The purpose of this study was to determine whether or not self-mutilation in patients with person... more The purpose of this study was to determine whether or not self-mutilation in patients with personality disorders is related to other psychological risk factors, dissociation or diagnosis. The sample included 61 subjects with borderline personality disorder and 60 subjects with nonborderline personality disorder; 32 subjects with borderline personality disorder reported self-mutilation. Psychological risk factors were measured through histories of childhood sexual abuse, physical abuse and separation or loss as well as through scores on the Parental Bonding Index. Dissociation was measured by the Dissociative Experiences Scale. There were no relationships between any of the psychological risk factors and self-mutilation. Subjects who mutilated themselves had higher scores on the Dissociative Experiences Scale in univariate analysis but the scores in multivariate analyses dissociation did not discriminate between subjects who mutilated themselves and those who did not. The results do ...
Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2021
This commentary responds to current events that have highlighted the ways that systemic racism af... more This commentary responds to current events that have highlighted the ways that systemic racism affects a wide variety of health outcomes. We specifically discuss how systemic racism adversely affects the mental health of children and adolescents in a Canadian context and use a structural framework to demonstrate how race is embedded in various Canadian systems and thus affects child and adolescent mental health in both conscious and unconscious ways throughout the lifespan. Experiences of systemic racism affect the mental health of Canadian young people in multiple complex and intersecting ways including access to care, experience of mental health services, and outcomes of care. We currently lack a national best practice framework for mental health professionals that unifies approaches to research, education, and clinical care for young racialized Canadians; in addition, concerted efforts to collect race-based data are lacking. We suggest that a blueprint for improved services for r...
IntroductionRacialized population groups have worse health outcomes across the world compared wit... more IntroductionRacialized population groups have worse health outcomes across the world compared with non-racialized populations. Evidence suggests that collecting race-based data should be done to mitigate racism as a barrier to health equity, and to amplify community voices, promote transparency, accountability, and shared governance of data. However, limited evidence exists on the best ways to collect race-based data in healthcare contexts. This systematic review aims to synthesize opinions and texts on the best practices for collecting race-based data in healthcare contexts.Methods and AnalysesWe will use the Joanna Briggs Institute (JBI) method for synthesizing text and opinions. JBI is a global leader in evidence-based healthcare and provides guidelines for systematic reviews. The search strategy will locate both published and unpublished papers in English in CINAHL, Medline, PsycINFO, Scopus and Web of Science from 1 January 2013 to 1 January 2023, as well as unpublished studies...
Introduction: A personality pathology framework may be useful in the diagnosis and treatment of c... more Introduction: A personality pathology framework may be useful in the diagnosis and treatment of children with chronic psychopathology and impairment in many domains of functioning. This paper presents the utility of such an approach through a description of research investigating borderline pathology of childhood (BPC). Methods: Literature regarding the phenomenology, risk factors, and outcomes of BPC and similar disorders is reviewed. Results: Research conducted at the SMBD-Jewish General Hospital in Montreal has shown that children with BPC can be reliably identified via chart review, and that they exhibit a pattern of risk factors similar to that of adults with borderline personality disorder, such as psychological trauma and deficits in executive function. Preliminary results of a follow-up study in adolescence suggests that these children remain more functionally impaired than a comparison group. Our current research investigates neuropsychological deficits and their relationship to trauma in children with BPC. We are also exploring whether a similar pattern can be observed in their parents. Conclusion: We conclude that BPC symptom patterns may diagnostically define a group of high risk children and may eventually guide our approach to early intervention.
... is predominantly Judeo-Christian, with the excep-tion of the review of applications of Ration... more ... is predominantly Judeo-Christian, with the excep-tion of the review of applications of RationalEmotive Behavior Therapy (REBT) by Ruth ... Death and Bereavement,' which refers briefly to other cultural paradigms of death such as Hindu, ancient Egyptian and Tibetan Buddhism. ...
... av Maria Sundvall. Familiegjenforening i eksil - en utfordring for familieterapeuter (Side 21... more ... av Maria Sundvall. Familiegjenforening i eksil - en utfordring for familieterapeuter (Side 210-227) av Nora Sveaass og Sissel Reichelt. Mustafa Can: Tätt intill dagarna. Berättelsen om min mor (Side 231) av Kerstin Hopstadius. ...
In 1991, the Liaison Committee on Medical Education stated that medical schools must be responsib... more In 1991, the Liaison Committee on Medical Education stated that medical schools must be responsible for designing and managing a coherent and coordinated curriculum. With respect to preparatory clinical skills, there have been no reports in the literature of an ...
Teesri Duniya1 is a Montréal-based company with a mandate to produce socially engaged theatre tha... more Teesri Duniya1 is a Montréal-based company with a mandate to produce socially engaged theatre that reflects and strengthens cultural diversity as an essential characteristic of Canadian and Québécois society.The company’s activities include mainstage productions, a new-play/new-form development series, community-engaged projects and the publication of alt.theatre: cultural diversity and the stage - a quarterly magazine focusing on intersections among politics, cultural plurality, social activism and the stage.
The purpose of this study was to determine whether or not self-mutilation in patients with person... more The purpose of this study was to determine whether or not self-mutilation in patients with personality disorders is related to other psychological risk factors, dissociation or diagnosis. The sample included 61 subjects with borderline personality disorder and 60 subjects with nonborderline personality disorder; 32 subjects with borderline personality disorder reported self-mutilation. Psychological risk factors were measured through histories of childhood sexual abuse, physical abuse and separation or loss as well as through scores on the Parental Bonding Index. Dissociation was measured by the Dissociative Experiences Scale. There were no relationships between any of the psychological risk factors and self-mutilation. Subjects who mutilated themselves had higher scores on the Dissociative Experiences Scale in univariate analysis but the scores in multivariate analyses dissociation did not discriminate between subjects who mutilated themselves and those who did not. The results do ...
Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2021
This commentary responds to current events that have highlighted the ways that systemic racism af... more This commentary responds to current events that have highlighted the ways that systemic racism affects a wide variety of health outcomes. We specifically discuss how systemic racism adversely affects the mental health of children and adolescents in a Canadian context and use a structural framework to demonstrate how race is embedded in various Canadian systems and thus affects child and adolescent mental health in both conscious and unconscious ways throughout the lifespan. Experiences of systemic racism affect the mental health of Canadian young people in multiple complex and intersecting ways including access to care, experience of mental health services, and outcomes of care. We currently lack a national best practice framework for mental health professionals that unifies approaches to research, education, and clinical care for young racialized Canadians; in addition, concerted efforts to collect race-based data are lacking. We suggest that a blueprint for improved services for r...
IntroductionRacialized population groups have worse health outcomes across the world compared wit... more IntroductionRacialized population groups have worse health outcomes across the world compared with non-racialized populations. Evidence suggests that collecting race-based data should be done to mitigate racism as a barrier to health equity, and to amplify community voices, promote transparency, accountability, and shared governance of data. However, limited evidence exists on the best ways to collect race-based data in healthcare contexts. This systematic review aims to synthesize opinions and texts on the best practices for collecting race-based data in healthcare contexts.Methods and AnalysesWe will use the Joanna Briggs Institute (JBI) method for synthesizing text and opinions. JBI is a global leader in evidence-based healthcare and provides guidelines for systematic reviews. The search strategy will locate both published and unpublished papers in English in CINAHL, Medline, PsycINFO, Scopus and Web of Science from 1 January 2013 to 1 January 2023, as well as unpublished studies...
Introduction: A personality pathology framework may be useful in the diagnosis and treatment of c... more Introduction: A personality pathology framework may be useful in the diagnosis and treatment of children with chronic psychopathology and impairment in many domains of functioning. This paper presents the utility of such an approach through a description of research investigating borderline pathology of childhood (BPC). Methods: Literature regarding the phenomenology, risk factors, and outcomes of BPC and similar disorders is reviewed. Results: Research conducted at the SMBD-Jewish General Hospital in Montreal has shown that children with BPC can be reliably identified via chart review, and that they exhibit a pattern of risk factors similar to that of adults with borderline personality disorder, such as psychological trauma and deficits in executive function. Preliminary results of a follow-up study in adolescence suggests that these children remain more functionally impaired than a comparison group. Our current research investigates neuropsychological deficits and their relationship to trauma in children with BPC. We are also exploring whether a similar pattern can be observed in their parents. Conclusion: We conclude that BPC symptom patterns may diagnostically define a group of high risk children and may eventually guide our approach to early intervention.
... is predominantly Judeo-Christian, with the excep-tion of the review of applications of Ration... more ... is predominantly Judeo-Christian, with the excep-tion of the review of applications of RationalEmotive Behavior Therapy (REBT) by Ruth ... Death and Bereavement,' which refers briefly to other cultural paradigms of death such as Hindu, ancient Egyptian and Tibetan Buddhism. ...
... av Maria Sundvall. Familiegjenforening i eksil - en utfordring for familieterapeuter (Side 21... more ... av Maria Sundvall. Familiegjenforening i eksil - en utfordring for familieterapeuter (Side 210-227) av Nora Sveaass og Sissel Reichelt. Mustafa Can: Tätt intill dagarna. Berättelsen om min mor (Side 231) av Kerstin Hopstadius. ...
In 1991, the Liaison Committee on Medical Education stated that medical schools must be responsib... more In 1991, the Liaison Committee on Medical Education stated that medical schools must be responsible for designing and managing a coherent and coordinated curriculum. With respect to preparatory clinical skills, there have been no reports in the literature of an ...
Teesri Duniya1 is a Montréal-based company with a mandate to produce socially engaged theatre tha... more Teesri Duniya1 is a Montréal-based company with a mandate to produce socially engaged theatre that reflects and strengthens cultural diversity as an essential characteristic of Canadian and Québécois society.The company’s activities include mainstage productions, a new-play/new-form development series, community-engaged projects and the publication of alt.theatre: cultural diversity and the stage - a quarterly magazine focusing on intersections among politics, cultural plurality, social activism and the stage.
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