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Inpatient psychiatric treatment and violence assessment are strongly influenced by a patient's race and class identity. The authors argue that psychiatrists enact a crypto-apartheid wherein they recognize and condemn the structural... more
Inpatient psychiatric treatment and violence assessment are strongly influenced by a patient's race and class identity. The authors argue that psychiatrists enact a crypto-apartheid wherein they recognize and condemn the structural racism and classism disadvantaging many patients, but through violence risk assessments and dispositional decisions, psychiatrists also function as arbiters of public safety and repeatedly disadvantage less-privileged patients to further symptomatic decline or even subsequent incarceration.
The outcome related negativity (ORN), an event-related potential (ERP) component around 200-250 ms, has been suggested to be an electrophysiological brain signature for the processing of loss and gain. This component has been suggested to... more
The outcome related negativity (ORN), an event-related potential (ERP) component around 200-250 ms, has been suggested to be an electrophysiological brain signature for the processing of loss and gain. This component has been suggested to involve theta band oscillations as a primary feature. The aim of the current study is to examine oscillatory activity and functional connectivity between frontal and parietal regions during the processing of monetary loss and gain. The sample consisted of 36 healthy individuals with the age range of 18-35 years. A 64-channel EEG was recorded continuously while the subjects were performing a gambling task that prompted the subject to select one of two amounts, 10 and 50. Loss (-50) and Gain (+50) conditions were analyzed using a Wavelet coherence method for frontal (FZ) and parietal (PZ) regions. Time-Frequency representation and Power and Coherence were plotted and compared between loss and gain conditions. Loss condition had more power at FZ while...
A dysfunctional neural reward system has been shown to be associated with alcoholism. The current study aims to examine reward processing in male alcoholics by using event-related potentials (ERPs) as well as behavioral measures of... more
A dysfunctional neural reward system has been shown to be associated with alcoholism. The current study aims to examine reward processing in male alcoholics by using event-related potentials (ERPs) as well as behavioral measures of impulsivity and risk-taking.
The outcome related negativity (ORN), an event-related potential (ERP) component around 200-250 ms, has been suggested to be an electrophysiological brain signature for the processing of loss and gain. This component has been suggested to... more
The outcome related negativity (ORN), an event-related potential (ERP) component around 200-250 ms, has been suggested to be an electrophysiological brain signature for the processing of loss and gain. This component has been suggested to involve theta band oscillations as a primary feature. The aim of the current study is to examine oscillatory activity and functional connectivity between frontal and parietal regions during the processing of monetary loss and gain. The sample consisted of 36 healthy individuals with the age range of 18-35 years. A 64-channel EEG was recorded continuously while the subjects were performing a gambling task that prompted the subject to select one of two amounts, 10 and 50. Loss (-50) and Gain (+50) conditions were analyzed using a Wavelet coherence method for frontal (FZ) and parietal (PZ) regions. Time-Frequency representation and Power and Coherence were plotted and compared between loss and gain conditions. Loss condition had more power at FZ while...
A dysfunctional neural reward system has been shown to be associated with alcoholism. The current study aims to examine reward processing in male alcoholics by using event-related potentials (ERPs) as well as behavioral measures of... more
A dysfunctional neural reward system has been shown to be associated with alcoholism. The current study aims to examine reward processing in male alcoholics by using event-related potentials (ERPs) as well as behavioral measures of impulsivity and risk-taking.
Neurocognitive correlates of impulsivity have been thought to underlie several of externalizing/disinhibitory disorders including alcoholism. The current study examines the aspects of impulsivity in terms of behavioral measures as well as... more
Neurocognitive correlates of impulsivity have been thought to underlie several of externalizing/disinhibitory disorders including alcoholism. The current study examines the aspects of impulsivity in terms of behavioral measures as well as event-related oscillations (EROs) while performing a gambling task that involves monetary gain and loss. Behavioral measures of impulsivity were analyzed and brain oscillations were decomposed into time-frequency-amplitude data using the S-Transform algorithm. The mean amplitude in the outcome-related negativity (ORN) time window (225-275 ms) in each frequency band was statistically analyzed in both groups across four outcomes that involved valence (loss or gain) and magnitude (50 or 10 cents). Alcoholics showed higher impulsivity as measured in Barratt Impulsivity Scale (BIS) and in other task-related impulsivity responses. Further, alcoholics showed significantly decreased amplitude in delta (1-3 Hz) and theta (4-7 Hz) band during the ORN time wi...
International medical graduates (IMGs) constitute a significant proportion of the psychiatric workforce in the United States. Observership programs serve an important role in preparing IMGs for U.S. residency positions; yet there are... more
International medical graduates (IMGs) constitute a significant proportion of the psychiatric workforce in the United States. Observership programs serve an important role in preparing IMGs for U.S. residency positions; yet there are limited resources with information available on establishing these observerships, and none specific to psychiatry. In this article, authors present a roadmap for observership programs in psychiatry for IMGs. This article draws on the experience of the IMG committee of the Group for Advancement of Psychiatry in establishing observership programs. Authors highlight the benefits of observership programs to IMGs, psychiatry departments, and the U.S. medical system as a whole. The different components of an observership program are presented, along with core competencies that need to be acquired. The authors discuss challenges that observership programs may encounter as well as recommendations for overcoming them. Observership programs provide a unique opportunity to integrate IMGs into the U.S. medical system. This article provides a framework for establishing such programs in a way that will optimize their benefits and avoid potential pitfalls.