- Charlottesville, Virginia, United States
Bernard Beitman
University of Virginia, Dept. of Psychiatry & Neurobehavioral Sciences, Department Member
- Psychology, Social Psychology, Cognitive Science, Cognitive Psychology, Clinical Psychology, Coincidences, and 17 moreCoincidence, Serendipity, and Synchronicity, Coincidence, Acausal Coincidence, Coincidence, Synchronicity, and Meaning, Are there really any coincidences?, Serendity and Coincidence, Literature and Coincidence, Finding Anthropic Principle Coincidences, Synchronicity, Synchronicity & Ecopsychology, Synchronicity (Evolution), Creativity & Serendipity/Synchronicity, Spawning Synchronicity, Collective Unconscious and Synchronicity (carl Jung), Cosmology, Quantum Physics, and Entaglement Theoryedit
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Research Interests: Psychology, Cognitive Science, Psychotherapy, Suicide, Medicine, and 15 moreHumans, Female, Male, Psychological Intervention, Patient Compliance, Mental Disorders, Countertransference, Clinical Sciences, Pharmacotherapy, Middle Aged, Psychotherapist, Adult, Psychotropic Drugs, Guidance and Counseling Intervention Programs, and Physician-Patient Relations
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This chapter contains what we believe to be the fundamental, superordinate concepts that form the basis of psychotherapy: stages, relationship, self-awareness, and changing personal futures. Through holding fast to the basic constructs... more
This chapter contains what we believe to be the fundamental, superordinate concepts that form the basis of psychotherapy: stages, relationship, self-awareness, and changing personal futures. Through holding fast to the basic constructs and exploring more fully the incorporation of a future-orientation psychotherapy, we will continue to evolve with the unpredictable variations that will continue to enrich our theory and practice.
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Since the end of the cultural revolution (1966-78), China has opened itself to Western influence and ideas, including those of Western psychotherapy theory and practice. The faster pace of life under the new market economies has been... more
Since the end of the cultural revolution (1966-78), China has opened itself to Western influence and ideas, including those of Western psychotherapy theory and practice. The faster pace of life under the new market economies has been associated with increased psychological problems and a greater need for psychotherapy. Psychotherapy integration, which fits well both with basic Chinese beliefs and the collectivist orientation, is likely to continue to grow in influence and importance in China. Remaining obstacles to the development of psychotherapy in China include lack of psychotherapy skills within the medical profession, lack of potential profit from doing psychotherapy, stigma attached to mental problems by the masses, and failure to define basic requirements for psychotherapy training and practice.
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Introduction PART ONE: COST CONTAINMENT Tools of Cost Containment Mental Health Inc A Fictional Behavioral Healthcare Company Payers, Providers and the Evolution of Managed Care PART TWO: THE CLASH BETWEEN COST CONTAINMENT AND CLIENT CARE... more
Introduction PART ONE: COST CONTAINMENT Tools of Cost Containment Mental Health Inc A Fictional Behavioral Healthcare Company Payers, Providers and the Evolution of Managed Care PART TWO: THE CLASH BETWEEN COST CONTAINMENT AND CLIENT CARE Ethics of Client Care under Cost Containment Effects of Cost Containment on Therapists, Practice and Training PART THREE: WHAT THERAPISTS CAN DO FOR THEMSELVES AND THEIR CLIENTS Confront Key Problems for Psychotherapy Participation in Systems outside of Psychotherapy Reinvent Yourself, Again Psychotherapy in the 21st Century
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... MD 2 J Research Considerations in Evaluating Combined Treatment 353 Steven D. Hollon, Ph.D. Richard C. Shelton, MD Peter T ... Desensitization as Common Change Processes in Pharmacotherapy and Psychotherapy 435 Bernard D. Beitman, MD... more
... MD 2 J Research Considerations in Evaluating Combined Treatment 353 Steven D. Hollon, Ph.D. Richard C. Shelton, MD Peter T ... Desensitization as Common Change Processes in Pharmacotherapy and Psychotherapy 435 Bernard D. Beitman, MD John J. Mooney, MD Index ...
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Mitral valve prolapse is a common cardiac disorder that can readily be diagnosed by characteristic auscultatory and echocardiographic criteria. Although many diseases have been associated with mitral valve prolapse, most affected... more
Mitral valve prolapse is a common cardiac disorder that can readily be diagnosed by characteristic auscultatory and echocardiographic criteria. Although many diseases have been associated with mitral valve prolapse, most affected individuals have the primary form of the disorder. Mitral valve prolapse is an inherited condition commonly associated with myxomatous degeneration of the mitral valve and its support structures. Complications of mitral valve prolapse, including cardiac arrhythmias, sudden death, infective endocarditis, severe mitral regurgitation (with or without chordae tendineae rupture), and cerebral ischemic events, occur infrequently considering the wide prevalence of the disorder. Panic disorder is a specific type of anxiety disorder characterized by at least three panic attacks within a 3-week period or one panic attack followed by fear of subsequent panic attacks for at least 1 month. It too is a common condition with a prevalence and age and gender distribution similar to that of mitral valve prolapse. Panic disorder and mitral valve prolapse share many nonspecific symptoms, including chest pain or discomfort, palpitations, dyspnea, effort intolerance, and pre-syncope. Chest pain is the symptom in both conditions that most commonly brings the patient to medical attention. The clinical description of chest pain in patients with mitral valve prolapse is highly variable, possibly reflecting multiple etiologies. Chest pain in panic disorder is usually characterized as atypical angina pectoris and as such bears resemblance to the chest pain commonly described by patients with mitral valve prolapse. Multiple investigative attempts to elucidate the mechanism of chest pain in both conditions have failed to identify a unifying cause. Review of the literature leaves little doubt that mitral valve prolapse and panic disorder frequently co-occur. Given the similarities in their symptomatology, a high rate of co-occurrence is, in fact, entirely predictable. There is, however, no convincing evidence of a cause-effect relationship between the two disorders, nor has a single pathophysiologic or biochemical mechanism been identified that unites these two common conditions. Until specific biologic markers for these disorders are identified, it may be impossible to do so. The lack of a proven cause-and-effect relationship between mitral valve prolapse and panic disorder and the absence of a unifying mechanism do not diminish the clinical significance of the high rate of co-occurrence between the two conditions. Primary care physicians and cardiologists frequently encounter patients with mitral valve prolapse and nonspecific symptoms with no discernible objective cause who fail to respond to beta-blockade. Panic disorder should be considered as a possible explanation for symptoms in such patients.(ABSTRACT TRUNCATED AT 400 WORDS)
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Research Interests: Psychology, Psychiatry, Family, Medicine, Family history, and 15 moreHumans, Alcoholism, Female, Male, Panic Disorder, American, Depressive Disorder, Differential Diagnosis, Middle Aged, Panic, Coronary Angiography, Chest Pain, Psychiatric Status Rating Scales, Psychology and Cognitive Sciences, and Medical and Health Sciences
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The purpose of the first stage of individual psychotherapy is to engage clients in .the therapeutic relationship. Without sufficient trust in the therapist's ability, they will either leave therapy or remain nonparticipants in the... more
The purpose of the first stage of individual psychotherapy is to engage clients in .the therapeutic relationship. Without sufficient trust in the therapist's ability, they will either leave therapy or remain nonparticipants in the therapeutic interaction. Most schools of therapy place little emphasis on engagement techniques because their separate identities are based specifically on change techniques. Descriptions of similarities among these schools of therapy have emphasized the importance of a good therapeutic relationship in obtaining positive results; however, they too have paid little attention to the variety of techniques employed to instill confidence i.n the therapist's abilities.' The purpose of this article is to describe some of the techniques used by various therapists to engage their patients in the therapeutic relationship. Experienced therapists will recognize the specific techniques described here because they have had to develop them in order to engage ...
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To examine the association among panic disorder, atypical chest pain and coronary artery disease (CAD). This article's purpose is to inform cardiologists of the prevalence of psychiatric disorders, primarily panic disorder, among... more
To examine the association among panic disorder, atypical chest pain and coronary artery disease (CAD). This article's purpose is to inform cardiologists of the prevalence of psychiatric disorders, primarily panic disorder, among patients consulting for chest pain. Panic disorder is described. Treatment modalities are summarized, and social, financial and medical consequences of nondetection are underlined. PSYCHLIT and MEDLINE searches under panic disorder and chest pain-related headings were conducted. The search covered January 1973 to June 1993. Thirty-eight articles were studied. Panic disorder is present in 30% or more of chest pain patients with no or minimal CAD and may coexist with CAD. Panic disorder may often be unrecognized by physicians. Left untreated, risk for disease progression may be augmented, and social vocational disability as well as medical costs may increase. Physicians should attend to the panic symptomatology and, when in doubt, refer possible panic pat...
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This paper reviews current evidence from several cardiology populations that suggests panic disorder is prevalent and underdiagnosed. Cardiology patients with atypical angina and no heart disease have a high likelihood of having panic... more
This paper reviews current evidence from several cardiology populations that suggests panic disorder is prevalent and underdiagnosed. Cardiology patients with atypical angina and no heart disease have a high likelihood of having panic disorder as suggested by studies of two separate cardiology populations. That they resemble psychiatric populations with panic is suggested by their positive response to alprazolam. Although evidence is less clear concerning the relationship between MVP and panic, it appears that patients referred to ECHO and found to have MVP are also likely to have panic. Three other populations deserving further study are patients with 1) pacemaker syndrome, 2) coronary artery disease with atypical angina and 3) certain arrhythmias.
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Many investigators have reported that panic disorder (PD) patients with comorbid major depression (MD) have more severe symptoms and a poorer response to treatment than patients with PD alone. It is not known if this is due to a distinct... more
Many investigators have reported that panic disorder (PD) patients with comorbid major depression (MD) have more severe symptoms and a poorer response to treatment than patients with PD alone. It is not known if this is due to a distinct and more serious underlying disorder in these patients or simply a result of the simultaneous presence of the two disorders. Nondepressed patients presenting for treatment of panic disorder with agoraphobia (PDA) were studied before treatment (N = 180) and after 4 weeks of treatment with adinazolam sustained release (N = 89) or placebo (N = 91). Twenty-nine percent (N = 53) of the patients had a past history of MD. Symptom severity and treatment outcome were compared in patients with primary, secondary, single, recurrent, or no past MD. There were no consistent differences in symptom severity or treatment outcome in patients with a past history of primary, secondary, or single episode MD compared with patients with no history of MD. However, a small...
Research Interests: Psychiatry, Medicine, Comorbidity, Agoraphobia, Humans, and 15 moreMajor Depressive Disorder, Female, Male, Panic Disorder, Benzodiazepines, Depressive Disorder, Aged, Middle Aged, Panic, Adult, Clinical Psychiatry, Prognosis, Psychiatric Status Rating Scales, Medical and Health Sciences, and Antidepressive agents
1. This book addresses topics of special concern to psychiatrists in clinical practice in the area of brief dynamic psychotherapy. The books in this series contain a detailed table of contents, along with an index, tables, figures, and... more
1. This book addresses topics of special concern to psychiatrists in clinical practice in the area of brief dynamic psychotherapy. The books in this series contain a detailed table of contents, along with an index, tables, figures, and other charts for easy access. This ...
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In the context of administering psychiatric diagnostic interviews to cardiology patients with chest pain and no evidence of coronary artery disease, the authors found twenty-seven patients over the age of sixty-five, nine (33%) of whom... more
In the context of administering psychiatric diagnostic interviews to cardiology patients with chest pain and no evidence of coronary artery disease, the authors found twenty-seven patients over the age of sixty-five, nine (33%) of whom fit panic disorder criteria. Their mean age of onset was sixty-two (SD = 23 years). Only two patients reported onset of panic disorder earlier than age sixty-two. All nine were widows while the comparison group of non-panic subjects over age sixty-five included only seven of eighteen (40%) who were widows. These findings suggest panic disorder may be prevalent in older patients with chest pain and no evidence of coronary artery disease and that panic disorder may begin later in life.
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The articles in this issue of Psychiatric Annals discuss unconscious processes. The reader will learn about research of the mirror neuron system; the neuroanatomy of unconscious circuits; the distinction between exchanging implicit... more
The articles in this issue of Psychiatric Annals discuss unconscious processes. The reader will learn about research of the mirror neuron system; the neuroanatomy of unconscious circuits; the distinction between exchanging implicit contents unconsciously and the process of cognitive, verbal exchanges; the manifestation of the unconscious in the psychotherapeutic setting; and how both conscious and unconscious processes create a person’s sense of self.
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During this first century of Western psychotherapy, arguments among and between the schools of psychotherapy have dominated discourse. The psychotherapy of the next century is likely to place theory and associated techniques in their... more
During this first century of Western psychotherapy, arguments among and between the schools of psychotherapy have dominated discourse. The psychotherapy of the next century is likely to place theory and associated techniques in their appropriate, practical places in the psychotherapy outcome puzzle.
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Research Interests: Anxiety Disorders, Fear, Anxiety, Humans, Female, and 15 moreMale, Panic Disorder, Aged, Cardiac Catheterization, Middle Aged, Panic, Coronary Angiography, Adult, Angina pectoris, ANXIETY, Normal, Chest Pain, Coronary artery, Cardiovascular medicine and haematology, and esophageal motility disorders
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Research Interests: Psychology, Anxiety Disorders, Psychometrics, Prediction, Treatment, and 15 morePlacebo Effect, Evolution, Treatment Outcome, Test Validation, Humans, Generalized Anxiety Disorder, Female, Male, Benzodiazepines, Patient Satisfaction, Clinical Sciences, Middle Aged, Arousal, Adult, and Personality Inventory
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Research Interests: Humans, Female, Headache, Male, Clinical Sciences, and 4 moreMiddle Aged, Adult, Prognosis, and Migraine disorders
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Ten cardiology chest pain patients without clinical evidence of coronary artery disease and with panic disorder were enrolled in an open label trial of alprazolam. Two dropped out at week 3 because of excessive side effects. The eight... more
Ten cardiology chest pain patients without clinical evidence of coronary artery disease and with panic disorder were enrolled in an open label trial of alprazolam. Two dropped out at week 3 because of excessive side effects. The eight study completers showed significant decreases in both Hamilton Anxiety and Hamilton Depression scales by week 2 that remained significant by week 8. On the physician's global impression of change since baseline, all completers were rated at least "much improved." Seven experienced a 50% or greater reduction in panic frequency at week 8 compared to baseline. These results suggest that alprazolam is likely to be of benefit to this patient population.