Pediatricians’ Group Says Spanking is Ineffective, Potentially Harmful

Guest blog by Brenda Patoine

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It’s official: spanking is out. Time-outs are in.

That’s the lead message of a new policy statement from the largest pediatricians’ group, in its strongest warning yet against the use of spanking or other harsh punishments–ever–by parents and others charged with caring for children. It’s the American Academy of Pediatrics’ (AAP) first update to its policy guideline on discipline since 1998, when it discouraged but did not specifically proscribe spanking. This time, the message is clear: spanking doesn’t work and may cause harm. Ditto for harsh verbal reprimand that shames or humiliates.

The policy, which is intended to guide clinicians in their interactions with parents, cites 20 years of scientific research it says overwhelmingly demonstrates that corporal punishment is not only ineffective as a disciplinary measure, but may be harmful. Spanking in and of itself is associated with adverse outcomes that are similar to those seen in physical child abuse. Continue reading

New Report Finds Current Strategies Insufficient for Preventing the Most Preventable Cause of Mental Illness

Guest blog by Brenda Patoine

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Childhood maltreatment is recognized as the No. 1 preventable cause of mental illness – and some experts argue, of all stress-related diseases – yet science still has no clear answers for how to best prevent the spiral of neglect and abuse that threatens millions of infants and children in the U.S. alone.

In a report published this week, the U.S. Preventive Services Task Force (USPTF), a U.S. Public Health Service committee charged with recommending action to thwart preventable health conditions, conceded that there was “insufficient data” to recommend any particular strategy that has been tested as a means of preventing childhood maltreatment, which encompasses neglect as well as physical, psychological, or sexual abuse. Preventive interventions initiated in primary care focus on preventing maltreatment before it occurs, as opposed to identifying children who are victims of abuse or neglect. Continue reading

Predicting Suicides—Beyond STARRS

News Story from dana.org

Suicide Prevention

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Over the past few years, America has lost several celebrities, including actor/comedian Robin Williams and fashion designer Kate Spade, to suicide. It’s not a surprise: Suicide rates have been increasing across the board in the United States. According to the National Institute of Mental Health (NIMH), 1.3 million people in the US attempted suicide in 2016 – and nearly 45,000 died. This is nearly a 25 percent increase from the numbers posted in 2000.

To help combat what is being called a problem of epidemic proportions, the Mental Health Research Network, led by researchers at Kaiser Permanente, has developed a computer model based on data collected during outpatient visits to help identify which patients may be at the most risk for killing themselves.

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Brain’s Unconscious Loss Processing May Support Grief Resolution

Guest blog by Brenda Patoine

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A whole-brain representation of the neural signature associated with processing the loss of a loved one. Activation of this signature in the absence of a conscious thought of the loss correlated with less severe grieving. (GIF courtesy of Noam Schneck; adapted with permission from Biological Psychiatry: CNNI 2018 in press.)

What might grief look like in the brain? Is there a neural “fingerprint” associated with thoughts of a loved one, conscious or otherwise? Does the frequency with which that fingerprint shows up have anything to do with whether or not a bereaved person is able to move on from the death of a loved one and resume normal daily activities?

As psychiatry grapples with how to differentiate “normal” grief from bereavement-related depression and otherwise complicated or prolonged grief, one young scientist is tackling these questions from an altogether different angle, looking inside the brains of people recently bereaved due to suicide to identify grief-related patterns of neural activity and to track how those patterns might affect grief resolution.

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There’s No Brain in the World Like Yours

Guest post by Kayt Sukel 

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In the beloved children’s book, Happy Birthday to You!, Dr. Seuss writes, “Today you are YOU, that is TRUER than true. There is NO ONE alive who is YOUER than YOU.” Those who study the brain understand that the complex interplay of genetics and environment give rise to that “you-ness” of which Dr. Seuss spoke. And, as it turns out, it also makes for unique changes to brain anatomy—so much so that one can be uniquely identified by the brain, much like with fingerprints or the eye’s iris pattern.

Lutz Jäncke, a neuropsychologist at Switzerland’s University of Zurich, has spent his career studying individual differences. His work looking at brain differences in musicians, dancers, and chess players demonstrated that the human brain is profoundly shaped by experience.

“Thirty years ago, we didn’t anticipate that the human brain is so plastic,” he explains. “In learning that training and experience can have such a profound influence on the human brain, even in terms of anatomical and morphological aspects, we wondered if it was possible to identify individuals on the basis of anatomical features in the brain.”

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