It’s funny how things come together sometimes. A few months ago, I mentioned a slightly strange JAMA paper that suggested that non-compliance with treatment regimes should be treated as a treatable condition in its own right. The subtext there was fairly clear: that there’s potential scope for what we might term “psychiatric mission-creep”, whereby behaviour gets […]
Category: The Art of Medicine
Under-Treatment, Treated.
Right: file this paper from the JAMA under “Properly Odd”. It’s a proposal that nonadherence to a treatment regime be classed as a treatable medical condition in its own right. No, really. Look at the title: “Medication Nonadherence: A Diagnosable and Treatable Medical Condition”. Starting from the fairly straightforward premise that non-adherence to treatment regimes is “a […]
Winston Churchill and the Spirochaetes
Did you hear the programme about syphilis on Radio 3 on Sunday? If not, you can catch up on it here – and I’d thoroughly recommend doing so: it was superb. One bit in particular caught my attention; it had to do with the use of penicillin to treat the illness during World War II. […]
Is the NIMH Turning its Back on DSM-V?
Thanks to Brian Earp for bringing this release from the US’ National Institute of Mental Health to my attention; it concerns the Institute’s decision to move away from DSM as its diagnostic tool. DSM has been enormously successful – in terms of having established itself at the centre of psychiatry – but it has been […]
Conference: Compassion Fatigue: Changing Culture in the NHS
26-28 June, Woodbrooke Quaker Study Centre, Birmingham (via Andrew Edgar) Can the language of compassion capture the moral problems confronted by the NHS, or might it obfuscate and distract us from more subtle and demanding issues? Through a series of plenary addresses, workshops, panels and shared opportunities for discussion, “Compassion Fatigue” will provide an opportunity […]
Gay Conversion “Therapy”: Might the CMF have a point?
Spoiler alert: Almost certainly not. But hear me out for a bit. The Christian Medical Fellowship blog had an article posted yesterday about what it praised as a balanced documentary concerning “sexual orientation change efforts” – gay conversion therapy to you and me – on Radio 4 on Sunday. Actually, it wasn’t a documentary – it was […]
198!
Seriously! Theoretical Medicine and Bioethics has published a paper with a hundred and ninety-eight listed authors! I’ve always been slightly puzzled by multi-authored papers – by just how many people get to add their names to a piece of work. A friend of mine who is a proper scientist once tried to explain how it works in […]
Modesty, Conscience, and What it Takes to be a Doctor (with a bit of Comedy)
Two apparently unrelated new and new-ish papers in the JME have caught my eye over the last few days. One of them is this one: Salilah Saidun’s “Photographing Human Subjects in Biomedical Disciplines: An Islamic Perspective”. We’ll come to the other in a little while. There’s a couple of puzzling things about the paper. One is […]
William Mager is having a Cochlear Implant.
And he’s going to blog about the experience. On Tuesday 6th November at around 7.30am I’ll be in a hospital room while a surgeon uses a marker pen to draw a line behind my ear. Soon after that, I’ll be wheeled into an operating theatre where they’ll make a small incision behind my ear, following […]
But what if you Don’t Want to be Regulated?
The Malaysian Parliament has just approved a law about traditional medicine. The Traditional and Complementary Medicine Act is largely about the regulation of practitioners of TCM – notably, setting up a regulatory Council. According to section II (5) The Council shall have the following functions: (a) to advise the Minister on matters of national policy relating […]