F01. DSM-V: Progress in Research and Development Chair: Darrel Regier, M.D. (DSM Track 01) 

F02. The Relationship Between the APA and Pharmaceutical Industry Chair: Ken Silks, M.D. 

F03. Developing the Next Generation of Clinical Translational Researchers: Innovation in an Academic Department of Psychiatry Chair: Renée Binder, M.D. 

F04. Treating Women With Alcohol Use Disorders Chair: Grace Chang, M.D. 

F05. Anxiety in Patients With HIV: Importance and Drugs Chair: Ramaswany Viswanathan, M.D. 

F06. Bridges and Barriers to Care: Current Strategies Chair: Mark Townsend, M.D. 

F07. New Perspectives on Cultural Issues in Alcohol Chair: Barbara McCrady, M.D. 

Issue Workshops (~1.5 hr each) 

IW01. Increasing Cultural Competency to Assess and Ameliorate Distress of Diverse Patients: Example From the Care of a South Asian Victim of Spousal Abuse. Chair: Jacob Sperber, M.D., Co-Chair: Nyapati Rao, M.D. 

IW02. Practical Pharmacotherapy for the Treatment of Alcohol Dependence National Institute on Alcohol Abuse and Alcoholism; Chair: Robert Swift, M.D., Co-Chair: Allen Zweben 

IW03. Incest—a Cultural Perspective APA Council on Global Psychiatry and the APA Council on Children, Adolescents, and Their Families; Chair: Rodrigo A. Muñoz, M.D. 

IW04. Playing in the Big League: Resident Leadership in the APA Board of Trustees Chair: Molly McVoy, M.D., Co-Chair: Lauren Sitzer, M.D. 

IW05. Risk Management Issues in Psychiatric Practice Chair: Martin Tracy, J.D., Co-Chair: Jacqueline Melonas, J.D. 

IW06. Ethical, Clinical, and Legal Challenges Chair: Malkah Notman, M.D., Co-Chair: Linda Jorgenson, J.D. 

IW07. Technology and Psychiatry: Practical and Clinical Tips for Using Telepsychiatry (Open to residents only) APA/Shire Fellowship Program; Chair: Jena Worley, M.D., Co-Chair: Michael Houston, M.D. 

IW08. Mindful Practice: Understanding Its Role in Psychiatry and Psychiatric Training Chair: Tana Grady-Weliky, M.D. 

IW09. Need to Reformulate "Risk" and Its "Assessment" in Clinical Practice World Psychiatric Association; Chair: Amresh K. Shrivastava, M.D. 

IW10. Imaging Insight: Basic Definitions, Measures, and Relevance to Psychopathology National Institute on Drug Abuse; Chair: Steven Grant, Ph.D., Co-Chair: Rita Goldstein 

IW11. Implementing a Telepsychiatry Program in the Kern County Mental Health System in Rural California (Part 2) Chair: Salvador del Rosario, M.D., Co-Chair: Tai Yoo, M.D. 

IW12. Using the DSM-IV-TR Cultural Formulation for Cultural Competence Skill Building Among Psychiatry Residents Chair: Treniece Lewis Harris, Ph.D., Co-Chair: Marshall Forstein, M.D. 

IW13. Diversion of Prescription Stimulants National Institute on Drug Abuse; Chair: Moira O'Brien, Co-Chair: Wilson Compton III, M.D. 

IW14. Challenging Stigmas & Stereotypes: Integrated Therapy for Multidiagnosed Addiction Patients Combining Innovative With Traditional Approaches Chair: Michael Scimeca, M.D. 

IW15. Man- and Non-Man-Made Disasters in Asia: The Role of Resilience Chair: Pedro Ruiz, M.D. 

IW16. Turning Lead Into Gold: Tragedy and Transformation in a Public Psychiatric Emergency Service Chair: Stephen M. Goldfinger, M.D., Co-Chair: Ellen Berkowitz, M.D. 

IW17. Can Disclosure of a Diagnosis of Borderline Personality Disorder Help Guide Treatment for Clinicians, Patients, and Families? Chair: Richard G. Hersh, M.D. 

IW18. Application of Cultural Variables for Practice of Effective Psychotherapy of Indians Settled in U.S.A. Chair: Nitin Gupta, M.D., Co-Chair: Vijoy Varma, M.D. 

IW19. Cognitive Therapy for Psychosis in Practice by Psychiatrists: Basic Techniques Chair: Shanaya Rathod, M.D., Co-Chair: Douglas Turkington 

IW20. Resident Wellness Survey Results and Discussion Chair: Paul O'Leary, M.D., Co-Chair: Hind Benjelloun, M.D. 

IW21. Tips for Effective Communication About Genetics and Mental Illness With Patients and Their Families Chair: Jehannine Austin, Ph.D., Co-Chair: Holly Peay, M.S. 

IW22. Clinical and Forensic Issues Concerning Infanticide, the Murder of a Child in the First Year of Life by Its Mother Chair: Malkah Notman, M.D., Co-Chair: Carl Malmquist, M.D. 

IW23. Extended Treatments for Alcohol Use Disorders National Institute on Alcohol Abuse and Alcoholism; Chair: James McKay, Ph.D. 

IW24. Cognitive Therapy for Personality Disorders Chair: Judith Beck, Ph.D. 

IW25. The Impact of Meditation as a Non-Pharmacological Intervention for Veterans With Mental Health Disorders Chair: Julie Malphurs, Ph.D., Co-Chair: Daniella David, M.D. 

IW26. Assessment of Capacity: Developments, Documentation, and Defendability Chair: Michael Wise, M.B.B.S., Co-Chair: Julian Beezhold, M.D. 

IW27. Lessons Learned About Resilience and Recovery Following Disasters Chair: Howard Osofsky, M.D. 

IW28. When Psychiatry Residents Treat Medical Students: Some Challenges Chair: Michael Myers, M.D. 

IW29. Bootcamp for Burnout Association of Women Psychiatrists; Chair: Tana Grady-Weliky, M.D. 

IW30. Lessons From the Post-Residency Road: Four Career Journeys Since Residency Graduation 

in 2004, With Insights From Our Training Director Chair: William Wood, M.D., Co-Chair: Kathy Sanders, M.D.

IW31. Assessment and Treatment of Sleep Disorders in Alcohol-Dependent Patients With ADHD and Other Co-Occurring Disorders National Institute on Alcohol Abuse and Alcoholism; Chair: Kirk Brower, M.D., Co-Chair: Iyad Alkhouri, M.D. 

IW32. Doing it Right the First Time: Recognizing, Maintaining, and Supporting Workplace Function APA Corresponding Committee on Psychiatry in the Workplace; Chair: Andrea Stolar, M.D. 

IW33. The Use of Research Measures in Clinical Practice Chair: Joan Busner, Ph.D. 

IW34. FFT-HPI and FIT: Two Different Approaches to Family-Involved Treatment for Bipolar Disorder Chair: Igor Galynker, M.D. 

IW35. Outpatient Mastectomies: Overview of Psychosocial Issues Chair: Zach Morairty, M.D., Co-Chair: Michelle Riba, M.D. 

IW36. Evaluation and Management of Patients With Excessive Daytime Sleepiness in Psychiatric Practice Chair: Dimitri Markov, M.D. 

IW37. The Portrayal of Psychiatry in Recent American Film Chair: Steven Pflanz, M.D. 

IW38. The Changing Managed Care Landscape for Behavioral Health Services National Institute on Alcohol Abuse and Alcoholism; Chair: Constance Horgan Sc.D., Co-Chair: Mark Willenbring, M.D. 

Lectures (~1.5 hr each)

L01. Prevalence, Correlates, and Risk of Posttraumatic Stress Disorder: How Latinos Fare.  Margarita Alegria, Ph.D., Simon Bolivar Award Lecture 

L02. Psychopathic Disorders Without Borders.  Alan R. Felthous, M.D., Henning Sass, M.D., AAPL/APA's Manfred S. Guttmacher Award Lecture 

L03. Pills to Treat Alcoholism. Bankole A. Johnson, M.D., Ph.D., D.S., Solomon Carter Fuller Award Lecture 

L04. Psychiatrists' Role in Prevention and Intervention in Domestic Violence Among South Asians. Surinder Sucha Nand, M.D., Alexandra Symonds Award Lecture

L05. Psychiatric Genetics: A Current Perspective. Kenneth Kendler, M.D., Distinguished Psychiatrist Lecture 

L06. Etiology in Psychiatry: Phenomes, Genomes, and Epigenomes. James Potash, M.D., Frontiers of Science Lecture 

L07. Psychiatric Education Across Civilization: The Search for a Guru and the IMG Nypati Rao, M.D., George Tarjan Award Lecture 

L08. Mental Health in the New Era of Cost Control Richard Frank, M.D., Frontiers of Science Lecture 

L09. To Be Announced Elyn Saks, J.D., Outside Lecture 

L10. Successful Aging and Wisdom: Are These for Real? Dillip Jeste, M.D., Distinguished Psychiatrist Lecture 

L12. To Be Announced Hon. Gavin Newsom, John Fryer Award 

L13. Modules of the Mind: Developing a Positive Psychiatry of the Person C. Robert Cloninger, M.D., Marmor Award Lecture 

L14. Borderline Personality Disorder: The Birth Pains of the Still New Diagnosis John Gunderson, M.D., Distinguished Psychiatrist Lecture 

L15. Cross-Cultural Psychopharmacology: Shaping Our Future via Bridging Science and Service Edward Pi, M.D., Kun-Po Soo Award Lecture 

L16. How Alcoholism Develops: Identification of Genetic and Environmental Influences in a 25-Year Longitudinal Study Marc Shuckit, M.D., Adolf Meyer Award Lecture 

L17. When Politics Distorts Science: A Psychiatrist Reports From the Trenches of the Culture Wars Jack Drescher, M.D., Distinguished Psychiatrist Lecture 

L18. The Movement for Global Mental Health: Why You Should Join Virkram Patel, M.Sc., M.R.C.Psych., Ph.D., International Lecture 

L19. Translational Neuroscience for Schizophrenia Akira Sawa, M.D., Ph.D., Frontiers of Science Lecture 

Media Workshop (~3 hr each) 

MW1. Ready? OK! A Film About Childhood Gender Variance American Academy of Child and Adolescent Psychiatry; Chair: Richard Pleak, M.D., Co-Chair: Sarah Herbert, M.D. 

MW2. Silver Spurs—Severe and Chronic Mental Illness, and Life in a Residential Care Facility Chair: Steven Harvey, M.D., Co-Chair: Doug Whyte, B.S. 

MW3. The Joy Luck Club: Universal Stories About Mothers and Daughters From China Chair: Francis Lu, M.D. 

MW4. Provoked: Combating Domestic Violence Indo-American Psychiatric Association; Chair: Vishal Madaan, M.D., Co-Chair: Surinder Nand, M.D. 

Medical Update (~1.5 hr each) 

MU1. 21st Century ECT—Updating the APA Recommendations on ECT Task Force to Revise the Practice of Electroconvulsive Therapy; Chair: Sarah Lisanby, M.D., Co-Chair: Richard Weiner, M.D. 

Presidential Symposia (~3 hr each) 

PS01. Is Psychiatry Better for Patients and Physicians in a Real Health Care System? Chair: Gisele Apter, M.D., Ph.D. 

PS02. Psychiatrists' Relationships With Industry Chair: Paul Appelbaum, M.D., Co-Chair: Laura Roberts, M.D. 

PS03. Psychiatry and the Control of Fertility Chair: Gail Robinson, M.D., Co-Chair: Susan Kornstein, M.D. 

 

Scientific and Clinical Reports (~0.5 hr each; ~1.5 hr each session) 

Session 1. Forensic Psychiatry 

1. Characteristics of Mentally Ill Offenders From 100 Psychiatric Court Reports Yasser Elsayed, M.D., M.S. 

2. Homicide and During the First Episode of Psychotic Illness Olav Nielssen, M.B.B.S. 

3. Differences Between Men and Women Found Not Guilty By Reason of Insanity for Homicide Offenses at Napa State Hospital Jessica Ferranti, M.D. 

Session 2. Measurement of Personality Disorder Severity 

4. The Severity Indices of Personality Problems—A New Dimensional Questionnaire for Measuring (mal)Adaptive Personality Functioning Helene Andrea 

5. Severity Indices of Personality Problems (SIPP-118) in Adolescents: Factor Structure and Validity Joost Hutsebaut, Ph.D. 

6. The Severity Indices of Personality Problems (SIPP-118) as a Clinical Instrument Dineke Feenstra, M.A. 

Session 3. Genetic, Neuroimaging, and Neuropsychological Studies in Schizophrenia 

7. Does Aberrant Stimulus Salience Lead to Psychosis in Schizophrenia?: A 20-Year Longitudinal Study Martin Harrow, Ph.D. 

8. Association of G-1438A Polymorphism of 5HT2A Receptor With Schizophrenia in Three Ethnic Groups in Malaysia Zahurin Mohamed, B.S.C., Ph.D. 

9. MEG Analysis of Early Processing of Facial Expressions in Schizophrenia and Controls Stephen Lewis, M.D. 

Session 4. Adjunctive Treatment and Comorbidity in Schizophrenia 

10. Effects of Adjunctive Treatment With Armodafinil in Schizophrenia Ashwin A. Patkar, M.D.

11. Prevalence of Alcohol Use Disorders in Schizophrenia: A Systematic Review and Meta-Analysis Jouko Miettunen, Ph.D. 

12. Zolpidem in Treatment-Resistant Catatonia: Case Reports and Literature Review Cristinel Coconcea, M.D. 

Session 5. Psychopharmacology: Psychostimulant, Antidepressant Side Effects 

13. Linking Attention-Deficit/Hyperactivity Disorder Ratings and Clinical Global Impressions Scores in Studies of Lisdexamfetamine Dimesylate in ADHD Richard Weisler, M.D. 

14. Antidepressant-Induced Excessive Sweating (ADIES): Measurement and Treatment Rajnish Mago, M.D. 

15. Armodafinil Once Daily Sustains Wakefulness Throughout the Day in Patients With Excessive Sleepiness Associated With Narcolepsy Thomas Roth, Ph.D. 

Session 6. Bipolar Disorder 

16. Who Receives Guideline-Based Pharmacotherapy for Bipolar Depression? Megan Ehret, Pharm.D. 

17. Psychiatric Admissions and Hospitalization Costs in Bipolar Disorder in Sweden Anne Tiainen, M.P.H., R.N. 

18. Symptoms and Treatment of Bipolar Disorder in Sweden Mats Adler, M.D. 

Session 7. The Broad Reach of Psychiatry: Studying History, Peacekeeping, and the Role of Spirituality in Schizophrenia 

19. The Modern History of American Psychiatry: Unintended Consequences Milton Kramer, M.D. 

20. Is Peacekeeping Peaceful? A Systematic Review Jitender Sareen, M.D. 

21. Spiritual and Religious Coping in Schizophrenia: Clinical Implications Philippe Huguelet, M.D. 

Session 8. Studies in Psychotherapy 

22. Follow-Up Psychotherapy Outcome of Patients With Dependent, Avoidant, and Obsessive-Compulsive Personality Disorders—a Meta-Analytic Review Witold Simon, M.D., Ph.D. 

23. The Effectiveness of Evidence-Based Treatments for Major Depressive Disorder in a Routine Clinical Setting: Results From an Observational Study Frenk Peeters, M.D., Ph.D. 

24. The Effectiveness of a Group-Oriented Inpatient CBT Program Katherine Lynch, Ph.D. 

Session 09. Child and Adolescent Psychiatry 

25. Medication Trends in New-Onset Pediatric Bipolar Disorder Among Medicaid-Insured Youth Aloysius Ibe, B.S., M.S. 

26. Physical Activity and Fitness in Adolescents at Risk for Psychosis Jenni Koivukangas 

27. Metabolic Symptoms in Adolescent Psychiatric Inpatients Michael Stevens, Ph.D. 

Session 10. Cross-Cultural Psychiatry 

28. Genes, Memes, Migration, and Mental Illness Hoyle Leigh, M.D. 

29. One-Year Follow-Up Study of the Culturally Sensitive Collaborative Treatment (CSCT) for Chinese Americans With Depression Adrienne van Nieuwenhuizen, B.A. 

30. Prevalence of Childhood Trauma in Psychiatric and  Mexico Border Alejandra Postlethwaite, M.D.

Session 11. Diagnostic Issues 

31. Heterogeneity of the Jealousy Phenomenon in the General Population: An Italian Study Donatella Marazziti, M.D. 

32. Olfactory Reference Syndrome (ORS): A Systematic Review of the World Literature Millia Begum, M.B.B.S., M.Eng. 

33. Dimensionality and Etiology in Psychiatric Research Stephen Shanfield, M.D. 

Session 12. Metabolism, Metabolic Syndrome, and Cardiovascular Disease in Schizophrenia 

34. Schizophrenia-Spectrum Disorders Were Associated With Cardiovascular Disease Symptoms, Independent of Known Risk Factors for Symptoms Stephen Woolley, D.Sc., M.P.H. 

35. Ultra Rapid Metabolizers Are in a Pilot Study in Two Different Clinics Over-represented in Court-Ordered Psychotic Patients Carel de Blécourt, M.D., Ph.D. 

36. Oatmeal vs. Donuts: Treating Metabolic Syndrome/Obesity Using CBT/DBT in an Inner-City SPMI Population Joanne Caring, M.D. 

Session 13. Diagnostic Issues in the Schizophrenia Spectrum 

37. Is Schizoaffective Disorder a Distinct Clinical Entity? John Goethe, M.D. 

38. Diagnostic Stability in Patients With Schizoaffective Disorder Compared to Schizophrenia and Bipolar Disorder Bonnie Szarek, R.N. 

39. Depression and Its Treatment in Patients Presenting With Late-Onset Delusional Disorder (LODD) Rebecca Anglin, M.D. 

Session 14. Psychiatric Issues Related to Pregnancy and Breast Feeding 

40. Postpartum Depression and Breast Feeding in an Urban Population of Women in Malaysia Nor Zainal, M.B.B.S., M.Psy. 

41. Psychotic Denial of Pregnancy: Ethical and Legal Considerations for Treating Physicians Melissa Nau, M.D. 

42. Posttraumatic Growth and Quality of Life in Breast Cancer Patients Derya Iren Akbiyik, M.D., Ph.D. 

Session 15. Exploring Suicidality: Assessment and the Impact of Spirituality and Economic Conditions 

43. Meeting the Challenge of Risk Assessment: Toward a New Scale of Suicide Assessment: The Scale for Impact of Suicidality Management and Assessment Amresh K. Shrivastava, M.D., D.P.M. 

44. Economic Factors and Suicide Rates—Associations Over Time in Four Countries Alfonso Ceccherini-Nelli, M.D. 

45. Religion, Spirituality, and Suicide in a Large Community Sample Daniel Rasic, B.S., M.D. 

Session 16. Panic and Anxiety Disorder 

46. Frequency and Clinical Correlates of Adult Separation Anxiety Disorder in 508 Outpatients With Mood and Anxiety Disorders Stefano Pini, M.D. 

47. Long-Term Treatment of Panic Disorder With Clonazepam or Paroxetine: A Randomized, Naturalistic, Open Study Antonio Nardi, M.D., Ph.D. 

48. Effectiveness of a Mindfulness-Based Cognitive Therapy Program as an Adjunct to Pharmacotherapy in Patients With Panic Disorder Borah Kim, M.D. 

Small Interactive Sessions (~1.5 hr each) 

SI01. Safety Issues in Child Psychopharmacology. Barbara Coffey, M.D. 

SI02. Antipsychotic Polypharmacy: An Evidence-Based Perspective. Donald Goff, M.D.

SI03. Psychiatric Issues Related to Returning Vets From Iraq Charles Hoge, M.D. 

SI04. A Discussion and Open Forum About Drug Interactions Gary H. Wynn, M.D. (Meet the Author) 

SI05. Neuropsychiatric Assessment for General Psychiatry Sheldon Benjamin, M.D. 

SI06. Palliative Care and Psychiatric Issues at the End of Life William Breitbart, M.D. 

SI07. When a Physician Is Your Patient Michael Myers, M.D. 

SI08. Approach to the Psychiatric Patient John W. Barnhill, M.D.

SI09. Brain Stimulation Therapies for Clinicians Ned Higgins, M.D. 

Special (1.5 hr)

Opening Session and Presidential Address 

Symposia (~0.5-0.75 hr each; ~3 hr for each session) 

S1. Spotting the Wolf in Sheep's Clothing: Clinical Challenges Identifying and Treating Unpresented Comorbidity National Institute on Drug Abuse 

A. The Prevalence of Substance Use Disorders Among Psychiatric Populations Carlos Blanco-Jerez, M.D. 

B. Screening for Substance Use Disorder Among Individuals With Severe Mental Illness Stanley D. Rosenberg, Ph.D. 

C. Motivational Interviewing for Substance Abuse Among Adolescents With Psychiatric Comorbidity Richard A Brown, Ph.D. 

D. Diagnosis Challenges for Co-Occurring ADHD and Substance Use Disorders Frances Levin, M.D. 

E. The Treatment of Co-Occurring Mood and Anxiety Disorders in Addictions Kathleen Brady, M.D. 

S2. Adjustment Disorders: Problems in Conceptualization, Conundrums in Classification 

A. Adjustment Disorders and DSM-V: Considerations for Dimensional (Spectrum Diagnoses) Versus Categorial James J. Strain, M.D. 

B. Recent Advances in the Study of Adjustment Disorders Andreas Maercker, M.D. 

C. Can Adjustment Disorder and Depressive Episode Be Distinguished? Results From the ODIN Study Patricia P. Casey, M.D. 

D. Posttraumatic Embitterment Disorder Michael Linden, M.D. 

S3. Delivering Psychiatry in Rural Peru: The Ayacucho Mental Health Project 

A. The Ayacucho Mental Health Project James Phillips, M.D. 

B. Constructing a Formulary for a Psychiatric Clinic in the Developing World Mark D. Rego, M.D. 

C. Psychiatric Treatment in a Trilingual Setting Stephen J. Bittner, M.D. 

D. The Use of Skype by the Ayacucho Team in Follow-Up, Supervision, and Other Contacts With Patients and Staff Galen W. Stahle, M.D. 

E. Evaluation of Change in Indicators of Mental Health in an Andean Region of Peru Luis E. Bedregal, Ph.D. 

S4. Stalking: Risk Management and Treatment of Offenders and Victims 

A. A Comprehensive Approach to the Treatment of Stalking Victims Gail E. Robinson, M.D. 

B. Stalking of Health Care Professionals Karen M. Abrams, M.D. 

C. Treatment of Stalking Offenders Werner Tschan, M.D. 

D. Workplace Assessment of Violence Risk Stephen G. White, Ph.D. 

E. Stalking Threat Management Jeffrey Dunn, M.D. 

S5. Understanding and Addressing Adolescent Alcohol Consumption and Alcohol Use Disorders in the Context of Overall Development National Institute on Alcohol Abuse and Alcoholism 

A. Early Development and Continuity of Risk for Early Drinking, Problem Drinking, and Alcoholism From Early Childhood to Adulthood Robert A. Zucker, Ph.D. 

B. Applying a Developmental Framework to Alcohol-Related Behaviors: Ages 10-15 Michael Windle, Ph.D. 

C. Applying a Developmental Framework to Alcohol-Related Behaviors From Middle to Late Adolescence Sandra A. Brown, Ph.D. 

D. Developmentally Informed Research on the Effectiveness of Clinical Trials (DIRECT) With Adolescents With Alcohol Problems Eric F. Wagner, Ph.D. 

E. Evidenced-Based Treatments for Alcohol Use Disorders in Adolescents Deborah Deas, M.D., M.P.H. 

S6. "In or Out?": A Discussion About Gender Identity Diagnoses and the DSM (DSM Track DM03) 

A. The DSM-V Revision Process: Principles and Progress William E. Narrow, M.D. 

B. Beyond Conundrum: Strategies for Diagnostic Harm Reduction Kelley Winters, Ph.D. 

C. Aligning Bodies With Minds: The Case for Medical and Surgical Treatment of Gender Dysphoria Rebecca Allison, M.D. 

D. The Role of Medical and Psychological Discourse in Legal and Policy Advocacy for Transgender Persons in the U.S. Shannon P. Minter, J.D. 

S7. Relationship of Subthreshold Psychiatry to Axis II (Personality Disorders) 

A. Relationship of Subthreshold Psychiatry to Personality Disorders Ahmed Okasha, M.D. 

B. Personality Disorders, Their Thresholds, and Public Health Norman Sartorius, M.D. 

C. Schizophrenia/Schizotaxia: A Genetic Predisposition of Schizophrenia Ming T. Tsuang, M.D. 

D. On the Shared Diathesis of Borderline Personality and Bipolar Hagop S. Akiskal, M.D. 

E. Generalized Anxiety Disorder and Avoidant Personality Disorder Juan J. Lopez-Ibor, M.D. 

S8. Educating a New Generation of Physicians in Psychiatry: Reports From Winners of APA Innovative Teaching Grants APA Corresponding Committee on Medical Student Education 

A. Changing Perspectives: Reducing the Stigma of Mental Illness in Medical Students Through the Living Museum Project Janis Cutler, M.D. 

B. A School-Based Medical Student Curriculum for Education in Child and Adolescent Psychiatry Justine Larson, M.D. 

C. Teaching Third-Year Medical Students Brief Motivational Interviewing Skills to Use in Counseling Patients With Mental Illness on Smoking Cessation Brenda J.B. Roman, M.D. 

D. Preventing and Managing Metabolic Syndrome Among the Seriously Mentally Ill: Teaching Behavioral Medicine to Medical Students Jason B. Rosenstock, M.D. 

S9. Effective Assessment and Treatment of Sexual Dysfunction in Adults and the Elderly 

A. Clinical Presentation and Assessment of Sexual Dysfunction in Patients With Psychiatric Illness Jeffrey D. Raynor, M.D. 

B. Treatment of Psychotropic-Induced Sexual Dysfunction Travis O. Bruce, M.D. 

C. Sexual Dysfunction in Late Life: Beyond "Vitamin V" Shilpa Srinivasan, M.D. 

S10. The Neurobiological Evidence for Transgenderism 

A. Brain Gender Identity Sidney W. Ecker, M.D. 

B. Transsexuality as an Intersex Condition Milton Diamond, Ph.D. 

C. Novel Approaches to Endocrine Treatment of Transgender Adolescents and Adults Norman Spack, M.D. 

S11. Comprehensive HIV Psychiatry Update 

A. HIV/AIDS Medical Update Paul Volberding, M.D. 

B. Neuropsychiatric Overview of HIV/AIDS Robert Daroff Jr., M.D. 

C. Neurocognitive Decline Karl Goodkin, M.D. 

D. Psychopharmacology Gabrielle Marzani-Nissen, M.D. 

S12. The OC Spectrum in the Athlete: Psychopathology or Competitive Edge? International Society for Sport Psychiatry 

A. An International-Level Athlete's Struggle With Obsessive-Compulsive Disorder David O. Conant-Norville, M.D. 

B. Athletes and Superstition Thomas S. Newmark, M.D. 

C. The OC Spectrum in the Athlete: Psychopathology or Competitive Edge Saul I. Marks, M.D. 

S14. Increasing the Likelihood of Achieving Remission in Depression 

A. Medication Algorithms for Antidepressant Treatment: Lessons Learned From STAR*D and Other Practical Clinical Trials Madhukar H. Trivedi, M.D. 

B. Strategies for Medication Management of Treatment Resistance: Lessons From STAR*D Maurizio Fava, M.D. 

C. Use of EEG Biomarkers to Direct Selection of Antidepressant Medication Andrew F. Leuchter, M.D. 

D. Collaborative Care Approaches to Depression Jurgen Unutzer, M.D. 

E. Can Genetic Biomarkers Help Direct Treatment for Depression? Gonzalo Laje, M.D. 

S15. The Transmission of Borderline Personality Disorder 

A. The Aggregation of DIB-R and DSM-IV Borderline Personality Disorder Mary C. Zanarini, Ed.D. 

B. Familial Coaggregation of BPD With Axis I Disorders James I. Hudson, M.D. 

C. Familial Aggregation of Attachment in Borderline Personality Disorder Lois W. Choi-Kain, M.D. 

D. Familiality of BPD's Component Phenotypes John G. Gunderson, M.D. 

E. An Endophenotypic Approach to Borderline Personality Disorder Larry J. Siever, M.D. 

S16. Contributions of Neuroscience to Medications Development for Alcohol Use Disorder. National Institute on Alcohol Abuse and Alcoholism 

A. Novel Targets From the Dark Side of Dependence on Alcohol: Focus on CRF, Norepinephrine, and Vasopressin George F. Koob, Ph.D. 

B. Activation of the Nociceptin/Orphanin FQ System Reduces Alcohol Abuse–Related Behaviors in Rats With Innate Predisposition to Excessive Alcohol Intake and Elevated Anxiety Roberto R.C. Ciccocioppo, Ph.D. 

C. N-Type Calcium Channel Blockers for Alcohol Use Disorders: From Cells to People Robert O. Messing, M.D. 

D. New Array of Potential Treatments for Alcohol Use Disorders: From Drosophila to Electophysiology and More Predictive Animal Models Selena E. Bartlett, Pharm.D. 

E. The Emerging Role of Pharmacogenetics in Medications Development for Alcoholism: the Case of the Mu-Opioid Receptor Vijay A. Ramchandani, Ph.D. 

S17. Monitoring Equity in Mental Health From a Cross-National Perspective 

A. Equity in Determinants of Health and Health Policies Influencing Mental Health: A Cross-National Perspective Donna Stewart, M.D. 

B. Monitoring Equity in Mental Health in Lower-, Middle-, and High-Income Countries Natalia Diaz-Granados, M.S.C. 

C. Sociodemographic Factors Affect Mental Illness Rates Differently Across Countries Marta B. Rondon, M.D. 

D. Factors Associated With Inequities in Mental Health Care Use in a Developing Country Javier E. Saavedra, M.D. 

E. Income-Related Inequity in Mental Health Service Utilization in Colombia and Canada Marie DesMeules, M.S.C. 

S18. Recovery and Rehabilitation: From the Provider and Patient Points of View in France and the U.S.: Vive la Difference! 

A. Recovery From Disability of Serious Mental Disorders: A Phase-Linked Rehabilitation Process Robert P. Liberman, M.D. 

B. Can We Implement Recovery and Rehabilitation?: What Do We Know and What Are the Implications for Services? Marianne D. Farkas, Sc.D. 

C. An Individualized Cognitive Remediation Therapy for Patients With Schizophrenia: The RECOS Program Pascal Vianin, Ph.D. 

D. Functional Remission in Schizophrenia: A Specific Tool for Evaluation Pierre Michel Llorca, M.D.   

S19. Suicide Without a Psychiatric Disorder 

A. Had Gary Powers Killed Himself Norman B. Levy, M.D. 

B. Differentiating Suicide From Other Life-Ending Acts: A Model Illustrated With Chronic Kidney Disease and Dialysis John M. Bostwick, M.D. 

C. Oregon's Death With Dignity Act: Who Chooses Physician-Assisted Suicide Linda Ganzini, M.D. 

D. Desire for Death in Terminally Ill Cancer and AIDS Patients: Hopelessness and Loss of Meaning as Contributing Factors, Independent of Depression William Breitbart, M.D. 

E. Ethics in Suicide That Is Not Associated With Psychiatric Illness James J. Strain, M.D. 

S20. Biological Basis of Sex Differences in Drug Addiction: Translational Perspectives National Institute on Drug Abuse 

A. Sex Differences in Biological Sensitivity to the Reinforcing Effects of Drugs of Abuse in Preclinical Models of Acquisition, Escalation, and Relapse Wendy J. Lynch, Ph.D. 

B. The Role of Dopamine in Sex Differences in Drug Abuse Jill B. Becker, Ph.D. 

C. Gonadal Steroid Hormones and Neural Mechanisms of Cognition and Emotion in Women Karen Faith Berman, M.D. 

D. Sex Differences in fMRI Correlates of Stress and Drug Cues in Cocaine Dependence Marc N. Potenza, M.D. 

E. Sex Differences in Amygdala-Based Emotional Memory Processes: Relevance for Addiction Larry F. Cahill, Ph.D. 

S21. Co-occurring Disorders in HIV Positive Patients 

A. HIV and Hepatitis C Co-Infection Elizabeth Ryan, M.D. 

B. Metabolic Disease and HIV Marshall Forstein, M.D. 

C. PTSD and HIV Antoine Douaihy, M.D. 

D. Update on Severe Mental Illness and HIV Francine Cournos, M.D. 

E. Substance Use Disorders and HIV Steven Batki, M.D. 

S22. Starting Out on the Right Foot: Securing Your First Job and Establishing a Psychiatric Practice APA Committee of Residents and Fellows 

S23. Social Stress Increases Vulnerability to Drug Abuse and Disease National Institute on Drug Abuse 

A. Adverse Effects of Stress on Drug Addiction Julie Blendy, Ph.D. 

B. Social Stress and Vulnerability to Substance Abuse: Genes, Environment, and Neural Correlates Huda Akil, Ph.D. 

C. Interactions of Social Stressors and Enrichment With Social Rank on Dopamine D2 Receptors and the Reinforcing Strength of Cocaine in Monkeys Michael A. Nader, Ph.D. 

D. Social Stress and Simian Immunodeficiency Virus Disease: Behavioral and Physiological Mechanisms That Affect Disease Progression John P. Capitanio, Ph.D. 

S24. What's New in Pharmacotherapy for Alcohol Dependence? National Institute on Alcohol Abuse and Alcoholism 

A. Neurokinin 1 Receptor (NK1R) Antagonism: A Novel Anti-Stress Mechanism for the Treatment of Alcoholism David Ted George, M.D. 

B. Human Laboratory and Clinical Trial Evidence for Gabapentin Treatment of Alcohol Dependence Barbara J. Mason, Ph.D. 

C. Update on New Clinical Trials for Alcohol Dependence: Opiate, Dopamine, and GABA/Glutamate Acting Medications Raymond F. Anton, M.D. 

D. An Analysis of Two Promising Medications, Topiramate and Ondansetron, for Treating Alcohol Dependence: Results From Recent Large-Scale Clinical Trials Bankole A. Johnson, D.Sc. 

E. Pharmacogenetics and Alcohol Dependence Henry R. Kranzler, M.A. 

S25. Autism in Adults—Toward a Better Clinical Approach Through Understanding: Recent Insights From Research 

A. Neurodevelopmental Correlates of Social Impairment in Autism: From Infancy to Adulthood Ami Klin, Ph.D. 

B. Diffusion Tensor Imaging in Autism and Asperger Syndrome: Evidence for Impairment of Long Range White Matter Integrity Wouter Groen, M.D. 

C. Neurocognitive Correlates of Substance Use Disorder in Adults With Autism Spectrum Disorder or ADHD Bram B. Sizoo, M.D. 

D. Comorbidity in Adults With ASD: Evidence From Data From Cross-Sectional and Prospective Case-Controlled Cohort Samples Patricia J. van Wijngaarden-Cremers, M.D. 

E. ASD in Parents and Siblings of Early Diagnosed Infants With ASD Rutger J. Van der Gaag, M.D. 

S26. The Effects of City Life on Mental Health Around the World Royal College of Psychiatrists 

A. The Impact of Urban Living on Mental Health and Illness in Egypt Nasser N. Loza, M.D. 

B. Mental Disorders and Quality of Life in Large Metropolitan Areas in Mexico Maria E. Medina Mora, Psy.D. 

C. Metro-Urban Mental Health in Developing Countries: From Origins to Outcome: An Indian Experience Amresh K.A. Shrivastava, M.D. 

D. A Population-Based Study of First Episode Psychosis in São Paulo, Brazil Paulo Menezes, M.D. 

E. Chinese Elderly in Singapore: Comparing the Mental Health of an Urban and a Suburban Population Ee-Heok Ehk Kua, M.B.B.S. 

F. The Practice of Mental Health Promotion in Urban Planning and City Administration Helen E. Herrman, M.B. 

S27. Recent Research in Eating Disorders 

A. Psychopathology and Eating Pathology in Bariatric Surgery Candidates James E. Mitchell, M.D. 

B. Disordered Eating and Psychiatric Symptoms in Adolescents Presenting for Bariatric Surgery Michael J. Devlin, M.D. 

C. Recent Mortality Studies in Eating Disorders Scott J. Crow, M.D. 

D. A Model of Allostasis for Conceptualizing Eating Disorders Katherine A. Halmi, M.D. 

E. Are Anorexia Nervosa and Bulimia Nervosa Really Eating Disorders: New Understanding of Puzzling Symptoms Walter H. Kaye, M.D. 

S28. Publication Bias and the Effectiveness of Antidepressant Treatment and Psychological Interventions in Depression: Should We Care? 

A. Selective Publication of Antidepressant Trials and Its Influence on Apparent Efficacy Erick H. Turner, M.D. 

B. Publication Bias Is Not Restricted to Reporting Outcomes of Pharmacotherapy Trials Willem W.A. Nolen, M.D. 

C. Nonresponse to CBT and Antidepressants in the Treatment of Depression in Myocardial Infarction Patients Elisabeth Martens, M.D. 

D. How Well Do We Treat MDD? Claudi C.L.H. Bockting, Ph.D. 

S29. Borderline Personality Disorder: The Role of Neurobiology and Genes 

A. Opioid Receptor and Oxytocin Genotypes in BPD Larry J. Siever, M.D. 

B. Dysregulation of Endogenous Opioid System Function in Borderline Personality Disorder Jon-Kar Zubieta, M.D. 

C. Pain Processing in Borderline Personality Disorder: Functional and Genetic Approach Martin Bohus 

D. Neurobiology of Self-Injury in Borderline Personality Disorder Barbara H. Stanley, Ph.D. 

S30. Current and Future of the Emergent Field of Therapeutic Brain Stimulation and Neuromodulation in Psychiatry 

A. Neurosurgery for OCD: Focus on Deep Brain Stimulation Benjamin D. Greenberg, M.D. 

B. Feasibility Study of an Implantable Cortical Stimulation System for Patients With Major Depressive Disorder Darin D. Dougherty, M.D. 

C. Deep Transcranial Magnetic Stimulation: Comparison Between Effects of Unilateral and Bilateral Prefrontal Cortex Stimulation in Depressive Patients Abraham Zangen, Ph.D. 

D. Current and Future Therapeutic Uses of rTMS Mark S. George, M.D. E. Current and Future of Other Brain-Stimulating Techniques Alexander Bystritsky, M.D. 

S31. Pediatric Bipolar Disorder: A Critical Look at an American Phenomenon 

A. Australian and New Zealand Child and Adolescent Psychiatrists' Views on Bipolar Disorder Prevalence and on Rates of Pediatric Bipolar Disorder in the USA Peter I. Parry, M.B.B.S. 

B. Changing the Treatment Culture in a Residential Agency for Youth: Broadening the Role of Psychiatry Edmund C. Levin, M.D. 

C. Pediatric Bipolar Disorder: A Dispassionate Review of the Literature Glen R. Elliott, M.D.  

D. Bioethics and "Pediatric Bipolar Disorder" Mary G. Burke, M.D. 

S32. Working With Lawyers 

A. Values of Medicine and the Law Roger Peele, M.D. 

B. Brownlee v. Me: A Good Lawyer Directs the Process and Gets a Favorable Summary Judgment Lawrence K. Richards, M.D. 

C. New Opportunities for Attorney/Psychiatrist Collaborations Bruce J. Winick 

D. Beyond "Get the Money Up Front" Thomas G. Gutheil, M.D. 

E. Working With Lawyers Harold I. Eist, M.D. 

S33. Empirically Validated and Effective Psychotherapies for Borderline Personality Disorder 

A. Evidence-Based Versus Effectiveness Studies: The Randomized, Controlled Trial and Psychotherapy Research Kenneth R. Silk, M.D. 

B. Mentalization Based Treatment: A Discussion of Theory and Evidence Anthony W. Bateman, M.R.C. 

C. Transference-Focused Psychotherapy for BPD: Aiming for Change in Personality Structure Frank E. Yeomans, M.D. 

D. Dialectical Behavior Therapy for Complex, Multi-Diagnostic Patients—A Review of DBT's Evidence Base to Date Linda A. Dimeff, Ph.D. 

E. CBT for Personality Disorders (CBT-PD) Kate M. Davidson, Ph.D. 

F. Schema Therapy for Borderline Personality Disorder Jeffrey E. Young, Ph.D. 

S34. Advances in Neuropsychiatry and Clinical Neurosciences 

A. Windows to the Brain: Clinical and Functional Imaging in Psychiatry Robin A. Hurley, M.D. 

B. Current Controversies and Research Oportunities in the Neuropsychiatric Aspects of Delirium Paula Trzepacz, M.D. 

C. Neuropsychiatry of Traumatic Brain Injury Jonathan Silver, M.D. 

D. Advances in Neuropsychiatric Disorders Associated With Cerebrovascular Disease Robert G. Robinson, M.D. 

S35. PTSD and Alcohol Use Disorder (With Special Emphasis on Returning Veterans) National Institute on Alcohol Abuse and Alcoholism 

A. Psychotherapy Treatments for PTSD and Alcohol Use Disorder Lisa M. Najavits, Ph.D. 

B. Neurobiological Determinants of the Comorbidity of PTSD and Substance Abuse Thomas R. Kosten, M.D. 

C. Pharmacotherapeutic Treatment of PTSD and Co-Occurring Alcohol Use Disorders Kathleen Brady, M.D. 

D. Outcomes for Alcohol-Misusing Women With PTSD in the Women and Trauma Multisite Study in NIDA's Clinical Trials Network Denise Hien, Ph.D. 

E. Impact of Childhood Trauma on Hypothalamic-Pituitary-Adrenocorticol (HPA) Activity in Alcohol-Dependent Patients Ingo Schäfer, M.D. 

S36. Psychiatric Patients' Overcrowding in Emergency Departments: A Call for Actions APA 

Council on Healthcare Systems and Financing 

A. Overview of Psychiatric Patient Overcrowding in Emergency Departments Scott L. Zeller, M.D. 

B. Health Care Delivery System Influences and Impacts—Strategies for Improvement Joseph J. Parks, M.D. 

C. Innovative Methods to Decrease Psychiatric Patient Overcrowding of Medical Emergency Departments Avrim B. Fishkind, M.D. 

D. Behavioral Health Service Gaps and the Role of Emergency Departments Alan Q. Radke, M.D.